code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
,,Bilateral Procedures,,,,,0
,,Bilateral Services,,,,,0
,,CT services furnished with equipment that don't meet NEMA standard,,,,,0
,,Computed radiography x-ray,,,,,0
,,Computed tomography services furnished using equipment that does not meet each of the attributes of the national electrical manufacturers association (NEMA) XR-29-2013 standard,,,,,0
,,Discontinued OP Hospital/ASC Procedure Prior to Administration of Anesthesia,,,,,0
,,Discontinued OP Procedure After Anesthesia Admin,,,,,0
,,Discontinued Procedure,,,,,0
,,Excepted off-campus service,,,,,0
,,Non-excepted off-campus service,,,,,0
,,State Supplied Vaccine,,,,,0
,,X-ray taken using film,,,,,0
,,X-ray was performed using film,,,,,0
,,X-ray was taken using computed radiography technology/cassette-based imaging,,,,,0
APR-DRG,0011,INPATIENT APRDRG 0011: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,6299.0,43928.06,5
APR-DRG,0012,INPATIENT APRDRG 0012: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,6299.0,45641.78,5
APR-DRG,0013,INPATIENT APRDRG 0013: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,6299.0,59422.32,5
APR-DRG,0014,INPATIENT APRDRG 0014: LIVER TRANSPLANT AND/OR INTESTINAL TRANSPLANT,,,6299.0,115332.89,5
APR-DRG,0021,INPATIENT APRDRG 0021: HEART AND/OR LUNG TRANSPLANT,,,6299.0,49342.96,5
APR-DRG,0022,INPATIENT APRDRG 0022: HEART AND/OR LUNG TRANSPLANT,,,6299.0,63703.76,5
APR-DRG,0023,INPATIENT APRDRG 0023: HEART AND/OR LUNG TRANSPLANT,,,6299.0,79299.49,5
APR-DRG,0024,INPATIENT APRDRG 0024: HEART AND/OR LUNG TRANSPLANT,,,6299.0,321963.39,5
APR-DRG,0041,INPATIENT APRDRG 0041: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,6299.0,45979.01,5
APR-DRG,0042,INPATIENT APRDRG 0042: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,6299.0,56030.27,5
APR-DRG,0043,INPATIENT APRDRG 0043: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,6299.0,85695.89,5
APR-DRG,0044,INPATIENT APRDRG 0044: TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE,,,6299.0,133286.1,5
APR-DRG,0051,INPATIENT APRDRG 0051: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,6299.0,46067.48,5
APR-DRG,0052,INPATIENT APRDRG 0052: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,6299.0,56394.55,5
APR-DRG,0053,INPATIENT APRDRG 0053: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,6299.0,61753.25,5
APR-DRG,0054,INPATIENT APRDRG 0054: TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,,,6299.0,85725.03,5
APR-DRG,0061,INPATIENT APRDRG 0061: PANCREAS TRANSPLANT,,,6299.0,60913.82,5
APR-DRG,0062,INPATIENT APRDRG 0062: PANCREAS TRANSPLANT,,,6299.0,61710.57,5
APR-DRG,0063,INPATIENT APRDRG 0063: PANCREAS TRANSPLANT,,,6299.0,68227.19,5
APR-DRG,0064,INPATIENT APRDRG 0064: PANCREAS TRANSPLANT,,,6299.0,105575.66,5
APR-DRG,0071,INPATIENT APRDRG 0071: ALLOGENEIC BONE MARROW TRANSPLANT,,,6299.0,59859.46,5
APR-DRG,0072,INPATIENT APRDRG 0072: ALLOGENEIC BONE MARROW TRANSPLANT,,,6299.0,91160.75,5
APR-DRG,0073,INPATIENT APRDRG 0073: ALLOGENEIC BONE MARROW TRANSPLANT,,,6299.0,135678.43,5
APR-DRG,0074,INPATIENT APRDRG 0074: ALLOGENEIC BONE MARROW TRANSPLANT,,,6299.0,384508.71,5
APR-DRG,0081,INPATIENT APRDRG 0081: AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY,,,6299.0,33852.35,5
APR-DRG,0082,INPATIENT APRDRG 0082: AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY,,,6299.0,40417.88,5
APR-DRG,0083,INPATIENT APRDRG 0083: AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY,,,6299.0,77644.06,5
APR-DRG,0084,INPATIENT APRDRG 0084: AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY,,,6299.0,114870.76,5
APR-DRG,0091,INPATIENT APRDRG 0091: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,6299.0,71325.2,5
APR-DRG,0092,INPATIENT APRDRG 0092: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,6299.0,73546.33,5
APR-DRG,0093,INPATIENT APRDRG 0093: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,6299.0,111824.26,5
APR-DRG,0094,INPATIENT APRDRG 0094: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO),,,6299.0,227609.91,5
APR-DRG,0111,INPATIENT APRDRG 0111: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,6299.0,35563.46,5
APR-DRG,0112,INPATIENT APRDRG 0112: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,6299.0,62535.43,5
APR-DRG,0113,INPATIENT APRDRG 0113: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,6299.0,89987.21,5
APR-DRG,0114,INPATIENT APRDRG 0114: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,6299.0,158358.03,5
APR-DRG,0201,INPATIENT APRDRG 0201: OPEN CRANIOTOMY FOR TRAUMA,,,6299.0,13694.15,5
APR-DRG,0202,INPATIENT APRDRG 0202: OPEN CRANIOTOMY FOR TRAUMA,,,6299.0,16360.22,5
APR-DRG,0203,INPATIENT APRDRG 0203: OPEN CRANIOTOMY FOR TRAUMA,,,6299.0,29160.82,5
APR-DRG,0204,INPATIENT APRDRG 0204: OPEN CRANIOTOMY FOR TRAUMA,,,6299.0,46382.85,5
APR-DRG,0211,INPATIENT APRDRG 0211: OPEN CRANIOTOMY EXCEPT TRAUMA,,,6299.0,14782.33,5
APR-DRG,0212,INPATIENT APRDRG 0212: OPEN CRANIOTOMY EXCEPT TRAUMA,,,6299.0,20084.3,5
APR-DRG,0213,INPATIENT APRDRG 0213: OPEN CRANIOTOMY EXCEPT TRAUMA,,,6299.0,31601.56,5
APR-DRG,0214,INPATIENT APRDRG 0214: OPEN CRANIOTOMY EXCEPT TRAUMA,,,6299.0,55216.34,5
APR-DRG,0221,INPATIENT APRDRG 0221: VENTRICULAR SHUNT PROCEDURES,,,6299.0,8261.56,5
APR-DRG,0222,INPATIENT APRDRG 0222: VENTRICULAR SHUNT PROCEDURES,,,6299.0,10157.94,5
APR-DRG,0223,INPATIENT APRDRG 0223: VENTRICULAR SHUNT PROCEDURES,,,6299.0,15136.21,5
APR-DRG,0224,INPATIENT APRDRG 0224: VENTRICULAR SHUNT PROCEDURES,,,6299.0,54800.01,5
APR-DRG,0231,INPATIENT APRDRG 0231: SPINAL PROCEDURES,,,6299.0,10449.89,5
APR-DRG,0232,INPATIENT APRDRG 0232: SPINAL PROCEDURES,,,6299.0,15194.5,5
APR-DRG,0233,INPATIENT APRDRG 0233: SPINAL PROCEDURES,,,6299.0,30952.6,5
APR-DRG,0234,INPATIENT APRDRG 0234: SPINAL PROCEDURES,,,6299.0,63579.38,5
APR-DRG,0241,INPATIENT APRDRG 0241: OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,5581.55,7411.0,5
APR-DRG,0242,INPATIENT APRDRG 0242: OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,6299.0,9095.26,5
APR-DRG,0243,INPATIENT APRDRG 0243: OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,6299.0,16281.12,5
APR-DRG,0244,INPATIENT APRDRG 0244: OPEN EXTRACRANIAL VASCULAR PROCEDURES,,,6299.0,31326.26,5
APR-DRG,0261,INPATIENT APRDRG 0261: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,6299.0,9096.82,5
APR-DRG,0262,INPATIENT APRDRG 0262: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,6299.0,14717.28,5
APR-DRG,0263,INPATIENT APRDRG 0263: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,6299.0,22291.89,5
APR-DRG,0264,INPATIENT APRDRG 0264: OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,,,6299.0,59316.15,5
APR-DRG,0271,INPATIENT APRDRG 0271: OTHER OPEN CRANIOTOMY,,,6299.0,12392.59,5
APR-DRG,0272,INPATIENT APRDRG 0272: OTHER OPEN CRANIOTOMY,,,6299.0,20614.6,5
APR-DRG,0273,INPATIENT APRDRG 0273: OTHER OPEN CRANIOTOMY,,,6299.0,28836.6,5
APR-DRG,0274,INPATIENT APRDRG 0274: OTHER OPEN CRANIOTOMY,,,6299.0,31799.32,5
APR-DRG,0291,INPATIENT APRDRG 0291: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,6299.0,21235.97,5
APR-DRG,0292,INPATIENT APRDRG 0292: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,6299.0,22481.84,5
APR-DRG,0293,INPATIENT APRDRG 0293: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,6299.0,30426.99,5
APR-DRG,0294,INPATIENT APRDRG 0294: OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES,,,6299.0,34526.28,5
APR-DRG,0301,INPATIENT APRDRG 0301: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,6299.0,13989.74,5
APR-DRG,0302,INPATIENT APRDRG 0302: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,6299.0,18434.07,5
APR-DRG,0303,INPATIENT APRDRG 0303: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,6299.0,25027.7,5
APR-DRG,0304,INPATIENT APRDRG 0304: PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,,,6299.0,35057.62,5
APR-DRG,0401,INPATIENT APRDRG 0401: SPINAL DISORDERS AND INJURIES,,,6299.0,7411.0,5
APR-DRG,0402,INPATIENT APRDRG 0402: SPINAL DISORDERS AND INJURIES,,,6299.0,15293.38,5
APR-DRG,0403,INPATIENT APRDRG 0403: SPINAL DISORDERS AND INJURIES,,,6299.0,19798.07,5
APR-DRG,0404,INPATIENT APRDRG 0404: SPINAL DISORDERS AND INJURIES,,,6299.0,30539.4,5
APR-DRG,0411,INPATIENT APRDRG 0411: NERVOUS SYSTEM MALIGNANCY,,,4942.46,7411.0,5
APR-DRG,0412,INPATIENT APRDRG 0412: NERVOUS SYSTEM MALIGNANCY,,,5314.05,7411.0,5
APR-DRG,0413,INPATIENT APRDRG 0413: NERVOUS SYSTEM MALIGNANCY,,,6299.0,7817.64,5
APR-DRG,0414,INPATIENT APRDRG 0414: NERVOUS SYSTEM MALIGNANCY,,,6299.0,13418.85,5
APR-DRG,0421,INPATIENT APRDRG 0421: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,4553.37,7411.0,5
APR-DRG,0422,INPATIENT APRDRG 0422: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,6299.0,7411.0,5
APR-DRG,0423,INPATIENT APRDRG 0423: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,6299.0,10596.13,5
APR-DRG,0424,INPATIENT APRDRG 0424: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,,,6299.0,26251.71,5
APR-DRG,0431,"INPATIENT APRDRG 0431: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,6036.79,7411.0,5
APR-DRG,0432,"INPATIENT APRDRG 0432: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,6299.0,9607.34,5
APR-DRG,0433,"INPATIENT APRDRG 0433: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,6299.0,30642.44,5
APR-DRG,0434,"INPATIENT APRDRG 0434: MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",,,6299.0,73629.07,5
APR-DRG,0441,INPATIENT APRDRG 0441: INTRACRANIAL HEMORRHAGE,,,5318.91,7411.0,5
APR-DRG,0442,INPATIENT APRDRG 0442: INTRACRANIAL HEMORRHAGE,,,6299.0,9176.44,5
APR-DRG,0443,INPATIENT APRDRG 0443: INTRACRANIAL HEMORRHAGE,,,6299.0,11271.63,5
APR-DRG,0444,INPATIENT APRDRG 0444: INTRACRANIAL HEMORRHAGE,,,6299.0,17700.81,5
APR-DRG,0451,INPATIENT APRDRG 0451: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,4994.02,7411.0,5
APR-DRG,0452,INPATIENT APRDRG 0452: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,6299.0,7411.0,5
APR-DRG,0453,INPATIENT APRDRG 0453: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,6299.0,10518.07,5
APR-DRG,0454,INPATIENT APRDRG 0454: CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,,,6299.0,18785.87,5
APR-DRG,0461,INPATIENT APRDRG 0461: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,5452.17,7411.0,5
APR-DRG,0462,INPATIENT APRDRG 0462: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,5496.92,7411.0,5
APR-DRG,0463,INPATIENT APRDRG 0463: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,6299.0,9361.71,5
APR-DRG,0464,INPATIENT APRDRG 0464: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION,,,6299.0,12443.07,5
APR-DRG,0471,INPATIENT APRDRG 0471: TRANSIENT ISCHEMIA,,,3973.13,7411.0,5
APR-DRG,0472,INPATIENT APRDRG 0472: TRANSIENT ISCHEMIA,,,4996.45,7411.0,5
APR-DRG,0473,INPATIENT APRDRG 0473: TRANSIENT ISCHEMIA,,,6299.0,7411.0,5
APR-DRG,0474,INPATIENT APRDRG 0474: TRANSIENT ISCHEMIA,,,6299.0,12675.7,5
APR-DRG,0481,"INPATIENT APRDRG 0481: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,3856.89,7411.0,5
APR-DRG,0482,"INPATIENT APRDRG 0482: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,4011.07,7411.0,5
APR-DRG,0483,"INPATIENT APRDRG 0483: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,5601.49,7411.0,5
APR-DRG,0484,"INPATIENT APRDRG 0484: PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS",,,6299.0,25548.64,5
APR-DRG,0491,INPATIENT APRDRG 0491: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,6299.0,7601.15,5
APR-DRG,0492,INPATIENT APRDRG 0492: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,6299.0,15258.51,5
APR-DRG,0493,INPATIENT APRDRG 0493: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,6299.0,16131.76,5
APR-DRG,0494,INPATIENT APRDRG 0494: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM,,,6299.0,32930.69,5
APR-DRG,0501,INPATIENT APRDRG 0501: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,3807.77,7411.0,5
APR-DRG,0502,INPATIENT APRDRG 0502: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,6299.0,13825.81,5
APR-DRG,0503,INPATIENT APRDRG 0503: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,6299.0,21452.99,5
APR-DRG,0504,INPATIENT APRDRG 0504: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,,,6299.0,42166.46,5
APR-DRG,0511,INPATIENT APRDRG 0511: VIRAL MENINGITIS,,,2612.28,7411.0,5
APR-DRG,0512,INPATIENT APRDRG 0512: VIRAL MENINGITIS,,,4253.28,7411.0,5
APR-DRG,0513,INPATIENT APRDRG 0513: VIRAL MENINGITIS,,,6136.49,7411.0,5
APR-DRG,0514,INPATIENT APRDRG 0514: VIRAL MENINGITIS,,,6299.0,19533.7,5
APR-DRG,0521,INPATIENT APRDRG 0521: ALTERATION IN CONSCIOUSNESS,,,3660.4,7411.0,5
APR-DRG,0522,INPATIENT APRDRG 0522: ALTERATION IN CONSCIOUSNESS,,,4701.71,7411.0,5
APR-DRG,0523,INPATIENT APRDRG 0523: ALTERATION IN CONSCIOUSNESS,,,5980.85,7411.0,5
APR-DRG,0524,INPATIENT APRDRG 0524: ALTERATION IN CONSCIOUSNESS,,,6299.0,17319.87,5
APR-DRG,0531,INPATIENT APRDRG 0531: SEIZURE,,,3057.79,7411.0,5
APR-DRG,0532,INPATIENT APRDRG 0532: SEIZURE,,,4111.75,7411.0,5
APR-DRG,0533,INPATIENT APRDRG 0533: SEIZURE,,,5951.19,7411.0,5
APR-DRG,0534,INPATIENT APRDRG 0534: SEIZURE,,,6299.0,14829.69,5
APR-DRG,0541,INPATIENT APRDRG 0541: MIGRAINE AND OTHER HEADACHES,,,3479.96,7411.0,5
APR-DRG,0542,INPATIENT APRDRG 0542: MIGRAINE AND OTHER HEADACHES,,,4346.66,7411.0,5
APR-DRG,0543,INPATIENT APRDRG 0543: MIGRAINE AND OTHER HEADACHES,,,5536.32,7411.0,5
APR-DRG,0544,INPATIENT APRDRG 0544: MIGRAINE AND OTHER HEADACHES,,,6299.0,13243.99,5
APR-DRG,0551,INPATIENT APRDRG 0551: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,3746.49,7411.0,5
APR-DRG,0552,INPATIENT APRDRG 0552: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,6299.0,7411.0,5
APR-DRG,0553,INPATIENT APRDRG 0553: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,6299.0,10209.46,5
APR-DRG,0554,INPATIENT APRDRG 0554: HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,,,6299.0,18499.12,5
APR-DRG,0561,"INPATIENT APRDRG 0561: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,4661.34,7411.0,5
APR-DRG,0562,"INPATIENT APRDRG 0562: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,6299.0,7411.0,5
APR-DRG,0563,"INPATIENT APRDRG 0563: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,6299.0,10744.45,5
APR-DRG,0564,"INPATIENT APRDRG 0564: BRAIN CONTUSION OR LACERATION AND COMPLICATED SKULL FRACTURE, COMA < 1 HOUR OR NO COMA",,,6299.0,20625.53,5
APR-DRG,0571,"INPATIENT APRDRG 0571: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,2818.01,7411.0,5
APR-DRG,0572,"INPATIENT APRDRG 0572: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,4976.02,7411.0,5
APR-DRG,0573,"INPATIENT APRDRG 0573: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,6299.0,10170.43,5
APR-DRG,0574,"INPATIENT APRDRG 0574: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA",,,6299.0,25388.87,5
APR-DRG,0581,INPATIENT APRDRG 0581: OTHER DISORDERS OF NERVOUS SYSTEM,,,5136.04,7411.0,5
APR-DRG,0582,INPATIENT APRDRG 0582: OTHER DISORDERS OF NERVOUS SYSTEM,,,6299.0,7777.57,5
APR-DRG,0583,INPATIENT APRDRG 0583: OTHER DISORDERS OF NERVOUS SYSTEM,,,6299.0,12462.33,5
APR-DRG,0584,INPATIENT APRDRG 0584: OTHER DISORDERS OF NERVOUS SYSTEM,,,6299.0,25184.35,5
APR-DRG,0591,INPATIENT APRDRG 0591: ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,6299.0,8927.69,5
APR-DRG,0592,INPATIENT APRDRG 0592: ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,6299.0,11064.5,5
APR-DRG,0593,INPATIENT APRDRG 0593: ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,6299.0,16639.16,5
APR-DRG,0594,INPATIENT APRDRG 0594: ANOXIC AND OTHER SEVERE BRAIN DAMAGE,,,6299.0,28806.42,5
APR-DRG,0731,INPATIENT APRDRG 0731: ORBIT AND EYE PROCEDURES,,,6299.0,7411.0,5
APR-DRG,0732,INPATIENT APRDRG 0732: ORBIT AND EYE PROCEDURES,,,6299.0,9388.77,5
APR-DRG,0733,INPATIENT APRDRG 0733: ORBIT AND EYE PROCEDURES,,,6299.0,13450.07,5
APR-DRG,0734,INPATIENT APRDRG 0734: ORBIT AND EYE PROCEDURES,,,6299.0,34457.07,5
APR-DRG,0821,INPATIENT APRDRG 0821: EYE INFECTIONS AND OTHER EYE DISORDERS,,,2867.13,7411.0,5
APR-DRG,0822,INPATIENT APRDRG 0822: EYE INFECTIONS AND OTHER EYE DISORDERS,,,5496.43,7411.0,5
APR-DRG,0823,INPATIENT APRDRG 0823: EYE INFECTIONS AND OTHER EYE DISORDERS,,,6299.0,10509.74,5
APR-DRG,0824,INPATIENT APRDRG 0824: EYE INFECTIONS AND OTHER EYE DISORDERS,,,6299.0,18262.33,5
APR-DRG,0891,INPATIENT APRDRG 0891: MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,6299.0,13911.68,5
APR-DRG,0892,INPATIENT APRDRG 0892: MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,6299.0,15021.2,5
APR-DRG,0893,INPATIENT APRDRG 0893: MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,6299.0,27436.69,5
APR-DRG,0894,INPATIENT APRDRG 0894: MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,6299.0,51554.71,5
APR-DRG,0911,INPATIENT APRDRG 0911: OTHER MAJOR HEAD AND NECK PROCEDURES,,,6299.0,7411.0,5
APR-DRG,0912,INPATIENT APRDRG 0912: OTHER MAJOR HEAD AND NECK PROCEDURES,,,6299.0,15220.52,5
APR-DRG,0913,INPATIENT APRDRG 0913: OTHER MAJOR HEAD AND NECK PROCEDURES,,,6299.0,33622.32,5
APR-DRG,0914,INPATIENT APRDRG 0914: OTHER MAJOR HEAD AND NECK PROCEDURES,,,6299.0,46861.11,5
APR-DRG,0921,INPATIENT APRDRG 0921: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,6299.0,10583.12,5
APR-DRG,0922,INPATIENT APRDRG 0922: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,6299.0,12424.34,5
APR-DRG,0923,INPATIENT APRDRG 0923: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,6299.0,38295.11,5
APR-DRG,0924,INPATIENT APRDRG 0924: FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES,,,6299.0,39703.35,5
APR-DRG,0951,INPATIENT APRDRG 0951: CLEFT LIP AND PALATE REPAIR,,,5634.08,7411.0,5
APR-DRG,0952,INPATIENT APRDRG 0952: CLEFT LIP AND PALATE REPAIR,,,6299.0,8786.13,5
APR-DRG,0953,INPATIENT APRDRG 0953: CLEFT LIP AND PALATE REPAIR,,,6299.0,12412.37,5
APR-DRG,0954,INPATIENT APRDRG 0954: CLEFT LIP AND PALATE REPAIR,,,6299.0,24604.09,5
APR-DRG,0971,INPATIENT APRDRG 0971: TONSIL AND ADENOID PROCEDURES,,,4379.73,7411.0,5
APR-DRG,0972,INPATIENT APRDRG 0972: TONSIL AND ADENOID PROCEDURES,,,6179.78,7411.0,5
APR-DRG,0973,INPATIENT APRDRG 0973: TONSIL AND ADENOID PROCEDURES,,,6299.0,8838.69,5
APR-DRG,0974,INPATIENT APRDRG 0974: TONSIL AND ADENOID PROCEDURES,,,6299.0,20400.71,5
APR-DRG,0981,"INPATIENT APRDRG 0981: OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,6299.0,7411.0,5
APR-DRG,0982,"INPATIENT APRDRG 0982: OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,6299.0,10423.87,5
APR-DRG,0983,"INPATIENT APRDRG 0983: OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,6299.0,18019.82,5
APR-DRG,0984,"INPATIENT APRDRG 0984: OTHER EAR, NOSE, MOUTH AND THROAT PROCEDURES",,,6299.0,33501.59,5
APR-DRG,1101,"INPATIENT APRDRG 1101: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,4170.11,7411.0,5
APR-DRG,1102,"INPATIENT APRDRG 1102: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,6299.0,7411.0,5
APR-DRG,1103,"INPATIENT APRDRG 1103: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,6299.0,7686.5,5
APR-DRG,1104,"INPATIENT APRDRG 1104: EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES",,,6299.0,14176.05,5
APR-DRG,1111,INPATIENT APRDRG 1111: VERTIGO AND OTHER LABYRINTH DISORDERS,,,3107.89,7411.0,5
APR-DRG,1112,INPATIENT APRDRG 1112: VERTIGO AND OTHER LABYRINTH DISORDERS,,,4257.66,7411.0,5
APR-DRG,1113,INPATIENT APRDRG 1113: VERTIGO AND OTHER LABYRINTH DISORDERS,,,5039.25,7411.0,5
APR-DRG,1114,INPATIENT APRDRG 1114: VERTIGO AND OTHER LABYRINTH DISORDERS,,,6299.0,8907.39,5
APR-DRG,1131,INPATIENT APRDRG 1131: INFECTIONS OF UPPER RESPIRATORY TRACT,,,1854.52,7411.0,5
APR-DRG,1132,INPATIENT APRDRG 1132: INFECTIONS OF UPPER RESPIRATORY TRACT,,,2811.69,7411.0,5
APR-DRG,1133,INPATIENT APRDRG 1133: INFECTIONS OF UPPER RESPIRATORY TRACT,,,6299.0,8958.91,5
APR-DRG,1134,INPATIENT APRDRG 1134: INFECTIONS OF UPPER RESPIRATORY TRACT,,,6299.0,14485.7,5
APR-DRG,1141,INPATIENT APRDRG 1141: DENTAL DISEASES AND DISORDERS,,,2893.88,7411.0,5
APR-DRG,1142,INPATIENT APRDRG 1142: DENTAL DISEASES AND DISORDERS,,,3548.53,7411.0,5
APR-DRG,1143,INPATIENT APRDRG 1143: DENTAL DISEASES AND DISORDERS,,,5191.48,7411.0,5
APR-DRG,1144,INPATIENT APRDRG 1144: DENTAL DISEASES AND DISORDERS,,,6299.0,18290.96,5
APR-DRG,1151,"INPATIENT APRDRG 1151: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,2864.22,7411.0,5
APR-DRG,1152,"INPATIENT APRDRG 1152: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,5119.01,7411.0,5
APR-DRG,1153,"INPATIENT APRDRG 1153: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,6299.0,10678.87,5
APR-DRG,1154,"INPATIENT APRDRG 1154: OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES",,,6299.0,19631.02,5
APR-DRG,1201,INPATIENT APRDRG 1201: MAJOR RESPIRATORY AND CHEST PROCEDURES,,,6299.0,12296.84,5
APR-DRG,1202,INPATIENT APRDRG 1202: MAJOR RESPIRATORY AND CHEST PROCEDURES,,,6299.0,12579.42,5
APR-DRG,1203,INPATIENT APRDRG 1203: MAJOR RESPIRATORY AND CHEST PROCEDURES,,,6299.0,17737.76,5
APR-DRG,1204,INPATIENT APRDRG 1204: MAJOR RESPIRATORY AND CHEST PROCEDURES,,,6299.0,52312.44,5
APR-DRG,1211,INPATIENT APRDRG 1211: OTHER RESPIRATORY AND CHEST PROCEDURES,,,6299.0,9237.85,5
APR-DRG,1212,INPATIENT APRDRG 1212: OTHER RESPIRATORY AND CHEST PROCEDURES,,,6299.0,12870.85,5
APR-DRG,1213,INPATIENT APRDRG 1213: OTHER RESPIRATORY AND CHEST PROCEDURES,,,6299.0,26403.67,5
APR-DRG,1214,INPATIENT APRDRG 1214: OTHER RESPIRATORY AND CHEST PROCEDURES,,,6299.0,48820.98,5
APR-DRG,1301,INPATIENT APRDRG 1301: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,6299.0,26160.64,5
APR-DRG,1302,INPATIENT APRDRG 1302: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,6299.0,30556.05,5
APR-DRG,1303,INPATIENT APRDRG 1303: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,6299.0,34950.94,5
APR-DRG,1304,INPATIENT APRDRG 1304: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS,,,6299.0,51473.53,5
APR-DRG,1311,INPATIENT APRDRG 1311: CYSTIC FIBROSIS - PULMONARY DISEASE,,,6299.0,8552.99,5
APR-DRG,1312,INPATIENT APRDRG 1312: CYSTIC FIBROSIS - PULMONARY DISEASE,,,6299.0,14981.65,5
APR-DRG,1313,INPATIENT APRDRG 1313: CYSTIC FIBROSIS - PULMONARY DISEASE,,,6299.0,20250.31,5
APR-DRG,1314,INPATIENT APRDRG 1314: CYSTIC FIBROSIS - PULMONARY DISEASE,,,6299.0,27221.24,5
APR-DRG,1321,INPATIENT APRDRG 1321: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,2896.8,7411.0,5
APR-DRG,1322,INPATIENT APRDRG 1322: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,5462.39,7411.0,5
APR-DRG,1323,INPATIENT APRDRG 1323: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,6299.0,9911.27,5
APR-DRG,1324,INPATIENT APRDRG 1324: BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,6299.0,16574.11,5
APR-DRG,1331,INPATIENT APRDRG 1331: RESPIRATORY FAILURE,,,3209.05,7411.0,5
APR-DRG,1332,INPATIENT APRDRG 1332: RESPIRATORY FAILURE,,,5000.34,7411.0,5
APR-DRG,1333,INPATIENT APRDRG 1333: RESPIRATORY FAILURE,,,6299.0,10105.9,5
APR-DRG,1334,INPATIENT APRDRG 1334: RESPIRATORY FAILURE,,,6299.0,14675.65,5
APR-DRG,1341,INPATIENT APRDRG 1341: PULMONARY EMBOLISM,,,4297.54,7411.0,5
APR-DRG,1342,INPATIENT APRDRG 1342: PULMONARY EMBOLISM,,,4962.4,7411.0,5
APR-DRG,1343,INPATIENT APRDRG 1343: PULMONARY EMBOLISM,,,6299.0,7933.7,5
APR-DRG,1344,INPATIENT APRDRG 1344: PULMONARY EMBOLISM,,,6299.0,15692.01,5
APR-DRG,1351,INPATIENT APRDRG 1351: MAJOR CHEST AND RESPIRATORY TRAUMA,,,4609.79,7411.0,5
APR-DRG,1352,INPATIENT APRDRG 1352: MAJOR CHEST AND RESPIRATORY TRAUMA,,,6106.34,7411.0,5
APR-DRG,1353,INPATIENT APRDRG 1353: MAJOR CHEST AND RESPIRATORY TRAUMA,,,6299.0,7812.96,5
APR-DRG,1354,INPATIENT APRDRG 1354: MAJOR CHEST AND RESPIRATORY TRAUMA,,,6299.0,12854.2,5
APR-DRG,1361,INPATIENT APRDRG 1361: RESPIRATORY MALIGNANCY,,,5496.92,7411.0,5
APR-DRG,1362,INPATIENT APRDRG 1362: RESPIRATORY MALIGNANCY,,,6299.0,7821.81,5
APR-DRG,1363,INPATIENT APRDRG 1363: RESPIRATORY MALIGNANCY,,,6299.0,11062.94,5
APR-DRG,1364,INPATIENT APRDRG 1364: RESPIRATORY MALIGNANCY,,,6299.0,15744.05,5
APR-DRG,1371,INPATIENT APRDRG 1371: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,3913.31,7411.0,5
APR-DRG,1372,INPATIENT APRDRG 1372: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,5610.73,7411.0,5
APR-DRG,1373,INPATIENT APRDRG 1373: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,6299.0,8765.32,5
APR-DRG,1374,INPATIENT APRDRG 1374: MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,,,6299.0,16192.65,5
APR-DRG,1381,INPATIENT APRDRG 1381: BRONCHIOLITIS AND RSV PNEUMONIA,,,2008.7,7411.0,5
APR-DRG,1382,INPATIENT APRDRG 1382: BRONCHIOLITIS AND RSV PNEUMONIA,,,2800.5,7411.0,5
APR-DRG,1383,INPATIENT APRDRG 1383: BRONCHIOLITIS AND RSV PNEUMONIA,,,4783.42,7411.0,5
APR-DRG,1384,INPATIENT APRDRG 1384: BRONCHIOLITIS AND RSV PNEUMONIA,,,6299.0,11440.76,5
APR-DRG,1391,INPATIENT APRDRG 1391: OTHER PNEUMONIA,,,2400.22,7411.0,5
APR-DRG,1392,INPATIENT APRDRG 1392: OTHER PNEUMONIA,,,3729.46,7411.0,5
APR-DRG,1393,INPATIENT APRDRG 1393: OTHER PNEUMONIA,,,5896.71,7411.0,5
APR-DRG,1394,INPATIENT APRDRG 1394: OTHER PNEUMONIA,,,6299.0,10830.31,5
APR-DRG,1401,INPATIENT APRDRG 1401: CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,3677.91,7411.0,5
APR-DRG,1402,INPATIENT APRDRG 1402: CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,4264.95,7411.0,5
APR-DRG,1403,INPATIENT APRDRG 1403: CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,5001.31,7411.0,5
APR-DRG,1404,INPATIENT APRDRG 1404: CHRONIC OBSTRUCTIVE PULMONARY DISEASE,,,6299.0,7853.03,5
APR-DRG,1411,INPATIENT APRDRG 1411: ASTHMA,,,2327.27,7411.0,5
APR-DRG,1412,INPATIENT APRDRG 1412: ASTHMA,,,3401.16,7411.0,5
APR-DRG,1413,INPATIENT APRDRG 1413: ASTHMA,,,4309.7,7411.0,5
APR-DRG,1414,INPATIENT APRDRG 1414: ASTHMA,,,6299.0,9404.38,5
APR-DRG,1421,INPATIENT APRDRG 1421: INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,4107.37,7411.0,5
APR-DRG,1422,INPATIENT APRDRG 1422: INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,6299.0,7411.0,5
APR-DRG,1423,INPATIENT APRDRG 1423: INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,6299.0,7411.0,5
APR-DRG,1424,INPATIENT APRDRG 1424: INTERSTITIAL AND ALVEOLAR LUNG DISEASES,,,6299.0,8860.03,5
APR-DRG,1431,"INPATIENT APRDRG 1431: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,3069.95,7411.0,5
APR-DRG,1432,"INPATIENT APRDRG 1432: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,4428.86,7411.0,5
APR-DRG,1433,"INPATIENT APRDRG 1433: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,6299.0,7411.0,5
APR-DRG,1434,"INPATIENT APRDRG 1434: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,6299.0,11633.83,5
APR-DRG,1441,"INPATIENT APRDRG 1441: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,2710.04,7411.0,5
APR-DRG,1442,"INPATIENT APRDRG 1442: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,4344.72,7411.0,5
APR-DRG,1443,"INPATIENT APRDRG 1443: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,6299.0,9197.78,5
APR-DRG,1444,"INPATIENT APRDRG 1444: RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",,,6299.0,11611.98,5
APR-DRG,1451,INPATIENT APRDRG 1451: ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,1959.09,7411.0,5
APR-DRG,1452,INPATIENT APRDRG 1452: ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,3631.22,7411.0,5
APR-DRG,1453,INPATIENT APRDRG 1453: ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,6069.86,7411.0,5
APR-DRG,1454,INPATIENT APRDRG 1454: ACUTE BRONCHITIS AND RELATED SYMPTOMS,,,6299.0,9743.69,5
APR-DRG,1601,INPATIENT APRDRG 1601: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,6299.0,25984.22,5
APR-DRG,1602,INPATIENT APRDRG 1602: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,6299.0,33111.28,5
APR-DRG,1603,INPATIENT APRDRG 1603: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,6299.0,47654.22,5
APR-DRG,1604,INPATIENT APRDRG 1604: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY,,,6299.0,112766.73,5
APR-DRG,1611,INPATIENT APRDRG 1611: IMPLANTABLE HEART ASSIST SYSTEMS,,,6299.0,86331.83,5
APR-DRG,1612,INPATIENT APRDRG 1612: IMPLANTABLE HEART ASSIST SYSTEMS,,,6299.0,91028.04,5
APR-DRG,1613,INPATIENT APRDRG 1613: IMPLANTABLE HEART ASSIST SYSTEMS,,,6299.0,126631.05,5
APR-DRG,1614,INPATIENT APRDRG 1614: IMPLANTABLE HEART ASSIST SYSTEMS,,,6299.0,242954.29,5
APR-DRG,1621,INPATIENT APRDRG 1621: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,36670.38,5
APR-DRG,1622,INPATIENT APRDRG 1622: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,41328.6,5
APR-DRG,1623,INPATIENT APRDRG 1623: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,55347.48,5
APR-DRG,1624,INPATIENT APRDRG 1624: CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,98370.03,5
APR-DRG,1631,INPATIENT APRDRG 1631: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,23395.69,5
APR-DRG,1632,INPATIENT APRDRG 1632: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,29068.19,5
APR-DRG,1633,INPATIENT APRDRG 1633: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,39264.64,5
APR-DRG,1634,INPATIENT APRDRG 1634: CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,58627.65,5
APR-DRG,1651,INPATIENT APRDRG 1651: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,23495.61,5
APR-DRG,1652,INPATIENT APRDRG 1652: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,27496.02,5
APR-DRG,1653,INPATIENT APRDRG 1653: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,33338.7,5
APR-DRG,1654,INPATIENT APRDRG 1654: CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,50706.96,5
APR-DRG,1661,INPATIENT APRDRG 1661: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,19718.97,5
APR-DRG,1662,INPATIENT APRDRG 1662: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,21774.08,5
APR-DRG,1663,INPATIENT APRDRG 1663: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,27864.47,5
APR-DRG,1664,INPATIENT APRDRG 1664: CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,39187.1,5
APR-DRG,1671,INPATIENT APRDRG 1671: OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,6299.0,20875.85,5
APR-DRG,1672,INPATIENT APRDRG 1672: OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,6299.0,25409.69,5
APR-DRG,1673,INPATIENT APRDRG 1673: OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,6299.0,32471.69,5
APR-DRG,1674,INPATIENT APRDRG 1674: OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES,,,6299.0,74754.2,5
APR-DRG,1691,INPATIENT APRDRG 1691: MAJOR ABDOMINAL VASCULAR PROCEDURES,,,6299.0,19065.85,5
APR-DRG,1692,INPATIENT APRDRG 1692: MAJOR ABDOMINAL VASCULAR PROCEDURES,,,6299.0,19081.98,5
APR-DRG,1693,INPATIENT APRDRG 1693: MAJOR ABDOMINAL VASCULAR PROCEDURES,,,6299.0,27058.87,5
APR-DRG,1694,INPATIENT APRDRG 1694: MAJOR ABDOMINAL VASCULAR PROCEDURES,,,6299.0,52525.8,5
APR-DRG,1701,"INPATIENT APRDRG 1701: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,6299.0,15153.91,5
APR-DRG,1702,"INPATIENT APRDRG 1702: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,6299.0,17383.36,5
APR-DRG,1703,"INPATIENT APRDRG 1703: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,6299.0,21304.15,5
APR-DRG,1704,"INPATIENT APRDRG 1704: PERMANENT CARDIAC PACEMAKER IMPLANT WITH AMI, HEART FAILURE OR SHOCK",,,6299.0,32735.02,5
APR-DRG,1711,"INPATIENT APRDRG 1711: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,6299.0,8883.45,5
APR-DRG,1712,"INPATIENT APRDRG 1712: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,6299.0,10759.54,5
APR-DRG,1713,"INPATIENT APRDRG 1713: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,6299.0,15395.38,5
APR-DRG,1714,"INPATIENT APRDRG 1714: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK",,,6299.0,37076.3,5
APR-DRG,1741,INPATIENT APRDRG 1741: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,6299.0,11476.67,5
APR-DRG,1742,INPATIENT APRDRG 1742: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,6299.0,13409.48,5
APR-DRG,1743,INPATIENT APRDRG 1743: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,6299.0,15580.64,5
APR-DRG,1744,INPATIENT APRDRG 1744: PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,,,6299.0,25469.53,5
APR-DRG,1751,INPATIENT APRDRG 1751: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,6299.0,12792.27,5
APR-DRG,1752,INPATIENT APRDRG 1752: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,6299.0,15089.9,5
APR-DRG,1753,INPATIENT APRDRG 1753: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,6299.0,20446.51,5
APR-DRG,1754,INPATIENT APRDRG 1754: PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,,,6299.0,33568.72,5
APR-DRG,1761,"INPATIENT APRDRG 1761: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,6299.0,7678.17,5
APR-DRG,1762,"INPATIENT APRDRG 1762: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,6299.0,9359.11,5
APR-DRG,1763,"INPATIENT APRDRG 1763: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,6299.0,21243.78,5
APR-DRG,1764,"INPATIENT APRDRG 1764: INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",,,6299.0,38069.25,5
APR-DRG,1771,INPATIENT APRDRG 1771: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,6299.0,7473.65,5
APR-DRG,1772,INPATIENT APRDRG 1772: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,6299.0,12873.98,5
APR-DRG,1773,INPATIENT APRDRG 1773: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,6299.0,18273.78,5
APR-DRG,1774,INPATIENT APRDRG 1774: CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT,,,6299.0,26059.68,5
APR-DRG,1781,INPATIENT APRDRG 1781: EXTERNAL HEART ASSIST SYSTEMS,,,6299.0,38432.5,5
APR-DRG,1782,INPATIENT APRDRG 1782: EXTERNAL HEART ASSIST SYSTEMS,,,6299.0,41925.51,5
APR-DRG,1783,INPATIENT APRDRG 1783: EXTERNAL HEART ASSIST SYSTEMS,,,6299.0,48849.09,5
APR-DRG,1784,INPATIENT APRDRG 1784: EXTERNAL HEART ASSIST SYSTEMS,,,6299.0,76333.14,5
APR-DRG,1791,INPATIENT APRDRG 1791: DEFIBRILLATOR IMPLANTS,,,6299.0,18199.36,5
APR-DRG,1792,INPATIENT APRDRG 1792: DEFIBRILLATOR IMPLANTS,,,6299.0,24361.57,5
APR-DRG,1793,INPATIENT APRDRG 1793: DEFIBRILLATOR IMPLANTS,,,6299.0,28759.58,5
APR-DRG,1794,INPATIENT APRDRG 1794: DEFIBRILLATOR IMPLANTS,,,6299.0,37506.69,5
APR-DRG,1801,INPATIENT APRDRG 1801: OTHER CIRCULATORY SYSTEM PROCEDURES,,,6299.0,31303.36,5
APR-DRG,1802,INPATIENT APRDRG 1802: OTHER CIRCULATORY SYSTEM PROCEDURES,,,6299.0,26833.01,5
APR-DRG,1803,INPATIENT APRDRG 1803: OTHER CIRCULATORY SYSTEM PROCEDURES,,,6299.0,22362.67,5
APR-DRG,1804,INPATIENT APRDRG 1804: OTHER CIRCULATORY SYSTEM PROCEDURES,,,6299.0,34552.3,5
APR-DRG,1811,INPATIENT APRDRG 1811: LOWER EXTREMITY ARTERIAL PROCEDURES,,,6299.0,9574.56,5
APR-DRG,1812,INPATIENT APRDRG 1812: LOWER EXTREMITY ARTERIAL PROCEDURES,,,6299.0,14530.45,5
APR-DRG,1813,INPATIENT APRDRG 1813: LOWER EXTREMITY ARTERIAL PROCEDURES,,,6299.0,23939.52,5
APR-DRG,1814,INPATIENT APRDRG 1814: LOWER EXTREMITY ARTERIAL PROCEDURES,,,6299.0,45623.05,5
APR-DRG,1821,INPATIENT APRDRG 1821: OTHER PERIPHERAL VASCULAR PROCEDURES,,,6299.0,10735.08,5
APR-DRG,1822,INPATIENT APRDRG 1822: OTHER PERIPHERAL VASCULAR PROCEDURES,,,6299.0,15022.24,5
APR-DRG,1823,INPATIENT APRDRG 1823: OTHER PERIPHERAL VASCULAR PROCEDURES,,,6299.0,19903.2,5
APR-DRG,1824,INPATIENT APRDRG 1824: OTHER PERIPHERAL VASCULAR PROCEDURES,,,6299.0,58662.51,5
APR-DRG,1831,INPATIENT APRDRG 1831: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,6299.0,26578.01,5
APR-DRG,1832,INPATIENT APRDRG 1832: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,6299.0,27939.41,5
APR-DRG,1833,INPATIENT APRDRG 1833: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,6299.0,43036.07,5
APR-DRG,1834,INPATIENT APRDRG 1834: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,,,6299.0,44119.57,5
APR-DRG,1901,INPATIENT APRDRG 1901: ACUTE MYOCARDIAL INFARCTION,,,4811.63,7411.0,5
APR-DRG,1902,INPATIENT APRDRG 1902: ACUTE MYOCARDIAL INFARCTION,,,5174.94,7411.0,5
APR-DRG,1903,INPATIENT APRDRG 1903: ACUTE MYOCARDIAL INFARCTION,,,6299.0,7411.0,5
APR-DRG,1904,INPATIENT APRDRG 1904: ACUTE MYOCARDIAL INFARCTION,,,6299.0,12960.37,5
APR-DRG,1911,INPATIENT APRDRG 1911: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,5279.03,7411.0,5
APR-DRG,1912,INPATIENT APRDRG 1912: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,6294.56,7411.0,5
APR-DRG,1913,INPATIENT APRDRG 1913: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,6299.0,9345.06,5
APR-DRG,1914,INPATIENT APRDRG 1914: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE,,,6299.0,11659.33,5
APR-DRG,1921,INPATIENT APRDRG 1921: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,6299.0,8039.34,5
APR-DRG,1922,INPATIENT APRDRG 1922: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,6299.0,8647.7,5
APR-DRG,1923,INPATIENT APRDRG 1923: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,6299.0,14774.53,5
APR-DRG,1924,INPATIENT APRDRG 1924: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS,,,6299.0,23897.36,5
APR-DRG,1931,INPATIENT APRDRG 1931: ACUTE AND SUBACUTE ENDOCARDITIS,,,6299.0,11033.8,5
APR-DRG,1932,INPATIENT APRDRG 1932: ACUTE AND SUBACUTE ENDOCARDITIS,,,6299.0,14136.5,5
APR-DRG,1933,INPATIENT APRDRG 1933: ACUTE AND SUBACUTE ENDOCARDITIS,,,6299.0,23625.71,5
APR-DRG,1934,INPATIENT APRDRG 1934: ACUTE AND SUBACUTE ENDOCARDITIS,,,6299.0,28167.87,5
APR-DRG,1941,INPATIENT APRDRG 1941: HEART FAILURE,,,3177.92,7411.0,5
APR-DRG,1942,INPATIENT APRDRG 1942: HEART FAILURE,,,4192.0,7411.0,5
APR-DRG,1943,INPATIENT APRDRG 1943: HEART FAILURE,,,6299.0,7411.0,5
APR-DRG,1944,INPATIENT APRDRG 1944: HEART FAILURE,,,6299.0,17008.66,5
APR-DRG,1961,INPATIENT APRDRG 1961: CARDIAC ARREST AND SHOCK,,,3184.73,7411.0,5
APR-DRG,1962,INPATIENT APRDRG 1962: CARDIAC ARREST AND SHOCK,,,4206.1,7411.0,5
APR-DRG,1963,INPATIENT APRDRG 1963: CARDIAC ARREST AND SHOCK,,,6109.26,7411.0,5
APR-DRG,1964,INPATIENT APRDRG 1964: CARDIAC ARREST AND SHOCK,,,6299.0,14013.68,5
APR-DRG,1971,INPATIENT APRDRG 1971: PERIPHERAL AND OTHER VASCULAR DISORDERS,,,3618.08,7411.0,5
APR-DRG,1972,INPATIENT APRDRG 1972: PERIPHERAL AND OTHER VASCULAR DISORDERS,,,5131.17,7411.0,5
APR-DRG,1973,INPATIENT APRDRG 1973: PERIPHERAL AND OTHER VASCULAR DISORDERS,,,6299.0,7411.0,5
APR-DRG,1974,INPATIENT APRDRG 1974: PERIPHERAL AND OTHER VASCULAR DISORDERS,,,6299.0,15830.96,5
APR-DRG,1981,INPATIENT APRDRG 1981: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,3019.85,7411.0,5
APR-DRG,1982,INPATIENT APRDRG 1982: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,3852.03,7411.0,5
APR-DRG,1983,INPATIENT APRDRG 1983: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,4712.41,7411.0,5
APR-DRG,1984,INPATIENT APRDRG 1984: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS,,,6299.0,8548.3,5
APR-DRG,1991,INPATIENT APRDRG 1991: HYPERTENSION,,,3586.96,7411.0,5
APR-DRG,1992,INPATIENT APRDRG 1992: HYPERTENSION,,,3895.8,7411.0,5
APR-DRG,1993,INPATIENT APRDRG 1993: HYPERTENSION,,,5670.55,7411.0,5
APR-DRG,1994,INPATIENT APRDRG 1994: HYPERTENSION,,,6299.0,11182.11,5
APR-DRG,2001,INPATIENT APRDRG 2001: CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,6299.0,7885.3,5
APR-DRG,2002,INPATIENT APRDRG 2002: CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,6299.0,13175.3,5
APR-DRG,2003,INPATIENT APRDRG 2003: CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,6299.0,18465.29,5
APR-DRG,2004,INPATIENT APRDRG 2004: CARDIAC STRUCTURAL AND VALVULAR DISORDERS,,,6299.0,147158.22,5
APR-DRG,2011,INPATIENT APRDRG 2011: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,2948.84,7411.0,5
APR-DRG,2012,INPATIENT APRDRG 2012: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,3745.03,7411.0,5
APR-DRG,2013,INPATIENT APRDRG 2013: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,5776.09,7411.0,5
APR-DRG,2014,INPATIENT APRDRG 2014: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,,,6299.0,10225.07,5
APR-DRG,2031,INPATIENT APRDRG 2031: CHEST PAIN,,,2897.29,7411.0,5
APR-DRG,2032,INPATIENT APRDRG 2032: CHEST PAIN,,,3508.65,7411.0,5
APR-DRG,2033,INPATIENT APRDRG 2033: CHEST PAIN,,,3858.84,7411.0,5
APR-DRG,2034,INPATIENT APRDRG 2034: CHEST PAIN,,,6299.0,8408.31,5
APR-DRG,2041,INPATIENT APRDRG 2041: SYNCOPE AND COLLAPSE,,,3133.66,7411.0,5
APR-DRG,2042,INPATIENT APRDRG 2042: SYNCOPE AND COLLAPSE,,,4146.77,7411.0,5
APR-DRG,2043,INPATIENT APRDRG 2043: SYNCOPE AND COLLAPSE,,,4559.69,7411.0,5
APR-DRG,2044,INPATIENT APRDRG 2044: SYNCOPE AND COLLAPSE,,,6299.0,16254.06,5
APR-DRG,2051,INPATIENT APRDRG 2051: CARDIOMYOPATHY,,,3402.62,7411.0,5
APR-DRG,2052,INPATIENT APRDRG 2052: CARDIOMYOPATHY,,,4501.33,7411.0,5
APR-DRG,2053,INPATIENT APRDRG 2053: CARDIOMYOPATHY,,,5732.32,7411.0,5
APR-DRG,2054,INPATIENT APRDRG 2054: CARDIOMYOPATHY,,,6299.0,57491.06,5
APR-DRG,2061,"INPATIENT APRDRG 2061: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,4326.23,7411.0,5
APR-DRG,2062,"INPATIENT APRDRG 2062: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,5066.0,7411.0,5
APR-DRG,2063,"INPATIENT APRDRG 2063: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,6299.0,11293.48,5
APR-DRG,2064,"INPATIENT APRDRG 2064: MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE",,,6299.0,24966.81,5
APR-DRG,2071,INPATIENT APRDRG 2071: OTHER CIRCULATORY SYSTEM DIAGNOSES,,,3874.89,7411.0,5
APR-DRG,2072,INPATIENT APRDRG 2072: OTHER CIRCULATORY SYSTEM DIAGNOSES,,,5053.84,7411.0,5
APR-DRG,2073,INPATIENT APRDRG 2073: OTHER CIRCULATORY SYSTEM DIAGNOSES,,,6299.0,7721.37,5
APR-DRG,2074,INPATIENT APRDRG 2074: OTHER CIRCULATORY SYSTEM DIAGNOSES,,,6299.0,28412.99,5
APR-DRG,2201,"INPATIENT APRDRG 2201: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,6299.0,9970.59,5
APR-DRG,2202,"INPATIENT APRDRG 2202: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,6299.0,12177.14,5
APR-DRG,2203,"INPATIENT APRDRG 2203: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,6299.0,23937.96,5
APR-DRG,2204,"INPATIENT APRDRG 2204: MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,6299.0,65041.22,5
APR-DRG,2221,"INPATIENT APRDRG 2221: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,4687.61,7411.0,5
APR-DRG,2222,"INPATIENT APRDRG 2222: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,6299.0,9941.45,5
APR-DRG,2223,"INPATIENT APRDRG 2223: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,6299.0,21798.54,5
APR-DRG,2224,"INPATIENT APRDRG 2224: OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES",,,6299.0,30932.83,5
APR-DRG,2231,INPATIENT APRDRG 2231: OTHER SMALL AND LARGE BOWEL PROCEDURES,,,6299.0,7411.0,5
APR-DRG,2232,INPATIENT APRDRG 2232: OTHER SMALL AND LARGE BOWEL PROCEDURES,,,6299.0,8959.43,5
APR-DRG,2233,INPATIENT APRDRG 2233: OTHER SMALL AND LARGE BOWEL PROCEDURES,,,6299.0,12323.9,5
APR-DRG,2234,INPATIENT APRDRG 2234: OTHER SMALL AND LARGE BOWEL PROCEDURES,,,6299.0,40851.9,5
APR-DRG,2241,INPATIENT APRDRG 2241: PERITONEAL ADHESIOLYSIS,,,6299.0,7823.89,5
APR-DRG,2242,INPATIENT APRDRG 2242: PERITONEAL ADHESIOLYSIS,,,6299.0,11394.96,5
APR-DRG,2243,INPATIENT APRDRG 2243: PERITONEAL ADHESIOLYSIS,,,6299.0,17334.44,5
APR-DRG,2244,INPATIENT APRDRG 2244: PERITONEAL ADHESIOLYSIS,,,6299.0,47578.24,5
APR-DRG,2261,INPATIENT APRDRG 2261: ANAL PROCEDURES,,,5554.31,7411.0,5
APR-DRG,2262,INPATIENT APRDRG 2262: ANAL PROCEDURES,,,6299.0,8469.2,5
APR-DRG,2263,INPATIENT APRDRG 2263: ANAL PROCEDURES,,,6299.0,9814.47,5
APR-DRG,2264,INPATIENT APRDRG 2264: ANAL PROCEDURES,,,6299.0,28661.23,5
APR-DRG,2271,"INPATIENT APRDRG 2271: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,6299.0,7584.5,5
APR-DRG,2272,"INPATIENT APRDRG 2272: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,6299.0,9788.97,5
APR-DRG,2273,"INPATIENT APRDRG 2273: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,6299.0,14424.81,5
APR-DRG,2274,"INPATIENT APRDRG 2274: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL",,,6299.0,45483.58,5
APR-DRG,2281,"INPATIENT APRDRG 2281: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,4977.48,7411.0,5
APR-DRG,2282,"INPATIENT APRDRG 2282: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,6299.0,7411.0,5
APR-DRG,2283,"INPATIENT APRDRG 2283: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,6299.0,11919.02,5
APR-DRG,2284,"INPATIENT APRDRG 2284: INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES",,,6299.0,22918.99,5
APR-DRG,2291,INPATIENT APRDRG 2291: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,6299.0,7411.0,5
APR-DRG,2292,INPATIENT APRDRG 2292: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,6299.0,9813.43,5
APR-DRG,2293,INPATIENT APRDRG 2293: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,6299.0,19970.33,5
APR-DRG,2294,INPATIENT APRDRG 2294: OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,,,6299.0,27370.6,5
APR-DRG,2301,INPATIENT APRDRG 2301: MAJOR SMALL BOWEL PROCEDURES,,,6299.0,9267.51,5
APR-DRG,2302,INPATIENT APRDRG 2302: MAJOR SMALL BOWEL PROCEDURES,,,6299.0,13585.38,5
APR-DRG,2303,INPATIENT APRDRG 2303: MAJOR SMALL BOWEL PROCEDURES,,,6299.0,20228.45,5
APR-DRG,2304,INPATIENT APRDRG 2304: MAJOR SMALL BOWEL PROCEDURES,,,6299.0,55017.02,5
APR-DRG,2311,INPATIENT APRDRG 2311: MAJOR LARGE BOWEL PROCEDURES,,,6299.0,9003.14,5
APR-DRG,2312,INPATIENT APRDRG 2312: MAJOR LARGE BOWEL PROCEDURES,,,6299.0,11428.79,5
APR-DRG,2313,INPATIENT APRDRG 2313: MAJOR LARGE BOWEL PROCEDURES,,,6299.0,16037.05,5
APR-DRG,2314,INPATIENT APRDRG 2314: MAJOR LARGE BOWEL PROCEDURES,,,6299.0,33374.09,5
APR-DRG,2321,INPATIENT APRDRG 2321: GASTRIC FUNDOPLICATION,,,4979.91,7411.0,5
APR-DRG,2322,INPATIENT APRDRG 2322: GASTRIC FUNDOPLICATION,,,6299.0,7411.0,5
APR-DRG,2323,INPATIENT APRDRG 2323: GASTRIC FUNDOPLICATION,,,6299.0,10598.73,5
APR-DRG,2324,INPATIENT APRDRG 2324: GASTRIC FUNDOPLICATION,,,6299.0,21533.13,5
APR-DRG,2331,INPATIENT APRDRG 2331: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,7411.0,5
APR-DRG,2332,INPATIENT APRDRG 2332: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,9841.53,5
APR-DRG,2333,INPATIENT APRDRG 2333: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,12647.6,5
APR-DRG,2334,INPATIENT APRDRG 2334: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,35693.57,5
APR-DRG,2341,INPATIENT APRDRG 2341: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,4762.99,7411.0,5
APR-DRG,2342,INPATIENT APRDRG 2342: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,6259.54,7411.0,5
APR-DRG,2343,INPATIENT APRDRG 2343: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,8333.89,5
APR-DRG,2344,INPATIENT APRDRG 2344: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS,,,6299.0,22252.86,5
APR-DRG,2401,INPATIENT APRDRG 2401: DIGESTIVE MALIGNANCY,,,5088.86,7411.0,5
APR-DRG,2402,INPATIENT APRDRG 2402: DIGESTIVE MALIGNANCY,,,5830.08,7411.0,5
APR-DRG,2403,INPATIENT APRDRG 2403: DIGESTIVE MALIGNANCY,,,6299.0,8751.79,5
APR-DRG,2404,INPATIENT APRDRG 2404: DIGESTIVE MALIGNANCY,,,6299.0,14724.57,5
APR-DRG,2411,INPATIENT APRDRG 2411: PEPTIC ULCER AND GASTRITIS,,,4122.45,7411.0,5
APR-DRG,2412,INPATIENT APRDRG 2412: PEPTIC ULCER AND GASTRITIS,,,4825.25,7411.0,5
APR-DRG,2413,INPATIENT APRDRG 2413: PEPTIC ULCER AND GASTRITIS,,,6299.0,8448.91,5
APR-DRG,2414,INPATIENT APRDRG 2414: PEPTIC ULCER AND GASTRITIS,,,6299.0,20528.73,5
APR-DRG,2421,INPATIENT APRDRG 2421: MAJOR ESOPHAGEAL DISORDERS,,,4217.77,7411.0,5
APR-DRG,2422,INPATIENT APRDRG 2422: MAJOR ESOPHAGEAL DISORDERS,,,4540.72,7411.0,5
APR-DRG,2423,INPATIENT APRDRG 2423: MAJOR ESOPHAGEAL DISORDERS,,,6299.0,7786.42,5
APR-DRG,2424,INPATIENT APRDRG 2424: MAJOR ESOPHAGEAL DISORDERS,,,6299.0,17979.23,5
APR-DRG,2431,INPATIENT APRDRG 2431: OTHER ESOPHAGEAL DISORDERS,,,2940.09,7411.0,5
APR-DRG,2432,INPATIENT APRDRG 2432: OTHER ESOPHAGEAL DISORDERS,,,4446.85,7411.0,5
APR-DRG,2433,INPATIENT APRDRG 2433: OTHER ESOPHAGEAL DISORDERS,,,6299.0,7411.0,5
APR-DRG,2434,INPATIENT APRDRG 2434: OTHER ESOPHAGEAL DISORDERS,,,6299.0,14935.85,5
APR-DRG,2441,INPATIENT APRDRG 2441: DIVERTICULITIS AND DIVERTICULOSIS,,,3464.88,7411.0,5
APR-DRG,2442,INPATIENT APRDRG 2442: DIVERTICULITIS AND DIVERTICULOSIS,,,4371.95,7411.0,5
APR-DRG,2443,INPATIENT APRDRG 2443: DIVERTICULITIS AND DIVERTICULOSIS,,,5838.35,7411.0,5
APR-DRG,2444,INPATIENT APRDRG 2444: DIVERTICULITIS AND DIVERTICULOSIS,,,6299.0,20770.2,5
APR-DRG,2451,INPATIENT APRDRG 2451: INFLAMMATORY BOWEL DISEASE,,,4298.03,7411.0,5
APR-DRG,2452,INPATIENT APRDRG 2452: INFLAMMATORY BOWEL DISEASE,,,6058.19,7411.0,5
APR-DRG,2453,INPATIENT APRDRG 2453: INFLAMMATORY BOWEL DISEASE,,,6299.0,9026.04,5
APR-DRG,2454,INPATIENT APRDRG 2454: INFLAMMATORY BOWEL DISEASE,,,6299.0,29705.17,5
APR-DRG,2461,INPATIENT APRDRG 2461: GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,6299.0,8108.03,5
APR-DRG,2462,INPATIENT APRDRG 2462: GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,6299.0,9098.9,5
APR-DRG,2463,INPATIENT APRDRG 2463: GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,6299.0,10089.25,5
APR-DRG,2464,INPATIENT APRDRG 2464: GASTROINTESTINAL VASCULAR INSUFFICIENCY,,,6299.0,109352.3,5
APR-DRG,2471,INPATIENT APRDRG 2471: INTESTINAL OBSTRUCTION,,,2697.88,7411.0,5
APR-DRG,2472,INPATIENT APRDRG 2472: INTESTINAL OBSTRUCTION,,,3783.45,7411.0,5
APR-DRG,2473,INPATIENT APRDRG 2473: INTESTINAL OBSTRUCTION,,,6136.01,7411.0,5
APR-DRG,2474,INPATIENT APRDRG 2474: INTESTINAL OBSTRUCTION,,,6299.0,14093.82,5
APR-DRG,2481,INPATIENT APRDRG 2481: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,2165.79,7411.0,5
APR-DRG,2482,INPATIENT APRDRG 2482: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,4713.38,7411.0,5
APR-DRG,2483,INPATIENT APRDRG 2483: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,6299.0,7411.0,5
APR-DRG,2484,INPATIENT APRDRG 2484: MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,,,6299.0,23838.56,5
APR-DRG,2491,"INPATIENT APRDRG 2491: OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,2016.48,7411.0,5
APR-DRG,2492,"INPATIENT APRDRG 2492: OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,3162.84,7411.0,5
APR-DRG,2493,"INPATIENT APRDRG 2493: OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,5431.75,7411.0,5
APR-DRG,2494,"INPATIENT APRDRG 2494: OTHER GASTROENTERITIS, NAUSEA AND VOMITING",,,6299.0,17382.31,5
APR-DRG,2511,INPATIENT APRDRG 2511: ABDOMINAL PAIN,,,2763.54,7411.0,5
APR-DRG,2512,INPATIENT APRDRG 2512: ABDOMINAL PAIN,,,3977.02,7411.0,5
APR-DRG,2513,INPATIENT APRDRG 2513: ABDOMINAL PAIN,,,5406.46,7411.0,5
APR-DRG,2514,INPATIENT APRDRG 2514: ABDOMINAL PAIN,,,6299.0,12087.11,5
APR-DRG,2521,"INPATIENT APRDRG 2521: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,3824.79,7411.0,5
APR-DRG,2522,"INPATIENT APRDRG 2522: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,4504.73,7411.0,5
APR-DRG,2523,"INPATIENT APRDRG 2523: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,6299.0,7411.0,5
APR-DRG,2524,"INPATIENT APRDRG 2524: MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE",,,6299.0,24939.23,5
APR-DRG,2531,INPATIENT APRDRG 2531: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,3355.93,7411.0,5
APR-DRG,2532,INPATIENT APRDRG 2532: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,4557.26,7411.0,5
APR-DRG,2533,INPATIENT APRDRG 2533: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,6245.93,7411.0,5
APR-DRG,2534,INPATIENT APRDRG 2534: OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,,,6299.0,11323.15,5
APR-DRG,2541,INPATIENT APRDRG 2541: OTHER DIGESTIVE SYSTEM DIAGNOSES,,,3135.12,7411.0,5
APR-DRG,2542,INPATIENT APRDRG 2542: OTHER DIGESTIVE SYSTEM DIAGNOSES,,,5202.67,7411.0,5
APR-DRG,2543,INPATIENT APRDRG 2543: OTHER DIGESTIVE SYSTEM DIAGNOSES,,,6299.0,9062.47,5
APR-DRG,2544,INPATIENT APRDRG 2544: OTHER DIGESTIVE SYSTEM DIAGNOSES,,,6299.0,20029.66,5
APR-DRG,2601,"INPATIENT APRDRG 2601: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,6299.0,13886.18,5
APR-DRG,2602,"INPATIENT APRDRG 2602: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,6299.0,15131.53,5
APR-DRG,2603,"INPATIENT APRDRG 2603: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,6299.0,22699.89,5
APR-DRG,2604,"INPATIENT APRDRG 2604: MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES",,,6299.0,49427.79,5
APR-DRG,2611,INPATIENT APRDRG 2611: MAJOR BILIARY TRACT PROCEDURES,,,6299.0,9746.82,5
APR-DRG,2612,INPATIENT APRDRG 2612: MAJOR BILIARY TRACT PROCEDURES,,,6299.0,14231.73,5
APR-DRG,2613,INPATIENT APRDRG 2613: MAJOR BILIARY TRACT PROCEDURES,,,6299.0,28700.26,5
APR-DRG,2614,INPATIENT APRDRG 2614: MAJOR BILIARY TRACT PROCEDURES,,,6299.0,43419.62,5
APR-DRG,2631,INPATIENT APRDRG 2631: CHOLECYSTECTOMY,,,6140.38,7411.0,5
APR-DRG,2632,INPATIENT APRDRG 2632: CHOLECYSTECTOMY,,,6299.0,8158.51,5
APR-DRG,2633,INPATIENT APRDRG 2633: CHOLECYSTECTOMY,,,6299.0,10402.02,5
APR-DRG,2634,INPATIENT APRDRG 2634: CHOLECYSTECTOMY,,,6299.0,28745.01,5
APR-DRG,2641,"INPATIENT APRDRG 2641: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,6299.0,12415.49,5
APR-DRG,2642,"INPATIENT APRDRG 2642: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,6299.0,15863.23,5
APR-DRG,2643,"INPATIENT APRDRG 2643: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,6299.0,19310.44,5
APR-DRG,2644,"INPATIENT APRDRG 2644: OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES",,,6299.0,36789.04,5
APR-DRG,2791,INPATIENT APRDRG 2791: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,2898.75,7411.0,5
APR-DRG,2792,INPATIENT APRDRG 2792: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,4343.74,7411.0,5
APR-DRG,2793,INPATIENT APRDRG 2793: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,5927.84,7411.0,5
APR-DRG,2794,INPATIENT APRDRG 2794: HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,,,6299.0,18497.04,5
APR-DRG,2801,INPATIENT APRDRG 2801: ALCOHOLIC LIVER DISEASE,,,3011.1,7411.0,5
APR-DRG,2802,INPATIENT APRDRG 2802: ALCOHOLIC LIVER DISEASE,,,3988.21,7411.0,5
APR-DRG,2803,INPATIENT APRDRG 2803: ALCOHOLIC LIVER DISEASE,,,6212.37,7411.0,5
APR-DRG,2804,INPATIENT APRDRG 2804: ALCOHOLIC LIVER DISEASE,,,6299.0,16922.27,5
APR-DRG,2811,INPATIENT APRDRG 2811: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,4977.48,7411.0,5
APR-DRG,2812,INPATIENT APRDRG 2812: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,5647.21,7411.0,5
APR-DRG,2813,INPATIENT APRDRG 2813: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,6299.0,7982.62,5
APR-DRG,2814,INPATIENT APRDRG 2814: MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS,,,6299.0,11958.57,5
APR-DRG,2821,INPATIENT APRDRG 2821: DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,3268.39,7411.0,5
APR-DRG,2822,INPATIENT APRDRG 2822: DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,4514.46,7411.0,5
APR-DRG,2823,INPATIENT APRDRG 2823: DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,6299.0,8177.25,5
APR-DRG,2824,INPATIENT APRDRG 2824: DISORDERS OF PANCREAS EXCEPT MALIGNANCY,,,6299.0,28918.31,5
APR-DRG,2831,INPATIENT APRDRG 2831: OTHER DISORDERS OF THE LIVER,,,3047.58,7411.0,5
APR-DRG,2832,INPATIENT APRDRG 2832: OTHER DISORDERS OF THE LIVER,,,4332.56,7411.0,5
APR-DRG,2833,INPATIENT APRDRG 2833: OTHER DISORDERS OF THE LIVER,,,5800.41,7411.0,5
APR-DRG,2834,INPATIENT APRDRG 2834: OTHER DISORDERS OF THE LIVER,,,6299.0,25438.31,5
APR-DRG,2841,INPATIENT APRDRG 2841: DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,4126.34,7411.0,5
APR-DRG,2842,INPATIENT APRDRG 2842: DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,5479.41,7411.0,5
APR-DRG,2843,INPATIENT APRDRG 2843: DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,6299.0,8793.42,5
APR-DRG,2844,INPATIENT APRDRG 2844: DISORDERS OF GALLBLADDER AND BILIARY TRACT,,,6299.0,16547.05,5
APR-DRG,3031,INPATIENT APRDRG 3031: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,6299.0,31379.86,5
APR-DRG,3032,INPATIENT APRDRG 3032: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,6299.0,42596.84,5
APR-DRG,3033,INPATIENT APRDRG 3033: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,6299.0,58709.87,5
APR-DRG,3034,INPATIENT APRDRG 3034: DORSAL AND LUMBAR FUSION PROCEDURE FOR CURVATURE OF BACK,,,6299.0,69400.2,5
APR-DRG,3041,INPATIENT APRDRG 3041: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,6299.0,18385.15,5
APR-DRG,3042,INPATIENT APRDRG 3042: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,6299.0,22182.6,5
APR-DRG,3043,INPATIENT APRDRG 3043: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,6299.0,36100.53,5
APR-DRG,3044,INPATIENT APRDRG 3044: DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,,,6299.0,57653.95,5
APR-DRG,3051,INPATIENT APRDRG 3051: AMPUTATION OF LOWER LIMB EXCEPT TOES,,,6299.0,7808.28,5
APR-DRG,3052,INPATIENT APRDRG 3052: AMPUTATION OF LOWER LIMB EXCEPT TOES,,,6299.0,10198.01,5
APR-DRG,3053,INPATIENT APRDRG 3053: AMPUTATION OF LOWER LIMB EXCEPT TOES,,,6299.0,15821.6,5
APR-DRG,3054,INPATIENT APRDRG 3054: AMPUTATION OF LOWER LIMB EXCEPT TOES,,,6299.0,28393.73,5
APR-DRG,3081,INPATIENT APRDRG 3081: HIP AND FEMUR FRACTURE REPAIR,,,6299.0,8515.52,5
APR-DRG,3082,INPATIENT APRDRG 3082: HIP AND FEMUR FRACTURE REPAIR,,,6299.0,10557.1,5
APR-DRG,3083,INPATIENT APRDRG 3083: HIP AND FEMUR FRACTURE REPAIR,,,6299.0,14923.88,5
APR-DRG,3084,INPATIENT APRDRG 3084: HIP AND FEMUR FRACTURE REPAIR,,,6299.0,31198.24,5
APR-DRG,3091,INPATIENT APRDRG 3091: OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,6299.0,10054.9,5
APR-DRG,3092,INPATIENT APRDRG 3092: OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,6299.0,14157.32,5
APR-DRG,3093,INPATIENT APRDRG 3093: OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,6299.0,19946.91,5
APR-DRG,3094,INPATIENT APRDRG 3094: OTHER SIGNIFICANT HIP AND FEMUR SURGERY,,,6299.0,26335.5,5
APR-DRG,3101,INPATIENT APRDRG 3101: INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION,,,6299.0,7837.94,5
APR-DRG,3102,INPATIENT APRDRG 3102: INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION,,,6299.0,12332.23,5
APR-DRG,3103,INPATIENT APRDRG 3103: INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION,,,6299.0,18875.9,5
APR-DRG,3104,INPATIENT APRDRG 3104: INTERVERTEBRAL DISC EXCISION AND DECOMPRESSION,,,6299.0,35718.03,5
APR-DRG,3121,"INPATIENT APRDRG 3121: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,6299.0,8556.11,5
APR-DRG,3122,"INPATIENT APRDRG 3122: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,6299.0,12898.96,5
APR-DRG,3123,"INPATIENT APRDRG 3123: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,6299.0,19972.41,5
APR-DRG,3124,"INPATIENT APRDRG 3124: SKIN GRAFT, EXCEPT HAND, FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES",,,6299.0,37455.68,5
APR-DRG,3131,INPATIENT APRDRG 3131: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,6299.0,8664.88,5
APR-DRG,3132,INPATIENT APRDRG 3132: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,6299.0,11871.14,5
APR-DRG,3133,INPATIENT APRDRG 3133: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,6299.0,19788.18,5
APR-DRG,3134,INPATIENT APRDRG 3134: KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,,,6299.0,34186.97,5
APR-DRG,3141,INPATIENT APRDRG 3141: FOOT AND TOE PROCEDURES,,,6299.0,7411.0,5
APR-DRG,3142,INPATIENT APRDRG 3142: FOOT AND TOE PROCEDURES,,,6299.0,8493.14,5
APR-DRG,3143,INPATIENT APRDRG 3143: FOOT AND TOE PROCEDURES,,,6299.0,11059.82,5
APR-DRG,3144,INPATIENT APRDRG 3144: FOOT AND TOE PROCEDURES,,,6299.0,19832.94,5
APR-DRG,3151,"INPATIENT APRDRG 3151: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,5326.21,7411.0,5
APR-DRG,3152,"INPATIENT APRDRG 3152: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,6299.0,10014.31,5
APR-DRG,3153,"INPATIENT APRDRG 3153: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,6299.0,15710.75,5
APR-DRG,3154,"INPATIENT APRDRG 3154: SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT",,,6299.0,52704.83,5
APR-DRG,3161,INPATIENT APRDRG 3161: HAND AND WRIST PROCEDURES,,,5733.29,7411.0,5
APR-DRG,3162,INPATIENT APRDRG 3162: HAND AND WRIST PROCEDURES,,,6299.0,8955.79,5
APR-DRG,3163,INPATIENT APRDRG 3163: HAND AND WRIST PROCEDURES,,,6299.0,10184.48,5
APR-DRG,3164,INPATIENT APRDRG 3164: HAND AND WRIST PROCEDURES,,,6299.0,27745.3,5
APR-DRG,3171,"INPATIENT APRDRG 3171: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,6299.0,8062.76,5
APR-DRG,3172,"INPATIENT APRDRG 3172: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,6299.0,9410.63,5
APR-DRG,3173,"INPATIENT APRDRG 3173: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,6299.0,13857.56,5
APR-DRG,3174,"INPATIENT APRDRG 3174: TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES",,,6299.0,21522.2,5
APR-DRG,3201,INPATIENT APRDRG 3201: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,6299.0,8093.46,5
APR-DRG,3202,INPATIENT APRDRG 3202: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,6299.0,9781.16,5
APR-DRG,3203,INPATIENT APRDRG 3203: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,6299.0,15571.28,5
APR-DRG,3204,INPATIENT APRDRG 3204: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,,,6299.0,26945.42,5
APR-DRG,3211,INPATIENT APRDRG 3211: CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION,,,6299.0,12499.28,5
APR-DRG,3212,INPATIENT APRDRG 3212: CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION,,,6299.0,15825.24,5
APR-DRG,3213,INPATIENT APRDRG 3213: CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION,,,6299.0,20606.79,5
APR-DRG,3214,INPATIENT APRDRG 3214: CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION,,,6299.0,31390.27,5
APR-DRG,3221,INPATIENT APRDRG 3221: SHOULDER AND ELBOW JOINT REPLACEMENT,,,6299.0,11275.79,5
APR-DRG,3222,INPATIENT APRDRG 3222: SHOULDER AND ELBOW JOINT REPLACEMENT,,,6299.0,13598.91,5
APR-DRG,3223,INPATIENT APRDRG 3223: SHOULDER AND ELBOW JOINT REPLACEMENT,,,6299.0,18301.36,5
APR-DRG,3224,INPATIENT APRDRG 3224: SHOULDER AND ELBOW JOINT REPLACEMENT,,,6299.0,29088.48,5
APR-DRG,3231,INPATIENT APRDRG 3231: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,6299.0,10468.11,5
APR-DRG,3232,INPATIENT APRDRG 3232: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,6299.0,12988.99,5
APR-DRG,3233,INPATIENT APRDRG 3233: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,6299.0,16496.57,5
APR-DRG,3234,INPATIENT APRDRG 3234: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT,,,6299.0,25507.52,5
APR-DRG,3241,INPATIENT APRDRG 3241: ELECTIVE HIP JOINT REPLACEMENT,,,6299.0,10045.01,5
APR-DRG,3242,INPATIENT APRDRG 3242: ELECTIVE HIP JOINT REPLACEMENT,,,6299.0,10558.66,5
APR-DRG,3243,INPATIENT APRDRG 3243: ELECTIVE HIP JOINT REPLACEMENT,,,6299.0,18274.3,5
APR-DRG,3244,INPATIENT APRDRG 3244: ELECTIVE HIP JOINT REPLACEMENT,,,6299.0,26192.39,5
APR-DRG,3251,INPATIENT APRDRG 3251: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,6299.0,14801.07,5
APR-DRG,3252,INPATIENT APRDRG 3252: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,6299.0,16153.1,5
APR-DRG,3253,INPATIENT APRDRG 3253: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,6299.0,18787.43,5
APR-DRG,3254,INPATIENT APRDRG 3254: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,,,6299.0,32218.25,5
APR-DRG,3261,INPATIENT APRDRG 3261: ELECTIVE KNEE JOINT REPLACEMENT,,,6299.0,9220.16,5
APR-DRG,3262,INPATIENT APRDRG 3262: ELECTIVE KNEE JOINT REPLACEMENT,,,6299.0,9768.15,5
APR-DRG,3263,INPATIENT APRDRG 3263: ELECTIVE KNEE JOINT REPLACEMENT,,,6299.0,13529.18,5
APR-DRG,3264,INPATIENT APRDRG 3264: ELECTIVE KNEE JOINT REPLACEMENT,,,6299.0,22677.0,5
APR-DRG,3401,INPATIENT APRDRG 3401: FRACTURE OF FEMUR,,,2448.86,7411.0,5
APR-DRG,3402,INPATIENT APRDRG 3402: FRACTURE OF FEMUR,,,3955.14,7411.0,5
APR-DRG,3403,INPATIENT APRDRG 3403: FRACTURE OF FEMUR,,,6299.0,7411.0,5
APR-DRG,3404,INPATIENT APRDRG 3404: FRACTURE OF FEMUR,,,6299.0,15631.12,5
APR-DRG,3411,INPATIENT APRDRG 3411: FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,3309.73,7411.0,5
APR-DRG,3412,INPATIENT APRDRG 3412: FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,5115.61,7411.0,5
APR-DRG,3413,INPATIENT APRDRG 3413: FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,6067.43,7411.0,5
APR-DRG,3414,INPATIENT APRDRG 3414: FRACTURE OF PELVIS OR DISLOCATION OF HIP,,,6299.0,13135.22,5
APR-DRG,3421,"INPATIENT APRDRG 3421: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,3524.7,7411.0,5
APR-DRG,3422,"INPATIENT APRDRG 3422: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,3869.54,7411.0,5
APR-DRG,3423,"INPATIENT APRDRG 3423: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,6299.0,8342.22,5
APR-DRG,3424,"INPATIENT APRDRG 3424: FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK",,,6299.0,11393.4,5
APR-DRG,3431,INPATIENT APRDRG 3431: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,6299.0,7530.9,5
APR-DRG,3432,INPATIENT APRDRG 3432: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,6299.0,9232.13,5
APR-DRG,3433,INPATIENT APRDRG 3433: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,6299.0,10933.36,5
APR-DRG,3434,INPATIENT APRDRG 3434: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY,,,6299.0,26966.24,5
APR-DRG,3441,"INPATIENT APRDRG 3441: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,4557.26,7411.0,5
APR-DRG,3442,"INPATIENT APRDRG 3442: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,5757.13,7411.0,5
APR-DRG,3443,"INPATIENT APRDRG 3443: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,6299.0,8587.86,5
APR-DRG,3444,"INPATIENT APRDRG 3444: OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS",,,6299.0,16441.93,5
APR-DRG,3461,INPATIENT APRDRG 3461: CONNECTIVE TISSUE DISORDERS,,,5397.7,7411.0,5
APR-DRG,3462,INPATIENT APRDRG 3462: CONNECTIVE TISSUE DISORDERS,,,6299.0,7615.72,5
APR-DRG,3463,INPATIENT APRDRG 3463: CONNECTIVE TISSUE DISORDERS,,,6299.0,14922.84,5
APR-DRG,3464,INPATIENT APRDRG 3464: CONNECTIVE TISSUE DISORDERS,,,6299.0,34942.09,5
APR-DRG,3471,"INPATIENT APRDRG 3471: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,4337.91,7411.0,5
APR-DRG,3472,"INPATIENT APRDRG 3472: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,6258.57,7411.0,5
APR-DRG,3473,"INPATIENT APRDRG 3473: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,6299.0,8525.41,5
APR-DRG,3474,"INPATIENT APRDRG 3474: OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES",,,6299.0,19867.29,5
APR-DRG,3491,"INPATIENT APRDRG 3491: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,2980.94,7411.0,5
APR-DRG,3492,"INPATIENT APRDRG 3492: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,5321.83,7411.0,5
APR-DRG,3493,"INPATIENT APRDRG 3493: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,6299.0,7449.19,5
APR-DRG,3494,"INPATIENT APRDRG 3494: MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE",,,6299.0,15618.11,5
APR-DRG,3511,INPATIENT APRDRG 3511: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,3892.88,7411.0,5
APR-DRG,3512,INPATIENT APRDRG 3512: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,4504.73,7411.0,5
APR-DRG,3513,INPATIENT APRDRG 3513: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,6299.0,8643.02,5
APR-DRG,3514,INPATIENT APRDRG 3514: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES,,,6299.0,25079.74,5
APR-DRG,3611,INPATIENT APRDRG 3611: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,6299.0,9788.97,5
APR-DRG,3612,INPATIENT APRDRG 3612: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,6299.0,18308.13,5
APR-DRG,3613,INPATIENT APRDRG 3613: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,6299.0,20410.6,5
APR-DRG,3614,INPATIENT APRDRG 3614: SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES,,,6299.0,47114.55,5
APR-DRG,3621,INPATIENT APRDRG 3621: MASTECTOMY PROCEDURES,,,6299.0,9274.28,5
APR-DRG,3622,INPATIENT APRDRG 3622: MASTECTOMY PROCEDURES,,,6299.0,15016.52,5
APR-DRG,3623,INPATIENT APRDRG 3623: MASTECTOMY PROCEDURES,,,6299.0,15275.68,5
APR-DRG,3624,INPATIENT APRDRG 3624: MASTECTOMY PROCEDURES,,,6299.0,23953.57,5
APR-DRG,3631,INPATIENT APRDRG 3631: BREAST PROCEDURES EXCEPT MASTECTOMY,,,5786.31,7411.0,5
APR-DRG,3632,INPATIENT APRDRG 3632: BREAST PROCEDURES EXCEPT MASTECTOMY,,,6299.0,12105.85,5
APR-DRG,3633,INPATIENT APRDRG 3633: BREAST PROCEDURES EXCEPT MASTECTOMY,,,6299.0,17582.67,5
APR-DRG,3634,INPATIENT APRDRG 3634: BREAST PROCEDURES EXCEPT MASTECTOMY,,,6299.0,23775.59,5
APR-DRG,3641,"INPATIENT APRDRG 3641: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,4184.22,7411.0,5
APR-DRG,3642,"INPATIENT APRDRG 3642: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,6299.0,7411.0,5
APR-DRG,3643,"INPATIENT APRDRG 3643: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,6299.0,12812.05,5
APR-DRG,3644,"INPATIENT APRDRG 3644: OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES",,,6299.0,25670.41,5
APR-DRG,3801,INPATIENT APRDRG 3801: SKIN ULCERS,,,3357.39,7411.0,5
APR-DRG,3802,INPATIENT APRDRG 3802: SKIN ULCERS,,,4353.96,7411.0,5
APR-DRG,3803,INPATIENT APRDRG 3803: SKIN ULCERS,,,6268.78,7411.0,5
APR-DRG,3804,INPATIENT APRDRG 3804: SKIN ULCERS,,,6299.0,20151.95,5
APR-DRG,3811,INPATIENT APRDRG 3811: MAJOR SKIN DISORDERS,,,2116.67,7411.0,5
APR-DRG,3812,INPATIENT APRDRG 3812: MAJOR SKIN DISORDERS,,,3857.86,7411.0,5
APR-DRG,3813,INPATIENT APRDRG 3813: MAJOR SKIN DISORDERS,,,6299.0,7411.0,5
APR-DRG,3814,INPATIENT APRDRG 3814: MAJOR SKIN DISORDERS,,,6299.0,27786.41,5
APR-DRG,3821,INPATIENT APRDRG 3821: MALIGNANT BREAST DISORDERS,,,3963.89,7411.0,5
APR-DRG,3822,INPATIENT APRDRG 3822: MALIGNANT BREAST DISORDERS,,,5260.55,7411.0,5
APR-DRG,3823,INPATIENT APRDRG 3823: MALIGNANT BREAST DISORDERS,,,6299.0,8639.38,5
APR-DRG,3824,INPATIENT APRDRG 3824: MALIGNANT BREAST DISORDERS,,,6299.0,16330.04,5
APR-DRG,3831,INPATIENT APRDRG 3831: CELLULITIS AND OTHER SKIN INFECTIONS,,,2500.9,7411.0,5
APR-DRG,3832,INPATIENT APRDRG 3832: CELLULITIS AND OTHER SKIN INFECTIONS,,,3816.04,7411.0,5
APR-DRG,3833,INPATIENT APRDRG 3833: CELLULITIS AND OTHER SKIN INFECTIONS,,,6003.23,7411.0,5
APR-DRG,3834,INPATIENT APRDRG 3834: CELLULITIS AND OTHER SKIN INFECTIONS,,,6299.0,17851.73,5
APR-DRG,3841,"INPATIENT APRDRG 3841: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,3107.4,7411.0,5
APR-DRG,3842,"INPATIENT APRDRG 3842: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,5061.14,7411.0,5
APR-DRG,3843,"INPATIENT APRDRG 3843: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,6299.0,8165.8,5
APR-DRG,3844,"INPATIENT APRDRG 3844: CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE",,,6299.0,25295.19,5
APR-DRG,3851,"INPATIENT APRDRG 3851: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,2552.94,7411.0,5
APR-DRG,3852,"INPATIENT APRDRG 3852: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,4308.73,7411.0,5
APR-DRG,3853,"INPATIENT APRDRG 3853: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,6299.0,10051.26,5
APR-DRG,3854,"INPATIENT APRDRG 3854: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS",,,6299.0,19196.99,5
APR-DRG,4011,INPATIENT APRDRG 4011: ADRENAL PROCEDURES,,,6299.0,10303.66,5
APR-DRG,4012,INPATIENT APRDRG 4012: ADRENAL PROCEDURES,,,6299.0,30766.3,5
APR-DRG,4013,INPATIENT APRDRG 4013: ADRENAL PROCEDURES,,,6299.0,36104.17,5
APR-DRG,4014,INPATIENT APRDRG 4014: ADRENAL PROCEDURES,,,6299.0,32285.9,5
APR-DRG,4031,INPATIENT APRDRG 4031: PROCEDURES FOR OBESITY,,,6299.0,7411.0,5
APR-DRG,4032,INPATIENT APRDRG 4032: PROCEDURES FOR OBESITY,,,6299.0,8172.05,5
APR-DRG,4033,INPATIENT APRDRG 4033: PROCEDURES FOR OBESITY,,,6299.0,13901.79,5
APR-DRG,4034,INPATIENT APRDRG 4034: PROCEDURES FOR OBESITY,,,6299.0,17243.88,5
APR-DRG,4041,"INPATIENT APRDRG 4041: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,6299.0,8309.43,5
APR-DRG,4042,"INPATIENT APRDRG 4042: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,6299.0,11367.9,5
APR-DRG,4043,"INPATIENT APRDRG 4043: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,6299.0,26477.57,5
APR-DRG,4044,"INPATIENT APRDRG 4044: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES",,,6299.0,34832.8,5
APR-DRG,4051,"INPATIENT APRDRG 4051: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,6299.0,13086.83,5
APR-DRG,4052,"INPATIENT APRDRG 4052: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,6299.0,15390.17,5
APR-DRG,4053,"INPATIENT APRDRG 4053: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,6299.0,17693.52,5
APR-DRG,4054,"INPATIENT APRDRG 4054: OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS",,,6299.0,32402.47,5
APR-DRG,4201,INPATIENT APRDRG 4201: DIABETES,,,2780.56,7411.0,5
APR-DRG,4202,INPATIENT APRDRG 4202: DIABETES,,,3514.0,7411.0,5
APR-DRG,4203,INPATIENT APRDRG 4203: DIABETES,,,5449.26,7411.0,5
APR-DRG,4204,INPATIENT APRDRG 4204: DIABETES,,,6299.0,12133.95,5
APR-DRG,4211,"INPATIENT APRDRG 4211: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,3790.74,7411.0,5
APR-DRG,4212,"INPATIENT APRDRG 4212: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,6299.0,7411.0,5
APR-DRG,4213,"INPATIENT APRDRG 4213: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,6299.0,10449.37,5
APR-DRG,4214,"INPATIENT APRDRG 4214: MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS",,,6299.0,26319.37,5
APR-DRG,4221,INPATIENT APRDRG 4221: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,1558.32,7411.0,5
APR-DRG,4222,INPATIENT APRDRG 4222: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,2620.06,7411.0,5
APR-DRG,4223,INPATIENT APRDRG 4223: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,4672.53,7411.0,5
APR-DRG,4224,INPATIENT APRDRG 4224: HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,,,6299.0,12440.99,5
APR-DRG,4231,INPATIENT APRDRG 4231: INBORN ERRORS OF METABOLISM,,,6299.0,10553.46,5
APR-DRG,4232,INPATIENT APRDRG 4232: INBORN ERRORS OF METABOLISM,,,6299.0,14169.81,5
APR-DRG,4233,INPATIENT APRDRG 4233: INBORN ERRORS OF METABOLISM,,,6299.0,17786.16,5
APR-DRG,4234,INPATIENT APRDRG 4234: INBORN ERRORS OF METABOLISM,,,6299.0,21994.21,5
APR-DRG,4241,INPATIENT APRDRG 4241: OTHER ENDOCRINE DISORDERS,,,4170.6,7411.0,5
APR-DRG,4242,INPATIENT APRDRG 4242: OTHER ENDOCRINE DISORDERS,,,5295.56,7411.0,5
APR-DRG,4243,INPATIENT APRDRG 4243: OTHER ENDOCRINE DISORDERS,,,6299.0,9077.56,5
APR-DRG,4244,INPATIENT APRDRG 4244: OTHER ENDOCRINE DISORDERS,,,6299.0,23561.7,5
APR-DRG,4251,INPATIENT APRDRG 4251: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,2773.75,7411.0,5
APR-DRG,4252,INPATIENT APRDRG 4252: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,2810.71,7411.0,5
APR-DRG,4253,INPATIENT APRDRG 4253: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,4730.41,7411.0,5
APR-DRG,4254,INPATIENT APRDRG 4254: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS,,,6299.0,11591.16,5
APR-DRG,4261,INPATIENT APRDRG 4261: NON-HYPOVOLEMIC SODIUM DISORDERS,,,3152.14,7411.0,5
APR-DRG,4262,INPATIENT APRDRG 4262: NON-HYPOVOLEMIC SODIUM DISORDERS,,,3861.27,7411.0,5
APR-DRG,4263,INPATIENT APRDRG 4263: NON-HYPOVOLEMIC SODIUM DISORDERS,,,5920.06,7411.0,5
APR-DRG,4264,INPATIENT APRDRG 4264: NON-HYPOVOLEMIC SODIUM DISORDERS,,,6299.0,15293.38,5
APR-DRG,4271,INPATIENT APRDRG 4271: THYROID DISORDERS,,,2436.7,7411.0,5
APR-DRG,4272,INPATIENT APRDRG 4272: THYROID DISORDERS,,,3880.72,7411.0,5
APR-DRG,4273,INPATIENT APRDRG 4273: THYROID DISORDERS,,,4535.37,7411.0,5
APR-DRG,4274,INPATIENT APRDRG 4274: THYROID DISORDERS,,,6299.0,16306.62,5
APR-DRG,4401,INPATIENT APRDRG 4401: KIDNEY TRANSPLANT,,,6299.0,31778.5,5
APR-DRG,4402,INPATIENT APRDRG 4402: KIDNEY TRANSPLANT,,,6299.0,33901.26,5
APR-DRG,4403,INPATIENT APRDRG 4403: KIDNEY TRANSPLANT,,,6299.0,52708.47,5
APR-DRG,4404,INPATIENT APRDRG 4404: KIDNEY TRANSPLANT,,,6299.0,86118.46,5
APR-DRG,4411,INPATIENT APRDRG 4411: MAJOR BLADDER PROCEDURES,,,6299.0,10017.43,5
APR-DRG,4412,INPATIENT APRDRG 4412: MAJOR BLADDER PROCEDURES,,,6299.0,15582.21,5
APR-DRG,4413,INPATIENT APRDRG 4413: MAJOR BLADDER PROCEDURES,,,6299.0,19702.84,5
APR-DRG,4414,INPATIENT APRDRG 4414: MAJOR BLADDER PROCEDURES,,,6299.0,81499.28,5
APR-DRG,4421,INPATIENT APRDRG 4421: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,6299.0,9717.67,5
APR-DRG,4422,INPATIENT APRDRG 4422: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,6299.0,11457.41,5
APR-DRG,4423,INPATIENT APRDRG 4423: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,6299.0,18326.34,5
APR-DRG,4424,INPATIENT APRDRG 4424: KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY,,,6299.0,54499.73,5
APR-DRG,4431,INPATIENT APRDRG 4431: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,6299.0,7411.0,5
APR-DRG,4432,INPATIENT APRDRG 4432: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,6299.0,9577.68,5
APR-DRG,4433,INPATIENT APRDRG 4433: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,6299.0,15050.34,5
APR-DRG,4434,INPATIENT APRDRG 4434: KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,,,6299.0,34569.47,5
APR-DRG,4441,INPATIENT APRDRG 4441: RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR,,,5546.04,7411.0,5
APR-DRG,4442,INPATIENT APRDRG 4442: RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR,,,6299.0,8571.2,5
APR-DRG,4443,INPATIENT APRDRG 4443: RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR,,,6299.0,15107.59,5
APR-DRG,4444,INPATIENT APRDRG 4444: RENAL DIALYSIS ACCESS DEVICE PROCEDURES AND VESSEL REPAIR,,,6299.0,29747.85,5
APR-DRG,4451,INPATIENT APRDRG 4451: OTHER BLADDER PROCEDURES,,,5443.42,7411.0,5
APR-DRG,4452,INPATIENT APRDRG 4452: OTHER BLADDER PROCEDURES,,,6299.0,8968.28,5
APR-DRG,4453,INPATIENT APRDRG 4453: OTHER BLADDER PROCEDURES,,,6299.0,13742.55,5
APR-DRG,4454,INPATIENT APRDRG 4454: OTHER BLADDER PROCEDURES,,,6299.0,28098.14,5
APR-DRG,4461,INPATIENT APRDRG 4461: URETHRAL AND TRANSURETHRAL PROCEDURES,,,5559.17,7411.0,5
APR-DRG,4462,INPATIENT APRDRG 4462: URETHRAL AND TRANSURETHRAL PROCEDURES,,,6299.0,7411.0,5
APR-DRG,4463,INPATIENT APRDRG 4463: URETHRAL AND TRANSURETHRAL PROCEDURES,,,6299.0,12726.18,5
APR-DRG,4464,INPATIENT APRDRG 4464: URETHRAL AND TRANSURETHRAL PROCEDURES,,,6299.0,22891.93,5
APR-DRG,4471,"INPATIENT APRDRG 4471: OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,5279.51,7411.0,5
APR-DRG,4472,"INPATIENT APRDRG 4472: OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,6299.0,8918.32,5
APR-DRG,4473,"INPATIENT APRDRG 4473: OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,6299.0,14406.07,5
APR-DRG,4474,"INPATIENT APRDRG 4474: OTHER KIDNEY, URINARY TRACT AND RELATED PROCEDURES",,,6299.0,64535.38,5
APR-DRG,4611,INPATIENT APRDRG 4611: KIDNEY AND URINARY TRACT MALIGNANCY,,,5410.35,7411.0,5
APR-DRG,4612,INPATIENT APRDRG 4612: KIDNEY AND URINARY TRACT MALIGNANCY,,,6084.94,7411.0,5
APR-DRG,4613,INPATIENT APRDRG 4613: KIDNEY AND URINARY TRACT MALIGNANCY,,,6299.0,12549.24,5
APR-DRG,4614,INPATIENT APRDRG 4614: KIDNEY AND URINARY TRACT MALIGNANCY,,,6299.0,27018.28,5
APR-DRG,4621,INPATIENT APRDRG 4621: NEPHRITIS AND NEPHROSIS,,,3727.03,7411.0,5
APR-DRG,4622,INPATIENT APRDRG 4622: NEPHRITIS AND NEPHROSIS,,,5352.47,7411.0,5
APR-DRG,4623,INPATIENT APRDRG 4623: NEPHRITIS AND NEPHROSIS,,,6299.0,13013.45,5
APR-DRG,4624,INPATIENT APRDRG 4624: NEPHRITIS AND NEPHROSIS,,,6299.0,28852.74,5
APR-DRG,4631,INPATIENT APRDRG 4631: KIDNEY AND URINARY TRACT INFECTIONS,,,2524.73,7411.0,5
APR-DRG,4632,INPATIENT APRDRG 4632: KIDNEY AND URINARY TRACT INFECTIONS,,,3576.26,7411.0,5
APR-DRG,4633,INPATIENT APRDRG 4633: KIDNEY AND URINARY TRACT INFECTIONS,,,5489.14,7411.0,5
APR-DRG,4634,INPATIENT APRDRG 4634: KIDNEY AND URINARY TRACT INFECTIONS,,,6299.0,11165.46,5
APR-DRG,4651,INPATIENT APRDRG 4651: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,3224.13,7411.0,5
APR-DRG,4652,INPATIENT APRDRG 4652: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,4533.43,7411.0,5
APR-DRG,4653,INPATIENT APRDRG 4653: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,6299.0,8252.71,5
APR-DRG,4654,INPATIENT APRDRG 4654: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION,,,6299.0,14758.39,5
APR-DRG,4661,"INPATIENT APRDRG 4661: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,3339.4,7411.0,5
APR-DRG,4662,"INPATIENT APRDRG 4662: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,4032.47,7411.0,5
APR-DRG,4663,"INPATIENT APRDRG 4663: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,6299.0,7411.0,5
APR-DRG,4664,"INPATIENT APRDRG 4664: MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE",,,6299.0,10990.6,5
APR-DRG,4681,"INPATIENT APRDRG 4681: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,3707.58,7411.0,5
APR-DRG,4682,"INPATIENT APRDRG 4682: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,4152.6,7411.0,5
APR-DRG,4683,"INPATIENT APRDRG 4683: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,6299.0,8087.22,5
APR-DRG,4684,"INPATIENT APRDRG 4684: OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS",,,6299.0,34283.25,5
APR-DRG,4691,INPATIENT APRDRG 4691: ACUTE KIDNEY INJURY,,,3207.1,7411.0,5
APR-DRG,4692,INPATIENT APRDRG 4692: ACUTE KIDNEY INJURY,,,4054.84,7411.0,5
APR-DRG,4693,INPATIENT APRDRG 4693: ACUTE KIDNEY INJURY,,,6299.0,7523.61,5
APR-DRG,4694,INPATIENT APRDRG 4694: ACUTE KIDNEY INJURY,,,6299.0,18442.4,5
APR-DRG,4701,INPATIENT APRDRG 4701: CHRONIC KIDNEY DISEASE,,,4523.21,7411.0,5
APR-DRG,4702,INPATIENT APRDRG 4702: CHRONIC KIDNEY DISEASE,,,5781.93,7411.0,5
APR-DRG,4703,INPATIENT APRDRG 4703: CHRONIC KIDNEY DISEASE,,,6299.0,7533.5,5
APR-DRG,4704,INPATIENT APRDRG 4704: CHRONIC KIDNEY DISEASE,,,6299.0,11777.47,5
APR-DRG,4801,INPATIENT APRDRG 4801: MAJOR MALE PELVIC PROCEDURES,,,6299.0,8889.17,5
APR-DRG,4802,INPATIENT APRDRG 4802: MAJOR MALE PELVIC PROCEDURES,,,6299.0,16289.45,5
APR-DRG,4803,INPATIENT APRDRG 4803: MAJOR MALE PELVIC PROCEDURES,,,6299.0,16436.2,5
APR-DRG,4804,INPATIENT APRDRG 4804: MAJOR MALE PELVIC PROCEDURES,,,6299.0,35360.5,5
APR-DRG,4821,INPATIENT APRDRG 4821: TRANSURETHRAL PROSTATECTOMY,,,5144.3,7411.0,5
APR-DRG,4822,INPATIENT APRDRG 4822: TRANSURETHRAL PROSTATECTOMY,,,6123.85,7411.0,5
APR-DRG,4823,INPATIENT APRDRG 4823: TRANSURETHRAL PROSTATECTOMY,,,6299.0,12778.22,5
APR-DRG,4824,INPATIENT APRDRG 4824: TRANSURETHRAL PROSTATECTOMY,,,6299.0,24026.43,5
APR-DRG,4831,"INPATIENT APRDRG 4831: PENIS, TESTES AND SCROTAL PROCEDURES",,,5538.75,7411.0,5
APR-DRG,4832,"INPATIENT APRDRG 4832: PENIS, TESTES AND SCROTAL PROCEDURES",,,6299.0,8438.5,5
APR-DRG,4833,"INPATIENT APRDRG 4833: PENIS, TESTES AND SCROTAL PROCEDURES",,,6299.0,9774.4,5
APR-DRG,4834,"INPATIENT APRDRG 4834: PENIS, TESTES AND SCROTAL PROCEDURES",,,6299.0,52113.64,5
APR-DRG,4841,INPATIENT APRDRG 4841: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,6299.0,9301.86,5
APR-DRG,4842,INPATIENT APRDRG 4842: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,6299.0,10353.62,5
APR-DRG,4843,INPATIENT APRDRG 4843: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,6299.0,12391.03,5
APR-DRG,4844,INPATIENT APRDRG 4844: OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,6299.0,33019.68,5
APR-DRG,5001,"INPATIENT APRDRG 5001: MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,5506.16,7411.0,5
APR-DRG,5002,"INPATIENT APRDRG 5002: MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,6299.0,7411.0,5
APR-DRG,5003,"INPATIENT APRDRG 5003: MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,6299.0,10950.53,5
APR-DRG,5004,"INPATIENT APRDRG 5004: MALIGNANCY, MALE REPRODUCTIVE SYSTEM",,,6299.0,15172.12,5
APR-DRG,5011,INPATIENT APRDRG 5011: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,2428.43,7411.0,5
APR-DRG,5012,INPATIENT APRDRG 5012: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,4048.03,7411.0,5
APR-DRG,5013,INPATIENT APRDRG 5013: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,6005.17,7411.0,5
APR-DRG,5014,INPATIENT APRDRG 5014: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY,,,6299.0,8526.45,5
APR-DRG,5101,"INPATIENT APRDRG 5101: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,5938.05,7411.0,5
APR-DRG,5102,"INPATIENT APRDRG 5102: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,6299.0,7973.77,5
APR-DRG,5103,"INPATIENT APRDRG 5103: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,6299.0,19415.57,5
APR-DRG,5104,"INPATIENT APRDRG 5104: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND OTHER RADICAL GYNECOLOGICAL PROCEDURES",,,6299.0,36275.91,5
APR-DRG,5111,INPATIENT APRDRG 5111: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,6299.0,7558.48,5
APR-DRG,5112,INPATIENT APRDRG 5112: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,6299.0,9286.77,5
APR-DRG,5113,INPATIENT APRDRG 5113: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,6299.0,17248.05,5
APR-DRG,5114,INPATIENT APRDRG 5114: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY,,,6299.0,35642.05,5
APR-DRG,5121,INPATIENT APRDRG 5121: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,6299.0,8871.48,5
APR-DRG,5122,INPATIENT APRDRG 5122: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,6299.0,9942.49,5
APR-DRG,5123,INPATIENT APRDRG 5123: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,6299.0,17830.39,5
APR-DRG,5124,INPATIENT APRDRG 5124: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY,,,6299.0,30896.4,5
APR-DRG,5131,INPATIENT APRDRG 5131: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,5209.96,7411.0,5
APR-DRG,5132,INPATIENT APRDRG 5132: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,6095.64,7411.0,5
APR-DRG,5133,INPATIENT APRDRG 5133: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,6299.0,11993.96,5
APR-DRG,5134,INPATIENT APRDRG 5134: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA,,,6299.0,37529.58,5
APR-DRG,5141,INPATIENT APRDRG 5141: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,6299.0,7429.42,5
APR-DRG,5142,INPATIENT APRDRG 5142: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,6299.0,10095.49,5
APR-DRG,5143,INPATIENT APRDRG 5143: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,6299.0,17264.7,5
APR-DRG,5144,INPATIENT APRDRG 5144: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,6299.0,30959.89,5
APR-DRG,5171,INPATIENT APRDRG 5171: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,3921.58,7411.0,5
APR-DRG,5172,INPATIENT APRDRG 5172: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,5873.37,7411.0,5
APR-DRG,5173,INPATIENT APRDRG 5173: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,6299.0,9661.47,5
APR-DRG,5174,INPATIENT APRDRG 5174: DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES,,,6299.0,26438.02,5
APR-DRG,5181,INPATIENT APRDRG 5181: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,4824.27,7411.0,5
APR-DRG,5182,INPATIENT APRDRG 5182: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,6299.0,7532.46,5
APR-DRG,5183,INPATIENT APRDRG 5183: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,6299.0,15391.73,5
APR-DRG,5184,INPATIENT APRDRG 5184: OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,,,6299.0,27390.38,5
APR-DRG,5191,INPATIENT APRDRG 5191: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,5131.66,7411.0,5
APR-DRG,5192,INPATIENT APRDRG 5192: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,6292.13,7411.0,5
APR-DRG,5193,INPATIENT APRDRG 5193: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,6299.0,11568.78,5
APR-DRG,5194,INPATIENT APRDRG 5194: UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA,,,6299.0,25984.74,5
APR-DRG,5301,INPATIENT APRDRG 5301: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,4091.81,7411.0,5
APR-DRG,5302,INPATIENT APRDRG 5302: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,5203.15,7411.0,5
APR-DRG,5303,INPATIENT APRDRG 5303: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,6299.0,9020.32,5
APR-DRG,5304,INPATIENT APRDRG 5304: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,,,6299.0,13453.72,5
APR-DRG,5311,INPATIENT APRDRG 5311: FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,2923.55,7411.0,5
APR-DRG,5312,INPATIENT APRDRG 5312: FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,4274.19,7411.0,5
APR-DRG,5313,INPATIENT APRDRG 5313: FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,6299.0,7411.0,5
APR-DRG,5314,INPATIENT APRDRG 5314: FEMALE REPRODUCTIVE SYSTEM INFECTIONS,,,6299.0,13233.06,5
APR-DRG,5321,INPATIENT APRDRG 5321: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,2641.46,7411.0,5
APR-DRG,5322,INPATIENT APRDRG 5322: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,2999.43,7411.0,5
APR-DRG,5323,INPATIENT APRDRG 5323: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,6299.0,9193.1,5
APR-DRG,5324,INPATIENT APRDRG 5324: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,,,6299.0,14615.8,5
APR-DRG,5391,INPATIENT APRDRG 5391: CESAREAN SECTION WITH STERILIZATION,,,2970.73,7411.0,5
APR-DRG,5392,INPATIENT APRDRG 5392: CESAREAN SECTION WITH STERILIZATION,,,3582.09,7411.0,5
APR-DRG,5393,INPATIENT APRDRG 5393: CESAREAN SECTION WITH STERILIZATION,,,5652.56,7411.0,5
APR-DRG,5394,INPATIENT APRDRG 5394: CESAREAN SECTION WITH STERILIZATION,,,6299.0,15151.3,5
APR-DRG,5401,INPATIENT APRDRG 5401: CESAREAN SECTION WITHOUT STERILIZATION,,,2835.03,7411.0,5
APR-DRG,5402,INPATIENT APRDRG 5402: CESAREAN SECTION WITHOUT STERILIZATION,,,3514.49,7411.0,5
APR-DRG,5403,INPATIENT APRDRG 5403: CESAREAN SECTION WITHOUT STERILIZATION,,,4801.9,7411.0,5
APR-DRG,5404,INPATIENT APRDRG 5404: CESAREAN SECTION WITHOUT STERILIZATION,,,6299.0,10076.76,5
APR-DRG,5411,INPATIENT APRDRG 5411: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,2961.49,7411.0,5
APR-DRG,5412,INPATIENT APRDRG 5412: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,3321.89,7411.0,5
APR-DRG,5413,INPATIENT APRDRG 5413: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,3682.28,7411.0,5
APR-DRG,5414,INPATIENT APRDRG 5414: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,,,6299.0,10861.54,5
APR-DRG,5421,INPATIENT APRDRG 5421: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,2269.39,7411.0,5
APR-DRG,5422,INPATIENT APRDRG 5422: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,2632.22,7411.0,5
APR-DRG,5423,INPATIENT APRDRG 5423: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,4156.01,7411.0,5
APR-DRG,5424,INPATIENT APRDRG 5424: VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,,,6299.0,10581.04,5
APR-DRG,5431,"INPATIENT APRDRG 5431: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,2788.83,7411.0,5
APR-DRG,5432,"INPATIENT APRDRG 5432: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,3591.33,7411.0,5
APR-DRG,5433,"INPATIENT APRDRG 5433: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,5629.7,7411.0,5
APR-DRG,5434,"INPATIENT APRDRG 5434: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,6299.0,16807.78,5
APR-DRG,5471,INPATIENT APRDRG 5471: ANTEPARTUM WITH O.R. PROCEDURE,,,3806.79,7411.0,5
APR-DRG,5472,INPATIENT APRDRG 5472: ANTEPARTUM WITH O.R. PROCEDURE,,,5262.98,7411.0,5
APR-DRG,5473,INPATIENT APRDRG 5473: ANTEPARTUM WITH O.R. PROCEDURE,,,6299.0,9873.8,5
APR-DRG,5474,INPATIENT APRDRG 5474: ANTEPARTUM WITH O.R. PROCEDURE,,,6299.0,21889.61,5
APR-DRG,5481,INPATIENT APRDRG 5481: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,3371.5,7411.0,5
APR-DRG,5482,INPATIENT APRDRG 5482: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,6299.0,7411.0,5
APR-DRG,5483,INPATIENT APRDRG 5483: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,6299.0,9767.11,5
APR-DRG,5484,INPATIENT APRDRG 5484: POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE,,,6299.0,25367.01,5
APR-DRG,5601,INPATIENT APRDRG 5601: VAGINAL DELIVERY,,,1821.93,7411.0,5
APR-DRG,5602,INPATIENT APRDRG 5602: VAGINAL DELIVERY,,,2075.33,7411.0,5
APR-DRG,5603,INPATIENT APRDRG 5603: VAGINAL DELIVERY,,,2851.08,7411.0,5
APR-DRG,5604,INPATIENT APRDRG 5604: VAGINAL DELIVERY,,,4856.86,7411.0,5
APR-DRG,5611,INPATIENT APRDRG 5611: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,1611.33,7411.0,5
APR-DRG,5612,INPATIENT APRDRG 5612: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,2647.78,7411.0,5
APR-DRG,5613,INPATIENT APRDRG 5613: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,4390.92,7411.0,5
APR-DRG,5614,INPATIENT APRDRG 5614: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,,,6299.0,9209.23,5
APR-DRG,5641,"INPATIENT APRDRG 5641: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,1778.64,7411.0,5
APR-DRG,5642,"INPATIENT APRDRG 5642: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,2435.24,7411.0,5
APR-DRG,5643,"INPATIENT APRDRG 5643: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,4676.42,7411.0,5
APR-DRG,5644,"INPATIENT APRDRG 5644: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,6299.0,18741.11,5
APR-DRG,5661,INPATIENT APRDRG 5661: ANTEPARTUM WITHOUT O.R. PROCEDURE,,,1614.25,7411.0,5
APR-DRG,5662,INPATIENT APRDRG 5662: ANTEPARTUM WITHOUT O.R. PROCEDURE,,,2199.35,7411.0,5
APR-DRG,5663,INPATIENT APRDRG 5663: ANTEPARTUM WITHOUT O.R. PROCEDURE,,,3477.52,7411.0,5
APR-DRG,5664,INPATIENT APRDRG 5664: ANTEPARTUM WITHOUT O.R. PROCEDURE,,,6299.0,7411.0,5
APR-DRG,5801,"INPATIENT APRDRG 5801: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,1751.89,7411.0,5
APR-DRG,5802,"INPATIENT APRDRG 5802: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,2550.02,7411.0,5
APR-DRG,5803,"INPATIENT APRDRG 5803: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,4119.04,7411.0,5
APR-DRG,5804,"INPATIENT APRDRG 5804: NEONATE, TRANSFERRED < 5 DAYS OLD, NOT BORN HERE",,,6299.0,7980.53,5
APR-DRG,5811,"INPATIENT APRDRG 5811: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,796.67,7411.0,5
APR-DRG,5812,"INPATIENT APRDRG 5812: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,1285.95,7411.0,5
APR-DRG,5813,"INPATIENT APRDRG 5813: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,1881.27,7411.0,5
APR-DRG,5814,"INPATIENT APRDRG 5814: NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE",,,3641.43,7411.0,5
APR-DRG,5831,INPATIENT APRDRG 5831: NEONATE WITH ECMO,,,6299.0,146843.37,5
APR-DRG,5832,INPATIENT APRDRG 5832: NEONATE WITH ECMO,,,6299.0,166768.95,5
APR-DRG,5833,INPATIENT APRDRG 5833: NEONATE WITH ECMO,,,6299.0,334691.13,5
APR-DRG,5834,INPATIENT APRDRG 5834: NEONATE WITH ECMO,,,6299.0,395259.4,5
APR-DRG,5881,INPATIENT APRDRG 5881: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,6299.0,125961.8,5
APR-DRG,5882,INPATIENT APRDRG 5882: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,6299.0,133631.65,5
APR-DRG,5883,INPATIENT APRDRG 5883: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,6299.0,134245.22,5
APR-DRG,5884,INPATIENT APRDRG 5884: NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,,,6299.0,250192.71,5
APR-DRG,5891,"INPATIENT APRDRG 5891: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERV",,,6299.0,105567.34,5
APR-DRG,5892,"INPATIENT APRDRG 5892: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERV",,,6299.0,102316.32,5
APR-DRG,5893,"INPATIENT APRDRG 5893: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERV",,,6299.0,95970.4,5
APR-DRG,5894,"INPATIENT APRDRG 5894: NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERV",,,6299.0,17672.18,5
APR-DRG,5911,INPATIENT APRDRG 5911: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,6299.0,49698.92,5
APR-DRG,5912,INPATIENT APRDRG 5912: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,6299.0,68929.74,5
APR-DRG,5913,INPATIENT APRDRG 5913: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,6299.0,83484.65,5
APR-DRG,5914,INPATIENT APRDRG 5914: NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE,,,6299.0,126780.41,5
APR-DRG,5931,INPATIENT APRDRG 5931: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,6299.0,15421.4,5
APR-DRG,5932,INPATIENT APRDRG 5932: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,6299.0,59060.11,5
APR-DRG,5933,INPATIENT APRDRG 5933: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,6299.0,75172.62,5
APR-DRG,5934,INPATIENT APRDRG 5934: NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE,,,6299.0,105251.45,5
APR-DRG,6021,INPATIENT APRDRG 6021: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,6299.0,23919.22,5
APR-DRG,6022,INPATIENT APRDRG 6022: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,6299.0,47246.74,5
APR-DRG,6023,INPATIENT APRDRG 6023: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,6299.0,62532.83,5
APR-DRG,6024,INPATIENT APRDRG 6024: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,6299.0,96755.71,5
APR-DRG,6031,INPATIENT APRDRG 6031: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,6299.0,17516.06,5
APR-DRG,6032,INPATIENT APRDRG 6032: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,6299.0,33231.49,5
APR-DRG,6033,INPATIENT APRDRG 6033: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,6299.0,41486.8,5
APR-DRG,6034,INPATIENT APRDRG 6034: NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,6299.0,108788.17,5
APR-DRG,6071,INPATIENT APRDRG 6071: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,6299.0,25513.25,5
APR-DRG,6072,INPATIENT APRDRG 6072: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,6299.0,31126.94,5
APR-DRG,6073,INPATIENT APRDRG 6073: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,6299.0,43264.53,5
APR-DRG,6074,INPATIENT APRDRG 6074: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,,,6299.0,68255.29,5
APR-DRG,6081,INPATIENT APRDRG 6081: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,6299.0,15808.07,5
APR-DRG,6082,INPATIENT APRDRG 6082: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,6299.0,25190.59,5
APR-DRG,6083,INPATIENT APRDRG 6083: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,6299.0,32993.14,5
APR-DRG,6084,INPATIENT APRDRG 6084: NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION,,,6299.0,83247.87,5
APR-DRG,6091,INPATIENT APRDRG 6091: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,6299.0,14888.5,5
APR-DRG,6092,INPATIENT APRDRG 6092: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,6299.0,15429.73,5
APR-DRG,6093,INPATIENT APRDRG 6093: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,6299.0,59352.06,5
APR-DRG,6094,INPATIENT APRDRG 6094: NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE,,,6299.0,184510.35,5
APR-DRG,6111,INPATIENT APRDRG 6111: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,6299.0,12877.62,5
APR-DRG,6112,INPATIENT APRDRG 6112: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,6299.0,17215.26,5
APR-DRG,6113,INPATIENT APRDRG 6113: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,6299.0,29408.02,5
APR-DRG,6114,INPATIENT APRDRG 6114: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY,,,6299.0,75086.23,5
APR-DRG,6121,INPATIENT APRDRG 6121: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,6299.0,14202.07,5
APR-DRG,6122,INPATIENT APRDRG 6122: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,6299.0,20160.8,5
APR-DRG,6123,INPATIENT APRDRG 6123: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,6299.0,28118.43,5
APR-DRG,6124,INPATIENT APRDRG 6124: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,6299.0,48110.62,5
APR-DRG,6131,INPATIENT APRDRG 6131: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,6299.0,10863.1,5
APR-DRG,6132,INPATIENT APRDRG 6132: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,6299.0,15967.31,5
APR-DRG,6133,INPATIENT APRDRG 6133: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,6299.0,27155.67,5
APR-DRG,6134,INPATIENT APRDRG 6134: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,6299.0,64686.82,5
APR-DRG,6141,INPATIENT APRDRG 6141: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,6299.0,7960.24,5
APR-DRG,6142,INPATIENT APRDRG 6142: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,6299.0,12940.07,5
APR-DRG,6143,INPATIENT APRDRG 6143: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,6299.0,24522.38,5
APR-DRG,6144,INPATIENT APRDRG 6144: NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION,,,6299.0,55441.68,5
APR-DRG,6211,INPATIENT APRDRG 6211: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,5283.4,7411.0,5
APR-DRG,6212,INPATIENT APRDRG 6212: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,6299.0,12017.38,5
APR-DRG,6213,INPATIENT APRDRG 6213: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,6299.0,27471.04,5
APR-DRG,6214,INPATIENT APRDRG 6214: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,,,6299.0,91880.48,5
APR-DRG,6221,INPATIENT APRDRG 6221: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,6299.0,9035.93,5
APR-DRG,6222,INPATIENT APRDRG 6222: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,6299.0,12730.34,5
APR-DRG,6223,INPATIENT APRDRG 6223: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,6299.0,15672.24,5
APR-DRG,6224,INPATIENT APRDRG 6224: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,6299.0,23553.37,5
APR-DRG,6231,INPATIENT APRDRG 6231: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,6299.0,7411.0,5
APR-DRG,6232,INPATIENT APRDRG 6232: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,6299.0,10991.64,5
APR-DRG,6233,INPATIENT APRDRG 6233: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,6299.0,19966.69,5
APR-DRG,6234,INPATIENT APRDRG 6234: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,6299.0,45324.85,5
APR-DRG,6251,INPATIENT APRDRG 6251: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,6299.0,7973.77,5
APR-DRG,6252,INPATIENT APRDRG 6252: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,6299.0,10819.39,5
APR-DRG,6253,INPATIENT APRDRG 6253: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,6299.0,17883.47,5
APR-DRG,6254,INPATIENT APRDRG 6254: NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,6299.0,48249.57,5
APR-DRG,6261,"INPATIENT APRDRG 6261: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,1104.54,7411.0,5
APR-DRG,6262,"INPATIENT APRDRG 6262: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,1505.31,7411.0,5
APR-DRG,6263,"INPATIENT APRDRG 6263: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,3930.82,7411.0,5
APR-DRG,6264,"INPATIENT APRDRG 6264: NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,6299.0,22405.86,5
APR-DRG,6301,INPATIENT APRDRG 6301: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,6299.0,18438.23,5
APR-DRG,6302,INPATIENT APRDRG 6302: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,6299.0,31671.29,5
APR-DRG,6303,INPATIENT APRDRG 6303: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,6299.0,87740.59,5
APR-DRG,6304,INPATIENT APRDRG 6304: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE,,,6299.0,186160.06,5
APR-DRG,6311,INPATIENT APRDRG 6311: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,6299.0,12790.71,5
APR-DRG,6312,INPATIENT APRDRG 6312: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,6299.0,26215.28,5
APR-DRG,6313,INPATIENT APRDRG 6313: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,6299.0,48642.48,5
APR-DRG,6314,INPATIENT APRDRG 6314: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE,,,6299.0,131387.63,5
APR-DRG,6331,INPATIENT APRDRG 6331: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,1704.72,7411.0,5
APR-DRG,6332,INPATIENT APRDRG 6332: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,6299.0,7411.0,5
APR-DRG,6333,INPATIENT APRDRG 6333: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,6299.0,19430.14,5
APR-DRG,6334,INPATIENT APRDRG 6334: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY,,,6299.0,69825.89,5
APR-DRG,6341,INPATIENT APRDRG 6341: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,4703.66,7411.0,5
APR-DRG,6342,INPATIENT APRDRG 6342: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,6299.0,8639.9,5
APR-DRG,6343,INPATIENT APRDRG 6343: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,6299.0,12025.7,5
APR-DRG,6344,INPATIENT APRDRG 6344: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,,,6299.0,35510.9,5
APR-DRG,6361,INPATIENT APRDRG 6361: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,3596.2,7411.0,5
APR-DRG,6362,INPATIENT APRDRG 6362: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,6039.22,7411.0,5
APR-DRG,6363,INPATIENT APRDRG 6363: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,6299.0,12204.73,5
APR-DRG,6364,INPATIENT APRDRG 6364: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION,,,6299.0,20869.6,5
APR-DRG,6391,INPATIENT APRDRG 6391: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,3504.76,7411.0,5
APR-DRG,6392,INPATIENT APRDRG 6392: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,6299.0,7717.2,5
APR-DRG,6393,INPATIENT APRDRG 6393: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,6299.0,12901.04,5
APR-DRG,6394,INPATIENT APRDRG 6394: NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION,,,6299.0,24464.62,5
APR-DRG,6401,"INPATIENT APRDRG 6401: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,481.99,7411.0,5
APR-DRG,6402,"INPATIENT APRDRG 6402: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,819.53,7411.0,5
APR-DRG,6403,"INPATIENT APRDRG 6403: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,2206.65,7411.0,5
APR-DRG,6404,"INPATIENT APRDRG 6404: NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM",,,6299.0,25182.26,5
APR-DRG,6501,INPATIENT APRDRG 6501: SPLENECTOMY,,,6299.0,8587.33,5
APR-DRG,6502,INPATIENT APRDRG 6502: SPLENECTOMY,,,6299.0,12258.33,5
APR-DRG,6503,INPATIENT APRDRG 6503: SPLENECTOMY,,,6299.0,18754.64,5
APR-DRG,6504,INPATIENT APRDRG 6504: SPLENECTOMY,,,6299.0,28760.62,5
APR-DRG,6511,INPATIENT APRDRG 6511: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,6299.0,7411.0,5
APR-DRG,6512,INPATIENT APRDRG 6512: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,6299.0,10108.5,5
APR-DRG,6513,INPATIENT APRDRG 6513: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,6299.0,12182.35,5
APR-DRG,6514,INPATIENT APRDRG 6514: OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS,,,6299.0,56205.64,5
APR-DRG,6601,INPATIENT APRDRG 6601: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,6299.0,7411.0,5
APR-DRG,6602,INPATIENT APRDRG 6602: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,6299.0,7411.0,5
APR-DRG,6603,INPATIENT APRDRG 6603: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,6299.0,11027.55,5
APR-DRG,6604,INPATIENT APRDRG 6604: MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,,,6299.0,45334.22,5
APR-DRG,6611,INPATIENT APRDRG 6611: COAGULATION AND PLATELET DISORDERS,,,5875.8,7411.0,5
APR-DRG,6612,INPATIENT APRDRG 6612: COAGULATION AND PLATELET DISORDERS,,,6299.0,7411.0,5
APR-DRG,6613,INPATIENT APRDRG 6613: COAGULATION AND PLATELET DISORDERS,,,6299.0,31837.31,5
APR-DRG,6614,INPATIENT APRDRG 6614: COAGULATION AND PLATELET DISORDERS,,,6299.0,38831.14,5
APR-DRG,6621,INPATIENT APRDRG 6621: SICKLE CELL ANEMIA CRISIS,,,3300.0,7411.0,5
APR-DRG,6622,INPATIENT APRDRG 6622: SICKLE CELL ANEMIA CRISIS,,,4642.86,7411.0,5
APR-DRG,6623,INPATIENT APRDRG 6623: SICKLE CELL ANEMIA CRISIS,,,6299.0,7959.2,5
APR-DRG,6624,INPATIENT APRDRG 6624: SICKLE CELL ANEMIA CRISIS,,,6299.0,20752.51,5
APR-DRG,6631,INPATIENT APRDRG 6631: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,2930.36,7411.0,5
APR-DRG,6632,INPATIENT APRDRG 6632: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,4073.81,7411.0,5
APR-DRG,6633,INPATIENT APRDRG 6633: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,6299.0,7411.0,5
APR-DRG,6634,INPATIENT APRDRG 6634: OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS,,,6299.0,12129.27,5
APR-DRG,6801,"INPATIENT APRDRG 6801: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,6299.0,12117.82,5
APR-DRG,6802,"INPATIENT APRDRG 6802: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,6299.0,13836.74,5
APR-DRG,6803,"INPATIENT APRDRG 6803: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,6299.0,30539.92,5
APR-DRG,6804,"INPATIENT APRDRG 6804: MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,6299.0,83484.65,5
APR-DRG,6811,"INPATIENT APRDRG 6811: OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,6299.0,13274.69,5
APR-DRG,6812,"INPATIENT APRDRG 6812: OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,6299.0,13971.53,5
APR-DRG,6813,"INPATIENT APRDRG 6813: OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,6299.0,29954.97,5
APR-DRG,6814,"INPATIENT APRDRG 6814: OTHER  O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS",,,6299.0,112829.7,5
APR-DRG,6901,INPATIENT APRDRG 6901: ACUTE LEUKEMIA,,,6299.0,23116.23,5
APR-DRG,6902,INPATIENT APRDRG 6902: ACUTE LEUKEMIA,,,6299.0,27861.87,5
APR-DRG,6903,INPATIENT APRDRG 6903: ACUTE LEUKEMIA,,,6299.0,32607.0,5
APR-DRG,6904,INPATIENT APRDRG 6904: ACUTE LEUKEMIA,,,6299.0,74082.87,5
APR-DRG,6911,"INPATIENT APRDRG 6911: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,6299.0,8002.91,5
APR-DRG,6912,"INPATIENT APRDRG 6912: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,6299.0,10047.61,5
APR-DRG,6913,"INPATIENT APRDRG 6913: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,6299.0,20970.56,5
APR-DRG,6914,"INPATIENT APRDRG 6914: LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA",,,6299.0,40600.54,5
APR-DRG,6921,INPATIENT APRDRG 6921: RADIOTHERAPY,,,6299.0,7411.0,5
APR-DRG,6922,INPATIENT APRDRG 6922: RADIOTHERAPY,,,6299.0,12233.35,5
APR-DRG,6923,INPATIENT APRDRG 6923: RADIOTHERAPY,,,6299.0,18018.26,5
APR-DRG,6924,INPATIENT APRDRG 6924: RADIOTHERAPY,,,6299.0,33545.3,5
APR-DRG,6941,INPATIENT APRDRG 6941: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,4068.95,7411.0,5
APR-DRG,6942,INPATIENT APRDRG 6942: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,5535.83,7411.0,5
APR-DRG,6943,INPATIENT APRDRG 6943: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,6299.0,8983.37,5
APR-DRG,6944,INPATIENT APRDRG 6944: LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,,,6299.0,40189.41,5
APR-DRG,6951,INPATIENT APRDRG 6951: CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,5201.7,7411.0,5
APR-DRG,6952,INPATIENT APRDRG 6952: CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,6126.28,7411.0,5
APR-DRG,6953,INPATIENT APRDRG 6953: CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,6299.0,19615.93,5
APR-DRG,6954,INPATIENT APRDRG 6954: CHEMOTHERAPY FOR ACUTE LEUKEMIA,,,6299.0,57417.17,5
APR-DRG,6961,INPATIENT APRDRG 6961: OTHER CHEMOTHERAPY,,,4816.49,7411.0,5
APR-DRG,6962,INPATIENT APRDRG 6962: OTHER CHEMOTHERAPY,,,6299.0,7411.0,5
APR-DRG,6963,INPATIENT APRDRG 6963: OTHER CHEMOTHERAPY,,,6299.0,12464.41,5
APR-DRG,6964,INPATIENT APRDRG 6964: OTHER CHEMOTHERAPY,,,6299.0,22101.94,5
APR-DRG,7101,INPATIENT APRDRG 7101: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,6299.0,7411.0,5
APR-DRG,7102,INPATIENT APRDRG 7102: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,6299.0,9965.39,5
APR-DRG,7103,INPATIENT APRDRG 7103: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,6299.0,17273.55,5
APR-DRG,7104,INPATIENT APRDRG 7104: INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,,,6299.0,41854.22,5
APR-DRG,7111,"INPATIENT APRDRG 7111: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,6299.0,8228.77,5
APR-DRG,7112,"INPATIENT APRDRG 7112: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,6299.0,10553.46,5
APR-DRG,7113,"INPATIENT APRDRG 7113: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,6299.0,19497.79,5
APR-DRG,7114,"INPATIENT APRDRG 7114: POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE",,,6299.0,35149.21,5
APR-DRG,7201,INPATIENT APRDRG 7201: SEPTICEMIA AND DISSEMINATED INFECTIONS,,,3108.86,7411.0,5
APR-DRG,7202,INPATIENT APRDRG 7202: SEPTICEMIA AND DISSEMINATED INFECTIONS,,,4483.82,7411.0,5
APR-DRG,7203,INPATIENT APRDRG 7203: SEPTICEMIA AND DISSEMINATED INFECTIONS,,,6299.0,8003.95,5
APR-DRG,7204,INPATIENT APRDRG 7204: SEPTICEMIA AND DISSEMINATED INFECTIONS,,,6299.0,19503.0,5
APR-DRG,7211,"INPATIENT APRDRG 7211: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,3740.65,7411.0,5
APR-DRG,7212,"INPATIENT APRDRG 7212: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,5350.04,7411.0,5
APR-DRG,7213,"INPATIENT APRDRG 7213: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,6299.0,10038.77,5
APR-DRG,7214,"INPATIENT APRDRG 7214: POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS",,,6299.0,20186.82,5
APR-DRG,7221,INPATIENT APRDRG 7221: FEVER AND INFLAMMATORY CONDITIONS,,,1896.83,7411.0,5
APR-DRG,7222,INPATIENT APRDRG 7222: FEVER AND INFLAMMATORY CONDITIONS,,,2811.2,7411.0,5
APR-DRG,7223,INPATIENT APRDRG 7223: FEVER AND INFLAMMATORY CONDITIONS,,,4941.49,7411.0,5
APR-DRG,7224,INPATIENT APRDRG 7224: FEVER AND INFLAMMATORY CONDITIONS,,,6294.08,7411.0,5
APR-DRG,7231,INPATIENT APRDRG 7231: VIRAL ILLNESS,,,2124.45,7411.0,5
APR-DRG,7232,INPATIENT APRDRG 7232: VIRAL ILLNESS,,,3056.33,7411.0,5
APR-DRG,7233,INPATIENT APRDRG 7233: VIRAL ILLNESS,,,6299.0,7411.0,5
APR-DRG,7234,INPATIENT APRDRG 7234: VIRAL ILLNESS,,,6299.0,40134.77,5
APR-DRG,7241,INPATIENT APRDRG 7241: OTHER INFECTIOUS AND PARASITIC DISEASES,,,3168.68,7411.0,5
APR-DRG,7242,INPATIENT APRDRG 7242: OTHER INFECTIOUS AND PARASITIC DISEASES,,,3695.42,7411.0,5
APR-DRG,7243,INPATIENT APRDRG 7243: OTHER INFECTIOUS AND PARASITIC DISEASES,,,6299.0,8350.03,5
APR-DRG,7244,INPATIENT APRDRG 7244: OTHER INFECTIOUS AND PARASITIC DISEASES,,,6299.0,22060.31,5
APR-DRG,7401,INPATIENT APRDRG 7401: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,6299.0,10174.59,5
APR-DRG,7402,INPATIENT APRDRG 7402: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,6299.0,10522.75,5
APR-DRG,7403,INPATIENT APRDRG 7403: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,6299.0,20540.7,5
APR-DRG,7404,INPATIENT APRDRG 7404: MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE,,,6299.0,36240.0,5
APR-DRG,7501,INPATIENT APRDRG 7501: SCHIZOPHRENIA,,,2690.1,7411.0,5
APR-DRG,7502,INPATIENT APRDRG 7502: SCHIZOPHRENIA,,,3123.94,7411.0,5
APR-DRG,7503,INPATIENT APRDRG 7503: SCHIZOPHRENIA,,,4783.91,7411.0,5
APR-DRG,7504,INPATIENT APRDRG 7504: SCHIZOPHRENIA,,,6299.0,18082.79,5
APR-DRG,7511,INPATIENT APRDRG 7511: MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,1932.34,7411.0,5
APR-DRG,7512,INPATIENT APRDRG 7512: MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,2328.24,7411.0,5
APR-DRG,7513,INPATIENT APRDRG 7513: MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,3668.18,7411.0,5
APR-DRG,7514,INPATIENT APRDRG 7514: MAJOR DEPRESSIVE DISORDERS AND OTHER OR UNSPECIFIED PSYCHOSES,,,5008.12,7411.0,5
APR-DRG,7521,INPATIENT APRDRG 7521: DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,2237.77,7411.0,5
APR-DRG,7522,INPATIENT APRDRG 7522: DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,2671.61,7411.0,5
APR-DRG,7523,INPATIENT APRDRG 7523: DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,6299.0,7411.0,5
APR-DRG,7524,INPATIENT APRDRG 7524: DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,6299.0,19229.78,5
APR-DRG,7531,INPATIENT APRDRG 7531: BIPOLAR DISORDERS,,,2336.99,7411.0,5
APR-DRG,7532,INPATIENT APRDRG 7532: BIPOLAR DISORDERS,,,2894.37,7411.0,5
APR-DRG,7533,INPATIENT APRDRG 7533: BIPOLAR DISORDERS,,,5824.24,7411.0,5
APR-DRG,7534,INPATIENT APRDRG 7534: BIPOLAR DISORDERS,,,6299.0,14348.83,5
APR-DRG,7541,INPATIENT APRDRG 7541: DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,1631.27,7411.0,5
APR-DRG,7542,INPATIENT APRDRG 7542: DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,2295.17,7411.0,5
APR-DRG,7543,INPATIENT APRDRG 7543: DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,4124.88,7411.0,5
APR-DRG,7544,INPATIENT APRDRG 7544: DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,,,6299.0,12741.79,5
APR-DRG,7551,INPATIENT APRDRG 7551: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,1536.92,7411.0,5
APR-DRG,7552,INPATIENT APRDRG 7552: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,2545.64,7411.0,5
APR-DRG,7553,INPATIENT APRDRG 7553: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,5641.37,7411.0,5
APR-DRG,7554,INPATIENT APRDRG 7554: ADJUSTMENT DISORDERS AND NEUROSES EXCEPT DEPRESSIVE DIAGNOSES,,,6299.0,11490.2,5
APR-DRG,7561,INPATIENT APRDRG 7561: ACUTE ANXIETY AND DELIRIUM STATES,,,2768.4,7411.0,5
APR-DRG,7562,INPATIENT APRDRG 7562: ACUTE ANXIETY AND DELIRIUM STATES,,,3523.24,7411.0,5
APR-DRG,7563,INPATIENT APRDRG 7563: ACUTE ANXIETY AND DELIRIUM STATES,,,5303.83,7411.0,5
APR-DRG,7564,INPATIENT APRDRG 7564: ACUTE ANXIETY AND DELIRIUM STATES,,,6219.17,7411.0,5
APR-DRG,7571,INPATIENT APRDRG 7571: ORGANIC MENTAL HEALTH DISTURBANCES,,,2132.72,7411.0,5
APR-DRG,7572,INPATIENT APRDRG 7572: ORGANIC MENTAL HEALTH DISTURBANCES,,,6251.76,7411.0,5
APR-DRG,7573,INPATIENT APRDRG 7573: ORGANIC MENTAL HEALTH DISTURBANCES,,,6299.0,9480.88,5
APR-DRG,7574,INPATIENT APRDRG 7574: ORGANIC MENTAL HEALTH DISTURBANCES,,,6299.0,21379.09,5
APR-DRG,7581,INPATIENT APRDRG 7581: BEHAVIORAL DISORDERS,,,1537.89,7411.0,5
APR-DRG,7582,INPATIENT APRDRG 7582: BEHAVIORAL DISORDERS,,,2338.94,7411.0,5
APR-DRG,7583,INPATIENT APRDRG 7583: BEHAVIORAL DISORDERS,,,2440.1,7411.0,5
APR-DRG,7584,INPATIENT APRDRG 7584: BEHAVIORAL DISORDERS,,,6299.0,10706.46,5
APR-DRG,7591,INPATIENT APRDRG 7591: EATING DISORDERS,,,6299.0,8017.48,5
APR-DRG,7592,INPATIENT APRDRG 7592: EATING DISORDERS,,,6299.0,9979.44,5
APR-DRG,7593,INPATIENT APRDRG 7593: EATING DISORDERS,,,6299.0,19741.87,5
APR-DRG,7594,INPATIENT APRDRG 7594: EATING DISORDERS,,,6299.0,28827.76,5
APR-DRG,7601,INPATIENT APRDRG 7601: OTHER MENTAL HEALTH DISORDERS,,,2360.34,7411.0,5
APR-DRG,7602,INPATIENT APRDRG 7602: OTHER MENTAL HEALTH DISORDERS,,,5708.49,7411.0,5
APR-DRG,7603,INPATIENT APRDRG 7603: OTHER MENTAL HEALTH DISORDERS,,,6299.0,9504.82,5
APR-DRG,7604,INPATIENT APRDRG 7604: OTHER MENTAL HEALTH DISORDERS,,,6299.0,12901.56,5
APR-DRG,7701,"INPATIENT APRDRG 7701: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,1654.13,7411.0,5
APR-DRG,7702,"INPATIENT APRDRG 7702: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,2211.51,7411.0,5
APR-DRG,7703,"INPATIENT APRDRG 7703: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,3525.67,7411.0,5
APR-DRG,7704,"INPATIENT APRDRG 7704: DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE",,,6299.0,8764.28,5
APR-DRG,7721,INPATIENT APRDRG 7721: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,1830.69,7411.0,5
APR-DRG,7722,INPATIENT APRDRG 7722: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,2169.68,7411.0,5
APR-DRG,7723,INPATIENT APRDRG 7723: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,2772.29,7411.0,5
APR-DRG,7724,INPATIENT APRDRG 7724: ALCOHOL AND DRUG DEPENDENCE WITH REHABILITATION AND/OR DETOXIFICATION THERAPY,,,6299.0,16975.87,5
APR-DRG,7731,INPATIENT APRDRG 7731: OPIOID ABUSE AND DEPENDENCE,,,1494.12,7411.0,5
APR-DRG,7732,INPATIENT APRDRG 7732: OPIOID ABUSE AND DEPENDENCE,,,2426.97,7411.0,5
APR-DRG,7733,INPATIENT APRDRG 7733: OPIOID ABUSE AND DEPENDENCE,,,3933.74,7411.0,5
APR-DRG,7734,INPATIENT APRDRG 7734: OPIOID ABUSE AND DEPENDENCE,,,6299.0,12690.27,5
APR-DRG,7741,INPATIENT APRDRG 7741: COCAINE ABUSE AND DEPENDENCE,,,1632.25,7411.0,5
APR-DRG,7742,INPATIENT APRDRG 7742: COCAINE ABUSE AND DEPENDENCE,,,2720.74,7411.0,5
APR-DRG,7743,INPATIENT APRDRG 7743: COCAINE ABUSE AND DEPENDENCE,,,3993.56,7411.0,5
APR-DRG,7744,INPATIENT APRDRG 7744: COCAINE ABUSE AND DEPENDENCE,,,6299.0,11160.78,5
APR-DRG,7751,INPATIENT APRDRG 7751: ALCOHOL ABUSE AND DEPENDENCE,,,2475.12,7411.0,5
APR-DRG,7752,INPATIENT APRDRG 7752: ALCOHOL ABUSE AND DEPENDENCE,,,3345.72,7411.0,5
APR-DRG,7753,INPATIENT APRDRG 7753: ALCOHOL ABUSE AND DEPENDENCE,,,5886.5,7411.0,5
APR-DRG,7754,INPATIENT APRDRG 7754: ALCOHOL ABUSE AND DEPENDENCE,,,6299.0,11498.53,5
APR-DRG,7761,INPATIENT APRDRG 7761: OTHER DRUG ABUSE AND DEPENDENCE,,,1950.82,7411.0,5
APR-DRG,7762,INPATIENT APRDRG 7762: OTHER DRUG ABUSE AND DEPENDENCE,,,2965.87,7411.0,5
APR-DRG,7763,INPATIENT APRDRG 7763: OTHER DRUG ABUSE AND DEPENDENCE,,,5609.27,7411.0,5
APR-DRG,7764,INPATIENT APRDRG 7764: OTHER DRUG ABUSE AND DEPENDENCE,,,6299.0,11657.25,5
APR-DRG,7921,INPATIENT APRDRG 7921: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,6299.0,9083.81,5
APR-DRG,7922,INPATIENT APRDRG 7922: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,6299.0,14589.78,5
APR-DRG,7923,INPATIENT APRDRG 7923: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,6299.0,30069.98,5
APR-DRG,7924,INPATIENT APRDRG 7924: EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,6299.0,57668.01,5
APR-DRG,7931,INPATIENT APRDRG 7931: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,4804.33,7411.0,5
APR-DRG,7932,INPATIENT APRDRG 7932: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,6299.0,9574.04,5
APR-DRG,7933,INPATIENT APRDRG 7933: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,6299.0,24010.29,5
APR-DRG,7934,INPATIENT APRDRG 7934: MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,6299.0,31400.68,5
APR-DRG,7941,INPATIENT APRDRG 7941: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,3664.78,7411.0,5
APR-DRG,7942,INPATIENT APRDRG 7942: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,6299.0,7411.0,5
APR-DRG,7943,INPATIENT APRDRG 7943: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,6299.0,9970.59,5
APR-DRG,7944,INPATIENT APRDRG 7944: NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT,,,6299.0,19564.93,5
APR-DRG,8101,INPATIENT APRDRG 8101: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,2353.04,7411.0,5
APR-DRG,8102,INPATIENT APRDRG 8102: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,4453.66,7411.0,5
APR-DRG,8103,INPATIENT APRDRG 8103: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,6299.0,7411.0,5
APR-DRG,8104,INPATIENT APRDRG 8104: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION,,,6299.0,33325.69,5
APR-DRG,8111,INPATIENT APRDRG 8111: ALLERGIC REACTIONS,,,1873.97,7411.0,5
APR-DRG,8112,INPATIENT APRDRG 8112: ALLERGIC REACTIONS,,,3466.34,7411.0,5
APR-DRG,8113,INPATIENT APRDRG 8113: ALLERGIC REACTIONS,,,6299.0,7411.0,5
APR-DRG,8114,INPATIENT APRDRG 8114: ALLERGIC REACTIONS,,,6299.0,11430.87,5
APR-DRG,8121,INPATIENT APRDRG 8121: POISONING OF MEDICINAL AGENTS,,,2067.06,7411.0,5
APR-DRG,8122,INPATIENT APRDRG 8122: POISONING OF MEDICINAL AGENTS,,,3081.13,7411.0,5
APR-DRG,8123,INPATIENT APRDRG 8123: POISONING OF MEDICINAL AGENTS,,,4639.45,7411.0,5
APR-DRG,8124,INPATIENT APRDRG 8124: POISONING OF MEDICINAL AGENTS,,,6299.0,10250.57,5
APR-DRG,8131,INPATIENT APRDRG 8131: OTHER COMPLICATIONS OF TREATMENT,,,3760.59,7411.0,5
APR-DRG,8132,INPATIENT APRDRG 8132: OTHER COMPLICATIONS OF TREATMENT,,,4678.85,7411.0,5
APR-DRG,8133,INPATIENT APRDRG 8133: OTHER COMPLICATIONS OF TREATMENT,,,6299.0,8005.51,5
APR-DRG,8134,INPATIENT APRDRG 8134: OTHER COMPLICATIONS OF TREATMENT,,,6299.0,21091.3,5
APR-DRG,8151,"INPATIENT APRDRG 8151: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,2718.31,7411.0,5
APR-DRG,8152,"INPATIENT APRDRG 8152: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,4140.44,7411.0,5
APR-DRG,8153,"INPATIENT APRDRG 8153: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,6299.0,10327.08,5
APR-DRG,8154,"INPATIENT APRDRG 8154: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES",,,6299.0,33882.53,5
APR-DRG,8161,INPATIENT APRDRG 8161: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,4744.51,7411.0,5
APR-DRG,8162,INPATIENT APRDRG 8162: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,6299.0,8229.29,5
APR-DRG,8163,INPATIENT APRDRG 8163: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,6299.0,9225.88,5
APR-DRG,8164,INPATIENT APRDRG 8164: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,,,6299.0,10222.47,5
APR-DRG,8171,INPATIENT APRDRG 8171: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,2390.98,7411.0,5
APR-DRG,8172,INPATIENT APRDRG 8172: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,2997.48,7411.0,5
APR-DRG,8173,INPATIENT APRDRG 8173: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,4687.61,7411.0,5
APR-DRG,8174,INPATIENT APRDRG 8174: INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,,,6299.0,10891.72,5
APR-DRG,8411,INPATIENT APRDRG 8411: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,6299.0,36983.67,5
APR-DRG,8412,INPATIENT APRDRG 8412: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,6299.0,37273.54,5
APR-DRG,8413,INPATIENT APRDRG 8413: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,6299.0,57358.36,5
APR-DRG,8414,INPATIENT APRDRG 8414: EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT,,,6299.0,132713.12,5
APR-DRG,8421,INPATIENT APRDRG 8421: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,6299.0,7571.49,5
APR-DRG,8422,INPATIENT APRDRG 8422: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,6299.0,11474.59,5
APR-DRG,8423,INPATIENT APRDRG 8423: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,6299.0,22038.97,5
APR-DRG,8424,INPATIENT APRDRG 8424: BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE THIRD DEGREE BURNS,,,6299.0,45273.85,5
APR-DRG,8431,INPATIENT APRDRG 8431: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,3702.71,7411.0,5
APR-DRG,8432,INPATIENT APRDRG 8432: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,6299.0,7411.0,5
APR-DRG,8433,INPATIENT APRDRG 8433: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,6299.0,8850.14,5
APR-DRG,8434,INPATIENT APRDRG 8434: EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT,,,6299.0,24559.85,5
APR-DRG,8441,INPATIENT APRDRG 8441: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,2823.85,7411.0,5
APR-DRG,8442,INPATIENT APRDRG 8442: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,4194.43,7411.0,5
APR-DRG,8443,INPATIENT APRDRG 8443: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,6299.0,7432.02,5
APR-DRG,8444,INPATIENT APRDRG 8444: PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT,,,6299.0,21346.82,5
APR-DRG,8501,"INPATIENT APRDRG 8501: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,6299.0,9914.39,5
APR-DRG,8502,"INPATIENT APRDRG 8502: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,6299.0,17676.35,5
APR-DRG,8503,"INPATIENT APRDRG 8503: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,6299.0,26973.01,5
APR-DRG,8504,"INPATIENT APRDRG 8504: PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES",,,6299.0,127926.36,5
APR-DRG,8601,INPATIENT APRDRG 8601: REHABILITATION,,,4156.01,7411.0,5
APR-DRG,8602,INPATIENT APRDRG 8602: REHABILITATION,,,5984.75,7411.0,5
APR-DRG,8603,INPATIENT APRDRG 8603: REHABILITATION,,,6299.0,9333.61,5
APR-DRG,8604,INPATIENT APRDRG 8604: REHABILITATION,,,6299.0,14551.27,5
APR-DRG,8611,"INPATIENT APRDRG 8611: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,2473.66,7411.0,5
APR-DRG,8612,"INPATIENT APRDRG 8612: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,3985.29,7411.0,5
APR-DRG,8613,"INPATIENT APRDRG 8613: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,6299.0,8100.75,5
APR-DRG,8614,"INPATIENT APRDRG 8614: SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS",,,6299.0,16505.94,5
APR-DRG,8621,INPATIENT APRDRG 8621: OTHER AFTERCARE AND CONVALESCENCE,,,6299.0,7540.78,5
APR-DRG,8622,INPATIENT APRDRG 8622: OTHER AFTERCARE AND CONVALESCENCE,,,6299.0,10188.13,5
APR-DRG,8623,INPATIENT APRDRG 8623: OTHER AFTERCARE AND CONVALESCENCE,,,6299.0,15226.76,5
APR-DRG,8624,INPATIENT APRDRG 8624: OTHER AFTERCARE AND CONVALESCENCE,,,6299.0,22656.18,5
APR-DRG,8631,INPATIENT APRDRG 8631: NEONATAL AFTERCARE,,,4729.43,7411.0,5
APR-DRG,8632,INPATIENT APRDRG 8632: NEONATAL AFTERCARE,,,6299.0,13470.37,5
APR-DRG,8633,INPATIENT APRDRG 8633: NEONATAL AFTERCARE,,,6299.0,20552.15,5
APR-DRG,8634,INPATIENT APRDRG 8634: NEONATAL AFTERCARE,,,6299.0,88591.47,5
APR-DRG,8901,INPATIENT APRDRG 8901: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,5627.75,7411.0,5
APR-DRG,8902,INPATIENT APRDRG 8902: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,6089.8,7411.0,5
APR-DRG,8903,INPATIENT APRDRG 8903: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,6299.0,11424.11,5
APR-DRG,8904,INPATIENT APRDRG 8904: HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS,,,6299.0,24115.42,5
APR-DRG,8921,INPATIENT APRDRG 8921: HIV WITH MAJOR HIV RELATED CONDITION,,,4069.43,7411.0,5
APR-DRG,8922,INPATIENT APRDRG 8922: HIV WITH MAJOR HIV RELATED CONDITION,,,5082.54,7411.0,5
APR-DRG,8923,INPATIENT APRDRG 8923: HIV WITH MAJOR HIV RELATED CONDITION,,,6299.0,8458.79,5
APR-DRG,8924,INPATIENT APRDRG 8924: HIV WITH MAJOR HIV RELATED CONDITION,,,6299.0,12813.61,5
APR-DRG,8931,INPATIENT APRDRG 8931: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,3530.05,7411.0,5
APR-DRG,8932,INPATIENT APRDRG 8932: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,5066.97,7411.0,5
APR-DRG,8933,INPATIENT APRDRG 8933: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,6299.0,7562.12,5
APR-DRG,8934,INPATIENT APRDRG 8934: HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS,,,6299.0,14220.81,5
APR-DRG,8941,INPATIENT APRDRG 8941: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,4381.68,7411.0,5
APR-DRG,8942,INPATIENT APRDRG 8942: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,5104.91,7411.0,5
APR-DRG,8943,INPATIENT APRDRG 8943: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,6299.0,7969.6,5
APR-DRG,8944,INPATIENT APRDRG 8944: HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS,,,6299.0,10477.47,5
APR-DRG,9101,INPATIENT APRDRG 9101: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,6299.0,17763.78,5
APR-DRG,9102,INPATIENT APRDRG 9102: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,6299.0,18398.68,5
APR-DRG,9103,INPATIENT APRDRG 9103: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,6299.0,24085.23,5
APR-DRG,9104,INPATIENT APRDRG 9104: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,6299.0,63349.35,5
APR-DRG,9111,INPATIENT APRDRG 9111: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,6299.0,9656.26,5
APR-DRG,9112,INPATIENT APRDRG 9112: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,6299.0,10786.6,5
APR-DRG,9113,INPATIENT APRDRG 9113: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,6299.0,20094.19,5
APR-DRG,9114,INPATIENT APRDRG 9114: EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,6299.0,53670.19,5
APR-DRG,9121,INPATIENT APRDRG 9121: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,6299.0,14612.68,5
APR-DRG,9122,INPATIENT APRDRG 9122: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,6299.0,15254.87,5
APR-DRG,9123,INPATIENT APRDRG 9123: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,6299.0,23231.76,5
APR-DRG,9124,INPATIENT APRDRG 9124: MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA,,,6299.0,51486.54,5
APR-DRG,9301,INPATIENT APRDRG 9301: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,5688.06,7411.0,5
APR-DRG,9302,INPATIENT APRDRG 9302: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,6299.0,8523.84,5
APR-DRG,9303,INPATIENT APRDRG 9303: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,6299.0,10960.94,5
APR-DRG,9304,INPATIENT APRDRG 9304: MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE,,,6299.0,26288.66,5
APR-DRG,9501,INPATIENT APRDRG 9501: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,6299.0,8960.47,5
APR-DRG,9502,INPATIENT APRDRG 9502: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,6299.0,13476.62,5
APR-DRG,9503,INPATIENT APRDRG 9503: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,6299.0,21789.17,5
APR-DRG,9504,INPATIENT APRDRG 9504: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,6299.0,61468.58,5
APR-DRG,9511,INPATIENT APRDRG 9511: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,5601.98,7411.0,5
APR-DRG,9512,INPATIENT APRDRG 9512: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,6299.0,8987.01,5
APR-DRG,9513,INPATIENT APRDRG 9513: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,6299.0,17913.66,5
APR-DRG,9514,INPATIENT APRDRG 9514: MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,6299.0,42867.46,5
APR-DRG,9521,INPATIENT APRDRG 9521: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,6234.74,7411.0,5
APR-DRG,9522,INPATIENT APRDRG 9522: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,6299.0,8954.75,5
APR-DRG,9523,INPATIENT APRDRG 9523: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,6299.0,26115.89,5
APR-DRG,9524,INPATIENT APRDRG 9524: NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,,,6299.0,54165.11,5
APR-DRG,9550,INPATIENT APRDRG 9550: PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS,,,6299.0,7411.0,2
APR-DRG,9560,INPATIENT APRDRG 9560: UNGROUPABLE,,,6299.0,7411.0,2
CDM,11000001,HC PRIVATE - GENERAL,1308.15,784.89,470.93,7411.0,7
CDM,11100001,HC PRIVATE - MED/SURG/GYN,1308.15,784.89,470.93,7411.0,7
CDM,11200001,HC PRIVATE - OB,1415.63,849.38,509.63,7411.0,7
CDM,11264451,HC PRIVATE- ANTEPARTUM,1415.32,849.19,509.52,7411.0,7
CDM,11264452,HC PRIVATE- POSTPARTUM,1401.31,840.79,504.47,7411.0,7
CDM,11500001,HC HOSPICE,1044.22,626.53,375.92,7411.0,8
CDM,11800001,HC PRIVATE - REHAB,1373.56,824.14,494.48,7411.0,16
CDM,12000001,HC SEMIPRIVATE - GENERAL,1229.67,737.8,442.68,7411.0,7
CDM,12100001,HC SEMIPRIVATE - MED/SURG/GYN,894.86,536.92,322.15,7411.0,7
CDM,12400001,HC SEMIPRIVATE - PSYCH,911.08,546.65,327.99,7411.0,8
CDM,12500001,HC HOSPICE,1044.22,626.53,375.92,7411.0,8
CDM,12800001,HC SEMIPRIVATE - REHAB,1101.99,661.19,396.72,7411.0,16
CDM,14000001,HC DELUXE PRIVATE,1019.77,611.86,367.12,7411.0,7
CDM,16100001,HC ACUTE HOSP CARE AT HOME,1284.37,770.62,462.37,7411.0,7
CDM,17100001,HC NEWBORN NURSERY-WELL BABY/LEVEL 1,1555.66,933.4,320.0,1088.96,19
CDM,17100002,HC NEWBORN-BOARDER BABY,406.08,243.65,146.19,1029.0,19
CDM,17100003,NEWBORN LEVEL I,1976.47,1185.88,320.0,1383.53,19
CDM,17200001,HC NEWBORN NURSERY-LEVEL 2,962.16,577.3,346.38,4240.0,19
CDM,17200003,SPECIAL CARE LEVEL II,3778.87,2267.32,1360.39,4240.0,19
CDM,17300001,HC NEWBORN/NICU INTERMEDIATE,2020.62,1212.37,727.42,5904.0,19
CDM,17300002,HC NICU LOWER RESOURCE,2020.62,1212.37,727.42,5904.0,19
CDM,17300003,NEONATAL INTENSIVE CARE LEVEL III,5882.13,3529.28,2060.0,5904.0,19
CDM,17400001,HC NICU-LEVEL 3 (INTENSIVE),2828.87,1697.32,1018.39,5904.0,19
CDM,17400002,HC NICU-LEVEL 4 (COMPLEX/ 1:1),2828.87,1697.32,1018.39,5904.0,19
CDM,17400003,HC NEWBORN/INTENSIVE CARE LOWER,2828.87,1697.32,1018.39,5904.0,19
CDM,17400004,NEONATAL INTENSIVE CARE LEVEL IV,8239.52,4943.71,2966.23,5904.0,19
CDM,20000001,HC GENERAL ICU,4909.37,2945.62,1767.37,5904.0,10
CDM,20000002,HC IMC STEPDOWN,2592.94,1555.76,933.46,5904.0,10
CDM,20000003,HC CRITICAL CARE LEVEL II,3769.12,2261.47,1356.88,5904.0,10
CDM,20000004,HC CRITICAL CARE LEVEL III,4666.1,2799.66,1679.8,5904.0,10
CDM,20000005,HC CRITICAL CARE LEVEL IV,6999.02,4199.41,2519.65,5904.0,10
CDM,20200001,HC MEDICAL ICU,2758.11,1654.87,992.92,5904.0,10
CDM,20600001,HC INTERMEDIATE ICU,3838.53,2303.12,1381.87,7411.0,9
CDM,20600003,HC INTERMEDIATE ICU - TRANSPLANT,3554.19,2132.51,1279.51,7411.0,9
CDM,20600004,HC TELEMETRY,2565.3,1539.18,923.51,7411.0,9
CDM,20600005,HC ANTEPARTUM- STEPDOWN ICU,2870.54,1722.32,1033.39,7411.0,9
CDM,20600006,HC POSTPARTUM- STEPDOWN,2657.9,1594.74,956.84,7411.0,9
CDM,20600007,HC SEMI-PRIVATE TELEMETRY,3107.38,1864.43,1118.66,7411.0,9
CDM,20800001,HC TRAUMA ICU,8361.96,5017.18,3010.31,5904.0,10
CDM,20900001,HC INTENSIVE CARE-TRANSPLANT,6506.38,3903.83,2342.3,5904.0,10
CDM,21000001,HC CORONARY CARE GENERAL,5208.37,3125.02,1875.01,5904.0,10
CDM,21000002,HC CORONARY CARE LEVEL IV,6480.57,3888.34,2333.01,5904.0,10
CDM,21000003,HC CORONARY CARE LEVEL II,4070.65,2442.39,1465.43,5904.0,10
CDM,21000004,HC CORONARY CARE-LEVEL III,5039.39,3023.63,1814.18,5904.0,10
CDM,23300001,HC ECMO/ECLS REM PRPH OPN 6+ YO,3164.44,1898.66,420.86,8280.0,37
CDM,25000001,"BUPivacaine-EPINEPHrine (PF) 0.25 %-1:200,000 injection solution",40.26,24.16,4.73,7411.0,195
CDM,25000001,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 injection solution",42.24,25.345,2.7,7411.0,156
CDM,25000001,"BUPivacaine-EPINEPHrine 0.25 %-1:200,000 injection solution",1.47,0.88,0.2499,7411.0,39
CDM,25000001,"BUPivacaine-EPINEPHrine 0.5 %-1:200,000 injection solution",98.1,58.86,16.68,7411.0,39
CDM,25000001,"EPINEPHrine 0.3 mg/0.3 mL injection, auto-injector",679.0,407.4,115.43,7411.0,39
CDM,25000001,LORazepam 2 mg/mL oral concentrate,139.77,83.86500000000001,15.33,7411.0,78
CDM,25000001,PHYSostigmine 1 mg/mL injection solution,356.29,213.77,60.57,7411.0,39
CDM,25000001,SUFentanil citrate 50 mcg/mL intravenous solution,11.38,6.83,1.67,7411.0,117
CDM,25000001,acetic acid 0.25 % irrigation solution,42.0,25.2,7.14,7411.0,39
CDM,25000001,acetylcholine chloride 1 % (10 mg/mL) intraocular kit,578.88,347.33,98.41,7411.0,39
CDM,25000001,amino acid 10 % intravenous solution,225.0,135.0,38.25,7411.0,39
CDM,25000001,amino acids 5 % with lytes and calcium in D25W intravenous solution,183.0,109.8,31.11,7411.0,39
CDM,25000001,ammonia aromatic 15 % (w/v) solution for inhalation,2.63,1.58,0.4471,7411.0,39
CDM,25000001,ascorbic acid (vitamin C) 500 mg/mL injection solution,407.25,244.35,69.23,7411.0,39
CDM,25000001,ascorbic acid (vitamin C) 500 mg/mL intravenous solution,1210.275,726.165,204.48,7411.0,78
CDM,25000001,atracurium 10 mg/mL intravenous solution,53.455,32.075,7.86,7411.0,117
CDM,25000001,balanced salt solution combination no.1 intraocular irrigation,447.75,268.65,76.12,7411.0,39
CDM,25000001,balanced salt solution combination no.2 intraocular irrigation,72.99,43.79,12.41,7411.0,39
CDM,25000001,beractant 25 mg/mL in 0.9 % sodium chloride intratracheal suspension,1878.5700000000002,1127.1399999999999,293.0,7411.0,78
CDM,25000001,bupivacaine (PF) 0.25 % (2.5 mg/mL) Injection,171.36,102.82,29.13,7411.0,39
CDM,25000001,bupivacaine (PF) 0.5 % (5 mg/mL) Injection,13.86,8.32,2.36,7411.0,39
CDM,25000001,"bupivacaine (PF) 0.5 % (5 mg/mL) Injection,bupivacaine 0.5 % (5 mg/mL) Injection",442.8,265.68,75.28,7411.0,39
CDM,25000001,caffeine-sodium benzoate 250 mg/mL(125 mg/mL caffeine) injection soln,34.68,20.81,5.9,7411.0,39
CDM,25000001,calcium chloride 100 mg/mL (10 %) intravenous solution,133.32,79.99,22.66,7411.0,39
CDM,25000001,calcium chloride 100 mg/mL (10 %) intravenous syringe,75.0,45.0,11.22,7411.0,156
CDM,25000001,carbachol 0.01 % intraocular solution,268.08,160.85,45.57,7411.0,39
CDM,25000001,cardioplegic soln #17(induct 4:1) 50 mEq/500 mL (potassium) perfusion,426.0,255.6,72.42,7411.0,39
CDM,25000001,cardioplegic solution no.19 (maint 4:1) 40mEq/L (potassium) perfusion,597.0,358.2,101.49,7411.0,39
CDM,25000001,cardioplegic solution no.25 29 mmol/L (potassium) for perfusion,363.0,217.8,61.71,7411.0,39
CDM,25000001,cardioplegic-organ preservation solution no.1 9 mmol-198 mmol-2 mmol/L,993.0,595.8,168.81,7411.0,39
CDM,25000001,chondroitin sulf-sodium hyaluronate 40 mg-17 mg/mL intraocular syringe,1429.61,857.77,243.03,7411.0,39
CDM,25000001,chondroitin-sod hyaluron 4 %-3 % (40 mg-30 mg/mL) intraocular syringe,1715.76,1029.46,291.68,7411.0,39
CDM,25000001,chromium chloride 4 mcg/mL intravenous solution,130.98,78.59,22.27,7411.0,78
CDM,25000001,cisatracurium 2 mg/mL intravenous solution,72.03999999999999,43.225,7.41,7411.0,234
CDM,25000001,cisatracurium concentrate 10 mg/mL (ICU USE ONLY) intravenous solution,1340.5,804.3,227.88,7411.0,39
CDM,25000001,cupric chloride 0.4 mg/mL intravenous solution,202.26,121.36,34.38,7411.0,78
CDM,25000001,dantrolene 20 mg intravenous solution,362.99,217.79500000000002,54.93,7411.0,78
CDM,25000001,dextran 40 10 % in 5 % dextrose intravenous,246.0,147.6,41.82,7411.0,39
CDM,25000001,dextrose 10 % and 0.2 % sodium chloride intravenous solution,36.0,21.6,6.12,7411.0,39
CDM,25000001,dextrose 2.45 gram-sod citrate 2.2 gram-citric ac 730 mg/100 mL soln,235.0,141.0,35.36,7411.0,78
CDM,25000001,dextrose 25 % in water (D25W) intravenous syringe,114.06,68.44,19.39,7411.0,39
CDM,25000001,dextrose 50 % in water (D50W) intravenous syringe,111.9,67.14,19.02,7411.0,39
CDM,25000001,ePHEDrine sulfate 50 mg/mL intravenous solution,170.74,102.44,12.04,7411.0,429
CDM,25000001,electrolyte-A intravenous solution,75.75,45.45,6.38,7411.0,78
CDM,25000001,electrolyte-R (pH 7.4) intravenous solution,30.75,18.45,3.31,7411.0,117
CDM,25000001,"electrolyte-R (pH 7.4) intravenous solution,electrolyte-r intravenous solution",42.0,25.2,7.14,7411.0,78
CDM,25000001,electrolyte-R intravenous solution,42.0,25.2,7.14,7411.0,39
CDM,25000001,empty vial,8.49,5.095000000000001,1.15,7411.0,78
CDM,25000001,ethacrynate sodium 50 mg intravenous solution,10383.99,6230.395,971.04,12797.58,78
CDM,25000001,ethiodized oil 480 mg iodine/mL for injection,1641.0,984.6,278.97,7411.0,39
CDM,25000001,etomidate 2 mg/mL intravenous solution,40.32,24.19,4.53,7411.0,273
CDM,25000001,fat emulsion 20 % intravenous,216.0,129.6,29.58,7411.0,117
CDM,25000001,fat emulsion-soybean oil-mct-olive oil-fish oil 20 % intravenous,144.0,86.4,24.48,7411.0,39
CDM,25000001,fentaNYL (PF) 2 mcg/mL-BUPivacaine 0.0625 %-NaCl injection solution,59.88,35.93,10.18,7411.0,39
CDM,25000001,fentaNYL (PF) 5 mcg/mL-BUPivacaine 0.125 %-NaCl injection solution,126.6,75.96,21.52,7411.0,39
CDM,25000001,fentaNYL (PF) 750 mcg/30 mL (25 mcg/mL) in 0.9 % NaCl PCA inj solution,239.46,143.68,1.28,7411.0,40
CDM,25000001,fentaNYL-BUPivacaine-NaCl (PF) 5 mcg/mL-0.0625 % epidural solution,169.95,101.97,21.42,7411.0,117
CDM,25000001,flumazenil 0.1 mg/mL intravenous solution,44.52,26.71,3.04,7411.0,117
CDM,25000001,haloperidol lactate 2 mg/mL oral concentrate,0.7,0.42,0.0595,7411.0,78
CDM,25000001,hetastarch 6 % in 0.9 % sodium chloride intravenous solution,171.0,102.6,29.07,7411.0,39
CDM,25000001,hydroxyethyl starch 130/0.4  6 % in 0.9 % NaCl intravenous solution,358.5,215.1,60.95,7411.0,39
CDM,25000001,ipratropium bromide 0.02 % solution for inhalation,1.5,0.9,0.221,7411.0,395
CDM,25000001,isoproterenol 0.2 mg/mL injection solution,3112.68,1867.6100000000001,107.78,7411.0,234
CDM,25000001,ketamine 10 mg/mL injection solution,115.8,69.48,19.69,7411.0,39
CDM,25000001,ketamine 100 mg/mL injection solution,54.9,32.94,8.48,7411.0,156
CDM,25000001,"ketamine 50 mg/mL (1 mL) intravenous syringe,ketamine 50 mg/mL injection solution,ketamine 50 mg/mL in sterile water injection syringe",0.32,0.19,0.0374,7411.0,117
CDM,25000001,ketamine 50 mg/mL injection solution,0.32,0.19,0.0374,7411.0,117
CDM,25000001,lactated Ringers irrigation solution,120.0,72.0,20.4,7411.0,39
CDM,25000001,lidocaine 2 % mucosal jelly in applicator,36.0,21.6,6.07,7411.0,117
CDM,25000001,lidocaine HCl 5 mg/mL (0.5 %) injection solution,33.3,19.98,5.66,7411.0,39
CDM,25000001,magnesium chloride 200 mg/mL (20 %) injection solution,91.8,55.08,15.61,7411.0,39
CDM,25000001,magnesium sulfate (bulk) 100 % crystals,32.64,19.58,5.55,7411.0,39
CDM,25000001,magnesium sulfate (laxative) 495 mg/5 gram oral granules,32.58,19.55,3.24,7411.0,117
CDM,25000001,mannitoL 20 % intravenous solution,295.5,177.3,50.23,7411.0,39
CDM,25000001,mannitol 20 % intravenous solution,295.5,177.3,50.23,7411.0,39
CDM,25000001,methohexital 500 mg solution for injection,436.41,261.85,74.19,7411.0,39
CDM,25000001,"mineral oil, light sterile",119.88,71.93,20.38,7411.0,39
CDM,25000001,"morphine concentrate 20 mg/mL oral syringe  (FOR ORAL USE ONLY),morphine concentrate 100 mg/5 mL (20 mg/mL) oral solution,morphine concentrate 10 mg/0.5 mL oral syringe (FOR ORAL USE ONLY)",4.15,2.49,0.7055,7411.0,39
CDM,25000001,"mvi, adult no.4, vit K (vial 2 of 2) 600 mcg-60 mcg-5 mcg/5 mL IV soln",46.14,27.68,7.84,7411.0,39
CDM,25000001,"mvi, pedi no.1 with vit K 80 mg-400 unit-200 mcg/5 mL intravenous soln",1106.78,664.07,188.15,7411.0,39
CDM,25000001,"mvi, pedi no.2 with vit K 80 mg-400 unit-200 mcg intravenous solution",75.98,45.59,12.92,7411.0,39
CDM,25000001,"mvi,adult no.4 with vit K 3300 unit-150 mcg/10 mL intravenous solution",52.8,31.68,7.84,7411.0,117
CDM,25000001,"mvi,adult no.4,vit K,comp(vial 1 of 2) 3,300 unit-150 mcg/5 mL IV soln",46.14,27.68,7.84,7411.0,39
CDM,25000001,norepinephrine bitartrate 1 mg/mL intravenous solution,96.39000000000001,57.834999999999994,9.17,7411.0,78
CDM,25000001,norepinephrine bitartrate 16 mg/250 mL (64 mcg/mL) in 0.9 % NaCl IV,359.5,215.7,61.12,7411.0,39
CDM,25000001,norepinephrine bitartrate 4 mg/250 mL (16 mcg/mL) in 0.9 % NaCl IV,196.0,117.6,28.22,7411.0,117
CDM,25000001,norepinephrine bitartrate 4 mg/250 mL (16 mcg/mL) in dextrose 5 % IV,139.0,83.4,23.63,7411.0,39
CDM,25000001,oxyCODONE 20 mg/mL oral concentrate,766.46,459.88,130.3,7411.0,39
CDM,25000001,"parenteral amino acid 10 % combination no.2 intravenous solution,parenteral amino acid 10 % combination no.1 intravenous solution,parenteral amino acid 10 % combination no.6 intravenous solution,paren",229.5,137.7,22.44,7411.0,156
CDM,25000001,parenteral amino acid 10 % combination no.7 intravenous solution,255.0,153.0,43.35,7411.0,39
CDM,25000001,parenteral amino acid 15 % combination no.2 intravenous solution,264.0,158.4,44.88,7411.0,39
CDM,25000001,peg 3350-electrolytes 236 gram-22.74 gram-6.74 gram-5.86 gram solution,144.0,86.4,24.48,7411.0,39
CDM,25000001,periton. dialysis soln 8-4.25 % dextrose calc 2.5 mEq/L-mag 0.5 mEq/L,291.0,174.6,47.94,7411.0,78
CDM,25000001,periton.dialysis soln 6-1.5 % dextros low calc 2.5 mEq/L-mag 0.5 mEq/L,270.75,162.45,41.82,7411.0,117
CDM,25000001,peritoneal dialysis 28 and icodextrin 7.5 % Ca 3.5 mEq/L-mag 0.5 mEq/L,543.0,325.8,92.31,7411.0,39
CDM,25000001,peritoneal dialysis soln 7-2.5 % dext.low calc 2.5 mEq/L-mag 0.5 mEq/L,300.0,180.0,50.49,7411.0,117
CDM,25000001,poractant alfa 120 mg/1.5 mL intratracheal suspension,1712.94,1027.76,291.2,7411.0,39
CDM,25000001,poractant alfa 240 mg/3 mL intratracheal suspension,3377.73,2026.64,574.21,7411.0,39
CDM,25000001,potassium acetate 2 mEq/mL intravenous solution,57.0,34.2,5.92,7411.0,78
CDM,25000001,potassium alum (bulk) powder,322.52,193.51,54.83,7411.0,39
CDM,25000001,potassium chloride 20 mEq/L in D5-0.9 % sodium chloride intravenous,78.0,46.8,13.26,7411.0,39
CDM,25000001,potassium chloride 20 mEq/L in dextrose 5 %-0.2 % sodium chloride IV,66.0,39.6,11.22,7411.0,39
CDM,25000001,potassium chloride 20 mEq/L in dextrose 5 %-0.45 % sodium chloride IV,51.0,30.6,8.16,7411.0,78
CDM,25000001,potassium chloride 40 mEq/L in D5-0.9 % sodium chloride intravenous,66.0,39.6,11.22,7411.0,39
CDM,25000001,potassium chloride 40 mEq/L in dextrose 5 %-0.45 % sodium chloride IV,63.0,37.8,9.18,7411.0,78
CDM,25000001,potassium phos-mono-dibasic 3 mmol/mL (4.7 mEq potassium/mL) IV soln,236.37,141.82,40.18,7411.0,78
CDM,25000001,potassium phosphates-mbasic and dibasic 3 mmol/mL intravenous solution,100.74,60.44,17.13,7411.0,39
CDM,25000001,pyRIDostigmine bromide 5 mg/mL injection solution,206.56,123.94,35.12,7411.0,78
CDM,25000001,racepinephrine 2.25 % solution for nebulization,5.0,3.0,0.85,7411.0,39
CDM,25000001,remifentanil 1 mg intravenous solution,281.72,169.035,47.88,7411.0,156
CDM,25000001,remifentanil 2 mg intravenous solution,557.61,334.57,94.79,7411.0,39
CDM,25000001,rocuronium 10 mg/mL intravenous solution,44.980000000000004,26.990000000000002,5.27,7411.0,312
CDM,25000001,ropiv 2.46-epi 0.005-clonid 0.0008-ketorol 0.3 mg/mL periarticulr syrg,138.83,83.3,23.6,7411.0,39
CDM,25000001,selenium 40 mcg/mL intravenous solution,327.0,196.2,55.59,7411.0,39
CDM,25000001,sodium acetate 2 mEq/mL intravenous solution,39.9,23.94,5.3,7411.0,117
CDM,25000001,sodium acetate 4 mEq/mL intravenous solution,64.8,38.88,11.02,7411.0,78
CDM,25000001,sodium bicarbonate (bulk) powder,16.91,10.15,2.87,7411.0,39
CDM,25000001,sodium bicarbonate 1 mEq/mL (8.4 %) intravenous solution,70.5,42.3,11.98,7411.0,39
CDM,25000001,sodium bicarbonate 10 mEq/10 mL (8.4 %) intravenous syringe,264.9,158.94,45.03,7411.0,39
CDM,25000001,sodium bicarbonate 4 % intravenous solution,59.69,35.81,10.15,7411.0,39
CDM,25000001,sodium bicarbonate 4.2 % (0.5 mEq/mL) intravenous syringe,76.86,46.12,13.07,7411.0,39
CDM,25000001,sodium bicarbonate 4.2 % intravenous solution,34.2,20.52,5.81,7411.0,78
CDM,25000001,sodium bicarbonate 50 mEq/50 mL (8.4 %) intravenous syringe,119.4,71.64,20.3,7411.0,39
CDM,25000001,sodium chloride 0.9 % (flush) injection syringe,13.8,8.28,2.23,7411.0,117
CDM,25000001,sodium chloride 0.9 % for nebulization,0.6,0.36,0.068,7411.0,195
CDM,25000001,sodium chloride 0.9 % injection solution,17.880000000000003,10.725,2.51,7411.0,195
CDM,25000001,"sodium chloride 0.9 % injection solution,,,",17.64,10.58,3.0,7411.0,39
CDM,25000001,"sodium chloride 0.9 % injection syringe,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,",13.91,8.345,2.23,7411.0,78
CDM,25000001,sodium chloride 0.9 % irrigation solution,50.0,30.0,8.5,7411.0,234
CDM,25000001,"sodium chloride 0.9 %, bacteriostatic injection solution",50.0,30.0,8.5,7411.0,117
CDM,25000001,"sodium chloride 0.9% (flush) injection syringe,sodium chloride 0.9 % injection syringe,",13.8,8.28,2.23,7411.0,117
CDM,25000001,sodium chloride 2.5 mEq/mL intravenous solution,52.08,31.25,8.85,7411.0,78
CDM,25000001,sodium chloride 3 % for nebulization,1.23,0.74,0.1122,7411.0,156
CDM,25000001,sodium chloride 3.5 % for nebulization,1.46,0.88,0.2482,7411.0,78
CDM,25000001,sodium chloride 7 % for nebulization,1.26,0.76,0.085,7411.0,195
CDM,25000001,sodium chloride-hypochlorous acid 0.033 % irrigation solution,297.0,178.2,45.9,7411.0,78
CDM,25000001,sodium hyaluronate 10 mg/mL intraocular syringe,470.92,282.55,76.5,7411.0,117
CDM,25000001,sodium hypochlorite 0.125 % solution,68.76,41.26,11.69,7411.0,39
CDM,25000001,sodium hypochlorite 0.25 % solution,92.885,55.735,11.69,7411.0,78
CDM,25000001,sodium hypochlorite 0.5 % solution,92.885,55.735,11.69,7411.0,78
CDM,25000001,sodium phosphate 3 mmol/mL intravenous solution,108.84,65.3,4.39,7411.0,117
CDM,25000001,sugammadex 100 mg/mL intravenous solution,583.47,350.08,99.19,7411.0,39
CDM,25000001,terlipressin 0.85 mg intravenous powder for solution,2850.0,1710.0,484.5,7411.0,39
CDM,25000001,tetracaine HCl (PF) 1 % (10 mg/mL) injection solution,341.74,205.04,58.1,7411.0,39
CDM,25000001,trace elements Cr-Cu-Mn-Se-Zn 4-400-100-20 mcg-1000 mcg/mL IV solution,91.62,54.97,15.58,7411.0,39
CDM,25000001,trace elements Cr-Cu-Mn-Zn 10 mcg-1 mg-0.5 mg-5 mg/mL intravenous soln,102.0,61.2,17.34,7411.0,39
CDM,25000001,trace elements Zn 3 mg-Cu 0.3 mg-Mn 55 mcg-Se 60 mcg/mL IV solution,166.92,100.15,28.38,7411.0,78
CDM,25000001,tromethamine 36 mg/mL (0.3 M) intravenous solution,1584.75,950.85,269.41,7411.0,78
CDM,25000001,vecuronium bromide 10 mg intravenous solution,55.0,33.0,9.35,7411.0,78
CDM,25000001,water (bulk) liquid,236.0,141.6,40.12,7411.0,39
CDM,25000001,"water for injection, sterile 100 % injection solution",28.17,16.9,1.06,7411.0,351
CDM,25000001,"water for injection, sterile 100 % intravenous solution",36.0,21.6,5.1,7411.0,117
CDM,25000001,"water for irrigation, sterile solution",39.75,23.85,3.06,7411.0,312
CDM,25000001,"zinc chloride 1 mg/mL intravenous solution,zinc sulfate 1 mg/mL intravenous solution",154.14,92.48,26.2,7411.0,39
CDM,25000001,zinc sulfate 5 mg/mL intravenous solution,357.38,214.43,60.75,7411.0,78
CDM,25000030,acetylcysteine 100 mg/mL (10 %) solution,62.4,37.44,10.61,7411.0,78
CDM,25000030,acetylcysteine 200 mg/mL (20 %) Soln,30.32,18.19,4.7,7411.0,120
CDM,25000030,acetylcysteine 200 mg/mL (20 %) solution,90.96,54.58,14.1,7411.0,117
CDM,25000030,"aminocaproic acid 250 mg/mL (25%) intravenous solution,aminocaproic acid 250 mg/mL (25 %) oral solution",71.68,43.01,12.19,7411.0,39
CDM,25000030,arginine (L-arginine) oral powder,49.0,29.4,8.33,7411.0,39
CDM,25000030,"asparaginase (Erwinia chrysanthemi) 10,000 unit solution for injection",12142.52,7285.51,2064.23,10321.14,78
CDM,25000030,clindamycin 75 mg/5 mL oral solution,270.2,162.12,43.08,7411.0,78
CDM,25000030,dilTIAZem 100 mg intravenous solution,68.47,41.08,11.64,7411.0,78
CDM,25000030,dilTIAZem 5 mg/mL intravenous solution,20.52,12.31,0.3978,7411.0,273
CDM,25000030,"dilTIAZem HCl 100 mg/100 mL (1 mg/mL) in sod chloride,iso-osm IV soln",230.4,138.24,0.044,7411.0,79
CDM,25000030,emtricitabine 200 mg-tenofovir alafenamide fumarate 25 mg tablet,147.32,88.39,25.04,7411.0,55
CDM,25000030,emtricitabine 200 mg-tenofovir disoproxil fumarate 300 mg tablet,123.32,73.99,0.4655,7411.0,55
CDM,25000030,enalaprilat 1.25 mg/mL intravenous solution,37.175,22.305,2.97,7411.0,117
CDM,25000030,ethanol (ethyl alcohol) 98 % injection solution,1296.575,777.9449999999999,99.07,7411.0,117
CDM,25000030,ethyl alcohol 99 % intra-arterial solution,2472.19,1483.315,333.09,7411.0,117
CDM,25000030,fenoldopam 10 mg/mL intravenous solution,1523.16,913.9,258.94,7411.0,39
CDM,25000030,ferric subsulfate 259 mg/g topical solution,126.26,75.76,21.46,7411.0,39
CDM,25000030,penicillin G sodium 5 million unit solution for injection,281.47,168.88,47.85,7411.0,39
CDM,25000030,"polymyxin B sulfate 500,000 unit solution for injection",72.5,43.5,12.32,7411.0,39
CDM,25000030,pomalidomide 4 mg capsule,2189.64,1313.78,372.24,7411.0,39
CDM,25000030,riociguat 0.5 mg tablet,307.42,184.45,52.26,7411.0,39
CDM,25000030,riociguat 1 mg tablet,307.42,184.45,52.26,7411.0,39
CDM,25000030,riociguat 2.5 mg tablet,307.42,184.45,52.26,7411.0,39
CDM,25000030,sodium nitroprusside 25 mg/mL intravenous solution,286.44,171.86,48.69,7411.0,39
CDM,25000030,sodium tetradecyl sulfate 1 % (10 mg/mL) intravenous solution,351.57,210.94,59.77,7411.0,78
CDM,25000030,sodium thiosulfate 12.5 gram/50 mL (250 mg/mL) intravenous solution,261.0,156.6,0.836,7411.0,54
CDM,25000030,sterile talc 4 gram intrapleural suspension,765.0,459.0,130.05,7411.0,78
CDM,25000030,sterile talc 5 gram intrapleural suspension,447.75,268.65,76.12,7411.0,39
CDM,25000030,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution",87.94,52.76,7.82,7411.0,234
CDM,25000030,"tranexamic acid 1,000 mg/100 mL(10 mg/mL)in sod chlor,iso IV piggyback",152.5,91.5,25.67,7411.0,117
CDM,25000030,vancomycin (bulk) 900 mcg/mg (not less than) powder,14540.0,8724.0,2471.8,12359.0,39
CDM,25000030,verapamil 2.5 mg/mL intravenous solution,109.81,65.89,10.2,7411.0,195
CDM,25000030,"zoster vaccine live (PF) 19,400 unit/0.65 mL subcutaneous suspension",963.0,577.8,163.71,7411.0,39
CDM,25000037,anakinra 100 mg/0.67 mL subcutaneous syringe,886.06,531.64,150.63,7411.0,78
CDM,25000037,antivenin Crotalidae (equine) 120 mg solution for injection,2641.0,1584.6,448.97,7411.0,79
CDM,25000037,"thrombin (bovine) 20,000 unit topical solution",1308.07,784.84,222.37,7411.0,39
CDM,25000037,"thrombin (bovine) 20,000 unit topical spray",1493.07,895.84,253.82,7411.0,39
CDM,25000037,"thrombin (bovine) 20,000 unit topical spray syringe",1493.07,895.84,253.82,7411.0,39
CDM,25000037,"thrombin (bovine) 5,000 unit nasal spray syringe",406.9,244.14,69.17,7411.0,39
CDM,25000037,"thrombin (bovine) 5,000 unit topical solution",352.59,211.55,59.94,7411.0,78
CDM,25000037,"thrombin (bovine) 5,000 unit topical spray syringe",388.9,233.34,66.11,7411.0,39
CDM,25000037,"thrombin (recombinant) 5,000 unit topical solution",415.0,249.0,70.55,7411.0,78
CDM,25000047,calfactant 35 mg/mL in 0.9% sodium chloride intratracheal suspension,2045.16,1227.1,347.68,7411.0,39
CDM,25000047,dexmedeTOMIDine 100 mcg/mL intravenous solution,195.64,117.38499999999999,5.51,7411.0,234
CDM,25000047,dexmedeTOMIDine 200 mcg/50 mL (4 mcg/mL) in 0.9 % sodium chloride IV,168.0,100.8,28.56,7411.0,78
CDM,25000047,dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in 0.9 % sodium chloride IV,288.0,172.8,28.66,7411.0,390
CDM,25000047,dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in dextrose 5 % IV solution,216.0,129.6,36.72,7411.0,39
CDM,25000050,aminolevulinic acid HCl 30 mg/mL oral solution,6392.0,3835.2,1086.64,7411.0,39
CDM,25000050,arginine HCl (L-arginine) 10 % intravenous solution,252.0,151.2,42.84,7411.0,39
CDM,25000050,candida albicans skin test FDA STANDARD intradermal,133.2,79.92,22.64,7411.0,39
CDM,25000050,fluorescein 500 mg/5 mL (10 %) intravenous solution,285.075,171.04500000000002,41.85,7411.0,78
CDM,25001030,sodium tetradecyl sulfate 3 % (30 mg/mL) intravenous solution,351.57,210.94,59.77,7411.0,78
CDM,25001050,indocyanine green 25 mg solution for injection,434.47,260.68,60.56,7411.0,78
CDM,25001054,"HC PROBIOTIC SIMILAC TRI-BLEND, EACH",33.96,20.38,5.77,7411.0,39
CDM,25500001,diatrizoate meglumine 18 % urethral solution,194.4,116.64,0.0836,165.24,53
CDM,25500001,diatrizoate meglumine 30 % urethral solution,248.4,149.04,0.0836,211.14,53
CDM,25500001,diatrizoate meglumine-diatrizoate sodium 66 %-10 % oral solution,82.98,49.79,0.2398,113.02,106
CDM,25500001,gadobenate dimeglumine 529 mg/mL(0.1 mmol/0.2 mL) intravenous solution,472.95,283.77,1.97,402.01,53
CDM,25500001,gadoteridol 279.3 mg/mL intravenous solution,367.33500000000004,220.39999999999998,1.53,402.01,106
CDM,25500001,gadoteridol 279.3 mg/mL intravenous syringe,414.55,248.73,1.59,352.37,53
CDM,25500001,hexaminolevulinate 100 mg intravesical solution,3933.0,2359.8,668.61,3343.05,53
CDM,25500001,iodixanol 320 mg iodine/mL intravenous solution,476.55,285.93,0.1694,570.31,159
CDM,25500001,iohexol 180 mg iodine/mL intrathecal solution,268.44,161.06,1.27,228.17,53
CDM,25500001,iohexol 240 mg iodine/mL intravenous solution,276.12,165.67,0.4774,234.7,53
CDM,25500001,iohexol 300 mg iodine/mL intravenous solution,270.0,162.0,0.1694,506.63,371
CDM,25500001,iohexol 350 mg iodine/mL intravenous solution,227.25,136.35,0.1694,249.9,159
CDM,25500001,ioversol 320 mg iodine/mL intravenous solution,432.09000000000003,259.255,0.1694,401.78,106
CDM,25500001,ioversol 350 mg iodine/mL intravenous solution,247.5,148.5,0.1694,508.92,159
CDM,25500001,ioversol 350 mg iodine/mL intravenous syringe,200.25,120.15,0.1694,170.21,53
CDM,25500001,perflutren lipid microspheres 1.1 mg/mL intravenous suspension,1566.57,939.94,43.95,1331.58,53
CDM,25500001,perflutren protein-type a microspheres 0.22 mg/mL intravenous susp,631.8,379.08,43.95,537.03,53
CDM,25800001,amino acid 3.5 % pedi-D10W-calc gluc 3.75 mEq/250 mL intravenous soln,265.13,159.08,45.07,7411.0,80
CDM,25800001,amino acid 4.25 % no.1-dextrose 5 %-electrolytes no.39 IV solution,372.0,223.2,63.24,7411.0,40
CDM,25800001,amino acid 5 % no.6-dextrose 20 %-electrolytes no.23 IV solution,282.0,169.2,47.94,7411.0,80
CDM,25800001,dextrose 10 % in water (D10W) IV Soln,42.0,25.200000000000003,6.12,7411.0,80
CDM,25800001,dextrose 10 % in water (D10W) intravenous solution,48.75,29.25,6.88,7411.0,200
CDM,25800001,dextrose 20 % in water (D20W) intravenous solution,81.0,48.6,13.77,7411.0,80
CDM,25800001,dextrose 5 % and 0.2 % sodium chloride IV,33.0,19.8,1.41,7411.0,82
CDM,25800001,dextrose 5 % and 0.2 % sodium chloride intravenous solution,45.0,27.0,1.41,7411.0,123
CDM,25800001,dextrose 5 % and 0.45 % sodium chloride IV,31.5,18.9,4.59,7411.0,80
CDM,25800001,dextrose 5 % and 0.45 % sodium chloride intravenous solution,45.0,27.0,1.41,7411.0,123
CDM,25800001,dextrose 5 % and 0.9 % sodium chloride IV,30.0,18.0,1.27,7411.0,205
CDM,25800001,dextrose 5 % and 0.9 % sodium chloride intravenous solution,48.0,28.8,1.41,7411.0,41
CDM,25800001,dextrose 5 % in water (D5W) IV,24.0,14.4,0.7733,7411.0,410
CDM,25800001,dextrose 5 % in water (D5W) intravenous piggyback,45.15,27.09,2.06,7411.0,164
CDM,25800001,dextrose 5 % in water (D5W) intravenous solution,36.0,21.6,0.7733,7411.0,492
CDM,25800001,dextrose 5% and lactated ringers IV,36.0,21.6,6.12,7411.0,40
CDM,25800001,dextrose 50 % in water (D50W) intravenous solution,60.9,36.54,6.43,7411.0,80
CDM,25800001,dextrose 70 % in water (D70W) intravenous solution,109.5,65.7,14.79,7411.0,80
CDM,25800001,lactated ringers IV,40.5,24.299999999999997,2.86,7411.0,122
CDM,25800001,parenteral amino acid 10 % combination no.1 intravenous solution,204.0,122.4,34.68,7411.0,40
CDM,25800001,parenteral amino acid 10 % combination no.6 intravenous solution,198.0,118.80000000000001,22.44,7411.0,80
CDM,25800001,parenteral amino acid 6 % combination no.1 intravenous solution,249.0,149.4,42.33,7411.0,40
CDM,25800001,sodium chloride 0.45 % IV,50.0,30.0,8.5,7411.0,80
CDM,25800001,sodium chloride 0.45 % intravenous solution,50.0,30.0,8.5,7411.0,120
CDM,25800001,sodium chloride 0.9 % IV,66.75,40.05,0.7733,7411.0,406
CDM,25800001,sodium chloride 0.9 % intravenous piggyback,50.0,30.0,0.7733,7411.0,322
CDM,25800001,sodium chloride 0.9 % intravenous solution,50.0,30.0,0.7733,7411.0,643
CDM,25800001,sodium chloride 0.9 % irrigation solution,50.0,30.0,8.5,7411.0,320
CDM,25800001,trace elements #1 5.33 mcg-0.34 mg-0.54 mg/mL intravenous solution,108.0,64.8,18.36,7411.0,40
CDM,26000002,"HC IV INFUSION HYDRATION, INITIAL 31MIN - 1HR",814.34,488.6,118.38,7411.0,55
CDM,26000003,"HC IV INFUSION HYDRATION, EACH ADD'L HOUR",317.78,190.67,42.03,7411.0,55
CDM,26000004,HC IV INFUSION THER/DIAG/PROPH INITIAL UP TO 1 HR,902.11,541.27,153.36,7411.0,55
CDM,26000005,HC IV INFUSION THER/DIAG/PROPH EA ADD HR,330.56,198.34,44.69,7411.0,55
CDM,26000006,HC IV INFUSION SEQ ADD NEW DRUG UP TO 1HR,468.18,280.91,68.71,7411.0,55
CDM,26000007,HC IV INFUSION CONCURRENT,393.07,235.84,65.27,7411.0,39
CDM,26000008,HC SUBCUT INFUSION THER/PROP - UP TO 1HR,656.65,393.99,111.63,7411.0,55
CDM,26000009,"HC INJECTION, IV PUSH SNG/INIT SUBST",524.33,314.6,89.14,7411.0,55
CDM,26000010,"HC INJECTION, IV PUSH EA ADD/NEW",392.06,235.24,44.69,7411.0,55
CDM,26000011,"HC IN, IV PUSH EA ADD-SAME DRG",361.12,216.67,61.39,7411.0,39
CDM,26000013,"HC IV INFUSION - THER/DIAG,PROLONG,REQ PUMP",487.83,292.7,44.69,7411.0,55
CDM,26000018,HC THERAP/PROPH IV INJECT <15MIN,524.33,314.6,89.14,7411.0,55
CDM,26000019,HC (NURSE/TECH ADMIN) THER/PHOPH/DIAG INJECTION SC/IM,321.2,192.72,54.6,7411.0,55
CDM,26000020,"HC INTRAVENOUS INFUSION, BAMLANIVIMAB-XXXX, INCLUDES INFUSION AND POST ADMINISTRATION MONITORING",696.67,418.0,118.43,7411.0,39
CDM,26000021,"HC INTRAVENOUS INFUSION, CASIRIVIMAB AND IMDEVIMAB INCLUDES INFUSION AND POST ADMINISTRATION MONITORING",900.0,540.0,153.0,7411.0,40
CDM,27000038,HC Shell Angio Cath Flush,86.26,51.76,14.66,7411.0,39
CDM,27000122,HC Shell Dall Miles Grip & Cable,466.51,279.91,79.31,7411.0,39
CDM,27000149,"HC Shell Implant,Coil,Endovascular Cat4",6828.67,4097.2,1145.55,7411.0,78
CDM,27000163,"HC KIT, FNA",2090.0,1254.0,355.3,7411.0,39
CDM,27000208,HC POST OP SHOE,67.0,40.2,11.39,7411.0,39
CDM,27000234,HC SURGICEL,80.0,48.0,13.6,7411.0,39
CDM,27000245,HC UMBILICAL CATH TRAY,250.0,150.0,42.5,7411.0,39
CDM,27000247,HC WOUND VAC ABTHERA,382.0,229.2,64.94,7411.0,39
CDM,27000278,HC COLLAR CERVICAL SOFT COMFO-EZE REGULAR MEDIUM 4 IN FOAM,8.0,4.8,1.36,7411.0,39
CDM,27000355,"HC Shell, No Hcpcs, 270 Rev Code, Supplies General",1598.34,959.0,0.85,7411.0,3549
CDM,27000374,"HC HUMAN DONOR BREAST MILK PER OZ, PROCESSING",27.1,16.26,4.61,7411.0,39
CDM,27000377,HC SYS TISSUE RETENTION PANNUS,263.84,158.3,44.85,7411.0,39
CDM,27000378,HC DIGITAL PHOTOGRAPHY,100.0,60.0,17.0,7411.0,39
CDM,27000379,HC SANE ADDITIONAL SUPPLIES,100.0,60.0,17.0,7411.0,39
CDM,27000380,HC T-ROM KNEE BRACE,375.0,225.0,63.75,7411.0,39
CDM,27000381,HC CPM DEVICE ACESSORIES,120.0,72.0,20.4,7411.0,39
CDM,27000382,HC SUPPORT EXT FIX FOOT,186.0,111.6,31.62,7411.0,39
CDM,27000383,HC FOLDING WALKER,150.0,90.0,25.5,7411.0,39
CDM,27000384,HC ALUMINUM ADJUSTABLE CANE,50.56,30.34,8.6,7411.0,39
CDM,27000385,HC OFFSET HANDLE QUAD CANE,97.74,58.64,16.62,7411.0,39
CDM,27000386,HC EXTENSION FOOT PIECE FOR WALKE,80.89,48.53,13.75,7411.0,39
CDM,27000387,HC POST OPERATIVE KNEE,119.09,71.45,20.25,7411.0,39
CDM,27000388,"HC CANE WALKING, WOODEN",77.83,46.7,13.23,7411.0,39
CDM,27000389,HC WALKING BOOT,276.38,165.83,46.98,7411.0,39
CDM,27000390,HC CERVA COLLAR II,73.03,43.82,12.42,7411.0,39
CDM,27000393,HC BOOT MULTI PODUS SM-XL,383.04,229.82,65.12,7411.0,39
CDM,27000406,HC HEARTPORT CARDIOPLEGIA MP4 LINE,106.96,64.18,18.18,7411.0,39
CDM,27000412,HC TERUMO CDI CUVETTE 1/2,2337.6,1402.56,397.39,7411.0,39
CDM,27000421,HC CARDIOPLEGIA SET 4:1 RATIO W/ BRIDGE LATEX,438.37,263.02,74.52,7411.0,39
CDM,27000423,HC NITRIC OXIDE PER HOUR,996.31,597.79,169.37,7411.0,39
CDM,27000424,HC OXYGEN DAILY,274.5,164.7,46.66,7411.0,39
CDM,27000425,HC PROLACTA PER 5ML,135.45,81.27,23.03,7411.0,39
CDM,27000426,HC PROLACTA CREAM PER 5ML,104.31,62.59,17.73,7411.0,39
CDM,27000427,"HC Shell 0270, 0270 Revenue Code, General Supplies",854.11,512.47,18.56,7411.0,624
CDM,27000428,"HC EO WITH JOINT, PREFABRICATED (MILLER BRACE)",580.48,348.29,98.68,7411.0,39
CDM,27000429,HC THERAPEUTIC LEECHES,81.0,48.6,13.77,7411.0,39
CDM,27000438,HC PKU NEWBORN KIT,133.4,80.04,22.68,7411.0,39
CDM,27100011,HC Splint,165.69,99.415,26.67,7411.0,78
CDM,27100023,HC Stockinette Impervious,312.3,187.38,53.09,7411.0,39
CDM,27100030,HC CTLSO - MINERVA:MOLD (MILLER BRACE),5635.54,3381.32,958.04,7411.0,39
CDM,27100039,HC Shell Bone Anchored Hearing Aide,10168.98,6101.39,1728.73,8643.63,39
CDM,27100057,HC Shell Dsg Stomahesive 4x4,27.634999999999998,16.58,1.82,7411.0,78
CDM,27100065,"HC KIT, BRIDLE AMT",294.0,176.4,49.98,7411.0,39
CDM,27100073,"HC SA-KIT, EVIDENCE COLLECTION",50.0,30.0,8.5,7411.0,39
CDM,27100079,HC Shell Splint Upper Extremity,78.13,46.88,13.28,7411.0,39
CDM,27100131,"HC Shell, No Hcpcs, 271 Rev Code, Non-Sterile Supply",174.47,105.285,0.0017,7511.79,7293
CDM,27100135,HC HH/HSPC CAREFUSION PLEURX DRAINAGE KIT,2695.0,1617.0,458.15,7411.0,39
CDM,27100194,HC UPPER EXTREMITY EXERCISE ASSEM,97.74,58.64,16.62,7411.0,39
CDM,27100200,HC DARCO PEG ASSIST,96.52,57.91,16.41,7411.0,39
CDM,27100201,HC HEELWEDGE SHOE,176.72,106.03,30.04,7411.0,39
CDM,27100203,HC POST OP SHOE ORTHOWEDGE,76.51,45.91,13.01,7411.0,39
CDM,27100204,HC EVENUP SHOE,74.06,44.44,12.59,7411.0,39
CDM,27100205,HC CUTIMED OFF LOADER TCC KIT,405.98,243.59,69.02,7411.0,39
CDM,27100206,HC BSN JOBST RELIEF COMPRESSION STOCKINGS,127.87,76.72,21.74,7411.0,39
CDM,27100207,"HC COCH IMPLNT, EXT SPEECH PROCESSOR UPGRD KIT",16995.0,10197.0,2889.15,14445.75,39
CDM,27100210,HC WALKER BOOT,269.02,161.41,45.73,7411.0,39
CDM,27100211,HC CERVICAL COLLAR,139.31,83.59,23.68,7411.0,39
CDM,27100213,HC CLOSED-TOE WOUND CARE SHOE,285.82,171.49,48.59,7411.0,39
CDM,27100217,"HC Shell 0271, 0271 Revenue Code, Non-Sterile Supplies",293.15,175.89,0.0017,11588.49,897
CDM,27100220,"HC AFO PNEU, WALKING SPLINT (MILLER BRACE)",953.65,572.19,162.12,7411.0,39
CDM,27100221,HC AFO RIG ANT TIB PREFAC TCF (MILLER BRACE),2871.33,1722.8,488.13,7411.0,39
CDM,27100222,HC EWHO-FX HUMRAL SEC:CSTFIT (MILLER BRACE),1418.04,850.82,241.07,7411.0,39
CDM,27100223,HC FOOT COVER IMPAD REGULAR RIGID SOLE A-V IMPULSE SYSTEM,259.56,155.74,44.13,7411.0,39
CDM,27100228,"Shell A9283, Foot Pressure Off Loading/Supportive Device, Any Type",64.57,38.74,10.98,7411.0,39
CDM,27100279,HC CTO COLLAR W/EXT (MILLER BRACE),1081.32,648.79,183.82,7411.0,39
CDM,27200007,HC Shell Pain Pump Micro Jet Cassette,320.76,192.46,54.53,7411.0,39
CDM,27200008,HC Chloraprep Swabstick,430.28,258.17,73.15,7411.0,39
CDM,27200149,HC Shell Anastomosis Staphlite Mini,837.5,502.5,142.38,7411.0,39
CDM,27200170,"HC BAND, SPEED",706.59,423.95,120.12,7411.0,39
CDM,27200173,HC BASKET STONE RETRIEVAL,1315.71,789.43,223.67,7411.0,39
CDM,27200175,"HC BASKET,RETRIEVAL FB LITHO",1315.71,789.43,223.67,7411.0,39
CDM,27200181,HC Shell Blade Cat 1,1836.3200000000002,1101.79,303.64,7411.0,78
CDM,27200182,HC Shell Blade Cat 11,489.34,293.6,83.19,7411.0,39
CDM,27200185,HC Shell Blade Cat 14,3403.05,2041.83,578.52,7411.0,39
CDM,27200188,HC Shell Blade Cat 2,380.31,228.19,34.39,7411.0,117
CDM,27200189,HC Shell Blade Cat 3,829.215,497.53,136.36,7411.0,78
CDM,27200190,HC Shell Blade Cat 4,1078.0,646.8,183.26,7411.0,39
CDM,27200193,HC Shell Blade Cat 7,1368.9,821.3399999999999,167.63,7411.0,78
CDM,27200198,HC BODY ROTH NET(S),534.6,320.76,90.88,7411.0,39
CDM,27200202,HC Shell Bur Cat 1,2333.44,1400.06,156.14,7411.0,117
CDM,27200203,HC Shell Bur Cat 2,505.69,303.41,59.47,7411.0,117
CDM,27200204,HC Shell Bur Cat 3,672.81,403.685,109.06,7411.0,156
CDM,27200205,HC Shell Bur Cat 4,832.22,499.33,141.48,7411.0,39
CDM,27200206,HC Shell Bur Cat 5,1266.65,759.99,215.33,7411.0,39
CDM,27200214,HC Shell Cannula Infusion High Pressure,99.32,59.59,14.98,7411.0,78
CDM,27200233,"HC Shell Cath, Taut Cholangio",215.47,129.28,36.63,7411.0,39
CDM,27200237,"HC Shell Cath, Foley 2 Way",73.19,43.91,12.44,7411.0,39
CDM,27200238,"HC Shell Cath, Passer",604.66,362.8,102.79,7411.0,39
CDM,27200242,"HC CATH, FIBEROPTIX IAB 30/40C",4176.01,2505.61,709.92,7411.0,39
CDM,27200246,"HC Shell Kit, Cement Mix",1277.43,766.46,217.16,7411.0,39
CDM,27200253,HC Shell Conformer Silicone,1293.6,776.16,219.91,7411.0,39
CDM,27200261,HC Shell Counter Sink Drill & Guide,2365.42,1419.25,402.12,7411.0,39
CDM,27200262,HC Shell Coupling,1514.05,908.43,257.39,7411.0,39
CDM,27200268,"HC Shell Needle, Deflux",381.7,229.02,64.89,7411.0,39
CDM,27200276,"HC Shell Set, Drain Urinary Closed",754.41,452.65,128.25,7411.0,39
CDM,27200278,"HC Shell Dressing, Wound Vac",284.91,170.95,48.43,7411.0,39
CDM,27200280,HC Shell Drill Bit Cat 1,318.41,191.05,54.13,7411.0,39
CDM,27200281,HC Shell Drill Bit Cat 10,1417.57,850.54,240.99,7411.0,39
CDM,27200282,HC Shell Drill Bit Cat 2,481.64,288.98,33.03,7411.0,585
CDM,27200283,HC Shell Drill Bit Cat 3,865.34,519.2,94.4,7411.0,195
CDM,27200284,HC Shell Drill Bit Cat 4,822.11,493.265,82.04,7411.0,234
CDM,27200285,HC Shell Drill Bit Cat 5,1762.53,1057.52,299.63,7411.0,39
CDM,27200286,HC Shell Drill Bit Cat 6,1417.975,850.785,87.78,7411.0,156
CDM,27200287,HC Shell Drill Bit Cat 7,2126.355,1275.81,300.55,7411.0,78
CDM,27200288,HC Shell Drill Bit Cat 8,1555.835,933.5,220.37,7411.0,78
CDM,27200289,HC Shell Drill Bit Cat 9,2484.79,1490.87,422.41,7411.0,39
CDM,27200316,HC Shell Dsg Xeroform Strips 1x8,2.86,1.72,0.4862,7411.0,39
CDM,27200324,HC INSTANT DETACHMENT DEVICE AXIUM,314.34,188.6,53.44,7411.0,39
CDM,27200325,HC DUETTE MULTI-BAND MUCOSECTOMY,1120.79,672.47,190.53,7411.0,39
CDM,27200332,HC ECMO QUADROX-D,6798.0,4078.8,1155.66,7411.0,39
CDM,27200335,HC Shell Electrode Litho,677.35,406.41,115.15,7411.0,39
CDM,27200340,"HC Shell Electrode, Resecting",312.3,187.38,53.09,7411.0,39
CDM,27200347,HC Shell Endostitch,55.43,33.26,9.42,7411.0,39
CDM,27200355,"HC Shell Fiber,Laser Cat 1",3403.05,2041.83,578.52,7411.0,39
CDM,27200356,"HC Shell Fiber,Laser Cat 2",771.25,462.75,131.11,7411.0,39
CDM,27200369,"HC Shell Forcep,Tripolar Atraumat Grasp",187.6,112.56,31.89,7411.0,39
CDM,27200379,"HC SET, GI ANCHOR",551.14,330.68,93.69,7411.0,39
CDM,27200383,HC Shell Grafton 10cc/Flex,161.46499999999997,96.88,24.23,7411.0,78
CDM,27200389,HC Shell Harvester Oats,2624.9300000000003,1574.96,435.24,7411.0,78
CDM,27200399,HC Shell Implant Mammary Sizer Saline,238.71,143.22500000000002,39.87,7411.0,78
CDM,27200401,"HC Shell Implant,Nut/Washer Cat 1",133.715,80.23,13.12,7411.0,78
CDM,27200402,"HC Shell Implant,Nut/Washer Cat 2",446.59,267.95,75.92,7411.0,39
CDM,27200403,"HC Shell Implant,Nut/Washer Cat 3",259.56,155.74,32.33,7411.0,117
CDM,27200404,"HC Shell Implant,Nut/Washer Cat 5",907.87,544.72,104.89,7411.0,78
CDM,27200410,HC INJECTOR VARICES,275.56,165.34,46.85,7411.0,39
CDM,27200428,"HC Shell Kit, Accessory",518.56,311.14,88.16,7411.0,39
CDM,27200431,"HC Shell Kit, Disposable Xlif",1590.05,954.03,270.31,7411.0,39
CDM,27200437,HC TELEFLEX THORACENTESIS KIT PNEUMOTHORAX (LAW140784),430.89,258.53,73.25,7411.0,39
CDM,27200440,"HC KIT, TRACH VENT",164.16,98.5,27.91,7411.0,39
CDM,27200464,HC Shell Ligasure Vessel Sealer Cat 11,3400.27,2040.16,578.05,7411.0,39
CDM,27200465,HC Shell Ligasure Vessel Sealer Cat 2,1405.12,843.07,238.87,7411.0,39
CDM,27200472,HC Shell Measuring Sleeve Drill,2833.75,1700.25,481.74,7411.0,39
CDM,27200506,"HC Shell Kit, Neurostimulator Accessory",520.5,312.3,88.48,7411.0,39
CDM,27200542,HC Shell Pack Minor,4606.85,2764.11,783.16,7411.0,39
CDM,27200551,"HC Shell Pack, Custom",1445.38,867.23,245.71,7411.0,39
CDM,27200556,"HC PACK, PERICARDIOCENTESIS",375.0,225.0,63.75,7411.0,39
CDM,27200559,"HC Shell Pack, Tip Std Shape All Kh All",2584.18,1550.51,439.31,7411.0,39
CDM,27200564,HC Shell Pad Heart Insulation,30.96,18.58,5.26,7411.0,39
CDM,27200572,HC Shell Pleuravac Chest Drain,327.455,196.475,47.9,7411.0,78
CDM,27200573,HC Shell Pleuravac Pneumo Balance,2226.07,1335.64,378.43,7411.0,39
CDM,27200575,"HC Shell Plug, Apical Osteolock/Prefix",11.81,7.09,2.01,7411.0,39
CDM,27200605,"HC Shell Remover,Stapler Skin",16.52,9.91,2.81,7411.0,39
CDM,27200607,"HC Shell Retainer, Nostril",660.19,396.11,112.23,7411.0,39
CDM,27200621,"HC Shell Sealant,Duraseal 5ml",276.07,165.64,46.93,7411.0,39
CDM,27200627,"HC SET, COLON DECOMPRESSION",818.66,491.2,139.17,7411.0,39
CDM,27200661,HC Shell Stapler Cat 2,567.02,340.21,96.39,7411.0,39
CDM,27200665,HC Shell Stapler Cat 6,1521.0,912.6,258.57,7411.0,39
CDM,27200683,HC Shell Suture Passer,11560.7,6936.42,240.25,13107.59,117
CDM,27200692,HC Shell Tap Cat 2,479.73,287.83500000000004,79.72,7411.0,78
CDM,27200693,HC Shell Tap Cat 3,708.75,425.25,116.78,7411.0,78
CDM,27200694,HC THROMBECTOMY SYSTEM CLEANER RO,3070.38,1842.23,521.96,7411.0,39
CDM,27200705,"HC Shell Tray, Add a Cath",52.11,31.27,8.86,7411.0,39
CDM,27200713,"HC TRAY, PARACENTESIS",225.33,135.2,38.31,7411.0,39
CDM,27200725,HC Shell Trocar Cat 1,192.58499999999998,115.555,9.53,7411.0,390
CDM,27200727,HC Shell Trocar Cat 2,237.7,142.62,40.41,7411.0,39
CDM,27200741,HC Shell Tube Trach/Uncuffed,758.91,455.35,129.01,7411.0,39
CDM,27200742,HC Shell Tube Wound Only,56.28,33.77,9.57,7411.0,39
CDM,27200760,HC VACUUM EXTRACTOR,147.0,88.2,24.99,7411.0,39
CDM,27200769,HC BREAST BIOPSY MARKER,3949.0,2369.4,671.33,7411.0,39
CDM,27200769,HC Breast Biopsy Marker,358.98,215.39,61.03,7411.0,39
CDM,27200776,"HC CATHETER,ANGIO DIAGNOSTIC",81.8,49.08,13.91,7411.0,39
CDM,27200788,"HC TRAY,LUMBAR PUNCTURE",66.7,40.02,11.34,7411.0,39
CDM,27200818,"HC KIT, LUMBAR PUNCTURE",1202.0,721.2,204.34,7411.0,39
CDM,27200834,"HC INTRODUCER KIT, ARROW-FLEX",150.0,90.0,25.5,7411.0,39
CDM,27200853,"HC CATHETER,FUSION PUSHER",263.84,158.3,44.85,7411.0,39
CDM,27200865,HC OMNI TONE FUSION PRELOAD,1510.63,906.38,256.81,7411.0,39
CDM,27200875,HC Shell Cautery Bipolar Sterile,302.1,181.26,51.36,7411.0,39
CDM,27200916,"HC KIT,SEAL FBRN TISSEEL FRZN 4ML",1172.59,703.55,199.34,7411.0,39
CDM,27200918,"HC KIT,PERICARDIOCENTESIS",427.68,256.61,72.71,7411.0,39
CDM,27200951,HC Tubing,72.87,43.72,12.39,7411.0,39
CDM,27200955,"HC Kit,Introducer",498.72,299.23,84.78,7411.0,39
CDM,27200974,HC Shell Shaft Reamer Modular,1115.73,669.44,189.67,7411.0,39
CDM,27201001,"HC KIT, FIBRIN TISSEEL FROZEN 10ML",2500.89,1500.53,425.15,7411.0,39
CDM,27201004,"HC KIT,CATHETER ACCESS PORT",193.0,115.8,32.81,7411.0,39
CDM,27201005,HC CATHETER ULTRASOUND BALLOON,159.09,95.45,27.05,7411.0,39
CDM,27201017,HC CYTOLOGY BRUSH BRONCHOSCOPE,125.84,75.5,21.39,7411.0,39
CDM,27201043,HC CATHETER ENDO ABLATION BAEEX CHANNEL,5455.4,3273.24,927.42,7411.0,39
CDM,27201054,HC Shell Tube Ear V-Bobbin,9.73,5.84,1.65,7411.0,39
CDM,27201094,HC Cutting Balloon,400.02,240.01,68.0,7411.0,39
CDM,27201097,HC TRAILBLAZER CATHETER,741.0,444.6,125.97,7411.0,39
CDM,27201153,HC EV3 NANOCROSS BALLOON 2.0-4.0 X 20-120 MM,828.41,497.05,140.83,7411.0,39
CDM,27201208,HC UNI FUSE INFUSION CATHETER,732.9,439.74,124.59,7411.0,39
CDM,27201275,HC BS-CHOICE PT GUIDEWIRE,454.41,272.65,77.25,7411.0,39
CDM,27201312,HC FIRM WIRE GUIDEWIRE,107.23,64.34,18.23,7411.0,39
CDM,27201323,HC COOK 9-13FR EVOLUTION SHEATH SET,5948.25,3568.95,1011.2,7411.0,39
CDM,27201415,HC SAFE SHEATH SEALING ADAPTER,381.7,229.02,64.89,7411.0,39
CDM,27201427,HC SHEATH 8FR INTRODUCER KIT,294.03,176.42,49.99,7411.0,39
CDM,27201458,HC GLIDESHEATH SLENDER 5/6FR,294.03,176.42,49.99,7411.0,39
CDM,27201493,HC Biopsy Forcep Cath,83.28,49.97,14.16,7411.0,39
CDM,27201664,HC URETERAL CONNECTING TUBE,69.0,41.4,11.73,7411.0,39
CDM,27201693,HC ANGIOGRAPHIC CATHETER SIM2,87.0,52.2,14.79,7411.0,39
CDM,27201753,HC CATHETER PTA BALLOON NANOCROSS OTW (2-12)X(20-200MM)X(80-150CM),784.55,470.73,133.37,7411.0,39
CDM,27201754,HC CATHETER PTA BALLOON EVERCROSS OTW (3-12)X(20-200MM)X(80-150CM),443.72,266.23,75.43,7411.0,39
CDM,27201760,HC INTRO SHEATH PINNACLE,411.64,246.98,69.98,7411.0,39
CDM,27201761,HC BARD LUTONIX 035 DRUG COATED BALLOON OTW,5608.35,3365.01,953.42,7411.0,39
CDM,27201777,HC HALO 60 / HALO 90 ABLATION CATHETER,5268.45,3161.07,895.64,7411.0,39
CDM,27201778,HC MULTI-BAND MUCOSECTOMY 5X2.8,1549.61,929.77,263.43,7411.0,39
CDM,27201788,HC VERSAFLEX IMPEDANCE CATHETER,647.85,388.71,110.13,7411.0,39
CDM,27201802,HC SPHINCTEROTOME JAGTOME CUTTING WIRE,1474.81,884.89,250.72,7411.0,39
CDM,27201805,HC BOSTON SCI GUIDEWIRE BILIARY JAGWIRE .035,544.8,326.88,92.62,7411.0,39
CDM,27201825,"HC CATHETER ESOPH/PYLORIC COLONIC BALLOON DILATATION, WIRE GUIDED CRE",780.0,468.0,132.6,7411.0,39
CDM,27201826,HC BAND LIGATOR SUPER VIEW 7-BAND,2689.23,1613.54,457.17,7411.0,39
CDM,27201836,HC MEDTRONIC IN.PACT ADMIRAL DRUG COATED BALLOON,3874.86,2324.92,658.73,7411.0,39
CDM,27201851,"HC Shell A4346, Indwelling Catheter, Foley Type, 3-Way Cont Irr, Ea",20.3,12.18,3.45,7411.0,39
CDM,27201857,HC COOK Z STENT TRACHEOBRONCHIAL INTRODUCER,1130.54,678.32,192.19,7411.0,39
CDM,27201887,"HC Shell C1714, Catheter, Transluminal Atherectomy, Directional",11046.75,6628.05,115.38,11139.0,507
CDM,27201889,"HC Shell C1724, Catheter, Transluminal Atherectomy, Rotational",9177.3,5506.38,428.37,14431.31,897
CDM,27201890,"HC Shell C1731, Catheter, Ep, Diagnostic, Other Than 3d Mapping (20+ Elec)",4014.78,2408.87,14.16,10400.94,468
CDM,27201891,"HC Shell C1732, Catheter, Ep, Diagnostic/Ablation, 3d or Vector Mapping",7182.085,4309.25,35.88,11412.14,2184
CDM,27201892,"HC Shell C1733, Catheter, Ep, Diagnstc/Abltn, Not 3d/Vec Map, Not Cool-Tip",3646.34,2187.8,35.88,31780.65,1131
CDM,27201893,"HC Shell C1749, Endoscope, Retrograde Imag/Illumin Colonscp Device (Implt)",5980.765,3588.46,25.5,10039.8,78
CDM,27201894,"HC Shell C1751, Cath, Infusion, Insert Periph, Centr, or Mid (Not Hemodial)",545.78,327.47,39.87,7411.0,195
CDM,27201895,"HC Shell C1752, Catheter, Hemodialysis/Peritoneal, Short-Term",581.98,349.19,72.76,7411.0,1053
CDM,27201896,"HC Shell C1753, Catheter, Intravascular Ultrasound",3028.03,1816.82,372.78,7411.0,585
CDM,27201898,"HC Shell C1759, Catheter, Intracardiac Echocardiography",7792.21,4675.325,514.77,10400.94,546
CDM,27201899,"HC Shell C1782, Morcellator",3041.085,1824.65,192.42,7411.0,390
CDM,27201902,"HC Shell C1830, Powered Bone Marrow Biopsy Needle",2348.79,1409.27,383.83,7411.0,117
CDM,27201903,"HC Shell C1885, Catheter, Transluminal Angioplasty, Laser",10301.005000000001,6180.605,895.9,9823.11,234
CDM,27201904,"HC Shell C1886, Catheter, Extravascular Tissue Abltn, and Modality (Insert)",6592.365,3955.415,274.2,13001.17,780
CDM,27201905,"HC Shell C1892, Intro/Sheath, Guid, Intracard Ep, Fixed Curve, Pullaway",376.085,225.65,0.0017,7411.0,2028
CDM,27201906,"HC Shell C1893, Intro/Sheath, Guid, Intracard Ep, Fixed Curve, Not Pullaway",1035.5149999999999,621.31,20.22,7411.0,1560
CDM,27201908,"HC Shell C2617, Stent, Noncoronary, Temporary, Without Delivery System",391.92,235.15,66.63,7411.0,39
CDM,27201909,"HC Shell C2618, Probe/Needle, Cryoablation",7817.7,4690.62,414.2,17906.95,819
CDM,27201910,"HC Shell C2623, Catheter, Translumin Angioplasty, Drug-Coated, Non-Laser",5521.68,3313.01,160.35,8378.53,1287
CDM,27201911,"HC Shell C2630, Catheter, Ep, Diagn/Abltn, Not3d or Vect Map, Cool-Tip",6288.15,3772.89,49.82,13884.75,507
CDM,27201912,"Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Standard)",710.78,427.22,0.0017,156093.15,93561
CDM,27201919,HC TERUMO DESTINATION SHEATH,411.64,246.98,69.98,7411.0,39
CDM,27201931,"HC INTRODUCER SET PEDAL MICROPUNCTURE, TRANSITIONLESS, 4FR",234.52,140.71,39.87,7411.0,39
CDM,27201938,"HC Shell C1787 External, Patient Programmer, Neurostimulator",3687.74,2212.645,0.0017,7851.32,624
CDM,27201946,"HC SMITHS MEDICAL, RAPID INFUSER TUBING",457.59,274.55,77.79,7411.0,39
CDM,27201957,"HC ARROW, PEDI CVP CATHETER, DBL LUMEN 4 FR",189.37,113.62,32.19,7411.0,39
CDM,27201961,"HC Shell A7521, Tracheostomy/Laryngectomy Tube, Cuffed, Ea",533.145,319.885,30.65,7411.0,234
CDM,27201966,HC ANGIOJET ZELANTEDVT THROMBECTOMY SET ULTRA,9687.15,5812.29,1646.82,8234.08,39
CDM,27201967,HC ABBOTT WORKHORSE HI-TORQUE COMMAND GUIDE WIRE,584.76,350.86,99.41,7411.0,39
CDM,27201976,"HC Shell A4344, Indwelling Cath - Foley Type, 2-Way All Silicone, Ea",41.77,25.06,7.1,7411.0,39
CDM,27201981,HC TERUMO RADIFOCUS GLIDEWIRE,232.76,139.66,39.57,7411.0,39
CDM,27201985,HC Shell Cath Transluminal Atherectomy Directional,11560.7,6936.42,1965.32,9826.59,39
CDM,27201986,HC TURBOHAWK PLAQUE EXCISION SYST,11879.51,7127.71,2019.52,10097.58,39
CDM,27201988,HC ATHERECTOMY SOLID CROWN-STEALT,9867.0,5920.2,1677.39,8386.95,39
CDM,27201993,HC ROTOBLATOR LINK PLUS,4235.0,2541.0,719.95,7411.0,39
CDM,27202013,"HC CATHETER,B-W EZ STEER BIDIRECT",974.6,584.76,165.68,7411.0,39
CDM,27202029,HC Shell Cath Infusion Inserted Peripherally Centrally or Midline,579.98,347.99,98.6,7411.0,39
CDM,27202033,"HC CATHETER KIT, QUAD LUMEN",539.2,323.52,91.66,7411.0,39
CDM,27202034,"HC CATHETER KIT, TRIPLE LUMEN",205.0,123.0,34.85,7411.0,39
CDM,27202052,HC DOUBLE LUMEN PICC,944.0,566.4,160.48,7411.0,39
CDM,27202059,"HC CATHETER,IVUS",2500.94,1500.56,425.16,7411.0,39
CDM,27202066,"HC CATH,VOLCANO EAGLE EYE IVUS",2964.5,1778.7,503.96,7411.0,39
CDM,27202070,HC CATHETER CENTRAL VENOUS HEMODIALYSIS,833.0,499.8,141.61,7411.0,39
CDM,27202077,HC Shell Cath Intraspinal,2175.4,1305.24,281.66,7411.0,195
CDM,27202078,"HC Shell C1757, Catheter, Thrombectomy/Embolectomy",7605.264999999999,4563.16,0.0017,41892.68,4914
CDM,27202079,HC Shell Cath Ureteral,70.21,42.13,3.06,7411.0,819
CDM,27202090,"HC CATHETER, FOGARTY THRU-LUMEN",465.1,279.06,79.07,7411.0,39
CDM,27202094,HC ANGIOJET SOLENT PROXYIMAL,5234.46,3140.68,889.86,7411.0,39
CDM,27202095,HC ANGIOJET SOLENT OMNI,9452.62,5671.57,1606.95,8034.73,39
CDM,27202098,"HC CATHETER, VIEWFLEX XTRA",7137.9,4282.74,1213.44,7411.0,39
CDM,27202105,HC Shell Intro/Sheath Other Than Peel Away,3176.25,1905.75,24.42,7411.0,819
CDM,27202108,"HC Shell C1769, Guide Wire",613.635,368.18,9.19,7411.0,624
CDM,27202115,HC WIRE FILTER DELIVERY,682.22,409.33,115.98,7411.0,39
CDM,27202116,"HC GUIDEWIRE,JAGWIRE",519.68,311.81,88.35,7411.0,39
CDM,27202119,"HC GUIDEWIRE,GLIDEWIRE ADVANTAGE",828.41,497.05,140.83,7411.0,39
CDM,27202126,"HC GUIDEWIRE,AMPLATZ",155.99,93.59,26.52,7411.0,39
CDM,27202130,"HC GUIDEWIRE,AGILITY",1778.55,1067.13,302.35,7411.0,39
CDM,27202135,"HC GUIDEWIRE,ROADRUNNER",529.25,317.55,89.97,7411.0,39
CDM,27202136,"HC GUIDEWIRE,FUSION LOOP",58.11,34.87,9.88,7411.0,39
CDM,27202138,"HC GUIDEWIRE,EXCHANGE RENAL",821.59,492.95,139.67,7411.0,39
CDM,27202141,"HC GUIDEWIRE, V-18",507.87,304.72,86.34,7411.0,39
CDM,27202145,"HC GUIDEWIRE, FATHOM 16-STEERABLE",828.41,497.05,140.83,7411.0,39
CDM,27202146,"HC GUIDEWIRE,V-18 CONTROL WIRE",507.87,304.72,86.34,7411.0,39
CDM,27202149,"HC GUIDEWIRE,GUIDANT 4588 WHISPER",481.14,288.68,81.79,7411.0,39
CDM,27202151,"HC GUIDEWIRE,TRANSEND",828.41,497.05,140.83,7411.0,39
CDM,27202153,"HC GUIDE WIRE, WHOLEY WIRE",320.76,192.46,54.53,7411.0,39
CDM,27202155,"HC GUIDEWIRE, PLATINUM PLUS EXC",424.1,254.46,72.1,7411.0,39
CDM,27202158,"HC GUIDEWIRE,COPE MANDRIL",215.76,129.46,36.68,7411.0,39
CDM,27202162,"HC GUIDEWIRE,METRO",536.03,321.62,91.13,7411.0,39
CDM,27202166,"HC GUIDEWIRE,HYDRATOME",1963.33,1178.0,333.77,7411.0,39
CDM,27202175,"HC GUIDEWIRE,CHOICE/LUGE",454.41,272.65,77.25,7411.0,39
CDM,27202181,"HC GUIDEWIRE,ACROBAT",828.41,497.05,140.83,7411.0,39
CDM,27202182,"HC GLIDEWIRE,GOLD",587.2,352.32,99.82,7411.0,39
CDM,27202183,HC VOLCANO FFR PRESSURE WIRE,2541.0,1524.6,431.97,7411.0,39
CDM,27202190,"Shell C1769, Guide Wire",380.905,230.14499999999998,0.0017,33225.22,23946
CDM,27202192,"HC GUIDEWIRE,SPARTACOR/SUPRACOR/S",320.76,192.46,54.53,7411.0,39
CDM,27202193,"HC GUIDEWIRE, SJM TIGERWIRE",400.95,240.57,68.16,7411.0,39
CDM,27202197,"HC GUIDEWIRE,OMNI TONE",170.03,102.02,28.91,7411.0,39
CDM,27202201,HC GUIDEWIRE ASAHI TREASURE WIRE,779.68,467.81,132.55,7411.0,39
CDM,27202209,"HC Shell Retrieval Device, Insertable",2455.1000000000004,1473.06,97.75,8202.5,1014
CDM,27202222,HC RETRIEVAL DEVICE INSERTABLE,1612.96,967.78,274.2,7411.0,39
CDM,27202227,HC Shell Embolization Protective System,1954.07,1172.44,332.19,7411.0,39
CDM,27202239,HC Shell Transluminal Angioplasty Laser,3518.8,2111.28,598.2,7411.0,39
CDM,27202241,HC EXTRAVASCULAR TISSUE ABLATION CATHETER,5268.45,3161.07,895.64,7411.0,39
CDM,27202242,HC CATHETER ABLT HALO 60,5270.0,3162.0,895.9,7411.0,39
CDM,27202243,"Shell C1887, Catheter, Guiding",1385.94,831.565,0.0017,16164.8,13416
CDM,27202248,"HC CATHETER,MED LAUNCHER",263.84,158.3,44.85,7411.0,39
CDM,27202249,"HC GUIDE CATHETER,CORDIS",229.24,137.54,38.97,7411.0,39
CDM,27202265,"HC CATHETER GUIDE,9 FR,VISTA BRIT",72.36,43.42,12.3,7411.0,39
CDM,27202266,"HC CATHETER,CROSS/SUPPORT",813.79,488.27,138.34,7411.0,39
CDM,27202270,"HC CATHETER, 6F NEURON",2669.0,1601.4,453.73,7411.0,39
CDM,27202274,"HC CATHER,QUICK CROSS",813.79,488.27,138.34,7411.0,39
CDM,27202276,"HC STENT,INTRODUCER OASIS",507.87,304.72,86.34,7411.0,39
CDM,27202297,"HC SHEATH, LONG PEEL AWAY",265.36,159.22,45.11,7411.0,39
CDM,27202304,"HC INTRODUCER,SWARTZ/RAMP",774.81,464.89,131.72,7411.0,39
CDM,27202307,"Shell C1894, Intro/Sheath, Other Than Guiding, Nonlaser",391.09000000000003,235.15,0.0017,13001.17,14430
CDM,27202312,"HC SHEATH, ARROW FLEX INTRODUCER",442.65,265.59,75.25,7411.0,39
CDM,27202314,"HC INTRODUCER/SHEATH,DESTINATION-",411.64,246.98,69.98,7411.0,39
CDM,27202316,"HC INTRODUCER,MICROPUNCTURE KIT",234.52,140.71,39.87,7411.0,39
CDM,27202317,"HC INTRODUCER/SHEATH, NON-GUIDING",103.82,62.29,17.65,7411.0,39
CDM,27202318,"HC INTRODUCER,ENDOVASCULAR SHEATH",382.24,229.34,64.98,7411.0,39
CDM,27202329,HC INTRO/SHEATH BRITE TIP,125.84,75.5,21.39,7411.0,39
CDM,27202373,HC HH/Hspc Medtronic Shiley Tracheostomy Tube,202.3,121.38,34.39,7411.0,39
CDM,27202409,HC HH/Hspc Hollister New Image 2 Piece Drainable Pouch,11.35,6.81,1.93,7411.0,39
CDM,27202457,HC CAREFUSION SAFE-T-CENTESIS DRAINAGE CATH TRAY,400.95,240.57,68.16,7411.0,39
CDM,27202459,HC COOK CATHETER DILATOR COAXIAL,311.05,186.63,52.88,7411.0,39
CDM,27202460,HC COOK CATHETER BALLOON DILATOR,236.5,141.9,40.2,7411.0,39
CDM,27202513,HC BS TUBE CONNECTING URETERAL DRAINAGE BAG,89.47,53.68,15.21,7411.0,39
CDM,27202631,"HC Shell A4314, Cath W/Drainage 2-Way Latex",159.57,95.74,27.13,7411.0,39
CDM,27202635,"HC JJ SURGICEL HEMOSTAT 3"" X 2""",199.18,119.51,33.86,7411.0,39
CDM,27202652,HC COOK CATH CERVICAL RIPENING BALLOON (LAW227531),263.84,158.3,44.85,7411.0,39
CDM,27202656,HC COOPER CUP MITYVAC M-STYLE 4FT,198.41,119.05,33.73,7411.0,39
CDM,27202662,HC BARD TUBE BLAKEMORE ESOPHAGEAL 20F,899.99,539.99,153.0,7411.0,39
CDM,27202687,"HC TELEFLEX DRAIN PLEUR-EVAC, INFANT",189.9,113.94,32.28,7411.0,39
CDM,27202688,HC ARGON MEDICAL CATHETER PICC TRAY NEONATAL,191.5,114.9,32.55,7411.0,39
CDM,27202702,HC ARROW KIT INTRODUCER SHEATH PERCUTANEOUS,555.08,333.05,94.36,7411.0,39
CDM,27202705,HC MERIT KIT PERICARDIOCENTESIS PIGTAIL 6FRX60 CM,609.13,365.48,103.55,7411.0,39
CDM,27202748,HC COOK TRACH KT PERC W/28FR DIL 8MM,2324.42,1394.65,395.15,7411.0,39
CDM,27202766,HC COOK FUHRMAN PLEURAL DRAINAGE SET,545.78,327.47,92.78,7411.0,39
CDM,27202775,"HC Shell C1726, Catheter, Balloon Dilation, Non-Vascular",1705.55,1023.33,99.65,9895.34,1131
CDM,27202783,HC ANGIODYNAMICS CATHETER SOFT-VU BRAIDED JB 4F X 100 CM X 3 CM TIP,507.87,304.72,86.34,7411.0,39
CDM,27202788,HC SJM CPS CATH DIRECT UPSIZE 135,2507.12,1504.27,426.21,7411.0,39
CDM,27202789,"HC Shell C1727, Catheter, Balloon Tissue Dissector,Nonvascular",838.16,502.9,54.27,7411.0,585
CDM,27202790,"HC Shell C1726, Catheter, Balloon Dilation, Nonvascular",1386.95,832.17,15.88,10834.31,4485
CDM,27202799,HC TERUMO GUIDEWIRE ANGIOGRAPHY GLIDEWIRE J TIP,232.76,139.66,39.57,7411.0,39
CDM,27202802,HC COOK DILATOR VASC COONS-TAPER KIT,930.74,558.44,158.23,7411.0,39
CDM,27202804,HC BS CATH ANGIO DX IMAGER II FLUSH,64.57,38.74,10.98,7411.0,39
CDM,27202814,HC GUIDE WIRE,117.59,70.55,19.99,7411.0,39
CDM,27202815,"HC THORACIC, CHEST CATH/TUBE",69.99,41.99,11.9,7411.0,39
CDM,27202822,HC SHEATH INTRODUCER,451.38,270.83,76.73,7411.0,39
CDM,27202823,HC CATH DRAIN,542.96,325.78,92.3,7411.0,39
CDM,27202824,HC CATH VENTRICULAR,328.99,197.39,55.93,7411.0,39
CDM,27202830,HC DEVICE SUTURE,146.01,87.61,24.82,7411.0,39
CDM,27202835,HC Cannula Nasal,304.39,182.63,51.75,7411.0,39
CDM,27202836,HC Trach Tube Noncuffed/Uncuffed,937.86,562.72,159.44,7411.0,39
CDM,27202839,HC SET DIALYSIS PERITONEAL,566.1,339.66,96.24,7411.0,39
CDM,27202847,HC CATH DRAIN KIT,293.15,175.89,49.84,7411.0,39
CDM,27202848,HC CATHETER PNEUMOTHORAX KIT,419.8,251.88,71.37,7411.0,39
CDM,27202849,HC CATH LUMBAR ACCESSORY KIT,1376.39,825.83,233.99,7411.0,39
CDM,27202851,HC DRAINAGE CSF KIT,1038.01,622.81,176.46,7411.0,39
CDM,27202854,HC CATH VENTRICULAR SET,1184.46,710.68,201.36,7411.0,39
CDM,27202855,HC CATHETER CRICOTHYROTOMY SET,1301.09,780.65,221.19,7411.0,39
CDM,27202856,HC PLEURAL/PNEUMOPERICARDIAL DRAINAGE SET,688.26,412.96,117.0,7411.0,39
CDM,27202860,HC HEMODIALYSIS CATH TRAY,599.18,359.51,101.86,7411.0,39
CDM,27202870,"HC BS GUIDEWIRE SENTAI, SAMURAI/MARVEL",400.95,240.57,68.16,7411.0,39
CDM,27202883,"HC TRAY, THORACENTESIS/PARACENTESIS/PERICARDIOCENTESIS",298.41,179.05,50.73,7411.0,39
CDM,27202892,HC COOK BLUE RHINO INTRODUCER 8FR (LAW145851),1205.58,723.35,204.95,7411.0,39
CDM,27202922,HC MAQUET VASCULAR ACCESS KIT AVALON ELITE J 210,152.2,91.32,25.87,7411.0,39
CDM,27202928,HC SJC ADVISOR CATHETER 12-POLE BI-DIRECTIONAL,4673.63,2804.18,794.52,7411.0,39
CDM,27202943,HC TERUMO CDI CUVETTE 3/8,173.7,104.22,29.53,7411.0,39
CDM,27202944,HC TERUMO CDI SHUNT SENSOR W/HEPARIN,771.25,462.75,131.11,7411.0,39
CDM,27202956,HC COOK GLO-TIP SPRAY CATH,293.15,175.89,49.84,7411.0,39
CDM,27202971,HC BS ANGIOJET POWERPULSE KIT,235.96,141.58,40.11,7411.0,39
CDM,27202980,HC MEDTRONIC CATHETER DRAINAGE THORACIC TROCAR,86.01,51.61,14.62,7411.0,39
CDM,27202981,HC ETHICON SPONGE HEMOSTATIC SURGICEL 4” X 8” (LAW111909),293.15,175.89,49.84,7411.0,39
CDM,27202982,HC B BRAUN EVACUATOR BOTTLE DRAINAGE ACCEL,67.86,40.72,11.54,7411.0,39
CDM,27202985,HC ARROW CATHETER KIT CENTRAL VENOUS TRIPLE LUMEN ARROWGARD,567.07,340.24,96.4,7411.0,39
CDM,27202995,HC BAYLIS PROTRACK PIGTAIL WIRE,730.95,438.57,124.26,7411.0,39
CDM,27203002,HC ANGIODYNAMICS BIOFLO DIALYSIS CATH KIT,1509.2,905.52,256.56,7411.0,39
CDM,27203004,HC BS AMPLATZ SUPER STIFF,246.19,147.71,41.85,7411.0,39
CDM,27203074,HC GW .035 180 15 STRAIGHT,64.57,38.74,10.98,7411.0,39
CDM,27203108,HC BS ZIPWIRE,873.58,524.15,148.51,7411.0,39
CDM,27203117,HC MIDLINE/POWERGLIDE CATHETER,402.52,241.51,68.43,7411.0,39
CDM,27203118,HC MIDLINE/POWERGLIDE KIT,586.15,351.69,99.65,468.92,55
CDM,27203136,HC CATH PACING PACEL SJM,400.95,240.57,68.16,7411.0,39
CDM,27203144,HC CATH BALLOON EXPRESS COVIDIEN,8093.02,4855.81,1375.81,7411.0,39
CDM,27203167,HC CATH INTRAUTERINE RIPENING COOK,263.84,158.3,44.85,7411.0,39
CDM,27203170,HC HEARTMATE 3 CONTROLLER AND EMERGENCY BACKUP,21230.0,12738.0,3609.1,18045.5,39
CDM,27203171,HC HEARTMATE 3 TUNNELING TOOLS,7307.85,4384.71,1242.33,7411.0,39
CDM,27203172,"HC Shell A6010, Collagen Based Wound Filler, per Gram of Collagen",1578.855,947.315,56.13,7411.0,78
CDM,27203174,HC HEMOSTATIC AGENT ARISTA BD,1342.51,805.51,228.23,7411.0,39
CDM,27203212,HC CATH REBOA LARGE BALLOON PRYTIME,6781.01,4068.61,1152.77,7411.0,39
CDM,27203213,HC CATH ADVISOR HD MAP SJM,8497.5,5098.5,1444.58,7411.0,39
CDM,27203217,HC HEART VALVE SAPIEN EDWARDS,84975.0,50985.0,14445.75,67980.0,55
CDM,27203218,HC SOUND STAR 8F,6630.0,3978.0,1127.1,7411.0,39
CDM,27203225,HC CATH MIDLINE,672.53,403.52,114.33,7411.0,39
CDM,27203226,HC CXI SUPPORT CATH COOK,901.51,540.91,153.26,7411.0,39
CDM,27203235,HC CATH GUIDE VISTA BRITE CARDINAL,229.24,137.54,38.97,7411.0,39
CDM,27203249,HC BARD 3FR SL PROVENA POWER MIDLINE BARRIER PLUS TRAY,1324.24,794.54,225.12,1059.39,55
CDM,27203251,HC ADULT DIALYZER,97.54,58.52,16.58,7411.0,39
CDM,27203258,HC KIT LIVER BIOPSY HEPATOLOGY,150.0,90.0,25.5,7411.0,39
CDM,27203277,"HC Shell C1725, Cath, Translumin Non-Laser",1193.15,715.89,0.0017,22174.23,10569
CDM,27203278,"HC Shell C1888, Endovas Non-Cardiac Abl Cath",1815.1950000000002,1089.115,264.3,7411.0,156
CDM,27203279,"HC Shell C2628, Catheter, Occlusion",5047.52,3028.51,28.79,10689.85,1287
CDM,27203281,"HC Shell C1729, Cath, Drainage",475.155,285.095,4.05,7411.0,8034
CDM,27203291,HC BALLOON DILATOR ESOP QUANTUM,400.95,240.57,68.16,7411.0,39
CDM,27203292,HC INTRODUCER SHEATH ARROWG-CATH GARD TELEFLEX/ARROW,555.08,333.05,94.36,7411.0,39
CDM,27203297,"HC Shell C1730, Cath Electrophysiology Diagnostic Other Than 3d Mapping",1003.84,602.3,8.78,7411.0,3393
CDM,27203298,"HC Shell C2629, Introducer/Sheath Other Than Guiding/Intracardiac Laser",347.49,208.49,14.62,8653.01,117
CDM,27203301,HC KIT CVC ARROW BLUE PRESSURE,393.12,235.87,66.83,7411.0,39
CDM,27203303,HC PNEUMOTHORAX  KIT,376.36,225.82,63.98,7411.0,39
CDM,27203304,HC THORACENTESIS KIT,190.9,114.54,32.45,7411.0,39
CDM,27203306,HC CATHETER BALLOON EUPHORA,534.6,320.76,90.88,7411.0,39
CDM,27203307,HC CATHETER BALLOON SPRINTER,534.6,320.76,90.88,7411.0,39
CDM,27203316,HC OMNICUP XTRA KIWI (VAC-6000M),147.06,88.24,25.0,7411.0,39
CDM,27203317,HC SEXUAL ASSAULT EVIDENCE KIT,100.55,60.33,17.09,7411.0,39
CDM,27203319,"HC CATHETER,DRAINAGE MULTIPURPOSE",374.22,224.53,63.62,7411.0,39
CDM,27203320,"HC CATHETER, DRAINAGE ALL PURPOSE",374.22,224.53,63.62,7411.0,39
CDM,27203321,"HC PROBE, ERBE",320.49,192.29,54.48,7411.0,39
CDM,27203322,"HC CATHETER,NEEDLE YUEH CENTESIS",120.3,72.18,20.45,7411.0,39
CDM,27203324,"HC CATHETER, QUICK THAL",593.29,355.97,100.86,7411.0,39
CDM,27203325,"HC CATHETER,LIVEWIRE STEERABLE <19 ELECTRODES",1656.82,994.09,281.66,7411.0,39
CDM,27203326,"HC CATHETER,ABL EZ STEER TMC BI-DIR",4435.7,2661.42,754.07,7411.0,39
CDM,27203327,"HC CATHETER, STEERABLE DECAPOLAR",1778.65,1067.19,302.37,7411.0,39
CDM,27203328,"HC CATHETER,B-W QUAD WEBSTER",1403.42,842.05,238.58,7411.0,39
CDM,27203329,"HC CATHETER,SJM SUPREME 5F DIAGNOSTIC",1705.55,1023.33,289.94,7411.0,39
CDM,27203330,"HC CATHETER,SJM (6FR) SUPREME",502.52,301.51,85.43,7411.0,39
CDM,27203331,HC MEDTRONIC EUPHORA/NC EUPHORA BALLOON,534.6,320.76,90.88,7411.0,39
CDM,27203332,HC BSW LASSO DECAPOLAR CATHETER,4235.0,2541.0,719.95,7411.0,39
CDM,27203333,HC PROBE PACEMAKER VENTRICULAR,552.11,331.27,93.86,7411.0,39
CDM,27203334,"HC CATHETER,EVD BACTISEAL CODMAN",2436.5,1461.9,414.2,7411.0,39
CDM,27203335,HC CYTOLOGY BRUSH(ES),400.95,240.57,68.16,7411.0,39
CDM,27203336,"HC CATHETER,BALLOON HERCULES",730.95,438.57,124.26,7411.0,39
CDM,27203337,HC INTRACRANIAL PRESSURE ICP MONITOR,3207.67,1924.6,545.3,7411.0,39
CDM,27203338,HC COOK OASIS ONE ACTION STENT INTRODUCTION SYSTEM,536.03,321.62,91.13,7411.0,39
CDM,27203339,"HC CATHETER,BALLOON,PTCA",511.67,307.0,86.98,7411.0,39
CDM,27203340,"HC KIT, PLEURX PLEURAL CATHETER",2358.9,1415.34,401.01,7411.0,39
CDM,27203341,"HC CATH, IAB FIBEROPTIX",2052.75,1231.65,348.97,7411.0,39
CDM,27203342,HC CATH ELCTRPHYSILGY DIAG OTHR THN 3D MPPNG (19 OR FWR ELECTRODES),2265.95,1359.57,385.21,7411.0,39
CDM,27203342,HC Cath Elctrphysilgy Diag Othr Thn 3d Mppng (19 or Fwr Electrodes),1045.66,627.4,177.76,7411.0,39
CDM,27203343,"HC Shell C1884, Embolization Protective System",11893.1,7135.86,1935.73,15774.76,117
CDM,27203347,"Shell, No Hcpcs, 272 Rev Code, Sterile Supply",344.95500000000004,206.975,0.0017,7411.0,10218
CDM,27203348,HC PRESSURE WIRE ST JUDE MEDICAL,2436.5,1461.9,414.2,7411.0,39
CDM,27203349,HC TRIPLE LUMEN CATH TRAY MAHURKAR,600.0,360.0,102.0,480.0,55
CDM,27203353,HC CATH UMBILICAL 5 FR 15 IN ARGYLE,168.39,101.03,28.63,7411.0,39
CDM,27203354,HC CATH CV DUAL LUMEN MAC LIDO,434.36,260.62,73.84,7411.0,39
CDM,27203356,HC CATH KT PCC 28 G X 25CM W/U,375.0,225.0,63.75,7411.0,39
CDM,27203357,HC CHEST TUBE DRAIN TRAY SELDINER,376.0,225.6,63.92,7411.0,39
CDM,27203358,HC IMACOR DISPOSABLE PROBE,2800.0,1680.0,476.0,7411.0,39
CDM,27203359,HC CATH KT HD TL MAHRK 12FRX16CM,497.49,298.49,84.57,7411.0,39
CDM,27203362,HC CATH THOR TRCR ARGY 8-10-12 FR,82.92,49.75,14.1,7411.0,39
CDM,27203363,HC CATH MHRKR 12FRX20CM TRAY,497.49,298.49,84.57,7411.0,39
CDM,27203364,HC GW VASC COPE MNDL 60CM 3CM,213.3,127.98,36.26,7411.0,39
CDM,27203365,HC A-V LOOP 3/8  X  3/8  X  3/8 DOUBLE VENOUS,293.15,175.89,49.84,7411.0,39
CDM,27203368,HC TRAY PROC INTRAPERITONEAL HYPERTHERMIA PCH,16995.0,10197.0,2889.15,14445.75,39
CDM,27203369,HC ANGIOSCULPT CORON 2-3.5 MM X 10MM,3388.0,2032.8,575.96,7411.0,39
CDM,27203370,HC VERRATA PLUS PRESSURE GUIDE WIRE,2541.0,1524.6,431.97,7411.0,39
CDM,27203371,HC GUIDEWIRE LAUREATE,146.58,87.95,24.92,7411.0,39
CDM,27203372,HC MICROCATHETER ASAHI CORSAIR PRO,2436.5,1461.9,414.2,7411.0,39
CDM,27203373,HC COOK PERFORMER INTRODUCER SHEATH,730.95,438.57,124.26,7411.0,39
CDM,27203374,HC NM QUANT VENT KIT,70.0,42.0,11.9,7411.0,39
CDM,27203375,HC NM AERSOL VENT KIT,117.0,70.2,19.89,7411.0,39
CDM,27203376,HC GLIDEWIRE 180CM X .035IN,232.76,139.66,39.57,7411.0,39
CDM,27203377,HC SORIN VASCULAR DILATOR KIT,534.6,320.76,90.88,7411.0,39
CDM,27203378,HC ECMO PUMP HLS SET ADVANCED (LAW235827),38068.8,22841.28,6299.0,32358.48,39
CDM,27203379,HC HILITE HOLLOW FIBER OXYGENATOR,4002.08,2401.25,680.35,7411.0,39
CDM,27203380,"HC PERCUTANEOUS INSERTION KIT, ARTERIAL/VENOUS",446.93,268.16,75.98,7411.0,39
CDM,27203382,"HC GUIDEWIRE SUPERSTIFF 180CM X .035IN, BOSTON SCI",235.22,141.13,39.99,7411.0,39
CDM,27203383,HC GLIDEWIRE 80CM X .035IN,170.03,102.02,28.91,7411.0,39
CDM,27203384,HC TREK PTA BALLOON CATHETER,584.76,350.86,99.41,7411.0,39
CDM,27203385,HC MICRO INTRODUCER RADSTIC,310.07,186.04,52.71,7411.0,39
CDM,27203386,"HC RENEGADE MICROCATHETER, BS",1457.03,874.22,247.7,7411.0,39
CDM,27203387,"HC Shell L8681, Patient Programmer for Implantable Neurostim",4371.11,2622.67,743.09,7411.0,39
CDM,27203391,HC PACING KT TRNSVEN 5FR 110CM,469.8,281.88,79.87,7411.0,39
CDM,27203394,"HC BAND,SPEED",706.59,423.95,120.12,7411.0,39
CDM,27203395,HC BODY ROTH NET,427.68,256.61,72.71,7411.0,39
CDM,27203396,HC CAPSULE ENDOSCOPIC DELIVERY DE,812.18,487.31,138.07,7411.0,39
CDM,27203397,"HC CATHETER, DELIVERY ACCESS SPYSCOPE",4235.0,2541.0,719.95,7411.0,39
CDM,27203398,HC CLIP-FIXING DEVICE,682.22,409.33,115.98,7411.0,39
CDM,27203399,HC INJECTION GOLD PROBE,760.19,456.11,129.23,7411.0,39
CDM,27203400,"HC CATHETER, PTCA  BALLOON, ANGIO",3337.18,2002.31,567.32,7411.0,39
CDM,27203401,"HC CATHETER, BALLOON ARMADA",852.78,511.67,144.97,7411.0,39
CDM,27203402,"HC CATHETER, BALLOON MEDTRONIC",534.6,320.76,90.88,7411.0,39
CDM,27203403,"HC BALLOON,MUSTANG",828.41,497.05,140.83,7411.0,39
CDM,27203404,"HC CATHETER,STINGRAY",5197.07,3118.24,883.5,7411.0,39
CDM,27203405,"HC CATHETER,BALLOON ATLAS",1169.52,701.71,198.82,7411.0,39
CDM,27203406,"HC CATHETER, BALLOON SPRINTER",534.6,320.76,90.88,7411.0,39
CDM,27203407,"HC BALLOON, PTA GATEWAY",4235.0,2541.0,719.95,7411.0,39
CDM,27203408,"HC BALLOON,AMPHIRION DEEP/NANOCRO",1120.79,672.47,190.53,7411.0,39
CDM,27203409,"HC BALLOON, ULTRA-THIN SDS",974.6,584.76,165.68,7411.0,39
CDM,27203410,"HC CATHETER,BALLOON,CUTTING",2979.32,1787.59,506.48,7411.0,39
CDM,27203411,"HC CATHETER,BALLOON,STERLING/COYO",481.14,288.68,81.79,7411.0,39
CDM,27203412,"HC CATHETER,BALLOON QUANTUM",400.95,240.57,68.16,7411.0,39
CDM,27203413,"HC CATHETER,BALLOON VAD3",331.45,198.87,56.35,7411.0,39
CDM,27203414,"HC CATHETER,MALECOT NEPHOSTOMY CATHETER",320.76,192.46,54.53,7411.0,39
CDM,27203415,HC MUELLER CHEST TUBE,648.11,388.87,110.18,7411.0,39
CDM,27203416,"HC CATHETER, BILIARY DRAINAGE",374.22,224.53,63.62,7411.0,39
CDM,27203417,"HC CATHETER,MALECOT NEPHOSTOMY CATH",320.76,192.46,54.53,7411.0,39
CDM,27203418,HC TRANSJUGLAR INTRAHEPATIC,2291.53,1374.92,389.56,7411.0,39
CDM,27203419,"HC BALLOON, HYPERGLIDE",5863.28,3517.97,996.76,7411.0,39
CDM,27203420,"HC CATHETER, ARROW BERMAN",623.74,374.24,106.04,7411.0,39
CDM,27203421,"HC CATHETER, LUMEND OUTBACK LTD R",5621.95,3373.17,955.73,7411.0,39
CDM,27203422,"HC CLOSURE DEVICE,STARCLOSE VASCU",269.7,161.82,45.85,7411.0,39
CDM,27203423,"HC CATHETER,BALLOON VIATRAC",852.78,511.67,144.97,7411.0,39
CDM,27203424,"HC CATHETER,CONQUEST",877.14,526.28,149.11,7411.0,39
CDM,27203425,"HC CATHETER,RENEGADE MICRO-INFUSI",3557.4,2134.44,604.76,7411.0,39
CDM,27203426,"HC CATH,BALLOON TITAN FUSION",945.36,567.22,160.71,7411.0,39
CDM,27203427,HC BALLOON ADVANCE PTA,2276.32,1365.79,386.97,7411.0,39
CDM,27203428,"HC CATHETER, BALLOON XXL",1023.33,614.0,173.97,7411.0,39
CDM,27203429,"HC CATH,BALLOON, Z MED/Z MED II",3156.81,1894.09,536.66,7411.0,39
CDM,27203430,HC CATHETER BALLOON STINGRAY,5197.07,3118.24,883.5,7411.0,39
CDM,27203431,"HC CATHETER, FRONTRUNNER CTO MICRO",3900.44,2340.26,663.07,7411.0,39
CDM,27203432,"HC CATHETER, BALLOON TRUE DILATION",4235.0,2541.0,719.95,7411.0,39
CDM,27203433,"HC SET,MICRODECOMPRESSION PERC TRIGEMINAL",2001.83,1201.1,340.31,7411.0,39
CDM,27203434,"HC CATHETER, BALLOON HERCULES",921.0,552.6,156.57,7411.0,39
CDM,27203435,HC IR CRYO SYSTEM,6414.05,3848.43,1090.39,7411.0,39
CDM,27203437,HC CATH BLN CORONARY SINUS,529.25,317.55,89.97,7411.0,39
CDM,27203438,HC CATHETER ANGIO BALLOON ULTRAVERSE PTA,852.78,511.67,144.97,7411.0,39
CDM,27203439,HC THREADER OTW MICRO-DILATATION CATHETER,2192.85,1315.71,372.78,7411.0,39
CDM,27203440,HC THERMOCOOL SF ABLATION CATH,4622.64,2773.58,785.85,7411.0,39
CDM,27203441,HC PENUMBRA SEPARATOR 8,6390.12,3834.07,1086.32,7411.0,39
CDM,27203442,HC PENUMBRA CATH INDIGO XTORQ TIP 115CM,9823.11,5893.87,1669.93,8349.64,39
CDM,27203443,HC ARGON CATHETER DRAINAGE ALL PURPOSE LOCKING PIGTAIL,507.87,304.72,86.34,7411.0,39
CDM,27203459,"Shell, No Hcpcs, 272 Rev Code, Sterile Supply (Validated)",1318.025,790.815,0.0017,39003.53,4290
CDM,27203460,HC ECMO BOSTON SCIENTIFIC AMPLATZ GUIDEWIRE 180CM 0.035IN (LAW124663),235.22,141.13,39.99,7411.0,39
CDM,27203461,HC ECMO TERUMO GUIDEWIRE 0.035INX80CM GLIDEWIRE (LAW227450),170.03,102.02,28.91,7411.0,39
CDM,27203462,HC ECMO TERUMO GUIDEWIRE 0.035INX180CM GLIDEWIRE (LAW146313),232.76,139.66,39.57,7411.0,39
CDM,27203463,HC ECMO BOSTON SCI AMPLATZ GUIDEWIRE J TIP 180CM 0.035IN (LAW224419),235.22,141.13,39.99,7411.0,39
CDM,27203464,HC ECMO BOSTON SCI AMPLATZ GUIDEWIRE STRAIGHT 180CM 0.038IN (MANF# M001465191),235.22,141.13,39.99,7411.0,39
CDM,27203465,HC ECMO BOSTON SCI AMPLATZ GUIDEWIRE STRAIGHT 260CM 0.038IN (MANF# M001465201),246.19,147.71,41.85,7411.0,39
CDM,27203466,HC ECMO EDWARDS LIFE ARTERIAL LINE KIT W/ GUIDEWIRE (LAW227482),303.92,182.35,51.67,7411.0,39
CDM,27203467,HC ECMO LIVANOVA DILATOR KIT W/ GUIDEWIRE (LAW322597),534.6,320.76,90.88,7411.0,39
CDM,27203468,HC ECMO MEDTRONIC VASCULAR ACCESS KIT W/ GUIDEWIRE (LAW529461),730.95,438.57,124.26,7411.0,39
CDM,27203469,HC ECMO MEDTRONIC BIO-MEDICUS INSERTION KIT W/ GUIDEWIRE (LAW525981),99.67,59.8,16.94,7411.0,39
CDM,27203470,HC BOSTON SCI DREAMWIRE (ALL SIZES),830.8,498.48,141.24,7411.0,39
CDM,27203471,HC BOSTON SCI F/G CRE FIXED WIRE 5838-05 (BO (LAW520096),812.72,487.63,138.16,7411.0,39
CDM,27203472,"HC BOSTON SCI GUIDEWIRE NOVAGOLD 018""",852.78,511.67,144.97,7411.0,39
CDM,27203473,HC BOSTON SCI GW GI JAGTOME RX 39-20-260-025 (LAW259540),1474.81,884.89,250.72,7411.0,39
CDM,27203474,HC BOSTON SCI JAG HINI 025.450 ANG BX 2 (LAW520186),544.8,326.88,92.62,7411.0,39
CDM,27203475,HC BOSTON SCI JAGWIRE REVOLUTION 025/450 ANG (LAW520430),969.73,581.84,164.85,7411.0,39
CDM,27203476,HC BOSTON SCI JAGWIRE REVOLUTION 025 ST,828.41,497.05,140.83,7411.0,39
CDM,27203477,HC BOSTON SCI NOVAGOLD GUIDEWIRE 0.018 INCHE (LAW520092),852.78,511.67,144.97,7411.0,39
CDM,27203478,HC COOK PUSHING CATH 5FR (LAW258100),609.13,365.48,103.55,7411.0,39
CDM,27203479,HC BOSTON SCI CATH ELCHMSTS ENDO 7FRX210CM (LAW129304),1023.62,614.17,174.02,7411.0,39
CDM,27203480,HC BOSTON SCI CATH ESO F/G 6FRX18-20MMX8X180 (LAW128622),912.91,547.75,155.19,7411.0,39
CDM,27203481,HC BOSTON SCI CATH ESOPH 6FRX12-15MMX8X180CM (LAW128615),812.72,487.63,138.16,7411.0,39
CDM,27203482,HC BOSTON SCI CRE WG BILIARY CATH BLLN DILATION,1040.24,624.14,176.84,7411.0,39
CDM,27203483,HC BOSTON SCI CATH BLLN DILATION 6FRX180CM (LAW128619),912.91,547.75,155.19,7411.0,39
CDM,27203484,HC BOSTON SCI DILATOR 180CM 6FR (LAW128620),812.72,487.63,138.16,7411.0,39
CDM,27203485,HC EXTRACTOR PRO RX 9 - 18 MM (ALL REG SIZES),706.59,423.95,120.12,7411.0,39
CDM,27203486,HC EXTRACTOR PRO XL 12-15MM ABOVE (LAW218857),529.25,317.55,89.97,7411.0,39
CDM,27203487,HC BOSTON SCI GUIDEWIRE 260CM JAGWIRE,519.68,311.81,88.35,7411.0,39
CDM,27203488,HC INTROSYTE - N 2.8FR INTRODUCER (REF#384031),2867.94,1720.76,487.55,7411.0,39
CDM,27203489,HC ENDOFLIP NASAL TIP CATH 16CM (LAW537653),2080.77,1248.46,353.73,7411.0,39
CDM,27203981,HC QUINTON CATH TRIPLE LUMEN,256.33,153.8,43.58,7411.0,39
CDM,27203982,HC VENASEAL CLOSURE SYSTEM,4171.48,2502.89,709.15,7411.0,39
CDM,27203983,HC HYDRA JAGWIRE GUIDEWIRE .035 X 260,830.8,498.48,141.24,7411.0,39
CDM,27203984,HC JAGWIRE HIGH PERFORMANCE GUIDEWIRE .025 X 260,1588.89,953.33,270.11,7411.0,39
CDM,27203985,HC ULTRA-THIN DIAMOND BALLOON ANGIO CATH,1052.57,631.54,178.94,7411.0,39
CDM,27203986,HC BS DREAMTOME WIRE,1963.33,1178.0,333.77,7411.0,39
CDM,27203987,HC BS SAFARI GUIDEWIRE,969.73,581.84,164.85,7411.0,39
CDM,27203988,HC CORDIS FRONTRUNNER,3900.44,2340.26,663.07,7411.0,39
CDM,27203991,HC BS TRAPEZOID RX WIREGUIDED RETRIEVAL BASKET,1284.91,770.95,218.43,7411.0,39
CDM,27203992,HC BS TRAPEZOID RETRIEVAL BASKET,1284.91,770.95,218.43,7411.0,39
CDM,27203993,HC BS CELLEBRITY CYTOLOGY BRUSH,69.21,41.53,11.77,7411.0,39
CDM,27203994,HC BS NAVIFLEX RX  DELIVERY SYSTEM,457.52,274.51,77.78,7411.0,39
CDM,27203995,HC BS PERCUFLEX STENT INTRODUCER SET,391.92,235.15,66.63,7411.0,39
CDM,27203996,"HC BS MULTI BAND LIGATOR, SPEEDBAND SUPERVIEW SUPER 7",682.48,409.49,116.02,7411.0,39
CDM,27203997,HC BS RX WIRE GUIDED CYTOLOGY BRUSH,534.6,320.76,90.88,7411.0,39
CDM,27203998,HC BOSTON SCI SPHINTOM BIL CAN (LAW124099 & LAW124107),1015.14,609.08,172.57,7411.0,39
CDM,27203999,HC BS HURRICANE RX BILIARY DILATATION BALLOON CATHETER (LAW124403),1166.69,700.01,198.34,7411.0,39
CDM,27204000,HC BS CRE PULMONARY BALLOON DILATOR,1437.39,862.43,244.36,7411.0,39
CDM,27204001,HC BS GUIDEWIRE NOVAGOLD,852.78,511.67,144.97,7411.0,39
CDM,27204002,"HB BS GUIDEWIRE, DREAMWIRE",830.75,498.45,141.23,7411.0,39
CDM,27204003,HC BS GUIDEWIRE NAVIPRO,533.53,320.12,90.7,7411.0,39
CDM,27204004,HC BS CRE FIXED WIRE BALLOON DILATATION CATHETER,912.91,547.75,155.19,7411.0,39
CDM,27204005,HC BS CRE WIREGUIDED BALLOON DILATATION CATHETER,1040.24,624.14,176.84,7411.0,39
CDM,27204006,HC BS CRE PRO WIREGUIDED BILIARY BALLOON DILATATION CATHETER,1040.24,624.14,176.84,7411.0,39
CDM,27204007,HC BS 7F GOLD PROBE,594.26,356.56,101.02,7411.0,39
CDM,27204008,HC BS 10F GOLD PROBE,759.7,455.82,129.15,7411.0,39
CDM,27204009,HC BS MAXFORCE BILIARY BALLOON DILATATION CATHETER,1079.37,647.62,183.49,7411.0,39
CDM,27204010,"HC BS GUIDEWIRE, DREAMTOME (LAW260804 & LAW216408)",1963.33,1178.0,333.77,7411.0,39
CDM,27204011,"HC BS DILATATION BALLOON CATHETER, MAXFORCE",481.14,288.68,81.79,7411.0,39
CDM,27204012,"HC SAFE-T-CENTESIS PLUS, 6F DRAINAGE CATH TRAY",481.73,289.04,81.89,7411.0,39
CDM,27204013,HC ARROW 8F LARGE VOLUME PARACENTESIS KIT,281.42,168.85,47.84,7411.0,39
CDM,27204014,HC SHOCKWAVE LITHOPLASTY BDC 7X60MM,9347.0,5608.2,1588.99,7944.95,39
CDM,27204015,"HC GUIDEWIRE,COOK TRACER METRO DIRECT",1539.87,923.92,261.78,7411.0,39
CDM,27204016,HC CANNULATING SPHINCTERTOME TRUETOME (LAW520344),1044.24,626.54,177.52,7411.0,39
CDM,27204017,HC ARGON ARTERIAL LINE 20GA W/ GUIDEWIRE,78.65,47.19,13.37,7411.0,39
CDM,27204018,HC GLIDEWIRE 150CM X .035IN,170.03,102.02,28.91,7411.0,39
CDM,27204019,HC RESOLUTION CLIP 360,872.27,523.36,148.29,7411.0,39
CDM,27204020,"HC CHARGER BALLOON CATHETER, BOSTON SCI",584.76,350.86,99.41,7411.0,39
CDM,27204073,"HC GUIDEWIRE, THRUWAY 300CM",427.68,256.61,72.71,7411.0,39
CDM,27204074,HC ARGON ARTERIAL LINE 18GA W/ GUIDEWIRE,81.98,49.19,13.94,7411.0,39
CDM,27204082,HC INTRA-AORTIC BALLOON REDIGUARD 7FR 30CC,2646.88,1588.13,449.97,7411.0,39
CDM,27204083,HC INTRA-AORTIC BALLOON REDIGUARD 9FR 50CC,2973.48,1784.09,505.49,7411.0,39
CDM,27204084,HC VASCULAR DILATOR KIT LIVANOVA W/ GUIDEWIRE,534.6,320.76,90.88,7411.0,39
CDM,27204085,HC LIGASURE OPEN CURVED LARGE (LEGACY),2615.11,1569.07,444.57,7411.0,39
CDM,27204086,HC CATHETER QUICK THAL TRAY,791.18,474.71,134.5,7411.0,39
CDM,27204087,HC BOSTON SCI HYDRA JAGWIRE .035 X 450CM STR (LAW128132),830.8,498.48,141.24,7411.0,39
CDM,27204088,HC OCCLUDER VSACULAR DELIVERY SYSTEM 9FR 80MM,2879.8,1727.88,489.57,7411.0,39
CDM,27204089,HC STONE RETRIEVAL BASKET FUSION COOK,1807.88,1084.73,307.34,7411.0,39
CDM,27204090,"HC COOK PTA BALLOON, ADVANCE SERNERITY 14",1510.63,906.38,256.81,7411.0,39
CDM,27204091,HC INTRA-AORTIC BALLOON REDIGUARD 8FR 40CC,4095.0,2457.0,696.15,7411.0,39
CDM,27204092,HC INTRA-AORTIC BALLOON REDIGUARD 7.5FR 30CC,3279.58,1967.75,557.53,7411.0,39
CDM,27204093,HC DRAINAGE CATHETER FLEXIMA 6FR,374.22,224.53,63.62,7411.0,39
CDM,27204094,HC DRAINAGE CATHETER FLEXIMA 8FR,374.22,224.53,63.62,7411.0,39
CDM,27204095,HC DRAINAGE CATHETER FLEXIMA 10FR 25CM (LAW116250),374.22,224.53,63.62,7411.0,39
CDM,27204096,HC DRAINAGE CATHETER FLEXIMA 12FR 25CM (LAW116253),374.22,224.53,63.62,7411.0,39
CDM,27204097,HC GUIDEWIRE VAK 210CM,655.61,393.37,111.45,7411.0,39
CDM,27204098,HC PTA BLLN CATH PACIFIC PLUS MEDTRONIC,784.55,470.73,133.37,7411.0,39
CDM,27204099,HC DRAINAGE CATH ONE STEP 5FR 7CM (LAW228490),92.81,55.69,15.78,7411.0,39
CDM,27204100,"HC GUIDE EXTENSION CATHETER, MEDTRONIC TELESCOPE",1827.38,1096.43,310.65,7411.0,39
CDM,27204102,"HC Shell Hemostatic Agent, Gastrointestinal, Topical",4666.75,2800.05,467.97,7411.0,156
CDM,27204104,"HC FLOWTRIEVER CATHETER, INARI MEDICAL",33990.0,20394.0,5778.3,28891.5,39
CDM,27204105,"HC Shell Endoscope, Single-Use, Upper GI",9959.07,5975.44,1693.04,8465.21,39
CDM,27204106,HC GUIDING SHEATH VIZIGO BI-DIRECTIONAL,4044.43,2426.66,687.55,7411.0,39
CDM,27204107,HC CATH UMBILICAL 3.5 FR 15 IN ARGYLE,168.39,101.03,28.63,7411.0,39
CDM,27204108,HC ABLATION CATH CLOSUREFAST 7FR 60CM,4158.77,2495.26,706.99,7411.0,39
CDM,27204109,HC CRYOABLATION NEEDLE ICEFORCE 2.1,7477.8,4486.68,1271.23,7411.0,39
CDM,27204110,HC GUIDE CATH TRAILBLAZER 5FR 65CM,4120.66,2472.4,700.51,7411.0,39
CDM,27204111,"Shell C1761, Catheter, Translum Lithotripsy",15975.3,9585.18,2715.8,13579.0,34
CDM,27204112,HC DRAINAGE CATH SKATER 10FR 25CM (LAW134964),507.87,304.72,86.34,7411.0,39
CDM,27204113,HC DRAINAGE CATH SKATER 12FR 25CM (LAW134965),507.87,304.72,86.34,7411.0,39
CDM,27204115,HC DRAINAGE CATHETER FLEXIMA 14FR 25CM (LAW116254),374.22,224.53,63.62,7411.0,39
CDM,27204116,HC ETHICON SPONGE HEMOSTATIC SURGICEL 4” X 2” (LAW230627),473.37,284.02,80.47,7411.0,39
CDM,27204119,HC HEMOSTATIC POWDER SURGICEL 3GM (LAW404474),80.0,48.0,13.6,7411.0,39
CDM,27204120,HC LUMBAR CATH HERMETIC 80CM CLOSED TIP (LAW212588),1308.74,785.24,222.49,7411.0,39
CDM,27204122,HC BALLOON CATH COYOTE 150CM .014IN BS (LAW222687),1072.06,643.24,182.25,7411.0,39
CDM,27204123,HC BALLOON CATH PACIFIC PLUS 150X15CM .018IN 3MM MEDTRONIC (LAW504223),784.55,470.73,133.37,7411.0,39
CDM,27204124,HC BALLOON CATH PACIFIC PLUS 150X8CM .018IN 4MM MEDTRONIC (LAW504242),784.55,470.73,133.37,7411.0,39
CDM,27204125,HC BALLOON CATH PACIFIC PLUS 150X4CM .018IN 3MM MEDTRONIC (LAW504215),784.55,470.73,133.37,7411.0,39
CDM,27204126,HC BALLOON CATH PACIFIC PLUS 150X2CM .018IN 4MM MEDTRONIC (LAW504236),784.55,470.73,133.37,7411.0,39
CDM,27204127,HC BALLOON CATH PACIFIC PLUS 90X8CM .018IN 5MM MEDTRONIC (LAW504247),784.55,470.73,133.37,7411.0,39
CDM,27204128,HC BALLOON CATH PACIFIC PLUS 90X6CM .018IN 4MM MEDTRONIC (LAW504239),784.55,470.73,133.37,7411.0,39
CDM,27204129,HC BALLOON CATH PACIFIC PLUS 90X6CM .018IN 5MM MEDTRONIC (LAW504246),784.55,470.73,133.37,7411.0,39
CDM,27204130,HC BALLOON CATH PACIFIC PLUS 90X8CM .018IN 6MM MEDTRONIC (LAW504251),784.55,470.73,133.37,7411.0,39
CDM,27204131,HC BALLOON CATH PACIFIC PLUS 90X6CM .018IN 6MM MEDTRONIC (LAW504250),784.55,470.73,133.37,7411.0,39
CDM,27204132,HC INTRO SHEATH 9FR 13CM .038IN (LAW306543),347.49,208.49,59.07,7411.0,39
CDM,27204133,HC INTRO SHEATH 9.5FR 13X45CM .038IN (LAW306544),347.49,208.49,59.07,7411.0,39
CDM,27204134,"Shell C1832, Autograft Suspension, Including Cell Processing and Application, and All System Components",21031.315000000002,12618.79,4.98,19862.91,78
CDM,27204135,HC HEMOSTATIC MATRIX SURGIFLO LYO THROMBIN KIT (LAW261925),796.18,477.71,135.35,7411.0,39
CDM,27204137,HC CATHETER VENTRICULAR 2.7 MM 35 CM W/ STYLET & TROCAR (LAW146774),919.54,551.72,156.32,7411.0,39
CDM,27204138,"Shell C1889, Implant/Insert Device, Not Otherwise Classified",10536.9,6322.139999999999,1155.66,12134.43,78
CDM,27204139,"Shell, No Hcpcs, for Lvad Accessories Only",7307.85,4384.71,1242.33,7411.0,39
CDM,27204140,HC GW BIL JAGWIRE 260CM 0.35IN (LAW128122),830.77,498.46,141.23,7411.0,39
CDM,27204142,HC GUIDEWIRE VISIBLIDE (LAW258993),749.22,449.53,127.37,7411.0,39
CDM,27204143,"C1747, Endoscope, Single-Use Urinary Tract Imaging/Illumination Device (Insrtbl)",3123.315,1873.99,31.57,10097.58,390
CDM,27204144,"HC COOK BLUE RHINO INTRODUCER SET 7.5, 8.5, 9.0 (LAW532092)",1573.98,944.39,267.58,7411.0,39
CDM,27204145,HC TELEFLEX PSI KIT 9FR X 10CM (LAW534952),641.29,384.77,109.02,7411.0,39
CDM,27204146,HC POWERED ENDOSCOPIC DEBRIDEMENT CATHETER (REF# 3.2-PED-EGD-OP),4928.55,2957.13,837.85,7411.0,39
CDM,27204151,HC BARD INTRODUCER SHEATH 50CM 5FRX7CM (LAW 201628),184.1,110.46,31.3,7411.0,39
CDM,27204152,HC GUIDEWIRE ENDOSCOPIC 260X.038 (LAW206334),838.16,502.9,142.49,7411.0,39
CDM,27204153,"Shell C1760, Closure Device, Vascular Insertable",0.01,0.01,0.0017,7411.0,39
CDM,27204154,HC BARD INTRO CATH 5FR 7CM (LAW201628),184.1,110.46,31.3,7411.0,39
CDM,27204156,"Shell C1601, Pass-Through Device, Endoscope, Single-Use (I.E. Disposable), Pulmonary, Imaging/Illumination Device (Insertable)",1705.55,1023.33,103.55,7411.0,117
CDM,27204157,"Shell C1603, Pass-Through Device, Retrieval Device, Insertable, Laser (Used to Retrieve Intravascular Inferior Vena Cava Filter)",10180.01,6108.01,1730.6,8653.01,39
CDM,27204158,"HC PASS-THROUGH, AMBU ASCOPE 5 BRONCHO HD 2.7/1.2",1705.55,1023.33,289.94,7411.0,39
CDM,27204159,"HC PASS-THROUGH, AMBU ASCOPE 5 BRONCHO HD 4.2/2.2",1705.55,1023.33,289.94,7411.0,39
CDM,27204160,"HC PASS-THROUGH, AMBU ASCOPE 5 BROMCHO HD 5.0/2.2",1705.55,1023.33,289.94,7411.0,39
CDM,27204161,"HC PASS-THROUGH, AMBU ASCOPE 5 BRONCHO HD 5.6/2.8",1705.55,1023.33,289.94,7411.0,39
CDM,27204162,HC TELEFLEX PSI 8.5FR X 10CM (LAW534951),593.53,356.12,100.9,7411.0,39
CDM,27204163,HC TELEFLEX PSI 8.5FR X 10CM (LAW577973),614.0,368.4,104.38,7411.0,39
CDM,27204164,HC ECMO SHEATH PINNACLE INTRODUCER 6FR X 10CM (LAW149706),48.43,29.06,8.23,7411.0,39
CDM,27204165,HC APOLLO ESG SYSTEM (LAW745275),22535.37,13521.22,3831.01,19155.06,39
CDM,27204167,HC COOK CATH 10.2FR 40CM (LAW222237),500.92,300.55,85.16,7411.0,39
CDM,27204168,"Shell C1982, Catheter, One-Way Valve, Occlusive",26342.25,15805.35,4478.18,22390.91,39
CDM,27204169,HC MEDTRONIC STIMULATOR NERVE SMALL EXTERNAL (LAW233552),1062.31,637.39,180.59,7411.0,39
CDM,27204170,"Shell C1735, Pass-Through Device, Cath Renal Denerv Radiofreq",54384.0,32630.4,6299.0,46226.4,39
CDM,27204171,"Shell C1736, Pass-Through Device, Cath Renal Denerv Ultrasnd",33990.005,20394.005,0.0017,57783.0,78
CDM,27204173,"Shell C9610, Pass-Through Device, Cath Coronary Drug-Delivery",19204.35,11522.61,3264.74,16323.7,39
CDM,27204176,"Shell C9808, Cryo Probe Non-Opioid Dev",8667.45,5200.469999999999,1329.01,8089.62,156
CDM,27204178,HC ENDOSCOPIC HEMOSTAT HEMO-10 HEMOSPRAY (LAW482197),8497.5,5098.5,18.7,7411.0,39
CDM,27204179,HC ENDOSCOPIC HEMOSTAT HEMO-7 HEMOSPRAY (LAW482198),8497.5,5098.5,18.7,7411.0,39
CDM,27204180,HC TELEFLEX INTRO SHEATH 6 FR 10 CM (LAW140822),179.99,107.99,30.6,7411.0,39
CDM,27204181,"Shell C2596, Probe, Image-Guided, Robotic, Waterjet Ablation",11046.75,6628.05,1877.95,9389.74,39
CDM,27204182,HC CATH DRAINAGE 8.5FR 25CM (LAW221982),502.47,301.48,85.42,7411.0,39
CDM,27204183,HC BOSTON SCI MAX FORCE CATH BLLN DILATION (LAW520181),481.14,288.68,81.79,7411.0,39
CDM,27204184,HC BOSTON SCI CRE RX BILIARY CATH BLLN DILATION (LAW322375 & LAW322376),1315.71,789.43,223.67,7411.0,39
CDM,27204185,HC BOSTON SCI GUIDEWIRE 480CM (LAW146022),529.25,317.55,89.97,7411.0,39
CDM,27204186,HC BOSTON SCI GW GI JAGTOME RX 39-30-260-025 (LAW534961),2022.25,1213.35,343.78,7411.0,39
CDM,27204187,HC COOK CATHETER BALLOON DILATATION SOEHENDRA (LAW145947),470.45,282.27,79.98,7411.0,39
CDM,27204188,HC BOSTON SCI JAGWIRE REVOLUTION 0.25FR 260 CM (LAW526308),828.41,497.05,140.83,7411.0,39
CDM,27204189,HC BOSTON SCI SPHINCTEROTOME JAGWIRE 0.025INX450CM,1381.89,829.13,234.92,7411.0,39
CDM,27204190,HC ERBE PRB FLX APC 6.9FR 300CM (LAW206167),1340.08,804.05,227.81,7411.0,39
CDM,27204191,HC COOK 5FR X 15CM FUHRMAN DRAINAGE SET (LAW799221),586.71,352.03,99.74,7411.0,39
CDM,27204192,HC COOK 8.5FR X 15CM FUHRMAN DRAINAGE SET (LAW540543),610.59,366.35,103.8,7411.0,39
CDM,27204193,HC FOOTPRINT PICC SHEATH INTRODUCTER ONLY 1.9 FR. (LAW824701),246.25,147.75,41.86,7411.0,39
CDM,27204194,HC FOOTPRINT PICC SHEATH INTRODUCTER ONLY 1.4 FR. (LAW824700),263.84,158.3,44.85,7411.0,39
CDM,27204195,HC COOK 8.5FR X 15CM FUHRMAN DRAINAGE SET (LAW145667),559.91,335.95,95.18,7411.0,39
CDM,27204196,HC BS CATHETER BALLOON DILATATION RAPID EXCHANGE (LAW221696),1166.69,700.01,198.34,7411.0,39
CDM,27204197,HC BIOLIFE STATSEAL TOPICAL POWDER (LAW800149),2469.09,1481.45,419.75,7411.0,39
CDM,27204198,HC TERUMO GUIDEWIRE 0.018IN X 150CM (LAW238614),304.72,182.83,51.8,7411.0,39
CDM,27204199,HC BS HURRICANE RX BILIARY DILATATION BALLOON CATHETER (LAW206184),1166.69,700.01,198.34,7411.0,39
CDM,27204200,HC PENTAX GEN 2 FOCAL PEAR CATHETER,9007.35,5404.41,1531.25,7656.25,39
CDM,27204201,HC CATHETER ABLATION BARRX HALO 360 4MMX160CM 40X13 (LAW228505),6831.99,4099.19,1161.44,7411.0,39
CDM,27204205,"HC Shell C9810, Ptd, Water Circulating Motorized Device, Non-Opioid Device",241.35,144.81,27.53,7411.0,78
CDM,27299999,HC Shell Med/Surg Supply - Sterile,1073.04,643.82,11.02,7871.0,429
CDM,27300003,HC SHOULDER ABDUCTION PILLOW,225.0,135.0,38.25,7411.0,36
CDM,27300004,HC LEG ELEVATOR PILLOW,174.8,104.88,29.72,7411.0,36
CDM,27300005,HC ARM ELEVATOR PILLOW,167.5,100.5,28.48,7411.0,36
CDM,27400005,"HC Shell Bag, Drain 4 Liter",112.48,67.49,19.12,89.98,57
CDM,27400018,HC CERVCL THORC MIAMI JTO,869.0,521.4,147.73,695.2,57
CDM,27400035,"HC Shell Knee Orthosis, Elastic With Joints",354.75,212.85000000000002,12.25,703.73,342
CDM,27400036,"HC KNEE ORTHOSIS, IMMOBILIZER, CANVAS LONGITUDINAL",133.0,79.8,22.61,106.4,57
CDM,27400038,HC AFO POSTRIOR LEAF SPRING L1940,189.96,113.98,32.29,151.97,57
CDM,27400049,HC Shoe Ambulatory Surgical,51.43,30.86,8.74,41.14,57
CDM,27400051,HC SHOULDER ORTHOSIS,246.0,147.6,41.82,196.8,57
CDM,27400051,HC Shoulder Orthosis,274.575,164.745,41.76,242.79,114
CDM,27400052,HC SHOULDER IMMOBILIZER L3670,168.0,100.8,28.56,134.4,57
CDM,27400054,"HC Shell Wrst Hand Orthosis, Wrist Extension Control Cock-Up",270.25,162.15,8.51,6693.13,456
CDM,27400066,HC STANDARD VOICE PROSTHESIS,127.0,76.2,21.59,101.6,57
CDM,27400067,HC TRACHEOSTOMY SPEAKING VALVE,439.0,263.4,74.63,351.2,57
CDM,27400070,HC Shell Implant Cochlear,43026.17,25815.7,7314.45,34420.94,57
CDM,27400071,"HC Shell Processor,Baha",8878.0,5326.8,1509.26,7102.4,57
CDM,27400077,"HC SET,BATTERY CLIPS",4235.0,2541.0,719.95,3388.0,58
CDM,27400078,HC HOLSTER VEST REPLACEMENT-VAD,1924.84,1154.9,327.22,1539.87,58
CDM,27400108,HC DRIVELINE MANAGEMENT SYS 1-VAD,123.0,73.8,20.91,98.4,57
CDM,27400131,HC Shell Cervical Collar,105.77,63.46,17.98,84.62,57
CDM,27400133,HC HMII SYSTEM CONTROLLER (POCKET CONTROLLER),18694.5,11216.7,3178.07,14955.6,58
CDM,27400135,HC 11 VOLT LI-ION POCKET CONTROLLER BATTERY,2695.0,1617.0,458.15,2156.0,58
CDM,27400137,HC HEARTMATE LVAD POWER MODULE,27192.0,16315.2,4622.64,21753.6,58
CDM,27400140,HC HEARTMATE POWER MODULE/AC CORD,242.9,145.74,41.29,194.32,57
CDM,27400144,"HC HEARTMATE POWER MODULE BATTERY BACKUP, EA",555.3,333.18,94.4,444.24,58
CDM,27400146,HC HEARTMATE BATTERY HOLSTER (POCKET CONTROLLER),1064.53,638.72,180.97,851.62,58
CDM,27400147,HC HEARTMATE CONSOLIDATED BAG,1583.73,950.24,269.23,1266.98,58
CDM,27400148,HC HEARTMATE SHOWER BAG (EA),1212.75,727.65,206.17,970.2,58
CDM,27400151,HC HEARTMATE STABILIZATION BELT,534.6,320.76,90.88,427.68,57
CDM,27400152,HC HEARTMATE POCKET CONTROLLER WEARABLE ACCESSORY KIT,828.41,497.05,140.83,662.73,57
CDM,27400153,HC HEARTMATE TRAVEL CASE,779.68,467.81,132.55,623.74,57
CDM,27400175,"HC L4397, Boot Podus Universal",169.26,101.56,28.77,135.41,57
CDM,27400199,"HC L4350, Brace Ankle Air-Stirrup",181.11,108.67,30.79,144.89,57
CDM,27400257,"HC Shell Walking Boot, Non-Pneumatic, W or W/O Joints, Off Shelf",240.97,144.58,39.04,294.03,171
CDM,27400265,"HC Shell Q0508, Misc Supply/Accessory for Implanted Lvad",828.41,497.05,34.89,1559.36,285
CDM,27400268,HC Brace Ankle Airsport Aircast,125.96000000000001,75.575,13.17,139.58,114
CDM,27400281,"HC Shell A4565, Slings",68.5,41.1,11.64,54.8,57
CDM,27400287,"HC Shell L0172, Cervical Collar, Semi-Rgid, Two-Piece Prefab",130.92,78.55,21.39,142.3,171
CDM,27400292,"HC Shell L1600, Abduct Pillow Hip Flex Frejka W Cvr",181.33,108.79500000000002,19.4,198.82,114
CDM,27400302,"HC Shell L8613, Ossicular Implant",1961.4850000000001,1176.8899999999999,277.52,1738.69,456
CDM,27400310,"HC Shell L1830, Basic Knee Orthosis, Immobilzer",102.25,61.35,9.8,399.11,285
CDM,27400331,HC HEARTWARE BATTERY CHARGER,24472.8,14683.68,4160.38,19578.24,58
CDM,27400368,HC WHFO W/JOINT(S) CUSTOM FAB (L3806),776.46,465.88,132.0,621.17,57
CDM,27400369,HC CUSTOM MADE WRIST HAND FINGER W/O JNTS (L3808),701.26,420.76,119.21,561.01,57
CDM,27400373,HC HO W/O JOINTS CF (L3919),375.0,225.0,63.75,300.0,57
CDM,27400399,"HC Shell L4360, Pneumat Walking Boot Pre Cst",348.93,209.36,29.5,736.8,855
CDM,27400400,"HC Shell L8509, Trach-Esoph Voice Pros MD In",1430.875,858.525,77.25,1565.17,570
CDM,27400411,"HC Shell L3923, Hfo, W/O Joints, Prefab",179.75,107.85,30.56,143.8,57
CDM,27400413,HC ARM SLING W/PADDED STRAP,30.38,18.23,5.16,29.41,57
CDM,27400415,HC HM II 14-VOLT LI-ION BAT REPLC,8497.5,5098.5,1444.58,6798.0,58
CDM,27400416,HC HM II HOLSTER REPLACE,1185.0,711.0,201.45,948.0,58
CDM,27400417,HC HM II POWER MOD DC INP CABLE,675.0,405.0,114.75,540.0,58
CDM,27400418,HC HM II POWER MOD PATIENT CABLE,2660.0,1596.0,452.2,2128.0,58
CDM,27400419,HC HM II POWER MODULE REPLACE,27192.0,16315.2,4622.64,21753.6,58
CDM,27400420,HC HM II TRAVEL CASE,480.0,288.0,81.6,384.0,57
CDM,27400421,HC HM II UNIVERSAL BATTERY CHARGE,24472.8,14683.68,4160.38,19578.24,58
CDM,27400422,HC HM PC ACCESSORY KIT,510.0,306.0,86.7,408.0,57
CDM,27400423,HC HM PC BACKUP BATTERY,2436.5,1461.9,414.2,1949.2,58
CDM,27400424,HC HM PC CONSOLDIATED BAG,975.0,585.0,165.75,780.0,58
CDM,27400425,HC HM PC HOLSTER VEST,1185.0,711.0,201.45,948.0,58
CDM,27400426,HC HM PC SHOWER BAG,1350.0,810.0,229.5,1080.0,58
CDM,27400427,HC HM POCKET CONTROLLER,18694.5,11216.7,3178.07,14955.6,58
CDM,27400428,HC HM POWER MODULE BATTERY,375.0,225.0,63.75,300.0,58
CDM,27400429,HC HMII 14V LI-ION BAT CLIP REPLC,2860.0,1716.0,486.2,2288.0,58
CDM,27400430,HC HW BATTERY CHARGER REPLACE,9895.42,5937.25,1682.22,7916.34,58
CDM,27400431,HC HW CONTROLLER REPLACE,10782.02,6469.21,1832.94,8625.62,58
CDM,27400432,HC HW DC ADAPTER,4680.0,2808.0,795.6,3744.0,58
CDM,27400433,HC HW LITHIUM ION BATTERY RPL,2250.0,1350.0,382.5,1800.0,58
CDM,27400434,HC HW PT PACK CARRY CASE RPL,1404.0,842.4,238.68,1123.2,58
CDM,27400435,HC HW SHOULDER PACK,1350.0,810.0,229.5,1080.0,58
CDM,27400436,HC HW SHOWER COVER REPLACE,1395.99,837.59,237.32,1116.79,58
CDM,27400437,HC HW WAIST PACK,1275.0,765.0,216.75,1020.0,58
CDM,27400438,HC Shell Hanger Tlso Rigidline,5265.8,3159.48,895.19,4212.64,57
CDM,27400442,"HC Shell L0637, Lso Sc R Ant/POS Pnl Pre Cst",4235.0,2541.0,719.95,3388.0,57
CDM,27400443,"HC Shell L1832, Knee Orthss, Djstbl Joints, Pstnl Orths, Rigd Spprt",2093.44,1256.06,355.88,1674.75,57
CDM,27400446,"HC Shell L3670, So Acro/Clav Can Web Pre Ots",384.625,230.77499999999998,22.52,509.44,114
CDM,27400452,"HC Shell L4386, Non-Pneum Walk Boot Pre Cst",95.83,57.5,16.29,76.66,57
CDM,27400453,"HC Shell L4396, Static or Dynami Afo Pre Cst",326.53,195.92,55.51,261.22,57
CDM,27400455,HC NON OSSEOINTEGRATED PROC BAHA SOFTBAND,6358.88,3815.33,1081.01,5087.1,57
CDM,27400457,"HC Shell L0174, Cervical Semi-Rigid Collar 2piece",287.71500000000003,172.625,30.45,259.82,228
CDM,27400459,"HC Shell L0464, Orthotic Triplanar Control",2754.99,1652.99,468.35,2203.99,57
CDM,27400464,HC LSP SAG-CORO RIGID FRAME PRE (MILLER BRACE),3776.35,2265.81,641.98,3021.08,57
CDM,27400465,HC TLSO 4 RIGID PLASTIC SHELL PRE (MILLER BRACE),4388.11,2632.87,745.98,3510.49,57
CDM,27400467,HC TLSO - ARNOLD/KOSAIR (MILLER BRACE),2436.5,1461.9,414.2,1949.2,57
CDM,27400468,HC TLSO B-JCKT W/PD=2PC:MOLD (MILLER BRACE),5265.8,3159.48,895.19,4212.64,57
CDM,27400469,HC AFO SPIRAL PREFABRICATED (MILLER BRACE),2188.44,1313.06,372.03,1750.75,57
CDM,27400470,HC CTO - HALO W/JACKET (MILLER BRACE),6028.67,3617.2,1024.87,4822.94,57
CDM,27400471,HC CTO - HALO W/MILWAUKEE (MILLER BRACE),9216.06,5529.64,1566.73,7372.85,57
CDM,27400472,"HC CTO COLLAR,ADJ POST W/EXT (MILLER BRACE)",1512.72,907.63,257.16,1210.18,57
CDM,27400473,HC TLSO B-JCKT W/PD=MOLD (MILLER BRACE),4245.35,2547.21,721.71,3396.28,57
CDM,27400474,HC TLSO RIGID FRAME PRE SOFT AP (MILLER BRACE),1087.26,652.36,184.83,869.81,57
CDM,27400475,HC HO ABD - RANCHO:CSTFAB (MILLER BRACE),3170.65,1902.39,539.01,2536.52,57
CDM,27400476,HC O+L H-JT ADJ FLEX/ABD=EA (MILLER BRACE),903.12,541.87,153.53,722.5,57
CDM,27400477,"HC O+L-T-PLSTC, FOAM LINER (MILLER BRACE)",375.0,225.0,63.75,300.0,57
CDM,27400478,HC AFO PLSTC:CSTFIT (MILLER BRACE),801.15,480.69,136.2,640.92,57
CDM,27400479,HC LSO SAGIT RIGID PANEL PREFAB (MILLER BRACE),2521.88,1513.13,428.72,2017.5,57
CDM,27400480,"HC CO COLLAR, FOARM:FLEX (MILLER BRACE)",134.76,80.86,22.91,107.81,57
CDM,27400481,"HC KO POSITION,ADJ/JT:CSTFIT (MILLER BRACE)",2093.44,1256.06,355.88,1674.75,57
CDM,27400482,HC CO COLLAR - PHIL (MILLER BRACE),477.28,286.37,81.14,381.82,57
CDM,27400483,HC TLSO HYPREXTN - JEWETT/CASH (MILLER BRACE),1130.34,678.2,192.16,904.27,57
CDM,27400484,HC TLSO BODY JACKT=2 PC:MOLD (MILLER BRACE),3911.93,2347.16,665.03,3129.54,57
CDM,27400485,HC CTO - HALO W/PLASTER JCKT (MILLER BRACE),5085.52,3051.31,864.54,4068.42,57
CDM,27400486,"HC HO ABD, POST-OP:CSTFIT (MILLER BRACE)",2250.0,1350.0,382.5,1800.0,57
CDM,27400487,"HC KO ELAST W/COND PAD, W/JT (MILLER BRACE)",487.24,292.34,82.83,389.79,57
CDM,27400488,"HC AFO SUPT,MULTILIGM:PREFAB (MILLER BRACE)",407.28,244.37,69.24,325.82,57
CDM,27400489,HC KAFO W/2 JT:CSTFAB:BASE (MILLER BRACE),2768.02,1660.81,470.56,2214.42,57
CDM,27400490,"HC SHELL Q0481, MICROPROCESSOR CONTROL UNIT FOR VAD",18694.5,11216.7,3178.07,14955.6,58
CDM,27400490,"HC Shell Q0481, Microprocessor Control Unit for Vad",23146.75,13888.050000000001,3178.07,22079.2,116
CDM,27400491,"HC KAFO-FX, PLASTIC:MOLD (MILLER BRACE)",3774.58,2264.75,641.68,3019.66,57
CDM,27400492,"HC O+L A-JT, LIMITED=EA (MILLER BRACE)",268.32,160.99,45.61,214.66,57
CDM,27400493,"HC O+L A-JT, SINGLE ADJ=EA (MILLER BRACE)",284.55,170.73,48.37,227.64,57
CDM,27400494,"HC O+L-F PLATE, STIRRUP:MOLD (MILLER BRACE)",902.54,541.52,153.43,722.03,57
CDM,27400495,HC O+L-A VARUS/VALGUS STRAP (MILLER BRACE),227.35,136.41,38.65,181.88,57
CDM,27400496,HC O+L-C LACER=EA:CSTFAB (MILLER BRACE),600.0,360.0,102.0,480.0,57
CDM,27400497,HC O+L-C LACER=EA:MOLD (MILLER BRACE),1057.02,634.21,179.69,845.62,57
CDM,27400498,HC O+L K-JT DROP LOCK=EA (MILLER BRACE),375.0,225.0,63.75,300.0,57
CDM,27400499,"HC O+L-C PLSTC, FOAM LINER (MILLER BRACE)",367.6,220.56,62.49,294.08,57
CDM,27400500,HC FO-INSRT - PLASTZOT:MOLD=EA (MILLER BRACE),588.04,352.82,99.97,470.43,57
CDM,27400501,"HC SHOE,ORTHOPAEDIC, LDY (MILLER BRACE)",129.47,77.68,22.01,103.58,57
CDM,27400502,"HC SHOE,ORTHO, WOMEN (MILLER BRACE)",248.95,149.37,42.32,199.16,57
CDM,27400503,"HC SHOE,ORTHO,MEN (MILLER BRACE)",291.85,175.11,49.61,233.48,57
CDM,27400504,"HC O+SHOE EVEL,METL SKATE=IN (MILLER BRACE)",1545.5,927.3,262.74,1236.4,57
CDM,27400505,"HC O+SHOE EVEL,INSIDE""=1/2IN (MILLER BRACE)",335.7,201.42,57.07,268.56,57
CDM,27400506,"HC O+SHOE WEDGE, HEEL - SACH (MILLER BRACE)",375.0,225.0,63.75,300.0,57
CDM,27400507,HC WHO W-SUPT - COCK-UP:CANVAS (MILLER BRACE),248.2,148.92,42.19,198.56,57
CDM,27400508,"HC WHO FINGR-EXT,DORSL SPRNG (MILLER BRACE)",375.0,225.0,63.75,300.0,57
CDM,27400509,HC EWHO-FX RADL/ULNAR:CSTFIT (MILLER BRACE),1032.48,619.49,175.52,825.98,57
CDM,27400510,HC BKP RIGID DRESS:IMDFIT (MILLER BRACE),1469.91,881.95,249.88,1175.93,57
CDM,27400511,"HC P+ SOCK,BELOW KNEE=EA (MILLER BRACE)",96.48,57.89,16.4,77.18,57
CDM,27400512,HC TLSO 2MOD SYMPHYSIS-STERN PRE (MILLER BRACE),2558.58,1535.15,434.96,2046.86,57
CDM,27400513,HC KAFO FEMORAL FX CAST RIGID (MILLER BRACE),2836.57,1701.94,482.22,2269.26,57
CDM,27400514,HC LSO SAG-CORONAL PANEL PREFAB (LAW267046),4235.0,2541.0,719.95,3388.0,57
CDM,27400515,"HC Shell L3260, Ambulatory Surgical Boot Eac",17.97,10.78,3.05,14.38,57
CDM,27400524,HC PROVOX 2 VOICE PROSTH,1476.52,885.91,251.01,1181.22,57
CDM,27400529,"HC DONJOY BACK BRACE II TLSO, S (LAW256418)",1157.82,694.69,196.83,926.26,57
CDM,27400530,"HC DONJOY BACK BRACE II TLSO, M (LAW256426)",1157.82,694.69,196.83,926.26,57
CDM,27400531,"HC DONJOY BACK BRACE II TLSO , L (LAW256427)",1157.82,694.69,196.83,926.26,57
CDM,27400532,"HC DONJOY BACK BRACE II TLSO , XL (LAW256430)",1157.82,694.69,196.83,926.26,57
CDM,27400533,"HC DONJOY BACK BRACE II TLSO, 2XL",1157.82,694.69,196.83,926.26,57
CDM,27400534,"HC EXOS FORM II 637, S/M",723.64,434.18,123.02,578.91,57
CDM,27400535,"HC EXOS FORM II 637, L/XL (LAW259432)",723.64,434.18,123.02,578.91,57
CDM,27400536,"HC XTEND 174 COLLAR, PED 0",254.1,152.46,43.2,203.28,57
CDM,27400537,"HC XTEND 174 COLLAR, PED 1",254.28,152.57,43.23,203.42,57
CDM,27400538,"HC XTEND 174 COLLAR,PED 2",254.28,152.57,43.23,203.42,57
CDM,27400539,"HC XTEND 174 COLLAR,PED,3",214.88,128.93,36.53,171.9,57
CDM,27400540,"HC XTEND 174 CLR W/REPL.PAD,PED 3",214.88,128.93,36.53,171.9,57
CDM,27400541,"HC XTEND 174 CLR W/REPL.PAD,PED 1",272.16,163.3,46.27,217.73,57
CDM,27400542,"HC XTEND 174 CLR W/REPL.PAD,PED 2",272.16,163.3,46.27,217.73,57
CDM,27400543,"HC XTEND 174 CLR W/REPL.PAD,PED 0",280.49,168.29,47.68,224.39,57
CDM,27400544,HC XTEND 174 SUPER SHORT COLLAR,250.88,150.53,42.65,200.7,57
CDM,27400545,"HC XTEND 174 COLLAR,S",214.88,128.93,36.53,171.9,57
CDM,27400546,"HC XTEND 174 COLLAR,M",214.88,128.93,36.53,171.9,57
CDM,27400547,"HC XTEND 174 COLLAR,L",214.88,128.93,36.53,171.9,57
CDM,27400548,"HC XTEND 174 COLLAR,STOUT",214.88,128.93,36.53,171.9,57
CDM,27400549,HC XTEND 174 SUPER SHORT W/REPL PAD,214.88,128.93,36.53,171.9,57
CDM,27400550,"HC XTEND 174 COLLAR,W/REPL.PAD,XS",272.16,163.3,46.27,217.73,57
CDM,27400551,"HC XTEND 174 COLLAR,W/REPL.PAD,S",247.95,148.77,42.15,198.36,57
CDM,27400552,"HC XTEND 174 COLLAR,W/REPL.PAD,M",247.95,148.77,42.15,198.36,57
CDM,27400553,"HC XTEND 174 COLLAR,W/REPL.PAD,L",247.95,148.77,42.15,198.36,57
CDM,27400554,"HC XTEND 174 COLLAR,W/REPL.PAD,STOUT",247.95,148.77,42.15,198.36,57
CDM,27400555,"HC XTEND 174 REPL.PAD,SET ADULT",86.2,51.72,14.65,68.96,57
CDM,27400556,"HC XTEND 174 REPL. PAD SET, PED 1",86.2,51.72,14.65,68.96,57
CDM,27400557,"HC XTEND 174 REPL.PAD SET,PED 2",86.2,51.72,14.65,68.96,57
CDM,27400558,"HC XTEND 174 REPL.PAD SET,PED 3",96.58,57.95,16.42,77.26,57
CDM,27400559,"HC VISTA COLLAR, ADULT",223.2,133.92,37.94,178.56,57
CDM,27400560,"HC VISTA COLLAR, REPL PADS, ADULT",109.35,65.61,18.59,87.48,57
CDM,27400561,"HC VISTA COLLAR SET, ADULT, UNIV",258.97,155.38,44.02,207.18,57
CDM,27400562,"HC TRANSITIONAL 172 COLLAR SET, INFANT SHORT",203.92,122.35,34.67,163.14,57
CDM,27400563,"HC TRANSITIONAL 172 COLLAR SET, INFANT REGULAR",203.92,122.35,34.67,163.14,57
CDM,27400564,"HC TRANSITIONAL 172 COLLAR SET, CHILD TOT",203.92,122.35,34.67,163.14,57
CDM,27400565,"HC TRANSITIONAL 172 COLLAR SET, CHILD SHORT",203.92,122.35,34.67,163.14,57
CDM,27400566,"HC TRANSITIONAL 172 COLLAR SET, CHILD REGULAR",203.92,122.35,34.67,163.14,57
CDM,27400567,"HC TRANSITIONAL 172 COLLAR SET, ADULT SHORT",193.13,115.88,32.83,154.5,57
CDM,27400568,"HC TRANSITIONAL 172 COLLAR SET, ADULT REGULAR",193.13,115.88,32.83,154.5,57
CDM,27400569,"HC TRANSITIONAL 172 COLLAR SET, ADULT TALL",193.13,115.88,32.83,154.5,57
CDM,27400570,"HC TRANSITIONAL 172 COLLAR SET, ADULT XTALL",193.13,115.88,32.83,154.5,57
CDM,27400571,"HC BLUE VOG SLING,W/PAD STRAP,S",15.06,9.04,2.56,29.41,57
CDM,27400572,"HC BLUE,VOG,SLING,W/PAD STRAP,M",15.06,9.04,2.56,29.41,57
CDM,27400573,"HC BLUE VOG SLING,W/PAD STRAP,L",15.06,9.04,2.56,29.41,57
CDM,27400574,"HC BLUE,VOG,SLG,W/PAD STRAP,XL",15.31,9.19,2.6,29.41,57
CDM,27400575,HC DELUXE ARM SLING XXS,13.31,7.99,2.26,29.41,57
CDM,27400576,HC DELUXE ARM SLING XS,13.31,7.99,2.26,29.41,57
CDM,27400577,HC DELUXE ARM SLING S,13.31,7.99,2.26,29.41,57
CDM,27400578,HC DELUXE ARM SLING M,13.31,7.99,2.26,29.41,57
CDM,27400579,HC DELUXE ARM SLING L,13.31,7.99,2.26,29.41,57
CDM,27400580,HC DELUXE ARM SLING XL,13.31,7.99,2.26,29.41,57
CDM,27400581,"HC XCELTRAX, PED/XS",131.86,79.12,22.42,105.49,57
CDM,27400582,"HC XCELTRAX, SMALL",131.86,79.12,22.42,105.49,57
CDM,27400583,"HC XCELTRAX, MEDIUM",131.86,79.12,22.42,105.49,57
CDM,27400584,"HC XCELTRAX, LARGE",131.86,79.12,22.42,105.49,57
CDM,27400585,"HC XCELTRAX, X-LARGE",137.37,82.42,23.35,109.9,57
CDM,27400586,"HC PRO-STEP WALKER,SMALL",125.84,75.5,21.39,100.67,57
CDM,27400587,"HC PRO-STEP WALKER,MEDIUM",125.84,75.5,21.39,100.67,57
CDM,27400588,"HC PRO-STEP WALKER,LARGE",125.84,75.5,21.39,100.67,57
CDM,27400589,"HC MINITRAX, S",232.0,139.2,39.44,185.6,57
CDM,27400590,"HC MINITRAX, M",232.0,139.2,39.44,185.6,57
CDM,27400591,"HC MINITRAX, L",232.0,139.2,39.44,185.6,57
CDM,27400592,HC QUICK FIT SHOULDER IMMOBILIZER W/ 15' ABDUCTION PILLOW,172.08,103.25,29.25,137.66,57
CDM,27400593,HC 7' UNIV WRIST SUPPORT/RIGHT,29.58,17.75,5.03,23.66,57
CDM,27400594,HC 7' UNIV WRIST SUPPORT/LEFT,29.58,17.75,5.03,23.66,57
CDM,27400595,HC 10' UNIV WRIST/FOREARM SUPP-RIGHT,30.19,18.11,5.13,24.15,57
CDM,27400596,HC 10' UNIV WRIST/FOREARM SUPP- LEFT,30.19,18.11,5.13,24.15,57
CDM,27400597,"HC QUICK FIT WRIST,UNIV,RT",47.07,28.24,8.0,37.66,57
CDM,27400598,"HC QUICK FIT WRIST, XL/UNIV,RT",47.07,28.24,8.0,37.66,57
CDM,27400599,"HC QUICK FIT WRIST,UNIV,LT",47.07,28.24,8.0,37.66,57
CDM,27400600,"HC QUICK FIT WRIST, XL/UNIV,LT",47.07,28.24,8.0,37.66,57
CDM,27400601,"HC Shell L3650, Shoulder Orthosis, Figure 8, Abd Restraint, Pf, Otf",293.15,175.89,49.84,234.52,57
CDM,27400602,HC POWER MODULE PATIENT CABLE 14 VOLT,4248.75,2549.25,722.29,3399.0,57
CDM,27400603,HC HEARTMATE 3 LVAD MODULAR CABLE,16825.05,10095.03,2860.26,13460.04,57
CDM,27400604,HC 14 VOLT BATTERY CLIP SET OF 2 (1 EA),2436.5,1461.9,414.2,1949.2,58
CDM,27400605,HC HM II 14-VOLT LI-ION BATTERY SET OF 4 (1 EA),2646.88,1588.13,449.97,2117.5,58
CDM,27400606,HC AUTOMOBILE DC POWER CABLE,1096.43,657.86,186.39,877.14,58
CDM,27400607,HC MJC OCCIAN CERVICAL BRACE,804.05,482.43,136.69,643.24,57
CDM,27400608,HC MIAMI J PAD,347.49,208.49,59.07,277.99,57
CDM,27400609,HC PROVOX VEGA VOICE PROSTH,1296.22,777.73,220.36,1036.98,57
CDM,27400610,HC FOOT INSERT PLASTOZOTE L003,609.13,365.48,103.55,487.3,57
CDM,27400612,"HC Shell Battery Clips for Vad, Replacement Only",4235.0,2541.0,719.95,3388.0,57
CDM,27400613,"HC Shell Battery, Lthium-Ion for Vad, Replacement Only",2541.69,1525.015,414.2,2117.5,114
CDM,27400614,"HC Shell Battery, Other Than Lithium-Ion for Vad, Replace Only",481.14,288.68,81.79,384.91,57
CDM,27400615,"HC Shell Battery/Power Pack Charger for Vad, Replace Only",24472.8,14683.68,4160.38,19578.24,57
CDM,27400616,"HC Shell Belt/Vest/Bag for Vad, Replacement Only",1583.73,950.24,269.23,1266.98,57
CDM,27400617,"HC Shell Holster for Vad, Replacement Only",1924.84,1154.9,327.22,1539.87,57
CDM,27400619,"Shell, Q0479, Power Module for Vad, Replacement Only",27192.0,16315.2,4622.64,21753.6,57
CDM,27400620,"HC Shell Power Module Patient Cable for Vad, Replacement Only",4248.75,2549.25,722.29,3399.0,57
CDM,27400621,"HC Shell Shower Cover for Vad, Replacement Only",1096.43,657.86,186.39,877.14,57
CDM,27400622,HC ASO ANKLE STABILIZER EVO,263.54,158.12,44.8,210.83,57
CDM,27400623,HC SPEAKING VALVE AQUA 15X22MM,565.61,339.37,96.15,452.49,57
CDM,27400624,HC SPEAKING VALVE PURPLE 15X23MM,557.52,334.51,94.78,446.02,57
CDM,27400626,"HC EVAHEART CORING KNIFE, SURGICAL GEAR SS170",2650.0,1590.0,450.5,2120.0,57
CDM,27400627,HC EVAHEART AC/DC ADAPTER AA310,1461.0,876.6,248.37,1168.8,57
CDM,27400628,HC EVAHEART EXTERNAL BATTERY BT310,4240.0,2544.0,720.8,3392.0,58
CDM,27400629,HC EVAHEART BATTERY CHARGER CH310,4240.0,2544.0,720.8,3392.0,58
CDM,27400630,HC EVAHEART CSU CS310,6800.0,4080.0,1156.0,5440.0,58
CDM,27400631,HC EVAHEART CS LINE FLUSHING SET CS320,1948.0,1168.8,331.16,1558.4,58
CDM,27400632,HC EVAHEART CONTROLLER CT310,14280.0,8568.0,2427.6,11424.0,58
CDM,27400633,HC EVAHEART CONTROLLER CONNECTION KIT CT320,1558.4,935.04,264.93,1246.72,58
CDM,27400634,HC EVAHEART EMERGENCY BATTERY BT320,3392.0,2035.2,576.64,2713.6,58
CDM,27400635,HC EVAHEART EMERGENCY CONTROLLER CT330,4235.0,2541.0,719.95,3388.0,58
CDM,27400636,HC EVAHEART CARRYING BAG PS310,2436.5,1461.9,414.2,1949.2,58
CDM,27400637,HC EVAHEART DRIVELINE COVER PS280,535.0,321.0,90.95,428.0,58
CDM,27400638,HC EVAHEART OUTER BELT PS31,1070.0,642.0,181.9,856.0,58
CDM,27400639,HC ORTHO SHOE REMEDY PRO M (LAW261628),64.57,38.74,10.98,51.66,57
CDM,27400640,HC ORTHO SHOE REMEDY PRO XL (LAW233719),64.57,38.74,10.98,51.66,57
CDM,27400641,HC ORTHO SHOE REMEDY PRO L (LAW266259),64.57,38.74,10.98,51.66,57
CDM,27400642,HC BACK BRACE TSLO II 2XL (LAW531701),949.89,569.93,161.48,759.91,57
CDM,27400643,HC ELBOW SPLINT SECURESLEEVE SM (LAW136669),66.51,39.91,11.31,53.21,57
CDM,27400644,HC ELBOW SPLINT SECURESLEEVE M (LAW136668),71.1,42.66,12.09,56.88,57
CDM,27400645,HC SPLINT POST ANKLE RT SM CARDINAL (LAW511690),100.23,60.14,17.04,80.18,57
CDM,27400646,HC SPLINT POST ANKLE LT SM CARDINAL (LAW233104),100.73,60.44,17.12,80.58,57
CDM,27400647,HC BRACE PROCARE WALKING POST OP UNIVERSAL ADULT BILATERAL (LAW220048),169.26,101.56,28.77,135.41,57
CDM,27400648,HC ANKLE/FOOT ORTHOSIS NIGHT SPLINT SM (LAW314376),218.98,131.39,37.23,175.18,57
CDM,27400649,HC BRACE WALKING POST OP XL (LAW246412),228.36,137.02,38.82,182.69,57
CDM,27400650,HC BRACE WALKING POST OP M (LAW246410),231.24,138.74,39.31,184.99,57
CDM,27400651,HC BRACE WALKING POST OP L (LAW246411),231.24,138.74,39.31,184.99,57
CDM,27400652,HC LUMBAR-SACRAL ORTHOSIS EVERGREEN 637 L/XL (LAW258526),771.2,462.72,131.1,616.96,57
CDM,27400656,HC BRACE WALKING DJO MAXTRAX AIR SM (LAW232903),185.33,111.2,31.51,148.26,57
CDM,27400657,HC BRACE WALKING DJO MAXTRAX AIR MED (LAW232904),182.05,109.23,30.95,145.64,57
CDM,27400658,HC BRACE WALKING DJO MAXTRAX AIR LG (LAW232905),182.05,109.23,30.95,145.64,57
CDM,27400660,HC SPLINT POST ANKLE RT LG (LAW232857),98.97,59.38,16.82,79.18,57
CDM,27400661,HC SPLINT POST ANKLE RT MED (LAW232856),98.97,59.38,16.82,79.18,57
CDM,27400662,HC SPLINT POST ANKLE LFT LG (LAW232854),98.97,59.38,16.82,79.18,57
CDM,27400663,HC SPLINT POST ANKLE LT MED (LAW232853),98.97,59.38,16.82,79.18,57
CDM,27400665,"Shell L1845, Knee Orthosis, Upright, Customized to Fit Patient",888.8050000000001,533.28,46.65,1202.58,114
CDM,27400666,"HC PROVOX ACTIVALVE LIGHT, STRONG, XTRA STRONG (ALL SIZES)",4401.71,2641.03,748.29,3521.37,57
CDM,27400667,HC CUSTOM MADE ELBOW WRIST HAND ORTHOSIS W/O JNTS (L3763),1469.16,881.5,249.76,1175.33,57
CDM,27400669,"Shell L2114, Nextep Contour Ankle Foot & Fracture Orthosis",202.74,121.64,34.47,162.19,57
CDM,27400671,"Upper Extremity Fracture Orthosis, Wrist, Prefabricated, Including Fitting and Adjustment",293.15,175.89,49.84,234.52,57
CDM,27400672,"Lumbar-Sacral Orthosis, Off the Shelf",534.6,320.76,90.88,427.68,57
CDM,27500006,"HC Shell Pacemaker, Dual Chamber, Rate-Responsive",7816.5,4689.9,1328.81,6253.2,57
CDM,27500007,"HC Shell Pacemaker, Single Chamber, Rate-Responsive",41637.75,24982.65,7078.42,33310.2,57
CDM,27500017,HC MEDTRONIC TEMPORARY PACER CABL,521.0,312.6,88.57,416.8,57
CDM,27500019,"HC GENERATOR,SJM ZEPHYR 5826/5820",6458.1,3874.86,1097.88,5166.48,57
CDM,27500022,"HC GENERATOR,ST JUDE 221/2240/2160",4940.0,2964.0,839.8,3952.0,57
CDM,27500077,HC REVO/DEVISA MRI SURESCAN DR GENERATOR,10197.0,6118.2,1733.49,8157.6,57
CDM,27500106,HC ST JUDE UNIFY QUADRA CS3249-Q,27633.87,16580.32,4697.76,22107.1,57
CDM,27500165,"HC Shell C1785, Pacemaker, Dual Chamber, Rate-Responsive",9136.630000000001,5481.98,952.84,11814.93,1254
CDM,27500166,"HC Shell C1786, Pacemaker, Single Chamber, Rate Responsive",10197.0,6118.200000000001,728.07,43235.28,1368
CDM,27500169,"HC Shell C2621, Pacemaker, Other Than Single or Dual Chamber (Implantable)",18524.55,11114.73,74.06,19442.28,855
CDM,27500174,"HC PACEMAKER,SYNCRA CRT-P CTR01 MEDTRONIC",13816.94,8290.16,2348.88,11053.55,57
CDM,27500176,HC Shell Cardio-Defib Other Than Single or Dual Chamber,45342.66,27205.6,4530.77,158891.04,1539
CDM,27500180,HC ICD GENERATOR SJM 3257/3265/3357/3365,35689.5,21413.7,6067.22,28551.6,57
CDM,27500186,"HC VIVA QUAD S CRT-D DTBB1Q1/QQ, DTBA1Q1/QQ, DTBA1D4/D1",45755.77,27453.46,7778.48,36604.62,57
CDM,27500200,HC MEDTRONIC ICD DC EVERA MRI S DR SURESCAN DDMC3D1,33990.0,20394.0,5778.3,27192.0,57
CDM,27500201,HC CRT-D QUADRA ASSURA MP PULSE GENERATOR,37389.0,22433.4,6356.13,29911.2,57
CDM,27500207,HC Shell Adapter/Extension Pacing/Neurostim Lead,2380.88,1428.5300000000002,27.11,13596.0,456
CDM,27500209,HC LEAD ADAPTER 501206,1690.0,1014.0,287.3,1352.0,57
CDM,27500230,HC AZURE XT DR MEDTRONIC,12849.88,7709.93,2184.48,10279.9,57
CDM,27500231,HC AZURE XT SR MEDTRONIC,10777.32,6466.39,1832.14,8621.86,57
CDM,27500232,HC AZURE S DR MEDTRONIC,8704.76,5222.86,1479.81,6963.81,57
CDM,27500233,HC AZURE S SR MEDTRONIC,6632.2,3979.32,1127.47,5305.76,57
CDM,27500234,HC HEARTMATE 3 LVAD IMPLANT,233525.34,140115.2,39699.31,186820.27,55
CDM,27500238,"HC Shell C1777, Lead Cardioverter-Defibrillator Endocardial Single Coil",7856.0650000000005,4713.639999999999,323.08,10808.0,912
CDM,27500239,"HC Shell C1721, Cardioverter-Defibrillator Dual Chamber",33990.0,20394.0,49.84,39202.8,1197
CDM,27500240,"HC Shell C1898, Lead Pacemaker Other Than Transvenous Vdd Single Pass",1705.55,1023.33,44.85,6458.1,1311
CDM,27500241,"HC Shell C1900, Lead Left Ventricular Coronary Venous System",5098.5,3059.1,414.2,67980.0,1083
CDM,27500242,"HC Shell C1895, Lead Left Ventricular Coronary Venous System",9517.2,5710.32,331.36,14112.65,513
CDM,27500243,"HC Shell C1722, Cardioverter-Defibrillator Single Chamber",36369.3,21821.58,1574.2,54384.0,1539
CDM,27500244,"HC Shell C1896, Lead Cardioverter-Defibrillator Other Than Endocardial Coil",8497.5,5098.5,331.36,14656.49,399
CDM,27500245,"HC LEAD,ST JUDE 2088TC",1145.16,687.1,194.68,916.13,57
CDM,27500246,"HC ICD GENERATOR,SJM CD1257,CD1357",20495.97,12297.58,3484.31,16396.78,57
CDM,27500247,HC FORTIFY ASSURA DR,30251.1,18150.66,5142.69,24200.88,57
CDM,27500248,HC BS INGEVITY MRI PACEMAKER LEAD (PASSIVE/ACTIVE FIXATION),1344.95,806.97,228.64,1075.96,57
CDM,27500249,"HC LEAD,SJM 1458Q",4758.6,2855.16,808.96,3806.88,57
CDM,27500250,HC RELIANCE SINGLE COIL LEAD,10105.23,6063.14,1717.89,8084.18,57
CDM,27500251,"HC LEAD,MEDTRONIC 6935",9517.2,5710.32,1617.92,7613.76,57
CDM,27500252,HC BS LEAD PACEMAKER (4135/6/7/) DEXTRUS IS-1,1827.38,1096.43,310.65,1461.9,57
CDM,27500253,HC BS ACUITY X4 QUADRIPOLAR LVA LEAD STRAIGHT,5057.71,3034.63,859.81,4046.17,57
CDM,27500254,HC DURATA-7120/7121Q (BIV LEAD),8497.5,5098.5,1444.58,6798.0,57
CDM,27500255,HC MEDTRONIC VISIA AF MRI VR SURESCAN DVFB1D4,45886.5,27531.9,7800.7,36709.2,57
CDM,27500256,"HC ICD GENERATOR,SJM 2311,2411",32106.95,19264.17,5458.18,25685.56,57
CDM,27500257,HC LEAD CARDIO-DEFIB TOHERTHAN SINGLE/DUAL COIL,9517.2,5710.32,1617.92,7613.76,57
CDM,27500258,"HC GENERATOR ICD,SJM 2257",30251.1,18150.66,5142.69,24200.88,57
CDM,27500259,"HC ICD GENERATOR,SJM 1211/1311/1411",65670.82,39402.49,11164.04,52536.66,57
CDM,27500260,"HC ICD LEAD,SJM 7022/7122",8497.5,5098.5,1444.58,6798.0,57
CDM,27500261,"HC LEAD,SJM,LP1200M",1344.95,806.97,228.64,1075.96,57
CDM,27500262,"HC LEAD,ST JUDE 1258T/75",4588.65,2753.19,780.07,3670.92,57
CDM,27500263,"HC LEAD, MEDTRONIC ATTAIN",4758.6,2855.16,808.96,3806.88,57
CDM,27500264,"HC LEAD, SPRINT QUATTRO SECURE TACHY",9517.2,5710.32,1617.92,7613.76,57
CDM,27500265,HC LEAD SJM LDA210Q/LDA220Q,8497.5,5098.5,1444.58,6798.0,57
CDM,27500266,"HC MEDTRONIC EVERA MRI XT DR, DDMB1D4",38135.12,22881.07,6482.97,30508.1,57
CDM,27500267,HC Q-TRAK SQ ELECTRODE,10197.0,6118.2,1733.49,8157.6,57
CDM,27500268,"HC LEAD, PACEMAKER MEDTRONIC, OTHER THAN VDD SINGLE PASS",1949.2,1169.52,331.36,1559.36,57
CDM,27500269,"HC LEAD,SJM 1944 ISOFLEX",1980.53,1188.32,336.69,1584.42,57
CDM,27500270,"HC BS PACEMAKER, BRADY LEAD, DEXTRUS/STEROX/FINELINE",1827.38,1096.43,310.65,1461.9,57
CDM,27500271,HC SJM TENDRIL MRI PACEMAKER LEAD 46CM,1344.95,806.97,228.64,1075.96,57
CDM,27500272,HC SJM TENDRIL MRI PACEMAKER LEAD 52CM,1145.16,687.1,194.68,916.13,57
CDM,27500273,HC SJM TENDRIL MRI PACEMAKER LEAD 58CM,1145.16,687.1,194.68,916.13,57
CDM,27500274,HC ST JUDE TENDRIL ST OPTIM 52CM,1344.95,806.97,228.64,1075.96,57
CDM,27500275,HC ICD GENERATOR PROTECTA D334VRG,31950.6,19170.36,5431.6,25560.48,57
CDM,27500276,HC ATTAIN PERFORMA 4298/4598/4398,5310.94,3186.56,902.86,4248.75,57
CDM,27500277,HC DURATA DEFIBRILLATION LEAD,2765.0,1659.0,470.05,2212.0,57
CDM,27500279,"HC LEAD,MEDTRONIC 5086",1949.2,1169.52,331.36,1559.36,57
CDM,27500280,HC FORTIFY ASSURA VR,20495.97,12297.58,3484.31,16396.78,57
CDM,27500281,"HC ICD, DDBB1D4/DDBB1D1 EVERA",36539.25,21923.55,6211.67,29231.4,57
CDM,27500282,"HC LEAD QUATTRO, 6947/M - 6935/M",9517.2,5710.32,1617.92,7613.76,57
CDM,27500283,HC PPM LEAD ST JUDE TENDRIL DX,1344.95,806.97,228.64,1075.96,57
CDM,27500284,HC PPM/GDT/MDT LEAD MEDTRON CAPSURE FIX,1949.2,1169.52,331.36,1559.36,57
CDM,27500285,HC CAPSUREFIX SURESCAN 5086-45/52/58,1949.2,1169.52,331.36,1559.36,57
CDM,27500286,"HC MICA-AV TRANSCATHETER PACING SYSTEM, MC1AVR1",41637.75,24982.65,7078.42,33310.2,57
CDM,27500287,HC COBALT HF QUAD CRT-D DTPB2QQ,57783.0,34669.8,9823.11,46226.4,57
CDM,27500288,HC ELLIPSE DR-ICD CD2411-36Q,32106.95,19264.17,5458.18,25685.56,57
CDM,27500289,"Shell C1605, Ptd, Pacemaker, Leadless, Dual Chamber, Rate-Responsive, Including All Necssary Compnts for Implantation",81576.0,48945.6,13867.92,65260.8,57
CDM,27600002,HC Shell Anterior Chamber Intraocular Lens,726.08,435.65,77.25,7411.0,451
CDM,27600003,"Shell V2632, Posterior Chamber Intraocular Lens",814.44,488.66,49.84,7411.0,1927
CDM,27600005,"HC Shell C1780, Lens, Intraocular (New Technology)",888.1700000000001,532.905,77.25,7411.0,492
CDM,27600007,HC INTRAOCULAR LENS ACRYSOF SP 20.5,726.08,435.65,123.43,7411.0,41
CDM,27600008,HC INTRAOCULAR LENS ACRYSOF SP 20.5,726.08,435.65,123.43,7411.0,41
CDM,27800005,HC TISSUE MARKER,333.8,200.28,56.75,267.04,55
CDM,27800012,HC Shell Anchor/Screw for Bone to Bone or Soft Tissue to Bone,1233.635,740.1800000000001,8.53,18466.24,25960
CDM,27800017,HC Shell Cath Transluminal Angioplasty Non-Laser,1185.8,711.48,103.84,2048.2,330
CDM,27800018,HC Shell Balloon Catheter,2505.15,1503.0900000000001,313.37,2533.54,110
CDM,27800020,HC Shell Catheter,1185.8,711.48,0.0017,2222.4,220
CDM,27800021,"HC Shell Catheter, Drainage",1281.285,768.7700000000001,21.43,1949.2,110
CDM,27800036,HC Shell Connective Tissue Non Human,1811.04,1086.62,307.88,1448.83,55
CDM,27800041,HC Shell Implant Graft,3622.1,2173.26,116.3,5248.06,110
CDM,27800046,HC Shell Joint Device,5683.8099999999995,3410.285,75.01,19287.65,10560
CDM,27800047,"HC Shell Lead, Difib, Single Coil",4203.25,2521.95,323.08,6111.6,220
CDM,27800048,HC Shell Neurostimulator Lead,6238.925,3743.3550000000005,783.16,6296.8,110
CDM,27800050,HC Shell Implant Mesh,6224.6900000000005,3734.8100000000004,232.42,11825.62,880
CDM,27800056,HC Shell Port Indwelling,1110.77,666.46,181.43,923.46,110
CDM,27800057,HC Shell Prosthesis Breast,3507.225,2104.335,288.63,4352.2,550
CDM,27800065,HC Shell Stent Coated/Covered W/Delivery System,6458.85,3875.31,76.69,6482.0,385
CDM,27800066,HC Shell Noncoated/Noncovered W/Delivery System,5752.775,3451.665,486.99,7222.8,330
CDM,27800086,HC Shell Noncoronary Temp W/O Delivery Sys,8497.5,5098.5,1444.58,6798.0,55
CDM,27800096,"Shell C9352, Microporous Collagen Implant Tube (Neurawrap) per Cm Length",5880.27,3528.16,454.47,5149.54,275
CDM,27800098,"HC Shell Impt, Flex Nerve Cuff",2548.05,1528.83,146.39,3444.38,220
CDM,27800100,HC Shell Porcine Implant (Permacol) per Sq Cm,6336.415,3801.85,4.85,10115.42,110
CDM,27800103,"Shell L8606, Injectable Bulking Agent, Synthetic, 1ml",2282.5150000000003,1369.51,147.62,6010.22,330
CDM,27800112,HC Shell Implant Graft,2930.88,1758.53,184.73,43412.03,1815
CDM,27800114,HC Shell Bone Canc Chips,628.62,377.17,106.87,502.9,55
CDM,27800120,"HC Shell Tissue, Amniotic Membrane",4775.415,2865.25,527.36,9642.28,330
CDM,27800123,HC Shell Back Cage End Cap,693.2,415.92,117.84,554.56,55
CDM,27800127,"HC Shell Bolt, Iliac Ss Isola",2503.76,1502.26,425.64,2003.01,55
CDM,27800139,"HC Shell Bushing, Unit Std/Fem Hinge Mo",858.86,515.32,146.01,687.09,55
CDM,27800142,"HC Shell Cable, Crimp/Homog/Loop",2303.9,1382.34,391.66,1843.12,55
CDM,27800144,"HC KIT, CATH INTRODUCER",191.0,114.6,32.47,152.8,55
CDM,27800160,HC Shell Connector Assmb Spinal Cable,3704.0,2222.4,629.68,2963.2,55
CDM,27800161,HC Shell Connector Open St Ss Isol,4073.66,2444.2,692.52,3258.93,55
CDM,27800163,HC Shell Connector Spinal Cross,3852.16,2311.3,654.87,3081.73,55
CDM,27800164,"HC Shell Crosslink,#1,5,7,8 Crssrod Spn",3852.16,2311.3,372.78,5111.52,165
CDM,27800165,"HC Shell Crosslink,#10 Crosovr Rod Spn",3852.16,2311.3,654.87,3081.73,55
CDM,27800166,HC Shell Cryovalue Tissue Homograft/Aor,34125.0,20475.0,5801.25,27300.0,55
CDM,27800182,HC Shell Graft Human Bone,3546.58,2127.95,602.92,2837.26,55
CDM,27800187,"HC KIT, HEARTMATE II VAD IMPLANT",199260.0,119556.0,33874.2,159408.0,55
CDM,27800190,HC IMPELLA 5.0,84975.0,50985.0,14445.75,67980.0,55
CDM,27800193,"HC Shell Implant,Spinal Hook",3770.3,2262.18,640.95,3016.24,55
CDM,27800199,"HC Shell Implant, Heart Valve Cat 1",13599.1,8159.460000000001,2195.75,11425.6,110
CDM,27800201,"HC Shell Implant,Heart Valve Cat 3",20008.35,12005.01,3062.5,17601.6,110
CDM,27800206,"HC Shell Implant,Middle Ear",6783.41,4070.05,1153.18,5426.73,55
CDM,27800208,"HC Shell Implant,Spinal Cage Cat 1",3318.165,1990.8999999999999,431.97,3276.26,110
CDM,27800209,"HC Shell Implant,Spinal Cage Cat 10",13510.0,8106.0,2296.7,10808.0,55
CDM,27800214,"HC Shell Implant,Spinal Cage Cat 17",34736.14,20841.68,5905.14,27788.91,55
CDM,27800215,"HC Shell Implant,Spinal Cage Cat 2",6422.97,3853.78,1091.9,5138.38,55
CDM,27800217,"HC Shell Implant,Spinal Cage Cat 4",8835.54,5301.325,1380.54,7640.21,110
CDM,27800218,"HC Shell Implant,Spinal Cage Cat 5",10296.94,6178.16,1750.48,8237.55,55
CDM,27800219,"HC Shell Implant,Spinal Cage Cat 6",10295.39,6177.23,1683.15,10721.66,275
CDM,27800220,"HC Shell Implant,Spinal Cage Cat 7",14363.06,8617.84,2278.35,13247.52,165
CDM,27800221,"HC Shell Implant,Spinal Cage Cat 8",16559.4,9935.64,2815.1,13247.52,55
CDM,27800223,"HC Shell Implant,Spinal Connector",509.77,305.86,86.66,407.82,55
CDM,27800225,"HC Shell Implant,Spinal Rod Connector",3842.8999999999996,2305.74,372.78,3582.51,440
CDM,27800226,"HC Shell Implant,Spinal,Rod Cat 1",506.06500000000005,303.64,54.02,3148.4,550
CDM,27800227,"HC Shell Implant,Spinal,Rod Cat 10",4175.2,2505.12,709.78,3340.16,55
CDM,27800228,"HC Shell Implant,Spinal,Rod Cat 11",5625.45,3375.27,956.33,4500.36,55
CDM,27800232,"HC Shell Implant,Spinal,Rod Cat 16",9700.18,5820.110000000001,1601.13,7985.57,110
CDM,27800233,"HC Shell Implant,Spinal,Rod Cat 2",777.255,466.355,124.26,896.9,220
CDM,27800234,"HC Shell Implant,Spinal,Rod Cat 3",1078.0,646.8,124.26,2112.19,275
CDM,27800235,"HC Shell Implant,Spinal,Rod Cat 4",1712.24,1027.345,190.59,1426.06,220
CDM,27800236,"HC Shell Implant,Spinal,Rod Cat 5",2463.23,1477.94,183.26,2112.19,165
CDM,27800240,"HC Shell Implant,Spinal,Rod Cat 9",3972.54,2383.52,675.33,3178.03,55
CDM,27800250,HC Shell Monotube Blue/Red Dynamic Tube,5921.31,3552.79,1006.62,4737.05,55
CDM,27800252,HC Shell Monotube Red Pin Clamp,1984.27,1190.565,154.43,2448.09,110
CDM,27800253,HC Shell Montube Yellow Pin Clamp,2137.4,1282.44,363.36,1709.92,55
CDM,27800263,"HC Shell Post, Angled/Straight",293.15,175.89,49.84,234.52,55
CDM,27800266,"HC Shell Ring,Edwards,Cosgrove/Carpente",9260.0,5556.0,1574.2,7408.0,55
CDM,27800270,HC Shell Rod Rush 1/8,298.14,178.88,35.09,407.82,495
CDM,27800271,HC Shell Rod Prelordosed 85mm,1932.8899999999999,1159.735,124.26,3263.22,220
CDM,27800272,"HC Shell Set, Introducer",555.3,333.18,76.69,1509.2,330
CDM,27800273,"HC Shell Shaft, Femur",12699.400000000001,7619.639999999999,2129.37,10298.48,110
CDM,27800299,HC TRUFILL LIQUID EMBOLIC AGENT/S,9743.95,5846.37,1656.47,7795.16,55
CDM,27800300,"HC Shell Q4122, Dermacell per Sq Cm, Breast Reconstruciton",161.64,96.98,15.67,268.77,204
CDM,27800308,HC Shell Valve Cfs,3129.71,1877.83,532.05,2503.77,55
CDM,27800309,HC Shell Valve Mechanical Heart,20458.0,12274.8,3477.86,16366.4,55
CDM,27800315,HC Shell Wire Spinal Fix Ss Isol,426.6,255.96,46.01,740.4,165
CDM,27800316,HC Shell Xfix Rod Carbon/Alum,321.04,192.62,54.58,256.83,55
CDM,27800317,HC Shell Yasargil Aneurysm Clip,1674.19,1004.51,256.27,1440.1,275
CDM,27800328,HC CAMINO MONITORING PRESSURE W/BOLT FITTING,3822.43,2293.46,649.81,3057.94,55
CDM,27800331,"HC CATH, BI-CAVAL AVALON DUAL LUMEN",8327.55,4996.53,1415.68,6662.04,55
CDM,27800332,"HC Shell Implant,Spinal Plate/Spacer",22077.27,13246.36,1601.13,27788.91,110
CDM,27800370,HC BARRIER INTERCEED,1211.14,726.68,205.89,968.91,50
CDM,27800374,"HC CATHETER,HSG BALLOON SILICONE",186.0,111.6,31.62,148.8,55
CDM,27800438,"HC CATHETER,BALLOON DORADO",91.5,54.9,15.55,7411.0,39
CDM,27800464,"HC BALLOON,MINI TREK",584.76,350.86,99.41,7411.0,39
CDM,27800471,"HC CATH, BALLOON DILATOR ESOPH",912.91,547.75,155.19,7411.0,39
CDM,27800481,"HC KIT,TRIPLE LUMEN CATH POWER TR",536.03,321.62,91.13,428.82,55
CDM,27800482,"HC CATHETER, DIALYSIS VAS-CATH",1266.98,760.19,215.39,1013.58,55
CDM,27800485,"HC CATHETER,PALINDROME SPORT PACK",1778.65,1067.19,302.37,1422.92,55
CDM,27800507,HC VASCULAR PLUG,3548.93,2129.36,603.32,2839.14,55
CDM,27800508,"HC CLOSURE DEVICE, 6FR PERCLOSE",1266.98,760.19,215.39,1013.58,55
CDM,27800511,"HC CLOSURE DEVICE,ANGIO-SEAL STS",950.24,570.14,161.54,760.19,55
CDM,27800591,"HC STENT,COVERED VIABIL",9724.54,5834.72,1653.17,7779.63,55
CDM,27800592,"HC STENT,PROMUS(DRUG ELUTING)",2964.5,1778.7,503.96,2371.6,55
CDM,27800612,"HC STENT, XACT CAROTID",7171.89,4303.13,1219.22,5737.51,55
CDM,27800615,"HC STENT,BILIARY WALLFLIX ENTRL",10017.0,6010.2,1702.89,8013.6,55
CDM,27800628,"HC STENT,PROTEGE EVERFLEX 100MM",4235.0,2541.0,719.95,3388.0,55
CDM,27800632,"HC STENT,INTEGRITY/DRIVER",3345.65,2007.39,568.76,2676.52,55
CDM,27800634,"HC STENT, ESOPHAGEAL COVERED",3705.0,2223.0,629.85,2964.0,55
CDM,27800635,"HC STENT, VISI-PRO BILIARY",2900.98,1740.59,493.17,2320.78,55
CDM,27800641,"HC STENT,ESOPHAGEAL",6774.0,4064.4,1151.58,5419.2,55
CDM,27800648,"HC FILTER,OPTION VENA CAVA",3568.95,2141.37,606.72,2855.16,55
CDM,27800713,HC URETERAL STENTS,669.55,401.73,113.82,535.64,55
CDM,27800714,"HC STENT,COTTON-LEUNG",379.57,227.74,64.53,303.66,55
CDM,27800715,"HC STENT,GEENN,ZIMMON,SOLUS",507.87,304.72,86.34,406.3,55
CDM,27800735,"HC Catheter,Nephrostomy Malecot",581.83,349.1,98.91,465.46,55
CDM,27800751,"HC KIT,LEAD NEUROSTIMULATOR TEST",2541.0,1524.6,431.97,2032.8,55
CDM,27800754,HC CATHETER PACING,998.97,599.38,169.82,7411.0,39
CDM,27800781,"HC STENT,PANCREATIC ZIMM/FREEMN",263.84,158.3,44.85,211.07,55
CDM,27800783,"HC STENT,WALLSTENT",3409.18,2045.51,579.56,2727.34,55
CDM,27800840,HC ERX BONE CEMENT,7086.24,4251.74,1204.66,5668.99,55
CDM,27800869,"HC CATHETER,DIALYSIS NEXTSTEP",1007.0,604.2,171.19,805.6,55
CDM,27800889,HC COOK EVOLUTION BILIARY STENT,5159.68,3095.81,877.15,4127.74,55
CDM,27800897,"HC Catheter,P3 Balloon Dilation",943.25,565.95,160.35,754.6,55
CDM,27800909,"HC BRACHYTHERAPY SOURCE,HDR,IR-192 PER SOURCE",1318.15,790.89,224.09,1059.45,69
CDM,27800924,"HC KIT,CATHETER HEMODIALYSIS",1266.98,760.19,215.39,1013.58,55
CDM,27800957,HC CATHETER SET PUMP VENTRICULAR ASSIST IMPELLA,84975.0,50985.0,14445.75,67980.0,55
CDM,27800966,"HC DILATOR,BALLOON",1698.0,1018.8,288.66,7411.0,39
CDM,27800980,"HC TRAY, CHEST TUBE",392.0,235.2,66.64,313.6,55
CDM,27801010,HC REVEAL LNQ11 CARDIAC MONITOR (LAW230141),15295.5,9177.3,2600.24,12236.4,55
CDM,27801048,HC EVENT RECORDER DEVICE,12370.0,7422.0,2102.9,9896.0,55
CDM,27801183,HC SUPERA SELF EXPANDING STENT,4741.61,2844.97,806.07,3793.29,55
CDM,27801211,HC GORE PERIPHERAL COVERED STENT 5X2.5/6X2.5,10319.36,6191.62,1754.29,8255.49,55
CDM,27801220,HC CARDIOMEMS MONITORING DEVICE (IMPLANT),76477.5,45886.5,13001.17,61182.0,55
CDM,27801249,HC Shell Metatarsal Joint Implant,4990.025,2994.015,251.84,9465.54,770
CDM,27801253,"HC Shell C1713, Anchor/Screw, Bone-to-Bone or Soft Tissue-to-Bone (Implt)",1778.65,1070.6399999999999,0.0017,49180.13,304975
CDM,27801258,"HC Shell C1722, Cardioverter-Defibrillator, Single Chamber (Implantable)",40108.2,24064.92,5157.71,39530.4,165
CDM,27801259,"HC Shell C1725, Catheter, Transluml Angio, Nonlaser (Guidance,Inf/Perf Cap)",1019.84,611.905,81.79,2371.6,550
CDM,27801260,"HC Shell C1726, Catheter, Balloon Dilatation, Nonvascular",1193.89,716.33,141.11,4394.22,275
CDM,27801262,"HC Shell C1728, Catheter, Brachytherapy Seed Administration",1870.33,1122.2,0.0017,2666.88,385
CDM,27801263,"HC Shell C1729, Catheter, Drainage",534.6,320.76,10.1,1767.22,385
CDM,27801264,"HC Shell C1730, Catheter, Ep, Diagnostic, Other Than 3d Mapping (<19 Elec)",2335.025,1401.015,85.43,3388.0,220
CDM,27801265,"HC Shell C1750, Catheter, Hemodialysis/Peritoneal, Long-Term",1535.0,921.0,48.78,7315.4,4565
CDM,27801267,"HC Shell C1756, Catheter, Pacing, Transesophageal",484.4,290.64,82.35,387.52,55
CDM,27801268,"HC Shell C1757, Catheter, Thrombectomy/Embolectomy",6628.05,3976.83,27.91,38884.56,385
CDM,27801269,"HC Shell C1758, Catheter, Ureteral",105.71,63.43,7.84,778.4,3025
CDM,27801270,"HC Shell C1760, Closure Device, Vascular (Implantable/Insertable)",1047.375,628.425,72.71,6667.2,1100
CDM,27801271,"HC Shell C1762, Connective Tissue, Human (Includes Synthetic)",6921.85,4153.11,114.32,27709.46,3905
CDM,27801272,"HC Shell C1763, Connective Tissue, Nonhuman (Includes Fascia Lata)",4693.2,2815.92,15.57,40135.39,2585
CDM,27801273,"HC Shell C1764, Event Recorder, Cardiac (Implantable)",12916.2,7749.72,164.93,12595.34,605
CDM,27801274,"HC Shell C1765, Adhesion Barrier",1349.8200000000002,809.89,33.62,3034.4,500
CDM,27801276,"HC Shell C1767, Generator, Neurostimulator (Implt), Nonrechargeable",55651.05,33390.63,4527.78,72903.18,1705
CDM,27801277,"HC Shell C1768, Graft, Vascular",5351.73,3211.035,11.98,67980.0,12870
CDM,27801278,"HC Shell C1769, Guide Wire",454.41,272.65,38.34,1375.74,495
CDM,27801280,"HC Shell C1771, Repair Device, Urinary, Incontinence, With Sling Graft",4689.23,2813.54,218.7,22085.62,1650
CDM,27801281,"HC Shell C1772, Infusion Pump, Programmable, Implantable",33990.0,20394.0,4641.0,32086.56,165
CDM,27801283,"HC Shell C1776, Joint Device (Implantable)",6745.01,4047.19,0.0017,67980.0,85580
CDM,27801284,"HC Shell C1777, Lead, Cardio-Defibrillator, Endocardial Single Coil (Implt)",10456.615,6273.97,366.52,13582.41,330
CDM,27801285,"HC Shell C1778, Lead, Neurostimulator (Implantable)",9653.16,5791.9,0.0017,27192.0,2695
CDM,27801287,"HC Shell C1781, Mesh (Implantable)",3433.2,2059.92,27.41,67980.0,21340
CDM,27801288,"HC Shell C1783, Ocular Implant, Aqueous Drainage Assist Device",4652.425,2791.455,431.97,6730.02,440
CDM,27801289,"HC Shell C1784, Ocular Device, Intraoperative, Detached Retina",3599.75,2159.85,9.88,43985.78,385
CDM,27801290,"HC Shell C1787, Patient Programmer, Neurostimulator",4235.0,2541.0,0.0017,47586.0,825
CDM,27801291,"HC Shell C1788, Port, Indwelling (Implantable)",1583.73,950.24,50.17,4078.8,2145
CDM,27801292,"HC Shell C1789, Prosthesis, Breast (Implantable)",3811.5,2286.9,49.84,13867.92,4015
CDM,27801293,"HC Shell C1813, Prosthesis, Penile, Inflatable",34955.32,20973.190000000002,0.0017,48738.94,1650
CDM,27801294,"HC Shell C1815, Prosthesis, Urinary Sphincter (Implantable)",11459.25,6875.55,1495.48,18395.39,385
CDM,27801296,"HC Shell C1817, Septal Defect Implant System, Intracardiac",22229.46,13337.68,84.57,28551.6,935
CDM,27801297,"HC Shell C1819, Surgical Tissue Localization and Excision Device (Implt)",31932.13,19159.28,21.39,30576.0,275
CDM,27801298,"HC Shell C1820, Generator, Neurostim (Implt), W Recharg Batt/Charg System",47847.75,28708.65,0.8228,67980.0,2090
CDM,27801299,"HC Shell C1821, Interspinous Process Distraction Device (Implantable)",9721.14,5832.68,32.39,15440.0,275
CDM,27801300,"HC Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys",72170.965,43302.58,10092.38,67980.0,110
CDM,27801302,"HC Shell C1874, Stent, Coated/Covered, With Delivery System",9657.72,5794.63,1.03,67980.0,14465
CDM,27801303,"HC Shell C1875, Stent, Coated/Covered, Without Delivery System",7702.98,4621.79,81.79,10973.14,495
CDM,27801304,"HC Shell C1876, Stent, Noncoated/Noncovered, With Delivery System",5439.325,3263.5950000000003,44.85,46938.83,11880
CDM,27801305,"HC Shell C1877, Stent, Noncoated/Noncovered, Without Delivery System",4006.4750000000004,2403.885,91.13,6390.12,880
CDM,27801306,"HC Shell C1878, Material for Vocal Cord Medialization, Synthetic, (Implt)",1954.07,1172.44,216.25,2490.18,495
CDM,27801307,"HC Shell C1880, Vena Cava Filter",4051.25,2430.75,90.88,4554.66,935
CDM,27801308,"HC Shell C1881, Dialysis Access System (Implantable)",6137.665,3682.6,719.95,6432.26,110
CDM,27801309,"HC Shell C1882, Cardio-Defibrillator, Not Single or Dual Chamber (Implt)",53279.325,31967.595,5200.47,47496.26,220
CDM,27801310,"HC Shell C1883, Adaptor/Extension, Pacing Lead or Neurostim Lead (Implt)",2679.01,1607.4099999999999,397.67,2415.01,110
CDM,27801311,"HC Shell C1884, Embolization Protective System",5081.51,3048.91,72.71,9517.2,935
CDM,27801312,"HC Shell C1887, Catheter, Guiding (May Incl Infusion/Perfusion Capability)",682.605,409.565,44.85,3303.3,220
CDM,27801315,"HC Shell C1894, Intro/Sheath, Other Than Guid, Not Intracard Ep, Nonlaser",296.97,178.18,12.84,664.05,605
CDM,27801316,"HC Shell C1895, Lead, Cardiovert-Defib, Endocard Dual Coil (Implnt)",9088.93,5453.360000000001,323.08,10808.0,330
CDM,27801318,"HC Shell C1897, Lead, Neurostimulator Test Kit(Implantable)",925.87,555.52,0.0017,10761.68,1320
CDM,27801319,"HC Shell C1898, Lead, Pacemaker, Other Than Transvenous Vdd Single Pass",1863.9250000000002,1118.355,194.68,1754.28,330
CDM,27801320,"HC Shell C1899, Lead, Pacemaker/Cardioverter-Defibrillator Combo (Implt)",8497.5,5098.5,1444.58,6798.0,55
CDM,27801321,"HC Shell C1900, Lead, Left Ventricular Coronary Venous System",8529.25,5117.55,1062.59,8646.4,110
CDM,27801322,"HC Shell C2613, Lung Bopsy Plug With Delivery System",1705.55,1023.33,289.94,1364.44,50
CDM,27801323,"HC Shell C2615, Sealant, Pulmonary, Liquid",4216.195,2529.715,713.56,3388.0,110
CDM,27801325,"HC Shell C2622, Prosthesis, Penile, Noninflatable",25348.62,15209.17,0.0017,31266.4,385
CDM,27801326,"HC Shell C2624, Impl Wireless Pulm Art Pressure Sens W Deliv Cath, Incl Sys",76477.5,45886.5,13001.17,61182.0,55
CDM,27801327,"HC Shell C2625, Stent, Noncoronary, Temporary, With Delivery System",626.6600000000001,375.995,4.4,4894.56,2420
CDM,27801328,"HC Shell C2626, Infusion Pump, Nonprogrammable, Temporary (Implantable)",507.87,304.72,53.09,468.92,165
CDM,27801329,"HC Shell C2627, Catheter, Suprapubic/Cystoscopic",297.67,178.6,21.14,1703.24,825
CDM,27801330,"HC Shell C2628, Catheter, Occlusion",4284.4400000000005,2570.665,75.43,65260.8,990
CDM,27801331,"HC Shell C2629, Intro/Sheath, Not Guiding, Not Intracardiac Ep, Laser",846.4,507.84,143.89,677.12,55
CDM,27801347,"HC Shell, No Hcpcs, 278 Rev Code, Implt (Only Items Validated W/O Hcpcs)",3907.72,2344.63,0.0017,245409.6,102245
CDM,27801348,"HC Shell C2617, Stent, Noncoronary, Temporary, Without Delivery Sys",714.7950000000001,428.88,12.35,8160.32,9790
CDM,27801349,HC PROTÉGÉ STENT 7X200X120/5X100X120,10468.92,6281.35,1779.72,8375.14,55
CDM,27801352,"HC SJM SPINAL CORD STIMULATOR LEAD, OCTRODE",5081.51,3048.91,863.86,4065.21,55
CDM,27801357,HC BS STENT AXIOS W/ELECTROCAUTERY DELIVERY SYSTEM,14955.6,8973.36,2542.45,11964.48,55
CDM,27801357,HC BS Stent Axios W/Electrocautery Delivery System,1705.55,1023.33,289.94,1364.44,55
CDM,27801367,HC STENT BILIARY PROXIMAL/DISTAL FLAP COTTON-LEUNG 10 FR X 5 CM,263.84,158.3,44.85,211.07,55
CDM,27801368,"HC GEENEN STENT PANCREATIC, 3-5FR, GEPD 3-5-9",586.15,351.69,99.65,468.92,55
CDM,27801374,"HC Boston Peripheral Stent, Expding, Non-Coated",29503.32,17701.99,5015.56,23602.66,55
CDM,27801379,HC STENT DOUBLE ENDED FLAP GEENEN W/GUIDEWIRE GUIDING AND PUSHING CATH,586.15,351.69,99.65,468.92,55
CDM,27801428,HC BS IMAGER II CATHETER PIG TAIL,64.57,38.74,10.98,51.66,55
CDM,27801465,HC MERIT MEDICAL SHEATH INTRODUCER,127.38,76.43,21.65,7411.0,39
CDM,27801473,HC MERIT MEDICAL CATHETER ANGIOGRAPHY DIAGNOSTIC PERIPHERAL BERN IMPRESS,381.7,229.02,64.89,305.36,55
CDM,27801477,"HC Shell L8680, Nevro Implantable Neurostimulator Lead",9857.1,5914.26,619.16,9517.2,165
CDM,27801480,"HC Shell L8630, Metacarpophalangeal Implant",4930.299999999999,2958.18,659.47,8451.27,660
CDM,27801483,"HC Shell, L8610, Ocular Implant",3197.05,1918.23,72.71,2879.8,330
CDM,27801485,"HC GENZYME BARRIER ADHESION SEPRAFILM 5"" X 6""",1493.41,896.05,253.88,1194.73,55
CDM,27801487,HC BS WALLFLEX BILIARY STENT,8052.26,4831.36,1368.88,6441.81,55
CDM,27801493,"HC Shell L8699, Prosthetic Implant, Not Otherwise Specified",7921.01,4752.605,77.25,15748.8,440
CDM,27801509,HC EDWARDS CATH SWAN-GANZ THERMODILUTION,1025.66,615.4,174.36,820.53,55
CDM,27801510,HC INTEGRA SET CATH VENTRICULAR TRAUMACATH,926.26,555.76,157.46,741.01,55
CDM,27801519,"HC Shell L8613, Ossicular Implant",1871.23,1122.7350000000001,113.08,1929.71,1540
CDM,27801526,HC GORE STENT BILIARY ENDOSCOPIC ENDOPROSTHESIS VIABIL,7137.9,4282.74,1213.44,5710.32,55
CDM,27801531,HC MICRO SENSOR KIT,3223.0,1933.8,547.91,2578.4,55
CDM,27801534,"HC Shell L8600, Implantable Breast Prosthesis, Silicone or Equal",3715.4,2229.24,152.43,14153.44,1320
CDM,27801541,HC MEDTRONIC STENT PROTEGE EVERFLEX SELF EXP (5/120/80),3599.75,2159.85,611.96,2879.8,55
CDM,27801548,HC COOK EVOLUTION COLONIC CONTROLLED-RELEASE STENT,6628.05,3976.83,1126.77,5302.44,55
CDM,27801550,"HC Shell E0749, Osteogenesis Stimulator",19034.4,11420.64,515.36,15227.52,55
CDM,27801556,"HC Shell L8690, Auditory Osseointegrated Device, W/Int and Ext Comp (Baha)",14581.71,8749.03,767.59,29190.62,605
CDM,27801574,HC CATH TEMPO BERN 4FRX100CM,95.96,57.58,16.31,76.77,55
CDM,27801602,HC GW VASC AMPTZ SUP STIFF 75CM 6CM .035IN SS PTFE CTD STR,235.22,141.13,39.99,188.18,55
CDM,27801613,"HC Shell A4648, Tissue Marker",438.37,263.02,11.29,8492.0,2035
CDM,27801616,HC Shell Total Hip 1 Dual Mobility Implant,13848.53,8309.12,2354.25,11078.82,55
CDM,27801617,HC Shell Total Hip 2 Primary Implant,12629.57,7577.74,2147.03,10103.66,55
CDM,27801618,HC Shell Total Hip 3 and 4 Hemiarthorplasty,5438.4,3263.04,924.53,4350.72,55
CDM,27801623,HC Shell Total Knee 1 Non-Cemented Implant,12587.02,7552.21,2139.79,10069.62,55
CDM,27801624,HC Shell Total Knee 2 Cemented Implant,11343.16,6805.9,1928.34,9074.53,55
CDM,27801625,HC Shell Total Knee 3 Poly Implant,21375.0,12825.0,3633.75,17100.0,55
CDM,27801626,HC Shell Revision Tibia Knee Component,5483.31,3289.99,932.16,4386.65,55
CDM,27801631,HC LIGATOR 6 SHOOTER,894.65,536.79,152.09,715.72,55
CDM,27801637,"HC SET, MCNAMARA-CRAGG INFUSION",623.74,374.24,106.04,498.99,55
CDM,27801640,HC PLEXA PRO MRI LEAD BIOTRONIK,7477.8,4486.68,1271.23,5982.24,55
CDM,27801646,HC Shell C1883 Adapter/Extension Neurostim Lead,2778.0,1666.8,49.84,47586.0,1485
CDM,27801647,HC SNARE ENDOVASCULAR ENSNARE,1612.96,967.78,274.2,1290.37,55
CDM,27801650,HC STENT REBEL BS,2095.39,1257.23,356.22,1676.31,55
CDM,27801653,HC HEARTMATE 3 MODULAR CABLE,19107.0,11464.2,3248.19,15285.6,55
CDM,27801658,"HC Shell, Total Shoulder",21506.85,12904.11,3656.16,17205.48,55
CDM,27801659,"HC Shell, Reverse Shoulder",25046.79,15028.07,4257.95,20037.43,55
CDM,27801671,"Shell C1889, Implant/Insert Device, Not Otherwise Classified",10706.85,6424.11,103.55,14955.6,385
CDM,27801674,"HC C1751, Cath, Inf, per/Cent/Midline",658.975,395.385,18.18,7872.09,9460
CDM,27801695,"HC Shell Q4116, Alloderm per Sqcm, Breast",163.48,100.465,12.3,15133.67,1156
CDM,27801696,"HC Shell C1814, Retinal Tamponade Device, Silicone Oil",2079.94,1247.96,347.06,1920.04,165
CDM,27801697,"HC Shell C9353, Microporous Collagen Implantable (Neurawrap) per Centimeter",5543.77,3326.26,942.44,4435.02,55
CDM,27801698,"HC Shell C9399, Unclassified Drugs or Biologicals",5667.835,3400.7,2.4,10332.96,550
CDM,27801699,HC MIDLINE CATHETER POWERLINE BARD,779.68,467.81,132.55,623.74,55
CDM,27801700,HC CATHETER BILIARY FLEXIMA,374.22,224.53,63.62,299.38,55
CDM,27801701,HC VAD IMPELLA ABIOMED,4235.0,2541.0,719.95,3388.0,55
CDM,27801702,HC CVC MULTI LUMEN ARROW,573.06,343.84,97.42,458.45,55
CDM,27801704,HC CENTRAL VENOUS CATH KIT,534.6,320.76,90.88,427.68,55
CDM,27801705,"HC CATH, SINGLE LUMEN PICC",269.11,161.47,45.75,215.29,55
CDM,27801706,"HC CATH,SINGLE LUMEN PICC-POWER",1016.51,609.91,172.81,813.21,55
CDM,27801707,"HC KIT, TRIPLE-LUMEN CATH W/ARROW",574.01,344.41,97.58,459.21,55
CDM,27801708,"HC KIT, TRIPLE-LUMEN CATH W/ARROWG",471.2,282.72,80.1,376.96,55
CDM,27801709,HC CENTRAL VENOUS CATH,864.27,518.56,146.93,691.42,55
CDM,27801710,"HC BARD POWERGLIDE PRO MIDLINE CATHETER, FULL TRAY",507.87,304.72,86.34,406.3,55
CDM,27801711,"HC BARD POWERGLIDE PRO MIDLINE CATHETER, BASIC TRAY",310.07,186.04,52.71,248.06,55
CDM,27801712,"HC TYRX PACEMAKER ANTIBACTERIAL ENVELOPE, ABSORB LG",4213.83,2528.3,716.35,3371.06,55
CDM,27801713,HC IV PICC CATHETER,268.03,160.82,45.57,214.42,55
CDM,27801714,HC HEMODIALYSIS/PERITONEAL CATH,485.04,291.02,82.46,388.03,55
CDM,27801715,"HC CATHETER, CENTRAL VENOUS,HOHN",978.5,587.1,166.34,782.8,55
CDM,27801716,"HC CATH,DOUBLE LUMEN PICC",441.05,264.63,74.98,352.84,55
CDM,27801717,HC SINGLE LUMEN PICC,534.6,320.76,90.88,427.68,55
CDM,27801718,HC COOK KIT CATH CENTRAL VENOUS DOUBLE LUMEN PEDIATRIC,759.6,455.76,129.13,607.68,55
CDM,27801719,"HC TUBE EAR VENT PAPARELLA DISPENSER, SILICONE",86.13,51.68,14.64,68.9,55
CDM,27801720,"HC CATH,LUMEN PICC-MAX BARRIER",1049.64,629.78,178.44,839.71,55
CDM,27801721,"HC CATH,DOUBLE LUMEN PICC-POWER",422.87,253.72,71.89,338.3,55
CDM,27801722,"HC CATH,DIALYSIS ARROWGARD",444.5,266.7,75.56,355.6,55
CDM,27801723,"HC Shell C1752, Catheter, Hemodialysis/Peritoneal, Short-Term",697.1800000000001,418.30499999999995,90.88,860.46,550
CDM,27801728,HC CVC SINGLE LUMEN 4.2FR BARD,614.0,368.4,104.38,491.2,55
CDM,27801729,HC CVC TRAY 2.7 FR 71 CM BARD (LAW102489),411.64,246.98,69.98,329.31,55
CDM,27801731,HC PICC TRAY 5FR DUAL LUMEN (2 LUMENS),1049.64,629.78,178.44,839.71,55
CDM,27801732,"HC CATH, POWER PICC 5F (3 LUMENS)",1216.79,730.07,206.85,973.43,55
CDM,27801733,HC CATH POWER MIDLINE 4F SINGLE LUMEN,648.11,388.87,110.18,518.49,55
CDM,27801734,"HC GLIDE BASIC POWER 20, 8CM KIT",263.84,158.3,44.85,211.07,55
CDM,27801735,"HC GLIDE KIT BASIC POWER 20, 10CM",263.84,158.3,44.85,211.07,55
CDM,27801736,"HC CATH MIDLINE PWRGLID 18, 8 CM BASIC",263.84,158.3,44.85,211.07,55
CDM,27801737,"HC CATH MIDLINE PWRGLID 18, 10CM",263.84,158.3,44.85,211.07,55
CDM,27801738,HC MEDTRONIC STENT PROTEGE EVERFLEX SELF EXP 5 FR,3214.37,1928.62,546.44,2571.5,55
CDM,27801739,HC MEDTRONIC STENT PROTEGE EVERFLEX SELF EXP 8 FR,10468.92,6281.35,1779.72,8375.14,55
CDM,27801740,HC MEDTRONIC STENT PROTEGE EVERFLEX SELF EXP 6 FR,2900.8,1740.48,493.14,2320.64,55
CDM,27801741,HC AMPLIA MEDTRONIC,52292.31,31375.39,8889.69,41833.85,55
CDM,27801742,HC COMPIA MEDTRONIC,47934.6,28760.76,8148.88,38347.68,55
CDM,27801743,HC CLARIA MEDTRONIC,54471.15,32682.69,9260.1,43576.92,55
CDM,27801744,HC VASCADE CLOSURE SYSTEM,998.97,599.38,169.82,799.18,55
CDM,27801745,HC SIERRA XIENCE EVEROLIMUS STENT,3176.25,1905.75,539.96,2541.0,55
CDM,27801746,HC SPONGE SURGICEL 8X4IN,300.71,180.43,51.12,240.57,55
CDM,27801747,HC BARD MIDLINE PROVENA 3F CATHETER,694.06,416.44,117.99,555.25,55
CDM,27801748,HC BARD PROVENA MIDLINE CATHETER 4F DL (LAW519940),829.92,497.95,141.09,663.94,55
CDM,27801749,HC BARD POWERPICC 4F CATHETER,1062.46,637.48,180.62,849.97,55
CDM,27801750,HC BARD POWERPICC SOLO 4F CATHETER,1128.73,677.24,191.88,902.98,55
CDM,27801751,HC BARD POWERPICC PROVENA 4F CATHETER,1099.88,659.93,186.98,879.9,55
CDM,27801752,HC BARD POWERPICC SOLO 5F CATHETER,1190.04,714.02,202.31,952.03,55
CDM,27801753,HC BARD POWERPICC PROVENA 5F CATHETER,1320.05,792.03,224.41,1056.04,55
CDM,27801754,HC BARD POWERPICC SOLO PROVENA 5F CATHETER,1410.2,846.12,239.73,1128.16,55
CDM,27801755,"HC CONFIRM RX, DM3500 CARDIAC MONITOR",15635.4,9381.24,2658.02,12508.32,55
CDM,27801756,HC BS STENT ULTRAFLEX COVERED ESOPHAGEAL STENT,8277.0,4966.2,1407.09,6621.6,55
CDM,27801757,HC BS DOUBLE PIGTAIL BILIARY STENT,293.15,175.89,49.84,234.52,55
CDM,27801758,HC BOSTON SCIENTIFIC STENT ADVANIX DOUBLE PIGTAIL (ALL SIZES),293.15,175.89,49.84,234.52,55
CDM,27801759,HC BS ADVANIX CENTER BEND BILIARY STENT,293.15,175.89,49.84,234.52,55
CDM,27801760,HC BS PERCUFLEX DEODENAL BEND BILIARY STENT,290.51,174.31,49.39,232.41,55
CDM,27801761,HC BS PERCUFLEX DUODENAL BEND BILIARY STENT,458.15,274.89,77.89,366.52,55
CDM,27801762,HC BS ADVANIX RX PRELOADED DUODENAL BEND BILIARY STENT,636.32,381.79,108.17,509.06,55
CDM,27801763,HC BS ADVANIX RX PRELOADED CENTER BEND BILIARY STENT,636.32,381.79,108.17,509.06,55
CDM,27801764,HC BS NAVIFLEX RX PANCREATIC STENT DELIVERY SYSTEM,391.92,235.15,66.63,313.54,55
CDM,27801765,"HC BS ADVANIX PANCREATIC STENT 5F, STRAIT LEADING BARB",409.61,245.77,69.63,327.69,55
CDM,27801766,"HC BS ADVANIX PANCREATIC STENT 7F, STRAIT LEADING BARB",462.8,277.68,78.68,370.24,55
CDM,27801767,"HC BS ADVANIX PANCREATIC STENT 10F, STRAIT LEADING BARB",462.8,277.68,78.68,370.24,55
CDM,27801768,"HC BS ADVANIX PANCREATIC STENT, S PINGTAIL NO LEADING BARB",409.61,245.77,69.63,327.69,55
CDM,27801769,"HC BS ADVANIX PANCREATIC STENT 5F, SINGLE PINGTAIL LEADING BARB",409.61,245.77,69.63,327.69,55
CDM,27801770,"HC BS ADVANIX PANCREATIC STENT, SINGLE PIGTAIL",462.8,277.68,78.68,370.24,55
CDM,27801771,"HC BS ADVANIX PANCREATIC STENT 7F, SINGLE PINGTAIL LEADING BARB",462.8,277.68,78.68,370.24,55
CDM,27801772,"HC BS ADVANIX PANCREATIC STENT 5F, RX PIGTAIL, LEADING BARB",826.02,495.61,140.42,660.82,55
CDM,27801773,HC BS FLEXIMA PRELOADED DUODENAL BEND BILIARY STENT,483.92,290.35,82.27,387.14,55
CDM,27801774,"HC BS BALLOON DILATATION CATHTER, RIGIFLEX II (LAW520160)",2604.53,1562.72,442.77,7411.0,39
CDM,27801775,HC BOSTON SCI EPIC BILIARY STENT (LAW520176),5081.51,3048.91,863.86,4065.21,55
CDM,27801776,HC BARD 5F TRIPLE LUMEN PROVENA POWERPICC W/SHERLOCK KIT,1265.52,759.31,215.14,1012.42,55
CDM,27801777,"HC Shell, Q4128, Breast Recon, Flex Hd, Allopatch Hd,Matrix Hd per Sqcm",109.19,65.51,10.05,91.07,165
CDM,27801778,HC TORNADO PLATINUM EMBOLIZATION COIL,534.6,320.76,90.88,427.68,55
CDM,27801779,HC TORNADO PLATINUM EMBOLIZATION MICROCOIL,534.6,320.76,90.88,427.68,55
CDM,27801780,HC PLATINUM NESTER COILS 20CM EXTENDED LENGTH,647.91,388.75,110.14,518.33,55
CDM,27801781,HC PLATINUM NESTER COILS 14CM EXTENDED LENGTH,534.6,320.76,90.88,427.68,55
CDM,27801782,HC PLATINUM MICRO NESTER COIL 7CM EXTENDED LENGTH,533.1,319.86,90.63,426.48,55
CDM,27801783,HC PLATINUM MICRO NESTER COIL 3CM EXTENDED LENGTH,488.68,293.21,83.08,390.94,55
CDM,27801784,"HC Shell C1823, Gnrtr Neurostm, N-Rchrgbl, W/Trnsvns Snsing & Stmltn Leads",84975.0,50985.0,14445.75,67980.0,50
CDM,27801785,"HC Shell L8614, Cochlear Dvc, Includes All Internal/External Components",50235.0,30141.0,93.35,67980.0,1100
CDM,27801786,HC AMPLATZER ASO OCCLUDER,20394.0,12236.4,3466.98,16315.2,55
CDM,27801787,"HC COIL, COMPLEX HELICAL FIBER PL",346.55,207.93,58.91,277.24,55
CDM,27801788,"HC COIL, TORNADO",534.6,320.76,90.88,427.68,55
CDM,27801789,"HC COIL, AXIUM MICROFX",5448.6,3269.16,926.26,4358.88,55
CDM,27801790,"HC COIL, DELTAPAQ",4235.0,2541.0,719.95,3388.0,55
CDM,27801791,"HC COIL, TARGET 360 SOFT",6723.22,4033.93,1142.95,5378.58,55
CDM,27801792,"HC COIL, TARGET 360 ULTRA",6723.22,4033.93,1142.95,5378.58,55
CDM,27801793,"HC COIL, TARGET HELICAL ULTRA",6723.22,4033.93,1142.95,5378.58,55
CDM,27801794,"HC COIL, AXIUM 3D",4235.0,2541.0,719.95,3388.0,55
CDM,27801795,"HC COIL, MICRUSHERE 10 CERECYTE",5426.64,3255.98,922.53,4341.31,55
CDM,27801796,"HC COIL, PRESIDIO",8403.35,5042.01,1428.57,6722.68,55
CDM,27801797,"HC COIL, PRESIDIO 18 CERECYTE",9869.4,5921.64,1677.8,7895.52,55
CDM,27801798,"HC COIL, INTERLOCK DETACHABLE",2412.14,1447.28,410.06,1929.71,55
CDM,27801799,"HC COIL, STRAIGHT FIBERED PLATINU",261.3,156.78,44.42,209.04,55
CDM,27801800,HC EMBOLIZATION BEAD LC,5948.25,3568.95,1011.2,4758.6,55
CDM,27801801,"HC COIL, EMBOLIZATION, TORNADO",125.84,75.5,21.39,100.67,55
CDM,27801802,"HC PARTICLES,CONTOUR EMBOLIZATION",1184.14,710.48,201.3,947.31,55
CDM,27801803,"HC COIL, EMBOLIZATION (HILAL)",1089.6,653.76,185.23,871.68,55
CDM,27801804,"HC COIL, AZUR",3365.77,2019.46,572.18,2692.62,55
CDM,27801805,"HC COIL,DETACHABLE RETRACTABLE",2752.75,1651.65,467.97,2202.2,55
CDM,27801806,"HC COIL, CABLE, CONNECTING",534.6,320.76,90.88,427.68,55
CDM,27801807,HC AUTOPLEX SYSTEM W/HV CEMENT,3546.81,2128.09,602.96,2837.45,55
CDM,27801808,"HC COIL, AXIUM HELIX NYLON",4235.0,2541.0,719.95,3388.0,55
CDM,27801809,"HC KIT, CEMENT, KYPHO",754.19,452.51,128.21,603.35,55
CDM,27801810,HC LC BEAD 70-150 MICROSPHERES,9347.25,5608.35,1589.03,7477.8,55
CDM,27801811,HC PALINDROME DIALYSIS CATH,1756.72,1054.03,298.64,1405.38,55
CDM,27801812,HC 4FR ANGIOJET ULTRA SPIROFLEX,654.67,392.8,111.29,523.74,55
CDM,27801813,HC STENT GRAFTMASTER OTW CORONARY (2.8/3.5)X16MM,8140.61,4884.37,1383.9,6512.49,55
CDM,27801814,HC GRAFT COOK ILIAC ZENITH SPIRAL,11124.93,6674.96,1891.24,8899.94,55
CDM,27801815,HC MITRACLIP DELIVERY SYSTEM KIT (W/GUIDING CATH),84975.0,50985.0,14445.75,67980.0,55
CDM,27801816,HC TERUMO MISAGO SELF-EXPANDING PERIPHERAL STENT,3049.2,1829.52,518.36,2439.36,55
CDM,27801817,HC DVC ENDOVASC EKOSONC MACH 4 6M,9840.11,5904.07,1672.82,7872.09,55
CDM,27801818,"HC CATHETER, TRIFUSION APHERERIS",400.95,240.57,68.16,320.76,55
CDM,27801819,"HC TRAY, CATHETER ARROWGARD QUAD-",534.6,320.76,90.88,427.68,55
CDM,27801820,"HC INFUSION SET,MULTI SIDEPORT",534.6,320.76,90.88,427.68,55
CDM,27801821,"HC CATHETER,MICROMEWI",808.92,485.35,137.52,647.14,55
CDM,27801822,"HC CATHETER, HICKMAN",1218.25,730.95,207.1,974.6,55
CDM,27801823,HC XACT CAROTID STENT,6984.95,4190.97,1187.44,5587.96,55
CDM,27801824,HC CEMENT DELIVERY SYSTEM KYPHON SZ 2,1779.38,1067.63,302.49,1423.5,55
CDM,27801825,HC BARD 4F SINGLE LUMEN POWERPICC KIT (LAW244488),347.49,208.49,59.07,277.99,55
CDM,27801826,HC BARD 5F DUAL LUMEN POWERPICC KIT,449.06,269.44,76.34,359.25,55
CDM,27801827,HC BARD 5F TRIPLE LUMEN POWERPICC PROVENA,656.88,394.13,111.67,525.5,55
CDM,27801828,HC BARD 5F TRIPLE LUMEN POWERPICC PROVENA W/SHERLOCK KIT,1265.52,759.31,215.14,1012.42,55
CDM,27801829,HC BARD POWERPICC PROVENA MAX BARRIER,1168.3,700.98,198.61,934.64,55
CDM,27801830,HC HEMODIALYSIS CATH MAHURKAR 12FR,599.18,359.51,101.86,479.34,55
CDM,27801831,HC STENT VIATORR,14605.5,8763.3,2482.93,11684.4,55
CDM,27801832,"HC CATHETER, SUPRAPUBIC",534.6,320.76,90.88,427.68,55
CDM,27801833,HC DRAINAGE CATH M DRAIN 10FR W/ LOCKING PIGTAIL,347.49,208.49,59.07,277.99,55
CDM,27801834,HC JUVEDERM ULTRA XC 30G 2X1ML (CSC AND GAR ONLY),2579.12,1547.47,438.45,2063.3,55
CDM,27801837,HC DISC PROSTHESIS PRESTIGE LP MEDTRONIC,13086.15,7851.69,2224.65,10468.92,55
CDM,27801839,HC BILIARY STENT WALLFLEX 10X40,5704.41,3422.65,969.75,4563.53,55
CDM,27801840,HC LOCALIZATION MARKER SAVI SCOUT,2144.12,1286.47,364.5,1715.3,55
CDM,27801841,HC Shell Matrix for Opposing Bone-to-Bone or Soft Tissue to Bone,10197.0,6118.2,414.2,15771.36,275
CDM,27801842,HC STENT COTTON-LEUNG W/ DELIVERY,672.47,403.48,114.32,537.98,55
CDM,27801843,HC KIT ARTIFICIAL HEART CARMAT,639108.0,383464.8,108648.36,511286.4,55
CDM,27801844,HC SYNCARDIA TOTAL ARTIFICIAL HEART SYSTEM,738000.0,442800.0,125460.0,590400.0,55
CDM,27801845,HC LEAD KIT INFINION,2964.5,1778.7,503.96,2371.6,55
CDM,27801847,HC LOCALIZATION MARKER MAMMOSTAR,358.98,215.39,61.03,287.18,55
CDM,27801848,HC IMPELLA 5.5,100860.0,60516.0,17146.2,80688.0,55
CDM,27801849,HC LOCALIZATION MARKER TUNMARK VISION,427.69,256.61,72.71,342.15,55
CDM,27801850,HC HEARTWARE HVAD PUMP,207132.0,124279.2,35212.44,165705.6,55
CDM,27801851,HC HEMODIALYSIS SET DURAFLOW 7FR,293.15,175.89,49.84,234.52,55
CDM,27801852,HC INTRACEREBRAL CATH INTEGRA PUDENZ,754.19,452.51,128.21,603.35,55
CDM,27801853,HC INTRACRANIAL MONITOR CATH CAMINO FLEX,4379.0,2627.4,744.43,3503.2,55
CDM,27801854,HC INTRACRANIAL MONITOR CATH CAMINO OLM,3156.3,1893.78,536.57,2525.04,55
CDM,27801855,"HC Shell Generator, Neurostimulator, Non-Recharge W/ Carotid",84975.0,50985.0,14445.75,67980.0,55
CDM,27801856,HC Shell Intravertebral Body Fracture Augmentation W/ Implant,12642.04,7585.22,719.95,10759.19,165
CDM,27801857,HC VENTRICULAR CATH BACTISEAL EVD,2436.5,1461.9,414.2,1949.2,55
CDM,27801858,HC VENTRICULAR CATH INTEGRA BARIUM,754.19,452.51,128.21,603.35,55
CDM,27801862,HC HEMODIALYSIS CATH 13FR 24CM POWER TRIALYSIS BARD,1096.43,657.86,186.39,877.14,55
CDM,27801863,"HC Shell Stent, Non-Coronary, Temp, W/ Delivery (Propel)",3875.025,2325.0150000000003,647.96,3150.84,110
CDM,27801864,HC MEDTRONIC EXTERNAL NEUROSTIMULATOR,3388.0,2032.8,575.96,2710.4,55
CDM,27801865,HC EVAHEART BLOOD PUMP SET BP310,184500.0,110700.0,31365.0,147600.0,55
CDM,27801866,HC EVAHEART INFLOW CANNULA GU100,8500.0,5100.0,1445.0,6800.0,55
CDM,27801867,HC EVAHEART OUTFLOW GRAFT GU200,4235.0,2541.0,719.95,3388.0,55
CDM,27801868,HC SPACEOAR SYSTEM 10ML (LAW532564),10078.04,6046.82,1713.27,8062.43,55
CDM,27801870,HC PICC CATH POWERGLIDE FULL TRAY W/ GARDIVA 20GA 8CM (LAW530389),363.53,218.12,61.8,290.82,55
CDM,27801871,HC HEMODIALYSIS CATH SLIM-CATH 3 LUMEN 12FR 30CM (MANF# 5855300),1069.67,641.8,181.84,855.74,55
CDM,27801872,HC CATHETER HEMODIALYSIS 13FR 15CM TRIPLE LUMEN POWER TRIALYSIS - BECTON DICKINSON (LAW530028),766.72,460.03,130.34,613.38,55
CDM,27801878,HC PICC CATH POWERPICC SOLO 5FR TRIPLE LUMEN (LAW305364),1190.04,714.02,202.31,952.03,55
CDM,27801879,HC PICC CATH POWERPICC 4FR SINGLE LUMEN (LAW519941),1062.46,637.48,180.62,849.97,55
CDM,27801880,HC PICC CATH POWERPICC SHERLOCK 4FR DOUBLE LUMEN (LAW260241),1062.46,637.48,180.62,849.97,55
CDM,27801881,HC PICC CATH POWERPICC PROVENA 4FR DOUBLE LUMEN (LAW519943),1099.88,659.93,186.98,879.9,55
CDM,27801882,HC PICC CATH POWERPICC PROVENA 5FR TRIPLE LUMEN (LAW519945),1320.05,792.03,224.41,1056.04,55
CDM,27801884,HC PICC CATH POWERPICC SHERLOCK 5FR TRIPLE LUMEN (LAW526501),1265.52,759.31,215.14,1012.42,55
CDM,27801885,HC PICC CATH POWERPICC SOLO 4FR SINGLE LUMEN (LAW519942),1128.73,677.24,191.88,902.98,55
CDM,27801886,HC PICC CATH POWERPICC SOLO 4FR DUAL LUMEN (LAW519944),1190.04,714.02,202.31,952.03,55
CDM,27801887,HC CATH POWERPICC PROVENA 4FR DUAL LUMEN SHERLOCK 3CG (LAW260241),1099.88,659.93,186.98,879.9,55
CDM,27801888,HC PICC CATH POWERPICC SOLO 5FR TRIPLE LUMEN (LAW519946),1190.04,714.02,202.31,952.03,55
CDM,27801889,HC PICC CATH POWERPICC W/ BIOPATCH 4FR SINGLE LUMEN (LAW528254),1172.44,703.46,199.31,937.95,55
CDM,27801890,HC MIDLINE CATH PROVENA MAX BARRIER DUAL LUMEN 4FR (LAW501405),804.05,482.43,136.69,643.24,55
CDM,27801891,HC CVC CATH BROVIAC SINGLE LUMEN 4.2 FR (LAW102491),599.38,359.63,101.89,479.5,55
CDM,27801892,HC PICC CATH POWERMIDLINE 4FR SINGLE LUMEN (LAW260035),648.11,388.87,110.18,518.49,55
CDM,27801893,HC PICC CATH POWERGLIDE BASIC TRAY 18GA 10CM (LAW259324),310.07,186.04,52.71,248.06,55
CDM,27801894,HC PICC CATH POWERGLIDE BASIC TRAY 20GA 8CM (LAW259769),310.07,186.04,52.71,248.06,55
CDM,27801895,HC CVC CATH COOK SPECTRUM DUAL LUMEN 4FR 8CM (LAW248337),813.64,488.18,138.32,650.91,55
CDM,27801896,HC PICC CATH PROVENA MIDLINE 3FR SINGLE LUMEN (LAW519939),694.06,416.44,117.99,555.25,55
CDM,27801898,HC CVC CATH ARROWGARD TRIPLE LUMEN 7FR 16CM (LAW519380),567.07,340.24,96.4,453.66,55
CDM,27801899,HC CVC CATH ARROWGARD TRIPLE LUMEN 7FR 20CM (LAW519382),550.25,330.15,93.54,440.2,55
CDM,27801904,HC PICC CATH L-CATH 1.2FR 25CM (LAW121047),419.77,251.86,71.36,335.82,55
CDM,27801906,HC PICC CATH POWERGLIDE BASIC TRAY 18GA 8CM (LAW259771),310.07,186.04,52.71,248.06,55
CDM,27801907,HC PICC ARGON CATH L-CATH 1.9FR 30CM (LAW121048),293.15,175.89,49.84,234.52,55
CDM,27801908,HC CVC CATH ARROW TRIPLE LUMEN 7FR 16CM (LAW232582),179.41,107.65,30.5,143.53,55
CDM,27801909,HC CVC CATH COOK SPECTRUM DUAL LUMEN 4FR 12CM (LAW259428),166.97,100.18,28.38,133.58,55
CDM,27801910,HC PICC CATH POWERGLIDE BASIC TRAY 18GA 10CM (LAW530873),358.18,214.91,60.89,286.54,55
CDM,27801911,HC PICC CATH POWERGLIDE BASIC TRAY 20GA 10CM (LAW530877),358.18,214.91,60.89,286.54,55
CDM,27801912,HC PICC CATH POWERPICC SOLO W/ BIOPATCH 5FR TRIPLE LUMEN (LAW531712),1410.2,846.12,239.73,1128.16,55
CDM,27801913,HC PICC CATH PROVENA MIDLINE W/ BIOPATCH 3FR SINGLE LUMEN (LAW521500),818.66,491.2,139.17,654.93,55
CDM,27801915,HC CVC CATH COOK SPECTRUM TRIPLE LUMEN 7FR 20CM (LAW146157),710.48,426.29,120.78,568.38,55
CDM,27801917,"Shell Generator, Cardiac Contractility Modulation",84975.0,50985.0,14445.75,67980.0,55
CDM,27801919,HC BULKAMID PER 2 ML W/ NEEDLE (LAW535243),2436.5,1461.9,414.2,1949.2,55
CDM,27801920,HC COAPTITE 1ML W/ RIGID NEEDLE (LAW205179),2128.53,1277.12,361.85,1702.82,55
CDM,27801921,HC MACROPLASTIQUE SOFT TISSUE BULKING AGENT,2375.84,1425.5,403.89,1900.67,55
CDM,27801922,HC DURASPHERE SYRINGE 1 ML,1145.16,687.1,194.68,916.13,55
CDM,27801923,HC ECMO LIFESPARC BLOOD PUMP KIT W/ 29 FR PROTEKDUO VENO-VENOUS CANNULA (LAW526751),66280.5,39768.3,11267.68,53024.4,55
CDM,27801924,HC ECMO LIFESPARC BLOOD PUMP KIT W/ 31 FR PROTEKDUO VENO-VENOUS CANNULA (LAW526752),66280.5,39768.3,11267.68,53024.4,55
CDM,27801925,HC ECMO LIFESPARC BLOOD PUMP KIT W/ 31 FR PROTEKDUO VENO-VENOUS RAPID DEPLOYMENT CANNULA (LAW526753),59482.5,35689.5,10112.02,47586.0,55
CDM,27801926,HC LIFESPARC BLOOD PUMP KIT W/ 62 CM TRANSSEPTAL CANNULA W/ 15 FR ARTERIAL CANNULA (LAW526747),59482.5,35689.5,10112.02,47586.0,55
CDM,27801927,HC LIFESPARC BLOOD PUMP KIT W/ 62 CM TRANSSEPTAL CANNULA W/ 17 FR ARTERIAL CANNULA (LAW526748),66280.5,39768.3,11267.68,53024.4,55
CDM,27801928,HC LIFESPARC BLOOD PUMP KIT W/ 72 CM TRANSSEPTAL CANNULA W/ 15 FR ARTERIAL CANNULA (LAW526749),66280.5,39768.3,11267.68,53024.4,55
CDM,27801929,HC LIFESPARC BLOOD PUMP KIT W/ 72 CM TRANSSEPTAL CANNULA W/ 17 FR ARTERIAL CANNULA (LAW526750),66280.5,39768.3,11267.68,53024.4,55
CDM,27801930,"HC ECMO ECLS CATHETER 24, 26, 28, 30, 32 FR CRESCENT DUAL LUMEN JUGULAR (LAW 529313)",8072.63,4843.58,1372.35,6458.1,55
CDM,27801931,HC HEMODIALYSIS CATH DUAL 15.5FR L28CM DUAL VALVE (LAWSON 529670),1681.19,1008.71,285.8,1344.95,55
CDM,27801932,HC HEMODIALYSIS CATH DUAL LUMEN 13FRX20CM DUOGLIDE (LAWSON 486886),767.25,460.35,130.43,613.8,55
CDM,27801933,HC HEMODIALYSIS CATH TRIPLE LUMEN 13FRX20CM TRIALYSIS (LAWSON 530029),766.72,460.03,130.34,613.38,55
CDM,27801934,HC ECMO LIFESPARC BLOOD PUMP KIT W/ ACCESSORIES (LAW526746),44200.0,26520.0,7514.0,35360.0,55
CDM,27801935,HC BARD POWERTRIALYSIS SHORT-TERM TRIPLE LUMEN 13FR 20CM CATH(LAW216242),790.5,474.3,134.38,632.4,55
CDM,27801936,"Shell C1776, Stryker Total Hip 1 Dual Mobility Implant",13935.9,8361.54,2369.1,11148.72,55
CDM,27801937,"Shell C1776, Zimmer Biomet Total Hip 1 Dual Mobility Implant",13596.0,8157.6,2311.32,10876.8,55
CDM,27801938,"Shell C1776, Depuy Synthes Total Hip 1 Dual Mobility Implant",13765.95,8259.57,2253.54,19680.0,165
CDM,27801939,"Shell C1776, Smith & Nephew Total Hip 1 Dual Mobility Implant",15125.55,9075.33,2253.54,19680.0,165
CDM,27801940,"Shell C1776, Lima Total Hip 1 Dual Mobility Implant",24600.0,14760.0,4182.0,19680.0,55
CDM,27801941,"Shell C1776, Medacta Total Hip 1 Dual Mobility Implant",24600.0,14760.0,4182.0,19680.0,55
CDM,27801942,"Shell C1776, Uoc Total Hip 1 Dual Mobility Implant",24600.0,14760.0,4182.0,19680.0,55
CDM,27801943,"Shell C1776, Stryker Total Hip 2 Primary Implant",12746.25,7647.75,2166.86,10197.0,55
CDM,27801944,"Shell C1776, Zimmer Biomet Total Hip 2 Primary Implant",12576.3,7545.78,2137.97,10061.04,55
CDM,27801945,"Shell C1776, Depuy Synthes Total Hip 2 Primary Implant",11308.73,6785.24,414.2,19680.0,220
CDM,27801946,"Shell C1776, Smith & Nephew Total Hip 2 - All Primary",15125.55,9075.33,2080.19,19680.0,165
CDM,27801947,"Shell C1776, Exactech Total Hip 2 Primary Implant",12746.25,7647.75,2166.86,10197.0,55
CDM,27801948,"Shell C1776, Lima Total Hip 2 Primary Implant",24600.0,14760.0,4182.0,19680.0,55
CDM,27801949,"Shell C1776, Stelkast Total Hip 2 Primary Implant",24600.0,14760.0,4182.0,19680.0,55
CDM,27801950,"Shell C1776, Djo Total Hip 2 Primary Implant",24600.0,14760.0,4182.0,19680.0,55
CDM,27801951,"Shell C1776, Medacta Total Hip 2 Primary Implant",24600.0,14760.0,4182.0,19680.0,55
CDM,27801952,"Shell C1776, Uoc Total Hip 2 Primary Implant",24600.0,14760.0,4182.0,19680.0,55
CDM,27801953,"Shell C1776, Tjo Total Hip 2 Primary Implant",24600.0,14760.0,4182.0,19680.0,55
CDM,27801954,"Shell C1776, Stryker Total Hip 3 and 4 Hemiarthorplasty",16038.9,9623.34,1271.23,19680.0,110
CDM,27801955,"Shell C1776, Zimmer Biomet Total Hip 3 and 4 Hemiarthorplasty",14849.25,8909.55,866.75,19680.0,110
CDM,27801956,"Shell C1776, Depuy Synthes Total Hip 3 and 4 Hemiarthorplasty",15189.15,9113.49,982.31,19680.0,110
CDM,27801957,"Shell C1776, Smith & Nephew Total Hip 3 and 4 Hemiarthorplasty",15189.15,9113.49,982.31,19680.0,110
CDM,27801958,"Shell C1776, Exactech Total Hip 3 and 4 Hemiarthorplasty",15189.15,9113.49,982.31,19680.0,110
CDM,27801959,"Shell C1776, Lima Total Hip 3 and 4 Hemiarthorplasty",24600.0,14760.0,4182.0,19680.0,55
CDM,27801960,"Shell C1776, Stelkast Total Hip 3 and 4 Hemiarthorplasty",5778.3,3466.98,982.31,4622.64,55
CDM,27801961,"Shell C1776, Djo Total Hip 3 and 4 Hemiarthorplasty",24600.0,14760.0,4182.0,19680.0,55
CDM,27801962,"Shell C1776, Medacta Total Hip 3 and 4 Hemiarthorplasty",24600.0,14760.0,4182.0,19680.0,55
CDM,27801963,"Shell C1776, Uoc Total Hip 3 and 4 Hemiarthorplasty",24600.0,14760.0,4182.0,19680.0,55
CDM,27801964,"Shell C1776, Stryker Knee 1 Non-Cemented Implant",12236.4,7341.84,2080.19,9789.12,55
CDM,27801965,"Shell C1776, Zimmer Biomet Knee 1 Non-Cemented Implant",4248.75,2549.25,575.96,5030.52,275
CDM,27801966,"Shell C1776, Depuy Synthes Knee 1 Non-Cemented Implant",11556.599999999999,6933.96,1641.5,17100.0,330
CDM,27801967,"Shell C1776, Smith & Nephew Knee 1 Non-Cemented Implant",14105.85,8463.51,2051.3,17100.0,165
CDM,27801968,"Shell C1776, Exactech Knee 1 Non-Cemented Implant",16805.7,10083.42,2080.19,17100.0,110
CDM,27801969,"Shell C1776, Lima Knee 1 Non-Cemented Implant",21375.0,12825.0,3633.75,17100.0,55
CDM,27801970,"Shell C1776, Stelkast Knee 1 Non-Cemented Implant",21375.0,12825.0,3633.75,17100.0,55
CDM,27801972,"Shell C1776, Medacta Knee 1 Non-Cemented Implant",10706.85,6424.11,1820.16,8565.48,55
CDM,27801973,"Shell C1776, Uoc Knee 1 Non-Cemented Implant",16805.7,10083.42,2080.19,17100.0,110
CDM,27801974,"Shell C1776, Tjo Knee 1 Non-Cemented Implant",16550.775,9930.465,1993.51,17100.0,110
CDM,27801975,"Shell C1776, Stryker Knee 2 Cemented Implant",11216.7,6730.02,1906.84,8973.36,55
CDM,27801976,"Shell C1776, Zimmer Biomet Knee 2 Cemented Implant",11046.75,6628.05,455.01,16065.03,385
CDM,27801977,"Shell C1776, Depuy Synthes Knee 2 Cemented Implant",10961.775000000001,6577.0650000000005,736.73,17100.0,220
CDM,27801978,"Shell C1776, Smith & Nephew Knee 2 Cemented Implant",16040.925,9624.555,1820.16,17100.0,110
CDM,27801979,"Shell C1776, Exactech Knee 2 Cemented Implant",10621.875,6373.125,1791.27,8565.48,110
CDM,27801980,"Shell C1776, Lima Knee 2 Cemented Implant",21375.0,12825.0,3633.75,17100.0,55
CDM,27801981,"Shell C1776, Stelkast Knee 2 Cemented Implant",16295.85,9777.51,1906.84,17100.0,110
CDM,27801982,"Shell C1776, Djo Knee 2 Cemented Implant",16805.7,10083.42,2080.19,17100.0,110
CDM,27801983,"Shell C1776, Medacta Knee 2 Cemented Implant",16040.925,9624.555,1820.16,17100.0,110
CDM,27801984,"Shell C1776, Uoc Knee 2 Cemented Implant",16040.925,9624.555,1820.16,17100.0,110
CDM,27801985,"Shell C1776, Tjo Knee 2 Cemented Implant",11726.55,7035.93,1820.16,17100.0,165
CDM,27801986,"Shell C1776, Zimmer Biomet Knee 3 Poly Implant",6798.0,4078.8,575.96,17100.0,275
CDM,27801987,"Shell C1776, Depuy Synthes Knee 3 Poly Implant",17485.5,10491.3,2311.32,17100.0,110
CDM,27801988,"Shell C1776, Arthrex Shoulder Partial Construct",19017.41,11410.45,3232.96,15213.93,55
CDM,27801989,"Shell C1776, Arthrex Shoulder Reverse Construct",34328.965,20597.379999999997,5214.92,30385.56,110
CDM,27801990,"Shell C1776, Arthrex Shoulder Total Construct",26639.665,15983.8,3019.16,22272.61,220
CDM,27801991,"Shell C1776, Depuy Synthes Shoulder Partial Construct",19017.41,11410.45,3232.96,15213.93,55
CDM,27801992,"Shell C1776, Depuy Synthes Shoulder Reverse Construct",30037.725,18022.635,3755.89,30385.56,110
CDM,27801993,"Shell C1776, Depuy Synthes Shoulder Total Construct",27840.76,16704.46,4732.93,22272.61,55
CDM,27801994,"Shell C1776, Djo Shoulder Partial Construct",19017.41,11410.45,3232.96,15213.93,55
CDM,27801995,"Shell C1776, Djo Shoulder Reverse Construct",14014.0,8408.4,719.95,19034.4,110
CDM,27801996,"Shell C1776, Djo Shoulder Total Construct",27840.76,16704.46,4732.93,22272.61,55
CDM,27801997,"Shell C1776, Exactech Shoulder Partial Construct",19017.41,11410.45,3232.96,15213.93,55
CDM,27801998,"Shell C1776, Exactech Shoulder Reverse Construct",24642.75,14785.65,3958.14,30385.56,165
CDM,27801999,"Shell C1776, Exactech Shoulder Total Construct",23777.48,14266.49,3351.41,22272.61,110
CDM,27802000,"Shell C1776, Lima Corporate Shoulder Partial Construct",19017.41,11410.45,3232.96,15213.93,55
CDM,27802001,"Shell C1776, Lima Corporate Shoulder Reverse Construct",37981.95,22789.17,6456.93,30385.56,55
CDM,27802002,"Shell C1776, Lima Corporate Shoulder Total Construct",27840.76,16704.46,4732.93,22272.61,55
CDM,27802003,"Shell C1776, Stryker Shoulder Partial Construct",19017.41,11410.45,3232.96,15213.93,55
CDM,27802004,"Shell C1776, Stryker Shoulder Reverse Construct",29774.305,17864.585,3666.33,30385.56,110
CDM,27802005,"Shell C1776, Stryker Shoulder Total Construct",27840.76,16704.46,4732.93,22272.61,55
CDM,27802006,"Shell C1776, Tornier Shoulder Partial Construct",15253.015,9151.810000000001,1953.07,15213.93,110
CDM,27802007,"Shell C1776, Tornier Shoulder Reverse Construct",27749.44,16649.66,719.95,30385.56,385
CDM,27802008,"Shell C1776, Tornier Shoulder Total Construct",17882.135000000002,10729.285,1953.07,22272.61,220
CDM,27802009,"Shell C1776, Zimmer Biomet Shoulder Partial Construct",14607.205,8764.325,1733.49,15213.93,110
CDM,27802010,"Shell C1776, Zimmer Biomet Shoulder Reverse Construct",24472.8,14683.68,3958.14,30385.56,165
CDM,27802011,"Shell C1776, Zimmer Biomet Shoulder Total Construct",18864.45,11318.67,2600.24,22272.61,220
CDM,27802012,HC ARROW CVC KIT QUAD LUMEN 8.5FR X 16C  (LAW226208),2833.72,1700.23,481.73,2266.98,55
CDM,27802013,HC UNIT PRSS MNTR INTRCRAN CAMINO BOLT DRLBT SFTY STP TRNSDCR (LAW106510),3476.26,2085.76,590.96,2781.01,55
CDM,27802014,HC THORACIC TROCAR CATH 32FR SOFT 10/CA (LAW534821),80.97,48.58,13.76,64.78,55
CDM,27802015,HC POWERPICC PROVENA CATHETER DUAL LUMEN 4FR TRAY (LAW260320),1265.76,759.46,215.18,1012.61,55
CDM,27802021,"Shell C1776, Zimmer Biomet Hip Revision",15719.85,9431.91,2672.37,12575.88,55
CDM,27802031,HC LNQ22 INSERTABLE CARDIAC MONITOR (LAW534724),15295.5,9177.3,2600.24,12236.4,55
CDM,27802032,"Shell C1776, Conformis Knee 2 Cemented Implant",21375.0,12825.0,3633.75,17100.0,55
CDM,27802034,"Shell C1776, Arthrex Knee 1 Non-Cemented Implant",10197.0,6118.200000000001,1155.66,10876.8,110
CDM,27802035,"Shell C1776, Arthrex Knee 2 Cemented Implant",16295.85,9777.51,1906.84,17100.0,110
CDM,27802036,HC CATHETER HEMODIALYSIS 13FR 15CM TRIPLE LUMEN POWER TRIALYSIS - BARD (LAW219526),852.78,511.67,144.97,682.22,55
CDM,27802037,HC CATHETER CVC KIT 8.5FR X 16CM (LAW534836),733.87,440.32,124.76,587.1,55
CDM,27802038,"Shell C1776, Conformis Total Hip 2 Primary Implant",24600.0,14760.0,4182.0,19680.0,55
CDM,27802039,"Shell C1776, Conformis Total Hip 1 Dual Mobility Implant",24600.0,14760.0,4182.0,19680.0,55
CDM,27802040,"Shell C1776, Microport Knee 1 Non-Cemented Implant",11726.55,7035.93,1993.51,9381.24,55
CDM,27802041,"Shell C1776, Microport Knee 2 Cemented Implant",21375.0,12825.0,3633.75,17100.0,55
CDM,27802043,"Shell C1776, Microport Hip 1 Dual Mobility Implant",24600.0,14760.0,4182.0,19680.0,55
CDM,27802044,"Shell C1776, Microport Hip 2 Primary Implant",12236.4,7341.84,2080.19,9789.12,55
CDM,27802045,"Shell C1776, Microport Hip 3 and 4 Hemiarthroplasty",24600.0,14760.0,4182.0,19680.0,55
CDM,27802047,"Shell C1776, Globus Medical Hip 2 Primary Implant",24600.0,14760.0,4182.0,19680.0,55
CDM,27802048,"Shell C1776, Globus Medical Hip 3 and 4 Hemiarthorplasty",5778.3,3466.98,982.31,4622.64,55
CDM,27802049,"Shell C1776, Globus Medical Knee 1 Non-Cemented Implant",16550.775,9930.465,1993.51,17100.0,110
CDM,27802050,"Shell C1776, Globus Medical Knee 2 Cemented Implant",16040.925,9624.555,1820.16,17100.0,110
CDM,27802052,"Shell, No Hcpcs, for Lvad Implants Only",100860.0,60516.0,0.0017,186820.27,385
CDM,27802053,HC BARD DUOGLIDE DUAL LUMEN 13FRX20CM CURVED BASIC (LAW486884),545.78,327.47,92.78,436.62,55
CDM,27802054,HC CLIP RESOLUTION 360 (LAW259006),872.27,523.36,148.29,697.82,55
CDM,27802055,HC TRICOR SI JOINT FUSION CANNULA COATED (ALL SIZES),5098.5,3059.1,866.75,4078.8,55
CDM,27802056,HC NAVIFLEX DELIVERY SYSTEM 7FR & 10 FR,427.52,256.51,72.68,342.02,55
CDM,27802057,"C1826, Genrtr Neurstmltr Implntble Incls Clsd Leads & All Implntble Comps W/ Rechrgble Bttry & Chrgng Sys",76477.5,45886.5,9651.92,67980.0,110
CDM,27802058,"C1827, Genrtr Neurstmltr Implntble Nonrechrgble W/ Implntble Stmltn Lead & Ext Paired Stmltn Cntrllr",84975.0,50985.0,9651.92,67980.0,55
CDM,27802059,HC HLS CANNULA 23FR 55CM (LAW248535),2205.52,1323.31,374.94,1764.42,55
CDM,27802060,HC HLS CANNULA 17FR 15CM (LAW254866),1494.84,896.9,254.12,1195.87,55
CDM,27802061,"HC DUAL LUMEN CANNULA 24FR, 27FR, 31FR",25492.5,15295.5,4333.73,20394.0,55
CDM,27802062,HC POWERGLIDE FULL TRAY 20 GA 10CM (LAW530893),534.6,320.76,90.88,427.68,55
CDM,27802063,HC POWERGLIDE FULL TRAY 18 GA 10CM (LAW530892),534.6,320.76,90.88,427.68,55
CDM,27802064,HC POWERPICC PROVENA SINGLE LUMEN 3FR (LAW261018),1133.75,680.25,192.74,907.0,55
CDM,27802065,HC BARRIGEL RECTAL SPACER (REF# 10263069),11386.65,6831.99,1935.73,9109.32,55
CDM,27802066,HC MTVC10001 MAGTRACE 10 VIAL CARTON (LAW528705),2922.15,1753.29,496.77,2337.72,55
CDM,27802067,HC MTVC10 MAGTRACE 10 VIAL CARTON (LAW528704),2922.15,1753.29,496.77,2337.72,55
CDM,27802068,HC HLS CANNULA 17 FR 15CM (LAW254867),1496.01,897.61,254.32,1196.81,55
CDM,27802069,HC HLS CANNULA 21FR 15CM (LAW254868),1494.84,896.9,254.12,1195.87,55
CDM,27802070,HC HLS CANNULA 21 FR 55CM (LAW254870),2205.52,1323.31,374.94,1764.42,55
CDM,27802071,HC HLS VENOUS CANNULA 25FR (LAW257975),2205.52,1323.31,374.94,1764.42,55
CDM,27802072,"HC CATH, AVALON 23FR 31CM DUAL LUMEN (LAW248544)",8327.55,4996.53,1415.68,6662.04,55
CDM,27802073,"HC CATH, AVALON 27FR DUAL LUMEN (LAW248370)",8327.55,4996.53,1415.68,6662.04,55
CDM,27802074,"HC CATH, AVALON 31FR 31CM DUAL LUMEN (LAW248545)",8327.55,4996.53,1415.68,6662.04,55
CDM,27802075,"Shell L8658, Interphalangeal Joint Spacer, Silicone",4044.1400000000003,2426.4849999999997,655.06,3388.0,110
CDM,27802076,HC NEONATAL PICC TRAY (LAW121052),264.42,158.65,44.95,211.54,55
CDM,27802077,HC CVC PED CATH COOK TRIPLE LUMEN 5FR 12 CM (LAW248338),781.53,468.92,132.86,625.22,55
CDM,27802078,HC CVC PED CATH COOK DUAL LUMEN 4FR 5CM (LAW248336),795.96,477.58,135.31,636.77,55
CDM,27802079,HC CVC CATH COOK TRIPLE LUMEN 5FR 8CM (LAW259429),883.67,530.2,150.22,706.94,55
CDM,27802080,HC CVC CATH ARROW DUAL LUMEN  (LAW243498),2436.5,1461.9,414.2,1949.2,55
CDM,27802081,HC CATH PEDIATRIC BROVIAC 2.7FR (LAW102489),411.64,246.98,69.98,329.31,55
CDM,27802082,HC CENTRIMAG ECMO PUMP - REPLACEMENT ONLY (LAW234158),23793.0,14275.8,4044.81,19034.4,55
CDM,27802083,HC ECMO LIFESPARC BLOOD PUMP 29FR PROTEKDUO VENO-VENOUS CANNULA & ACCESSORIES (LAW526754),66280.5,39768.3,11267.68,53024.4,55
CDM,27802084,HC ECMO AVALON ELITE BICAVAL DUAL LUMEN - ALL SIZES,8327.55,4996.53,1415.68,6662.04,55
CDM,27802085,HC ECMO SPECTRUM DUAL LUMEN CANNULA - ALL SIZES,25492.5,15295.5,4333.73,20394.0,55
CDM,27802086,HC ECMO MEDTRONIC PEDI CRESCENT DUAL LUMEN CATHETER - ALL SIZES,9177.3,5506.38,1560.14,7341.84,55
CDM,27802087,HC ECMO EDWARDS LIFE CANNULA ARTERIAL - ALL SIZES,1098.52,659.11,186.75,878.82,55
CDM,27802088,HC ECMO EDWARDS LIFE CANNULA FEMORAL ARTERY - ALL SIZES,1002.42,601.45,170.41,801.94,55
CDM,27802089,HC ECMO GETINGE VENOUS HLS CANNULA MAQUET - ALL SIZES,2205.52,1323.31,374.94,1764.42,55
CDM,27802090,HC ECMO GETINGE ARTERIAL HLS CANNULA MAQUET - ALL SIZES,1494.84,896.9,254.12,1195.87,55
CDM,27802091,HC BOSTON SCI ADVANIX BILI STENT CB 7F 5CM (LAW520110),293.15,175.89,49.84,234.52,55
CDM,27802092,HC BOSTON SCI CATH FLEXIMA NASOBILIARY 7.5F (LAW529654),534.6,320.76,90.88,427.68,55
CDM,27802093,HC BOSTON SCI C-FLEX BILI DBL.PIGTAIL STENT (LAW520107),293.15,175.89,49.84,234.52,55
CDM,27802094,HC BOSTON SCI CTR BEND STENT W/DELI 7FRX12CM (LAW520742),636.32,381.79,108.17,509.06,55
CDM,27802095,HC BOSTON SCI EPIC BILIARY STENT 6 X 80 MM (LAW520174),5081.51,3048.91,863.86,4065.21,55
CDM,27802096,HC BOSTON SCI PANC STRAIGHT STENT KIT 5FR,824.27,494.56,140.13,659.42,55
CDM,27802097,HC BOSTON SCI RESOLUTION 360 CLIP 235CM BOX (LAW322386),969.73,581.84,164.85,775.78,55
CDM,27802098,HC BOSTON SCI RESOLUTION 360 ULTRA CLIP 235C (LAW531738),1164.65,698.79,197.99,931.72,55
CDM,27802099,HC BOSTON SCI STENT BILIARY 10FR 7CM (LAW250071),290.51,174.31,49.39,232.41,55
CDM,27802100,HC BOSTON SCI ADVANIX PANCREATIC STENT 5FR 5CM (LAW532793),824.27,494.56,140.13,659.42,55
CDM,27802101,HC BOSTON SCI STENT WALLFLEX ESOPHAGEAL (LAW250198),7987.65,4792.59,1357.9,6390.12,55
CDM,27802102,HC BOSTON SCI FLEXIMA BILIARY STENT 10FR,483.92,290.35,82.27,387.14,55
CDM,27802103,HC BOSTON SCI BILIARY DOUBLE PIGTAIL STENT 10FR 10CM (LAW151006),293.15,175.89,49.84,234.52,55
CDM,27802104,HC BOSTON SCI STENT WALLFLEX ESOPHAGEAL METAL (LAW235917),7987.65,4792.59,1357.9,6390.12,55
CDM,27802105,HC BOSTON SCI STENT WALLFLEX BILIARY RX UNCOVERED (LAW217324),6010.32,3606.19,1021.75,4808.26,55
CDM,27802106,HC BOSTON SCI STENT WALLFLEX ENTERAL COLONIC (LAW206193),8374.49,5024.69,1423.66,6699.59,55
CDM,27802107,HC BOSTON SCI STENT WALLFLEX ESOPHAGEAL (LAW220315),7987.65,4792.59,1357.9,6390.12,55
CDM,27802108,HC BOSTON SCI STENT WALLFLEX ESOPHAGEAL FC (LAW220311),8052.26,4831.36,1368.88,6441.81,55
CDM,27802109,HC BOSTON SCI STENT WALLFLEX DUODENAL (LAW216989 & LAW251430),8374.49,5024.69,1423.66,6699.59,55
CDM,27802120,HC CVC CATH ARROWGARD TRIPLE LUMEN 7FR 8IN (LAW233022),444.52,266.71,75.57,355.62,55
CDM,27802121,HC INTEGRA CRANIAL ACCESS KIT W/ DRAINAGE CATHETER (LAW249114),4513.43,2708.06,767.28,3610.74,55
CDM,27802122,HC ARGON L- CATH D/L 2.6 FR (REF#384466),2248.89,1349.33,382.31,1799.11,55
CDM,27802123,HC CATH PICC SINGLE LUMEN 1.9 FR (LAW233268),288.93,173.36,49.12,231.14,55
CDM,27802124,HC BARD 5FR CVC SINGLE LUMEN POWERLINE (LAW230343),1125.66,675.4,191.36,900.53,55
CDM,27802125,"Shell C1602, Pass-Through Device, Orthopedic/Device/Drug Matrix/Absorbable Bone Void Filler, Antimicrobial-Eluting (Implantable)",15805.35,9483.21,2476.0,21568.7,165
CDM,27802126,"Shell C1604, Pass-Through Device, Graft, Transmural Transvenous Arterial Bypass (Implantable), With All Delivery System Components",84975.0,50985.0,14445.75,67980.0,55
CDM,27802127,HC PICC CATH POWERGLIDE 22GA 8CM (LAW529198),550.65,330.39,93.61,440.52,55
CDM,27802128,HC BOSTON SCI STENT WALLFLEX BILIARY (LAW216471),5704.41,3422.65,969.75,4563.53,55
CDM,27802129,HC BOSTON SCI STENT WALLFLEX BILIARY (LAW214473),5704.41,3422.65,969.75,4563.53,55
CDM,27802131,HC BARD DUOGLIDE DUAL LUMEN 13FRX15CM (LAW532531),627.64,376.58,106.7,502.11,55
CDM,27802132,"HC Shell, C1747, Pass-Through Device, Endoscope, Single-Use Urinary Tract Imaging/Illumination Device (Insrtbl)",5098.5,3059.1,866.75,4078.8,55
CDM,27802133,HC REPLAY HEMOSTASIS CLIP 11MM (REF#1170-01),427.68,256.61,72.71,342.14,55
CDM,27802134,HC REPLAY HEMOSTASIS CLIP 16MM (REF#1170-02),427.68,256.61,72.71,342.14,55
CDM,27802135,HC REPLAY HEMOSTASIS CLIP 18MM (REF#1170-03),481.14,288.68,81.79,384.91,55
CDM,27802137,HC PICC CATH POWERPICC BARD 5FR DOUBLE LUMEN (LAW220002),507.82,304.69,86.33,406.26,55
CDM,27802138,HC CVC CATH TELEFLEX QUAD LUMEN 8.5FR 20CM (LAW519383),821.59,492.95,139.67,657.27,55
CDM,27802139,HC CVC CATH ARROW DUAL LUMEN 7FR 16CM (LAW520895),128.04,76.82,21.77,102.43,55
CDM,27802140,HC BARD GLIDEPATH 14.5FR 19CM CATH (LAW252999),1480.66,888.4,251.71,1184.53,55
CDM,27802141,HC PALINDROME HEMO 14.5FR 23CM CATH (LAW223083),1754.96,1052.98,298.34,1403.97,55
CDM,27802142,HC BARD GLIDEPATH 14.5FR 23CM (LAW253001),1480.66,888.4,251.71,1184.53,55
CDM,27802143,HC VYGON 2FR DUAL LUMEN CATH 30CM (LAW717549),517.65,310.59,88.0,414.12,55
CDM,27802144,HC BARD HEMODIALYSIS CATHETER 13FR 15CM (LAW216432),1038.24,622.94,176.5,830.59,55
CDM,27802145,HC VIABIL STENT 10MMX6CM (LAW580718),8157.6,4894.56,1386.79,6526.08,55
CDM,27802151,HC NEVRO TRIAL LEAD KIT (PAIN CLINICS),3811.5,2286.9,647.96,3049.2,55
CDM,27802152,HC MEDTRONIC TRIAL LEAD KIT (PAIN CLINICS),3434.59,2060.75,583.88,2747.67,55
CDM,27802153,HC ABBOTT OCTRODE TRIAL LEAD KIT (PAIN CLINICS),3811.5,2286.9,647.96,3049.2,55
CDM,27802154,HC VERTOS MILD TRIAL LEAD KIT (PAIN CLINICS),11777.54,7066.52,2002.18,9422.03,55
CDM,27802155,HC MEDTRONIC LEAD KIT TEST (LAW530690),534.6,320.76,90.88,427.68,55
CDM,27802156,HC MEDTRONIC LEAD STIMULATION TEST INTERSTIM (LAW530688),320.76,192.46,54.53,256.61,55
CDM,27802157,"Shell C1737, Pass-Through Device, Si&Pelvis Fusn&Fixn Dev",11896.5,7137.9,2022.4,9517.2,55
CDM,27802159,HC BS STENT AGILE ESO FC 23/18MM 9.7CM (LAW580712),9857.1,5914.26,1675.71,7885.68,55
CDM,27802161,HC BARD HEMODIALYSIS POWERTRIALYSIS 13FR 15CM TRIPLE LUMEN CATHETER (LAW234015),508.19,304.91,86.39,406.55,55
CDM,27802162,HC BS STENT AGILE ESO 23/18MM 11.9CM (LAW656191),9857.1,5914.26,1675.71,7885.68,55
CDM,27802163,HC CATHETER HEMODIALYSIS 14.5FR X 36CM (LAW206919),2239.0,1343.4,380.63,1791.2,55
CDM,27802164,HC ARROWGARD TRIPLE LUMEN CVC (LAW519386),623.74,374.24,106.04,498.99,55
CDM,27802165,HC CONMED VIABIL STENT BILIARY 10 X 10 (LAW581067),8157.6,4894.56,1386.79,6526.08,55
CDM,27802166,HC CLIP RESOLUTION 360 235CM (LAW531731),969.73,581.84,164.85,775.78,55
CDM,27802167,HC ADVANIX BILI STENT CB 10F 7CM (LAW520431),636.32,381.79,108.17,509.06,55
CDM,27802168,HC FOOTPRINT POLY PICC CATHETER 1.9FR DUAL LUMEN (LAW824662),454.41,272.65,77.25,363.53,55
CDM,27802169,HC ADVANIX BILI STENT CB 10F 12CM (LAW521227),636.32,381.79,108.17,509.06,55
CDM,27802170,HC CATHETER HEMODIALYSIS 13FR 12.5CM TRIPLE LUMEN POWER TRIALYSIS - BECTON DICKINSON (LAW532766),1075.57,645.34,182.85,860.46,55
CDM,27802171,HC CATH PICC SINGLE LUMEN 4FR (LAW532246),518.03,310.82,88.07,414.42,55
CDM,27802172,HC BOSTON SCI FLEXIMA BILI STENT 7FR,534.6,320.76,90.88,427.68,55
CDM,27802173,"Shell A9697, Magtrace per Study Dose",2922.15,1753.29,496.77,2696.1,68
CDM,27802174,HC BOSTON SCI WALLFLEX ESOPHAGEAL STENT (LAW256721),8052.26,4831.36,1368.88,6441.81,55
CDM,27802175,HC MERIT MED STENT ESOPHAGEAL ENDOMAXX,9517.2,5710.32,1617.92,7613.76,55
CDM,27802176,HC CONMED STENT NITINOL BILIARY (LAW248514),7647.75,4588.65,1300.12,6118.2,55
CDM,27802177,HC COOK STENT BILIARY COTTON-LEUNG (LAW151837),507.87,304.72,86.34,406.3,55
CDM,27802178,HC COOK STENT BILIARY COTTON-LEUNG (LAW202731),416.99,250.19,70.89,333.59,55
CDM,27802179,HC BOSTON SCI INFINION TRIAL LEAD KIT (PAIN CLINICS),2192.85,1315.71,372.78,1754.28,55
CDM,27802180,HC BOSTON SCI WAVEWRITER ALPHA PATIENT TRIAL KIT (PAIN CLINICS),263.84,158.3,44.85,211.07,55
CDM,27802181,HC BARD DUOGLIDE WITH STRAIGHT EXT LEGS - FULL TRAY 13FR X 20CM (LAW532532),645.96,387.58,109.81,516.77,55
CDM,27802182,HC AXONICS PNE LEAD IMPLANT KIT (LAW574833),1266.98,760.19,215.39,1013.58,55
CDM,27802183,HC AXONICS PNE LEAD (LAW574835),234.52,140.71,39.87,187.62,55
CDM,27802184,HC FOOTPRINT POLY PICC COMPLETE KIT 1.4FR SINGLE LUMEN (LAW824655),604.25,362.55,102.72,483.4,55
CDM,27802185,HC GYNECARE INTERCEED ADHESION BARRIER 3CM X 4CM (LAW521016),1286.47,771.88,218.7,1029.18,50
CDM,27802186,HC GYNECARE INTERCEED ADHESION BARRIER 4IN X 3IN (LAW123661),1413.17,847.9,240.24,1130.54,50
CDM,27802187,HC FOOTPRINT POLY PICC 1.4FR SINGLE LUMEN (LAW824654),281.42,168.85,47.84,225.14,55
CDM,27802188,"Shell C1839, Iris Prosthesis",33650.1,20190.06,5720.52,26920.08,55
CDM,27802189,HC BARD CATHETER HEMODIALYSIS 14.5FR L19 CM (LAW128603),1108.22,664.93,188.4,886.58,55
CDM,27802190,HC VITAL FLOW ECMO PUMP - REPLACEMENT ONLY (LAW883138),28993.47,17396.08,4928.89,23194.78,55
CDM,27802191,HC BARD CATHETER HEMODIALYSIS 14.5FRX28CM 23 CM (LAW128605),1108.22,664.93,188.4,886.58,55
CDM,27802192,HC KIT CENTRAL VENOUS 7 FR 16 CM LENGTH DOUBLE LUMEN (LAW599993),574.04,344.42,97.59,459.23,55
CDM,27802193,HC KIT CVC CATHETER 7FR 3 LUMEN (LAW714914),671.5,402.9,114.16,537.2,55
CDM,27802197,HC CATH HEMDIALYSIS TRIPLE 13FR 24CM TRIPLE LUMEN - BCTN DCKNSN (LAW210269),780.56,468.34,132.7,624.45,55
CDM,27802198,HC CATH CENTRAL VENOUS 16GA L20CM SINGLE LUMEN - TELEFLEX LLC (LAW519964),356.04,213.62,60.53,284.83,55
CDM,27802199,HC BARD CATHETER HEMODIALYSIS KIT SHORT TERM TRIPLE LUMEN 13FR (LAW530029),767.06,460.24,130.4,613.65,55
CDM,29200001,HC OSCILLATORY PEP DEVICE,106.84,64.1,18.16,7411.0,36
CDM,30000001,"HC VENIPUNCTURE,COLLECTION OF BLOOD",47.75,28.65,8.12,7411.0,50
CDM,30000002,HC COLLECTION CAPILLARY BLOOD SPECIMEN,40.0,24.0,6.8,7411.0,34
CDM,30000003,HC ARTERIAL PUNCTURE WITHDRAWAL OF BLOOD,212.5,127.5,10.0,7411.0,55
CDM,30000004,"HC BASIC META PANEL, IONIZED CA",474.94,284.96,10.0,7411.0,55
CDM,30000005,HC COMPREHENSIVE METABOLIC PANEL,392.86,235.72,8.87,7411.0,55
CDM,30000014,HC PROCAINAMIDE W/ METABOLITES,268.08,160.85,10.0,7411.0,55
CDM,30000015,HC QUINIDINE,149.62,89.77,10.0,7411.0,55
CDM,30000019,"HC AMINO ACIDS, MULTIPLE QUALITATIVE",265.65,159.39,10.0,7411.0,55
CDM,30000023,"HC BILE ACIDS, CHOLYLGLYCINE",209.3,125.58,10.0,7411.0,55
CDM,30000026,HC CAROTENE,139.73,83.84,7.74,7411.0,55
CDM,30000027,HC CATECHOLAMINES BLOOD,260.43,156.26,10.0,7411.0,55
CDM,30000031,HC DESOXYCORTICOSTERONE,337.97,202.78,10.0,7411.0,55
CDM,30000033,"HC ELASTASE, PANCREATIC FECAL",391.8,235.08,9.69,7411.0,55
CDM,30000034,HC ESTROGENS TOTAL,268.73,161.24,10.0,7411.0,55
CDM,30000036,HC GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE,225.14,135.08,10.0,7411.0,55
CDM,30000038,HC BLOOD GASES W/O2 SATURATION,514.86,308.92,10.0,7411.0,55
CDM,30000039,HC G6PD (GLUCOSE 6-PHOSPHATE DEHYD) - SCREEN,111.88,67.13,5.08,7411.0,55
CDM,30000040,HC HEMOGLOBIN FRACTIONATION & QUANTITATION BY CHROMOTOGRAPHY,206.23,123.74,10.0,7411.0,55
CDM,30000043,HC HEXOSAMINIDASE BLOOD,284.0,170.4,10.0,7411.0,55
CDM,30000047,"HC KETOGENIC STEROIDS,  FRACTIONATION",154.43,92.66,10.0,7411.0,55
CDM,30000049,HC HUMAN PLACENTAL LACTOGEN,346.06,207.64,10.0,7411.0,55
CDM,30000050,HC L/S RATIO FETAL LUNG MATURITY,423.53,254.12,10.0,7411.0,55
CDM,30000051,HC LIPOPRO ELECTROPHORESIS,121.21,72.73,9.46,7411.0,55
CDM,30000052,HC LDL CHOLESTEROL,133.02,79.81,8.82,7411.0,55
CDM,30000058,HC ORGANIC ACIDS TOTAL QUANT,385.79,231.47,10.0,7411.0,55
CDM,30000063,"HC EVAL AMNIOTIC FLUID PROTEIN, (PAMG-1),(PP12)",372.39,223.43,10.0,7411.0,55
CDM,30000069,HC SPECIFIC GRAVITY EXCEPT URINE,49.24,29.54,2.76,7411.0,55
CDM,30000070,HC THIOCYANATE,154.0,92.4,9.77,7411.0,55
CDM,30000071,HC VASOACTIVE INTESTINAL PEPTIDE,328.38,197.03,10.0,7411.0,55
CDM,30000073,"HC BUFFY COAT, MANUAL DIFF WBC COUNT",73.56,44.14,4.26,7411.0,55
CDM,30000076,HC PREKALLIKREIN ASSAY (FLETCHER FACTOR ASSAY),374.95,224.97,10.0,7411.0,55
CDM,30000083,"HC PHOSPHOLIPID NEUTRALIZATION,PLATELET",219.65,131.79,10.0,7411.0,55
CDM,30000084,HC REPTILASE TIME,177.45,106.47,8.27,7411.0,55
CDM,30000087,HC ANTISTREPTOLYSIN O - TITER,144.08,86.45,6.13,7411.0,55
CDM,30000089,"HC COLD AGGLUTININ, TITER",139.44,83.66,6.77,7411.0,55
CDM,30000091,"HC DNA ANTIBODY, SINGLE STRANDED",97.72,58.63,10.0,7411.0,55
CDM,30000094,HC TEICHOIC ACID,238.05,142.83,10.0,7411.0,55
CDM,30000095,HC CD3 T CELLS TOT COUNT,274.42,164.65,10.0,7411.0,55
CDM,30000096,HC ABSOLUTE CD4 COUNT,272.12,163.27,10.0,7411.0,55
CDM,30000097,HC PNEUMONITIS/STREPTOCOCCUS,109.0,65.4,10.0,7411.0,55
CDM,30000098,HC LEGIONELLA AB EVALUATION,210.79,126.47,10.0,7411.0,55
CDM,30000099,HC LISTERIA MONOCYTOGENES AB,265.88,159.53,10.0,7411.0,55
CDM,30000100,HC LYMPHOCYTIC CHORIOMENING IGG OR IGM,129.61,77.77,10.0,7411.0,55
CDM,30000101,HC ROTAVIRUS ANTIBODY,208.35,125.01,10.0,7411.0,55
CDM,30000103,HC ACID HEMOLYSIS,157.5,94.5,7.37,7411.0,55
CDM,30000104,HC POOLING CHARGE,232.01,139.21,10.0,7411.0,55
CDM,30000106,HC CULTURE TYPING,93.0,55.8,4.68,7411.0,55
CDM,30000107,HC CLOSTRIDIUM DIFFICLE TOXN ASSY,477.58,286.55,10.0,7411.0,55
CDM,30000108,HC HERPES SIMPLEX V CULT     (SO),95.44,57.26,10.0,7411.0,55
CDM,30000110,HC INFLUENZA A AG IMMUNO FLUOR,137.43,82.46,10.0,7411.0,55
CDM,30000111,HC PARAINFLUENZA VIRUS 2 ABS,134.55,80.73,10.0,7411.0,55
CDM,30000112,HC PNEUMOCYSTIS CARINII AG BY,256.74,154.04,10.0,7411.0,55
CDM,30000114,HC HSV TYPING-AG DETECT BY IFA,138.39,83.03,10.0,7411.0,55
CDM,30000115,HC CRYPTOSPRIDIUM ANTIGEN RL,133.41,80.05,10.0,7411.0,55
CDM,30000116,HC GIARDIA ANTIGEN RL,156.49,93.89,10.0,7411.0,55
CDM,30000117,HC ENTAMEBA HISTOLYT GROUP AG,185.46,111.28,10.0,7411.0,55
CDM,30000120,HC STREP SCREEN,173.39,104.03,10.0,7411.0,55
CDM,30000121,HC BARTONELA QUINTANA,472.44,283.46,10.0,7411.0,55
CDM,30000122,HC HEPATITIS B VIRUS DNA PROBE,180.73,108.44,10.0,7411.0,55
CDM,30000123,HC HERPES SIMPLES 1 OR 2 DNA QUANT,396.17,237.7,10.0,7411.0,55
CDM,30000125,HC INF AGT DETECTION - AMPLIFIED PROBE(S) TECHN,515.16,309.1,10.0,7411.0,55
CDM,30000129,HC INDUCED SPUTUM COLLECTION,200.61,120.37,10.0,7411.0,55
CDM,30000130,HC HANDLING FEE CLINICAL/LAB,158.82,95.29,10.0,7411.0,39
CDM,30000132,HC CATHETERIZE FOR URINE SPECIMEN,158.39,95.03,8.87,7411.0,55
CDM,30000137,HC CLINICAL PATH CONSULT COMPREHENSIVE,672.84,403.7,10.0,7411.0,39
CDM,30000143,HC BCR/ABL1 TRANSLOCATION ANALYSIS - MAJOR BREAKPOINT,749.67,449.8,10.0,7411.0,55
CDM,30000147,HC BRAF GENE ANALYSIS V600 VARIANT(S),812.04,487.22,10.0,7411.0,55
CDM,30000154,HC CFTR - COMMON VARIANTS,2034.63,1220.78,10.0,7411.0,55
CDM,30000163,HC CYTOGENOM CONST CHROM ABNORM COPY NUMBER VARIANTS & SNP VAR (CGH MICROARRAY),3691.39,2214.83,10.0,7411.0,55
CDM,30000164,HC EGFR GENE ANALYSIS COMMON VARIANTS,1842.72,1105.63,10.0,7411.0,55
CDM,30000165,HC FACTOR II 20210G>A,533.4,320.04,10.0,7411.0,55
CDM,30000166,HC FACTOR V LEIDEN,664.99,398.99,10.0,7411.0,55
CDM,30000168,HC FMR1 ANALYSIS EVAL TO DETECT ABNORMAL ALLELES,953.76,572.26,10.0,7411.0,55
CDM,30000170,HC FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS,808.3,484.98,10.0,7411.0,55
CDM,30000173,HC GJB2 GENE ANALYSIS FULL GENE SEQUENCE,1047.0,628.2,10.0,7411.0,55
CDM,30000177,HC HFE HEMOCHROMATOSIS GENE ANALYSIS COMMON VARIANTS,650.0,390.0,10.0,7411.0,55
CDM,30000178,HC HBA1 / HBA2 ANALYSIS FOR COMMON DELETIONS / VARIANT,1105.83,663.5,10.0,7411.0,55
CDM,30000180,HC IGH - AMPLIFIED METHODOLOGY,915.58,549.35,10.0,7411.0,55
CDM,30000183,HC IGK - EVAL DETEC ABNML CLONAL POPULATION,1081.47,648.88,10.0,7411.0,55
CDM,30000188,HC JAK2,665.38,399.23,10.0,7411.0,55
CDM,30000189,HC KRAS GENE ANALYSIS VARIANTS IN EXON 2,653.69,392.21,10.0,7411.0,55
CDM,30000194,HC MTHFR GENE ANALYSIS COMMON VARIANTS,478.13,286.88,10.0,7411.0,55
CDM,30000204,HC MICROSATELLITE INSTABILITY ANALYSIS,1006.13,603.68,10.0,7411.0,55
CDM,30000209,HC PML/RARALPHA - COMMON BREAKPOINTS,1121.73,673.04,10.0,7411.0,55
CDM,30000217,HC PMP22 GENE ANALYSIS DUPLICATION / DELETION ANALYSIS,1516.72,910.03,10.0,7411.0,55
CDM,30000221,HC ANGELMAN SYNDROME (METH),764.83,458.9,10.0,7411.0,55
CDM,30000223,HC TRB - AMPLIFACTION METHODOLOGY,1122.64,673.58,10.0,7411.0,55
CDM,30000225,HC TRG - EVAL DETECT ABNOMAL CLONAL POPULATION,957.99,574.79,10.0,7411.0,55
CDM,30000228,"HC HLA CLASS I & II TYPING, LOW RESOLUTION",2579.66,1547.8,10.0,7411.0,55
CDM,30000230,HC HLA CLASS I TYPING LOW RESOLUTION COMPLETE,1255.28,753.17,10.0,7411.0,55
CDM,30000233,"HC HLA CLASS II TYPING, LOW RESOLUTION",805.09,483.05,10.0,7411.0,55
CDM,30000234,HC HLA CLASS II TYPING LOW RESOLUTION ONE LOCUS EA,372.57,223.54,10.0,7411.0,55
CDM,30000240,HC HLA DNA CLASS II HIGH RES,623.69,374.21,10.0,7411.0,55
CDM,30000241,"HC HLA CLASS II TYPING, HIGH RESOLUTION 1 ALLELE/ALLELE GROUP",403.92,242.35,10.0,7411.0,55
CDM,30000243,HC MOLECULAR PATH PROCEDURE - LEVEL 2,771.48,462.89,10.0,7411.0,55
CDM,30000246,HC MOLECULAR PATH PROCEDURE - LEVEL 5,1285.59,771.35,10.0,7411.0,55
CDM,30000247,HC MOLECULAR PATH PROCEDURE - LEVEL 6,1703.93,1022.36,10.0,7411.0,55
CDM,30000248,HC MOLECULAR PATH PROCEDURE - LEVEL 7,2010.1,1206.06,10.0,7411.0,55
CDM,30000249,HC MOLECULAR PATH PROCEDURE - LEVEL 8,2064.68,1238.81,10.0,7411.0,55
CDM,30000294,HC MOLECULAR PATH PROCEDURE - LEVEL 4,1034.66,620.8,10.0,7411.0,55
CDM,30000295,HC MOLECULAR PATH PROCEDURE - LEVEL 3,1097.69,658.61,10.0,7411.0,55
CDM,30000296,HC MOLECULAR PATH PROCEDURE - LEVEL 1,619.92,371.95,10.0,7411.0,55
CDM,30000297,HC MOLECULAR PATH PROCEDURE - LEVEL 9,4898.88,2939.33,10.0,10320.0,55
CDM,30000301,HC COMPONENT POOLING,232.01,139.21,10.0,7411.0,55
CDM,30000302,HC FECAL OSMOLALITY,199.82,119.89,10.0,7411.0,34
CDM,30000303,HC PROTHROMBIN ANTIBODY,482.31,289.39,10.0,7411.0,39
CDM,30000305,HC NPM1 NUCLEOPHOSMIN GENE ANALYSIS  EXON 12 VARIANTS,867.68,520.61,10.0,7411.0,55
CDM,30000306,"HC SA-VENIPUNCTURE, COLLECTION OF BLOOD",47.75,28.65,8.12,7411.0,50
CDM,30000309,HC COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,337.19,202.31,10.0,7411.0,55
CDM,30000310,HC COLLECT BLOOD FROM PICC,320.05,192.03,10.0,7411.0,55
CDM,30000315,HC UGT1A1 GENE ANALYSIS COMMON VARIANTS,882.0,529.2,10.0,7411.0,55
CDM,30000320,HC ALLERGEN SPECIFIC IGE QUAL MULTIALLERGEN SCREEN,86.11,51.67,6.69,7411.0,55
CDM,30000322,"HC INFEC AGENT DETECT, GI",1021.68,613.01,10.0,7411.0,55
CDM,30000326,"HC CHG CRYPTOCOCCUS NEOFORMANS AG, EIA",144.71,86.83,10.0,7411.0,55
CDM,30000327,HC PROMETHEUS ANSER ADA TEST,141.3,84.78,10.0,7411.0,34
CDM,30000328,HC AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS,306.18,183.71,10.0,7411.0,55
CDM,30000331,HC HLA I LOW RESOLUTION ONE ANTIGEN EQUIVALENT EACH,351.15,210.69,10.0,7411.0,55
CDM,30000332,HC VKORC1 GENE ANALYSIS COMMON VARIANTS,66.47,39.88,10.0,7411.0,55
CDM,30000334,HC FETAL LUNG MATURITY LAMELLAR BODY DENSITY,116.96,70.18,10.0,7411.0,55
CDM,30000336,HC IMMUNOLOGY PROCEDURE,482.31,289.39,10.0,7411.0,39
CDM,30000339,HC MICROSLIDE CONSULT,286.09,171.65,10.0,7411.0,55
CDM,30000342,"HC ONCOPROTEIN,DCP",266.0,159.6,10.0,7411.0,55
CDM,30000343,HC STREP A DNA AMP PROBE,211.0,126.6,10.0,7411.0,55
CDM,30000345,HC BACTRIM,141.3,84.78,10.0,7411.0,34
CDM,30000346,HC PROSIGNA TESTING,141.3,84.78,10.0,7411.0,34
CDM,30000352,"HC (LABCORP/QUEST/CPL) VENIPUNCTURE,COLLECTION OF BLOOD",47.75,28.65,8.12,7411.0,50
CDM,30000353,HC BREATH ETHANOL,87.7,52.62,10.0,7411.0,55
CDM,30000357,HC NT-PRO BNP,407.22,244.33,10.0,7411.0,55
CDM,30000358,HC TROPONIN T,306.86,184.12,10.0,7411.0,55
CDM,30000359,HC SULFONYLUREA,402.76,241.66,6.53,7411.0,34
CDM,30000360,HC HBB FUL GENE SEQUENCING,1079.78,647.87,10.0,7411.0,55
CDM,30000361,HC DRUG SCREEN QUANT AMPHETAMINES 3 OR 4,261.36,156.82,10.0,7411.0,34
CDM,30000364,HC HEPARIN NEUTRALIZATION,129.28,77.57,9.95,7411.0,55
CDM,30000370,HC DRUG SCREENING CANNABINOIDS SYNTHETIC 7/MORE,192.5,115.5,10.0,7411.0,34
CDM,30000379,HC CHLAMYDIA SHELL VIALS,93.0,55.8,4.68,7411.0,55
CDM,30000380,"HC HLA CLASS II TYPING,LOW - ONE LOCUS,EACH",372.57,223.54,10.0,7411.0,55
CDM,30000381,"HC HLA CLASS II TYPING,LOW - ONE LOCUS,EACH",372.57,223.54,10.0,7411.0,55
CDM,30000384,HC ENZYME CELL ACTIVITY RA,425.0,255.0,10.0,7411.0,55
CDM,30000385,HC GROWTH STIMULATION GENE 2,91.4,54.84,10.0,7411.0,55
CDM,30000386,HC HAM TEST,227.23,136.34,7.45,7411.0,55
CDM,30000387,HC AMOEBA ANTIBODY AMOEBA ANTIBOD,122.1,73.26,6.88,7411.0,55
CDM,30000390,HC BLOOD PRODUCT VOLUME REDUCTION,216.69,130.01,10.0,7411.0,55
CDM,30000391,HC HIV ANTIGEN W/HIV ANTIBODIES,291.92,175.15,10.0,7411.0,55
CDM,30000392,HC MICRODISSECTION LASER,1709.79,1025.87,10.0,7411.0,39
CDM,30000393,HC HGB QUANT TRANSCUTANEOUS,51.86,31.12,4.77,7411.0,55
CDM,30000394,HC TPMT NUDT15 GENES,1084.6,650.76,10.0,7411.0,55
CDM,30000396,"HC VENIPUNCTURE,COLLECTION OF BLOOD",47.75,28.65,8.12,7411.0,50
CDM,30000397,HC POOLING CHARGE,232.01,139.21,10.0,7411.0,55
CDM,30000398,"HC VENIPUNCTURE,COLLECTION OF BLOOD",47.75,28.65,8.12,7411.0,50
CDM,30000399,"HC VENIPUNCTURE,COLLECTION OF BLOOD",47.75,28.65,8.12,7411.0,50
CDM,30000400,"HC VENIPUNCTURE,COLLECTION OF BLOOD",47.75,28.65,8.12,7411.0,50
CDM,30000401,HC PLACENTAL ALPHA MICROGLOBULIN,372.39,223.43,10.0,7411.0,55
CDM,30000402,"HC BASIC META PANEL, IONIZED CA",474.94,284.96,10.0,7411.0,55
CDM,30000403,HC COMPREHENSIVE METABOLIC PANEL,392.86,235.72,8.87,7411.0,55
CDM,30000404,HC BILIRUBIN TOTAL,91.63,54.98,4.22,7411.0,55
CDM,30000405,HC MOLECULAR PATH PROCEDURE - LEVEL 4,1034.66,620.8,10.0,7411.0,55
CDM,30000406,HC KRAS - VARIANTS IN CODONS,653.69,392.21,10.0,7411.0,55
CDM,30000407,HC MOLECULAR PATH PROCEDURE - LEVEL 2,771.48,462.89,10.0,7411.0,55
CDM,30000408,HC MOLECULAR PATH PROCEDURE - LEVEL 4,1034.66,620.8,10.0,7411.0,55
CDM,30000409,HC MOLECULAR PATH PROCEDURE - LEVEL 1,619.92,371.95,10.0,7411.0,55
CDM,30000410,HC MOLECULAR PATH PROCEDURE - LEVEL 2,771.48,462.89,10.0,7411.0,55
CDM,30000411,HC KRAS - VARIANTS IN CODONS,653.69,392.21,10.0,7411.0,55
CDM,30000412,HC COLD AGGLUTININS TITER,139.44,83.66,6.77,7411.0,55
CDM,30000413,HC MOLECULAR PATH PROCEDURE - LEVEL 1,619.92,371.95,10.0,7411.0,55
CDM,30000414,HC MOLECULAR PATH PROCEDURE - LEVEL 2,771.48,462.89,10.0,7411.0,55
CDM,30000415,HC MOLECULAR PATH PROCEDURE - LEVEL 4,1034.66,620.8,10.0,7411.0,55
CDM,30000416,HC MOLECULAR PATH PROCEDURE - LEVEL 4,1034.66,620.8,10.0,7411.0,55
CDM,30000417,HC MOLECULAR PATH PROCEDURE - LEVEL 6,1703.93,1022.36,10.0,7411.0,55
CDM,30000418,HC MOLECULAR PATH PROCEDURE - LEVEL 7,2010.1,1206.06,10.0,7411.0,55
CDM,30000419,HC FECAL OSMOLALITY,199.82,119.89,10.0,7411.0,34
CDM,30000420,HC FECAL OSMOLALITY,119.31,71.59,10.0,7411.0,34
CDM,30000421,HC CULTURE TYPING,93.0,55.8,4.68,7411.0,55
CDM,30000422,HC PNEUMONITIS/STREPTOCOCCUS,109.0,65.4,10.0,7411.0,55
CDM,30000423,HC INF AGT DETECTION - AMPLIFIED PROBE(S) TECHN,515.16,309.1,10.0,7411.0,55
CDM,30000424,HC MOLECULAR PATH PROCEDURE - LEVEL 7,2010.1,1206.06,10.0,7411.0,55
CDM,30000425,HC MOLECULAR PATH PROCEDURE - LEVEL 6,1703.93,1022.36,10.0,7411.0,55
CDM,30000428,HC HLA DNA CLASS II HIGH RES,623.69,374.21,10.0,7411.0,55
CDM,30000429,HC PNEUMONITIS/STREPTOCOCCUS,109.0,65.4,10.0,7411.0,55
CDM,30000430,HC BILIRUBIN TOTAL,91.63,54.98,4.22,7411.0,55
CDM,30000431,"HC BLOOD GASES, 5 ENTITY",514.86,308.92,10.0,7411.0,55
CDM,30000432,HC HLA DNA CLASS II HIGH RES,623.69,374.21,10.0,7411.0,55
CDM,30000433,HC HLA DNA CLASS II HIGH RES,623.69,374.21,10.0,7411.0,55
CDM,30000434,HC PROTHROMBIN ANTIBODY,409.42,245.65,10.0,7411.0,39
CDM,30000435,HC COMPREHENSIVE METABOLIC PANEL,392.86,235.72,8.87,7411.0,55
CDM,30000436,HC HLA DNA CLASS II HIGH RES,623.69,374.21,10.0,7411.0,55
CDM,30000437,HC HLA DNA CLASS II HIGH RES,623.69,374.21,10.0,7411.0,55
CDM,30000438,HC MOLECULAR PATH PROCEDURE - LEVEL 4,1034.66,620.8,10.0,7411.0,55
CDM,30000439,HC INF AGT DETECTION - AMPLIFIED PROBE(S) TECHN,515.16,309.1,10.0,7411.0,55
CDM,30000442,HC SEMEN ANALYSIS COMPLETE,215.0,129.0,10.0,7411.0,55
CDM,30000444,HC BLOOD COLLECTION,47.75,28.65,8.12,7411.0,50
CDM,30000483,HC REF CX HERPES SIMPLEX VIRUS,99.5,59.7,10.0,7411.0,55
CDM,30000484,HC BRONCHIAL LAVAGE WASH DIFF,200.76,120.46,4.7,7411.0,55
CDM,30000487,HC DRUG/SUBSTANCE NOS 7/MORE,402.76,241.66,6.53,7411.0,34
CDM,30000490,"HC SPECIMEN COLLECT COVID-19, ANY SPECIMEN SOURCE",54.75,32.85,9.31,7411.0,39
CDM,30000491,"HC REF MAYO FPORC UNFRACT, HEPARIN DEP PLATELET",770.7,462.42,10.0,7411.0,55
CDM,30000492,HC REF MAYO FMVCO MVISTA COCCIDIOIDES AG,249.9,149.94,10.0,7411.0,55
CDM,30000494,"HC REF MAYO, MUSK MUSCLE-SPECIFIC KINASE AUTOANTIBODY, SERUM",1785.0,1071.0,10.0,7411.0,55
CDM,30000495,"HC REF MAYO, NMOTC NMO/AQP4 FACS TITER, CSF",918.89,551.33,10.0,7411.0,55
CDM,30000496,HC CLINICAL PATHOLOGY CONSULT 5-20 MIN,98.78,59.27,10.0,7411.0,55
CDM,30000497,HC CLINICAL PATHOLOGY CONSULT 21-40 MIN,296.46,177.88,10.0,7411.0,55
CDM,30000498,HC CLINICAL PATHOLOGY CONSULT 41-60 MIN,296.46,177.88,10.0,7411.0,55
CDM,30000499,HC CLINICAL PATHOLOGY CONSULT EA ADDL 30 MIN,197.62,118.57,10.0,7411.0,39
CDM,30000500,"HC REF ARUP, NRSE 3004312 NEURON SPECIFIC ENOLASE, SERUM",231.61,138.97,10.0,7411.0,55
CDM,30000501,"HC IMMUNOASSAY, TUMOR ANTIGEN, QUANT",250.14,150.08,10.0,7411.0,55
CDM,30000502,"HC GLIADIN (DEAMIDATED) AB, EA IG CLASS",218.74,131.24,10.0,7411.0,55
CDM,30000503,"HC TRANSGLUTAMINASE AB, EA IG CLASS",229.67,137.8,9.69,7411.0,55
CDM,30000504,"HC REF MAYO, VEDOL VEDOLIZUMAB",608.75,365.25,10.0,7411.0,55
CDM,30000505,"HC REF ARUP, 3001277 MOG AB IGG CBA, SERUM",462.5,277.5,10.0,7411.0,55
CDM,30000506,"HC REF ARUP, 2005501 ENDOMYSIAL ANTIBODY, IGG",141.75,85.05,10.0,7411.0,55
CDM,30000507,HC HYDROXYCHLOROQUINE,37.28,22.37,10.0,7411.0,55
CDM,30000508,HC REF ARUP 0051174 F-ACTION (SMOOTH MUSCLE) ANTIBODY IGG,66.26,39.76,10.0,7411.0,55
CDM,30000514,"HC REF MAYO, COMP CDS1, CPT 86053",858.0,514.8,10.0,7411.0,55
CDM,30000515,"HC REF MAYO, COMP CDS1, CPT 86363",858.0,514.8,10.0,7411.0,55
CDM,30000518,"HC REF MAYO, MAS1 AUTOIMMUNE MYELOPATHY EVAL SERUM",232.2,139.32,10.0,7411.0,55
CDM,30000520,"HC REF MAYO, NMOFS NEUROMYELITIS OPTICA/AQUAPORIN FACS ASSAY, SERUM",875.15,525.09,10.0,7411.0,55
CDM,30000521,"HC REF MAYO, MACNT MACADAMIA NUT IGE",35.73,21.44,4.38,7411.0,55
CDM,30000523,"HC REF MAYO, NMOFC NEUROMYELITIS OPTICA/AQUAPORIN",875.15,525.09,10.0,7411.0,55
CDM,30000524,"HC REF ARUP, 2011150 GASTROINTESTINAL PARASITE PANEL PCR",625.0,375.0,10.0,7411.0,55
CDM,30000526,HC CULTURE TYPING ID BLD PTHGN&RESIST TYPING 6+TRGT,110.16,66.1,10.0,7411.0,55
CDM,30000528,"HC REF NEOGENOMICS, MOLHPVDNA, HPV DNA TISSUE",1025.0,615.0,10.0,7411.0,55
CDM,30000529,"HC REF ARUP, 3003747 ANCA (ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODY)",147.5,88.5,10.0,7411.0,55
CDM,30000530,"HC REF MAYO, COMP MDS2, CPT 86596",214.58,128.75,10.0,7411.0,55
CDM,30000531,"HC REF ARUP, 99460 CALCULI ANALYSIS",42.5,25.5,10.0,7411.0,55
CDM,30000533,HC INF AGENT DETECT NUCLEIC ACID; ORTHOPOXVIRUS,115.5,69.3,10.0,7411.0,54
CDM,30000534,"HC REF ARUP, 0092316, DRUGS OF ABUSE CONFIRM/QUAL – CANNABINOIDS, MECONIUM",196.88,118.13,10.0,7411.0,55
CDM,30000535,"HC REF MEDFUSION, MPOXQ, MONKEYPOX VIRUS DNA QRT PCR",200.0,120.0,10.0,7411.0,54
CDM,30000536,"HC REF MAYO, LDFB LACTATE DEHYDROG-BODY FLUID (ANY TYPE)",170.63,102.38,5.07,7411.0,55
CDM,30000537,"HC REF MAYO, MOGFS - MOG-IGG1 FACS ASSAY, SERUM",1375.0,825.0,10.0,7411.0,55
CDM,30000539,"HC REF ARUP, 3001431 COMPONENT 86052",625.0,375.0,10.0,7411.0,55
CDM,30000543,"HC REF ARUP, 3001431 COMPONENT 86235",269.79,161.87,10.0,7411.0,55
CDM,30000544,"HC REF ARUP, 3000460 COMPONENT 86235",33.75,20.25,10.0,7411.0,55
CDM,30000545,HC ARUP AV SUSC HSV PANEL COMPONENT CPT 87252,437.5,262.5,10.0,7411.0,39
CDM,30000546,HC ARUP AV SUSC HSV PANEL COMPONENT CPT 87253,437.5,262.5,10.0,7411.0,39
CDM,30000547,"HC REF ARUP 0050599, SCLERODERMA AB, IGG",33.75,20.25,10.0,7411.0,55
CDM,30000548,"HC REF ARUP 0097621, FLUCONAZOLE QUANT BY LC-MS/MS",161.25,96.75,10.0,7411.0,55
CDM,30000549,"HC REF ARUP 2006491, FDP PLASMA",78.0,46.8,5.79,7411.0,55
CDM,30000550,"HC REF ARUP, COMP 2005006, CPT 86356",142.86,85.72,10.0,7411.0,55
CDM,30000551,HC REF ARUP 0060071 HHV6 QUANT PCR,519.75,311.85,10.0,7411.0,55
CDM,30000552,HC REF ARUP 0093420 COMPONENT 86356,40.0,24.0,10.0,7411.0,55
CDM,30000553,HC REF ARUP 0049000 LEUKOCYTE ALK PHOSPH SMEAR,150.0,90.0,7.22,7411.0,55
CDM,30000554,"HC REF QUEST J4057, VGCC TYPE P/Q AB",834.45,500.67,10.0,7411.0,55
CDM,30000555,"HC REF QUEST 90584, ALKALI DENATURATION",152.91,91.75,6.49,7411.0,55
CDM,30000556,"HC REF MAYO CPAVP, COPEPTIN PROAVP, PLASMA",725.55,435.33,10.0,7411.0,55
CDM,30000558,"HC REF ARUP COMPONENT 3004465, CPT 86364",27.3,16.38,9.69,7411.0,55
CDM,30000559,"HC REF ARUP 0055167 COMPONENT, KAPPA/LAMBDA",222.6,133.56,10.0,7411.0,55
CDM,30000560,HC NEWBORN METABOLIC SCREENING,139.05,83.43,10.0,7411.0,39
CDM,30000561,"HC REF MAYO, COMP FSCPR, CPT 86038",74.78,44.87,10.0,7411.0,55
CDM,30000562,"HC REF MAYO, COMP FSCPR, CPT 83516",74.87,44.92,9.69,7411.0,55
CDM,30000563,"HC REF MAYO, COMP FSCPR, CPT 86235",110.88,66.53,10.0,7411.0,55
CDM,30000564,"HC REF MAYO, COMP FSCPR, CPT 86256",78.26,46.96,10.0,7411.0,55
CDM,30000565,"HC REF MAYO, MTDNU METHADONE CONFIRM URINE",228.95,137.37,10.0,7411.0,34
CDM,30000566,"HC REF MAYO, COMP EPC2, CPT 86255",124.64,74.78,10.0,7411.0,55
CDM,30000567,"HC REF MAYO, COMP EPC2, CPT 86341",243.79,146.27,10.0,7411.0,55
CDM,30000568,"HC REF ARUP, COMP 3001409, CPT 83516",286.17,171.7,9.69,7411.0,55
CDM,30000569,"HC REF UWMC, COMP HH6ABC, CPT 87533",1273.13,763.88,10.0,7411.0,55
CDM,30000570,"HC REF ARUP, 0013410 THERMAL AMPLITUDE TEST",393.75,236.25,10.0,7411.0,55
CDM,30000571,"HC REF ARUP, COMP 0013003, CPT 86900",163.35,98.01,2.51,7411.0,55
CDM,30000572,"HC REF ARUP, COMP 0013003, CPT 86901",163.35,98.01,2.51,7411.0,55
CDM,30000573,"HC REF ARUP, COMP 0013003, CPT 86906",155.57,93.34,6.51,7411.0,55
CDM,30000574,"HC REF ARUP, COMP 0013003, CPT 86880",163.35,98.01,4.53,7411.0,55
CDM,30000575,"HC REF ARUP, COMP 0013003, CPT 86870",163.35,98.01,10.0,7411.0,55
CDM,30000576,"HC REF MAYO, COMP ENC2, CPT 86255",102.91,61.75,10.0,7411.0,55
CDM,30000577,"HC REF MAYO, COMP ENC2, CPT 86341",201.32,120.79,10.0,7411.0,55
CDM,30000578,"HC REF MAYO, SRAU SEROTONIN RELEASE ASSAY",978.47,587.08,10.0,7411.0,55
CDM,30000579,"HC REF MAYO, COMP OPATU, CPT 80361",51.53,30.92,10.0,7411.0,34
CDM,30000580,"HC REF MAYO, COMP OPATU, CPT 80365",140.0,84.0,10.0,7411.0,34
CDM,30000581,"HC REF MAYO, COMP OPATU, CPT 80362",41.83,25.1,10.0,7411.0,34
CDM,30000582,"HC REF ARUP, 0060764 RESP VIRUS MINI PANEL, PCR",346.5,207.9,10.0,7411.0,55
CDM,30000583,"HC REF MAYO, PFAPE FATTY ACID PROFILE, ESSENTIAL",364.07,218.44,10.0,7411.0,55
CDM,30000584,"HC REF MAYO, COMP CDCOM, CPT 82784",24.92,14.95,7.81,7411.0,55
CDM,30000585,"HC REF MAYO, COMP TBBS, CPT 86355",54.13,32.48,10.0,7411.0,55
CDM,30000586,"HC REF MAYO, COMP TBBS, CPT 86357",51.53,30.92,10.0,7411.0,55
CDM,30000587,"HC REF MAYO, COMP TBBS, CPT 86359",54.13,32.48,10.0,7411.0,55
CDM,30000588,"HC REF MAYO, COMP TBBS, CPT 86360",64.18,38.51,10.0,7411.0,55
CDM,30000589,"HC REF MAYO, COMP AMPHU, CPT 80359",64.1,38.46,8.5,7411.0,34
CDM,30000590,"HC REF MAYO, COMP AMPHU, CPT 80325",78.4,47.04,10.0,7411.0,34
CDM,30000591,"HC REF MAYO, UNIV OF MN LAB6618 GRANULOCYTE MACROPHAGE",1104.18,662.51,10.0,7411.0,55
CDM,30000592,"HC REF ARUP, COMP CINCINNATI CHILDRENS 5863724, CPT 83520",595.61,357.37,10.0,7411.0,55
CDM,30000593,"HC REF ARUP, UWMC NGS16S NEXT GEN BACTERIAL DNA DETECTION",862.26,517.36,10.0,7411.0,55
CDM,30000594,"HC REF ARUP, 0050477 TREPONEMA PALLIDUM AB, SERUM",27.56,16.54,9.92,7411.0,55
CDM,30000595,"HC REF ARUP, 0050777 TREPONEMA PALLIDUM AB",40.95,24.57,10.0,7411.0,55
CDM,30000596,"HC REF MAYO, HEVML HEV IMG AB CONFIRMATION, S",462.0,277.2,10.0,7411.0,55
CDM,30000597,"HC REF ARUP, COMP VERSITI 3111, CPT 86900",255.94,153.56,2.51,7411.0,55
CDM,30000598,"HC REF ARUP, COMP VERSITI 3111, CPT 86901",255.94,153.56,2.51,7411.0,55
CDM,30000599,"HC REF ARUP, COMP VERSITI 3111, CPT 86860",255.94,153.56,10.0,7411.0,55
CDM,30000600,"HC REF ARUP, COMP VERSITI 3111, CPT 86870",255.94,153.56,10.0,7411.0,55
CDM,30000601,"HC REF ARUP, COMP VERSITI 3111, CPT 86850",51.19,30.71,8.7,7411.0,55
CDM,30000602,"HC REF ARUP, COMP VERSITI 3111, CPT 86880",31.99,19.19,4.53,7411.0,55
CDM,30000603,"HC REF ARUP, COMP EUROFINS VIRACOR 402810P, CPT 86003",49.84,29.9,4.38,7411.0,55
CDM,30000604,"HC REF MAYO, AFH COMPLEMENT FACTOR H AUTOAB, SERUM",670.95,402.57,10.0,7411.0,55
CDM,30000605,"HC REF ARUP, EUROFINS VIRACOR 4503/4504 EPSTEIN-BARR VIRUS, CSF/BONE MARROW",812.5,487.5,10.0,7411.0,55
CDM,30000606,"HC REF UWMC, COMP AFB PCR, CPT 87556",575.28,345.17,10.0,7411.0,55
CDM,30000607,"HC REF UWMC, COMP AFB PCR, CPT 87551",827.15,496.29,10.0,7411.0,55
CDM,30000608,"HC ENDOMYSIAL AB, EA IG CLASS",188.5,113.1,10.0,7411.0,55
CDM,30000609,"HC ANTINEUTROPHIL CYTOPLASMIC AB SCREEN, EA",240.0,144.0,10.0,7411.0,55
CDM,30000610,"HC ACTIN AB, EACH",193.35,116.01,10.0,7411.0,55
CDM,30000611,"HC VOLTAGE-GATED CALCIUM CHANNEL AB, EA",374.05,224.43,10.0,7411.0,55
CDM,30000612,"HC MAYO, COMP ANCA, CPT 86036",36.46,21.88,10.0,7411.0,55
CDM,30000613,"HC MAYO, COMP EPS2, CPT 86341",379.21,227.53,10.0,7411.0,55
CDM,30000614,"HC REF QUEST, EVEROQ EVEROLIMUS LC/MS/MS BLOOD",201.83,121.1,10.0,7411.0,55
CDM,30000615,"HC REF ARUP, COMP NMS LABS 8091U, CPT 80307",121.62,72.97,10.0,7411.0,55
CDM,30000616,"HC MAYO, COMP EPS2, CPT 86255",193.87,116.32,10.0,7411.0,55
CDM,30000617,"HC REF CINCINNATI CHILDREN'S, COMP 2900800, CPT 86352",718.75,431.25,10.0,7411.0,55
CDM,30000618,"HC REF MAYO, LPMGF LYMPHOCYTE PROLIF TO MITOGENS, BLOOD",663.08,397.85,10.0,7411.0,55
CDM,30000619,"HC REF CINCINNATI CHILDREN'S, COMP 2900800, CPT 86357",718.75,431.25,10.0,7411.0,55
CDM,30000620,"HC REF ARUP, 0050478 RAPID PLASMA REAGIN",15.0,9.0,3.59,7411.0,55
CDM,30000621,"HC REF ARUP, 2003239 RAPID PLASMA REAGIN TITER",55.91,33.55,3.7,7411.0,55
CDM,30000622,"HC REF ARUP, 0050777 TREPONEMA PALLIDUM AB BY TP-PA",40.95,24.57,10.0,7411.0,55
CDM,30000623,"HC REF ARUP, EUROFINS VIRACOR 5504, CYTOMEGALOVIRUS QUANT PCR",812.5,487.5,10.0,7411.0,55
CDM,30000624,"HC REF MAYO, MMAS METHYLMALONIC ACID, SERUM",128.39,77.03,10.0,7411.0,55
CDM,30000625,"HC REF ARUP, 3003261 INTERLEUKIN 2 RECEPTOR, SOLUBLE, CSF",147.66,88.6,10.0,7411.0,55
CDM,30000626,"HC REF MAYO, PCAB PARIETAL CELL AB, IGG, S",75.58,45.35,9.69,7411.0,55
CDM,30000627,"HC REF MAYO, HIBAG HISTOPLASMA/BLASTOPLASMA AG, EIA, S",409.87,245.92,10.0,7411.0,55
CDM,30000628,"HC REF MAYO, COMP ENS2, CPT 86341",313.14,187.88,10.0,7411.0,55
CDM,30000629,"HC REF MAYO, COMP ENS2, CPT 86255",160.09,96.05,10.0,7411.0,55
CDM,30000630,"HC REF ARUP, 0096657 NEUTROPHIL OXIDATIVE BURST",500.0,300.0,10.0,7411.0,55
CDM,30000631,"HC REF QUEST, 37523 NEUTROPHIL FUNCTION, OXIDATIVE BURST",387.75,232.65,10.0,7411.0,55
CDM,30000632,"HC REF ARUP, ATHENA DIAG INC LRP4 1483, AUTOANTIBODY TEST",2178.75,1307.25,10.0,7411.0,55
CDM,30000633,"HC REF ARUP, UWMC COMP DNP, CPT 84182",183.75,110.25,10.0,7411.0,55
CDM,30000634,"HC REF ARUP, UWMC COMP DNP, CPT 83520",183.75,110.25,10.0,7411.0,55
CDM,30000635,"HC REF SYNOVASURE, COMP PJII, CPT 83516",75.54,45.32,9.69,7411.0,55
CDM,30000636,"HC REF SYNOVASURE, COMP PJII, CPT 86140",75.54,45.32,4.35,7411.0,55
CDM,30000637,"HC REF SYNOVASURE, COMP PJII, CPT 87449",75.54,45.32,10.0,7411.0,55
CDM,30000638,"HC REF SYNOVASURE, COMP PJII, CPT 87070",75.54,45.32,7.24,7411.0,55
CDM,30000639,"HC REF SYNOVASURE, COMP PJII, CPT 87075",75.54,45.32,7.95,7411.0,55
CDM,30000640,"HC REF SYNOVASURE, COMP PJII, CPT 89051",71.94,43.16,4.7,7411.0,55
CDM,30000641,"HC REF SYNOVASURE, CRYSTAL ANALYSIS",75.0,45.0,6.16,7411.0,55
CDM,30000642,"HC REF MAYO, COMP MDS2, CPT 86341",236.62,141.97,10.0,7411.0,55
CDM,30000643,"HC REF MAYO, COMP MDS2, CPT 86255",120.97,72.58,10.0,7411.0,55
CDM,30000644,"HC REF MAYO, COMP MDS2, CPT 84182",293.24,175.94,10.0,7411.0,55
CDM,30000645,"HC REF MAYO, COMP MAGRU, CPT 82570",30.61,18.37,4.35,7411.0,55
CDM,30000646,"HC REF MAYO, COMP MAGRU, CPT 83735",39.59,23.75,5.63,7411.0,55
CDM,30000647,"HC REF MAYO, COMP DYS2, CPT 86255",161.65,96.99,10.0,7411.0,55
CDM,30000648,"HC REF MAYO, COMP DYS2, CPT 83519",246.83,148.1,10.0,7411.0,55
CDM,30000649,"HC REF MAYO, COMP AATHR, CPT 85300",138.84,83.3,9.95,7411.0,55
CDM,30000650,"HC REF MAYO, COMP AATHR, CPT 85303",162.15,97.29,10.0,7411.0,55
CDM,30000651,"HC REF MAYO, COMP AATHR, CPT 85307",170.95,102.57,10.0,7411.0,55
CDM,30000652,"HC REF MAYO, COMP AATHR, CPT 85306",179.5,107.7,10.0,7411.0,55
CDM,30000653,"HC REF MAYO, COMP AATHR, CPT 85610",50.24,30.14,3.6,7411.0,55
CDM,30000654,"HC REF MAYO, COMP AATHR, CPT 85730",67.08,40.25,5.05,7411.0,55
CDM,30000655,"HC REF MAYO, COMP AATHR, CPT 85670",64.38,38.63,4.85,7411.0,55
CDM,30000656,"HC REF MAYO, COMP AATHR, CPT 85384",113.87,68.32,8.16,7411.0,55
CDM,30000657,"HC REF MAYO, COMP AATHR, CPT 85379",113.6,68.16,8.55,7411.0,55
CDM,30000658,"HC REF MAYO, COMP AATHR, CPT 85390",181.37,108.82,10.0,7411.0,55
CDM,30000659,"HC REF MAYO, COMP AATHR, CPT 85613",112.25,67.35,8.05,7411.0,55
CDM,30000660,"HC REF ARUP, BEACON DIAGNOSTICS FUNGITELL ASSAY, CSF",540.75,324.45,10.0,7411.0,55
CDM,30000661,"HC REF ARUP, CHANTILLY 90584, ALKALI DENATURATION, STOOL",152.91,91.75,6.49,7411.0,55
CDM,30000662,"HC BCR-ABL MAJOR P210, BLOODLIS",749.67,449.8,10.0,7411.0,55
CDM,30000663,"HC BCR-ABL MAJOR P210, NONBLOODLIS",749.67,449.8,10.0,7411.0,55
CDM,30000664,HC HEMOGLOBIN FRACTION/QUAN BY CHROM - HPLC,206.23,123.74,10.0,7411.0,55
CDM,30000665,HC HEMOGLOBIN FRACTION/QUAN BY CHROM - S,206.23,123.74,10.0,7411.0,55
CDM,30000666,HC IAAD IA - CRYPTOCOCCUS NEOFORM,195.73,117.44,9.69,7411.0,55
CDM,30000667,"HC IAAD IA - CRYPTOCOCCUS NEOFORM, CSF",144.71,86.83,10.0,7411.0,55
CDM,30000668,HC IAAD NOS - COCCIDIOIDS,174.63,104.78,10.0,7411.0,55
CDM,30000669,HC LYME DISEASE PCR,515.16,309.1,10.0,7411.0,55
CDM,30000670,"HC LYME DISEASE PCR, NON-BLOOD",515.16,309.1,10.0,7411.0,55
CDM,30000671,"HC VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY, MYASTHENIA GRAVIS/LAMBERT-EATON",374.05,224.43,10.0,7411.0,55
CDM,30000672,"HC REF CARTER BLOOD CARE, B1029 RHD MOLEC TESTING",417.5,250.5,10.0,7411.0,55
CDM,30000673,"HC REF CARTER BLOOD CARE, B1032 MOLEC TESTING",1057.5,634.5,10.0,7411.0,55
CDM,30000674,"HC REF MAYO, NSFIB NASH FIBROTEST",1257.5,754.5,10.0,7411.0,55
CDM,30000675,HC ANCA SCREEN,240.0,144.0,10.0,7411.0,55
CDM,30000676,HC DETECT AGNT MULT DNA AMPLI - BONE MAR INF DIS PROF,515.16,309.1,10.0,7411.0,55
CDM,30000677,"HC TRANSGLUTAMINASE AB, IGG",229.67,137.8,9.69,7411.0,55
CDM,30000678,HC DGP ANTIBODY EACH IG CLASS - IGA,218.74,131.24,10.0,7411.0,55
CDM,30000679,"HC EMA EACH IG CLASS - IGA, TITER",188.5,113.1,10.0,7411.0,55
CDM,30000680,HC ASSAY OF BLOOD LIPOPROTEIN - LIPID PANEL DIRECT,133.02,79.81,8.82,7411.0,55
CDM,30000681,HC REPTILASE TEST - REFLEX,177.45,106.47,8.27,7411.0,55
CDM,30000682,HC AQAPRN-4 ANTB FLO CYTMTRY EA - NMOTS,623.94,374.36,10.0,7411.0,55
CDM,30000683,HC  ANTISTREPTOLYSIN O TITER - STREPTOCOCCAL ANTIBODIES PROFILE,144.08,86.45,6.13,7411.0,55
CDM,30000684,HC TISS TRNSGLTMNASE EA IG CLAS - IGG/IGA,229.67,137.8,9.69,7411.0,55
CDM,30000685,HC EMA EACH IG CLASS - IGA,188.5,113.1,10.0,7411.0,55
CDM,30000686,HC UNLISTED CHEM: FECAL OSMOLALITY - ELECTROLYTE&OSMOLALITY PANEL,199.82,119.89,10.0,7411.0,34
CDM,30000687,HC VOLTAGE-GTD CA CHNL ANTB EA - PARANEOPLASTIC AUTOAB EVAL,374.05,224.43,10.0,7411.0,55
CDM,30000688,HC DGP ANTIBODY EACH IG CLASS - CELIAC DISEASE PANEL,218.74,131.24,10.0,7411.0,55
CDM,30000689,HC TISS TRNSGLTMNASE EA IG CLAS - CELIAC DISEASE PANEL,229.67,137.8,9.69,7411.0,55
CDM,30000690,HC ANCA SCREEN EACH ANTIBODY - INFLAM BOWEL DISEASE PANEL,240.0,144.0,10.0,7411.0,55
CDM,30000691,HC T CELLS TOTAL COUNT - LYMPHOCYTE SUBSET PANEL BY FLOW,274.42,164.65,10.0,7411.0,55
CDM,30000692,HC COMPREHEN METABOLIC PANEL - MEDFUSION,392.86,235.72,8.87,7411.0,55
CDM,30000693,HC DGP ANTIBODY EACH IG CLASS - IGG,218.74,131.24,10.0,7411.0,55
CDM,30000694,"HC REF ARUP, 2010075, QUANT AMPHETAMINES URINE",77.5,46.5,10.0,7411.0,34
CDM,30000695,"HC REF ARUP, COMP 3001410, CPT 83516",1678.33,1007.0,9.69,7411.0,55
CDM,30000696,"HC REF MAYO, COMP PCDEC, CPT 86053",396.93,238.16,10.0,7411.0,55
CDM,30000697,"HC REF MAYO, COMP MDC2 CPT 0432U",0.05,0.03,0.0085,7411.0,54
CDM,30000700,"HC REF QUEST, 36700, INSFT INSULIN",52.5,31.5,10.0,7411.0,55
CDM,30000701,"HC REF ARUP, 3016853 MOG AB IGG CBA, CSF",325.0,195.0,10.0,7411.0,55
CDM,30000702,"HC REF MAYO, FPCYE CAYENNE PEPPER IGE",110.9,66.54,4.38,7411.0,55
CDM,30000703,"HC REF MAYO, FEPI EPIDERMOHYTON IGE",140.15,84.09,4.38,7411.0,55
CDM,30000704,"HC REF ARUP, COMP 3004615, CPT 87910",1031.25,618.75,10.0,7411.0,55
CDM,30000705,"HC REF ARUP, COMP 3004615, CPT 87900",1031.25,618.75,10.0,7411.0,55
CDM,30000706,"HC REF MAYO, FWWE, HEMP WESTERN WATER IGE",110.9,66.54,4.38,7411.0,55
CDM,30000707,"HC REF MAYO, FRDG, RHODOTORULA IGE",140.15,84.09,4.38,7411.0,55
CDM,30000708,"HC REF ARUP, 2007773, MAPLE SUGAR IGE",43.65,26.19,4.38,7411.0,55
CDM,30000709,"HC REF VIRACOR, 73910S, SALTBUSH IGE",32.63,19.58,4.38,7411.0,55
CDM,30000710,"HC REF MAYO, COMP HAEV1, CPT 85557",243.0,145.8,10.0,7411.0,55
CDM,30000711,"HC REF ARUP, COMP 3006210, CPT 86362",204.55,122.73,10.0,7411.0,55
CDM,30000712,"HC REF ARUP, 2001915 OCC GUM CARAGEENAN IGE",60.08,36.05,4.38,7411.0,55
CDM,30000713,"HC REF MAYO, PIGF PIGEON FEATHER IGE",34.03,20.42,4.38,7411.0,55
CDM,30000715,"HC REF ARUP, 0093248 ESTROGENS FRACTIONATED BY MASS SPEC",60.0,36.0,10.0,7411.0,55
CDM,30000716,"HC REF ARUP, 3006254 JC VIRUS AB",75.0,45.0,10.0,7411.0,55
CDM,30000717,"HC REF ARUP, 2004316 B PERTUSSIS AB, IGA IMMUNOBLOT",67.5,40.5,10.0,7411.0,55
CDM,30000718,"HC REF ARUP, 2004327 B PERTUSSIS AB, IGG IMMUNOBLOT",65.0,39.0,10.0,7411.0,55
CDM,30000719,"HC REF ARUP, 2005287 CHROMATIN AB, IGG",108.75,65.25,9.69,7411.0,55
CDM,30000720,"HC REF ARUP, 0099130 C1Q COMPLEMENT COMPONENT",175.0,105.0,10.0,7411.0,55
CDM,30000721,"HC REF ARUP, 3006079 EBV BY QUANT NAAT, PLASMA",298.75,179.25,10.0,7411.0,55
CDM,30000722,"HC REF ARUP, 0092361 NICOTINE & METS, S/P, QUANT",70.0,42.0,10.0,7411.0,34
CDM,30000723,"HC REF ARUP, COMP 0030125 CPT 85240",59.16,35.5,10.0,7411.0,55
CDM,30000724,"HC REF ARUP, COMP 0030125 CPT 85246",59.16,35.5,10.0,7411.0,55
CDM,30000725,"HC REF ARUP, COMP 0030125 CPT 85245",59.16,35.5,10.0,7411.0,55
CDM,30000726,"HC REF ARUP, 0020090 HEP B SURFACE AB",20.95,12.57,7.54,7411.0,55
CDM,30000727,"HC REF ARUP, COMP 3003676 CPT 80280",355.63,213.38,10.0,7411.0,55
CDM,30000728,"HC REF ARUP, COMP 3003676 CPT 82397",355.63,213.38,10.0,7411.0,55
CDM,30000729,"HC REF ARUP, 0020591 HEP A VIRUS AB, TOTAL",22.5,13.5,8.1,7411.0,55
CDM,30000730,HC GENET VIRUS ISOLATE HSV,95.44,57.26,10.0,7411.0,55
CDM,30000731,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 87801,14.85,8.91,5.35,7411.0,55
CDM,30000732,"HC REF MAYO NPM1Q NPM1 MUTATION ANALYSIS, V",962.68,577.61,10.0,7411.0,55
CDM,30000733,"HC REF GULF COAST, FICIN TREATMENT",157.5,94.5,10.0,7411.0,55
CDM,30000734,"HC REF VERSITI COMP 3111, CPT 86880",119.56,71.74,4.53,7411.0,55
CDM,30000735,"HC REF VERSITI COMP 3111, CPT 86860",119.56,71.74,10.0,7411.0,55
CDM,30000736,"HC REF VERSITI COMP 3111, CPT 86850",119.56,71.74,9.28,7411.0,55
CDM,30000737,"HC REF VERSITI COMP 3111, CPT 86900",119.56,71.74,2.51,7411.0,55
CDM,30000738,"HC REF VERSITI COMP 3111, CPT 86901",119.56,71.74,2.51,7411.0,55
CDM,30000739,"HC REF VERSITI COMP 3111, CPT 86870",119.56,71.74,10.0,7411.0,55
CDM,30000740,"HC REF MAYO CRSBF CRYSTAL IDENTIFICATION, BODY FLUID",92.85,55.71,6.16,7411.0,55
CDM,30100001,HC BASIC METABOLIC PANEL TOTAL CALCIUM,249.74,149.84,7.11,7411.0,55
CDM,30100003,HC ELECTROLYTE PANEL,219.93,131.96,5.89,7411.0,55
CDM,30100004,HC OBSTETRIC PANEL,422.88,253.73,10.0,7411.0,55
CDM,30100005,HC LIPID PANEL,328.07,196.84,10.0,7411.0,55
CDM,30100006,HC RENAL FUNCTION PANEL,295.62,177.37,7.29,7411.0,55
CDM,30100007,"HC ACUTE, HEPATITIS PANEL",646.14,387.68,10.0,7411.0,55
CDM,30100008,HC HEPATIC FUNCTION PANEL,322.54,193.52,6.86,7411.0,55
CDM,30100012,HC AMIKACIN,204.9,122.94,10.0,7411.0,55
CDM,30100015,HC CARBAMAZEPINE TOTAL,249.15,149.49,10.0,7411.0,55
CDM,30100016,HC CYCLOSPORINE,326.16,195.7,10.0,7411.0,55
CDM,30100017,HC DIGOXIN,234.74,140.84,10.0,7411.0,55
CDM,30100018,HC DIPROPYLACETIC ACID,288.95,173.37,10.0,7411.0,55
CDM,30100019,HC ETHOSUXIMIDE,203.18,121.91,10.0,7411.0,55
CDM,30100021,HC GENTAMICIN,276.9,166.14,10.0,7411.0,55
CDM,30100022,HC HALOPERIDOL,132.05,79.23,10.0,7411.0,55
CDM,30100024,HC LIDOCAINE,215.67,129.4,10.0,7411.0,55
CDM,30100025,HC LITHIUM,159.8,95.88,5.55,7411.0,55
CDM,30100027,HC PHENOBARBITOL,207.37,124.42,10.0,7411.0,55
CDM,30100028,"HC PHENYTOIN, TOTAL",244.78,146.87,10.0,7411.0,55
CDM,30100029,HC PHENYTOIN - FREE,166.19,99.71,10.0,7411.0,55
CDM,30100030,HC PRIMIDONE AND METABOLITE,153.65,92.19,10.0,7411.0,55
CDM,30100032,HC TACROLIMUS,348.73,209.24,10.0,7411.0,55
CDM,30100033,HC THEOPHYLLINE,236.51,141.91,10.0,7411.0,55
CDM,30100034,"HC HELICOBACTER PYLORI, COLLECT/DRUG ADMIN",76.66,46.0,6.6,7411.0,55
CDM,30100035,HC TOBRAMYCIN,285.66,171.4,10.0,7411.0,55
CDM,30100036,HC TOPIRAMATE,207.54,124.52,10.0,7411.0,55
CDM,30100037,HC VANCOMYCIN,304.35,182.61,10.0,7411.0,55
CDM,30100038,HC QUANTITATION OF DRUG,722.4,433.44,10.0,7411.0,55
CDM,30100040,"HC ACETONE, QUALITATIVE",100.31,60.19,3.8,7411.0,55
CDM,30100041,"HC ACETONE, QUANTITATIVE",150.94,90.56,6.86,7411.0,55
CDM,30100042,HC ACETYCHOLINESTERASE,218.78,131.27,10.0,7411.0,55
CDM,30100043,HC ACYLCARNITINES QUANTITATIVE,347.84,208.7,10.0,7411.0,55
CDM,30100044,HC ACTH (ADRENOCORTIOTROPIC HORMONE),401.2,240.72,10.0,7411.0,55
CDM,30100045,"HC ADENOSINE, 5- MONOPHOSPHATE, (CYCLIC AMP)",385.29,231.17,10.0,7411.0,55
CDM,30100046,HC ALBUMIN SERUM,88.72,53.23,4.16,7411.0,55
CDM,30100047,HC ALBUMIN - URINE,102.54,61.52,6.54,7411.0,55
CDM,30100048,"HC MICROALBUMIN, QUANTITATIVE",153.49,92.09,4.86,7411.0,55
CDM,30100049,"HC MICROALBUMIN, SEMIQUANTITATIVE",75.49,45.29,5.23,7411.0,55
CDM,30100051,HC ALDOLASE,147.85,88.71,8.16,7411.0,55
CDM,30100052,HC ALDOSTERONE,365.41,219.25,10.0,7411.0,55
CDM,30100053,HC ALPHA-1-ANTITRYPSIN - TOTAL,192.78,115.67,10.0,7411.0,55
CDM,30100054,HC ALPHA-1-ANTITRYPSIN - PHENOTYPE,187.63,112.58,10.0,7411.0,55
CDM,30100055,HC ALPHA-FETOPROTEIN - SERUM,240.75,144.45,10.0,7411.0,55
CDM,30100056,HC ALPHA-FETOPROTEIN - AMNIOTIC,170.81,102.49,10.0,7411.0,55
CDM,30100057,HC AFP-L3 ISOFORM AND TOTAL AFP,492.43,295.46,10.0,7411.0,55
CDM,30100058,HC ALUMINUM,206.39,123.83,10.0,7411.0,55
CDM,30100060,"HC AMINO ACIDS, SINGLE QUANTITATION",299.64,179.78,10.0,7411.0,55
CDM,30100061,"HC AMINOLEVULINIC ACID, DELTA",159.67,95.8,10.0,7411.0,55
CDM,30100062,"HC AMINO ACIDS, 2-5 QUANTITATIVE",273.72,164.23,10.0,7411.0,55
CDM,30100063,"HC AMINO ACIDS, 6 OR MORE, QUANTITATIVE",469.12,281.47,10.0,7411.0,55
CDM,30100064,HC AMMONIA,243.23,145.94,10.0,7411.0,55
CDM,30100066,HC AMYLASE,182.9,109.74,5.44,7411.0,55
CDM,30100067,HC ANDROSTENEDIONE,270.77,162.46,10.0,7411.0,55
CDM,30100068,HC ANDROSTERONE,637.87,382.72,10.0,7411.0,55
CDM,30100069,HC ANGIOTENSIN I CONVERTING ENZYME,212.91,127.75,10.0,7411.0,55
CDM,30100070,"HC APOLIPOPROTEIN,EACH",161.97,97.18,10.0,7411.0,55
CDM,30100071,HC ARSENIC,165.52,99.31,10.0,7411.0,55
CDM,30100072,"HC ASCORBIC ACID (VITAMIN C), BLOOD",149.37,89.62,8.31,7411.0,55
CDM,30100075,HC BETA-2 MICROGLOBULIN,184.43,110.66,10.0,7411.0,55
CDM,30100076,HC BILE ACIDS - TOTAL,143.89,86.33,10.0,7411.0,55
CDM,30100077,HC BILIRUBIN TOTAL,91.63,54.98,4.22,7411.0,55
CDM,30100078,HC BILIRUBIN DIRECT,114.76,68.86,4.22,7411.0,55
CDM,30100079,HC BIOTINIDASE,147.42,88.45,10.0,7411.0,55
CDM,30100080,"HC OCCULT BLOOD, BY PEROXIDASE, FECES, COLORECTAL SCREEN",61.81,37.09,3.68,7411.0,55
CDM,30100081,HC GASTROCCULT,78.59,47.15,4.47,7411.0,55
CDM,30100082,"HC OCCULT BLOOD, BY PEROXIDASE, FECES, 1-3 SIMULTANEOUS",71.91,43.15,3.55,7411.0,55
CDM,30100084,"HC OCCULT BLOOD, FECAL HEMOGLOBIN BY IMMUNOASSAY",112.27,67.36,10.0,7411.0,55
CDM,30100085,HC CADMIUM,146.47,87.88,10.0,7411.0,55
CDM,30100086,HC VITAMIN D 25 HYDROXY,394.3,236.58,10.0,7411.0,55
CDM,30100087,HC CALCITONIN,270.01,162.01,10.0,7411.0,55
CDM,30100088,"HC CALCIUM, TOTAL",96.1,57.66,4.33,7411.0,55
CDM,30100089,"HC CALCIUM, IONIZED",232.01,139.21,10.0,7411.0,55
CDM,30100090,HC CALCIUM URINE,111.2,66.72,5.07,7411.0,55
CDM,30100092,HC CARBOHYDRATE DEFICIENT TRANSFERRIN,464.63,278.78,10.0,7411.0,55
CDM,30100093,HC CARBON DIOXIDE,80.13,48.08,4.1,7411.0,55
CDM,30100094,"HC CARBOXYHEMOGLOBIN, QUANTITATIVE",206.83,124.1,10.0,7411.0,55
CDM,30100095,HC CARCINOEMBRYONIC ANTIGEN (CEA),267.3,160.38,10.0,7411.0,55
CDM,30100096,"HC CARNITINE(TOTAL&FREE), QUANTITATIVE",255.02,153.01,10.0,7411.0,55
CDM,30100098,HC CATECHOLAMINES FRACTIONATED,267.98,160.79,10.0,7411.0,55
CDM,30100099,HC CERULOPLASMIN,166.7,100.02,9.02,7411.0,55
CDM,30100100,HC CHEMILUMINESCENT ASSAY,223.71,134.23,10.0,7411.0,55
CDM,30100101,HC CHLORAMPHENICOL,201.0,120.6,10.0,7411.0,55
CDM,30100102,"HC CHLORIDE, BLOOD",93.56,56.14,3.86,7411.0,55
CDM,30100103,"HC CHLORIDE, URINE",97.17,58.3,4.83,7411.0,55
CDM,30100104,HC CHLORIDE - OTHER SOURCE,94.99,56.99,4.2,7411.0,55
CDM,30100106,"HC CHOLESTEROL, TOTAL BLOOD",98.22,58.93,3.65,7411.0,55
CDM,30100107,"HC CHOLINESTERASE, SERUM",110.25,66.15,6.61,7411.0,55
CDM,30100108,"HC CHOLINESTERASE, RBC",114.31,68.59,8.24,7411.0,55
CDM,30100113,HC CHROMIUM,217.8,130.68,10.0,7411.0,55
CDM,30100114,HC CITRATE,289.13,173.48,10.0,7411.0,55
CDM,30100115,"HC COLLAGEN CROSS LINKS, ANY METHOD",213.4,128.04,10.0,7411.0,55
CDM,30100116,HC COPPER,150.0,90.0,10.0,7411.0,55
CDM,30100118,HC CORTISOL - FREE,202.53,121.52,10.0,7411.0,55
CDM,30100119,HC TOTAL CORTISOL,273.89,164.33,10.0,7411.0,55
CDM,30100120,HC CREATINE,110.16,66.1,3.9,7411.0,55
CDM,30100122,"HC COLUMN CHROMOTOGRAPHY, NON-DRUG, NOS",305.93,183.56,10.0,7411.0,55
CDM,30100125,HC CREATINE KINASE (CPK) - TOTAL,159.62,95.77,5.47,7411.0,55
CDM,30100126,HC CREATINE KINASE ISOENZYMES,54.65,32.79,10.0,7411.0,55
CDM,30100127,"HC CREATINE KINASE, MB FRACTION",291.66,175.0,9.7,7411.0,55
CDM,30100128,HC CREATININE - BLOOD,111.02,66.61,4.3,7411.0,55
CDM,30100129,HC CREATININE - OTHER SOURCE,124.74,74.84,4.35,7411.0,55
CDM,30100130,HC CREATININE CLEARANCE,230.22,138.13,7.95,7411.0,55
CDM,30100131,HC CRYOFIBRINOGEN,86.19,51.71,10.0,7411.0,55
CDM,30100132,HC CRYOGLOBULIN,108.08,64.85,5.43,7411.0,55
CDM,30100133,HC CYANIDE,188.97,113.38,10.0,7411.0,55
CDM,30100134,HC CYANOCOBALAMINE (VITAMIN B12),240.75,144.45,10.0,7411.0,55
CDM,30100135,HC CYSTATIN C,155.26,93.16,10.0,7411.0,55
CDM,30100137,HC DEHYDROEPIANDROSTERONE (DHEA),107.54,64.52,10.0,7411.0,55
CDM,30100138,HC DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S),262.84,157.7,10.0,7411.0,55
CDM,30100139,HC DEOXYCORTISOL,278.35,167.01,10.0,7411.0,55
CDM,30100140,HC DIBUCAINE NUMBER,103.09,61.85,10.0,7411.0,55
CDM,30100143,"HC VITAMIN D 1, 25 DIHYDROXY",398.39,239.03,10.0,7411.0,55
CDM,30100144,"HC ENZYME CELL ACTIVITY, NES, NONRAD SUBSTRATE",253.0,151.8,10.0,7411.0,55
CDM,30100145,"HC ELECTROPHORETIC TECHNIQUE, NES",226.82,136.09,10.0,7411.0,55
CDM,30100146,HC ERYTHROPOIETIN,250.42,150.25,10.0,7411.0,55
CDM,30100147,HC ESTRADIOL,338.79,203.27,10.0,7411.0,55
CDM,30100148,HC ESTROGENS FRACTIONATED,208.91,125.35,10.0,7411.0,55
CDM,30100149,HC ESTRIOL,213.19,127.91,10.0,7411.0,55
CDM,30100150,HC ESTRONE,194.59,116.75,10.0,7411.0,55
CDM,30100151,HC ETHYLENE GLYCOL,231.16,138.7,10.0,7411.0,55
CDM,30100152,"HC FATS OR LIPIDS, FECES, QUALITATIVE",103.42,62.05,4.28,7411.0,55
CDM,30100153,HC FAT OR LIPIDS FECES QUANTITATIVE,221.31,132.79,10.0,7411.0,55
CDM,30100154,"HC FATTY ACIDS, NONESTERIFIED",78.98,47.39,10.0,7411.0,55
CDM,30100155,HC VERY LONG CHAIN FATTY ACIDS,493.29,295.97,10.0,7411.0,55
CDM,30100156,HC FERRITIN,249.48,149.69,10.0,7411.0,55
CDM,30100157,HC FETAL FIBRONECTIN CERVICOVAG SECRETIONS,869.42,521.65,10.0,7411.0,55
CDM,30100158,"HC FOLIC ACID (FOLATE), SERUM",239.5,143.7,10.0,7411.0,55
CDM,30100159,HC RBC FOLATE,217.58,130.55,10.0,7411.0,55
CDM,30100160,HC GALACTOSE,78.77,47.26,9.41,7411.0,55
CDM,30100161,"HC GAMMAGLOBULIN, IGM",182.55,109.53,7.81,7411.0,55
CDM,30100162,"HC GAMMAGLOBULIN, IGE",212.18,127.31,10.0,7411.0,55
CDM,30100163,HC IMMUNOGLOBULIN SUBCLASSES 1 2 3 OR 4 EACH,123.61,74.17,6.74,7411.0,55
CDM,30100164,HC BLOOD GASES PH ONLY,107.67,64.6,9.24,7411.0,55
CDM,30100165,"HC BLOOD GASES, ANY COMBO: PH, PCO2, PO2, CO2, HCO3",432.76,259.66,10.0,7411.0,55
CDM,30100166,"HC BLOOD GASES, O2 SATURATION ONLY",160.59,96.35,8.21,7411.0,55
CDM,30100167,HC GASTRIN SECRETIN STIMULATION,103.0,61.8,10.0,7411.0,55
CDM,30100168,HC GASTRIN,221.19,132.71,10.0,7411.0,55
CDM,30100169,HC GLUCAGON,155.75,93.45,10.0,7411.0,55
CDM,30100170,"HC GLUCOSE,BODY FLUID,OTHER THAN BLOOD",127.23,76.34,3.3,7411.0,55
CDM,30100172,"HC GLUCOSE - QUANTITATIVE, BLOOD",99.79,59.87,3.3,7411.0,55
CDM,30100173,HC REAGENT STRIP/BLOOD GLUCOSE,51.41,30.85,4.23,7411.0,55
CDM,30100174,"HC GLUCOSE, POST GLUCOSE DOSE",114.97,68.98,3.99,7411.0,55
CDM,30100175,"HC GLUCOSE, TOLERANCE TEST (GTT)",253.21,151.93,10.0,7411.0,55
CDM,30100176,"HC GLUCOSE, TOLERANCE TEST EACH ADDITIONAL",76.36,45.82,3.29,7411.0,55
CDM,30100177,HC G6PD (GLUCOSE 6-PHOSPHATE DEHYD) - QUANT,145.84,87.5,8.15,7411.0,55
CDM,30100178,HC TESTING BLOOD SUGAR LEVEL,56.6,33.96,3.12,7411.0,55
CDM,30100180,HC GAMMA GLUTAMYLTRANSFERASE,137.44,82.46,6.05,7411.0,55
CDM,30100181,HC GLYCATED PROTEIN,131.22,78.73,10.0,7411.0,55
CDM,30100182,HC FOLLICLE STIMULATING HORMONE (FSH),270.85,162.51,10.0,7411.0,55
CDM,30100183,HC LUTEINIZING HORMONE (LH),279.88,167.93,10.0,7411.0,55
CDM,30100184,HC GROWTH HORMONE (HGH),202.79,121.67,10.0,7411.0,55
CDM,30100185,HC HAPTOGLOBIN - QUANTITATIVE,198.45,119.07,10.0,7411.0,55
CDM,30100186,HC HELICOBACTER PYLORI - BREATH TEST,385.52,231.31,10.0,7411.0,55
CDM,30100188,"HC HEAVY METAL - QUANTITATIVE, EACH",210.67,126.4,10.0,7411.0,55
CDM,30100189,HC HEMOGLOBIN ELECTROPHORESIS,234.69,140.81,10.0,7411.0,55
CDM,30100190,HC FETAL HEMOGLOBIN,125.12,75.07,9.02,7411.0,55
CDM,30100191,"HC HEMOGLOBIN - F(FETAL), QUALITATIVE",118.4,71.04,6.72,7411.0,55
CDM,30100192,HC GLYCOSYLATED HEMOGLOBIN,185.85,111.51,8.16,7411.0,55
CDM,30100193,"HC METHEMOGLOBIN, QUANTITATIVE",123.43,74.06,6.89,7411.0,55
CDM,30100194,HC PLASMA HEMOGLOBIN,142.04,85.22,6.14,7411.0,55
CDM,30100195,HC UNSTABLE HEMOGLOBIN SCREEN,180.85,108.51,7.95,7411.0,55
CDM,30100196,"HC HEMOSIDERIN, QUALITATIVE",83.6,50.16,3.99,7411.0,55
CDM,30100197,HC HISTAMINE,257.77,154.66,10.0,7411.0,55
CDM,30100198,HC HOMOCYSTINE,296.14,177.68,10.0,7411.0,55
CDM,30100199,"HC HOMOVANILLIC ACID (HVA), URINE",203.98,122.39,10.0,7411.0,55
CDM,30100201,HC HYDROXYINDOLACETIC ACID (5-HIAA),705.85,423.51,10.0,7411.0,55
CDM,30100202,HC IMMUNOASSAY ANALYTE QUANT BY RADIOIMMUNOASSAY,353.27,211.96,10.0,7411.0,55
CDM,30100203,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS,290.98,174.59,10.0,7411.0,55
CDM,30100204,HC INSULIN TOTAL,172.67,103.6,9.6,7411.0,55
CDM,30100205,HC IRON,148.33,89.0,5.43,7411.0,55
CDM,30100206,HC IRON BINDING CAPACITY,163.41,98.05,7.34,7411.0,55
CDM,30100207,HC LACTATE (LACTIC ACID),243.23,145.94,9.72,7411.0,55
CDM,30100208,HB LDH ENZYME,137.21,82.33,5.07,7411.0,55
CDM,30100209,HC LDH ISOENZYMES,149.14,89.48,10.0,7411.0,55
CDM,30100210,"HC LACTOFERRIN, FECAL, QUALITATIVE",225.87,135.52,10.0,7411.0,55
CDM,30100211,HC LEAD,135.49,81.29,10.0,7411.0,55
CDM,30100212,HC FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,317.86,190.72,10.0,7411.0,55
CDM,30100213,HC LIPASE,217.7,130.62,5.79,7411.0,55
CDM,30100214,HC LIPOPROTEIN (A),150.47,90.28,10.0,7411.0,55
CDM,30100215,HC LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,312.32,187.39,10.0,7411.0,55
CDM,30100216,HC LIPOPROTEIN HIGH RESOLUTION ELECTROPHORESIS,187.15,112.29,10.0,7411.0,55
CDM,30100217,HC LIPOPROTEIN PARTICLE NUMBERS & SUBCLASSES,58.3,34.98,10.0,7411.0,55
CDM,30100218,HC HDL BY DIRECT MEASUREMENT,110.01,66.01,6.88,7411.0,55
CDM,30100220,HC MAGNESIUM,153.91,92.35,5.63,7411.0,55
CDM,30100221,HC MANGANESE,190.64,114.38,10.0,7411.0,55
CDM,30100222,HC MASS SPECTROMETRY QUAL/QUAN NOS,261.74,157.04,10.0,7411.0,55
CDM,30100223,HC MERCURY,152.46,91.48,10.0,7411.0,55
CDM,30100224,HC METANEPHRINES,306.4,183.84,10.0,7411.0,55
CDM,30100226,"HC MUCOPOLYSACCHARIDES, ACID - QUATITATIVE",322.0,193.2,10.0,7411.0,55
CDM,30100228,"HC MYELIN BASIC PROTEIN, CSF",234.28,140.57,10.0,7411.0,55
CDM,30100229,HC MYOGLOBIN,228.29,136.97,10.0,7411.0,55
CDM,30100230,HC MYELOPEROXIDASE,25.6,15.36,4.35,7411.0,55
CDM,30100231,HC NATRIURETIC PEPTIDE,407.22,244.33,10.0,7411.0,55
CDM,30100232,"HC NEPHELOMETRY, EACH ANALYTE NES",173.82,104.29,10.0,7411.0,55
CDM,30100234,HC 5'- NUCLEOTIDASE,139.34,83.6,9.37,7411.0,55
CDM,30100254,"HC OLIGOCLONAL IMMUNE, CSF",263.79,158.27,10.0,7411.0,55
CDM,30100255,"HC ORGANIC ACIDS - QUALITATIVE, EACH",323.81,194.29,10.0,7411.0,55
CDM,30100256,"HC ORGANIC ACID,SINGLE,QUANTITATI",284.41,170.65,10.0,7411.0,55
CDM,30100258,"HC OSMOLALITY, BLOOD",152.18,91.31,5.55,7411.0,55
CDM,30100259,"HC OSMOLALITY, URINE",147.19,88.31,5.73,7411.0,55
CDM,30100260,HC OSTEOCALCIN,245.7,147.42,10.0,7411.0,55
CDM,30100261,HC OXALATE,160.26,96.16,10.0,7411.0,55
CDM,30100262,HC PARATHORMONE,449.06,269.44,10.0,7411.0,55
CDM,30100263,"HC PH - BODY FLUID, NOS",91.04,54.62,3.01,7411.0,55
CDM,30100264,"HC CALPROTECTIN, FECAL",356.33,213.8,10.0,7411.0,55
CDM,30100265,"HC PHENYLALANINE(PKU), BLOOD",144.07,86.44,4.62,7411.0,55
CDM,30100267,"HC PHOSPHATASE, ACID - PROSTATIC",113.05,67.83,8.11,7411.0,55
CDM,30100268,HC ALKALINE PHOSPHATASE,101.57,60.94,4.35,7411.0,55
CDM,30100269,"HC PHOSPHATASE ALKALINE, ISOENZYMES",177.81,106.69,10.0,7411.0,55
CDM,30100270,HC PHOSPHATIDYLGLYCEROL,325.22,195.13,10.0,7411.0,55
CDM,30100271,HC PHOSPHORUS INORGANIC (PHOSPHATE),104.78,62.87,3.98,7411.0,55
CDM,30100272,HC PHOSPHORUS INORGANIC (PHOSPHATE) - URINE,89.02,53.41,4.86,7411.0,55
CDM,30100273,"HC PORPHOBILINOGEN, URINE, QUANTITATIVE",138.94,83.36,7.09,7411.0,55
CDM,30100274,HC PORPHYRINS URINE QUANTITATION & FRACTIONATION,213.0,127.8,10.0,7411.0,55
CDM,30100276,"HC PORPHYRINS, FECES - QUANTITATIVE",330.77,198.46,10.0,7411.0,55
CDM,30100277,HC POTASSIUM,99.79,59.87,4.0,7411.0,55
CDM,30100278,HC POTASSIUM URINE,98.18,58.91,3.97,7411.0,55
CDM,30100279,HC PREALBUMIN,192.1,115.26,10.0,7411.0,55
CDM,30100280,HC 17-HYDROXYPREGNENOLONE,185.75,111.45,10.0,7411.0,55
CDM,30100281,HC PROGESTERONE,243.77,146.26,10.0,7411.0,55
CDM,30100282,HC PROCALCITONIN,324.88,194.93,10.0,7411.0,55
CDM,30100283,HC PROLACTIN,301.73,181.04,10.0,7411.0,55
CDM,30100284,"HC PROSTAGLNDIN, EACH",436.72,262.03,10.0,7411.0,55
CDM,30100287,"HC PSA,TOTAL",250.73,150.44,10.0,7411.0,55
CDM,30100288,HC PSA - FREE,188.0,112.8,10.0,7411.0,55
CDM,30100289,HC TOTAL PROTEIN,87.97,52.78,3.08,7411.0,55
CDM,30100290,"HC TOTAL PROTEIN, URINE",128.49,77.09,3.08,7411.0,55
CDM,30100291,"HC TOTAL PROTEIN, OTHER SOURCE",129.62,77.77,3.36,7411.0,55
CDM,30100292,"HC TOTAL PROTEIN REFRACTOMETRY, ANY SOURCE",41.0,24.6,4.71,7411.0,55
CDM,30100294,"HB PROTEIN ELECTROPHORESIS, SERUM",215.37,129.22,9.02,7411.0,55
CDM,30100295,"HC PROTEIN ELECTROPHORESIS, URINE OR CSF",215.78,129.47,10.0,7411.0,55
CDM,30100296,HC PROTEIN WESTERN BLOT BLOOD OR FLUID BANDING,370.43,222.26,10.0,7411.0,55
CDM,30100297,"HC PROTOPORPHYRIN, RBC - QUANTITATIVE",148.16,88.9,10.0,7411.0,55
CDM,30100298,HC PROINSULIN,249.23,149.54,10.0,7411.0,55
CDM,30100299,HC PYRIDOXINE (VITAMIN B-6),271.77,163.06,10.0,7411.0,55
CDM,30100300,HC PYRUVATE,157.5,94.5,10.0,7411.0,55
CDM,30100301,"HC PYRUVATE KINASE, RBC",217.4,130.44,7.93,7411.0,55
CDM,30100302,HC RECEPTOR ASSAY NON-ENDOCRINE SPECIFY RECEPTOR,329.67,197.8,10.0,7411.0,55
CDM,30100303,HC RENIN,269.52,161.71,10.0,7411.0,55
CDM,30100304,HC RIBOFLAVIN (VITAMIN B-2),246.16,147.7,10.0,7411.0,55
CDM,30100305,"HC SELENIUM, BLOOD, URINE OR TISSUE",211.67,127.0,10.0,7411.0,55
CDM,30100306,"HC SEROTONIN, BLOOD",322.57,193.54,10.0,7411.0,55
CDM,30100307,HC SEX HORMONE BINDING GLOBULIN,173.8,104.28,10.0,7411.0,55
CDM,30100309,HC SODIUM,103.54,62.12,4.04,7411.0,55
CDM,30100310,HC SODIUM URINE,117.24,70.34,4.25,7411.0,55
CDM,30100311,HC SODIUM - OTHER SOURCE,67.54,40.52,4.08,7411.0,55
CDM,30100312,HC SOMATOMEDIN,232.73,139.64,10.0,7411.0,55
CDM,30100313,HC SOMATOSTATIN,333.4,200.04,10.0,7411.0,55
CDM,30100314,"HC SPECTROPHOTOMETRY, ANALYTE NOS",208.34,125.0,6.8,7411.0,55
CDM,30100316,"HC SUGARS SINGLE QUANTITATIVE, EACH SPECIMEN",129.0,77.4,9.69,7411.0,55
CDM,30100317,"HC SULFATE, URINE",67.88,40.73,4.61,7411.0,55
CDM,30100318,HC TESTOSTERONE - FREE,269.73,161.84,10.0,7411.0,55
CDM,30100319,HC TESTOSTERONE - TOTAL,307.8,184.68,10.0,7411.0,55
CDM,30100320,HC THIAMINE (VITAMIN B-1),248.92,149.35,10.0,7411.0,55
CDM,30100321,HC THYROGLOBULIN,216.33,129.8,10.0,7411.0,55
CDM,30100322,HC THYROXINE - TOTAL,170.37,102.22,5.77,7411.0,55
CDM,30100323,HC THYROXINE - FREE,214.55,128.73,7.58,7411.0,55
CDM,30100324,HC THYROXINE BINDING GLOBULIN,172.37,103.42,10.0,7411.0,55
CDM,30100325,HC THYROID STIMULATING HORMONE,285.79,171.47,10.0,7411.0,55
CDM,30100326,HC THYROID STIMULATING IMMUNE GLOBULINS,459.0,275.4,10.0,7411.0,55
CDM,30100327,HC TOCOPHEROL ALPHA (VITAMIN E),160.79,96.47,10.0,7411.0,55
CDM,30100329,HC TRANSFERASE - ASPARTATE AMINO (AST) (SGOT),103.83,62.3,4.35,7411.0,55
CDM,30100330,HC TRANSFERASE - ALANINE AMINO (ALT) (SGPT),108.35,65.01,4.45,7411.0,55
CDM,30100331,HC TRANSFERRIN,198.34,119.0,10.0,7411.0,55
CDM,30100332,"HC TRIGLYCERIDES, BLOOD",135.89,81.53,4.82,7411.0,55
CDM,30100333,HC THYROID HORMONE (T3 OR T4) UPTAKE,151.39,90.83,5.43,7411.0,55
CDM,30100334,HC TRIIODOTHYRONINE T3 - TOTAL (TT3),235.34,141.2,10.0,7411.0,55
CDM,30100335,HC TRIIODOTHYRONINE T3 - FREE,292.99,175.79,10.0,7411.0,55
CDM,30100336,HC TRIIODOTHYRONINE T3 - REVERSE,184.38,110.63,10.0,7411.0,55
CDM,30100337,"HC TROPONIN, QUANTITATIVE",306.86,184.12,10.0,7411.0,55
CDM,30100338,"HC TRYPSIN FECES, QUALITATIVE",133.05,79.83,6.13,7411.0,55
CDM,30100341,HC UREA NITROGEN - QUANTITATIVE,105.46,63.28,3.32,7411.0,55
CDM,30100342,"HC UREA NITROGEN, URINE",119.19,71.51,4.67,7411.0,55
CDM,30100343,HC URIC ACID - BLOOD,117.24,70.34,3.8,7411.0,55
CDM,30100344,"HC URIC ACID, OTHER SOURCE",78.09,46.85,4.27,7411.0,55
CDM,30100345,"HC VANILLYMANDELIC ACID, URINE",184.17,110.5,10.0,7411.0,55
CDM,30100346,"HC VASOPRESSIN (ANTIDIURETIC HORMONE, ADH)",294.56,176.74,10.0,7411.0,55
CDM,30100347,"HC VITAMIN A, BLOOD",169.99,101.99,9.75,7411.0,55
CDM,30100348,"HC VITAMIN, NOS",217.86,130.72,10.0,7411.0,55
CDM,30100349,HC VITAMIN K,250.44,150.26,10.0,7411.0,55
CDM,30100350,HC VOLATILES,207.35,124.41,10.0,7411.0,55
CDM,30100351,HC ZINC,158.0,94.8,9.57,7411.0,55
CDM,30100352,HC C-PEPTIDE,240.05,144.03,10.0,7411.0,55
CDM,30100353,"HC GONADOTROPIN, CHORIONIC (HCG), QUANTITATIVE",302.19,181.31,10.0,7411.0,55
CDM,30100354,"HC GONADOTROPIN, CHORIONIC (HCG), QUALITATIVE",229.02,137.41,6.32,7411.0,55
CDM,30100356,HC SCREENING PROSTATE SPEC ANTIGN,245.91,147.55,10.0,7411.0,55
CDM,30100357,HC HEMOCCULT FECAL BLOOD TEST,68.48,41.09,10.0,7411.0,55
CDM,30100362,HC 17-D HYDROXYPROGESTERONE,301.34,180.8,10.0,7411.0,55
CDM,30100363,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,225.57,135.34,9.69,7411.0,55
CDM,30100365,HC AMNIOTIC FLUID SCAN,81.69,49.01,7.85,7411.0,55
CDM,30100366,"HC SULFHEMOGLOBIN, QUANTITATIVE",75.29,45.17,7.39,7411.0,55
CDM,30100373,HC FLUORIDE,193.05,115.83,10.0,7411.0,55
CDM,30100374,HC GALECTIN-3,221.45,132.87,10.0,7411.0,55
CDM,30100471,"HC WESTERN BLOT,W/INTRP&RPRT,BLOOD/BDY FLUID",250.87,150.52,10.0,7411.0,55
CDM,30100480,HC CAFFEINE,161.99,97.19,10.0,7411.0,55
CDM,30100481,HC CLOZAPINE,163.8,98.28,10.0,7411.0,55
CDM,30100482,HC EVEROLIMUS,280.44,168.26,10.0,7411.0,55
CDM,30100483,HC GABAPENTIN,172.55,103.53,10.0,7411.0,55
CDM,30100484,HC LAMOTRIGINE,176.9,106.14,10.0,7411.0,55
CDM,30100485,HC LEVETIRACETAM,230.2,138.12,10.0,7411.0,55
CDM,30100486,HC MYCOPHENOLATE,230.0,138.0,10.0,7411.0,55
CDM,30100487,HC OXCARBAZEPINE,220.7,132.42,10.0,7411.0,55
CDM,30100489,HC ZONISAMIDE,210.96,126.58,10.0,7411.0,55
CDM,30100494,HC BILIRUBIN TESTING,70.25,42.15,4.22,7411.0,55
CDM,30100495,HC BILIRUBIN TEST - L&D,70.25,42.15,4.22,7411.0,55
CDM,30100497,HC HEMOGLOBIN-OXYGEN AFFINITY,148.55,89.13,10.0,7411.0,55
CDM,30100499,HC REF METHOTREXATE LEVEL,1031.98,619.19,10.0,7411.0,55
CDM,30100510,"HC DEFINITIVE TEST, OPIATES",154.19,92.51,10.0,7411.0,34
CDM,30100515,HC DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2,195.02,117.01,9.63,7411.0,34
CDM,30100516,"HC DEFINITIVE TEST, QUANTITATIVE ALCOHOLS",141.05,84.63,9.42,7411.0,34
CDM,30100517,"HC DEFINITIVE TEST, AMPHETAMINES 5+",330.78,198.47,7.75,7411.0,34
CDM,30100518,"HC DEFINITIVE TEST, ANABOLIC STEROIDS",81.97,49.18,10.0,7411.0,34
CDM,30100520,"HC DEFINITIVE TEST, (MDA, MDEA, MDMA)",146.94,88.16,8.5,7411.0,34
CDM,30100521,"HC DEFINITIVE TEST, BARBITURATES (G6043)",133.99,80.39,9.16,7411.0,34
CDM,30100522,"HC DEFINITIVE TEST, CANNABINOIDS",151.92,91.15,10.0,7411.0,34
CDM,30100523,"HC DEFINITIVE TEST, OXYCODONE",245.7,147.42,10.0,7411.0,34
CDM,30100524,"HC DEFINITIVE TEST, AMPHETAMINES 1-2",156.02,93.61,10.0,7411.0,34
CDM,30100525,"HC DEFINITIVE TEST, METHADONE",18.63,11.18,6.71,7411.0,34
CDM,30100526,"HC DEFINITIVE TEST, ANTIDEPRESSANTS, OTHER",157.04,94.22,10.0,7411.0,34
CDM,30100533,"HC DEFINITIVE TEST, ALKALOIDS (URINE)",139.05,83.43,10.0,7411.0,34
CDM,30100534,"HC DEFINITIVE TEST, ALKALOIDS (NICOTINE)",139.05,83.43,10.0,7411.0,34
CDM,30100537,"HC DEFINITIVE TEST, ANTIDEPRESSANT (AMYTRIPTYLINE)",29.81,17.89,4.2,7411.0,34
CDM,30100538,"HC DEFINITIVE TEST, ANTIDEPRESSANT (DESIPRAMINE)",29.81,17.89,4.2,7411.0,34
CDM,30100539,"HC DEFINITIVE TEST, ANTIDEPRESSANT (DOXEPIN)",29.81,17.89,4.2,7411.0,34
CDM,30100540,"HC DEFINITIVE TEST, ANTIDEPRESSANT (IMAPRAMINE)",29.81,17.89,4.2,7411.0,34
CDM,30100541,"HC DEFINITIVE TEST, ANTIDEPRESSANT (NORTRIPTYLINE)",29.81,17.89,4.2,7411.0,34
CDM,30100542,"HC DEFINITIVE TEST, ANTIDEPRESSANT (TRICYCLIC OTHER)",29.81,17.89,4.2,7411.0,34
CDM,30100543,"HC DEFINITIVE TEST, ANTIDEPRESSANT (AMPHETAMINES)",29.81,17.89,4.2,7411.0,34
CDM,30100544,"HC DEFINITIVE TEST, BARBITURATES",133.99,80.39,9.16,7411.0,34
CDM,30100545,"HC DEFINITIVE TEST, BENZODIAZEPINES",297.85,178.71,10.0,7411.0,34
CDM,30100547,HC OPIODS AND OPIATE ANALOGS,192.34,115.4,10.0,7411.0,39
CDM,30100548,HC FLT3 MUTATION TESTING (81245),808.3,484.98,10.0,7411.0,55
CDM,30100549,HC FLT3 MUTATION TESTING (81246),277.51,166.51,10.0,7411.0,55
CDM,30100553,"HC DEFINITIVE TEST, CANNABINOIDS (G6058)",151.92,91.15,10.0,7411.0,34
CDM,30100554,"HC DEFINITIVE TEST, ANTIDEPRESSANT (TRICYCLIC OTHER, G6058)",29.81,17.89,4.2,7411.0,34
CDM,30100555,"HC DEFINITIVE TEST, COCAINE (G6058)",107.52,64.51,10.0,7411.0,34
CDM,30100556,"HC DEFINITIVE TEST, METHADONE (G6058)",18.63,11.18,6.71,7411.0,34
CDM,30100562,HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3,458.18,274.91,10.0,7411.0,34
CDM,30100566,"HC DEFINITIVE TEST, METHYLPHENIDATE",256.0,153.6,9.11,7411.0,34
CDM,30100567,"HC DEFINITIVE TEST, SEDATIVE HYPNOTICS",100.25,60.15,8.82,7411.0,34
CDM,30100573,"HC DEFINITIVE TEST, GABAPENTIN URINE",208.45,125.07,7.71,7411.0,34
CDM,30100575,HC AMIODARONE AND METABOLITE,305.59,183.35,10.0,7411.0,55
CDM,30100576,"HC DEFINITIVE TEST, ANTIDEPRESSANT (TRIMIPRAMINE)",29.81,17.89,4.2,7411.0,34
CDM,30100577,HC ATENOLOL,458.18,274.91,10.0,7411.0,34
CDM,30100578,HC BUPIVACAINE,458.18,274.91,10.0,7411.0,34
CDM,30100579,HC FLECAINIDE,305.59,183.35,10.0,7411.0,55
CDM,30100580,HC WARFARIN,458.18,274.91,10.0,7411.0,34
CDM,30100581,HC 7-DEHYDROCHOLESTEROL,305.93,183.56,10.0,7411.0,55
CDM,30100584,HC GLUCOPHAGE,458.18,274.91,10.0,7411.0,34
CDM,30100587,HC AZATHIOPRINE (IMURAN),458.18,274.91,10.0,7411.0,34
CDM,30100590,HC THIAZIDE DIURETICS SERUM,458.18,274.91,10.0,7411.0,34
CDM,30100592,HC OBSTETRIC PANEL INCLUDE HIV,813.29,487.97,10.0,7411.0,55
CDM,30100593,HC DRUG TEST PRESUMP OPTICAL (2 OR MORE PER DAY),177.35,106.41,10.0,7411.0,55
CDM,30100594,HC DRUG TEST PRESUMP NOT OPTICAL (2 OR MORE PER DAY),459.04,275.42,10.0,7411.0,55
CDM,30100595,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100598,HC DRUG TEST DEF 22+ CLASSES,799.33,479.6,10.0,7411.0,55
CDM,30100603,"HC DEFINITIVIVE TEST, TAPENTADOL",306.28,183.77,10.0,7411.0,34
CDM,30100612,HC ALCOHOLS BIOMARKERS 1 OR 2,228.71,137.23,10.0,7411.0,34
CDM,30100615,"HC DEFINITIVE TEST, OPIATES",253.96,152.38,10.0,7411.0,55
CDM,30100616,"HC DEFINITIVE TEST, BENZODIAZEPINES",253.96,152.38,10.0,7411.0,55
CDM,30100617,"HC DEFINITIVE TEST, COCAINE",253.96,152.38,10.0,7411.0,55
CDM,30100618,"HC DEFINITIVE TEST, ANALGESICS NON-OPIOD (SALICYLATE)",253.96,152.38,10.0,7411.0,55
CDM,30100619,"HC DEFINITIVE TEST, ALCOHOLS",459.04,275.42,10.0,7411.0,55
CDM,30100620,"HC DEFINITIVE TEST, AMPHETAMINES 5+",253.96,152.38,10.0,7411.0,55
CDM,30100621,"HC DEFINITIVE TEST, ANABOLIC STEROIDS",253.96,152.38,10.0,7411.0,55
CDM,30100622,"HC DRUG SCREEN, OTHER THAN CHROM, ANY # CLASSES",177.35,106.41,10.0,7411.0,55
CDM,30100623,"HC DEFINITIVE TEST, (MDA, MDEA, MDMA)",177.35,106.41,10.0,7411.0,55
CDM,30100624,"HC DEFINITIVE TEST, BARBITURATES",253.96,152.38,10.0,7411.0,55
CDM,30100625,"HC DEFINITIVE TEST, CANNABINOIDS",253.96,152.38,10.0,7411.0,55
CDM,30100626,"HC DEFINITIVE TEST, OXYCODONE",253.96,152.38,10.0,7411.0,55
CDM,30100627,"HC DEFINITIVE TEST, AMPHETAMINES 1-2",253.96,152.38,10.0,7411.0,55
CDM,30100628,"HC DEFINITIVE TEST, METHADONE",253.96,152.38,10.0,7411.0,55
CDM,30100629,"HC DEFINITIVE TEST, ANTIDEPRESSANTS, OTHER",253.96,152.38,10.0,7411.0,55
CDM,30100631,"HC DRUG SCREEN, CLASS LIST A, (MERCONIUM)",459.04,275.42,10.0,7411.0,55
CDM,30100632,"HC DRUG SCREEN, CLASS LIST A (MEDICAL)",459.04,275.42,10.0,7411.0,55
CDM,30100633,"HC DRUG SCREEN, CLASS LIST A, (SEND OUT SERUM)",459.04,275.42,10.0,7411.0,55
CDM,30100634,"HC DRUG SCREEN, CLASS LIST A, (SEND OUT URINE)",459.04,275.42,10.0,7411.0,55
CDM,30100636,"HC DEFINITIVE TEST, ALKALOIDS (NICOTINE)",253.96,152.38,10.0,7411.0,55
CDM,30100637,"HC DEFINITIVE TEST, ANALGESICS NON-OPIOD (ACETAMINEPHINE)",459.04,275.42,10.0,7411.0,55
CDM,30100638,"HC DEFINITIVE TEST, ANTIDEPRESSANT (AMYTRIPTYLINE)",253.96,152.38,10.0,7411.0,55
CDM,30100639,"HC DEFINITIVE TEST, ANTIDEPRESSANT (DESIPRAMINE)",253.96,152.38,10.0,7411.0,55
CDM,30100643,"HC DEFINITIVE TEST, ANTIDEPRESSANT (TRICYCLIC OTHER)",177.35,106.41,10.0,7411.0,55
CDM,30100644,"HC DEFINITIVE TEST, ANTIDEPRESSANT (AMPHETAMINES)",253.96,152.38,10.0,7411.0,55
CDM,30100645,"HC DEFINITIVE TEST, FENTANYL",253.96,152.38,10.0,7411.0,55
CDM,30100646,"HC DEFINITIVE TEST, ANTIDEPRESSANT (TRICYCLIC OTHER)",253.96,152.38,10.0,7411.0,55
CDM,30100648,"HC DRUG SCREEN, SINGLE CLASS, LIST B",303.6,182.16,10.0,7411.0,55
CDM,30100649,HC CHG DRUG SCREENING STIMULANTS SYNTHETIC,253.96,152.38,10.0,7411.0,55
CDM,30100650,HC CHG DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3,253.96,152.38,10.0,7411.0,55
CDM,30100671,HC DRUG TEST PRESUMP OPT INST (2 OR MORE PER DAY),303.6,182.16,10.0,7411.0,55
CDM,30100673,HC ALCOHOLS BIOMARKERS 1 OR 2,253.96,152.38,10.0,7411.0,55
CDM,30100682,HC POSACONAZOLE,305.59,183.35,10.0,7411.0,55
CDM,30100683,"HC GAMMAGLOBULIN, IGA",182.55,109.53,7.81,7411.0,55
CDM,30100684,"HC GAMMAGLOBULIN, IGD",182.55,109.53,7.81,7411.0,55
CDM,30100685,"HC GAMMAGLOBULIN, IGG",182.55,109.53,7.81,7411.0,55
CDM,30100686,"HC GAMMAGLOBULIN, IGM",182.55,109.53,7.81,7411.0,55
CDM,30100710,HC OPIATE MONITORING PANEL,253.96,152.38,10.0,7411.0,55
CDM,30100716,"HC TESTOSTERONE, FREE,",269.73,161.84,10.0,7411.0,55
CDM,30100722,HC ASSAY OF PREGNENOLONE,184.05,110.43,10.0,7411.0,55
CDM,30100728,"HC CATECHOLAMINES, (DOPAMINE) FRA",267.98,160.79,10.0,7411.0,55
CDM,30100729,"HC CATECHOLAMINES, (DOPAMINE) FRA",267.98,160.79,10.0,7411.0,55
CDM,30100730,"HC TOTAL PROTEIN, URINE",103.34,62.0,10.0,7411.0,39
CDM,30100732,"HC TOTAL PROTEIN, URINE",128.49,77.09,3.08,7411.0,55
CDM,30100733,HC STOOL WEIGHT,199.82,119.89,10.0,7411.0,34
CDM,30100734,HC ISTAT CHEM/ABG PROFILE*,608.77,365.26,10.0,7411.0,39
CDM,30100735,HC BLOOD GAS DIR MEAS O2 SAT,514.86,308.92,10.0,7411.0,55
CDM,30100736,HC BLOOD GAS 1075,514.86,308.92,10.0,7411.0,55
CDM,30100737,HC OXYGEN SATURATION PANEL OXYGEN,514.86,308.92,10.0,7411.0,55
CDM,30100739,HC ARTERIAL BLOOD GAS,514.86,308.92,10.0,7411.0,55
CDM,30100740,HC CARBAMAZEPINE FREE,130.64,78.38,10.0,7411.0,55
CDM,30100741,HC GALACTOKINASE RBC,341.62,204.97,10.0,7411.0,55
CDM,30100742,HC GALACTOSEMIA,341.62,204.97,10.0,7411.0,55
CDM,30100743,HC NB SCRN GALACTOSEMIA,341.62,204.97,10.0,7411.0,55
CDM,30100744,HC GASTRIC ACID ANALY W/PH EA SPE,38.35,23.01,5.64,7411.0,55
CDM,30100745,HC LEUCINE AMINOPEPTIDASE LAP,137.0,82.2,8.24,7411.0,55
CDM,30100746,HC GONADOTROPIN RELEASING HORMONE,434.92,260.95,10.0,7411.0,55
CDM,30100747,HC NB SCRN CONGENITAL HYPOTHYROID,22.22,13.33,5.43,7411.0,55
CDM,30100748,HC XYLOSE ABSORP BLOOD/URINE,166.48,99.89,10.0,7411.0,55
CDM,30100751,HC BILIRUBIN TESTING,70.25,42.15,4.22,7411.0,55
CDM,30100752,HC DRUG TEST PRESUMP NOT OPTICAL (2 OR MORE PER DAY),459.04,275.42,10.0,7411.0,55
CDM,30100753,HC DRUG TEST PRESUMP NOT OPTICAL (2 OR MORE PER DAY),459.04,275.42,10.0,7411.0,55
CDM,30100754,HC DRUG TEST PRESUMP NOT OPTICAL (2 OR MORE PER DAY),459.04,275.42,10.0,7411.0,55
CDM,30100755,HC DRUG TEST PRESUMP NOT OPTICAL (2 OR MORE PER DAY),459.04,275.42,10.0,7411.0,55
CDM,30100756,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100757,"HC COLUMN,QUAN,SINGLE STATIONARY",305.93,183.56,10.0,7411.0,55
CDM,30100758,HC QUANTITATION OF DRUG,722.4,433.44,10.0,7411.0,55
CDM,30100759,HC QUANTITATION OF DRUG,722.4,433.44,10.0,7411.0,55
CDM,30100760,HC QUANTITATION OF DRUG,203.83,122.3,10.0,7411.0,55
CDM,30100761,HC QUANTITATION OF DRUG,203.83,122.3,10.0,7411.0,55
CDM,30100762,HC QUANTITATION OF DRUG,203.83,122.3,10.0,7411.0,55
CDM,30100763,HC QUANTITATION OF DRUG,722.4,433.44,10.0,7411.0,55
CDM,30100764,HC QUANTITATION OF DRUG,722.4,433.44,10.0,7411.0,55
CDM,30100765,HC QUANTITATION OF DRUG,722.4,433.44,10.0,7411.0,55
CDM,30100766,"HC COLUMN,QUAN,SINGLE STATIONARY",305.93,183.56,10.0,7411.0,55
CDM,30100767,"HC COLUMN,QUAN,SINGLE STATIONARY",305.93,183.56,10.0,7411.0,55
CDM,30100768,"HC COLUMN,QUAN,SINGLE STATIONARY",305.93,183.56,10.0,7411.0,55
CDM,30100769,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100770,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100771,HC QUANTITATION OF DRUG,203.83,122.3,10.0,7411.0,55
CDM,30100772,HC QUANTITATION OF DRUG,203.83,122.3,10.0,7411.0,55
CDM,30100773,"HC COLUMN,QUAN,SINGLE STATIONARY",305.93,183.56,10.0,7411.0,55
CDM,30100774,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100775,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100776,HC QUANTITATION OF DRUG,203.83,122.3,10.0,7411.0,55
CDM,30100777,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100778,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100779,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100780,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100781,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100782,HC DRUG TEST PRESUMP NOT OPTICAL (2 OR MORE PER DAY),459.04,275.42,10.0,7411.0,55
CDM,30100783,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100784,HC QUANTITATION OF DRUG,722.4,433.44,10.0,7411.0,55
CDM,30100785,HC ASSAY OF GAMMAGLOBULIN IGM,182.55,109.53,7.81,7411.0,55
CDM,30100786,HC ASSAY OF GAMMAGLOBULIN IGM,182.55,109.53,7.81,7411.0,55
CDM,30100787,HC ASSAY OF GAMMAGLOBULIN IGM,182.55,109.53,7.81,7411.0,55
CDM,30100788,HC ASSAY OF GAMMAGLOBULIN IGM,182.55,109.53,7.81,7411.0,55
CDM,30100789,"HC TESTOSTERONE, BLOOD, RIA",307.8,184.68,10.0,7411.0,55
CDM,30100790,"HC COLUMN,QUAN,SINGLE STATIONARY",305.93,183.56,10.0,7411.0,55
CDM,30100791,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100792,HC QUANTITATION OF DRUG,722.4,433.44,10.0,7411.0,55
CDM,30100793,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100794,HC ASSAY OF GAMMAGLOBULIN IGM,182.55,109.53,7.81,7411.0,55
CDM,30100795,"HC COLUMN,QUAN,SINGLE STATIONARY",305.93,183.56,10.0,7411.0,55
CDM,30100796,"HC COLUMN,QUAN,SINGLE STATIONARY",305.93,183.56,10.0,7411.0,55
CDM,30100797,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100798,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100799,HC QUANTITATION OF DRUG,203.83,122.3,10.0,7411.0,55
CDM,30100800,HC QUANTITATION OF DRUG,203.83,122.3,10.0,7411.0,55
CDM,30100801,"HC COLUMN,QUAN,SINGLE STATIONARY",305.93,183.56,10.0,7411.0,55
CDM,30100802,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100803,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100804,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100805,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100806,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100807,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100808,HC QUANTITATION OF DRUG,234.4,140.64,10.0,7411.0,55
CDM,30100809,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100810,HC QUANTITATION OF DRUG,722.4,433.44,10.0,7411.0,55
CDM,30100811,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100812,"HC COLUMN,QUAN,SINGLE STATIONARY",305.93,183.56,10.0,7411.0,55
CDM,30100813,"HC COLUMN,QUAN,SINGLE STATIONARY",305.93,183.56,10.0,7411.0,55
CDM,30100815,HC DRUG TEST PRESUMP NOT OPTICAL (2 OR MORE PER DAY),459.04,275.42,10.0,7411.0,55
CDM,30100816,HC ASSAY OF GAMMAGLOBULIN IGM,182.55,109.53,7.81,7411.0,55
CDM,30100817,"HC COLUMN,QUAN,SINGLE STATIONARY",305.93,183.56,10.0,7411.0,55
CDM,30100818,HC QUANTITATION OF DRUG,203.83,122.3,10.0,7411.0,55
CDM,30100819,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100820,"HC COLUMN,QUAN,SINGLE STATIONARY",305.93,183.56,10.0,7411.0,55
CDM,30100821,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100822,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100823,HC DRUG TEST PRESUMP NOT OPTICAL (2 OR MORE PER DAY),459.04,275.42,10.0,7411.0,55
CDM,30100825,HC QUANTITATION OF DRUG,203.83,122.3,10.0,7411.0,55
CDM,30100826,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,55
CDM,30100827,"HC COLUMN,QUAN,SINGLE STATIONARY",305.93,183.56,10.0,7411.0,55
CDM,30100828,HC DRUG TEST PRESUMP NOT OPTICAL (2 OR MORE PER DAY),459.04,275.42,10.0,7411.0,55
CDM,30100829,HC DRUG TEST PRESUMP NOT OPTICAL (2 OR MORE PER DAY),459.04,275.42,10.0,7411.0,55
CDM,30100830,"HC COLUMN,QUAN,SINGLE STATIONARY",305.93,183.56,10.0,7411.0,55
CDM,30100831,HC DRUG TEST PRESUMP NOT OPTICAL (2 OR MORE PER DAY),459.04,275.42,10.0,7411.0,55
CDM,30100832,"HC COLUMN,QUAN,SINGLE STATIONARY",305.93,183.56,10.0,7411.0,55
CDM,30100833,"HC ALDOSTERONE, SERUM",365.41,219.25,10.0,7411.0,55
CDM,30100834,"HC ALDOSTERONE, SERUM",365.41,219.25,10.0,7411.0,55
CDM,30100835,"HC GASES,BLOOD,O2 SATURAT ONLY,DI",160.59,96.35,8.21,7411.0,55
CDM,30100836,HC ALBUMIN SERUM,88.72,53.23,4.16,7411.0,55
CDM,30100837,HC AMYLASE,182.9,109.74,5.44,7411.0,55
CDM,30100838,HC AMYLASE,182.9,109.74,5.44,7411.0,55
CDM,30100839,HC AMYLASE,182.9,109.74,5.44,7411.0,55
CDM,30100840,"HC CYANOCOBALAMINE (VITAMIN B12),",240.75,144.45,10.0,7411.0,55
CDM,30100841,"HC ALBUMIN - URINE,QUANTITATIVE,EA",102.54,61.52,6.54,7411.0,55
CDM,30100842,"HC CHOLESTEROL, SERUM OR WHOLE BL",98.22,58.93,3.65,7411.0,55
CDM,30100843,HC CREATININE - OTHER SOURCE,124.74,74.84,4.35,7411.0,55
CDM,30100844,"HC TRIGLYCERIDES, BLOOD",135.89,81.53,4.82,7411.0,55
CDM,30100845,"HC UREA NITROGEN, BLOOD (BUN),",105.46,63.28,3.32,7411.0,55
CDM,30100846,HC MAGNESIUM,153.91,92.35,5.63,7411.0,55
CDM,30100847,HC CALCIUM URINE,111.2,66.72,5.07,7411.0,55
CDM,30100848,HC CARBON DIOXIDE,80.13,48.08,4.1,7411.0,55
CDM,30100849,HC METABOLIC PANEL TOTAL CALCIUM,249.74,149.84,7.11,7411.0,55
CDM,30100850,"HC CHLORIDES, BLOOD",93.56,56.14,3.86,7411.0,55
CDM,30100851,HC CHLORIDE - OTHER SOURCE,94.99,56.99,4.2,7411.0,55
CDM,30100852,"HC PHOSPHORUS (PHOSPHATE), BLOOD",104.78,62.87,3.98,7411.0,55
CDM,30100853,"HC CHOLESTEROL, SERUM OR WHOLE BL",98.22,58.93,3.65,7411.0,55
CDM,30100854,"HC CREATINE KINASE, MB FRACTION",291.66,175.0,9.7,7411.0,55
CDM,30100855,"HC GASES,BLOOD,ANY COMBO:PH,PCO2,",432.76,259.66,10.0,7411.0,55
CDM,30100856,"HC CREATINE PHOSPHOKINASE (CPK),",159.62,95.77,5.47,7411.0,55
CDM,30100857,HC CREATININE - OTHER SOURCE,124.74,74.84,4.35,7411.0,55
CDM,30100858,HC CREATININE - SERUM,111.02,66.61,4.3,7411.0,55
CDM,30100859,HC GENTAMICIN,276.9,166.14,10.0,7411.0,55
CDM,30100860,"HC GLUCOSE - QUANTITATIVE, BLOOD",99.79,59.87,3.3,7411.0,55
CDM,30100861,"HC GLUCOSE,BODY FLUID,OTHER THAN",127.23,76.34,3.3,7411.0,55
CDM,30100862,"HC GLUCOSE,BODY FLUID,OTHER THAN",127.23,76.34,3.3,7411.0,55
CDM,30100863,"HC GLUCOSE, POST GLUCOSE DOSE",114.97,68.98,3.99,7411.0,55
CDM,30100864,"HC GLUCOSE,BODY FLUID,OTHER THAN",127.23,76.34,3.3,7411.0,55
CDM,30100865,"HC GONADOTROPIN, CHORIONIC, QUANT",302.19,181.31,10.0,7411.0,55
CDM,30100866,"HC GONADOTROPIN, CHORIONIC, QUALIT",229.02,137.41,6.32,7411.0,55
CDM,30100867,HC NATRIURETIC PEPTIDE,407.22,244.33,10.0,7411.0,55
CDM,30100868,"HC CALCIUM,BLOOD,FRACTIONATED DIF",232.01,139.21,10.0,7411.0,55
CDM,30100869,HC MAGNESIUM,153.91,92.35,5.63,7411.0,55
CDM,30100870,HC IRON,148.33,89.0,5.43,7411.0,55
CDM,30100871,"HC GASES,BLOOD,ANY COMBO:PH,PCO2,",432.76,259.66,10.0,7411.0,55
CDM,30100872,"HC LDH, BLOOD, KINETIC ULTRAVIOLE",137.21,82.33,5.07,7411.0,55
CDM,30100873,"HC LDH, BLOOD, KINETIC ULTRAVIOLE",137.21,82.33,5.07,7411.0,55
CDM,30100874,"HC LIPASE, BLOOD",217.7,130.62,5.79,7411.0,55
CDM,30100875,HC HEPATIC FUNCTION PANEL,322.54,193.52,6.86,7411.0,55
CDM,30100876,HC MAGNESIUM,153.91,92.35,5.63,7411.0,55
CDM,30100877,"HC OSMOLALITY, URINE",147.19,88.31,5.73,7411.0,55
CDM,30100878,HC ASSAY OF BODY FLUID ACIDITY,91.04,54.62,3.01,7411.0,55
CDM,30100879,HC ASSAY OF BODY FLUID ACIDITY,91.04,54.62,3.01,7411.0,55
CDM,30100880,"HC PHOSPHORUS (PHOSPHATE), BLOOD",104.78,62.87,3.98,7411.0,55
CDM,30100881,"HC PHOSPHORUS (PHOSPHATE), URINE",89.02,53.41,4.86,7411.0,55
CDM,30100882,HC POTASSIUM,99.79,59.87,4.0,7411.0,55
CDM,30100883,HC POTASSIUM URINE,98.18,58.91,3.97,7411.0,55
CDM,30100884,HC POTASSIUM URINE,98.18,58.91,3.97,7411.0,55
CDM,30100885,HC PROTEIN - CSF,129.62,77.77,3.36,7411.0,55
CDM,30100886,HC PROTEIN - CSF,129.62,77.77,3.36,7411.0,55
CDM,30100887,HC LACTATE (LACTIC ACID),243.23,145.94,9.72,7411.0,55
CDM,30100888,HC PANEL RENAL FUNCTION,295.62,177.37,7.29,7411.0,55
CDM,30100889,"HC SODIUM, BLOOD",103.54,62.12,4.04,7411.0,55
CDM,30100890,HC SODIUM URINE,117.24,70.34,4.25,7411.0,55
CDM,30100891,HC SODIUM CSF,67.54,40.52,4.08,7411.0,55
CDM,30100892,"HC TRIGLYCERIDES, BLOOD",135.89,81.53,4.82,7411.0,55
CDM,30100893,HC TROPONIN I TPM-I,306.86,184.12,10.0,7411.0,55
CDM,30100894,HC PARATHORMONE (PARATHYROID HORM,449.06,269.44,10.0,7411.0,55
CDM,30100895,"HC UREA NITROGEN, BLOOD (BUN),",105.46,63.28,3.32,7411.0,55
CDM,30100896,"HC UREA NITROGEN, URINE",119.19,71.51,4.67,7411.0,55
CDM,30100897,HC MAGNESIUM,153.91,92.35,5.63,7411.0,55
CDM,30100898,HC CARBON DIOXIDE,80.13,48.08,4.1,7411.0,55
CDM,30100899,HC VANCOMYCIN,304.35,182.61,10.0,7411.0,55
CDM,30100900,"HC BLOOD OCCULT BY PEROXIDASE,QUA",71.91,43.15,3.55,7411.0,55
CDM,30100901,HC CREATININE - SERUM,111.02,66.61,4.3,7411.0,55
CDM,30100902,HC NATRIURETIC PEPTIDE,407.22,244.33,10.0,7411.0,55
CDM,30100903,HC TROPONIN I TPM-I,306.86,184.12,10.0,7411.0,55
CDM,30100904,"HC CREATINE KINASE, MB FRACTION",291.66,175.0,9.7,7411.0,55
CDM,30100905,HC MYOGLOBIN ELECTROPHORESIS,228.29,136.97,10.0,7411.0,55
CDM,30100906,HC AMYLASE,182.9,109.74,5.44,7411.0,55
CDM,30100907,"HC CHLORIDES, BLOOD",93.56,56.14,3.86,7411.0,55
CDM,30100908,HC CARBON DIOXIDE,80.13,48.08,4.1,7411.0,55
CDM,30100909,"HC GLUCOSE, POST GLUCOSE DOSE",114.97,68.98,3.99,7411.0,55
CDM,30100910,HC LACTATE (LACTIC ACID),243.23,145.94,9.72,7411.0,55
CDM,30100911,"HC GLUCOSE - QUANTITATIVE, BLOOD",99.79,59.87,3.3,7411.0,55
CDM,30100912,HC POTASSIUM,99.79,59.87,4.0,7411.0,55
CDM,30100913,"HC SODIUM, BLOOD",103.54,62.12,4.04,7411.0,55
CDM,30100914,"HC UREA NITROGEN, BLOOD (BUN),",105.46,63.28,3.32,7411.0,55
CDM,30100915,HC GASTROCCULT,78.59,47.15,4.47,7411.0,55
CDM,30100916,"HC CRYOGLOBULIN, BLOOD",108.08,64.85,5.43,7411.0,55
CDM,30100917,"HC CHLORIDES, URINE (ELECTROMETRI",97.17,58.3,4.83,7411.0,55
CDM,30100918,HC TESTING BLOOD SUGAR LEVEL,56.6,33.96,3.12,7411.0,55
CDM,30100919,HC ASSAY OF VITAMIN D,394.3,236.58,10.0,7411.0,55
CDM,30100920,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30100921,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30100922,"HC MASS SPECTROMETRY,QUANT EA",261.74,157.04,10.0,7411.0,55
CDM,30100923,HC CORTISOL,273.89,164.33,10.0,7411.0,55
CDM,30100924,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30100925,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30100926,HC COPPER,150.0,90.0,10.0,7411.0,55
CDM,30100927,"HC CYANOCOBALAMINE (VITAMIN B12),",240.75,144.45,10.0,7411.0,55
CDM,30100928,HC AMNIOTIC FLUID ENZYME TEST,325.22,195.13,10.0,7411.0,55
CDM,30100929,HC HISTAMINE,257.77,154.66,10.0,7411.0,55
CDM,30100930,"HC MASS SPECTROMETRY,QUANT EA",261.74,157.04,10.0,7411.0,55
CDM,30100931,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30100932,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30100933,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30100934,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30100935,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30100936,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30100937,"HC WESTRN BLOT,W/INTRP & REPRT,BL",370.43,222.26,10.0,7411.0,55
CDM,30100938,"HC WESTRN BLOT,W/INTRP & REPRT,BL",370.43,222.26,10.0,7411.0,55
CDM,30100939,"HC WESTRN BLOT,W/INTRP & REPRT,BL",370.43,222.26,10.0,7411.0,55
CDM,30100940,HC ELECTRODIAGNOSTIC NEUROMETER,150.94,90.56,6.86,7411.0,55
CDM,30100941,HC ACYLCARNITINES QUANTITATIVE,347.84,208.7,10.0,7411.0,55
CDM,30100942,HC SOMATOSTATIN,333.4,200.04,10.0,7411.0,55
CDM,30100943,HC CHLORIDE - OTHER SOURCE,94.99,56.99,4.2,7411.0,55
CDM,30100944,"HC ENZYME ACTIVITY,NES,NONRAD SUB",253.0,151.8,10.0,7411.0,55
CDM,30100945,"HC ELECTROPHORETIC TECHNIQUE, NES",226.82,136.09,10.0,7411.0,55
CDM,30100946,"HC ELECTROPHORETIC TECHNIQUE, NES",226.82,136.09,10.0,7411.0,55
CDM,30100947,"HC HEAVY METAL - QUANTITATIVE, EACH",210.67,126.4,10.0,7411.0,55
CDM,30100948,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30100949,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30100950,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30100951,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30100952,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30100953,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30100954,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30100955,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30100956,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30100957,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30100958,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30100959,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30100960,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30100961,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30100962,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30100963,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30100964,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30100965,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30100966,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30100967,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30100968,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30100969,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30100970,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30100971,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30100972,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30100973,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30100974,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30100975,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30100976,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30100977,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30100978,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30100979,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30100980,"HC LACTOFERRIN,FECAL,QUALITATIVE",225.87,135.52,10.0,7411.0,55
CDM,30100981,HC MAGNESIUM,153.91,92.35,5.63,7411.0,55
CDM,30100982,"HC MASS SPECTROMETRY,QUANT EA",261.74,157.04,10.0,7411.0,55
CDM,30100983,"HC MASS SPECTROMETRY,QUANT EA",261.74,157.04,10.0,7411.0,55
CDM,30100984,"HC MASS SPECTROMETRY,QUANT EA",261.74,157.04,10.0,7411.0,55
CDM,30100985,"HC MASS SPECTROMETRY,QUANT EA",261.74,157.04,10.0,7411.0,55
CDM,30100986,"HC CALPROTECTIN, FECAL",356.33,213.8,10.0,7411.0,55
CDM,30100987,HC SODIUM CSF,67.54,40.52,4.08,7411.0,55
CDM,30100988,"HC SPECTROPHOTOMETRY,ANALYTE NOT",208.34,125.0,6.8,7411.0,55
CDM,30100989,"HC SPECTROPHOTOMETRY,ANALYTE NOT",208.34,125.0,6.8,7411.0,55
CDM,30100990,"HC SPECTROPHOTOMETRY,ANALYTE NOT",208.34,125.0,6.8,7411.0,55
CDM,30100991,"HC VITAMIN,NOT OTHERWISE SPECIFIED",217.86,130.72,10.0,7411.0,55
CDM,30100992,"HC VITAMIN,NOT OTHERWISE SPECIFIED",217.86,130.72,10.0,7411.0,55
CDM,30100993,"HC MASS SPECTROMETRY,QUANT EA",261.74,157.04,10.0,7411.0,55
CDM,30100994,"HC GLYCOPROTEIN, ELECTROPHORESIS",131.22,78.73,10.0,7411.0,55
CDM,30100995,HC CHEMILUMINESCENT ASSAY,223.71,134.23,10.0,7411.0,55
CDM,30100996,"HC GLYCOPROTEIN, ELECTROPHORESIS",131.22,78.73,10.0,7411.0,55
CDM,30100997,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30100998,HC CHEMILUMINESCENT ASSAY,223.71,134.23,10.0,7411.0,55
CDM,30100999,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101000,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101001,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101002,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101003,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101004,"HC APOLIPOPROTEIN,EACH",161.97,97.18,10.0,7411.0,55
CDM,30101005,"HC APOLIPOPROTEIN,EACH",161.97,97.18,10.0,7411.0,55
CDM,30101006,"HC NEPHELOMETRY,ANALYTE NT SPECIF",173.82,104.29,10.0,7411.0,55
CDM,30101007,"HC NEPHELOMETRY,ANALYTE NT SPECIF",173.82,104.29,10.0,7411.0,55
CDM,30101008,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30101009,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30101010,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30101011,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30101012,"HC WESTRN BLOT,W/INTRP & REPRT,BL",370.43,222.26,10.0,7411.0,55
CDM,30101013,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101014,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30101015,"HC ENZYME ACTIVITY,NES,NONRAD SUB",253.0,151.8,10.0,7411.0,55
CDM,30101016,HC RECEPTOR ASSAY NON-ENDO,329.67,197.8,10.0,7411.0,55
CDM,30101017,HC RECEPTOR ASSAY NON-ENDO,329.67,197.8,10.0,7411.0,55
CDM,30101018,"HC ORGANIC ACID,SINGLE,QUANTITATI",284.41,170.65,10.0,7411.0,55
CDM,30101019,HC ALPHA-FETOPROTEIN - SERUM,240.75,144.45,10.0,7411.0,55
CDM,30101020,HC ALUMINUM,206.39,123.83,10.0,7411.0,55
CDM,30101021,HC ALPHA-1-ANTITRYPSIN - TOTAL,192.78,115.67,10.0,7411.0,55
CDM,30101022,HC ALPHA-FETOPROTEIN - SERUM,240.75,144.45,10.0,7411.0,55
CDM,30101023,HC ANGIOTENSIN-CONVERTING ENZYME,212.91,127.75,10.0,7411.0,55
CDM,30101024,HC ANGIOTENSIN-CONVERTING ENZYME,212.91,127.75,10.0,7411.0,55
CDM,30101025,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101026,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30101027,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101028,"HC GONADOTROPIN, CHORIONIC, QUANT",302.19,181.31,10.0,7411.0,55
CDM,30101029,"HC BETA-2 MICROGLOBULIN, RIA, SER",184.43,110.66,10.0,7411.0,55
CDM,30101030,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101031,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101032,"HC CRYOGLOBULIN, BLOOD",108.08,64.85,5.43,7411.0,55
CDM,30101033,"HC ENZYME ACTIVITY,NES,NONRAD SUB",253.0,151.8,10.0,7411.0,55
CDM,30101034,HC CORTISOL,273.89,164.33,10.0,7411.0,55
CDM,30101035,HC CHLORIDE - OTHER SOURCE,94.99,56.99,4.2,7411.0,55
CDM,30101036,HC FECAL FAT QUALITATIVE,103.42,62.05,4.28,7411.0,55
CDM,30101037,"HC FECES, FAT OR LIPID, QUANT., 24",221.31,132.79,10.0,7411.0,55
CDM,30101038,HC HYDRPPROGEST 17D RL,301.34,180.8,10.0,7411.0,55
CDM,30101039,HC IRON,148.33,89.0,5.43,7411.0,55
CDM,30101040,HC LACTATE (LACTIC ACID),243.23,145.94,9.72,7411.0,55
CDM,30101041,"HC LEAD, TDH",135.49,81.29,10.0,7411.0,55
CDM,30101042,"HC LEAD, QUANTITATIVE, BLOOD",135.49,81.29,10.0,7411.0,55
CDM,30101043,"HC MASS SPECTROMETRY,QUANT EA",261.74,157.04,10.0,7411.0,55
CDM,30101044,HC METANEPHRINES,306.4,183.84,10.0,7411.0,55
CDM,30101045,HC MYOGLOBIN ELECTROPHORESIS,228.29,136.97,10.0,7411.0,55
CDM,30101046,HC MYOGLOBIN ELECTROPHORESIS,228.29,136.97,10.0,7411.0,55
CDM,30101047,"HC NEPHELOMETRY,ANALYTE NT SPECIF",173.82,104.29,10.0,7411.0,55
CDM,30101048,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30101049,"HC SPECTROPHOTOMETRY,ANALYTE NOT",208.34,125.0,6.8,7411.0,55
CDM,30101050,"HC PORPHYRINS, COPRO-/URO-, FRACT",213.0,127.8,10.0,7411.0,55
CDM,30101051,"HC PORPHOBILINOGEN, URINE, QUANTI",138.94,83.36,7.09,7411.0,55
CDM,30101052,"HC CALCIUM,BLOOD,FRACTIONATED DIF",232.01,139.21,10.0,7411.0,55
CDM,30101053,HC ELECTRODIAGNOSTIC NEUROMETER,150.94,90.56,6.86,7411.0,55
CDM,30101054,"HC HEMOGLOBIN - SULFHEMOGLOBIN,QUAL",75.29,45.17,7.39,7411.0,55
CDM,30101055,HC THYROGLOBULIN,216.33,129.8,10.0,7411.0,55
CDM,30101056,HC REF URIC ACID,115.5,69.3,4.27,7411.0,55
CDM,30101057,"HC HEAVY METAL - QUANTITATIVE, EACH",210.67,126.4,10.0,7411.0,55
CDM,30101058,HC URIC ACID,78.09,46.85,4.27,7411.0,55
CDM,30101059,HC ZINC,158.0,94.8,9.57,7411.0,55
CDM,30101060,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101061,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101062,HC ALUMINUM,206.39,123.83,10.0,7411.0,55
CDM,30101063,HC AMYLASE,182.9,109.74,5.44,7411.0,55
CDM,30101064,"HC ELECTROPHORETIC TECHNIQUE, NES",226.82,136.09,10.0,7411.0,55
CDM,30101065,"HC HEMOGLOBIN, METHEMOGLOBIN, QUA",123.43,74.06,6.89,7411.0,55
CDM,30101066,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101067,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101068,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101069,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101070,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101071,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101072,"HC ORGANIC ACID,SINGLE,QUANTITATI",284.41,170.65,10.0,7411.0,55
CDM,30101073,HC ZINC,158.0,94.8,9.57,7411.0,55
CDM,30101074,"HC SPECTROPHOTOMETRY,ANALYTE NOT",208.34,125.0,6.8,7411.0,55
CDM,30101075,"HC ELECTROPHORETIC TECHNIQUE, NES",226.82,136.09,10.0,7411.0,55
CDM,30101076,"HC PORPHOBILINOGEN, URINE, QUANTI",138.94,83.36,7.09,7411.0,55
CDM,30101077,HC AMYLASE,182.9,109.74,5.44,7411.0,55
CDM,30101078,HC OPIODS AND OPIATE ANALOGS,192.34,115.4,10.0,7411.0,39
CDM,30101079,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30101080,"HC PROTOPORPHYRIN, RBC, QUANTITAT",148.16,88.9,10.0,7411.0,55
CDM,30101081,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30101082,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30101083,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30101084,"HC MASS SPECTROMETRY,QUANT EA",261.74,157.04,10.0,7411.0,55
CDM,30101085,"HC ENZYME ACTIVITY,NES,NONRAD SUB",253.0,151.8,10.0,7411.0,55
CDM,30101086,"HC APOLIPOPROTEIN,EACH",161.97,97.18,10.0,7411.0,55
CDM,30101087,"HC COLLAGEN CROSS LINKS, ANY METH",213.4,128.04,10.0,7411.0,55
CDM,30101088,"HC GASES,BLOOD,O2 SATURAT ONLY,DI",160.59,96.35,8.21,7411.0,55
CDM,30101089,"HC HEMOGLOBIN, METHEMOGLOBIN, QUA",123.43,74.06,6.89,7411.0,55
CDM,30101090,"HC GASES,BLOOD,ANY COMBO:PH,PCO2,",432.76,259.66,10.0,7411.0,55
CDM,30101091,"HC GASES,BLOOD,ANY COMBO:PH,PCO2,",432.76,259.66,10.0,7411.0,55
CDM,30101092,"HC GASES,BLOOD,ANY COMBO:PH,PCO2,",432.76,259.66,10.0,7411.0,55
CDM,30101093,"HC ASSAY, CARBOXYHB, QUANT",206.83,124.1,10.0,7411.0,55
CDM,30101094,HC PH ONLY,107.67,64.6,9.24,7411.0,55
CDM,30101095,"HC AMINO ACIDS, QUANTITATION, EACH",299.64,179.78,10.0,7411.0,55
CDM,30101096,"HC BLOOD OCCUTL,FECAL HEMGLBN IMM",112.27,67.36,10.0,7411.0,55
CDM,30101097,"HC ASSAY, CARBOXYHB, QUANT",206.83,124.1,10.0,7411.0,55
CDM,30101098,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30101099,"HC LACTOFERRIN,FECAL,QUALITATIVE",225.87,135.52,10.0,7411.0,55
CDM,30101100,"HC CALPROTECTIN, FECAL",356.33,213.8,10.0,7411.0,55
CDM,30101101,HC CHEMILUMINESCENT ASSAY,223.71,134.23,10.0,7411.0,55
CDM,30101103,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101104,"HC NEPHELOMETRY,ANALYTE NT SPECIF",173.82,104.29,10.0,7411.0,55
CDM,30101105,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101106,HC COPPER,150.0,90.0,10.0,7411.0,55
CDM,30101107,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30101108,"HC ENZYME ACTIVITY,NES,NONRAD SUB",253.0,151.8,10.0,7411.0,55
CDM,30101109,HC COPPER,150.0,90.0,10.0,7411.0,55
CDM,30101110,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101111,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101112,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101113,HC LACTATE (LACTIC ACID),243.23,145.94,9.72,7411.0,55
CDM,30101114,"HC PROTOPORPHYRIN, RBC, QUANTITAT",148.16,88.9,10.0,7411.0,55
CDM,30101115,HC MAGNESIUM,153.91,92.35,5.63,7411.0,55
CDM,30101116,HC URIC ACID,78.09,46.85,4.27,7411.0,55
CDM,30101117,"HC SUGARS,SINGLE QUALITATIVE,EACH",105.44,63.26,4.62,7411.0,55
CDM,30101118,"HC ASSAY, CARBOXYHB, QUANT",206.83,124.1,10.0,7411.0,55
CDM,30101120,"HC ASSAY, CARBOXYHB, QUANT",206.83,124.1,10.0,7411.0,55
CDM,30101122,"HC ASSAY, CARBOXYHB, QUANT",206.83,124.1,10.0,7411.0,55
CDM,30101125,"HC ASSAY, CARBOXYHB, QUANT",206.83,124.1,10.0,7411.0,55
CDM,30101128,HC GLUCOSE BY MONITOR DEVIC,51.41,30.85,4.23,7411.0,55
CDM,30101129,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101130,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101131,HC CHEMILUMINESCENT ASSAY,223.71,134.23,10.0,7411.0,55
CDM,30101132,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101133,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101134,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101135,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101136,"HC NEPHELOMETRY,ANALYTE NT SPECIF",173.82,104.29,10.0,7411.0,55
CDM,30101137,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101138,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101139,HC AMYLASE,182.9,109.74,5.44,7411.0,55
CDM,30101143,"HC ASSAY, CARBOXYHB, QUANT",206.83,124.1,10.0,7411.0,55
CDM,30101144,"HC GASES,BLOOD,ANY COMBO:PH,PCO2,",432.76,259.66,10.0,7411.0,55
CDM,30101145,"HC SODIUM, BLOOD",103.54,62.12,4.04,7411.0,55
CDM,30101146,HC POTASSIUM,99.79,59.87,4.0,7411.0,55
CDM,30101147,"HC GLUCOSE - QUANTITATIVE, BLOOD",99.79,59.87,3.3,7411.0,55
CDM,30101148,HC GLUCOSE BY MONITOR DEVIC,51.41,30.85,4.23,7411.0,55
CDM,30101149,HC NATRIURETIC PEPTIDE,407.22,244.33,10.0,7411.0,55
CDM,30101150,HC ASSAY OF VITAMIN D,394.3,236.58,10.0,7411.0,55
CDM,30101151,HC METANEPHRINES,306.4,183.84,10.0,7411.0,55
CDM,30101152,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30101153,"HC GASES,BLOOD,O2 SATURAT ONLY,DI",160.59,96.35,8.21,7411.0,55
CDM,30101154,HC PH ONLY,107.67,64.6,9.24,7411.0,55
CDM,30101156,HC OCCULT BLOOD STOOL,61.81,37.09,3.68,7411.0,55
CDM,30101157,HC PARATHORMONE (PARATHYROID HORM,449.06,269.44,10.0,7411.0,55
CDM,30101158,"HC AMINO ACIDS, QUANTITATION, EACH",299.64,179.78,10.0,7411.0,55
CDM,30101159,"HC GASES,BLOOD,ANY COMBO:PH,PCO2,",432.76,259.66,10.0,7411.0,55
CDM,30101160,"HC ENZYME ACTIVITY,NES,NONRAD SUB",253.0,151.8,10.0,7411.0,55
CDM,30101161,HC PARATHORMONE (PARATHYROID HORM,449.06,269.44,10.0,7411.0,55
CDM,30101162,HC LACTATE (LACTIC ACID),243.23,145.94,9.72,7411.0,55
CDM,30101163,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30101164,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,55
CDM,30101165,HC THYROGLOBULIN,216.33,129.8,10.0,7411.0,55
CDM,30101166,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,55
CDM,30101167,HC ALBUMIN SERUM,88.72,53.23,4.16,7411.0,55
CDM,30101169,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30101170,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30101171,"HC BETA-2 MICROGLOBULIN, RIA, SER",184.43,110.66,10.0,7411.0,55
CDM,30101172,"HC UREA NITROGEN, BLOOD (BUN),",105.46,63.28,3.32,7411.0,55
CDM,30101173,HC CREATININE - SERUM,111.02,66.61,4.3,7411.0,55
CDM,30101174,HC PARATHORMONE (PARATHYROID HORM,449.06,269.44,10.0,7411.0,55
CDM,30101175,HC LACTATE (LACTIC ACID),243.23,145.94,9.72,7411.0,55
CDM,30101176,"HC PORPHYRINS, COPRO-/URO-, FRACT",213.0,127.8,10.0,7411.0,55
CDM,30101177,HC LACTATE (LACTIC ACID),243.23,145.94,9.72,7411.0,55
CDM,30101178,"HC CREATINE KINASE, MB FRACTION",291.66,175.0,9.7,7411.0,55
CDM,30101179,HC HEPATIC FUNCTION PANEL,322.54,193.52,6.86,7411.0,55
CDM,30101180,HC PANEL RENAL FUNCTION,295.62,177.37,7.29,7411.0,55
CDM,30101181,"HC CREATINE PHOSPHOKINASE (CPK),",159.62,95.77,5.47,7411.0,55
CDM,30101182,HC CREATININE - SERUM,111.02,66.61,4.3,7411.0,55
CDM,30101183,"HC UREA NITROGEN, BLOOD (BUN),",105.46,63.28,3.32,7411.0,55
CDM,30101184,"HC GLUCOSE - QUANTITATIVE, BLOOD",99.79,59.87,3.3,7411.0,55
CDM,30101185,HC CARBON DIOXIDE,80.13,48.08,4.1,7411.0,55
CDM,30101186,"HC CHLORIDES, BLOOD",93.56,56.14,3.86,7411.0,55
CDM,30101187,HC POTASSIUM,99.79,59.87,4.0,7411.0,55
CDM,30101188,"HC SODIUM, BLOOD",103.54,62.12,4.04,7411.0,55
CDM,30101189,HC TROPONIN I TPM-I,306.86,184.12,10.0,7411.0,55
CDM,30101190,"HC PHOSPHORUS (PHOSPHATE), BLOOD",104.78,62.87,3.98,7411.0,55
CDM,30101191,HC MAGNESIUM,153.91,92.35,5.63,7411.0,55
CDM,30101192,"HC GASES,BLOOD,O2 SATURAT ONLY,DI",160.59,96.35,8.21,7411.0,55
CDM,30101193,"HC PROTOPORPHYRIN, RBC, QUANTITAT",148.16,88.9,10.0,7411.0,55
CDM,30101194,HC METABOLIC PANEL TOTAL CALCIUM,249.74,149.84,7.11,7411.0,55
CDM,30101195,HC AMYLASE,182.9,109.74,5.44,7411.0,55
CDM,30101196,"HC LIPASE, BLOOD",217.7,130.62,5.79,7411.0,55
CDM,30101197,HC GASTROCCULT,78.59,47.15,4.47,7411.0,55
CDM,30101198,"HC BLOOD OCCULT BY PEROXIDASE,QUA",71.91,43.15,3.55,7411.0,55
CDM,30101199,"HC GONADOTROPIN, CHORIONIC, QUALIT",229.02,137.41,6.32,7411.0,55
CDM,30101200,"HC BLOOD OCCULT BY PEROXIDASE,QUA",71.91,43.15,3.55,7411.0,55
CDM,30101201,HC ACYLCARNITINES QUANTITATIVE,347.84,208.7,10.0,7411.0,55
CDM,30101202,"HC GONADOTROPIN, CHORIONIC, QUANT",302.19,181.31,10.0,7411.0,55
CDM,30101203,HC 17- HYDROXYPROGESTEORNE QNT,301.34,180.8,10.0,7411.0,55
CDM,30101204,"HC MASS SPECTROMETRY,QUANT EA",261.74,157.04,10.0,7411.0,55
CDM,30101205,"HC GASES,BLOOD,ANY COMBO:PH,PCO2,",432.76,259.66,10.0,7411.0,55
CDM,30101206,HC LACTATE (LACTIC ACID),243.23,145.94,9.72,7411.0,55
CDM,30101207,HC CREATININE - SERUM,111.02,66.61,4.3,7411.0,55
CDM,30101208,HC ALPHA-1-ANTITRYPSIN - TOTAL,192.78,115.67,10.0,7411.0,55
CDM,30101209,HC FECAL FAT QUALITATIVE,103.42,62.05,4.28,7411.0,55
CDM,30101210,"HC FECES, FAT OR LIPID, QUANT., 24",221.31,132.79,10.0,7411.0,55
CDM,30101211,"HC SUGARS,SINGLE QUALITATIVE,EACH",105.44,63.26,4.62,7411.0,55
CDM,30101212,HC SODIUM URINE,117.24,70.34,4.25,7411.0,55
CDM,30101213,HC POTASSIUM URINE,98.18,58.91,3.97,7411.0,55
CDM,30101214,"HC CHLORIDES, URINE (ELECTROMETRI",97.17,58.3,4.83,7411.0,55
CDM,30101215,HC CARBON DIOXIDE,80.13,48.08,4.1,7411.0,55
CDM,30101216,"HC OSMOLALITY, URINE",147.19,88.31,5.73,7411.0,55
CDM,30101217,HC ASSAY OF BODY FLUID ACIDITY,91.04,54.62,3.01,7411.0,55
CDM,30101218,HC GASTROCCULT,78.59,47.15,4.47,7411.0,55
CDM,30101219,HC GASTROCCULT,78.59,47.15,4.47,7411.0,55
CDM,30101220,HC OCCULT BLOOD STOOL,61.81,37.09,3.68,7411.0,55
CDM,30101221,HC TESTING BLOOD SUGAR LEVEL,56.6,33.96,3.12,7411.0,55
CDM,30101222,"HC BLOOD OCCULT BY PEROXIDASE,QUA",71.91,43.15,3.55,7411.0,55
CDM,30101223,"HC BLOOD OCCUTL,FECAL HEMGLBN IMM",112.27,67.36,10.0,7411.0,55
CDM,30101224,"HC GLUCOSE - QUANTITATIVE, BLOOD",99.79,59.87,3.3,7411.0,55
CDM,30101225,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,55
CDM,30101229,HC DIGOXIN FREE,531.63,318.98,10.0,7411.0,55
CDM,30101236,HC CALCULUS QUANTITATIVE ANALYSIS,221.0,132.6,10.0,7411.0,55
CDM,30101251,"HC METHEMOGLOBIN, QUALITATIVE",25.35,15.21,5.45,7411.0,55
CDM,30101258,HC LRH HORMONE,434.92,260.95,10.0,7411.0,55
CDM,30101269,"HC UROBILINOGEN, URINE - SEMIQUANTITATIVE",12.42,7.45,4.47,7411.0,55
CDM,30101270,HC EVAL AMNIOTIC FLUID PROTEIN,372.39,223.43,10.0,7411.0,55
CDM,30101271,HC ASSAY OF INSULIN,138.22,82.93,10.0,7411.0,55
CDM,30101272,HC GI PATHOGEN PANEL PCR FECES,1021.68,613.01,10.0,7411.0,55
CDM,30101273,HC HPV HIGH-RISK TYPES,219.11,131.47,10.0,7411.0,55
CDM,30101274,HC ADALIMUMAB QN WITH RELEX TO AB,780.19,468.11,10.0,7411.0,55
CDM,30101275,HC DRUG SCREEN COLLECTION,459.04,275.42,10.0,7411.0,55
CDM,30101276,HC REF ADALINUMAB ACTIVITY,305.59,183.35,10.0,7411.0,55
CDM,30101277,HC REF NEUTRALIZING ANTIBODY,121.5,72.9,7.74,7411.0,55
CDM,30101278,HC REF INFLIXMAB ACTIVITY,549.0,329.4,10.0,7411.0,55
CDM,30101279,HC REF MITOTANE,978.08,586.85,10.0,7411.0,34
CDM,30101287,HC HEPATITIS A SUPERQUAL BY PCR,122.87,73.72,10.0,7411.0,34
CDM,30101289,HC EVAL AMNIOTIC FLUID PROTEIN,372.39,223.43,10.0,7411.0,55
CDM,30101290,HC METABOLIC PANEL IONIZED CA,474.94,284.96,10.0,7411.0,55
CDM,30101291,HC ASSAY OF LACTIC ACID,243.23,145.94,9.72,7411.0,55
CDM,30101292,HC BLOOD GASES ANY COMBINATION,432.76,259.66,10.0,7411.0,55
CDM,30101293,HC ASSAY OF CREATININE,111.02,66.61,4.3,7411.0,55
CDM,30101294,HC ASSAY OF TROPONIN QUANTITATIVE,306.86,184.12,10.0,7411.0,55
CDM,30101295,HC OCCULT BLD FECES 1-3 TESTS,71.91,43.15,3.55,7411.0,55
CDM,30101296,HC COMPREHENSIVE METABOLIC PANEL,392.86,235.72,8.87,7411.0,55
CDM,30101297,HC CHORIONIC GONADOTROPIN TEST,302.19,181.31,10.0,7411.0,55
CDM,30101298,HC ASSAY OF PROCAINAMIDE,233.16,139.9,10.0,7411.0,55
CDM,30101299,HC GLUCOSE BY DEVICE POC,56.6,33.96,3.12,7411.0,55
CDM,30101300,HC POC AMYLASE,182.9,109.74,5.44,7411.0,55
CDM,30101301,HC PORPHYRINS FRACTIONATED PLASMA,305.93,183.56,10.0,7411.0,55
CDM,30101302,"HC REF MAYO, BHYD BETA-HYDROXYBUTYRATE, SERUM",93.22,55.93,6.86,7411.0,55
CDM,30101303,"HC REF ARUP, 2013599 INSULIN-LIKE GROWTH FACTOR 2",275.63,165.38,10.0,7411.0,55
CDM,30101304,"HC REF MAYO, COMP ADEVL CPT 83520",1050.0,630.0,10.0,7411.0,55
CDM,30101306,"HC REF ARUP, 3005636 (18) HYPOGLYCEMIA PANEL (SULFONYLUREAS), S/P",336.0,201.6,10.0,7411.0,55
CDM,30101307,"HC REF QUEST COMP 14168, CPT 82131",643.29,385.97,10.0,7411.0,55
CDM,30101308,"HC REF QUEST COMP 14168, CPT 82570",643.29,385.97,4.35,7411.0,55
CDM,30101309,HC REF MAYO SFIG CSF IGG INDEX PROFILE,104.98,62.99,7.81,7411.0,55
CDM,30101310,"HC REF MAYO PGN PREGABALIN, SERUM",152.25,91.35,10.0,7411.0,55
CDM,30101311,"HC REF MAYO 21DOC 21-DEOXYCORTISOL, SERUM",695.25,417.15,10.0,7411.0,55
CDM,30101312,HC REF LABCORP 123023 OXIDIZED LDL,107.5,64.5,8.82,7411.0,55
CDM,30101313,"HC REF ARUP 0098299 HUMAN ANTIMOUSE ANTIBODY, ELISA",524.8,314.88,10.0,7411.0,55
CDM,30101314,"HC REF ARUP 0083001 ADENOSINE DEAMINASE, RBC",175.63,105.38,6.8,7411.0,55
CDM,30101315,"HC REF ARUP COMP 2002109, CPT 84165",17.85,10.71,6.43,7411.0,55
CDM,30101316,"HC REF ARUP COMP 2002109, CPT 84155",17.85,10.71,3.08,7411.0,55
CDM,30101317,"HC REF LABCORP COMP 504355, CPT 80299",555.19,333.11,10.0,7411.0,55
CDM,30101318,"HC REF LABCORP COMP 504355, CPT 82397",555.19,333.11,10.0,7411.0,55
CDM,30101319,"HC REF MAYO NFLP NEUROFILIMENT LIGHT CHAIN, PLASMA",1496.25,897.75,10.0,7411.0,54
CDM,30101320,"HC REF MAYO VITB3 VITAMIN B3 AND METABOLITES, P",231.0,138.6,10.0,7411.0,55
CDM,30101321,HC REF MEDFUSION QUEST COMP 11233 CPT 83521,412.5,247.5,10.0,7411.0,55
CDM,30101322,HC REF ARUP 0070053 BONE SPECIFIC ALKALINE PHOSPHATASE,75.0,45.0,10.0,7411.0,55
CDM,30101323,HC REF MAYO COMP FIMCC CPT 82784,76.67,46.0,7.81,7411.0,55
CDM,30101324,HC REF ARUP COMP 3002482 CPT 83516,245.0,147.0,9.69,7411.0,55
CDM,30101325,HC REF MAYO COMP CYPAN CPT 83520,62.64,37.58,10.0,7411.0,55
CDM,30101326,HC REF MAYO COMP CYPAN CPT 83529,62.65,37.59,10.0,7411.0,55
CDM,30101327,HC REF LABCORP COMP 216010 CPT 82172,21.86,13.12,7.87,7411.0,55
CDM,30101328,HC REF CHILDREN'S MEDICAL CENTER MMP-7,817.5,490.5,10.0,7411.0,55
CDM,30101329,"HC REF ARUP 3018861 VMA RANDOM, URINE",37.5,22.5,10.0,7411.0,55
CDM,30101330,HC REF MAYO COMP CORTO CPT 82533,108.63,65.18,10.0,7411.0,55
CDM,30101331,HC REF MAYO COMP CORTO CPT 82530,111.35,66.81,10.0,7411.0,55
CDM,30101332,HC REF MAYO METAF METANEPHRINES FRACT 24 HR URINE,60.83,36.5,10.0,7411.0,55
CDM,30101333,HC REF MAYO COMP MCMRU CPT 82570,141.58,84.95,4.35,7411.0,55
CDM,30101334,HC REF MAYO COMP MCMRU CPT 84150,1141.73,685.04,10.0,7411.0,55
CDM,30101335,HC REF MAYO COMP MCMRU CPT 82542,658.45,395.07,10.0,7411.0,55
CDM,30101336,"HC REF MAYO DSAC DISACCHARIDASE ACTIVITY PANEL, TS",551.75,331.05,10.0,7411.0,55
CDM,30101337,HC REF ARUP 0055662 VIT B12,22.5,13.5,8.1,7411.0,55
CDM,30101338,HC REF ARUP 0055662 REFLEX MMA VIT B12 STATUS,22.5,13.5,8.1,7411.0,55
CDM,30101340,"HC REF ARUP 0070093 LUTEINIZING HORMONE, SERUM",23.4,14.04,8.42,7411.0,55
CDM,30101341,HC REF ARUP 3000003 PARATHYROID HORMONE (PTH) ANTIBODY,431.95,259.17,10.0,7411.0,55
CDM,30101342,HC REF LABCORP 010173 BETA 2MICROGLOBULIN,56.58,33.95,10.0,7411.0,55
CDM,30101343,HC REF QUEST 36338 BILE ACID SYNTHESIS,621.25,372.75,10.0,7411.0,55
CDM,30101344,HC REF MORL UNIVERSITY IOWA COMP C3G-CP CPT 83516,577.07,346.24,9.69,7411.0,55
CDM,30101345,HC REF MORL UNIVERSITY IOWA COMP C3G-CP CPT 83520,577.07,346.24,10.0,7411.0,55
CDM,30101346,HC REF ARUP 3002984 ADENOSINE DEAMINASE IN PERICARDIAL FLUID,91.88,55.13,6.8,7411.0,55
CDM,30101347,HC REF COMP UWMC PARANEOPLASTIC EXT. CPT 84182,337.5,202.5,10.0,7411.0,55
CDM,30101348,"HC REF ARUP 0070490 HYDROXYCORTICOSTEROIDS, URINE",126.88,76.13,10.0,7411.0,55
CDM,30101349,HC REF LABCORP 520380 AMYLOID A (SAA),502.0,301.2,10.0,7411.0,55
CDM,30101350,"HC REF MAYO GPSYP GLUCOPSYCHOSINE, P",480.38,288.23,10.0,7411.0,55
CDM,30101351,HC REF LABCORP COMP 550960 CPT 82172,86.25,51.75,10.0,7411.0,55
CDM,30101352,HC REF LABCORP COMP 550960 CPT 82247,86.25,51.75,4.22,7411.0,55
CDM,30101353,HC REF LABCORP COMP 550960 CPT 82465,86.25,51.75,3.65,7411.0,55
CDM,30101354,HC REF LABCORP COMP 550960 CPT 82947,86.25,51.75,3.3,7411.0,55
CDM,30101355,HC REF LABCORP COMP 550960 CPT 82977,86.25,51.75,6.05,7411.0,55
CDM,30101356,HC REF LABCORP COMP 550960 CPT 83010,86.25,51.75,6.05,7411.0,55
CDM,30101357,HC REF LABCORP COMP 550960 CPT 83883,86.25,51.75,10.0,7411.0,55
CDM,30101358,HC REF LABCORP COMP 550960 CPT 84450,86.25,51.75,4.35,7411.0,55
CDM,30101359,HC REF LABCORP COMP 550960 CPT 84460,86.25,51.75,4.45,7411.0,55
CDM,30101360,HC REF LABCORP COMP 550960 CPT 84478,86.25,51.75,4.82,7411.0,55
CDM,30101361,"HC REF ARUP 0080432 BETA-2 MICROGLOBULIN, URINE",35.95,21.57,10.0,7411.0,55
CDM,30101362,HC REF ARUP 2011058 ARYLSULFATASE A LEUKOCYTES,525.0,315.0,10.0,7411.0,55
CDM,30101363,HC REF QUEST 37710 ANIT HU ANTIBODY REFLEX,318.75,191.25,10.0,7411.0,55
CDM,30101364,"HC REF QUEST 90637 RIBOSOMAL P ANTIBODY, CSF",455.8,273.48,9.69,7411.0,55
CDM,30101365,"HC REF MAYO CALU, CALCIUM, 24 HR , U",65.65,39.39,5.07,7411.0,55
CDM,30101366,"HC REF MAYO MSP3, MULTIPLE SCLEROSIS CASCADE",242.1,145.26,10.0,7411.0,55
CDM,30101434,"HC CHLORIDES, BLOOD POINT OF CARE PATHOLOGY",93.56,56.14,3.86,7411.0,55
CDM,30101435,"HC CALCIUM,BLOOD,FRACTIONATED DIF POINT OF CARE PATHOLOGY",232.01,139.21,10.0,7411.0,55
CDM,30101436,"HC GASES,BLOOD,ANY COMBO:PH,PCO2, POINT OF CARE PATHOLOGY",432.76,259.66,10.0,7411.0,55
CDM,30101437,HC ASSAY OF BODY FLUID ACIDITY POINT OF CARE PATHOLOGY,91.04,54.62,3.01,7411.0,55
CDM,30101438,HC LACTATE (LACTIC ACID) POINT OF CARE PATHOLOGY,243.23,145.94,9.72,7411.0,55
CDM,30101439,HC CREATININE - SERUM POINT OF CARE PATHOLOGY,111.02,66.61,4.3,7411.0,55
CDM,30101440,HC NATRIURETIC PEPTIDE POINT OF CARE PATHOLOGY,407.22,244.33,10.0,7411.0,55
CDM,30101441,"HC CREATINE KINASE, MB FRACTION POINT OF CARE PATHOLOGY",291.66,175.0,9.7,7411.0,55
CDM,30101442,HC MYOGLOBIN ELECTROPHORESIS POINT OF CARE PATHOLOGY,228.29,136.97,10.0,7411.0,55
CDM,30101443,"HC GLUCOSE - QUANTITATIVE, BLOOD POINT OF CARE PATHOLOGY",99.79,59.87,3.3,7411.0,55
CDM,30101444,HC POTASSIUM POINT OF CARE PATHOLOGY,99.79,59.87,4.0,7411.0,55
CDM,30101445,"HC SODIUM, BLOOD POINT OF CARE PATHOLOGY",103.54,62.12,4.04,7411.0,55
CDM,30101446,"HC UREA NITROGEN, BLOOD (BUN), POINT OF CARE PATHOLOGY",105.46,63.28,3.32,7411.0,55
CDM,30101447,HC TESTING BLOOD SUGAR LEVEL POINT OF CARE PATHOLOGY,56.6,33.96,3.12,7411.0,55
CDM,30101448,"HC GASES,BLOOD,ANY COMBO:PH,PCO2, POINT OF CARE PATHOLOGY",432.76,259.66,10.0,7411.0,55
CDM,30101449,HC REF GREENWOOD ORGANIC ACID ANALYSIS ANALYTE,577.5,346.5,10.0,7411.0,55
CDM,30101450,HC REF GREENWOOD HOMOCYSTEINE ANALYSIS ANALYTE,250.0,150.0,10.0,7411.0,55
CDM,30101451,HC REF GREENWOOD CARNITINE ANALYSIS ANALYTE,300.0,180.0,10.0,7411.0,55
CDM,30101452,HC REF GREENWOOD AMINO ACID ANALYSIS ANALYTE,675.0,405.0,10.0,7411.0,55
CDM,30101453,"HC REF GREENWOOD ACYLCARNITINE PROFILE, PLASMA ANALYTE",500.0,300.0,10.0,7411.0,55
CDM,30101454,"HC REF MAYO COMP GAES, CPT 83516",75.0,45.0,9.69,7411.0,55
CDM,30101455,HC REF MEDFUSION 34002 DIPHENHYDRAMINE LEVEL,295.0,177.0,10.0,7411.0,55
CDM,30101456,HC REF MEDFUSION 34478 PTH-RELATED PEPTIDE,858.95,515.37,10.0,7411.0,55
CDM,30101457,"HC REF ARUP COMP 0070155, CPT 83525",28.38,17.03,9.6,7411.0,55
CDM,30101458,"HC REF ARUP COMP 0070155, CPT 83527",28.38,17.03,10.0,7411.0,55
CDM,30101459,"HC REF ARUP 2003115 METHYLPHENIDATE AND METABOLITE, URINE, QUANTITATIVE",167.2,100.32,9.11,7411.0,34
CDM,30101460,"HC REF ARUP 0092382 ESCITALOPRAM QUANTITATIVE, SERUM/PLASMA",387.5,232.5,10.0,7411.0,34
CDM,30101461,"HC REF ARUP 0092570, FENTANYL & METABOLITE, QUANT",114.43,68.66,10.0,7411.0,55
CDM,30101462,"HC REF ARUP 2012284, FENTANYL SCREEN",62.14,37.28,10.0,7411.0,55
CDM,30101463,"HC REF ARUP 2010092 BUPRENORPHINE AND METABOLITES, URINE, QUANTITATIVE",89.7,53.82,10.0,7411.0,34
CDM,30101464,"HC REF MAYO FFTST TESTOSTERONE, FREE AND WEAKLY BOUND, WITH TOTAL TESTOSTERONE, LC/MS-MS",78.65,47.19,10.0,7411.0,55
CDM,30101465,"HC REF ARUP 0070416 C-TELOPEPTIDE, BETA-CROSS LINKED",100.0,60.0,10.0,7411.0,55
CDM,30101466,HC REF MEDFUSION  < QUEST 5367 BODY FLUID PH,25.9,15.54,3.01,7411.0,55
CDM,30101479,"HC OPIATES CONFIRMATION, URINE",253.96,152.38,10.0,7411.0,55
CDM,30101481,HC REF VEDOLIZUMAB QT REFLEX AB,525.0,315.0,10.0,7411.0,55
CDM,30101482,HC REF DIGOXIN FREE SERUM,492.25,295.35,10.0,7411.0,55
CDM,30101484,HC LACOSAMIDE,722.4,433.44,10.0,7411.0,55
CDM,30101486,HC REF DIHYROTESTOSTERONE,71.28,42.77,10.0,7411.0,55
CDM,30101489,HC REF 5 HIAA URINE,29.75,17.85,10.0,7411.0,55
CDM,30101490,HC REF DOPAMINE,77.0,46.2,10.0,7411.0,55
CDM,30101498,HC REF ANTI FIBRILLARIN U3 RNP,43.45,26.07,9.69,7411.0,55
CDM,30101499,HC PH BODY FLUID EXCEPT BLOOD,91.04,54.62,3.01,7411.0,55
CDM,30101503,HC DRUG TEST PRESUMP NOT OPTICAL (2 OR MORE PER DAY) - CHEM/SER/URI,459.04,275.42,10.0,7411.0,55
CDM,30101509,HC DIHYDROTESTOSTERONE (DHT),267.9,160.74,10.0,7411.0,55
CDM,30101514,HC REF ALDOSTERONE IVC SERUM,73.25,43.95,10.0,7411.0,55
CDM,30101515,HC REF ALDOSTERONE LAV SERUM,73.25,43.95,10.0,7411.0,55
CDM,30101516,HC REF ALDOSTERONE RAV SERUM,73.25,43.95,10.0,7411.0,55
CDM,30101517,HC REF ALDOSTERONE SERUM,73.25,43.95,10.0,7411.0,55
CDM,30101520,HC REF LACOSAMIDE,62.66,37.6,4.2,7411.0,34
CDM,30101521,HC REF IGG ASIALO GM1 TITER SERUM,519.92,311.95,10.0,7411.0,55
CDM,30101522,HC REF IGG DISIALO GD1B TITER S,519.92,311.95,10.0,7411.0,55
CDM,30101523,HC REF IGG MONOS GM1 TITER SERUM,519.92,311.95,10.0,7411.0,55
CDM,30101524,HC REF IGM ASIALO GM1 TITER SERUM,519.92,311.95,10.0,7411.0,55
CDM,30101525,HC REF IGM DISIALO GD1B TITER S,519.92,311.95,10.0,7411.0,55
CDM,30101526,HC REF IGM MONOS GM1 TITER SERUM,519.92,311.95,10.0,7411.0,55
CDM,30101528,HC REF NECROTIZING MYOPATH EVAL S,449.27,269.56,9.69,7411.0,55
CDM,30101529,HC REF CREATINE KINASE ISO REFLEX,50.6,30.36,10.0,7411.0,55
CDM,30101534,HC REF BACLOFEN SERUM,420.0,252.0,10.0,7411.0,34
CDM,30101535,HC REF PHOSPHATIDYLETHANOL PETH,253.55,152.13,10.0,7411.0,34
CDM,30101536,HC REF THC METABOLITE URINE QUANT,97.5,58.5,10.0,7411.0,34
CDM,30101537,HC REF OPIATES 1 OR MORE,31.25,18.75,10.0,7411.0,34
CDM,30101538,HC REF OPIATE OXYCODONE,31.25,18.75,10.0,7411.0,34
CDM,30101539,HC REF HYPOGLYCEM SULFONYLUREAS,129.94,77.96,6.53,7411.0,34
CDM,30101540,HC REF BETA GLUCOSIDASE LEUKOCYTE,269.3,161.58,10.0,7411.0,55
CDM,30101541,HC REF COMP PJI,118.13,70.88,9.69,7411.0,55
CDM,30101542,"HC REF DCI LABORATORY, AB HETEROLOGOUS PROTEINS",525.0,315.0,9.69,7411.0,55
CDM,30101543,HC REF BULLOUS PEMPHIGOID 180 230,294.53,176.72,9.69,7411.0,55
CDM,30101544,HC REF MYO MARKER IMMUNOASSAY,931.88,559.13,9.69,7411.0,55
CDM,30101545,HC REF WARFARIN PLASMA,286.13,171.68,10.0,7411.0,34
CDM,30101546,HC REF OLIGOSACCHARIDE SCREEN URN,161.1,96.66,4.62,7411.0,55
CDM,30101548,HC REF ST2 SERUM,450.0,270.0,10.0,7411.0,55
CDM,30101549,HC REF BACLOFEN,420.0,252.0,10.0,7411.0,34
CDM,30101550,HC REF IL 2 RECEPTOR CD25 SOLUBLE,341.25,204.75,10.0,7411.0,55
CDM,30101551,HC REF FLUORESCENT ANTIBODY TITER,656.2,393.72,10.0,7411.0,55
CDM,30101553,HC REF GROWTH STIMULATION GENE 2,375.0,225.0,10.0,7411.0,55
CDM,30101555,HC BENZODIAZEPINES BY LC/MS (U),253.96,152.38,10.0,7411.0,55
CDM,30101557,"HC REF COCAINE AND METABOLITES CONFIRM, S",93.35,56.01,10.0,7411.0,34
CDM,30101559,"HC REF BILIRUBIN, TOTAL, BODY FLUID SEND OUT",17.33,10.4,4.22,7411.0,55
CDM,30101560,"HC REF CHOLESTEROL, FLUID SEND OUT",17.25,10.35,6.21,7411.0,55
CDM,30101562,"HC REF POTASSIUM, BODY FLUID SEND OUT",199.82,119.89,10.0,7411.0,34
CDM,30101563,"HC REF LIPASE, BODY FLUID SEND OUT",19.69,11.81,5.79,7411.0,55
CDM,30101564,"HC REF SODIUM, BODY FLUID SEND OUT",70.35,42.21,4.08,7411.0,55
CDM,30101572,HC REF PROTOPORPHYRIN RBC QUANT,148.16,88.9,10.0,7411.0,55
CDM,30101573,HC REF QUANTITATIVE HPLC FOR 6-THIOGUANINE (6-TGN),230.35,138.21,10.0,7411.0,55
CDM,30101574,HC REF QUANTITATIVE HPLC FOR 6-METHYL-MERCAPTOPURINE (6-MMPN),230.35,138.21,10.0,7411.0,55
CDM,30101575,HC CALCIUM IONIZED POC (CARDIOPULMONARY),232.01,139.21,10.0,7411.0,55
CDM,30101576,HC AGB POC (CARDIOPULMONARY),432.76,259.66,10.0,7411.0,55
CDM,30101577,HC G3 + I-STAT (CARDIOPULMONARY),432.76,259.66,10.0,7411.0,55
CDM,30101578,HC POC G3 CARTRIDGE (CARDIOPULMONARY),432.76,259.66,10.0,7411.0,55
CDM,30101579,HC GLUCOSE QT BLD POC (CARDIOPULMONARY),99.79,59.87,3.3,7411.0,55
CDM,30101580,HC POC LACTATE RESP (CARDIOPULMONARY),243.23,145.94,9.72,7411.0,55
CDM,30101581,HC POTASSIUM POC (CARDIOPULMONARY),99.79,59.87,4.0,7411.0,55
CDM,30101582,HC SODIUM POC (CARDIOPULMONARY),103.54,62.12,4.04,7411.0,55
CDM,30101583,HC CREATININE POC (BAYLOR BREAST IMAGING CENTER),111.02,66.61,4.3,7411.0,55
CDM,30101584,HC MAGNESIUM (GI ANALYTICAL),153.91,92.35,5.63,7411.0,55
CDM,30101585,HC PHOSPHORUS INORGANIC (GI ANALYTICAL),104.78,62.87,3.98,7411.0,55
CDM,30101587,"HC REF ANTIDEPRESSANTS, SEROTONERGIC CLASS - 3-5",137.8,82.68,10.0,7411.0,34
CDM,30101588,"HC REF ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS - 6 OR MORE",95.73,57.44,8.69,7411.0,34
CDM,30101589,HC REF SKELETAL MUSCLE RELAXANTS - 1 OR 2,123.48,74.09,10.0,7411.0,34
CDM,30101590,"HC REF VALPROIC ACID, FREE",38.38,23.03,10.0,7411.0,55
CDM,30101593,"HC REF ARUP, COMP 2011248, CPT 80145",1075.0,645.0,10.0,7411.0,55
CDM,30101594,HC REF INFLIXIMAB,1075.0,645.0,10.0,7411.0,55
CDM,30101595,HC REF LACOSAMID,312.5,187.5,10.0,7411.0,55
CDM,30101596,HC REF POSACONAZOLE,161.25,96.75,10.0,7411.0,55
CDM,30101597,HC REF VORICONAZOLE,161.25,96.75,10.0,7411.0,55
CDM,30101598,HC REF VEDOLIZUMAB,96.43,57.86,10.0,7411.0,55
CDM,30101599,"HC REF ARUP, 5-HIAA, PLASMA",1023.75,614.25,10.0,7411.0,55
CDM,30101600,HC REF AMYLASE,558.08,334.85,5.44,7411.0,55
CDM,30101601,"HC REF APIXABAN, ANTI-XA, P",554.0,332.4,10.0,7411.0,55
CDM,30101604,"HC REF ARUP, MUCOPOLYSACHARIDES QNT",450.0,270.0,10.0,7411.0,55
CDM,30101606,"HC REF ARUP, DRUG/SUBSTANCE NOS 1-3",534.19,320.51,10.0,7411.0,34
CDM,30101607,HC COVID-19 LAB TEST NON_CDC,97.2,58.32,10.0,7411.0,55
CDM,30101608,"HC IMMUNOASSAY, INTERLEUKIN 6",290.98,174.59,10.0,7411.0,55
CDM,30101609,HC SARS COV2 IGG ANTIBODIES,102.41,61.45,10.0,7411.0,55
CDM,30101610,HC SARS COV2 IGM ANTIBODIES,102.41,61.45,10.0,7411.0,55
CDM,30101611,"HC REF RSV TEST, QUEST",206.25,123.75,10.0,7411.0,34
CDM,30101612,"HC REF 5-HYRDOXYINDOLEACETIC PLASMA, ARUP",682.5,409.5,10.0,7411.0,55
CDM,30101613,"HC DEFINITIVE TEST, ALKALOIDS",139.05,83.43,10.0,7411.0,34
CDM,30101614,HC MACROAMYLASE DETERMINATION,66.0,39.6,10.0,7411.0,34
CDM,30101615,HC ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2,238.14,142.88,10.0,7411.0,34
CDM,30101616,"HC TPMT ACTIVITY PROFILE, TPMT3",253.0,151.8,10.0,7411.0,55
CDM,30101617,"HC REF ARUP, FELBAMATE",39.0,23.4,4.2,7411.0,34
CDM,30101618,"HC REF MAYO, HCQ HYDROXYCHLOROQUINE S",423.78,254.27,10.0,7411.0,34
CDM,30101619,HC DRUG ASSAY ACETAMINOPHEN,195.02,117.01,10.0,7411.0,55
CDM,30101620,HC DRUG ASSAY AMIODARONE,748.98,449.39,10.0,7411.0,55
CDM,30101621,"HC DRUG ASSAY CARBAMAZEPINE -10,11-EPOXIDE",722.4,433.44,10.0,7411.0,55
CDM,30101622,HC DRUG ASSAY FELBAMATE,722.4,433.44,10.0,7411.0,55
CDM,30101623,HC DRUG ASSAY SALICYLATE,195.02,117.01,10.0,7411.0,55
CDM,30101624,HC DRUG ASSAY FLECAINIDE,722.4,433.44,10.0,7411.0,55
CDM,30101625,HC DRUG ASSAY ITRACONAZOLE,722.4,433.44,10.0,7411.0,55
CDM,30101626,HC DRUG ASSAY METHOTREXATE,747.11,448.27,10.0,7411.0,55
CDM,30101627,HC DRUG ASSAY RUFINAMIDE,125.52,75.31,10.0,7411.0,55
CDM,30101628,"HC REF ARUP, 2013026 - PERAMPANEL QUANTITATIVE, SERUM OR PLASMA",500.0,300.0,4.2,7411.0,34
CDM,30101629,"HC REF MAYO, CEAPC - CARCINOEMBRYONIC ANTIGEN (CEA), PANCREATIC CYST FLUID",568.0,340.8,10.0,7411.0,55
CDM,30101630,"HC REF MAYO, AMLPC - AMYLASE, PANCREATIC CYST FLUID",621.86,373.12,5.44,7411.0,55
CDM,30101631,"HC REF MAYO, MPLR - MPL EXON 10 MUTATION DETECTION, REFLEX, VARIES",1225.25,735.15,10.0,7411.0,55
CDM,30101632,HC BENZODIAZEPINES 13 OR MORE,111.55,66.93,10.0,7411.0,34
CDM,30101633,HC DRUG SCREENING HEROIN METABOLITE,127.44,76.46,10.0,7411.0,34
CDM,30101634,"HC REF MAYO, BUPM - BUPRENORPHINE AND METABOLITES URINE",473.5,284.1,10.0,7411.0,34
CDM,30101635,"HC REF MAYO, COMPONENT OF VEDOZ PANEL, VEDOL - VEDOLIZUMAB QN",383.87,230.32,10.0,7411.0,55
CDM,30101636,"HC REF MAYO, COMPONENT OF VEDOZ PANEL, VEMAB - VEDOLIZUMAB AB",402.54,241.52,10.0,7411.0,55
CDM,30101637,"HC REF MAYO, TFNAB THYROGLOBULIN",356.87,214.12,10.0,7411.0,55
CDM,30101638,"HC REF MAYO, OXNP OXYSTEROLS PLASMA",760.46,456.28,10.0,7411.0,55
CDM,30101639,HC DRUG SCREENING OPIOIDS & OPIATE ANALOGS 5/MORE,50.91,30.55,10.0,7411.0,34
CDM,30101640,HC INTERLEUKIN-6,211.46,126.88,10.0,7411.0,55
CDM,30101641,"HC IMMUNOGLOBULIN LIGHT CHAINS FREE, EACH",133.27,79.96,10.0,7411.0,55
CDM,30101642,"HC PANCREATIC ELASTASE, FECAL, QUANT",164.19,98.51,10.0,7411.0,55
CDM,30101643,HC ASSAY IGA/IGD/IGG/IGM EACH,182.55,109.53,7.81,7411.0,55
CDM,30101644,"HC REF MAYO, IFG26 INTACT FIBROBLAST GROWTH FACTOR 23, SERUM",341.25,204.75,10.0,7411.0,55
CDM,30101646,"HC REF ARUP, 3005860 TRAZODONE",117.76,70.66,10.0,7411.0,55
CDM,30101647,"HC REF ARUP, 2013014 MITOTANE SERUM/PLASMA",359.63,215.78,10.0,7411.0,55
CDM,30101649,"HC REF MAYO, FLEVA LEVAMISOLE URINE",577.5,346.5,10.0,7411.0,55
CDM,30101650,"HC REF MAYO, MPO MYELOPEROXIDASE AB, SERUM",91.54,54.92,9.69,7411.0,55
CDM,30101652,HC PRESUMPTIVE DRUG TEST CHEM ANALYZ- BUPRENORPHINE,459.04,275.42,10.0,7411.0,55
CDM,30101653,HC CREATININE - OTHER SOURCE (FRACTIONATED CATECHOLAMINES),124.74,74.84,4.35,7411.0,55
CDM,30101654,HC CATECHOLAMINES FRACTIONATED,267.98,160.79,10.0,7411.0,55
CDM,30101655,HC COLUMN CHROMOTOGRAPHY QUAL/QUANT - ACYLGLYCINES,305.93,183.56,10.0,7411.0,55
CDM,30101656,"HC LACTATE (LACTIC ACID), CSF",243.23,145.94,9.72,7411.0,55
CDM,30101657,HC D-LACTATE LEVEL,243.23,145.94,9.72,7411.0,55
CDM,30101658,HC LACTATE (LACTIC ACID),243.23,145.94,9.72,7411.0,55
CDM,30101659,HC LACTATE (LACTIC ACID) - POC,243.23,145.94,9.72,7411.0,55
CDM,30101660,HC IMMUNOASSAY QUANT NOS NONAB - HMGCR,290.98,174.59,10.0,7411.0,55
CDM,30101661,HC IMMUNOASSAY QUANT NOS NONAB - TUMOR NECROSIS FACTOR ALPHA,290.98,174.59,10.0,7411.0,55
CDM,30101662,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 10,290.98,174.59,10.0,7411.0,55
CDM,30101663,HC IMMUNOASSAY QUANT NOS NONAB - TRANSFORM GROWTH FACTOR BETA,290.98,174.59,10.0,7411.0,55
CDM,30101664,HC IMMUNOASSAY QUANT NOS NONAB - INTERFERON GAMMA,290.98,174.59,10.0,7411.0,55
CDM,30101665,HC IMMUNOASSAY QUANT NOS NONAB - COLLAGEN TYPE II,290.98,174.59,10.0,7411.0,55
CDM,30101666,HC FAT/LIPIDS FECES QUANT - 24HR,221.31,132.79,10.0,7411.0,55
CDM,30101667,HC FAT/LIPIDS FECES QUANT - 48HR,221.31,132.79,10.0,7411.0,55
CDM,30101668,HC FAT/LIPIDS FECES QUANT - 72HR,221.31,132.79,10.0,7411.0,55
CDM,30101669,HC CADMIUM - URINE,146.47,87.88,10.0,7411.0,55
CDM,30101670,HC CADMIUM - BLOOD,146.47,87.88,10.0,7411.0,55
CDM,30101671,HC THERAPEUTIC DRUG ASSAY - FELBAMATE,722.4,433.44,10.0,7411.0,55
CDM,30101672,HC THERAPEUTIC DRUG ASSAY - THIOPURINE METABOLITES,722.4,433.44,10.0,7411.0,55
CDM,30101673,HC THERAPEUTIC DRUG ASSAY - AMIODARONE,722.4,433.44,10.0,7411.0,55
CDM,30101674,HC THERAPEUTIC DRUG ASSAY - DEXAMETHASONE,722.4,433.44,10.0,7411.0,55
CDM,30101675,"HC ALPHA-1-ANTITRYPSIN, RAND STOOL",192.78,115.67,10.0,7411.0,55
CDM,30101676,HC ALPHA-1-ANTITRYPSIN,192.78,115.67,10.0,7411.0,55
CDM,30101677,HC CHEMILUMINESCENT ASSAY - INFLIXIMAB,223.71,134.23,10.0,7411.0,55
CDM,30101678,"HC ALPHA-FETOPROTEIN, TUMOR MARKER",240.75,144.45,10.0,7411.0,55
CDM,30101679,"HC COLUMN CHROMOTOGRAPHY QUAL/QUANT - METHYLHISTAMINE, 24HR URINE",305.93,183.56,10.0,7411.0,55
CDM,30101680,HC COLUMN CHROMOTOGRAPHY QUAL/QUANT - ORGANIC ACID,305.93,183.56,10.0,7411.0,55
CDM,30101681,HC MERCURY,152.46,91.48,10.0,7411.0,55
CDM,30101682,"HC MERCURY, 24HR URINE",152.46,91.48,10.0,7411.0,55
CDM,30101683,HC SPECTROPHOTOMETRY NES - PHOSPHOLIPIDS,208.34,125.0,6.8,7411.0,55
CDM,30101684,HC SPECTROPHOTOMETRY NES - PORPHYRINS,208.34,125.0,6.8,7411.0,55
CDM,30101685,"HC SPECTROPHOTOMETRY NES - ADENOSINE DEAMINASE, PLEURAL FLUID",208.34,125.0,6.8,7411.0,55
CDM,30101686,"HC TRIGLYCERIDES, BLOOD",135.89,81.53,4.82,7411.0,55
CDM,30101687,"HC TRIGLYCERIDES, BODY FLUID",135.89,81.53,4.82,7411.0,55
CDM,30101689,"HC SPECTROPHOTOMETRY NES - ADENOSINE DEAMINASE, PERITONEAL FLUID",208.34,125.0,6.8,7411.0,55
CDM,30101690,"HC SPECTROPHOTOMETRY NES - ADENOSINE DEAMINASE, PERICARDIAL FLUID",208.34,125.0,6.8,7411.0,55
CDM,30101691,"HC REF ARUP, NMS LABS 4815SP XYLAZINE, SERUM/PLASMA",1307.25,784.35,10.0,7411.0,34
CDM,30101692,"HC REF ARUP, COMP 0050980, CPT 82787",31.79,19.07,6.74,7411.0,55
CDM,30101693,"HC REF ARUP, COMP 0050980, CPT 82784",44.51,26.71,7.81,7411.0,55
CDM,30101694,"HC REF MAYO, HMGCR HMG-COA REDUCTASE AB, SERUM",585.11,351.07,10.0,7411.0,55
CDM,30101695,HC ALBUMIN,88.72,53.23,4.16,7411.0,55
CDM,30101696,HC TOTAL CORTISOL - SALIVA,273.89,164.33,10.0,7411.0,55
CDM,30101697,HC ALDOSTERONE,365.41,219.25,10.0,7411.0,55
CDM,30101698,"HC ALDOSTERONE, 24HR URINE",365.41,219.25,10.0,7411.0,55
CDM,30101699,"HC ALUMINUM, TIMED URINE",206.39,123.83,10.0,7411.0,55
CDM,30101700,"HC AMIKACIN LEVEL, PEAK",204.9,122.94,10.0,7411.0,55
CDM,30101701,"HC AMIKACIN LEVEL, RANDOM",204.9,122.94,10.0,7411.0,55
CDM,30101702,"HC AMINO ACIDS 6 OR MORE, QUANT",469.12,281.47,10.0,7411.0,55
CDM,30101703,"HC AMINO ACIDS 6 OR MORE, QUANT, URINE",469.12,281.47,10.0,7411.0,55
CDM,30101704,HC AMYLASE,182.9,109.74,5.44,7411.0,55
CDM,30101705,"HC AMYLASE, BODY FLUID",182.9,109.74,5.44,7411.0,55
CDM,30101706,"HC AMYLASE, RANDOM URINE",182.9,109.74,5.44,7411.0,55
CDM,30101707,HC ANGIOTENSIN I CONVERTING ENZYME,212.91,127.75,10.0,7411.0,55
CDM,30101708,"HC ANGIOTENSIN I CONVERTING ENZYME, CSF",212.91,127.75,10.0,7411.0,55
CDM,30101709,"HC ARSENIC, BLOOD",165.52,99.31,10.0,7411.0,55
CDM,30101710,"HC ARSENIC, FRACTIONATED URINE",165.52,99.31,10.0,7411.0,55
CDM,30101711,HC BILIRUBIN TOTAL,91.63,54.98,4.22,7411.0,55
CDM,30101712,"HC BILIRUBIN TOTAL, BODY FLUID",91.63,54.98,4.22,7411.0,55
CDM,30101713,"HC BLOOD GAS ANY COMBO PH, PC02, PO2, CO2, HCO3, ARTERIAL",514.86,308.92,10.0,7411.0,55
CDM,30101714,"HC BLOOD GAS ANY COMBO PH, PC02, PO2, CO2, HCO3, CORD ARTERIAL",514.86,308.92,10.0,7411.0,55
CDM,30101715,"HC BLOOD GAS ANY COMBO PH, PC02, PO2, CO2, HCO3, CORD VENOUS",514.86,308.92,10.0,7411.0,55
CDM,30101716,"HC BLOOD GAS ANY COMBO PH, PC02, PO2, CO2, HCO3, VENOUS",432.76,259.66,10.0,7411.0,55
CDM,30101717,"HC BLOOD GAS ANY COMBO PH,PCO2,PO2,CO2,HCO3, CAPILLARY POC",432.76,259.66,10.0,7411.0,55
CDM,30101718,"HC BLOOD GASSES, ANY COMBO PH, PCO2, PO2, CO2, HCO3 - ARTERIAL POC",432.76,259.66,10.0,7411.0,55
CDM,30101719,"HC BLOOD GASSES, ANY COMBO PH, PCO2, PO2, CO2, HCO3 - POC",432.76,259.66,10.0,7411.0,55
CDM,30101720,"HC BLOOD GASSES, ANY COMBO PH, PCO2, PO2, CO2, HCO3 - VENOUS POC",432.76,259.66,10.0,7411.0,55
CDM,30101721,HC CALCIUM,96.1,57.66,4.33,7411.0,55
CDM,30101722,"HC CALCIUM, RANDOM URINE",111.2,66.72,5.07,7411.0,55
CDM,30101723,"HC CALCIUM, URINE 24HR",111.2,66.72,5.07,7411.0,55
CDM,30101724,HC CARCINOEMBRYONIC ANTIGEN,267.3,160.38,10.0,7411.0,55
CDM,30101725,"HC CARCINOEMBRYONIC ANTIGEN, BODY FLUID",267.3,160.38,10.0,7411.0,55
CDM,30101726,"HC CATECHOLAMINES FRACTIONATED FREE, 24HR URINE",267.98,160.79,10.0,7411.0,55
CDM,30101727,"HC CATECHOLAMINES FRACTIONATED FREE, TOTAL",228.29,136.97,10.0,7411.0,55
CDM,30101728,"HC CHEMILUMINECENT ASSAY - INSULIN GROWTH FACTOR, BINDING PROTEIN 3",223.71,134.23,10.0,7411.0,55
CDM,30101729,HC CHEMILUMINECENT ASSAY - PTH RELATED PEPTIDE,223.71,134.23,10.0,7411.0,55
CDM,30101730,HC CHEMILUMINECENT ASSAY - VASCULAR ENDOTHELIAL GROWTH FACTOR,223.71,134.23,10.0,7411.0,55
CDM,30101731,"HC CHEMILUMINESCENT ASSAY, INFLIXIMAB",223.71,134.23,10.0,7411.0,55
CDM,30101732,"HC CHLORIDE, RANDOM URINE",97.17,58.3,4.83,7411.0,55
CDM,30101733,"HC CHOLESTEROL, BODY FLUID",98.22,58.93,3.65,7411.0,55
CDM,30101734,"HC CHOLESTEROL, TOTAL",98.22,58.93,3.65,7411.0,55
CDM,30101735,HC COLUM CHROMAT NONDRUG NES - PROTOPORPHYRINS TOTAL,305.93,183.56,10.0,7411.0,55
CDM,30101736,HC COLUMN CHROMAT NONDRUG NOS - FATTY ACID PROFILE,305.93,183.56,10.0,7411.0,55
CDM,30101737,HC COPPER,150.0,90.0,10.0,7411.0,55
CDM,30101738,"HC COPPER, 24HR URINE",150.0,90.0,10.0,7411.0,55
CDM,30101739,"HC COPPER, LIVER TISSUE",150.0,90.0,10.0,7411.0,55
CDM,30101740,HC CREATININE,111.02,66.61,4.3,7411.0,55
CDM,30101741,"HC CREATININE, BODY FLUID",124.74,74.84,4.35,7411.0,55
CDM,30101742,"HC CREATININE, POC",111.02,66.61,4.3,7411.0,55
CDM,30101743,"HC CREATININE, URINE 24HR",124.74,74.84,4.35,7411.0,55
CDM,30101744,"HC CREATININE, URINE POC",124.74,74.84,4.35,7411.0,55
CDM,30101745,"HC CREATININE, URINE RANDOM",124.74,74.84,4.35,7411.0,55
CDM,30101746,"HC CREATININE, URINE TIMED",124.74,74.84,4.35,7411.0,55
CDM,30101747,"HC DEFINITIVE DRUG TEST - AMPHETAMINES 5 OR MORE, LC/MS URINE",156.02,93.61,10.0,7411.0,34
CDM,30101748,"HC DEFINITIVE DRUG TEST, ALKALOIDS - NICOTINE/METABOLITES, SERUM",139.05,83.43,10.0,7411.0,34
CDM,30101749,"HC DEFINITIVE DRUG TEST, ALKALOIDS - NICOTINE/METABOLITES, URINE",139.05,83.43,10.0,7411.0,34
CDM,30101750,"HC DEFINITIVE DRUG TEST, BENZODIAZEPINES, 1-12",297.85,178.71,10.0,7411.0,34
CDM,30101751,HC ELECTROLYTE PANEL,219.93,131.96,5.89,7411.0,55
CDM,30101752,"HC ELECTROLYTE PANEL, POC",219.93,131.96,5.89,7411.0,55
CDM,30101753,HC GAMMAGLOBULIN IGA,182.55,109.53,7.81,7411.0,55
CDM,30101754,HC GAMMAGLOBULIN IGD,182.55,109.53,7.81,7411.0,55
CDM,30101755,HC GLUCOSE 2HR (POST PARTUM),114.97,68.98,3.99,7411.0,55
CDM,30101756,"HC GLUCOSE, 1HR SCREEN (OB)",114.97,68.98,3.99,7411.0,55
CDM,30101757,"HC GLUCOSE, 24HR URINE",127.23,76.34,3.3,7411.0,55
CDM,30101758,"HC GLUCOSE, BODY FLUID",127.23,76.34,3.3,7411.0,55
CDM,30101759,"HC GLUCOSE, CSF",127.23,76.34,3.3,7411.0,55
CDM,30101760,"HC GLUCOSE, RANDOM URINE",127.23,76.34,3.3,7411.0,55
CDM,30101761,"HC GONADOTROPIN, CHORIONIC (HCG) QUANT",302.19,181.31,10.0,7411.0,55
CDM,30101762,"HC GONADOTROPIN, CHORIONIC (HCG) TUMOR MARKER",302.19,181.31,10.0,7411.0,55
CDM,30101763,HC HEAVY METAL NES QUANT - BERYLLIUM,210.67,126.4,10.0,7411.0,55
CDM,30101764,HC HEAVY METAL NES QUANT - COBALT,210.67,126.4,10.0,7411.0,55
CDM,30101765,HC HEAVY METAL QUANT NES - IODINE 24HR URINE,210.67,126.4,10.0,7411.0,55
CDM,30101766,HC IMMUNOASSAY NONAB - AT1R AB SCREEN,225.57,135.34,9.69,7411.0,55
CDM,30101767,"HC IMMUNOASSAY NONAB - DEAMIDATED GLIADIN IGG, QUAL",225.57,135.34,9.69,7411.0,55
CDM,30101768,"HC IMMUNOASSAY NONAB - DEAMIDATED GLIADIN IGG, QUANT",225.57,135.34,9.69,7411.0,55
CDM,30101769,HC IMMUNOASSAY NONAB - NMO-AQUAPORIN-4 RECEPTOR AB,225.57,135.34,9.69,7411.0,55
CDM,30101770,"HC IMMUNOASSAY NONAB - PHOSPHATIDYLINOSITOL AB, IGA",225.57,135.34,9.69,7411.0,55
CDM,30101771,"HC IMMUNOASSAY NONAB - PHOSPHATIDYLINOSITOL AB, IGG",225.57,135.34,9.69,7411.0,55
CDM,30101772,"HC IMMUNOASSAY NONAB - PHOSPHATIDYLINOSITOL AB, IGM",225.57,135.34,9.69,7411.0,55
CDM,30101773,HC IMMUNOASSAY NONAB - TISSUE TRANSGLUTAMINASE IGG QUAL,225.57,135.34,9.69,7411.0,55
CDM,30101774,"HC IMMUNOASSAY NONANTIBODY - ANTI C1Q AB, IGG",225.57,135.34,9.69,7411.0,55
CDM,30101775,HC IMMUNOASSAY NONANTIBODY - ANTI-IGA AB,225.57,135.34,9.69,7411.0,55
CDM,30101776,HC IMMUNOASSAY NONANTIBODY - GLOMERULAR BASEMENT MEMBRANE AB,225.57,135.34,9.69,7411.0,55
CDM,30101777,HC IMMUNOASSAY NONANTIBODY - HISTONE ANTIBODIES,225.57,135.34,9.69,7411.0,55
CDM,30101778,HC IMMUNOASSAY NONANTIBODY - MI-2,173.53,104.12,10.0,7411.0,55
CDM,30101779,HC IMMUNOASSAY NONANTIBODY - MYELIN ASSOCIATED GLYCOPROTEIN IGM,225.57,135.34,9.69,7411.0,55
CDM,30101780,HC IMMUNOASSAY NONANTIBODY - MYELOPEROXIDASE AB,225.57,135.34,9.69,7411.0,55
CDM,30101781,"HC IMMUNOASSAY NONANTIBODY - PROTEINASE 3 AB, IGG",225.57,135.34,9.69,7411.0,55
CDM,30101782,HC IMMUNOASSAY QUANT NOS NONAB - ANTIMULLERIAN HORMONE LEVEL,290.98,174.59,10.0,7411.0,55
CDM,30101783,HC IMMUNOASSAY QUANT NOS NONAB - INHIBIN B TUMOR MARKER,290.98,174.59,10.0,7411.0,55
CDM,30101784,HC IMMUNOASSAY QUANT NOS NONAB - INSULIN LIKE GROWTH FACTOR 2,290.98,174.59,10.0,7411.0,55
CDM,30101785,HC IMMUNOASSAY QUANT NOS NONAB - INTACT FIBROBLAST GROWTH FACTOR 23,290.98,174.59,10.0,7411.0,55
CDM,30101786,"HC IMMUNOASSAY QUANT NOS NONAB - PANCREATIC ELASTASE, FECAL",391.8,235.08,9.69,7411.0,55
CDM,30101787,HC IMMUNOASSAY QUANT NOS NONAB - TRYPTASE,290.98,174.59,10.0,7411.0,55
CDM,30101788,HC IMMUNOASSAY QUANT NOS NONAB - VASOACTIVE INTESTINAL POLYPEPTIDE,328.38,197.03,10.0,7411.0,55
CDM,30101789,HC INSULIN TOLERANCE - CORTISOL TOTAL,273.89,164.33,10.0,7411.0,55
CDM,30101790,HC IRON,148.33,89.0,5.43,7411.0,55
CDM,30101791,"HC IRON, LIVER TISSUE",148.33,89.0,5.43,7411.0,55
CDM,30101792,HC LACTATE DEHYDROGENASE (LDH),137.21,82.33,5.07,7411.0,55
CDM,30101793,"HC LACTATE DEHYDROGENASE (LDH), BODY FLUID",137.21,82.33,5.07,7411.0,55
CDM,30101794,HC LIPASE,217.7,130.62,5.79,7411.0,55
CDM,30101795,"HC LIPASE, BODY FLUID",217.7,130.62,5.79,7411.0,55
CDM,30101796,HC MAGNESIUM,153.91,92.35,5.63,7411.0,55
CDM,30101797,"HC MAGNESIUM, RBC",153.91,92.35,5.63,7411.0,55
CDM,30101798,"HC METANEPHRINES FRACTIONATED, 24HR URINE",306.4,183.84,10.0,7411.0,55
CDM,30101799,"HC METANEPHRINES FRACTIONATED, FREE",306.4,183.84,10.0,7411.0,55
CDM,30101800,"HC MICROALBUMIN, URINE POC",153.49,92.09,4.86,7411.0,55
CDM,30101801,"HC MICROALBUMIN, URINE RANDOM",153.49,92.09,4.86,7411.0,55
CDM,30101802,"HC MICROALBUMIN, URINE TIMED",153.49,92.09,4.86,7411.0,55
CDM,30101803,HC MYOGLOBIN,276.9,166.14,10.0,7411.0,55
CDM,30101804,"HC MYOGLOBIN, URINE",228.29,136.97,10.0,7411.0,55
CDM,30101805,"HC NATRIURETIC PEPTIDE, B-TYPE",407.22,244.33,10.0,7411.0,55
CDM,30101806,"HC NATRIURETIC PEPTIDE, B-TYPE (POC)",407.22,244.33,10.0,7411.0,55
CDM,30101807,"HC ORGANIC ACID SINGLE QUANT - METHYLMALONIC ACID, BLOOD",284.41,170.65,10.0,7411.0,55
CDM,30101808,HC ORGANIC ACID SINGLE QUANT - OROTIC ACID AND OROTIDINE URINE,284.41,170.65,10.0,7411.0,55
CDM,30101809,HC OXALATE,160.26,96.16,10.0,7411.0,55
CDM,30101810,"HC OXALATE, URINE 24HR",160.26,96.16,10.0,7411.0,55
CDM,30101811,HC POTASSIUM,99.79,59.87,4.0,7411.0,55
CDM,30101812,"HC POTASSIUM, BODY FLUID",98.18,58.91,3.97,7411.0,55
CDM,30101813,"HC POTASSIUM, POC",99.79,59.87,4.0,7411.0,55
CDM,30101814,"HC POTASSIUM, POST DIALYSIS",99.79,59.87,4.0,7411.0,55
CDM,30101815,"HC POTASSIUM, RANDOM URINE",98.18,58.91,3.97,7411.0,55
CDM,30101816,"HC POTASSIUM, TIMED URINE",98.18,58.91,3.97,7411.0,55
CDM,30101817,"HC POTASSIUM, URINE 24HR",98.18,58.91,3.97,7411.0,55
CDM,30101818,"HC PRESUMPTIVE DRUG TEST CHEM ANALYZ- OXYCODONE, URINE",459.04,275.42,10.0,7411.0,55
CDM,30101819,HC PRESUMPTIVE DRUG TEST CHEM ANALYZ- PRESCRIPTION OTC,459.04,275.42,10.0,7411.0,55
CDM,30101820,"HC PRESUMPTIVE DRUG TEST CHEM ANALYZ- PRESCRIPTION OTC, BLOOD",459.04,275.42,10.0,7411.0,55
CDM,30101821,"HC PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL",250.73,150.44,10.0,7411.0,55
CDM,30101822,"HC PROSTATE SPECIFIC ANTIGEN (PSA), ULTRASENSITIVE",250.73,150.44,10.0,7411.0,55
CDM,30101823,HC PROTEIN WESTERN BLOT - CRMP 5 IGG,370.43,222.26,10.0,7411.0,55
CDM,30101824,"HC PROTEIN WESTERN BLOT - CRMP 5 IGG, CSF",370.43,222.26,10.0,7411.0,55
CDM,30101825,"HC PROTEIN, RANDOM URINE",128.49,77.09,3.08,7411.0,55
CDM,30101826,"HC PROTEIN, TIMED URINE",128.49,77.09,3.08,7411.0,55
CDM,30101827,"HC PROTEIN, URINE 24HR",128.49,77.09,3.08,7411.0,55
CDM,30101828,"HC RIA NONANTIBODY - ACETYLCHOLINE RECEPTOR, BINDING AB",353.27,211.96,10.0,7411.0,55
CDM,30101829,HC RIA NONANTIBODY - ALPHA SUBUNIT PITUITARY GLYCOPROTEIN,353.27,211.96,10.0,7411.0,55
CDM,30101830,HC RIA NONANTIBODY - MUSK AUTO AB,353.27,211.96,10.0,7411.0,55
CDM,30101831,HC RIA NONANTIBODY - MYASTHENIA GRAVIS EVAL,353.27,211.96,10.0,7411.0,55
CDM,30101832,HC RIA NONANTIBODY - PANCREATIC POLYPEPTIDE,353.27,211.96,10.0,7411.0,55
CDM,30101833,HC RIA NONANTIBODY - THYROTROPIN RECEPTOR AB,290.98,174.59,10.0,7411.0,55
CDM,30101834,"HC SARS-COV-2 (COVID 19), ASYMPTOMATIC",97.2,58.32,10.0,7411.0,55
CDM,30101836,"HC SARS-COV-2 (COVID 19), SYMPTOMATIC, NON-PCR RAPID NAA",97.2,58.32,10.0,7411.0,55
CDM,30101837,"HC SODIUM, RANDOM URINE",117.24,70.34,4.25,7411.0,55
CDM,30101838,"HC SODIUM, TIMED URINE",117.24,70.34,4.25,7411.0,55
CDM,30101839,"HC TESTOSTERONE, BLOOD LVL MALES >=20YRS",307.8,184.68,10.0,7411.0,55
CDM,30101840,"HC TESTOSTERONE, TOTAL",307.8,184.68,10.0,7411.0,55
CDM,30101841,HC THERAPEUTIC DRUG ASSAY - CYCLOSPORINE,326.16,195.7,10.0,7411.0,55
CDM,30101842,"HC THERAPEUTIC DRUG ASSAY - CYCLOSPORINE, 2HR POST DOSE",326.16,195.7,10.0,7411.0,55
CDM,30101843,"HC THERAPEUTIC DRUG ASSAY - GENTAMICIN, PEAK",276.9,166.14,10.0,7411.0,55
CDM,30101844,"HC THERAPEUTIC DRUG ASSAY - GENTAMICIN, RANDOM",165.51,99.31,10.0,7411.0,55
CDM,30101845,"HC THERAPEUTIC DRUG ASSAY - GENTAMICIN, TROUGH",276.9,166.14,10.0,7411.0,55
CDM,30101846,"HC THERAPEUTIC DRUG ASSAY - TOBRAMYCIN, PEAK",285.66,171.4,10.0,7411.0,55
CDM,30101847,"HC THERAPEUTIC DRUG ASSAY - TOBRAMYCIN, RANDOM",285.66,171.4,10.0,7411.0,55
CDM,30101848,"HC THERAPEUTIC DRUG ASSAY - TOBRAMYCIN, TROUGH",285.66,171.4,10.0,7411.0,55
CDM,30101849,"HC THERAPEUTIC DRUG ASSAY - VANCOMYCIN, PEAK",304.35,182.61,10.0,7411.0,55
CDM,30101850,"HC THERAPEUTIC DRUG ASSAY - VANCOMYCIN, RANDOM",304.35,182.61,10.0,7411.0,55
CDM,30101851,"HC THERAPEUTIC DRUG ASSAY - VANCOMYCIN, TROUGH",304.35,182.61,10.0,7411.0,55
CDM,30101852,HC THERAPEUTIC DRUG ASSAY NOS - 5-FLUCYTOSINE,722.4,433.44,10.0,7411.0,55
CDM,30101853,HC THERAPEUTIC DRUG ASSAY NOS - ITRACONAZOLE,722.4,433.44,10.0,7411.0,55
CDM,30101854,HC THERAPEUTIC DRUG ASSAY NOS - METHOTREXATE,722.4,433.44,10.0,7411.0,55
CDM,30101855,"HC THYROXINE (T4), FREE",214.55,128.73,7.58,7411.0,55
CDM,30101856,"HC THYROXINE (T4), FREE BY DIALYSIS",214.55,128.73,7.58,7411.0,55
CDM,30101857,"HC TOTAL CORTISOL, DRAW 3",273.89,164.33,10.0,7411.0,55
CDM,30101858,"HC TOTAL PROTEIN, BODY FLUID",129.62,77.77,3.36,7411.0,55
CDM,30101859,"HC TOTAL PROTEIN, CSF",129.62,77.77,3.36,7411.0,55
CDM,30101860,HC TROPONIN I,306.86,184.12,10.0,7411.0,55
CDM,30101861,"HC TROPONIN I, POC",306.86,184.12,10.0,7411.0,55
CDM,30101862,HC UREA NITROGEN (BUN),105.46,63.28,3.32,7411.0,55
CDM,30101863,"HC UREA NITROGEN (BUN), POC",105.46,63.28,3.32,7411.0,55
CDM,30101864,"HC UREA NITROGEN (BUN), POST DIALYSIS",105.46,63.28,3.32,7411.0,55
CDM,30101865,"HC UREA NITROGEN (BUN), PRE DIALYSIS",105.46,63.28,3.32,7411.0,55
CDM,30101866,"HC UREA NITROGEN, RANDOM URINE",119.19,71.51,4.67,7411.0,55
CDM,30101867,"HC UREA NITROGEN, TIMED URINE",315.42,189.25,10.0,7411.0,55
CDM,30101868,"HC UREA NITROGEN, URINE 24HR",119.19,71.51,4.67,7411.0,55
CDM,30101869,"HC URIC ACID, 24HR URINE",78.09,46.85,4.27,7411.0,55
CDM,30101870,"HC URIC ACID, BODY FLUID",78.09,46.85,4.27,7411.0,55
CDM,30101871,"HC URIC ACID, RANDOM URINE",78.09,46.85,4.27,7411.0,55
CDM,30101872,"HC URINE CHLORIDE, TIMED",97.17,58.3,4.83,7411.0,55
CDM,30101873,"HC URINE PHOSPHORUS, RANDOM URINE",89.02,53.41,4.86,7411.0,55
CDM,30101874,"HC URINE PHOSPHORUS, TIMED URINE",89.02,53.41,4.86,7411.0,55
CDM,30101875,HC VIRUS AB NOS - HUMAN HERPES VIRUS-8 (HHV8),188.22,112.93,10.0,7411.0,55
CDM,30101876,"HC ALDOSTERONE - ADRENAL VEIN PANEL, PERIPH",365.41,219.25,10.0,7411.0,55
CDM,30101885,"HC AMIKACIN LEVEL, TROUGH",204.9,122.94,10.0,7411.0,55
CDM,30101886,"HC ARSENIC, 24HR URINE",165.52,99.31,10.0,7411.0,55
CDM,30101887,"HC ARSENIC, RANDOM URINE",165.52,99.31,10.0,7411.0,55
CDM,30101888,"HC ASSAY OF PARATHORMONE (PTH), FNA",449.06,269.44,10.0,7411.0,55
CDM,30101889,"HC BLOOD GAS ANY COMBO PH, PCO2, PO2, CO2, HCO3, CAPILLARY",514.86,308.92,10.0,7411.0,55
CDM,30101890,"HC BLOOD GAS ANY COMBO PH, PCO2, PO2, CO2, HCO3, MIXED VENOUS",514.86,308.92,10.0,7411.0,55
CDM,30101891,"HC BLOOD GAS, ARTERIAL POC",432.76,259.66,10.0,7411.0,55
CDM,30101892,"HC BLOOD GAS, CORD ARTERIAL POC",432.76,259.66,10.0,7411.0,55
CDM,30101893,"HC BLOOD GAS, CORD VENOUS POC",432.76,259.66,10.0,7411.0,55
CDM,30101894,"HC BLOOD GAS, VENOUS POC",432.76,259.66,10.0,7411.0,55
CDM,30101895,"HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 (FIT, GUAIAC)",112.27,67.36,10.0,7411.0,55
CDM,30101896,"HC BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC (FIT, GUAIAC)",71.91,43.15,3.55,7411.0,55
CDM,30101897,"HC CARCINOEMBRYONIC ANTIGEN (CEA), PERITONEAL FLUID",267.3,160.38,10.0,7411.0,55
CDM,30101898,"HC COLLAGEN CROSS LINKS, C-TELEOPEPTIDE, BETA-CROSS-LINKED",213.4,128.04,10.0,7411.0,55
CDM,30101899,"HC COLLAGEN CROSS LINKS, N-TELEOPEPTIDE, SERUM",213.4,128.04,10.0,7411.0,55
CDM,30101900,"HC COLLAGEN CROSS LINKS, N-TELEOPEPTIDE, URINE",213.4,128.04,10.0,7411.0,55
CDM,30101901,HC COPEPTIN PRO-ARGININE VASOPRESSIN,294.56,176.74,10.0,7411.0,55
CDM,30101902,"HC COPPER, SERUM FREE",150.0,90.0,10.0,7411.0,55
CDM,30101903,"HC CORTISOL, DRAW 3",273.89,164.33,10.0,7411.0,55
CDM,30101904,"HC CORTISOL, DST 1 SPECIMEN",273.89,164.33,10.0,7411.0,55
CDM,30101906,HC DEFINITIVE DRUG TEST ANTIDEPRESSANT - DESIPRAMINE,29.81,17.89,4.2,7411.0,34
CDM,30101907,HC DEFINITIVE DRUG TEST ANTIDEPRESSANT - DOXEPIN,29.81,17.89,4.2,7411.0,34
CDM,30101908,HC DEFINITIVE DRUG TEST ANTIDEPRESSANT - IMIPRAMINE & DESIPRAMINE,29.81,17.89,4.2,7411.0,34
CDM,30101909,HC DEFINITIVE DRUG TEST ANTIDEPRESSANT - NORTRIPTYLINE,29.81,17.89,4.2,7411.0,34
CDM,30101910,HC DEFINITIVE DRUG TEST BARBITURATES - PENTOBARBITOL,133.99,80.39,9.16,7411.0,34
CDM,30101911,HC DEFINITIVE DRUG TEST CANNABINOIDS MECONIUM,151.92,91.15,10.0,7411.0,34
CDM,30101912,HC DEFINITIVE DRUG TEST NOS - HYPOGLYCEMIC AGENT,402.76,241.66,6.53,7411.0,34
CDM,30101913,HC DEFINITIVE DRUG TEST NOS - MITOTANE,931.5,558.9,10.0,7411.0,55
CDM,30101914,"HC DEFINITIVE DRUG TEST, ANTIDEPRESSANT - AMITRIPTYLINE & NORTRIPTYLINE",29.81,17.89,4.2,7411.0,34
CDM,30101915,"HC DEFINITIVE DRUG TEST, SKELETAL MUSC RELAX 1-2 - CARISOPRODOL & MEPROBAMATE",331.68,199.01,10.0,7411.0,34
CDM,30101916,"HC DEFINITIVE DRUG TEST - TRAMADOL, URINE",281.11,168.67,10.0,7411.0,34
CDM,30101917,"HC GASES, BLOOD ANY COMBO - CORD ARTERIAL, POC",432.76,259.66,10.0,7411.0,55
CDM,30101918,HC GLUCOSE FASTING LEVEL,92.4,55.44,3.3,7411.0,55
CDM,30101919,"HC GLUCOSE, SERUM, RANDOM",99.79,59.87,3.3,7411.0,55
CDM,30101920,HC HEPATIC FUNCTION PANEL,322.54,193.52,6.86,7411.0,55
CDM,30101921,HC HEPATIC FUNCTION PANEL POC,322.54,193.52,6.86,7411.0,55
CDM,30101922,"HC IMMUNOASSAY ANALYTE QUAL, BULLOUS PEMPHIGOID BP180 IGG",225.57,135.34,9.69,7411.0,55
CDM,30101923,"HC IMMUNOASSAY ANALYTE QUAL, BULLOUS PEMPHIGOID BP230 IGG",225.57,135.34,9.69,7411.0,55
CDM,30101924,HC IMMUNOASSAY QUANT NOS NONAB - INTERFERON GAMMA,290.98,174.59,10.0,7411.0,55
CDM,30101925,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 1 BETA,290.98,174.59,10.0,7411.0,55
CDM,30101926,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 10,290.98,174.59,10.0,7411.0,55
CDM,30101927,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 12,290.98,174.59,10.0,7411.0,55
CDM,30101928,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 13,290.98,174.59,10.0,7411.0,55
CDM,30101929,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 17,290.98,174.59,10.0,7411.0,55
CDM,30101930,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 2,290.98,174.59,10.0,7411.0,55
CDM,30101931,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 4,290.98,174.59,10.0,7411.0,55
CDM,30101932,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 5,290.98,174.59,10.0,7411.0,55
CDM,30101933,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 8,290.98,174.59,10.0,7411.0,55
CDM,30101934,HC IMMUNOASSAY QUANT NOS NONAB - PANCREASTATIN,290.98,174.59,10.0,7411.0,55
CDM,30101935,HC IMMUNOASSAY QUANT NOS NONAB - TUMOR NECROSIS FACTOR ALPHA,290.98,174.59,10.0,7411.0,55
CDM,30101936,"HC LACTATE DEHYDROGENASE (LDH), CSF",137.21,82.33,5.07,7411.0,55
CDM,30101937,"HC LEAD, 24HR URINE",135.49,81.29,10.0,7411.0,55
CDM,30101938,"HC LEAD, RANDOM URINE",135.49,81.29,10.0,7411.0,55
CDM,30101939,HC MASS SPECTROMETRY QUAL/QUAN NES - BILE ACIDS,261.74,157.04,10.0,7411.0,55
CDM,30101940,"HC MERCURY, RANDOM URINE",152.46,91.48,10.0,7411.0,55
CDM,30101941,"HC NATRIURETIC PEPTIDE, PRO B-TYPE",407.22,244.33,10.0,7411.0,55
CDM,30101942,HC PH PLEURAL FLUID,91.04,54.62,3.01,7411.0,55
CDM,30101943,HC PRESUMTIVE DRUG TEST CHEM ANALYZ - BARBITURATE,459.04,275.42,10.0,7411.0,55
CDM,30101944,HC PRESUMTIVE DRUG TEST CHEM ANALYZ - CANNABINOID,459.04,275.42,10.0,7411.0,55
CDM,30101945,HC PRESUMTIVE DRUG TEST CHEM ANALYZ - OPIATE,459.04,275.42,10.0,7411.0,55
CDM,30101947,HC THIOPURINE S-METHYLTRANSFERASE (TPMT),840.25,504.15,10.0,7411.0,55
CDM,30101948,"HC THIOPURINE S-METHYLTRANSFERASE (TPMT), RBC",840.25,504.15,10.0,7411.0,55
CDM,30101949,"HC TROPONIN T, HIGH SENSITIVITY",306.86,184.12,10.0,7411.0,55
CDM,30101950,HC VITAMIN D 25 HYDROXY BY LC/MS,394.3,236.58,10.0,7411.0,55
CDM,30101951,"HC CARCINOEMBRYONIC ANTIGEN (CEA), PANCREATIC CYST FLUID",267.3,160.38,10.0,7411.0,55
CDM,30101952,"HC REF ARUP, COMP 2011248, CPT 82397",564.38,338.63,10.0,7411.0,55
CDM,30101953,"HC REF MAYO, COMP PAVAL, CPT 83591",93.07,55.84,10.0,7411.0,55
CDM,30101954,"HC REF MAYO, DHVD 1,25-DIHYDROXYVITAMIN D, S",91.93,55.16,10.0,7411.0,55
CDM,30101955,HC ALBUMIN - BODY FLUID,102.54,61.52,6.54,7411.0,55
CDM,30101963,"HC CORTISOL, FREE - URINE",202.53,121.52,10.0,7411.0,55
CDM,30101964,"HC CORTISOL, FREE - 24HR URINE",202.53,121.52,10.0,7411.0,55
CDM,30101965,"HC CALCIUM, URINE - URORISK",111.2,66.72,5.07,7411.0,55
CDM,30101966,HC CITRATE - URORISK,289.13,173.48,10.0,7411.0,55
CDM,30101967,HC CREATININE - URORISK,124.74,74.84,4.35,7411.0,55
CDM,30101968,HC MAGNESIUM - URORISK,153.91,92.35,5.63,7411.0,55
CDM,30101969,HC OXALATE - URORISK,160.26,96.16,10.0,7411.0,55
CDM,30101970,HC PH BODY FLUID - URORISK,91.04,54.62,3.01,7411.0,55
CDM,30101971,HC PHOSPHORUS INORGANIC (PHOSPHATE) - URORISK,89.02,53.41,4.86,7411.0,55
CDM,30101972,"HC POTASSIUM, URINE - URORISK",98.18,58.91,3.97,7411.0,55
CDM,30101973,"HC SODIUM, URINE - URORISK",117.24,70.34,4.25,7411.0,55
CDM,30101974,"HC SULFATE, URINE - URORISK",67.88,40.73,4.61,7411.0,55
CDM,30101975,HC URIC ACID - URORISK,78.09,46.85,4.27,7411.0,55
CDM,30101976,"HC DEFINITIVE DRUG TEST - NORFENTANYL, URINE",160.61,96.37,10.0,7411.0,34
CDM,30101977,"HC DEFINITIVE DRUG TEST - OXYMORPHONE, URINE",245.7,147.42,10.0,7411.0,34
CDM,30101978,"HC DEFINITIVE DRUG TEST - NORBUPRENORPHINE, URINE",195.0,117.0,10.0,7411.0,34
CDM,30101979,"HC DEFINITIVE DRUG TEST - OPIATES (HYDROCODONE), URINE",154.19,92.51,10.0,7411.0,34
CDM,30101980,"HC DEFINITIVE DRUG TEST - OPIATES (HYDROMORPHONE), URINE",154.19,92.51,10.0,7411.0,34
CDM,30101981,"HC PROTEIN WESTERN BLOT TEST - PCA-TR IMMUNOBLOT, SERUM",370.43,222.26,10.0,7411.0,55
CDM,30101982,"HC PROTEIN WESTERN BLOT TEST - AGNA-1 IMMUNOBLOT, SERUM",370.43,222.26,10.0,7411.0,55
CDM,30101983,"HC PROTEIN WESTERN BLOT TEST -PCA-TR IMMUNOBLOT, CSF",370.43,222.26,10.0,7411.0,55
CDM,30101984,"HC PROTEIN WESTERN BLOT TEST - AMPHIPHYSIN IMMUNOBLOT, CSF",370.43,222.26,10.0,7411.0,55
CDM,30101985,"HC PROTEIN WESTERN BLOT TEST - AGNA-1 IMMUNOBLOT, CSF",370.43,222.26,10.0,7411.0,55
CDM,30101986,"HC PROTEIN WESTERN BLOT TEST - ANNA-1 IMMUNOBLOT, CSF",370.43,222.26,10.0,7411.0,55
CDM,30101987,"HC PROTEIN WESTERN BLOT TEST - ANNA-2 IMMUNOBLOT, CSF",370.43,222.26,10.0,7411.0,55
CDM,30101988,"HC PROTEIN WESTERN BLOT TEST - PCA-1 IMMUNOBLOT, CSF",370.43,222.26,10.0,7411.0,55
CDM,30101989,"HC ALBUMIN, CSF/SERUM",88.72,53.23,4.16,7411.0,55
CDM,30101990,HC GAMMAGLOBULIN IGG - LYME CNS INFECTION,182.55,109.53,7.81,7411.0,55
CDM,30101991,HC PARATHORMONE - INTRAOP,449.06,269.44,10.0,7411.0,55
CDM,30101992,"HC REF ARUP, 2006160 ESTRADIOL, FREE BY DIALYSIS",507.5,304.5,10.0,7411.0,55
CDM,30101993,"HC REF MAYO, COMP FMGRP, CPT 83519",277.6,166.56,10.0,7411.0,55
CDM,30101994,HC CHEMILUMINESCENT ASSAY - INHIBIN B TUMOR MARKER,223.71,134.23,10.0,7411.0,55
CDM,30101995,"HC ALBUMIN QUANTITATIVE, BODY FLUID",102.54,61.52,6.54,7411.0,55
CDM,30101996,HC COLUMN CHROMOTOGRAPHY QUAL/QUANT,305.93,183.56,10.0,7411.0,55
CDM,30101997,HC GAMMAGLOBULIN,182.55,109.53,7.81,7411.0,55
CDM,30101998,"HC CORTISOL FREE, SALIVA",202.53,121.52,10.0,7411.0,55
CDM,30101999,"HC CORTISOL FREE, 24 HR URINE",202.53,121.52,10.0,7411.0,55
CDM,30102000,"HC COLUMN CHROMOTOGRAPHY QUAL/QUANT - CORTISOL/CORTISONE, 24HR URINE",305.93,183.56,10.0,7411.0,55
CDM,30102011,"HC CORTISOL, DRAW 1",273.89,164.33,10.0,7411.0,55
CDM,30102012,"HC BLOOD GAS, MIXED VENOUS POCT",432.76,259.66,10.0,7411.0,55
CDM,30102013,HC ASSAY OF PROTEIN SERUM - TSO500 GENE PANEL,87.97,52.78,3.08,7411.0,55
CDM,30102014,HC REF ARUP 0080055 CAROTENE,33.75,20.25,7.74,7411.0,55
CDM,30102015,"HC REF ARUP CINCINNATI CHILDRENS 10588967, CPT 83520",477.75,286.65,10.0,7411.0,55
CDM,30102016,HC CREATININE - OVERNIGHT EXCHANGE DIALYSATE,124.74,74.84,4.35,7411.0,55
CDM,30102017,HC UREA NITROGEN (BUN) - OVERNIGHT EXCHANGE DIALYSATE,105.46,63.28,3.32,7411.0,55
CDM,30102018,HC TOTAL CORTISOL - LEFT ADRENAL VEIN PANEL,273.89,164.33,10.0,7411.0,55
CDM,30102019,HC TOTAL CORTISOL - RIGHT ADRENAL VEIN PANEL,273.89,164.33,10.0,7411.0,55
CDM,30102020,HC TOTAL CORTISOL - PERIPHERAL VEIN PANEL,273.89,164.33,10.0,7411.0,55
CDM,30102021,"HC CYSTATIN C - AMINOLEVULINIC ACID, DELTA",159.67,95.8,10.0,7411.0,55
CDM,30102022,HC ASSAY OF PYRUVATE - LACTIC ACID,157.5,94.5,10.0,7411.0,55
CDM,30102023,HC SODIUM - STOOL,67.54,40.52,4.08,7411.0,55
CDM,30102024,HC HEAVY METAL SCREEN - LEAD,135.49,81.29,10.0,7411.0,55
CDM,30102025,HC ASSAY OF CADMIUM - HEAVY METALS SCREEN,146.47,87.88,10.0,7411.0,55
CDM,30102026,"HC PHOSPHATASE ALKALINE, BONE SPECIFIC",177.81,106.69,10.0,7411.0,55
CDM,30102027,HC MYOSITIS AB PANEL - IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,225.57,135.34,9.69,7411.0,55
CDM,30102028,HC MYOSITIS PANEL - PROTEIN WESTERN BLOT BLOOD OR FLUID BANDING,370.43,222.26,10.0,7411.0,55
CDM,30102029,HC FUNGAL PANEL - ANTIBODY BLASTOMYCES,297.85,178.71,10.0,7411.0,34
CDM,30102030,"HC HEAVY METALS PANEL - MERCURY, 24HR URINE",152.46,91.48,10.0,7411.0,55
CDM,30102031,HC IGG 1 2 3 OR 4 EACH - IGG 4,123.61,74.17,6.74,7411.0,55
CDM,30102032,HC ASSAY OF ESTROGENS - ESTRADIOL AND ESTRONE,208.91,125.35,10.0,7411.0,55
CDM,30102033,HC ASSAY OF PORPHOBILINOGEN - 24HR URINE QUANT,138.94,83.36,7.09,7411.0,55
CDM,30102034,"HC RETINOL BINDING PROT - NEPHELOMETRY, EACH ANALYTE NES",173.82,104.29,10.0,7411.0,55
CDM,30102035,HC ASSAY IGA/IGD/IGG/IGM EACH - IGG/ALBUMIN RATIO,182.55,109.53,7.81,7411.0,55
CDM,30102036,HC ASSAY OF PHENOBARBITAL - PRIMIDONE & METABOLITE,207.37,124.42,10.0,7411.0,55
CDM,30102037,HC 14-3-3 PROTEIN TAU - PROTEIN WESTERN BLOT BLOOD OR FLUID BANDING,370.43,222.26,10.0,7411.0,55
CDM,30102038,"HC CARBOHYDRATE DEFICIENT TRANSFERRIN, CDG",464.63,278.78,10.0,7411.0,55
CDM,30102039,HC DESMOGLEIN - IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,225.57,135.34,9.69,7411.0,55
CDM,30102040,"HC RIA NONANTIBODY - MYASTHENIA GRAVIS, LAMBERT-EATON SYNDROME",353.27,211.96,10.0,7411.0,55
CDM,30102041,HC ASSAY OF TOTAL TESTOSTERONE - TESTOST TOTAL & BIOAVAILABLE,307.8,184.68,10.0,7411.0,55
CDM,30102042,HC ASSAY OF FREE TESTOSTERONE - TESTOST TOTAL & BIOAVAILABLE,269.73,161.84,10.0,7411.0,55
CDM,30102043,HC THYROGLOBULIN TUMOR MARKER,216.33,129.8,10.0,7411.0,55
CDM,30102044,HC ASSAY OF SEX HORMONE GLOBUL - TESTOST TOTAL & BIOAVAILABLE,173.8,104.28,10.0,7411.0,55
CDM,30102045,HC ASSAY OF SERUM ALBUMIN - TESTOST TOTAL & BIOAVAILABLE,88.72,53.23,4.16,7411.0,55
CDM,30102046,"HC ASSAY OF TOTAL TESTOSTERONE - TESTOST TOTAL, BIOAVAILABLE, & FREE",307.8,184.68,10.0,7411.0,55
CDM,30102047,"HC ASSAY OF FREE TESTOSTERONE - TESTOST TOTAL, BIOAVAILABLE, & FREE",269.73,161.84,10.0,7411.0,55
CDM,30102048,HC GANGLIOSIDE PANEL - IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,225.57,135.34,9.69,7411.0,55
CDM,30102049,HC LIPID PANEL - LIPOPROTEIN METABOLISM PROFILE,328.07,196.84,10.0,7411.0,55
CDM,30102050,"HC LIPO METABOL PROFILE - APOLIPOPROTEIN,EACH",161.97,97.18,10.0,7411.0,55
CDM,30102051,HC OTHER SOURCE ALBUMIN QUAN EA - LYME CNS INF IGG URINE,102.54,61.52,6.54,7411.0,55
CDM,30102052,HC CYTOKINE PANEL - IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 2 RECEPTOR SOLUBLE,290.98,174.59,10.0,7411.0,55
CDM,30102053,HC CYTOKINE PANEL - INTERLEUKIN-6,191.23,114.74,10.0,7411.0,55
CDM,30102054,HC CYTOKINE PANEL - IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 2,290.98,174.59,10.0,7411.0,55
CDM,30102055,HC CORTISOL FREE - 24HR URINE,202.53,121.52,10.0,7411.0,55
CDM,30102056,HC ASSAY OF SEROTONIN - WHOLE BLOOD,322.57,193.54,10.0,7411.0,55
CDM,30102057,HC AMPHETAMINES 5 OR MORE - AMPHETAMINES CONF,330.78,198.47,7.75,7411.0,34
CDM,30102058,HC METHYLENEDIOXYAMPHETAMINES - AMPHETAMINES URINE,146.94,88.16,8.5,7411.0,34
CDM,30102059,HC PROTEIN WESTERN BLOT TEST - AMPHIPHYSIN IMMUNOBLOT,370.43,222.26,10.0,7411.0,55
CDM,30102060,HC ASSAY OF URINE CREATININE - 5 HIAA,124.74,74.84,4.35,7411.0,55
CDM,30102061,HC ASSAY ALKALINE PHOSPHATASE - ISOENZYMES,101.57,60.94,4.35,7411.0,55
CDM,30102062,HC ASSAY CARBAMAZEPINE TOTAL - FREE & TOTAL,249.15,149.49,10.0,7411.0,55
CDM,30102063,HC ASSAY OF CK (CPK) - ISOENZYMES,159.62,95.77,5.47,7411.0,55
CDM,30102064,"HC ASSAY OF URINE CREATININE - FREE, 24HR URINE",124.74,74.84,4.35,7411.0,55
CDM,30102065,HC ASSAY OF URINE CREATININE - METANEPHRINES FRACT,124.74,74.84,4.35,7411.0,55
CDM,30102066,HC ASSAY OF URINE CREATININE - 5 HIAA 24HR URINE QUANT,124.74,74.84,4.35,7411.0,55
CDM,30102067,HC RIA NONANTIBODY - ACETYLCHOLINE RECEPTOR AB PANEL,353.27,211.96,10.0,7411.0,55
CDM,30102068,HC ASSAY IGA/IGD/IGG/IGM EACH - IGA/IGM/IGG QUANT,182.55,109.53,7.81,7411.0,55
CDM,30102069,"HC ASSAY THYROID STIM HORMONE - THYROID PANEL, COMPREHENSIVE",285.79,171.47,10.0,7411.0,55
CDM,30102070,"HC ASSAY OF TOTAL THYROXINE - THYROID PANEL, COMPREHENSIVE",170.37,102.22,5.77,7411.0,55
CDM,30102071,"HC ASSAY OF THYROID (T3 OR T4) - THYROID PANEL, COMPREHENSIVE",151.39,90.83,5.43,7411.0,55
CDM,30102072,HC ASSAY OF URINE CREATININE - PROTEIN ELECTROPHORESIS 24HR URINE,124.74,74.84,4.35,7411.0,55
CDM,30102073,HC ASSAY OF IGE - NTX ALLERGY PANEL,212.18,127.31,10.0,7411.0,55
CDM,30102074,HC ASSAY OF URINE CREATININE - MICROALBUMIN/CREAT RATIO,124.74,74.84,4.35,7411.0,55
CDM,30102075,HC ASSAY OF SERUM ALBUMIN - IGG SYNTHESIS RATE,88.72,53.23,4.16,7411.0,55
CDM,30102076,HC OTHER SOURCE ALBUMIN QUAN EA - IGG SYNTHESIS RATE,102.54,61.52,6.54,7411.0,55
CDM,30102077,HC ASSAY IGA/IGD/IGG/IGM EACH - IGG SYNTHESIS RATE,182.55,109.53,7.81,7411.0,55
CDM,30102078,HC ASSAY OF LEAD - CAPILLARY,135.49,81.29,10.0,7411.0,55
CDM,30102079,HC ASSAY OF URINE CREATININE - CANNABINOIDS DRUG CONF,124.74,74.84,4.35,7411.0,55
CDM,30102080,HC ALDOSTERONE/RENIN DIR RATIO - ALDOSTERONE,365.41,219.25,10.0,7411.0,55
CDM,30102081,HC ASSAY OF RENIN - ALDOSTERONE/RENIN DIRECT RATIO,269.52,161.71,10.0,7411.0,55
CDM,30102082,"HC ASSAY OF CALCIUM IN URINE - CALCIUM W/CREATININE RATIO, RAND URINE",111.2,66.72,5.07,7411.0,55
CDM,30102083,HC ASSAY OF URINE CREATININE - CALCIUM/CREAT RATIO,124.74,74.84,4.35,7411.0,55
CDM,30102084,HC ASSAY OF URINE CREATININE - CALCIUM/CREAT RATIO 24HR URINE,124.74,74.84,4.35,7411.0,55
CDM,30102085,HC ASSAY OF GONADOTROPIN (FSH) - FSH & LH PANEL,270.85,162.51,10.0,7411.0,55
CDM,30102086,HC ASSAY OF GONADOTROPIN (LH) - FSH AND LH PANEL,279.88,167.93,10.0,7411.0,55
CDM,30102087,HC ASSAY OF URINE POTASSIUM - W/CREAT RATIO,98.18,58.91,3.97,7411.0,55
CDM,30102088,HC ASSAY OF URINE CREATININE - POTASSIUM/CREAT RATIO,124.74,74.84,4.35,7411.0,55
CDM,30102089,HC ASSAY OF PROTEIN URINE - PROTEIN TOTAL W/CREATININE 24HR URINE,128.49,77.09,3.08,7411.0,55
CDM,30102090,HC ASSAY OF URINE CREATININE - PROTEIN W/CREATININE 24HR URINE,124.74,74.84,4.35,7411.0,55
CDM,30102091,HC VITAMIN B-12 - B12 & FOLATE,240.75,144.45,10.0,7411.0,55
CDM,30102092,HC ASSAY OF FOLIC ACID SERUM - B12 & FOLATE,239.5,143.7,10.0,7411.0,55
CDM,30102093,HC ASSAY OF PROLACTIN - MACROPROLACTIN,301.73,181.04,10.0,7411.0,55
CDM,30102094,HC ASSAY OF PROLACTIN - DILUTION STUDY,301.73,181.04,10.0,7411.0,55
CDM,30102095,HC ASSAY DIPROPYLACETIC ACD TOT - VALPROIC ACID FREE & TOTAL,288.95,173.37,10.0,7411.0,55
CDM,30102096,HC ASSAY OF IRON - IRON TIBC & FERRITIN PANEL,148.33,89.0,5.43,7411.0,55
CDM,30102097,HC IRON BINDING TEST - IRON TIBC & FERRITIN PANEL,163.41,98.05,7.34,7411.0,55
CDM,30102098,HC ASSAY OF FERRITIN - IRON TIBC & FERRITIN PANEL,249.48,149.69,10.0,7411.0,55
CDM,30102099,HC IMMUNOASSAY QUANT NOS NONAB - SENSORY NEUROPATHY AB PANEL,290.98,174.59,10.0,7411.0,55
CDM,30102100,HC RIA NONANTIBODY - ACETYLCHOLINE RECEPTOR AB REFLEXIVE PANEL,353.27,211.96,10.0,7411.0,55
CDM,30102101,HC ASSAY OF TRIGLYCERIDES - LIPOPROTEIN SUBSET ANALYSIS,135.89,81.53,4.82,7411.0,55
CDM,30102102,HC CANNABINOIDS NATURAL - CONFIRMATION S,151.92,91.15,10.0,7411.0,34
CDM,30102103,HC DRUG SCREEN QUANTALCOHOLS - ETHANOL CONFIRM,141.05,84.63,9.42,7411.0,34
CDM,30102104,HC DRUG SCREENING METHADONE - METHADONE & METABOLITE CONFIRM,18.63,11.18,6.71,7411.0,34
CDM,30102106,BENZODIAZEPINES 13 OR MORE - BENZODIAZEPINES CONFIRM,111.55,66.93,10.0,7411.0,34
CDM,30102107,HC IGG 1 2 3 OR 4 EACH - HUMORAL IMMUNE STAT SURV PNEUMO 14,123.61,74.17,6.74,7411.0,55
CDM,30102108,HC IMMUNOASSAY QUANT NOS NONAB - PARANEOPLASTIC AUTOAB EVAL,290.98,174.59,10.0,7411.0,55
CDM,30102109,HC RIA NONANTIBODY - PARANEOPLASTIC AUTOANTIBODY EVAL,353.27,211.96,10.0,7411.0,55
CDM,30102110,"HC ASSAY OF URINE CREATININE - CULTURE, ANAEROBIC",124.74,74.84,4.35,7411.0,55
CDM,30102111,HC ASSAY THYROID STIM HORMONE - CHRONIC URTICARIA INDEX,285.79,171.47,10.0,7411.0,55
CDM,30102112,HC AMINO ACIDS SINGLE QUANT - PHENYLALANINE LVL,299.64,179.78,10.0,7411.0,55
CDM,30102113,HC ASSAY OF PROSTAGLANDIN - PHENYLALANINE LVL,436.72,262.03,10.0,7411.0,55
CDM,30102114,HC ASSAY OF CADMIUM - HEAVY METALS SCREEN RAND URINE,146.47,87.88,10.0,7411.0,55
CDM,30102115,HC ASSAY OF URINE CREATININE - HEAVY METALS SCREEN RANDOM URINE,124.74,74.84,4.35,7411.0,55
CDM,30102116,HC ASSAY IGA/IGD/IGG/IGM EACH - IMMUNOTYPING BY CAPIL ELECTROPH,182.55,109.53,7.81,7411.0,55
CDM,30102117,HC ASSAY OF URINE CREATININE - PROTEIN/CREAT RATIO,124.74,74.84,4.35,7411.0,55
CDM,30102118,HC ASSAY OF PROTEIN URINE - PROTEIN ELECTROPH TIMED URINE REFLEX IMMUNOFIXATION,128.49,77.09,3.08,7411.0,55
CDM,30102119,HC PROTEIN E-PHORESIS SERUM - W/REFLEX TO IMMUNOFIXATION,215.37,129.22,9.02,7411.0,55
CDM,30102120,HC PROTEIN E-PHORESIS/URINE/CSF - TIMED URINE REFLEX IMMUNOFIXATION,215.78,129.47,10.0,7411.0,55
CDM,30102121,HC ASSAY OF PROTEIN SERUM - W/REFLEX TO IMMUNOFIXATION,87.97,52.78,3.08,7411.0,55
CDM,30102122,HC ASSAY OF URINE CREATININE - UREA NITROGEN W/CREATININE 24HR URINE,124.74,74.84,4.35,7411.0,55
CDM,30102123,HC ASSAY OF PARATHORMONE - PTH INTACT PANEL,449.06,269.44,10.0,7411.0,55
CDM,30102124,"HC ASSAY OF SEX HORMONE GLOBUL - TESTOST TOTAL, BIOAVAILABLE, & FREE W/SHBG & ALBUMIN",173.8,104.28,10.0,7411.0,55
CDM,30102125,"HC ASSAY OF SERUM ALBUMIN - TESTOST TOTAL, BIOAVAILABLE, & FREE W/SHBG & ALBUMIN",88.72,53.23,4.16,7411.0,55
CDM,30102126,"HC ASSAY OF TOTAL TESTOSTERONE - TESTOST TOTAL, BIOAVAILABLE, & FREE W/SHBG & ALBUMIN",307.8,184.68,10.0,7411.0,55
CDM,30102127,HC ASSAY OF PROTEIN SERUM - ALBUMIN & TOTAL PROTEIN,87.97,52.78,3.08,7411.0,55
CDM,30102128,HC ASSAY OF SERUM ALBUMIN - ALBUMIN & TOTAL PROTEIN,88.72,53.23,4.16,7411.0,55
CDM,30102129,HC ASSAY OF LEAD - HEAVY METALS SCREEN,135.49,81.29,10.0,7411.0,55
CDM,30102130,HC ASSAY OF IGE - OKTX ALLERGY PANEL,212.18,127.31,10.0,7411.0,55
CDM,30102131,HC ASSAY OF IGE - REG 10 OKTX RESP ALLERGY PANEL,212.18,127.31,10.0,7411.0,55
CDM,30102132,HC REF LABCORP - CHITO CHITOTRIOSIDASE ASSAY,705.0,423.0,10.0,7411.0,34
CDM,30102133,"HC REF ARUP, 0020694, COPPER - LIVER",325.0,195.0,10.0,7411.0,55
CDM,30102134,HC RIA NONANTIBODY - NEUROKININ A (SUBSTANCE K),353.27,211.96,10.0,7411.0,55
CDM,30102135,HC ASSAY OF URINE CREATININE - RANDOM,124.74,74.84,4.35,7411.0,55
CDM,30102136,HC DRUG SCREEN (BASIC MEDICAL),459.04,275.42,10.0,7411.0,55
CDM,30102137,HC HEMOGLOBIN ELECTROPHORESIS - FETAL,234.69,140.81,10.0,7411.0,55
CDM,30102138,HC ASSAY OF PROTEIN SERUM - TOTAL,87.97,52.78,3.08,7411.0,55
CDM,30102139,HC IMMUNOASSAY QUANT NOS NONAB - SUBSTANCE P,290.98,174.59,10.0,7411.0,55
CDM,30102140,HC THYROGLOBULIN - FNA,216.33,129.8,10.0,7411.0,55
CDM,30102141,HC DRUG SCREEN QUANTALCOHOLS - VOLATILE & ETHYLENE GLYCOL,141.05,84.63,9.42,7411.0,34
CDM,30102142,HC BILIRUBIN TOTAL - BILIRUBIN FRACTIONATED,91.63,54.98,4.22,7411.0,55
CDM,30102143,HC BILIRUBIN DIRECT - BILIRUBIN FRACTIONATED,114.76,68.86,4.22,7411.0,55
CDM,30102144,HC ASSAY OF URINE CREATININE - POTASSIUM 24HR URINE W/CREAT RATIO,124.74,74.84,4.35,7411.0,55
CDM,30102145,HC ASSAY OF IGE - TREE PANEL,212.18,127.31,10.0,7411.0,55
CDM,30102146,HC ASSAY ALKALINE PHOSPHATASE - BONE SPECIFIC,101.57,60.94,4.35,7411.0,55
CDM,30102147,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG MONITORING TEMPLATE,459.04,275.42,10.0,7411.0,55
CDM,30102148,"HC ASSAY AMINOLEVULINIC ACID - DELTA, 24HR URINE",159.67,95.8,10.0,7411.0,55
CDM,30102149,HC DRUG ASSAY INFLIXIMAB - INFLIX & NEUTRALIZING AB,492.24,295.34,10.0,7411.0,55
CDM,30102150,HC ASSAY GLUCOSE BLOOD QUANT - 2HR GTT,99.79,59.87,3.3,7411.0,55
CDM,30102151,HC GLUCOSE TEST - 2HR GTT,114.97,68.98,3.99,7411.0,55
CDM,30102152,HC GLUCOSE TOLERANCE TEST (GTT) - 3HR GTT,253.21,151.93,10.0,7411.0,55
CDM,30102153,HC GTT-ADDED SAMPLES - 3HR GTT,76.36,45.82,3.29,7411.0,55
CDM,30102155,"HC IMMUNOASSAY QUANT NOS NONAB - MYELIN ASSOC GLYCOPROT AB IGM, EIA",290.98,174.59,10.0,7411.0,55
CDM,30102156,"HC REF ARUP, COMP EUROFINS VIVACOR 401844P, CPT 82784",73.11,43.87,7.81,7411.0,55
CDM,30102157,"HC REF ARUP, COMP EUROFINS VIVACOR 401844P, CPT 82787",69.63,41.78,6.74,7411.0,55
CDM,30102158,"HC REF ARUP, COMP EUROFINS VIVACOR 401844P, CPT 82785",73.11,43.87,10.0,7411.0,55
CDM,30102159,"HC REF LABCORP, 451840, TITRATE RESISTANT ACID PHOSPHATE (TRAP)",357.0,214.2,6.42,7411.0,55
CDM,30102160,HC ANTI-MULLERIAN HORMONE (AMH),277.13,166.28,10.0,7411.0,55
CDM,30102161,"HC REF, ARUP 0050631 ASSAY IGA/IGD/IGG/IGM EACH",45.63,27.38,7.81,7411.0,55
CDM,30102162,"HC REF MAYO, COMP FFES, CPT 82681",170.75,102.45,10.0,7411.0,55
CDM,30102163,"HC REF MAYO, COMP FFES, CPT 82670",170.73,102.44,10.0,7411.0,55
CDM,30102164,"HC REF MAYO, COMP FFES, CPT 84270",132.78,79.67,10.0,7411.0,55
CDM,30102165,"HC TROPONIN T, HIGH SENSITIVITY",306.86,184.12,10.0,7411.0,55
CDM,30102167,HC TOTAL CORTISOL - INFERIOR VENA CAVA PANEL,273.89,164.33,10.0,7411.0,55
CDM,30102168,HC REF LAB ARUP VENLAFAXINE AND METABOLITE 2007957,153.75,92.25,10.0,7411.0,34
CDM,30102169,"HC REF ARUP, 0020729, ALPHA FETOPROTEIN CSF",31.83,19.1,5.07,7411.0,55
CDM,30102170,"HC REF ARUP, NMS LABS COMP 1480U, CPT 80354",412.5,247.5,10.0,7411.0,34
CDM,30102171,"HC REF ARUP, NMS LABS COMP 1480U, CPT 80364",412.5,247.5,10.0,7411.0,34
CDM,30102172,"HC REF MAYO, TPMT3, THIOPURINE S-METHYLTRANSFERASE",840.25,504.15,10.0,7411.0,55
CDM,30102173,"HC REF ARUP, COMP  3016444, CPT 83520",1208.33,725.0,10.0,7411.0,55
CDM,30102174,"HC REF ARUP, 0850022, PHOSPHOLIPASE A2 RECEPTOR ANTIBODY, IGG",350.0,210.0,9.69,7411.0,55
CDM,30102175,"HC REF ARUP, COMP 479, CPT 80326",50.0,30.0,7.75,7411.0,34
CDM,30102176,"HC REF ARUP, COMP 479, CPT 80347",50.0,30.0,10.0,7411.0,34
CDM,30102177,"HC REF ARUP, COMP 479, CPT 80364",50.0,30.0,10.0,7411.0,34
CDM,30102178,"HC REF ARUP, COMP 479, CPT 80355",50.0,30.0,7.71,7411.0,34
CDM,30102179,"HC REF ARUP, COMP 479, CPT 80323",50.0,30.0,10.0,7411.0,34
CDM,30102180,"HC REF ARUP, COMP 750000706, CPT 82542",355.38,213.23,10.0,7411.0,55
CDM,30102181,"HC REF ARUP, COMP 750000706, CPT 82570",355.38,213.23,4.35,7411.0,55
CDM,30102182,"HC REF ARUP, COMP 735, CPT 83521",45.0,27.0,10.0,7411.0,55
CDM,30102183,"HC REF CINCINNATI CHILDREN'S, COMP AHUS, CPT 81443",10752.5,6451.5,10.0,12634.57,55
CDM,30102184,"HC REF CINCINNATI CHILDREN'S, GM-CSF AUTOANTIBODY (GMAB)",1067.5,640.5,10.0,7411.0,55
CDM,30102185,"HC REF ARUP, COMP 3002105, CPT 84156",62.23,37.34,3.08,7411.0,55
CDM,30102186,"HC REF ARUP, COMP 3002105, CPT 84166",62.23,37.34,10.0,7411.0,55
CDM,30102187,"HC REF CINCINNATI CHILDREN'S, COMP TMA COMPLEMENT PANEL, CPT 83516",411.41,246.85,9.69,7411.0,55
CDM,30102188,"HC REF CINCINNATI CHILDREN'S, INTERLEUKIN - 18",800.0,480.0,10.0,7411.0,55
CDM,30102189,"HC REF NMS, 1056SP, CENOBAMATE, SERUM/PLASMA",627.5,376.5,4.2,7411.0,34
CDM,30102190,"HC REF MAYO, ZW300, KARIUS BLOOD TEST FOR PATHOGENS",5025.0,3015.0,10.0,7411.0,34
CDM,30102191,"HC REF NMS LAB, 6946H, DRUGS OF ABUSE SCREEN (9 PANEL) HAIR",1735.0,1041.0,10.0,7411.0,55
CDM,30102192,"HC REF ARUP, 2011039, VIGABATRIN QUANT SERUM OR PLASMA",830.0,498.0,4.2,7411.0,34
CDM,30102193,"HC REF MAYO, COMP FMNPP, CPT 82784",93.29,55.97,7.81,7411.0,55
CDM,30102194,"HC REF MAYO, COMP FMNPP, CPT 84155",36.83,22.1,3.08,7411.0,55
CDM,30102195,"HC REF MAYO, COMP FMNPP, CPT 84165",107.73,64.64,9.02,7411.0,55
CDM,30102196,"HC REF EUROFINS VIRACOR, 33285 EXPANSION & PERSISTENCE OF CART ASSAY",1125.0,675.0,10.0,7411.0,55
CDM,30102197,"HC REF ARUP 2005207, UREA CLEARANCE",33.45,20.07,6.05,7411.0,55
CDM,30102198,"HC REF MAYO 30101602, FMERC MERCAPTOPURINE",292.76,175.66,10.0,7411.0,55
CDM,30102199,"HC REF MAYO, COMP MDC2 CPT 84182",192.76,115.66,10.0,7411.0,55
CDM,30102200,"HC REF LAB MAYO, MAC1 MYELOPATHY, AUTOIMM/PARA CSF COMP 84182",403.8,242.28,10.0,7411.0,55
CDM,30102201,"HC REF LAB MAYO, MAS1 MYELOPATHY, AUTOIMM/PARA, S COMP 84182",267.5,160.5,10.0,7411.0,55
CDM,30102202,"HC REF LABCORP, SERONEG RADX4 COMP 520305, CPT 83516",905.63,543.38,9.69,7411.0,55
CDM,30102203,"HC REF LABCORP, SERONEG RADX4 COMP 520305, CPT 83520",905.63,543.38,10.0,7411.0,55
CDM,30102204,"HC REF MAYO, FMERC, MERCAPTOPURINE (6-MP)",292.78,175.67,10.0,7411.0,55
CDM,30102205,"HC REF ARUP 2006473, DULOXETINE QUANTITATIVE, SERUM OR PLASMA",510.0,306.0,10.0,7411.0,34
CDM,30102206,"HC REF MAYO FPALI, PALIPERIDONE, SERUM",372.5,223.5,10.0,7411.0,34
CDM,30102207,"HC REF MAYO, ORXNA, OREXIN-A/HYPOCRETIN-1, SPINAL FLUID",2510.75,1506.45,10.0,7411.0,55
CDM,30102210,"HC REF PROMETHEUS, COMP IBD SGI DIAGNOSTIC CPT 83520",81.18,48.71,10.0,7411.0,55
CDM,30102211,"HC REF PROMETHEUS, COMP IBD SGI DIAGNOSTIC CPT 82397",81.18,48.71,10.0,7411.0,55
CDM,30102212,"HC REF MAYO COMP, AIAES CPT 84182",231.08,138.65,10.0,7411.0,55
CDM,30102213,"HC REF MAYO, GNPRS PROTEIN S DEFICIENCY",3750.0,2250.0,10.0,7411.0,39
CDM,30102214,"HC REF MAYO COMP, FPEPA, CPT 83986",33.0,19.8,3.01,7411.0,55
CDM,30102215,"HC REF MAYO COMP, FPEPA, CPT 84157",36.88,22.13,3.36,7411.0,55
CDM,30102216,"HC REF MAYO COMP, FPEPA, CPT 82657",204.38,122.63,10.0,7411.0,55
CDM,30102217,"HC REF MAYO KCSF IMMUNOGLOBIN KAPPA FREE LIGHT CHAIN, SPINAL FLUID",532.5,319.5,10.0,7411.0,55
CDM,30102218,"HC REF LABCORP, COMP 071563, CPT 82570",100.0,60.0,4.35,7411.0,55
CDM,30102219,"HC REF LABCORP, COMP 071563, CPT 83885",100.0,60.0,10.0,7411.0,55
CDM,30102221,"HC REF BAYLOR, COMP 4627, 82542",375.0,225.0,10.0,7411.0,55
CDM,30102222,"HC REF MEDFUSION, OMEGACHECK 92701",92.5,55.5,10.0,7411.0,55
CDM,30102223,"HC REF ARUP, MERKEL CELL CARCINOMA 3005986",853.45,512.07,10.0,7411.0,55
CDM,30102224,"HC REF BAYLOR, COMP 4627, 84155",375.0,225.0,3.08,7411.0,55
CDM,30102225,"HC REF MAYO, COMP PVLE, 84182",744.55,446.73,10.0,7411.0,55
CDM,30102226,"HC REF MEDFUSION, COMP 19537, 84443",60.0,36.0,10.0,7411.0,55
CDM,30102227,"HC REF MAYO, COMP HAEV1, CPT 82657",403.23,241.94,10.0,7411.0,55
CDM,30102228,"HC REF MAYO, COMP MEV1, CPT 82657",317.33,190.4,10.0,7411.0,55
CDM,30102229,"HC REF ARUP, COMP ASPARAGINE, CPT 82657",343.75,206.25,10.0,7411.0,55
CDM,30102230,"HC REF MAYO, COMP HAEV1, CPT 82955",176.43,105.86,8.15,7411.0,55
CDM,30102231,"HC REF MAYO, COMP HAEV1, CPT 82978",281.0,168.6,10.0,7411.0,55
CDM,30102232,"HC REF MAYO, COMP HAEV1, CPT 83020",234.08,140.45,10.0,7411.0,55
CDM,30102233,"HC REF MAYO, COMP MEV1, CPT 83020",184.22,110.53,10.0,7411.0,55
CDM,30102234,"HC REF MAYO, COMP HAEV1, CPT 83021",328.45,197.07,10.0,7411.0,55
CDM,30102235,"HC REF MAYO, COMP MEV1, CPT 83021",258.53,155.12,10.0,7411.0,55
CDM,30102236,"HC REF MAYO, COMP MEV1, CPT 83050",117.38,70.43,6.89,7411.0,55
CDM,30102237,"HC REF MAYO, COMP MEV1, CPT 83060",125.96,75.58,7.39,7411.0,55
CDM,30102238,"HC REF MAYO, COMP HAEV1, CPT 83068",174.73,104.84,7.95,7411.0,55
CDM,30102239,"HC REF MAYO, COMP HAEV1, CPT 83915",202.8,121.68,9.37,7411.0,55
CDM,30102240,"HC REF MAYO, COMP HAEV1, CPT 84087",195.15,117.09,9.01,7411.0,55
CDM,30102241,"HC REF MAYO, COMP HAEV1, CPT 84220",171.7,103.02,7.93,7411.0,55
CDM,30102242,"HC REF MEDFUSION, 94031 ANTIDEPRESSANTS DRUG MONITOR",124.83,74.9,10.0,7411.0,55
CDM,30102243,"HC REF LABCORP, 791750 KRATOM SCREENING AND CONFIRMATION",522.5,313.5,10.0,7411.0,55
CDM,30102244,"HC REF ARUP, 2005792 HEMOGLOBIN EVAL CASCADE",60.0,36.0,10.0,7411.0,55
CDM,30102245,"HC REF ARUP, COMP 0050676, CPT 82784",16.88,10.13,6.08,7411.0,55
CDM,30102246,"HC REF ARUP, COMP 0050676, CPT 82040",16.88,10.13,4.16,7411.0,55
CDM,30102247,"HC REF ARUP, COMP 0050676, CPT 82042",16.88,10.13,6.08,7411.0,55
CDM,30102248,"HC REF ARUP, 3005925 USTEKINUMAB QUANTITATION W/ANTIBODIES",787.5,472.5,10.0,7411.0,55
CDM,30102249,"HC REF ARUP, 0080420 5-HYDROXYINDOLEACETIC ACID (HIAA) URINE",42.5,25.5,10.0,7411.0,55
CDM,30102250,"HC REF ARUP, 0070385 FOLATE RBC",32.5,19.5,10.0,7411.0,55
CDM,30102251,"HC REF ARUP, 0070102 TESTOSTERONE BIO/SHBG BY IMMUNOASSAY",40.0,24.0,10.0,7411.0,55
CDM,30102252,"HC REF ARUP, 0050083 PROBRAIN NATRIURETIC PEPTIDE NT",1510.0,906.0,10.0,7411.0,55
CDM,30102253,"HC REF ARUP, 0070103 C PEPTIDE SERUM",27.5,16.5,9.9,7411.0,55
CDM,30102254,HC BETA-AMYLOID 1-40 (ABETA 40),1383.67,830.2,10.0,7411.0,54
CDM,30102255,HC BETA-AMYLOID 1-42 (ABETA 42),750.0,450.0,10.0,7411.0,54
CDM,30102256,HC ASSAY NEURFLMNT LIGHT CHAIN,1397.11,838.27,10.0,7411.0,54
CDM,30102257,HC TAU PHOSPHORYLATED EA,687.74,412.64,10.0,7411.0,54
CDM,30102259,"HC REF ARUP, 3002645, HEMOGLOBIN F ELECTROPHORESIS",72.0,43.2,10.0,7411.0,55
CDM,30102260,"HC REF ARUP, COMP 0050590, CPT 84157",27.98,16.79,3.36,7411.0,55
CDM,30102261,"HC REF ARUP, COMP 0050590, CPT 84166",27.98,16.79,10.0,7411.0,55
CDM,30102267,"HC REF MAYO, AMBF AMYLASE BODY FLUID SEND OUT",119.93,71.96,5.44,7411.0,55
CDM,30102268,"HC REF MAYO, CHLBF CHOLESTEROL BODY FLUID",294.1,176.46,6.8,7411.0,55
CDM,30102269,"HC REF MAYO, TGLBF TRIGLYCERIDES BODY FLUID SEND OUT",425.25,255.15,4.82,7411.0,55
CDM,30102270,"HC REF MAYO, DEXA DEXAMETHASONE SERUM",321.75,193.05,10.0,7411.0,55
CDM,30102271,"HC REF MAYO, ANTIEPILEPTICS NOS 1-3",143.75,86.25,4.2,7411.0,34
CDM,30102272,"HC REF ARUP, COMP 0051033, CP 83516",240.45,144.27,9.69,7411.0,55
CDM,30102273,"HC REF ARUP, 3002976 ADENOSINE DEAMINASE",91.88,55.13,6.8,7411.0,55
CDM,30102274,"HC REF MAYO, COMP FMMPP, CPT 83516",42.26,25.36,9.69,7411.0,55
CDM,30102275,"HC REF MAYO, FAMDA ANTI-MDA AB",275.0,165.0,10.0,7411.0,55
CDM,30102276,"HC REF LABCORP,  010116 ANGIOTENSIN-CONVERTING (ACE)",19.3,11.58,6.95,7411.0,55
CDM,30102277,"HC REF MEDFUSION AMYLASE, BODY FLUID SEND OUT",21.38,12.83,5.44,7411.0,55
CDM,30102278,"HC REF ARUP CHLORIDE, BODY FLUID SEND OUT",21.83,13.1,4.2,7411.0,55
CDM,30102279,"HC REF ARUP SODIUM, BODY FLUID SEND OUT",21.33,12.8,4.08,7411.0,55
CDM,30102280,"HC REF ARUP, COMP 0092354, CPT 80361",70.0,42.0,10.0,7411.0,34
CDM,30102281,"HC REF ARUP, COMP 0092354, CPT 80365",70.0,42.0,10.0,7411.0,34
CDM,30102282,"HC REF MAYO, COMP RLTE4, CPT 82542",606.58,363.95,10.0,7411.0,55
CDM,30102283,"HC REF MAYO, COMP RLTE4, CPT 82570",130.43,78.26,4.35,7411.0,55
CDM,30102284,"HC REF MAYO, COMP CJDE, CPT 84999",18.68,11.21,3.18,7411.0,34
CDM,30102285,"HC REF MAYO, COMP CJDE, CPT 83520",1240.66,744.4,10.0,7411.0,55
CDM,30102286,"HC REF MAYO, FPROS PROSTAGLANDIN D2 URINE",762.5,457.5,10.0,7411.0,55
CDM,30102287,"HC REF MAYO, COMP RPDE, CPT 84999",19.98,11.99,3.4,7411.0,34
CDM,30102288,"HC REF MAYO, COMP RPDE, CPT 83520",1326.68,796.01,10.0,7411.0,55
CDM,30102289,"HC REF MAYO, PTHRP PARATHYROID HORMONE-RELATED PEPTIDE",87.75,52.65,10.0,7411.0,55
CDM,30102290,"HC REF CIN CHILD, MMP7",817.5,490.5,10.0,7411.0,55
CDM,30102291,"HC REF MAYO, FCMC COCAINE AND METABOLITES CONFIRMATION",270.0,162.0,10.0,7411.0,34
CDM,30102292,"HC REF MAYO, PT217 PHOSPHO-TAU(217) P",1250.0,750.0,10.0,7411.0,54
CDM,30102293,"HC REF MAYO, COMP ADEVL, CPT 82234",1000.0,600.0,10.0,7411.0,54
CDM,30102294,"HC REF MAYO, COMP ADEVL, CPT 84393",1000.0,600.0,10.0,7411.0,54
CDM,30102295,"HC REF MAYO, COMP ADEVL, CPT 84394",1000.0,600.0,10.0,7411.0,54
CDM,30102296,HC LACTOFERRIN FECAL QUANTITATIVE,176.84,106.1,10.0,7411.0,55
CDM,30102297,"HC REF MAYO, TLTE4 LEUKOTRIENE E4 URINE",737.0,442.2,10.0,7411.0,55
CDM,30102298,"HC REF ARUP, 0070236 PINP PROCOLLAGEN TYPE 1 INTACT N-TERM PROPEPTIDE",257.5,154.5,10.0,7411.0,55
CDM,30102299,"HC REF MAYO, RPHOC PHOSPHORUS RANDOM U",99.25,59.55,4.86,7411.0,55
CDM,30102300,"HC REF MAYO, FACN1 NT5C1A ANTIBODY",412.5,247.5,9.69,7411.0,55
CDM,30102301,"HC REF MEDFUSION, 31689 DRUG ABUSE PANEL 8",1307.7,784.62,10.0,7411.0,55
CDM,30102302,"HC REF LAB MAYO, MA2ES MA2 AB SERUM",1125.0,675.0,9.69,7411.0,55
CDM,30102303,"HC REF LAB MAYO, MA2ES MA2 AB SERUM",1125.0,675.0,9.69,7411.0,55
CDM,30102304,"HC REF LAB MAYO, GMCSF GRANULOCYTE MONOCYTE FACTOR",414.25,248.55,10.0,7411.0,55
CDM,30102305,"HC REF LAB UWMC, SENSORY NEURO/NEURON COMP CPT 84182",141.33,84.8,10.0,7411.0,55
CDM,30102306,"HC REF LAB UWMC, SENSORY NEURO/NEURON COMP CPT 83520",141.33,84.8,10.0,7411.0,55
CDM,30102307,"HC REF ARUP, FYCOMPA LEVEL 2013025",500.0,300.0,4.2,7411.0,34
CDM,30102308,"HC REF MAYO, FATHO TH/TO ANTIBODY",211.25,126.75,9.69,7411.0,55
CDM,30102309,"HC REF LABCORP, 700902 DRUG SCREEN 16",840.0,504.0,10.0,7411.0,55
CDM,30102310,"HC REF LABCORP, 361946 LIPID CASCADE W LIPO ASSESS BY NMR",46.8,28.08,10.0,7411.0,55
CDM,30102311,"HC REF MAYO COMP, DMNES DEMYELINATING NEUROPATHY CPT 83516",232.88,139.73,9.69,7411.0,55
CDM,30102312,"HC REF MAYO COMP, DMNES DEMYELINATING NEUROPATHY CPT 83520",348.83,209.3,10.0,7411.0,55
CDM,30102313,"HC REF LAB IMMCO, 68 KD AB",412.5,247.5,10.0,7411.0,55
CDM,30102314,"HC REF MEDFUSION COMP, 19483 OPIATE DRUG CONFIRMATION CPT 80361",203.48,122.09,10.0,7411.0,34
CDM,30102315,"HC REF MEDFUSION COMP, 19483 OPIATE DRUG CONFIRMATION CPT 80365",203.48,122.09,10.0,7411.0,34
CDM,30102316,"HC REF ARUP 0081312, DES-GAMMA-CARBOXY PROTHROMBIN",252.5,151.5,10.0,7411.0,55
CDM,30102317,HC REF MEDFUSION 92139 ESLICARBAZEPINE LEVEL,334.55,200.73,10.0,7411.0,55
CDM,30102318,HC REF ARUP 3004978 BRIVARACETAM LEVEL,347.5,208.5,10.0,7411.0,34
CDM,30102319,HC REF ARUP 0090165 METHANOL,56.0,33.6,9.42,7411.0,34
CDM,30102320,HC REF COMP GREENWOOD MPS IV MORQUIO SYNDROME CPT 83864,375.0,225.0,10.0,7411.0,55
CDM,30102321,HC REF ARUP COMP 3001720 ALLERGEN REG 10 CPT 82785,12.77,7.66,4.6,7411.0,55
CDM,30102322,HC REF ARUP 3000183 CPT 80307 3000183 FLUNITRAZEPAM AND METABOLITE,410.0,246.0,10.0,7411.0,55
CDM,30102323,"HC REF MAYO PALD ALDOSTERONE, P",102.08,61.25,10.0,7411.0,55
CDM,30102324,HC REF ARUP 0090676 THC METABOLITES,135.0,81.0,10.0,7411.0,34
CDM,30102325,HC REF ARUP 2007582 18-HYDROXYCORTICOSTERONE,271.88,163.13,10.0,7411.0,55
CDM,30102326,"HC REF ARUP 3002514 REDUCING SUBSTANCE, STOOL",33.88,20.33,4.62,7411.0,55
CDM,30102327,HC REF MAYO COMP FSUAB SULFATIDE AUTOANTIBODY CPT 83520,756.25,453.75,10.0,7411.0,55
CDM,30102328,HC REF ARUP COMP 3003745 CPT 83516,33.38,20.03,9.69,7411.0,55
CDM,30102329,HC REF LABCORP COMP 505725 CPT 83520,262.5,157.5,10.0,7411.0,55
CDM,30102330,HC REF MAYO PLA2M PHOSPHOLIPASE A2 RECEPTOR,728.75,437.25,10.0,7411.0,55
CDM,30102331,HC REF MAYO CYSR CYSTINURIA PROFILE QUANT RANDOM,230.05,138.03,10.0,7411.0,55
CDM,30102332,HC REF ARUP COMP 0020175 CPT 82480,37.64,22.58,6.61,7411.0,55
CDM,30102333,HC REF ARUP COMP 0020175 CPT 82482,37.64,22.58,8.24,7411.0,55
CDM,30102334,HC REF ARUP COMP 3000894 CPT 84220,132.13,79.28,7.93,7411.0,55
CDM,30102335,HC REF ARUP COMP 3000894 CPT 82955,132.13,79.28,8.15,7411.0,55
CDM,30102336,HC REF ARUP COMP 3000894 CPT 83021,132.13,79.28,10.0,7411.0,55
CDM,30102337,HC REF ARUP 0092420 DRUG PAN 9 SER/PLA SCREEN,127.5,76.5,10.0,7411.0,55
CDM,30102338,HC REF ARUP COMP 2013716 CPT 83704,40.0,24.0,10.0,7411.0,55
CDM,30102339,HC REF ARUP COMP 2013716 CPT 80061,40.0,24.0,10.0,7411.0,55
CDM,30102340,HC REF ARUP COMP 3017909 CPT 83520,215.85,129.51,10.0,7411.0,55
CDM,30102341,"HC REF MAYO NSE NEURON SPECIFIC ENOLASE, S",116.7,70.02,10.0,7411.0,55
CDM,30102342,HC REF MEDFUSION COMP 36509 CPT 83525,171.6,102.96,9.6,7411.0,55
CDM,30102343,HC REF MEDFUSION COMP 36509 CPT 84681,171.6,102.96,10.0,7411.0,55
CDM,30102344,HC REF ARUP 2005636 TITIN ANTIBODY,200.0,120.0,9.69,7411.0,55
CDM,30102345,"HC REF ARUP 0092066 THIOPURINE METHYLTRANFERASE, RBC",212.5,127.5,10.0,7411.0,55
CDM,30102346,HC REF ARUP 0080260 PORPHOBILINOGEN QUANT URINE,81.83,49.1,7.09,7411.0,55
CDM,30102347,"HC REF ARUP 2003248 DEXAMETHASONE, SERUM OR PLASMA",172.5,103.5,10.0,7411.0,55
CDM,30102348,HC REF ARUP COMP 0050203 CPT 82043,11.25,6.75,4.05,7411.0,55
CDM,30102349,HC REF ARUP COMP 0050203 CPT 82570,11.25,6.75,4.05,7411.0,55
CDM,30102350,HC REF ARUP 0020381 CHLORIDE FECAL,33.38,20.03,4.2,7411.0,55
CDM,30102351,"HC REF ARUP 2013335 THROMBOPOIETIN (TPO), SERUM",345.33,207.2,10.0,7411.0,55
CDM,30102352,"HC REF MAYO MAGU MAGNESIUM, 24 HR, U",66.85,40.11,5.63,7411.0,55
CDM,30102353,HC REF ARUP COMP 3017653 CPT 82234,829.17,497.5,10.0,7411.0,54
CDM,30102354,"HC REF ARUP COMP 3017653, CPT 84393",829.17,497.5,10.0,7411.0,54
CDM,30102355,"HC REF ARUP COMP 3017653, CPT 84394",829.17,497.5,10.0,7411.0,54
CDM,30102356,HC REF LABCORP 912081 DRUG SCREEN 17 W/REFLEX CONFIRMATION,635.9,381.54,10.0,7411.0,55
CDM,30102357,HC REF ARUP 0020505 LDH-CSF,20.88,12.53,5.07,7411.0,55
CDM,30102358,HC REF ARUP 0020730 BETA – HCG QUANT (TUMOR MARKER) CSF,43.5,26.1,10.0,7411.0,55
CDM,30102359,HC REF ARUP 3002508 CLOBAZAM AND METABOLITE QUANT,315.0,189.0,4.2,7411.0,34
CDM,30102360,HC REF ARUP COMP 2005736 CPT 84075,44.5,26.7,4.35,7411.0,55
CDM,30102361,HC REF ARUP COMP 2005736 CPT 84080,44.5,26.7,10.0,7411.0,55
CDM,30102362,HC REF UNCOL LAB6629 GLYCINE CSF,475.0,285.0,10.0,7411.0,55
CDM,30102363,HC REF PHARMACOKINETICS BUSULFAN IV Q24 DOSE 1,628.13,376.88,10.0,7411.0,55
CDM,30102364,HC REF MAYO COMP LMPP CPT 82465,17.8,10.68,3.65,7411.0,55
CDM,30102365,HC REF MAYO COMP LMPP CPT 84478,23.5,14.1,4.82,7411.0,55
CDM,30102366,HC REF MAYO COMP LMPP CPT 82172,86.3,51.78,10.0,7411.0,55
CDM,30102367,HC REF MAYO COMP LMPP CPT 83718,33.53,20.12,6.88,7411.0,55
CDM,30102368,HC REF MAYO COMP LMPP CPT 83700,46.08,27.65,9.46,7411.0,55
CDM,30102369,"HC REF MAYO HSTNI TROPONIN I, HIGH SENSITIVITY, PLASMA",402.75,241.65,10.0,7411.0,55
CDM,30102370,HC REF TTDSL 5334318 VEGF-D,2037.5,1222.5,10.0,7411.0,55
CDM,30102372,HC REF NMS COMP 8600B CPT 80326,240.0,144.0,7.75,7411.0,34
CDM,30102373,HC REF NMS COMP 8600B CPT 80359,240.0,144.0,8.5,7411.0,34
CDM,30102374,"HC REF ARUP 3019462 - ANTI-MUTATED CITRULLINATED VIMENTIN (MCV) ANTIBODY, SERUM",237.5,142.5,10.0,7411.0,55
CDM,30102375,"HC REF ARUP 0051529 INTERLEUKIN 2 RECEPTOR, SOLUBLE, SERUM",150.0,90.0,10.0,7411.0,55
CDM,30102376,"HC REF ARUP 2012697 CORTISOL, FREE BY ED/LC –MS/MS",135.0,81.0,10.0,7411.0,55
CDM,30102377,HC REF ARUP 3002266 LP-PLA2 (PLAC) ACTIVITY,175.0,105.0,10.0,7411.0,55
CDM,30102378,"HC REF MAYO CUT COPPER, LIVER TISSUE",187.1,112.26,10.0,7411.0,55
CDM,30102379,"HC REF ARUP COMP 0020804, CPT 82150",22.58,13.55,5.44,7411.0,55
CDM,30102380,"HC REF MAYO COMP EEEV1 , CPT 82955",506.8,304.08,8.15,7411.0,55
CDM,30102381,"HC REF MAYO COMP EEEV1 , CPT 84087",560.63,336.38,9.01,7411.0,55
CDM,30102382,"HC REF MAYO COMP EEEV1 , CPT 84220",493.23,295.94,7.93,7411.0,55
CDM,30102383,"HC REF MAYO COMP EEEV1 , CPT 82657",231.67,139.0,10.0,7411.0,55
CDM,30102384,"HC REF MAYO COMP EEEV1 , CPT 82978",807.23,484.34,10.0,7411.0,55
CDM,30102385,"HC REF MAYO COMP EEEV1 , CPT 83915",582.55,349.53,9.37,7411.0,55
CDM,30102386,HC REF MAYO FCXCL CXCL9,1040.0,624.0,10.0,7411.0,55
CDM,30102387,HC REF LABCORP 520112 SP100 AUTOANTIBODIES,237.5,142.5,9.69,7411.0,55
CDM,30102388,"HC REF MAYO COMP USTEK, CPT 80299",369.85,221.91,10.0,7411.0,55
CDM,30102389,"HC REF MAYO COMP USTEK, CPT 83520",342.65,205.59,10.0,7411.0,55
CDM,30102390,"HC REF MAYO COMP ALKP, CPT 84075",19.9,11.94,4.35,7411.0,55
CDM,30102391,"HC REF MAYO COMP ALKP, CPT 84080",56.83,34.1,10.0,7411.0,55
CDM,30102392,HC REF LABCORP 520139 GP210,237.5,142.5,9.69,7411.0,55
CDM,30102393,HC REF ARUP 3003020 GANGLIONIC ACETYLCHOLINE RECEPTOR AB,700.0,420.0,10.0,7411.0,55
CDM,30102394,"HC REF ARUP 0080389 VITAMINE B1 (THIAMINE), PLASMA",50.0,30.0,10.0,7411.0,55
CDM,30102395,"HC REF ARUP 2008509 - PROGESTERONE QUANTITATIVE BY HPLC-MS/MS, SERUM OR PLASMA",60.0,36.0,10.0,7411.0,55
CDM,30102396,"HC REF MAYO COMP MCM24, CPT 84150",1231.5,738.9,10.0,7411.0,55
CDM,30102397,"HC REF MAYO COMP MCM24, CPT 82542",710.25,426.15,10.0,7411.0,55
CDM,30102398,"HC REF MAYO COMP INFXP, CPT 82397",416.3,249.78,10.0,7411.0,55
CDM,30102399,"HC REF MAYO COMP INFXP, CPT 80230",1137.2,682.32,10.0,7411.0,55
CDM,30102400,HC REF MEDFUSION 91719 CARDIO IQ HDL CHOLESTEROL,189.8,113.88,6.88,7411.0,55
CDM,30102401,HC REF ARUP 3017890 14-3-3 ETA PROTEIN,112.5,67.5,10.0,7411.0,55
CDM,30102402,"HC REF ARUP 0090005 ACETONE, QUANTITATIVE",56.0,33.6,6.86,7411.0,55
CDM,30102403,HC REF ARUP 2002656 – ANTI-MULLERIAN HORMONE,157.5,94.5,10.0,7411.0,55
CDM,30102404,"HC REF MAYO FAPEP FATTY ACID PROFILE, ESSENTIAL, S",346.73,208.04,10.0,7411.0,55
CDM,30102405,"HC REF ARUP COMP 3002104, CPT 84156",67.5,40.5,3.08,7411.0,55
CDM,30102406,"HC REF ARUP COMP 3002104, CPT 83520",67.5,40.5,10.0,7411.0,55
CDM,30102407,"HC REF MAYO NMRLP NMR LIPOPROTEIN PROFILE, SERUM",171.25,102.75,10.0,7411.0,55
CDM,30102408,HC REF LABCORP 451822 CHITOTRIOSIDASE ASSAY,705.0,423.0,10.0,7411.0,34
CDM,30102409,"HC REF ARUP 3002478 ANTI-SP100 ANTIBODY, IGG",245.0,147.0,9.69,7411.0,55
CDM,30102410,"HC REF ARUP 3002477 ANTI-GP210 ANTIBODY, IGG",245.0,147.0,9.69,7411.0,55
CDM,30102411,"HC REF ARUP COMP 0020765, CPT 84146",106.88,64.13,10.0,7411.0,55
CDM,30102412,"HC REF ARUP COMP 2007479, CPT 80307",8.33,5.0,3.0,7411.0,55
CDM,30102413,"HC REF ARUP COMP 2007479, CPT 80326",8.33,5.0,3.0,7411.0,34
CDM,30102414,"HC REF ARUP COMP 2007479, CPT 80359",8.33,5.0,3.0,7411.0,34
CDM,30102415,"HC REF ARUP COMP 2007479, CPT 80360",8.33,5.0,3.0,7411.0,34
CDM,30102416,"HC REF ARUP COMP 2007479, CPT 80361",8.33,5.0,3.0,7411.0,34
CDM,30102417,"HC REF ARUP COMP 2007479, CPT 80364",8.33,5.0,3.0,7411.0,34
CDM,30102418,"HC REF ARUP COMP 2007479, CPT 80365",8.33,5.0,3.0,7411.0,34
CDM,30102419,"HC REF ARUP COMP 2007479, CPT 80372",8.33,5.0,3.0,7411.0,34
CDM,30102420,"HC REF ARUP COMP 2007479, CPT 80348",8.33,5.0,3.0,7411.0,34
CDM,30102421,"HC REF ARUP COMP 2007479, CPT 80345",8.33,5.0,3.0,7411.0,34
CDM,30102422,"HC REF ARUP COMP 2007479, CPT 80356",8.33,5.0,3.0,7411.0,34
CDM,30102423,"HC REF ARUP COMP 2007479, CPT 80347",8.33,5.0,3.0,7411.0,34
CDM,30102424,"HC REF ARUP COMP 2007479, CPT 80368",8.33,5.0,3.0,7411.0,34
CDM,30102425,"HC REF ARUP COMP 2007479, CPT 80366",8.33,5.0,3.0,7411.0,34
CDM,30102426,"HC REF ARUP COMP 2007479, CPT 80355",8.33,5.0,3.0,7411.0,34
CDM,30102427,HC REF MEDWIS COMP DISAC CPT 82657,116.25,69.75,10.0,7411.0,55
CDM,30102428,HC REF MEDFUSION < QUEST PTHP-QUEST PTH PARATHYROID HORMONE-RELATED PROTEIN,70.63,42.38,10.0,7411.0,55
CDM,30102429,"HC REF MAYO ESTF –ESTROGENS, E1+E2, FRACT, S",73.85,44.31,10.0,7411.0,55
CDM,30102430,"HC REF ARUP < MIRAVISTA 3002858 BLASTOMYCES DERMATITIDIS ANTIGEN, EIA",297.5,178.5,10.0,7411.0,55
CDM,30102431,"HC REF MAYO COMP RISAP, CPT 80299",589.33,353.6,10.0,7411.0,55
CDM,30102432,"HC REF MAYO COMP RISAP, CPT 82397",446.43,267.86,10.0,7411.0,55
CDM,30102433,"HC REF ARUP 0050030 APOLIPOPROTEIN, A-1",30.0,18.0,10.0,7411.0,55
CDM,30102434,"HC REF MAYO RISA RISANKIZUMAB, SERUM",864.75,518.85,10.0,7411.0,55
CDM,30102435,HC REF ARUP 0070283 SOLUBLE TRANSFERRIN RECEPTOR,50.0,30.0,10.0,7411.0,55
CDM,30102436,"HC REF ARUP COMP 0020414, CPT 82552",24.2,14.52,8.71,7411.0,55
CDM,30102437,"HC REF ARUP COMP 0020414, CPT 82550",24.18,14.51,5.47,7411.0,55
CDM,30102438,"HC REF ARUP 0070070 FOLATE, SERUM",31.75,19.05,10.0,7411.0,55
CDM,30102439,"HC REF ARUP 3002858 PANCREATIC ELASTASE, FECAL BY IMMUNOASSAY",187.5,112.5,10.0,7411.0,55
CDM,30102440,"HC REF MAYO FFT4F T4, FREE, DIRECT DIALYSIS",55.0,33.0,7.58,7411.0,55
CDM,30102441,"HC REF ARUP 0090005 ACETONE, QUANTITATIVE",56.0,33.6,6.86,7411.0,55
CDM,30102442,"HC REF ARUP COMP 0099310, CPT 80164",77.18,46.31,10.0,7411.0,55
CDM,30102443,"HC REF ARUP COMP 0099310, CPT 80165",77.2,46.32,10.0,7411.0,55
CDM,30102444,"HC REF MAYO SIL2R INTERLEUKIN-2 RECEPTOR ALPHA SOLUBLE, PLASMA",500.0,300.0,10.0,7411.0,55
CDM,30102445,HC REF ARUP 3018617 5 HYDROXYINDOLEACETIC ACID (5IAA) RANDOM URINE,42.5,25.5,10.0,7411.0,55
CDM,30102446,"HC REF LABCORP COMP 550605, CPT 82172",62.5,37.5,10.0,7411.0,55
CDM,30102447,"HC REF LABCORP COMP 550605, CPT 82247",62.5,37.5,4.22,7411.0,55
CDM,30102448,"HC REF LABCORP COMP 550605, CPT 82977",62.5,37.5,6.05,7411.0,55
CDM,30102449,"HC REF LABCORP COMP 550605, CPT 83010",62.5,37.5,10.0,7411.0,55
CDM,30102450,"HC REF LABCORP COMP 550605, CPT 83883",62.5,37.5,10.0,7411.0,55
CDM,30102451,"HC REF LABCORP COMP 550605, CPT 84460",62.5,37.5,4.45,7411.0,55
CDM,30102452,"HC REF MAYO TRPS TROPONIN T, 5TH GEN, P",187.5,112.5,10.0,7411.0,55
CDM,30102453,"HC REF ARUP COMP 0070193, CPT 83001",24.2,14.52,8.71,7411.0,55
CDM,30102454,"HC REF ARUP COMP 0070193, CPT 83002",24.2,14.52,8.71,7411.0,55
CDM,30102455,"HC REF MAYO FD10S DRUGS OF ABUSE SCREEN, SERUM",230.0,138.0,10.0,7411.0,55
CDM,30102456,"HC REF ARUP COMP 2012521, CPT 84450",87.5,52.5,4.35,7411.0,55
CDM,30102457,"HC REF ARUP COMP 2012521, CPT 84460",87.5,52.5,4.45,7411.0,55
CDM,30102458,"HC REF ARUP COMP 2012521, CPT 82728",87.5,52.5,10.0,7411.0,55
CDM,30102459,"HC REF ARUP COMP 2012521, CPT 82947",87.5,52.5,3.3,7411.0,55
CDM,30102460,HC REF ARUP 3019017 PHOSPHO-TAO 217,937.5,562.5,10.0,7411.0,54
CDM,30102461,HC REF ARUP 2003176 RUFINAMIDE,167.2,100.32,10.0,7411.0,55
CDM,30102462,HC REF ARUP 2010990 CORTICOSTEROID-BINDING GLOBULINE,262.5,157.5,10.0,7411.0,55
CDM,30102463,"HC REF ARUP < QUEST COMP 91445, CPT 84999",712.5,427.5,10.0,7411.0,34
CDM,30102464,"HC REF MAYO COMP HBEL1, CPT 83020",40.73,24.44,10.0,7411.0,55
CDM,30102465,"HC REF MAYO COMP HBEL1, CPT 83021",57.13,34.28,10.0,7411.0,55
CDM,30102466,"HC REF MAYO COMP FFTFT, CPT 84402",38.38,23.03,10.0,7411.0,55
CDM,30102467,"HC REF MAYO COMP FFTFT, CPT 84403",38.9,23.34,10.0,7411.0,55
CDM,30102468,"HC REF MAYO COMP FFBTT, CPT 82040",12.45,7.47,4.16,7411.0,55
CDM,30102469,"HC REF MAYO COMP FFBTT, CPT 84270",54.65,32.79,10.0,7411.0,55
CDM,30102470,"HC REF MAYO COMP FFBTT, CPT 84403",64.9,38.94,10.0,7411.0,55
CDM,30102471,"HC REF MEDFUSION COMP 92145, CPT 80061",177.39,106.43,10.0,7411.0,55
CDM,30102472,"HC REF MEDFUSION COMP 92145, CPT 83704",177.39,106.43,10.0,7411.0,55
CDM,30102473,"HC REF MEDFUSION COMP 92145, CPT 82172",177.39,106.43,10.0,7411.0,55
CDM,30102474,"HC REF MEDFUSION COMP 92145, CPT 83695",177.39,106.43,10.0,7411.0,55
CDM,30102475,"HC REF MEDFUSION COMP 92771, CPT 82542",123.91,74.35,10.0,7411.0,55
CDM,30102476,"HC REF MEDFUSION COMP 92771, CPT 82570",123.91,74.35,4.35,7411.0,55
CDM,30102477,HC REF ARUP 2007460 LEFLUNOMIDE METABOLITE,187.83,112.7,10.0,7411.0,55
CDM,30102478,"HC REF ARUP 0080137 AMINO ACIDS QUANT, CSF",312.83,187.7,10.0,7411.0,55
CDM,30102479,HC REF ARUP 3016920 H-HYDROXYINDOLEACETIC ACID (HIAA),532.0,319.2,10.0,7411.0,55
CDM,30102480,"HC REF LABCORP 140224 ESTRADIOL, SENSITIVE",288.3,172.98,10.0,7411.0,55
CDM,30102481,HC REF ARUP 2002343 URINE CREATININE,151.0,90.6,3.9,7411.0,55
CDM,30102482,"HC REF ARUP 0093247 ESTRADIOL, ADULT M, CHILD, POST MENOP F, ESHT",60.0,36.0,10.0,7411.0,55
CDM,30102483,"HC REF MAYO LHPED, LUTEINIZING HORMONE, PEDS, SERUM",527.5,316.5,10.0,7411.0,55
CDM,30102484,"HC REF ARUP 3019464 CENOBAMATE, SERUM OR PLASMA",715.0,429.0,4.2,7411.0,34
CDM,30102485,"HC REF LABCORP COMP 620011, CPT 82542",120.0,72.0,10.0,7411.0,55
CDM,30102486,"HC REF LABCORP COMP 620011, CPT 83150",120.0,72.0,10.0,7411.0,55
CDM,30102487,"HC REF LABCORP COMP 620011, CPT 83497",120.0,72.0,10.0,7411.0,55
CDM,30102488,HC REF LABCORP 620034 PYRIDOXAL 5-PHOSPHATE CSF,455.0,273.0,10.0,7411.0,55
CDM,30102489,HC REF LABCORP 620010 NEOPTERIN/TETRAHYDROBIOPTERIN CSF,480.0,288.0,10.0,7411.0,55
CDM,30102490,HC REF LABCORP 500108 ESTRODIOL LC/MS,342.6,205.56,10.0,7411.0,55
CDM,30102491,"HC REF MAYO COMP TTBS, CPT 84403",28.45,17.07,10.0,7411.0,55
CDM,30102492,"HC REF MAYO COMP TTBS, CPT 84410",56.5,33.9,9.61,7411.0,55
CDM,30102493,"HC REF LABCORP COMP 550180, CPT 82172",93.19,55.91,10.0,7411.0,55
CDM,30102494,"HC REF LABCORP COMP 550180, CPT 82247",93.19,55.91,4.22,7411.0,55
CDM,30102495,"HC REF LABCORP COMP 550180, CPT 82465",93.19,55.91,3.65,7411.0,55
CDM,30102496,"HC REF LABCORP COMP 550180, CPT 82947",93.19,55.91,3.3,7411.0,55
CDM,30102497,"HC REF LABCORP COMP 550180, CPT 82977",93.19,55.91,6.05,7411.0,55
CDM,30102498,"HC REF LABCORP COMP 550180, CPT 83010",93.19,55.91,10.0,7411.0,55
CDM,30102499,"HC REF LABCORP COMP 550180, CPT 83883",93.19,55.91,10.0,7411.0,55
CDM,30102500,"HC REF LABCORP COMP 550180, CPT 84450",93.19,55.91,4.35,7411.0,55
CDM,30102501,"HC REF LABCORP COMP 550180, CPT 84460",93.19,55.91,4.45,7411.0,55
CDM,30102502,"HC REF LABCORP COMP 550180, CPT 84478",93.19,55.91,4.82,7411.0,55
CDM,30102503,"HC REF MAYO COMP MCMRU, CPT 82570",141.58,84.95,4.35,7411.0,55
CDM,30102504,"HC REF MAYO COMP MCMRU, CPT 84150",1141.73,685.04,10.0,7411.0,55
CDM,30102505,"HC REF MAYO COMP MCMRU, CPT 82542",658.45,395.07,10.0,7411.0,55
CDM,30102506,HC REF MAYO GQ1ES GQ1B-IGG ELISA,750.0,450.0,9.69,7411.0,55
CDM,30102507,HC REF ARUP 3003992 CARBAMYLATED PROTEIN (CARP) ANTIBODY IGG,137.5,82.5,9.69,7411.0,55
CDM,30102508,"HC REF ARUP COMP 0020843, CPT 82507",25.88,15.53,9.32,7411.0,55
CDM,30102509,"HC REF ARUP COMP 0020843, CPT 83945",25.88,15.53,9.32,7411.0,55
CDM,30102510,"HC REF ARUP COMP 0020843, CPT 84560",25.85,15.51,4.27,7411.0,55
CDM,30102511,"HC REF ARUP COMP 0020843, CPT 82340",25.85,15.51,5.07,7411.0,55
CDM,30102512,"HC REF ARUP COMP 2005661, CPT 83883",75.0,45.0,10.0,7411.0,55
CDM,30102513,"HC REF ARUP COMP 2005661, CPT 84450",75.0,45.0,4.35,7411.0,55
CDM,30102514,"HC REF ARUP COMP 2005661, CPT 84460",75.0,45.0,4.45,7411.0,55
CDM,30102515,"HC REF ARUP COMP 2005661, CPT 84520",75.0,45.0,3.32,7411.0,55
CDM,30102516,"HC REF ARUP COMP 2005661, CPT 82977",75.0,45.0,6.05,7411.0,55
CDM,30102517,"HC REF ARUP < NMS LABS 4815U XYLAZINE, URINE",582.5,349.5,10.0,7411.0,34
CDM,30102518,HC REF ARUP 0081135 OLIGOCLONAL BANDS IN CSF AND SERUM,132.5,79.5,10.0,7411.0,55
CDM,30102519,HC REF ARUP 0099824 PORPHYRINS FECAL,307.38,184.43,10.0,7411.0,55
CDM,30102520,HC REF ARUP 3018999 HYDROXYCHLOROQUINE BLOOD,575.0,345.0,10.0,7411.0,55
CDM,30102521,HC REF MAYO CRMWS CRMP-5-IGG WESTERN BLOT,364.65,218.79,10.0,7411.0,55
CDM,30102522,"HC REF ARUP COMP 0025055, CPT 82175",30.8,18.48,10.0,7411.0,55
CDM,30102523,"HC REF ARUP COMP 0025055, CPT 82300",30.8,18.48,10.0,7411.0,55
CDM,30102524,"HC REF ARUP COMP 0025055, CPT 82525",30.8,18.48,10.0,7411.0,55
CDM,30102525,"HC REF ARUP COMP 0025055, CPT 83655",30.8,18.48,10.0,7411.0,55
CDM,30102526,"HC REF ARUP COMP 0025055, CPT 83825",30.8,18.48,10.0,7411.0,55
CDM,30102527,"HC REF ARUP COMP 0025055, CPT 84630",30.8,18.48,9.57,7411.0,55
CDM,30102528,"HC REF ARUP COMP 0025055, CPT 82175",217.5,130.5,10.0,7411.0,55
CDM,30102529,"HC REF MEDFUSION 237 ALPHA-FETOPROTEIN, TUMOR MARKER",421.45,252.87,10.0,7411.0,55
CDM,30102530,HC REF MAYO PINP PROCOLLAGEN I INTACT N-TERMINAL,528.5,317.1,10.0,7411.0,55
CDM,30102531,HC REF MAYO LH LUTEINIZING HORMONE,51.9,31.14,10.0,7411.0,55
CDM,30102532,"HC REF MAYO 23BPT / 2,3-DINOR 11B-PROSTAGLANDIN F2A, U",129.1,77.46,10.0,7411.0,55
CDM,30102533,"HC REF ARUP 3017195 ADIPONECTIN, QUANTITATIVE SERUM/PLASMA",392.5,235.5,10.0,7411.0,55
CDM,30102534,"HC REF ARUP COMP 3000480, CPT 83516",98.8,59.28,9.69,7411.0,55
CDM,30102535,HC REF ARUP 0098833 OLANZAPINE,138.13,82.88,10.0,7411.0,34
CDM,30102536,"HC REF ARUP 2007081 COTININE SCREEN, URINE",51.13,30.68,10.0,7411.0,55
CDM,30102537,HC REF ARUP PANEL COMP 0081056 CPT 84402,20.0,12.0,7.2,7411.0,55
CDM,30102538,HC REF ARUP PANEL COMP 0081056 CPT 84403,20.0,12.0,7.2,7411.0,55
CDM,30102539,HC REF ARUP PANEL COMP 0081056 CPT 84270,20.0,12.0,7.2,7411.0,55
CDM,30102540,HC REF ARUP 0099640 HALOPERIDOL LEVEL,66.33,39.8,10.0,7411.0,55
CDM,30102541,"HC REF ARUP 0051533 INTERLEUKIN 5, SERUM",212.5,127.5,10.0,7411.0,55
CDM,30102542,HC REF LABCORP 140244 ESTRADIOL SENSITIVE,288.3,172.98,10.0,7411.0,55
CDM,30102543,"HC REF ARUP 3018705 COPEPTIN PROAVP, PLASMA",112.5,67.5,10.0,7411.0,55
CDM,30102544,"HC REF MAYO GLBF, GLUCOSE BODY FLUID",89.48,53.69,3.3,7411.0,55
CDM,30102545,"HC REF ARUP 2002058, PORPHYRINS, FRACT & QUANT URINE",71.38,42.83,10.0,7411.0,55
CDM,30102546,HC REF LABCORP 070228 PLASMA ACYL-CARNITINE PROFILE,483.75,290.25,10.0,7411.0,55
CDM,30102547,HC REF MAYO FAZAT IMURAN (AZATHIOPRINE) 6MP LEVELS,292.78,175.67,10.0,7411.0,55
CDM,30102548,HC REF MAYO OSM24 OSMOLALITY 24 HOUR URINE,59.05,35.43,5.73,7411.0,55
CDM,30102549,HC REF QUEST LAB 30289 ESTRADIOL ULTRASENSITIVE,611.23,366.74,10.0,7411.0,55
CDM,30102550,"HC REF ARUP 3019849, AMYLOID-BETA (1-40)",775.0,465.0,10.0,7411.0,55
CDM,30102551,"HC REF MAYO 3MT, 3-METHOXYTYRAMINE, 24HR URINE",315.0,189.0,10.0,7411.0,55
CDM,30102552,"HC REF COMP HOUSTON METHODIST, IOHEXOL CLEARANCE CPT 82542",56.33,33.8,10.0,7411.0,55
CDM,30102553,"HC REF MAYO 3MT 3-METHOXYTYRAMINE, 24 HR, URINE",315.0,189.0,10.0,7411.0,55
CDM,30102554,HC REF MAYO COMP IODCU CPT 82570,81.03,48.62,4.35,7411.0,55
CDM,30102555,HC REF MAYO COMP IODCU CPT 83789,377.08,226.25,10.0,7411.0,55
CDM,30102556,HC REF ARUP 0080290 PYRUVATE KINASE,87.5,52.5,7.93,7411.0,55
CDM,30102557,"HC REF ARUP 3002337 DINOR-11 BETA-PROSTAGLANDIN F2A, 24 U",575.0,345.0,10.0,7411.0,55
CDM,30102558,"HC REF ARUP 3004792 LEUKOTREINE E4, 24 U",710.75,426.45,10.0,7411.0,55
CDM,30102559,"HC REF MAYO GAAW ACID ALPHA-GLUCOSIDASE, LEUKOCYTES",564.38,338.63,10.0,7411.0,55
CDM,30102560,HC REF MAYO COMP HEX4 CPT 82542,626.53,375.92,10.0,7411.0,55
CDM,30102561,HC REF MAYO COMP HEX4 CPT 82570,134.73,80.84,4.35,7411.0,55
CDM,30102567,HC APIXABAN,342.42,205.45,10.0,7411.0,55
CDM,30102569,"HC IOHEXOL, PLASMA",305.93,183.56,10.0,7411.0,55
CDM,30102570,"HC IOTHALAMATE, PLASMA",305.93,183.56,10.0,7411.0,55
CDM,30102571,"HC IOTHALAMATE, URINE",305.93,183.56,10.0,7411.0,55
CDM,30102572,HC REF ARUP COMP 2005639 CPT 83516,92.5,55.5,9.69,7411.0,55
CDM,30102573,HC REF ARUP 0050200 ALBUMIN CSF,17.5,10.5,6.3,7411.0,55
CDM,30102574,"HC REF MAYO, COMP 2425D, CPT 82306",245.05,147.03,10.0,7411.0,55
CDM,30102575,"HC REF MAYO, PERAM PERAMPANEL, SERUM",178.5,107.1,10.0,7411.0,55
CDM,30102576,"HC REF MAYO, COMP 2425D, CPT 82542",199.45,119.67,10.0,7411.0,55
CDM,30102577,"HC REF MAYO, COMP MCRPL, CPT 84146",81.46,48.88,10.0,7411.0,55
CDM,30102578,"HC REF ARUP NMS LABS 4113SP PALIPERIDONE, SERUM/PLASMA",410.0,246.0,10.0,7411.0,34
CDM,30102579,"HC REF ARUP COMP 0051298, CPT 83516",85.83,51.5,9.69,7411.0,55
CDM,30102580,HC REF ARUP 2007465 IODINE URINE,72.5,43.5,10.0,7411.0,55
CDM,30102581,HC REF  MAYO COMP ALBR CPT 82043,29.98,17.99,4.86,7411.0,55
CDM,30102582,HC REF  MAYO COMP ALBR CPT 82570,26.85,16.11,4.35,7411.0,55
CDM,30102583,"HC REF MAYO PSAU PSA, ULTRASENSITIVE, S",63.05,37.83,10.0,7411.0,55
CDM,30102584,"HC REF ARUP 0020010 CREATINE KINASE, TOTAL, SERUM OR PLASMA",21.5,12.9,5.47,7411.0,55
CDM,30102585,HC REF ARUP 2007698 IGF-1 WITH CALC Z SCORE,25.0,15.0,9.0,7411.0,55
CDM,30102586,HC REF ARUP 3018316 COMP CPT 82610,54.38,32.63,10.0,7411.0,55
CDM,30102587,HC REF ARUP 3018316 COMP CPT 82565,54.38,32.63,4.3,7411.0,55
CDM,30102588,HC REF ARUP 0070073 COMP CPT 82088,41.25,24.75,10.0,7411.0,55
CDM,30102589,HC REF ARUP 0070073 COMP CPT 84244,41.25,24.75,10.0,7411.0,55
CDM,30102590,"HC REF ARUP 0050024 ALBUMIN, BODY FLUID",20.08,12.05,6.54,7411.0,55
CDM,30102591,"HC REF MAYO POSA POSACONAZOLE, S",160.15,96.09,10.0,7411.0,55
CDM,30102592,HC REF ARUP 3005996 TRG BF W/ RFLX TO CHYLO,21.75,13.05,4.82,7411.0,55
CDM,30102593,"HC REF MAYO APIXA APIXABAN, ANTI-XA, P",704.75,422.85,10.0,7411.0,55
CDM,30102594,"HC REF MAYO CUT COPPER, LIVER TISSUE",173.25,103.95,10.0,7411.0,55
CDM,30102595,HC REF ARUP 0050576 IMMUNOGLOBULIN G SUBCLASS 4,27.5,16.5,6.74,7411.0,55
CDM,30102596,"HC REF MAYO TRAMS TRAMADOL & METABOLITE, SERUM",400.0,240.0,10.0,7411.0,55
CDM,30102597,"HC REF ARUP 2002348 25-HYDROXYVITAMIN D2 & D3 BY TANDEM MASS SPECTROMETRY, SERUM & PLASMA",50.0,30.0,10.0,7411.0,55
CDM,30102598,HC REF QUEST 5042 VITAMIN B1 BLOOD,80.43,48.26,10.0,7411.0,55
CDM,30102599,"HC REF QUEST 15983 TESTOSTERONE, TOTAL",27.5,16.5,9.9,7411.0,55
CDM,30102600,HC REF QUEST 18866 PREGABALIN,572.35,343.41,10.0,7411.0,55
CDM,30102601,HC REF QUEST 8181 HGBA1C WITH MPG,153.48,92.09,8.16,7411.0,55
CDM,30102602,"HC REF QUEST 13690 QUEST AD-DETECT P-TAU 181, PLASMA",819.0,491.4,10.0,7411.0,54
CDM,30102603,HC REF ARUP 2004890 VGKC AB,482.5,289.5,10.0,7411.0,55
CDM,30102604,HC REF ARUP 2009373 ZINC WB,51.75,31.05,9.57,7411.0,55
CDM,30102605,"HC REF MAYO COMP CYTH2, CPT 83520",62.5,37.5,10.0,7411.0,55
CDM,30102606,"HC REF MAYO FATF, FAT FECES",101.08,60.65,10.0,7411.0,55
CDM,30102607,HC REF MAYO FIVCZ ISAVUCONAZOLE (CRESEMBA) LC-MS/MS,475.0,285.0,10.0,7411.0,55
CDM,30102608,"HC REF ARUP 0020502 TOTAL PROTEIN, BODY FLUID",20.08,12.05,3.36,7411.0,55
CDM,30102609,"HC REF ARUP 2009359 ANTIMICROBIAL LEVEL - AZITHROMYCIN BY HPLC, SERUM OR PLASMA",322.5,193.5,10.0,7411.0,55
CDM,30102610,HC REF ARUP 0093244 FREE T4 BY EQUIL DIALYSIS - TMS,67.5,40.5,7.58,7411.0,55
CDM,30102611,HC REF MAYO CSMEU COMP CPT 80307,106.3,63.78,10.0,7411.0,55
CDM,30102612,HC REF MAYO CSMEU COMP CPT G0482,339.95,203.97,10.0,7411.0,55
CDM,30102613,"HC REF MAYO BTP, BETA-TRACE PROTEIN BF",225.7,135.42,10.0,7411.0,55
CDM,30102614,HC REF NEOGENOMICS NON-HODGKINS LYMPHOMA (NHL) FISH PANEL COMP CPT 88374,1895.0,1137.0,10.0,7411.0,55
CDM,30102615,HC REF ARUP 0070413 INHIBIN B,175.0,105.0,10.0,7411.0,55
CDM,30102616,"HC REF MAYO AGAS, ALPHA GALACTOSIDASE ENZYME ACTIVITY",323.33,194.0,10.0,7411.0,55
CDM,30102617,"HC REF MAYO GP210, ANTI-GP210AB",599.75,359.85,9.69,7411.0,55
CDM,30102618,"HC REF MAYO MA2EC, MA2 ANTIBODY ELISA SPINAL FLUID",1082.15,649.29,9.69,7411.0,55
CDM,30102619,"HC REF MAYO SP100, ANTI-SP100 AB",599.75,359.85,9.69,7411.0,55
CDM,30102620,HC REF LABCORP 811338 AZATHIOPRINE AS 6-MERCATOPURINE (6-MP),450.0,270.0,10.0,7411.0,55
CDM,30102621,HC REF LABCORP 146795 INHIBIN B,321.53,192.92,10.0,7411.0,55
CDM,30102622,"HC REF MAYO FHC18 HYDROXYCORTICOSTERONE, S",422.5,253.5,10.0,7411.0,55
CDM,30102623,HC REF QUEST 36574 T3 ANTIBODY,414.7,248.82,10.0,7411.0,55
CDM,30102624,"HC REF QUEST 90637 RIBOSOMAL P ANTIBODY, CSF",455.8,273.48,9.69,7411.0,55
CDM,30102625,"HC REF ARUP 0090158 ANITRIPTYLINE & NORTRIPTYLINE, SERUM OR PLASMA",74.4,44.64,4.2,7411.0,34
CDM,30102626,HC REF ARUP COMP 0097163 CPT 82657,277.5,166.5,10.0,7411.0,55
CDM,30102627,HC REF ARUP COMP 0097163 CPT 83516,277.5,166.5,9.69,7411.0,55
CDM,30102628,"HC REF MAYO CERS CERULOPLASMIN,S",42.05,25.23,9.02,7411.0,55
CDM,30102629,HC REF MAYO F68KD 68KD (HSP-70) ANTIBODIES,500.0,300.0,10.0,7411.0,55
CDM,30102631,HC REF ARUP NMS 4071SP QUINIDINE,792.5,475.5,10.0,7411.0,55
CDM,30102632,"HC REF ARUP 0099336 CLOMIPRAMINE & METABOLITE, SP",60.2,36.12,4.2,7411.0,34
CDM,30102633,HC REF MAYO NAGR COMP CPT 83080,141.1,84.66,10.0,7411.0,55
CDM,30102634,HC REF QUEST 7018 COMP CPT 82172,75.08,45.05,10.0,7411.0,55
CDM,30102635,HC REF QUEST 37866 AALP APOLIPOPROTEIN C3,75.08,45.05,10.0,7411.0,55
CDM,30200001,HC SIROLIMUS,271.25,162.75,10.0,7411.0,55
CDM,30200005,"HC ANTIBODY IDENTIFICATION, LEUKOCYTE ANTIBODIES",265.04,159.02,10.0,7411.0,55
CDM,30200006,HC ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,462.77,277.66,10.0,7411.0,55
CDM,30200007,HC ANTIBODY IDENTIFICATION PLATELET ASSOC IMMUNOGLOBULIN,1727.88,1036.73,10.0,7411.0,55
CDM,30200008,HC ANTINUCLEAR ANTIBODIES (ANA),200.23,120.14,10.0,7411.0,55
CDM,30200009,HC ANTINUCLEAR ANTIBODIES ANA TITER,185.61,111.37,9.37,7411.0,55
CDM,30200010,HC ANTISTREPTOLYSIN O SCREEN,124.57,74.74,4.85,7411.0,55
CDM,30200011,HC C-REACTIVE PROTEIN,169.31,101.59,4.35,7411.0,55
CDM,30200012,"HC C-REACTIVE PROTEIN,HIGH SENSITIVITY",175.89,105.53,10.0,7411.0,55
CDM,30200013,"HC BETA 2 GLYCOPROTEIN, ANTIBODY EA",192.0,115.2,10.0,7411.0,55
CDM,30200014,HC CARDIOLIPIN ANTIBODY EA IG CLASS,242.38,145.43,10.0,7411.0,55
CDM,30200015,HC ANTI-PHOSPHATIDYLSERINE ANTIBODY,179.37,107.62,10.0,7411.0,55
CDM,30200016,"HC COLD AGGLUTININ,SCREEN",213.77,128.26,6.78,7411.0,55
CDM,30200017,"HC COMPLEMENT - ANTIGEN, EA",223.29,133.97,10.0,7411.0,55
CDM,30200018,HC COMPLEMENT - FUNCTIONAL ACTIVITY EA,191.77,115.06,10.0,7411.0,55
CDM,30200019,"HC COMPLEMENT, TOTAL (CH 50)",289.07,173.44,10.0,7411.0,55
CDM,30200021,HC CYCLIC CITRULLINATED PEPTIDE ANTIBODY (CCP),173.45,104.07,10.0,7411.0,55
CDM,30200022,"HC DEOXYRIBONUCLEASE, ANTIBODY",171.74,103.04,10.0,7411.0,55
CDM,30200023,HC DEOXYRIBONUCLEIC ACID (DNA) ANTIBODY,235.29,141.17,10.0,7411.0,55
CDM,30200024,"HC FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN EACH",251.24,150.74,10.0,7411.0,55
CDM,30200025,"HC FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, TITER EACH",208.13,124.88,10.0,7411.0,55
CDM,30200027,HC IMMUNOASSAY TUMOR ANTIGEN CA 15-3 OR 27.29,286.24,171.74,10.0,7411.0,55
CDM,30200028,HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9,277.62,166.57,10.0,7411.0,55
CDM,30200029,HC IMMUNOASSAY TUMOR ANTIGEN CA 125,316.97,190.18,10.0,7411.0,55
CDM,30200030,HC HETEROPHILE ANITBODIES - SCREEN,160.26,96.16,4.35,7411.0,55
CDM,30200031,HC IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,144.74,86.84,10.0,7411.0,55
CDM,30200032,HC IMMUNOASSAY INFECTIOUS AGENT ANTB QUAL/SEMIQUAN 1 STEP,143.0,85.8,10.0,7411.0,55
CDM,30200033,HC SERUM IMMUNOELECTROPHORESIS,228.85,137.31,10.0,7411.0,55
CDM,30200034,"HC IMMUNODIFFUSION GEL DIFFUS.,QU",99.47,59.68,10.0,7411.0,55
CDM,30200035,"HC IMMUNE COMPLEX ASSAY, C1Q BIND",236.18,141.71,10.0,7411.0,55
CDM,30200036,HC IMMUNOFIXATION ELECTROPHORESIS - SERUM,319.85,191.91,10.0,7411.0,55
CDM,30200037,HC IMMUNOFIXATION ELECTROPHORESIS - OTHER FLUIDS,322.97,193.78,10.0,7411.0,55
CDM,30200038,HC INHIBIN A-QUAD SCN86336,210.79,126.47,10.0,7411.0,55
CDM,30200039,"HC INSULIN ANTIBODIES, RIA",230.68,138.41,10.0,7411.0,55
CDM,30200040,HC INTRINSIC FACTOR ANTIBODIES,182.12,109.27,10.0,7411.0,55
CDM,30200041,HC ISLET CELL ANTIBODY,238.0,142.8,10.0,7411.0,55
CDM,30200043,HC LYMPHOCYTE TRANSFORMATION,2065.51,1239.31,10.0,7411.0,55
CDM,30200044,"HC B CELLS,TOTAL COUNT",245.74,147.44,10.0,7411.0,55
CDM,30200045,"HC MONONUCLEAR CELL ANTIGEN, QUAN",220.63,132.38,10.0,7411.0,55
CDM,30200046,"HC NATURAL KILLER CELLS,TOTAL COU",250.66,150.4,10.0,7411.0,55
CDM,30200047,HC T CELL ABSOLUTE CNT/RA,380.72,228.43,10.0,7411.0,55
CDM,30200048,"HC STEM CELLS,TOTAL COUNT",596.0,357.6,10.0,7411.0,55
CDM,30200049,"HC MICROSOMAL ANTIBODIES, EACH",172.55,103.53,10.0,7411.0,55
CDM,30200050,HC VIRAL NEUTRALIZATION TEST,266.95,160.17,10.0,7411.0,55
CDM,30200051,"HC AGGLUTINATION PARTICLE, ANTIBO",195.73,117.44,9.69,7411.0,55
CDM,30200052,"HC AGGLUTINATION PARTICLE,TITER - E",169.64,101.78,8.94,7411.0,55
CDM,30200053,"HC RHEUMATOID FACTOR, LATEX FIXAT",165.11,99.07,5.16,7411.0,55
CDM,30200054,HC RHEUMATOID FACTOR - QUANTITATIV,138.65,83.19,4.76,7411.0,55
CDM,30200055,"HC TB TST,CELL MEDIATED IMMUNTY M",367.29,220.37,10.0,7411.0,55
CDM,30200056,HC TB TEST - ENUMERATD GAMMA INTERF,485.36,291.22,10.0,7411.0,55
CDM,30200057,"HC SKIN TEST, CANDIDA",153.09,91.85,10.0,7411.0,55
CDM,30200059,"HC BLOOD SEROLOGY,QUALITATIVE",106.6,63.96,3.59,7411.0,55
CDM,30200060,"HC BLOOD SEROLOGY,QUANTITATIVE",116.31,69.79,3.7,7411.0,55
CDM,30200061,HC ANTIBODY - ADENOVIRUS,117.37,70.42,10.0,7411.0,55
CDM,30200062,HC ANTIBODY - ASPERGILLUS,127.77,76.66,10.0,7411.0,55
CDM,30200063,HC BARTONELLA,95.5,57.3,8.55,7411.0,55
CDM,30200064,HC ANTIBODY - BLASTOMYCES,125.26,75.16,10.0,7411.0,55
CDM,30200065,HC BORDETELLA/PERTUSIS TITER,134.67,80.8,10.0,7411.0,55
CDM,30200066,HC LYME DISEASE/B. BURGDORFERI,187.37,112.42,10.0,7411.0,55
CDM,30200067,HC ANTIBODY - BORELLIA BUFGDORFERI,234.74,140.84,10.0,7411.0,55
CDM,30200068,HC ANTIBODY - BORRELIA (RELAPSING,251.56,150.94,10.0,7411.0,55
CDM,30200069,HC ANTIBODY - BRUCELLA,113.3,67.98,7.5,7411.0,55
CDM,30200071,HC ANTIBODY - CHLAMYDIA,119.02,71.41,9.93,7411.0,55
CDM,30200072,"HC ANTIBODY - CHLAMYDIA, IGM",114.25,68.55,10.0,7411.0,55
CDM,30200073,HC ANTIBODY - COCCIDIOIDES,143.88,86.33,9.63,7411.0,55
CDM,30200074,HC ANTIBODY - COXIELLA BRUNETTII,125.0,75.0,10.0,7411.0,55
CDM,30200075,HC ANTIBODY - CRYPTOCOCCUS,200.33,120.2,10.0,7411.0,55
CDM,30200076,HC ANTIBODY - CYTOMEGALOVIRUS (CMV,200.89,120.53,10.0,7411.0,55
CDM,30200077,HC ANTIBODY - CYTOMEGALOVIRUS (CMV) IGM,221.25,132.75,10.0,7411.0,55
CDM,30200078,HC ANTIBODY - DIPTHERIA,194.61,116.77,10.0,7411.0,55
CDM,30200079,"HC ANTIBODY - ENCEPHALITIS, CALIFO",152.44,91.46,10.0,7411.0,55
CDM,30200080,"HC ANTIBODY - ENCEPHALITIS, EASTER",152.44,91.46,10.0,7411.0,55
CDM,30200081,"HC ANITBODY - ENCEPHALITIS, ST. LO",157.89,94.73,10.0,7411.0,55
CDM,30200082,"HC ANTIBODY - ENCEPHALITIS, WESTER",157.44,94.46,10.0,7411.0,55
CDM,30200083,HC ANITBODY - ENTEROVIRUS,131.32,78.79,10.0,7411.0,55
CDM,30200084,"HC EPSTEIN-BARR VIRUS,EARYL ANTIG",29.86,17.92,10.0,7411.0,55
CDM,30200085,"HC EPSTEIN-BARR VIRUS,NUCLEAR ANT",179.63,107.78,10.0,7411.0,55
CDM,30200086,"HC EPSTEIN-BARR VIRUS,VIRAL CAPSI",220.82,132.49,10.0,7411.0,55
CDM,30200087,HC EHRLICHIA,170.26,102.16,8.55,7411.0,55
CDM,30200088,HC ANTIBODY - FRANCISELLA TULARENS,137.86,82.72,10.0,7411.0,55
CDM,30200089,"HC ANTIBODY - FUNGUS, NES",158.76,95.26,10.0,7411.0,55
CDM,30200091,HC HELICOBACTER PYLORI,217.79,130.67,10.0,7411.0,55
CDM,30200092,"HC ANTIBODY - HELMINTH,NOT ELSEWHE",221.2,132.72,10.0,7411.0,55
CDM,30200093,HC ANTIBODY - HEMOPHILUS INFLUENZA,179.74,107.84,10.0,7411.0,55
CDM,30200094,"HC ANTIBODY HTLV OR HIV, CONFIRMA",300.24,180.14,10.0,7411.0,55
CDM,30200095,"HC HEPATITIS, DELTA AGENT",187.64,112.58,10.0,7411.0,55
CDM,30200096,"HC ANTIBODY - HERPES SIMPLEX, NON-",167.33,100.4,10.0,7411.0,55
CDM,30200097,"HC ANTIBODY - HERPES SIMPLEX,TYPE I",164.66,98.8,10.0,7411.0,55
CDM,30200098,"HC ANTIBODY - HERPES SIMPLEX,TYPE 2",174.66,104.8,10.0,7411.0,55
CDM,30200099,HC ANTIBODY - HISOTPLASMA,117.66,70.6,10.0,7411.0,55
CDM,30200100,HC ANTIBODY - HIV-1,156.36,93.82,7.47,7411.0,55
CDM,30200101,HC ANTIBODY - HIV-2,171.78,103.07,10.0,7411.0,55
CDM,30200102,"HC ANTIBODY - HIV-1 & HIV-2,SINGLE",233.33,140.0,10.0,7411.0,55
CDM,30200103,HC HEPATITIS B CORE ANTIBODY - HBC,180.88,108.53,10.0,7411.0,55
CDM,30200104,HC HEPATITIS B CORE ANTIBODY - IGM,211.11,126.67,9.89,7411.0,55
CDM,30200105,HC HEPATITIS B SURFACE ANTIBODY(H,197.09,118.25,9.02,7411.0,55
CDM,30200106,HC HEPATITIS BE ANTIBODY(HBEAB),136.79,82.07,9.72,7411.0,55
CDM,30200107,"HC HEPATITIS A ANTIBODY(HAAB), TO",187.64,112.58,10.0,7411.0,55
CDM,30200108,HC HEPATITIS A ANTIBODY(HAAB) - IGM,211.47,126.88,9.46,7411.0,55
CDM,30200109,HC ANTIBODY - INFLUENZA VIRUS,116.48,69.89,10.0,7411.0,55
CDM,30200110,HC ANTIBODY - LEISHMANIA,137.85,82.71,10.0,7411.0,55
CDM,30200111,HC ANTIBODY - LEPTOSPIRA,202.08,121.25,10.0,7411.0,55
CDM,30200112,HC ANTIBODY - MUMPS,162.53,97.52,10.0,7411.0,55
CDM,30200113,HC ANTIBODY - MYCOPLASMA,179.82,107.89,10.0,7411.0,55
CDM,30200114,HC ANTIBODY - PARVOVIRUS,180.58,108.35,10.0,7411.0,55
CDM,30200116,HC ANTIBODY - RICKETTSIA,194.59,116.75,10.0,7411.0,55
CDM,30200117,HC ANTIBODY - RUBELLA,166.7,100.02,10.0,7411.0,55
CDM,30200118,HC ANITBODY - RUBEOLA,165.51,99.31,10.0,7411.0,55
CDM,30200119,HC ANTIBODY - TETANUS,171.04,102.62,10.0,7411.0,55
CDM,30200120,HC ANTIBODY - TOXOPLASMA,165.51,99.31,10.0,7411.0,55
CDM,30200121,"HC ANTIBODY - TOXOPLASMA, IGM",196.6,117.96,10.0,7411.0,55
CDM,30200122,HC TREPONEMA PALLIDUM,163.81,98.29,10.0,7411.0,55
CDM,30200123,HC ANTIBODY - TRICHINELLA,121.77,73.06,10.0,7411.0,55
CDM,30200124,HC ANTIBODY - VARICELLA-ZOSTER,181.65,108.99,10.0,7411.0,55
CDM,30200125,"HC ANTIBODY - WEST NILE VIRUS, IGM",173.53,104.12,10.0,7411.0,55
CDM,30200126,"HC ANTIBODY,WEST NILE VIRUS",175.14,105.08,10.0,7411.0,55
CDM,30200127,"HC ANTIBODY - VIRUS, NOT ELSEWHERE",188.22,112.93,10.0,7411.0,55
CDM,30200128,HC ANTIBODY - YERSINIA,208.0,124.8,10.0,7411.0,55
CDM,30200129,"HC THYROGLOBULIN ANTIBODY, RIA",192.99,115.79,10.0,7411.0,55
CDM,30200130,HC HEPATITIS C ANTIBODY - CONFIRMAT,326.54,195.92,10.0,7411.0,55
CDM,30200132,HC SERUM SCREEN FOR CYTOTOXIC PRA,605.55,363.33,10.0,7411.0,55
CDM,30200133,"HC TISSUE TYPING(HLA) A,B, OR C",914.01,548.41,10.0,7411.0,55
CDM,30200136,HC HLA CROSSMATCH - 1ST SERUM SAMPLE,914.61,548.77,10.0,7411.0,55
CDM,30200137,HC HLA CROSSMATCH - EA AD SERUM SAMPLE,378.06,226.84,10.0,7411.0,55
CDM,30200139,"HC ANTIBODY SCREEN,RBC, EACH SERUM",228.91,137.35,9.28,7411.0,55
CDM,30200140,"HC ANTIBODY ELUTION(RBC),EACH ELU",299.37,179.62,10.0,7411.0,55
CDM,30200141,"HC ANTIBODY ID,RBC ANTIBODIES, EACH",396.34,237.8,10.0,7411.0,55
CDM,30200142,HC ANTIHUMAN GLOBULIN TEST - DIRECT,135.97,81.58,4.53,7411.0,55
CDM,30200143,HC ANTIHUMAN GLOBULIN TEST - INDIRE,100.43,60.26,4.8,7411.0,55
CDM,30200144,"HC ANTIHUMAN GLOBULIN TEST,INDIRE",243.33,146.0,4.35,7411.0,55
CDM,30200146,HC BLOOD TYPING - ABO,171.97,103.18,2.51,7411.0,55
CDM,30200147,HC BLOOD TYPING - RH,127.41,76.45,2.51,7411.0,55
CDM,30200148,HC BLOOD TYPING - ANTIGN TST DNR BL,357.21,214.33,5.33,7411.0,55
CDM,30200149,"HC BLOOD TYPING - ANTIGEN SCREEN,CO",192.51,115.51,10.0,7411.0,55
CDM,30200150,HC BLOOD TYPING - RBC ANTIGEN OTHER,357.21,214.33,3.22,7411.0,55
CDM,30200151,"HC BLOOD TYPING - RH PHENOTYPING,",255.11,153.07,6.51,7411.0,55
CDM,30200152,"HC COMPATIBILITY TST,IMMEDTE SPIN",282.54,169.52,10.0,7411.0,55
CDM,30200153,"HC COMPTBLE TEST,ANTIGLOBULIN TEC",304.77,182.86,10.0,7411.0,55
CDM,30200154,"HC COMPATIBILITY TEST,ELECTRIC TE",313.7,188.22,10.0,7411.0,55
CDM,30200155,"HC FRESH FROZEN PLASMA,THAWING,EA",190.58,114.35,10.0,7411.0,55
CDM,30200156,"HC IRRADIATION OF BLOOD PRODUCT,E",207.07,124.24,10.0,7411.0,55
CDM,30200157,"HC RBC TREAT,INCUBATION W/ENZYMES",357.21,214.33,10.0,7411.0,55
CDM,30200158,"HC RBC PRETREAT SERUM ID,INCUBAT",179.42,107.65,10.0,7411.0,55
CDM,30200159,"HC RBC PRETREST SERUM ID, EACH AB",425.31,255.19,10.0,7411.0,55
CDM,30200160,"HC BLOOD/BLOOD PRODUCTS,SPLITTING",209.54,125.72,10.0,7411.0,55
CDM,30200162,HC EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,196.69,118.01,10.0,7411.0,55
CDM,30200163,HC TB INTRADERMAL,55.52,33.31,9.44,7411.0,55
CDM,30200164,HC HEPATITIS C ANTIBODY,254.96,152.98,10.0,7411.0,55
CDM,30200165,HC PROTOZAGN ANTIBODY IGG &,159.0,95.4,10.0,7411.0,55
CDM,30200167,HC ANTIBODY - CAMPYLOBACTER,129.72,77.83,10.0,7411.0,55
CDM,30200170,HC ANTIBODY - PLASMODIUM (MALARIA),210.0,126.0,10.0,7411.0,55
CDM,30200171,HC ANTIBODY - SALMONELLA,90.95,54.57,10.0,7411.0,55
CDM,30200175,HC ANTIBODY - JC VIRUS,1716.0,1029.6,10.0,7411.0,55
CDM,30200176,HC HLA BILLING FOR 2 AB SCR,510.71,306.43,10.0,7411.0,55
CDM,30200178,HC HLA CLASS I PHENOTYPE QUA,749.04,449.42,10.0,7411.0,55
CDM,30200179,HC HLA CLASS II PHENOTYPE QUA,761.03,456.62,10.0,7411.0,55
CDM,30200180,HC HLA  ANTIBODY PANEL HIGH DEFINITION CLASS,927.71,556.63,10.0,7411.0,55
CDM,30200181,HC HLA ANTIBODY PANEL HIGH DEFINITN CLASS II,884.24,530.54,10.0,7411.0,55
CDM,30200238,HC ANALYSIS INFOR DATA STORED IN,313.7,188.22,10.0,7411.0,55
CDM,30200239,HC COLD ANTIBODY SCREEN,213.77,128.26,6.78,7411.0,55
CDM,30200241,HC INDIRECT COOMBS (ANTIBODY SCR),228.91,137.35,9.28,7411.0,55
CDM,30200242,HC ANTIBODY TITER,243.33,146.0,4.35,7411.0,55
CDM,30200243,HC DIRECT COOMBS,135.97,81.58,4.53,7411.0,55
CDM,30200244,HC ABO TYPE,171.97,103.18,2.51,7411.0,55
CDM,30200245,HC RH TYPE,127.41,76.45,2.51,7411.0,55
CDM,30200246,HC PATIENT AG TYPING,357.21,214.33,3.22,7411.0,55
CDM,30200247,HC CROSSMATCH IS,282.54,169.52,10.0,7411.0,55
CDM,30200248,HC SERUM ABSORPTION,425.31,255.19,10.0,7411.0,55
CDM,30200250,HC ANTIBODY IDENTIFICATION,396.34,237.8,10.0,7411.0,55
CDM,30200251,HC ANTIGEN TYPES - PT SERUM,192.51,115.51,10.0,7411.0,55
CDM,30200252,HC CROSSMATCH AHG,304.77,182.86,10.0,7411.0,55
CDM,30200253,HC ELUTION,299.37,179.62,10.0,7411.0,55
CDM,30200254,HC PEDI ALIQUOT,209.54,125.72,10.0,7411.0,55
CDM,30200256,HC RBC ENZYME PRETREATMENT,357.21,214.33,10.0,7411.0,55
CDM,30200258,HC BLOOD IRRADIATION,207.07,124.24,10.0,7411.0,55
CDM,30200259,HC BLOOD TYPING - ANTIGEN TEST DONOR BLOOD REGEANT SERUM - EACH,357.21,214.33,5.33,7411.0,55
CDM,30200262,HC CELLULAR FUNCTION ASSAY INVOLV STIMULATION,731.5,438.9,10.0,7411.0,55
CDM,30200266,HC PATIENT CELL PRETREATMENT,220.8,132.48,10.0,7411.0,55
CDM,30200273,HC LEUKOCYTE PHAGOCYTOSIS,154.8,92.88,8.73,7411.0,55
CDM,30200315,HC HUMAN EPIDIDYMIS PROTEIN 4 (HE4),376.31,225.79,10.0,7411.0,55
CDM,30200320,HC TREPONEMA PALLIDUM IGG AND IGM,163.81,98.29,10.0,7411.0,55
CDM,30200321,HC REF BLOOD TYPING - RH PHENOTYPING,208.3,124.98,6.51,7411.0,55
CDM,30200323,"HC REF ANTIBODY SCREEN,RBC, EACH SERUM",277.59,166.55,9.28,7411.0,55
CDM,30200324,HC REF SERUM ABSORPTION,383.84,230.3,10.0,7411.0,55
CDM,30200334,HC AB HEPATITIS C 19-9975,254.96,152.98,10.0,7411.0,55
CDM,30200335,HC AB LISTERIA,109.0,65.4,10.0,7411.0,55
CDM,30200336,HC CHROMOGRANIN A,250.14,150.08,10.0,7411.0,55
CDM,30200337,HC IMMUNOASSAY TUMOR AG QT,250.14,150.08,10.0,7411.0,55
CDM,30200338,HC BACTERIUM ANTIBODY,109.0,65.4,10.0,7411.0,55
CDM,30200341,HC ZIKA VIRUS IGM ANTIBODY,244.33,146.6,10.0,7411.0,55
CDM,30200343,"HC COLD AGGLUTININ,SCREEN",213.77,128.26,6.78,7411.0,55
CDM,30200344,HC AUTO TRANS PROCESSING,1604.25,962.55,10.0,7411.0,55
CDM,30200345,"HC IRRADIATION OF BLOOD PRODUCT,E",207.07,124.24,10.0,7411.0,55
CDM,30200346,"HC COLD AGGLUTININ,SCREEN",213.77,128.26,6.78,7411.0,55
CDM,30200347,HC HEPATITIS C ANTIBODY,254.96,152.98,10.0,7411.0,55
CDM,30200348,HC BLOOD TYPING - ANTIGN TST DNR BL,357.21,214.33,5.33,7411.0,55
CDM,30200349,"HC ANTIBODY ELUTION(RBC),EACH ELU",299.37,179.62,10.0,7411.0,55
CDM,30200350,"HC ANTIBODY ID,RBC ANTIBODIES, EACH",396.34,237.8,10.0,7411.0,55
CDM,30200351,"HC ANTIBODY SCREEN,RBC, EACH SERUM",228.91,137.35,9.28,7411.0,55
CDM,30200352,HC BLOOD TYPING - RH,127.41,76.45,2.51,7411.0,55
CDM,30200353,HC BLOOD TYPING - RH D UNIT,127.41,76.45,2.51,7411.0,55
CDM,30200354,HC BLOOD TYPING - ABO,171.97,103.18,2.51,7411.0,55
CDM,30200355,"HC COMPTBLE TEST,ANTIGLOBULIN TEC",304.77,182.86,10.0,7411.0,55
CDM,30200356,"HC COMPATIBILITY TST,IMMEDTE SPIN",282.54,169.52,10.0,7411.0,55
CDM,30200357,HC ANTIHUMAN GLOBULIN TEST - DIRECT,135.97,81.58,4.53,7411.0,55
CDM,30200358,"HC BLOOD TYPING - RH PHENOTYPING,",255.11,153.07,6.51,7411.0,55
CDM,30200359,"HC RBC PRETREST SERUM ID, EACH AB",425.31,255.19,10.0,7411.0,55
CDM,30200360,HC BLOOD TYPING - RBC ANTIGEN OTHER,357.21,214.33,3.22,7411.0,55
CDM,30200361,HC BLOOD TYPING;RBC ANTIGEN OTHER,357.21,214.33,3.22,7411.0,55
CDM,30200362,"HC ANTIHUMAN GLOBULIN TEST,INDIRE",243.33,146.0,4.35,7411.0,55
CDM,30200363,"HC COMPATIBILITY TEST,ELECTRIC TE",313.7,188.22,10.0,7411.0,55
CDM,30200364,HC BLOOD TYPING - ABO UNIT,171.97,103.18,2.51,7411.0,55
CDM,30200365,"HC RBC PRETREAT SERUM ID,INCUBAT",179.42,107.65,10.0,7411.0,55
CDM,30200366,"HC BLOOD/BLOOD PRODUCTS,SPLITTING",209.54,125.72,10.0,7411.0,55
CDM,30200367,HC HEPATITIS C ANTIBODY,254.96,152.98,10.0,7411.0,55
CDM,30200368,"HC COMPLEMENT - ANTIGEN, EACH COMP",223.29,133.97,10.0,7411.0,55
CDM,30200369,"HC COMPLEMENT - ANTIGEN, EACH COMP",223.29,133.97,10.0,7411.0,55
CDM,30200370,"HC COMPLEMENT - ANTIGEN, EACH COMP",223.29,133.97,10.0,7411.0,55
CDM,30200371,"HC COMPLEMENT - ANTIGEN, EACH COMP",223.29,133.97,10.0,7411.0,55
CDM,30200372,HC ANTIBODY - RUBELLA,166.7,100.02,10.0,7411.0,55
CDM,30200373,HC IMMUNOFIXATION ELECTROPHORESIS - OTHER FLUIDS,322.97,193.78,10.0,7411.0,55
CDM,30200374,HC HEPATITIS B SURFACE ANTIBODY(H,197.09,118.25,9.02,7411.0,55
CDM,30200375,HC HEPATITIS B CORE ANTIBODY - HBC,180.88,108.53,10.0,7411.0,55
CDM,30200376,"HC ANTIBODY - HIV-1 & HIV-2,SINGLE",233.33,140.0,10.0,7411.0,55
CDM,30200377,HC ANTIBODY - HIV-1,156.36,93.82,7.47,7411.0,55
CDM,30200378,"HC ANTIBODY, HTLV I",107.34,64.4,7.64,7411.0,55
CDM,30200379,HC HEPATITIS B SURFACE ANTIBODY(H,197.09,118.25,9.02,7411.0,55
CDM,30200380,"HC AGGLUTINATION PARTICLE, ANTIBO",195.73,117.44,9.69,7411.0,55
CDM,30200381,"HC AGGLUTINATION PARTICLE, ANTIBO",195.73,117.44,9.69,7411.0,55
CDM,30200382,HC HELICOBACTER PYLORI,217.79,130.67,10.0,7411.0,55
CDM,30200383,"HC BLOOD SEROLOGY,QUALITATIVE",106.6,63.96,3.59,7411.0,55
CDM,30200384,"HC BLOOD SEROLOGY,QUANTITATIVE",116.31,69.79,3.7,7411.0,55
CDM,30200385,HC CARDIOLIPIN (PHOSPHOLIPID) ANT,242.38,145.43,10.0,7411.0,55
CDM,30200386,HC BETA 2 GLYCOPROTEIN I ANTIBODY,192.0,115.2,10.0,7411.0,55
CDM,30200387,HC BETA 2 GLYCOPROTEIN I ANTIBODY,192.0,115.2,10.0,7411.0,55
CDM,30200388,HC BETA 2 GLYCOPROTEIN I ANTIBODY,192.0,115.2,10.0,7411.0,55
CDM,30200389,HC HELICOBACTER PYLORI,217.79,130.67,10.0,7411.0,55
CDM,30200390,HC HELICOBACTER PYLORI,217.79,130.67,10.0,7411.0,55
CDM,30200391,HC HELICOBACTER PYLORI,217.79,130.67,10.0,7411.0,55
CDM,30200392,"HC TISSUE TYPING(HLA) A,B,OR C, M",992.0,595.2,10.0,7411.0,55
CDM,30200393,"HC AGGLUTININS - FEBRILE, EACH ANT",129.8,77.88,5.86,7411.0,55
CDM,30200394,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200395,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200396,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200397,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200398,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200399,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200400,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200401,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200402,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200403,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200404,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200405,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200406,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200407,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200408,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200409,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200410,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200411,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200412,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200413,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200414,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200415,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200416,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200417,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200418,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200419,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200420,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200421,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200422,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200423,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200424,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200425,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200426,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200427,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200428,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200429,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200430,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200431,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200432,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200433,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200434,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200435,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200436,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200437,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200438,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200439,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200440,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200441,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200442,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200443,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200444,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200445,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200446,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200447,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200448,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200449,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200450,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200451,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200452,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200453,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200454,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200455,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200456,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200457,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200458,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200459,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200460,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200461,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200462,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200463,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200464,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200465,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200466,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200467,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200468,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200469,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200470,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200471,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200472,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200473,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200474,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200475,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200476,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200477,HC BARTONELLA,95.5,57.3,8.55,7411.0,55
CDM,30200478,HC BARTONELLA,95.5,57.3,8.55,7411.0,55
CDM,30200479,HC BARTONELLA,95.5,57.3,8.55,7411.0,55
CDM,30200480,HC BARTONELLA,95.5,57.3,8.55,7411.0,55
CDM,30200481,"HC ANTIBODY - ENCEPHALITIS, EASTER",152.44,91.46,10.0,7411.0,55
CDM,30200482,"HC ANTIBODY - ENCEPHALITIS, EASTER",152.44,91.46,10.0,7411.0,55
CDM,30200483,"HC ANTIBODY - ENCEPHALITIS, CALIFO",152.44,91.46,10.0,7411.0,55
CDM,30200484,"HC ANTIBODY - ENCEPHALITIS, CALIFO",152.44,91.46,10.0,7411.0,55
CDM,30200485,"HC ANITBODY - ENCEPHALITIS, ST. LO",157.89,94.73,10.0,7411.0,55
CDM,30200486,"HC ANITBODY - ENCEPHALITIS, ST. LO",157.89,94.73,10.0,7411.0,55
CDM,30200487,"HC ANTIBODY - ENCEPHALITIS, WESTER",157.44,94.46,10.0,7411.0,55
CDM,30200488,"HC ANTIBODY - ENCEPHALITIS, WESTER",157.44,94.46,10.0,7411.0,55
CDM,30200489,HC ANITBODY - ENTEROVIRUS,131.32,78.79,10.0,7411.0,55
CDM,30200490,HC ANITBODY - ENTEROVIRUS,131.32,78.79,10.0,7411.0,55
CDM,30200491,HC COMPLEMENT - FUNCTIONAL ACTIVITY,191.77,115.06,10.0,7411.0,55
CDM,30200492,HC ANTIBODY - ASPERGILLUS,127.77,76.66,10.0,7411.0,55
CDM,30200493,HC ANTIBODY - COCCIDIOIDES,143.88,86.33,9.63,7411.0,55
CDM,30200494,"HC FLUORESCENT ANTIBODY, SCREEN",251.24,150.74,10.0,7411.0,55
CDM,30200495,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200496,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200497,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200498,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200499,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200500,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200501,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200502,HC ISLET CELL ANTIBODY,238.0,142.8,10.0,7411.0,55
CDM,30200503,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200504,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200505,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200506,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200507,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200508,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200509,"HC ANTIBODY IDENTIFICATION, LEUKO",265.04,159.02,10.0,7411.0,55
CDM,30200510,HC EXTRACTABLE NUCLEAR AN,196.69,118.01,10.0,7411.0,55
CDM,30200511,HC EXTRACTABLE NUCLEAR AN,196.69,118.01,10.0,7411.0,55
CDM,30200512,"HC FLUORESCENT ANTIBODY, SCREEN",251.24,150.74,10.0,7411.0,55
CDM,30200513,"HC IMMUNODIFFUSION GEL DIFFUS.,QU",99.47,59.68,10.0,7411.0,55
CDM,30200514,"HC IMMUNODIFFUSION GEL DIFFUS.,QU",99.47,59.68,10.0,7411.0,55
CDM,30200515,"HC IMMUNODIFFUSION GEL DIFFUS.,QU",99.47,59.68,10.0,7411.0,55
CDM,30200516,"HC IMMUNODIFFUSION GEL DIFFUS.,QU",99.47,59.68,10.0,7411.0,55
CDM,30200517,"HC IMMUNODIFFUSION GEL DIFFUS.,QU",99.47,59.68,10.0,7411.0,55
CDM,30200518,"HC IMMUNODIFFUSION GEL DIFFUS.,QU",99.47,59.68,10.0,7411.0,55
CDM,30200519,"HC IMMUNODIFFUSION GEL DIFFUS.,QU",99.47,59.68,10.0,7411.0,55
CDM,30200520,HC IMMUNOFIXATION ELECTROPHORESIS - OTHER FLUIDS,322.97,193.78,10.0,7411.0,55
CDM,30200521,HC ISLET CELL ANTIBODY,238.0,142.8,10.0,7411.0,55
CDM,30200522,HC LYMPHOCYTE TRANSFORMATION,2065.51,1239.31,10.0,7411.0,55
CDM,30200523,HC LYMPHOCYTE TRANSFORMATION,2065.51,1239.31,10.0,7411.0,55
CDM,30200524,"HC MICROSOMAL ANTIBODIES, EACH",172.55,103.53,10.0,7411.0,55
CDM,30200525,"HC AGGLUTINATION PARTICLE, ANTIBO",195.73,117.44,9.69,7411.0,55
CDM,30200526,HC ANTIBODY - ASPERGILLUS,127.77,76.66,10.0,7411.0,55
CDM,30200527,HC ANTIBODY - ASPERGILLUS,127.77,76.66,10.0,7411.0,55
CDM,30200528,HC ANTIBODY - ASPERGILLUS,127.77,76.66,10.0,7411.0,55
CDM,30200529,HC ANTIBODY - ASPERGILLUS,127.77,76.66,10.0,7411.0,55
CDM,30200530,HC BORDETELLA/PERTUSIS TITER,134.67,80.8,10.0,7411.0,55
CDM,30200531,HC BORDETELLA/PERTUSIS TITER,134.67,80.8,10.0,7411.0,55
CDM,30200532,HC BORDETELLA/PERTUSIS TITER,134.67,80.8,10.0,7411.0,55
CDM,30200533,HC ANITBODY - ENTEROVIRUS,131.32,78.79,10.0,7411.0,55
CDM,30200534,"HC ANTIBODY - FUNGUS, NES",158.76,95.26,10.0,7411.0,55
CDM,30200535,HC ANTIBODY - HISOTPLASMA,117.66,70.6,10.0,7411.0,55
CDM,30200536,HC ANTIBODY - MYCOPLASMA,179.82,107.89,10.0,7411.0,55
CDM,30200537,HC ANTIBODY - MYCOPLASMA,179.82,107.89,10.0,7411.0,55
CDM,30200538,HC PROTOZAGN ANTIBODY IGG &,159.0,95.4,10.0,7411.0,55
CDM,30200539,HC PROTOZAGN ANTIBODY IGG &,159.0,95.4,10.0,7411.0,55
CDM,30200540,HC ANTIBODY - SALMONELLA,90.95,54.57,10.0,7411.0,55
CDM,30200541,HC ANTIBODY - SALMONELLA,90.95,54.57,10.0,7411.0,55
CDM,30200542,HC ANTIBODY - SALMONELLA,90.95,54.57,10.0,7411.0,55
CDM,30200543,HC ANTIBODY - SALMONELLA,90.95,54.57,10.0,7411.0,55
CDM,30200544,HC ANTIBODY - SALMONELLA,90.95,54.57,10.0,7411.0,55
CDM,30200545,"HC ANTIBODY - VIRUS, NOT ELSEWHERE",188.22,112.93,10.0,7411.0,55
CDM,30200546,"HC ANTIBODY - VIRUS, NOT ELSEWHERE",188.22,112.93,10.0,7411.0,55
CDM,30200547,"HC ANTIBODY - VIRUS, NOT ELSEWHERE",188.22,112.93,10.0,7411.0,55
CDM,30200548,"HC ANTIBODY - VIRUS, NOT ELSEWHERE",188.22,112.93,10.0,7411.0,55
CDM,30200549,"HC ANTIBODY - VIRUS, NOT ELSEWHERE",188.22,112.93,10.0,7411.0,55
CDM,30200550,"HC ANTIBODY - VIRUS, NOT ELSEWHERE",188.22,112.93,10.0,7411.0,55
CDM,30200551,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200552,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200553,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200554,HC ANTIBODY - BORELLIA BUFGDORFERI,234.74,140.84,10.0,7411.0,55
CDM,30200555,HC LYMPHOCYTE TRANSFORMATION,2065.51,1239.31,10.0,7411.0,55
CDM,30200556,"HC ANTIBODY IDENTIFICATION, LEUKO",265.04,159.02,10.0,7411.0,55
CDM,30200557,HC EXTRACTABLE NUCLEAR AN,196.69,118.01,10.0,7411.0,55
CDM,30200558,"HC ANTIBODY - CHLAMYDIA, IGM",114.25,68.55,10.0,7411.0,55
CDM,30200559,"HC ANTIBODY - CHLAMYDIA, IGM",114.25,68.55,10.0,7411.0,55
CDM,30200560,"HC ANTIBODY - CHLAMYDIA, IGM",114.25,68.55,10.0,7411.0,55
CDM,30200561,HC ANTIBODY - INFLUENZA VIRUS,116.48,69.89,10.0,7411.0,55
CDM,30200562,HC ANTIBODY - INFLUENZA VIRUS,116.48,69.89,10.0,7411.0,55
CDM,30200563,HC EXTRACTABLE NUCLEAR AN,196.69,118.01,10.0,7411.0,55
CDM,30200564,HC EHRLICHIA,170.26,102.16,8.55,7411.0,55
CDM,30200565,HC EHRLICHIA,170.26,102.16,8.55,7411.0,55
CDM,30200566,HC EHRLICHIA,170.26,102.16,8.55,7411.0,55
CDM,30200567,HC ANTIBODY - ADENOVIRUS,117.37,70.42,10.0,7411.0,55
CDM,30200568,"HC ANTIBODY - HELMINTH,NOT ELSEWHE",221.2,132.72,10.0,7411.0,55
CDM,30200569,HC LYME DISEASE/B. BURGDORFERI,187.37,112.42,10.0,7411.0,55
CDM,30200570,HC LYME DISEASE/B. BURGDORFERI,187.37,112.42,10.0,7411.0,55
CDM,30200571,HC ANTIBODY - COXIELLA BRUNETTII,125.0,75.0,10.0,7411.0,55
CDM,30200572,HC ANTIBODY - COXIELLA BRUNETTII,125.0,75.0,10.0,7411.0,55
CDM,30200573,HC ANTIBODY - COXIELLA BRUNETTII,125.0,75.0,10.0,7411.0,55
CDM,30200574,HC ANTIBODY - RICKETTSIA,194.59,116.75,10.0,7411.0,55
CDM,30200575,HC RSV ANTIBODY RL,875.0,525.0,10.0,7411.0,55
CDM,30200576,HC ANTIBODY - RICKETTSIA,194.59,116.75,10.0,7411.0,55
CDM,30200577,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200578,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200579,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200580,HC ANTIBODY - CHLAMYDIA,119.02,71.41,9.93,7411.0,55
CDM,30200581,HC CARDIOLIPIN (PHOSPHOLIPID) ANT,242.38,145.43,10.0,7411.0,55
CDM,30200582,HC PHOSPHOLIPID ANTIBODY,179.37,107.62,10.0,7411.0,55
CDM,30200583,"HC MICROSOMAL ANTIBODIES, EACH",172.55,103.53,10.0,7411.0,55
CDM,30200584,"HC IMMUNODIFFUSION GEL DIFFUS.,QU",99.47,59.68,10.0,7411.0,55
CDM,30200585,HC PHOSPHOLIPID ANTIBODY,179.37,107.62,10.0,7411.0,55
CDM,30200586,HC PHOSPHOLIPID ANTIBODY,179.37,107.62,10.0,7411.0,55
CDM,30200587,"HC ANTIBODY - HELMINTH,NOT ELSEWHE",221.2,132.72,10.0,7411.0,55
CDM,30200588,HC EXTRACTABLE NUCLEAR AN,196.69,118.01,10.0,7411.0,55
CDM,30200589,"HC ANTIBODY - VIRUS, NOT ELSEWHERE",188.22,112.93,10.0,7411.0,55
CDM,30200590,"HC IMMUNOASSAY,INFECTIOUS AGENT A",144.74,86.84,10.0,7411.0,55
CDM,30200591,"HC ANTIBODY - WEST NILE VIRUS, IGM",173.53,104.12,10.0,7411.0,55
CDM,30200592,"HC FLUORESCENT ANTIBODY, SCREEN",251.24,150.74,10.0,7411.0,55
CDM,30200593,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200594,"HC COMPLEMENT - ANTIGEN, EACH COMP",223.29,133.97,10.0,7411.0,55
CDM,30200595,HC ANTIBODY - ADENOVIRUS,117.37,70.42,10.0,7411.0,55
CDM,30200596,HC PROTOZAGN ANTIBODY IGG &,159.0,95.4,10.0,7411.0,55
CDM,30200597,HC EXTRACTABLE NUCLEAR AN,196.69,118.01,10.0,7411.0,55
CDM,30200598,HC EXTRACTABLE NUCLEAR AN,196.69,118.01,10.0,7411.0,55
CDM,30200599,HC EXTRACTABLE NUCLEAR AN,196.69,118.01,10.0,7411.0,55
CDM,30200600,HC EXTRACTABLE NUCLEAR AN,196.69,118.01,10.0,7411.0,55
CDM,30200601,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200602,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200603,"HC FLUORESCENT ANTIBODY, SCREEN",251.24,150.74,10.0,7411.0,55
CDM,30200604,"HC FLUORESCENT ANTIBODY, SCREEN",251.24,150.74,10.0,7411.0,55
CDM,30200605,"HC FLUORESCENT ANTIBODY, SCREEN",251.24,150.74,10.0,7411.0,55
CDM,30200606,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200607,HC ANTIBODY IDENTIFICATION - PLATEL,462.77,277.66,10.0,7411.0,55
CDM,30200608,"HC FLUORESCENT ANTIBODY, SCREEN",251.24,150.74,10.0,7411.0,55
CDM,30200609,HC EXTRACTABLE NUCLEAR AN,196.69,118.01,10.0,7411.0,55
CDM,30200610,HC EXTRACTABLE NUCLEAR AN,196.69,118.01,10.0,7411.0,55
CDM,30200611,"HC MICROSOMAL ANTIBODIES, EACH",172.55,103.53,10.0,7411.0,55
CDM,30200612,HC ANTIBODY - ASPERGILLUS,127.77,76.66,10.0,7411.0,55
CDM,30200613,HC ANTIBODY - ASPERGILLUS,127.77,76.66,10.0,7411.0,55
CDM,30200614,HC ANTIBODY - ASPERGILLUS,127.77,76.66,10.0,7411.0,55
CDM,30200615,HC IMMUNOASSAY/CA 15-3,286.24,171.74,10.0,7411.0,55
CDM,30200616,HC ANTIBODY - BRUCELLA,113.3,67.98,7.5,7411.0,55
CDM,30200617,HC IMMUNOASSAY/CA 15-3,286.24,171.74,10.0,7411.0,55
CDM,30200618,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200619,HC ANTIBODY - BRUCELLA,113.3,67.98,7.5,7411.0,55
CDM,30200620,HC CANDIDA ANTIBODY,126.0,75.6,10.0,7411.0,55
CDM,30200621,HC ANTIBODY - CHLAMYDIA,119.02,71.41,9.93,7411.0,55
CDM,30200622,HC ANTIBODY - CHLAMYDIA,119.02,71.41,9.93,7411.0,55
CDM,30200623,HC ANTIBODY - CHLAMYDIA,119.02,71.41,9.93,7411.0,55
CDM,30200624,HC ANTIBODY - COCCIDIOIDES,143.88,86.33,9.63,7411.0,55
CDM,30200625,HC ANTIBODY - COCCIDIOIDES,143.88,86.33,9.63,7411.0,55
CDM,30200626,"HC COMPLEMENT - ANTIGEN, EACH COMP",223.29,133.97,10.0,7411.0,55
CDM,30200627,HC C-REACTIVE PROTEIN,169.31,101.59,4.35,7411.0,55
CDM,30200628,"HC FLUORESCENT ANTIBODY, SCREEN",251.24,150.74,10.0,7411.0,55
CDM,30200629,HC ANITBODY - ENTEROVIRUS,131.32,78.79,10.0,7411.0,55
CDM,30200630,HC ANITBODY - ENTEROVIRUS,131.32,78.79,10.0,7411.0,55
CDM,30200631,HC ANITBODY - ENTEROVIRUS,131.32,78.79,10.0,7411.0,55
CDM,30200632,HC ANITBODY - ENTEROVIRUS,131.32,78.79,10.0,7411.0,55
CDM,30200633,"HC EPSTEIN-BARR VIRUS,VIRAL CAPSI",220.82,132.49,10.0,7411.0,55
CDM,30200634,"HC EPSTEIN-BARR VIRUS,VIRAL CAPSI",220.82,132.49,10.0,7411.0,55
CDM,30200635,HC ANTIBODY - BRUCELLA,113.3,67.98,7.5,7411.0,55
CDM,30200636,HC ANTIBODY IDENTIFICATION - PLATEL,462.77,277.66,10.0,7411.0,55
CDM,30200637,"HC ANTIBODY - HERPES SIMPLEX, NON-",167.33,100.4,10.0,7411.0,55
CDM,30200638,HC ANTIBODY - HISOTPLASMA,117.66,70.6,10.0,7411.0,55
CDM,30200639,HC ANTIBODY - HISOTPLASMA,117.66,70.6,10.0,7411.0,55
CDM,30200640,HC ANTIBODY - BORELLIA BUFGDORFERI,234.74,140.84,10.0,7411.0,55
CDM,30200641,HC ANITBODY - RUBEOLA,165.51,99.31,10.0,7411.0,55
CDM,30200642,HC TREPONEMA PALLIDUM,163.81,98.29,10.0,7411.0,55
CDM,30200643,HC ANTIBODY - MUMPS,162.53,97.52,10.0,7411.0,55
CDM,30200644,HC ANTIBODY - MYCOPLASMA,179.82,107.89,10.0,7411.0,55
CDM,30200645,HC ANTIBODY - MUMPS,162.53,97.52,10.0,7411.0,55
CDM,30200646,HC ANITBODY - RUBEOLA,165.51,99.31,10.0,7411.0,55
CDM,30200647,"HC ANTIBODY - VIRUS, NOT ELSEWHERE",188.22,112.93,10.0,7411.0,55
CDM,30200648,"HC ANTIBODY - VIRUS, NOT ELSEWHERE",188.22,112.93,10.0,7411.0,55
CDM,30200649,"HC ANTIBODY - VIRUS, NOT ELSEWHERE",188.22,112.93,10.0,7411.0,55
CDM,30200650,"HC ANTIBODY - VIRUS, NOT ELSEWHERE",188.22,112.93,10.0,7411.0,55
CDM,30200651,HC ANTIBODY - PARVOVIRUS,180.58,108.35,10.0,7411.0,55
CDM,30200652,HC ANTIBODY - PARVOVIRUS,180.58,108.35,10.0,7411.0,55
CDM,30200653,"HC ANTIBODY - FUNGUS, NES",158.76,95.26,10.0,7411.0,55
CDM,30200654,"HC ANTIBODY - FUNGUS, NES",158.76,95.26,10.0,7411.0,55
CDM,30200655,"HC ANTIBODY - FUNGUS, NES",158.76,95.26,10.0,7411.0,55
CDM,30200656,HC ANTIBODY - COXIELLA BRUNETTII,125.0,75.0,10.0,7411.0,55
CDM,30200657,"HC MICROSOMAL ANTIBODIES, EACH",172.55,103.53,10.0,7411.0,55
CDM,30200658,HC ANTIBODY - HIV-1,156.36,93.82,7.47,7411.0,55
CDM,30200659,HC RSV ANTIBODY RL,875.0,525.0,10.0,7411.0,55
CDM,30200660,HC ANTIBODY - RICKETTSIA,194.59,116.75,10.0,7411.0,55
CDM,30200661,HC ANTIBODY - RUBELLA,166.7,100.02,10.0,7411.0,55
CDM,30200662,HC ANTIBODY - RUBELLA,166.7,100.02,10.0,7411.0,55
CDM,30200663,HC TREPONEMA PALLIDUM,163.81,98.29,10.0,7411.0,55
CDM,30200664,HC TREPONEMA PALLIDUM,163.81,98.29,10.0,7411.0,55
CDM,30200665,HC ANTIBODY - RICKETTSIA,194.59,116.75,10.0,7411.0,55
CDM,30200666,HC ANTIBODY - INFLUENZA VIRUS,116.48,69.89,10.0,7411.0,55
CDM,30200667,HC ANTIBODY - INFLUENZA VIRUS,116.48,69.89,10.0,7411.0,55
CDM,30200668,"HC BLOOD SEROLOGY,QUANTITATIVE",116.31,69.79,3.7,7411.0,55
CDM,30200669,HC ANTIBODY - VARICELLA-ZOSTER,181.65,108.99,10.0,7411.0,55
CDM,30200670,HC ANTIBODY - VARICELLA-ZOSTER,181.65,108.99,10.0,7411.0,55
CDM,30200671,"HC FLUORESCENT ANTIBODY, SCREEN",251.24,150.74,10.0,7411.0,55
CDM,30200672,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200673,HC ANTIBODY IDENTIFICATION - PLATEL,462.77,277.66,10.0,7411.0,55
CDM,30200674,"HC FLUORESCENT ANTIBODY, SCREEN",251.24,150.74,10.0,7411.0,55
CDM,30200675,"HC FLUORESCENT ANTIBODY, SCREEN",251.24,150.74,10.0,7411.0,55
CDM,30200676,HC ANITBODY - ENTEROVIRUS,131.32,78.79,10.0,7411.0,55
CDM,30200677,HC ANITBODY - ENTEROVIRUS,131.32,78.79,10.0,7411.0,55
CDM,30200678,HC ANITBODY - ENTEROVIRUS,131.32,78.79,10.0,7411.0,55
CDM,30200679,"HC ANTIBODY - HELMINTH,NOT ELSEWHE",221.2,132.72,10.0,7411.0,55
CDM,30200680,"HC ANTIBODY - HELMINTH,NOT ELSEWHE",221.2,132.72,10.0,7411.0,55
CDM,30200681,HC ANTIBODY - HISOTPLASMA,117.66,70.6,10.0,7411.0,55
CDM,30200682,HC ANTIBODY - HISOTPLASMA,117.66,70.6,10.0,7411.0,55
CDM,30200683,HC ANTIBODY - HISOTPLASMA,117.66,70.6,10.0,7411.0,55
CDM,30200684,HC COMPLEMENT - FUNCTIONAL ACTIVITY,191.77,115.06,10.0,7411.0,55
CDM,30200685,HC CANDIDA ANTIBODY,126.0,75.6,10.0,7411.0,55
CDM,30200686,HC CANDIDA ANTIBODY,126.0,75.6,10.0,7411.0,55
CDM,30200687,HC ANTIBODY - ADENOVIRUS,117.37,70.42,10.0,7411.0,55
CDM,30200688,HC ANTIBODY - BORELLIA BUFGDORFERI,234.74,140.84,10.0,7411.0,55
CDM,30200689,HC LYME DISEASE/B. BURGDORFERI,187.37,112.42,10.0,7411.0,55
CDM,30200690,HC LYME DISEASE/B. BURGDORFERI,187.37,112.42,10.0,7411.0,55
CDM,30200691,"HC AGGLUTININS - FEBRILE, EACH ANT",129.8,77.88,5.86,7411.0,55
CDM,30200692,HC LYME DISEASE/B. BURGDORFERI,187.37,112.42,10.0,7411.0,55
CDM,30200693,"HC IMMUNOASSAY,INFECTIOUS AGENT A",101.08,60.65,10.0,7411.0,55
CDM,30200694,HC ISLET CELL ANTIBODY,238.0,142.8,10.0,7411.0,55
CDM,30200695,HC ALLERGEN SPEC IGG QUA RL,73.21,43.93,6.57,7411.0,55
CDM,30200696,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200697,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200698,"HC COMPLEMENT - ANTIGEN, EACH COMP",223.29,133.97,10.0,7411.0,55
CDM,30200699,"HC IMMUNODIFFUSION GEL DIFFUS.,QU",99.47,59.68,10.0,7411.0,55
CDM,30200700,HC ALLERGEN SPEC IGG QUA RL,73.21,43.93,6.57,7411.0,55
CDM,30200701,"HC TISSUE TYPING(HLA) A,B,OR C, M",1054.62,632.77,10.0,7411.0,55
CDM,30200702,"HC LYMPHOCYTOTOX.ASSAY,VISUAL CRO",617.0,370.2,10.0,7411.0,55
CDM,30200703,"HC LYMPHOCYTOTOX.ASSAY,VISUAL CRO",617.0,370.2,10.0,7411.0,55
CDM,30200704,"HC TISSUE TYPING(HLA) A,B,OR C, M",992.0,595.2,10.0,7411.0,55
CDM,30200705,"HC ANTIBODY IDENTIFICATION, LEUKO",265.04,159.02,10.0,7411.0,55
CDM,30200706,"HC ANTIBODY IDENTIFICATION, LEUKO",265.04,159.02,10.0,7411.0,55
CDM,30200707,"HC ANTIBODY IDENTIFICATION, LEUKO",265.04,159.02,10.0,7411.0,55
CDM,30200708,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200709,HC TB INTRADERMAL,55.52,33.31,9.44,7411.0,55
CDM,30200710,HC TB INTRADERMAL,55.52,33.31,9.44,7411.0,55
CDM,30200711,"HC IMMUNOASSAY,INFECTIOUS AGENT A",144.74,86.84,10.0,7411.0,55
CDM,30200712,"HC IMMUNOASSAY,INFECTIOUS AGENT A",144.74,86.84,10.0,7411.0,55
CDM,30200713,"HC ANTIBODY - HELMINTH,NOT ELSEWHE",221.2,132.72,10.0,7411.0,55
CDM,30200714,"HC ANTIBODY IDENTIFICATION, PLATE",1727.88,1036.73,10.0,7411.0,55
CDM,30200715,HC ANTIBODY - COCCIDIOIDES,143.88,86.33,9.63,7411.0,55
CDM,30200716,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200717,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,55
CDM,30200718,"HC COMPLEMENT; ANTIGEN, EACH COMP",223.29,133.97,10.0,7411.0,55
CDM,30200722,HC CARDIOLIPIN (PHOSPHOLIPID) ANT,242.38,145.43,10.0,7411.0,55
CDM,30200723,"HC ANTIBODY - HERPES SIMPLEX, NON-",167.33,100.4,10.0,7411.0,55
CDM,30200724,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200725,"HC ANTIBODY;WEST NILE VIRUS, IGM",173.53,104.12,10.0,7411.0,55
CDM,30200726,"HC IMMUNOASSAY,INFECTIOUS AGENT A",144.74,86.84,10.0,7411.0,55
CDM,30200727,HC C-REACTIVE PROTEIN,169.31,101.59,4.35,7411.0,55
CDM,30200728,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200729,"HC ANTIBODY - VIRUS, NOT ELSEWHERE",188.22,112.93,10.0,7411.0,55
CDM,30200730,"HC ANTIBODY - HIV-1 & HIV-2,SINGLE",233.33,140.0,10.0,7411.0,55
CDM,30200731,"HC ANTIBODY, HTLV I",107.34,64.4,7.64,7411.0,55
CDM,30200732,HC HEPATITIS B CORE ANTIBODY - HBC,180.88,108.53,10.0,7411.0,55
CDM,30200733,HC ANTIBODY IDENTIFICATION - PLATEL,462.77,277.66,10.0,7411.0,55
CDM,30200734,"HC ANTIBODY - HIV-1 & HIV-2,SINGLE",233.33,140.0,10.0,7411.0,55
CDM,30200736,HC HELICOBACTER PYLORI,217.79,130.67,10.0,7411.0,55
CDM,30200737,"HC ANTIBODY - FUNGUS, NES",158.76,95.26,10.0,7411.0,55
CDM,30200738,"HC FLUORESCENT ANTIBODY, SCREEN",251.24,150.74,10.0,7411.0,55
CDM,30200739,"HC AGGLUTINATION PARTICLE, ANTIBO",195.73,117.44,9.69,7411.0,55
CDM,30200740,"HC AGGLUTINATION PARTICLE, ANTIBO",195.73,117.44,9.69,7411.0,55
CDM,30200741,HC ISLET CELL ANTIBODY,238.0,142.8,10.0,7411.0,55
CDM,30200742,"HC ANTIBODY - FUNGUS, NES",158.76,95.26,10.0,7411.0,55
CDM,30200743,"HC ANTIBODY - FUNGUS, NES",158.76,95.26,10.0,7411.0,55
CDM,30200744,"HC ANTIBODY IDENTIFICATION, PLATE",1727.88,1036.73,10.0,7411.0,55
CDM,30200745,"HC ANTIBODY IDENTIFICATION, PLATE",1727.88,1036.73,10.0,7411.0,55
CDM,30200746,"HC AGGLUTININS - FEBRILE, EACH ANT",129.8,77.88,5.86,7411.0,55
CDM,30200747,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200748,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200749,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,55
CDM,30200750,HC EHRLICHIA,170.26,102.16,8.55,7411.0,55
CDM,30200751,"HC FLUORESCENT ANTIBODY, SCREEN",251.24,150.74,10.0,7411.0,55
CDM,30200752,"HC COMPLEMENT - ANTIGEN, EACH COMP",223.29,133.97,10.0,7411.0,55
CDM,30200753,HC BARTONELLA,95.5,57.3,8.55,7411.0,55
CDM,30200754,HC BARTONELLA,95.5,57.3,8.55,7411.0,55
CDM,30200755,HC BARTONELLA,95.5,57.3,8.55,7411.0,55
CDM,30200756,HC BARTONELLA,95.5,57.3,8.55,7411.0,55
CDM,30200757,"HC IMMUNOASSAY,INFECTIOUS AGENT A",144.74,86.84,10.0,7411.0,55
CDM,30200758,"HC IMMUNOASSAY,INFECTIOUS AGENT A",144.74,86.84,10.0,7411.0,55
CDM,30200759,"HC IMMUNOASSAY,INFECTIOUS AGENT A",144.74,86.84,10.0,7411.0,55
CDM,30200760,"HC AGGLUTINATION PARTICLE, ANTIBO",195.73,117.44,9.69,7411.0,55
CDM,30200761,HC ISLET CELL ANTIBODY,238.0,142.8,10.0,7411.0,55
CDM,30200764,tuberculin PPD 5 tub. unit/0.1 mL intradermal injection solution,98.535,59.120000000000005,10.0,7411.0,110
CDM,30200765,HC AB SCHISTOSOMA IGG,221.2,132.72,10.0,7411.0,55
CDM,30200766,HC IA TUMOR AG CA 15 3 QT,286.24,171.74,10.0,7411.0,55
CDM,30200767,HC IA TUMOR AG CA 27 29 QT,286.24,171.74,10.0,7411.0,55
CDM,30200768,HC ROTAVIRUS AB,256.01,153.61,10.0,7411.0,55
CDM,30200770,HC MYELIN OLIGODENDROCYTE GLYCOPROTEIN (MOG) AB,281.47,168.88,10.0,7411.0,55
CDM,30200772,HC RBC PRETREATMENT BY DENSITY GRADIENT SEP,79.55,47.73,10.0,7411.0,55
CDM,30200773,"HC REF CARTER BLOOD CARE, B2070 - ABO SEROLOGIC BLOOD TYPING",139.13,83.48,2.51,7411.0,55
CDM,30200774,"HC REF CARTER BLOOD CARE, B2070 - RH(D) SEROLOGIC BLOOD TYPING",139.13,83.48,2.51,7411.0,55
CDM,30200775,"HC REF MAYO, COMP SPPS, CPT 86341",725.21,435.13,10.0,7411.0,55
CDM,30200776,"HC REF MAYO, COMP SPPS, CPT 86255",370.77,222.46,10.0,7411.0,55
CDM,30200777,"HC REF MAYO, COMP SPPC, CPT 86341",725.21,435.13,10.0,7411.0,55
CDM,30200778,"HC REF MAYO, COMP SPPC, CPT 86255",370.77,222.46,10.0,7411.0,55
CDM,30200779,"HC REF ARUP, COMP 0050980, CPT 86317",8.35,5.01,3.01,7411.0,55
CDM,30200780,"HC REF ARUP, COMP 3001561, CPT 86003",16.45,9.87,4.38,7411.0,55
CDM,30200781,"HC REF ARUP, COMP 3001561, CPT 86005",47.0,28.2,6.69,7411.0,55
CDM,30200782,"HC REF ARUP, COMP 3001561, CPT 86331",9.87,5.92,3.55,7411.0,55
CDM,30200783,"HC REF ARUP, COMP 3001561, CPT 86606",9.87,5.92,3.55,7411.0,55
CDM,30200784,"HC REF MAYO, COMP PAVAL, CPT 86255",10.34,6.2,3.72,7411.0,55
CDM,30200785,"HC REF MAYO, COMP PAVAL, CPT 86596",88.64,53.18,10.0,7411.0,55
CDM,30200786,"HC REF MAYO CD20B, COMP CPT 86355",487.83,292.7,10.0,7411.0,55
CDM,30200787,"HC REF MAYO CD20B, COMP CPT 86356",346.25,207.75,10.0,7411.0,55
CDM,30200788,HC REF MAYO FCRDE CARMINE DYE/RED DYE COCHINEAL (DACTYLOPIUS COCCUS) IGE,140.15,84.09,4.38,7411.0,55
CDM,30200789,"HC REF MAYO FRFIT RABIES RFFIT ENDPOINT, S",287.5,172.5,10.0,7411.0,55
CDM,30200790,HC REF EUROFINS VIRACOR 403979P COMP CPT 86008,159.83,95.9,10.0,7411.0,55
CDM,30200813,"HC TISSUE TYPING(HLA) A,B, OR C IMMUNOLOGY TRANSPLANT",914.01,548.41,10.0,7411.0,55
CDM,30200819,HC REF PLATELET ANTIBODIES,578.28,346.97,10.0,7411.0,55
CDM,30200820,HC REF PURKINJE CLL CYTOP AB TYTR,60.95,36.57,10.0,7411.0,55
CDM,30200821,HC REF CRMP-5-IGG SERUM,60.95,36.57,10.0,7411.0,55
CDM,30200822,HC REF ANTI-NEURONAL AB TYPE 3,60.95,36.57,10.0,7411.0,55
CDM,30200823,HC REF PURKINJE CELL CYTOP AB TY2,60.95,36.57,10.0,7411.0,55
CDM,30200824,HC REF ANTI-NEURONAL NUC AB TY 1,60.95,36.57,10.0,7411.0,55
CDM,30200825,HC REF ANTI-NEURONAL NUC AB TY 2,60.95,36.57,10.0,7411.0,55
CDM,30200826,HC REF PURKINJE CELL CYTOP AB TY1,60.95,36.57,10.0,7411.0,55
CDM,30200827,HC REF AMPHYIPHYSIN AB SERUM,60.95,36.57,10.0,7411.0,55
CDM,30200828,HC REF ANTI-GLIAL NUCLEAR AB TY 1,60.95,36.57,10.0,7411.0,55
CDM,30200829,HC PATHOGEN TEST FOR PLATELETS,49.84,29.9,8.47,7411.0,55
CDM,30200830,HC REF LYM TCELL SUB PANEL 4 BAL,320.0,192.0,10.0,7411.0,55
CDM,30200831,HC REF ANTI JO1 AB,64.38,38.63,10.0,7411.0,55
CDM,30200832,HC REF ANTI SSA 52 KD AB IGG,64.38,38.63,10.0,7411.0,55
CDM,30200833,HC REF ANTI PM SCL AB,64.38,38.63,10.0,7411.0,55
CDM,30200834,HC REF ANTI U1 RNP AB,64.38,38.63,10.0,7411.0,55
CDM,30200835,HC REF MDA 5 P140 CADM,64.38,38.63,10.0,7411.0,55
CDM,30200836,HC REF NXP 2 P140,64.38,38.63,10.0,7411.0,55
CDM,30200837,HC REF TIF1 GAMMA P155 140,64.38,38.63,10.0,7411.0,55
CDM,30200838,HC REF ANTI SAE 1 IGG,64.38,38.63,10.0,7411.0,55
CDM,30200840,HC HEMAGGLUTINATION INHIBITION,122.1,73.26,6.88,7411.0,55
CDM,30200841,"HC IMMUNOELECTROPHOR,OTHER FLUIDS W/CONC",289.17,173.5,10.0,7411.0,55
CDM,30200842,HC IMMUNODIFFUSION NES,238.05,142.83,10.0,7411.0,55
CDM,30200843,HC REF HEREDITARY HEMOLYTIC ANEMIA PANEL SEQUENCING,4500.0,2700.0,10.0,12634.57,55
CDM,30200844,HC REF LYM SUB PANEL BRNCH LAVAGE,320.0,192.0,10.0,7411.0,55
CDM,30200845,HC REF NECROTIZING MYOPATH EA AB,469.49,281.69,10.0,7411.0,55
CDM,30200846,HC REF S100B PROTEIN SERUM,493.5,296.1,10.0,7411.0,55
CDM,30200849,HC REF DPPX AB CBA CSF,656.25,393.75,10.0,7411.0,55
CDM,30200850,REF DPPX AB CBA S,221.55,132.93,10.0,7411.0,55
CDM,30200851,REF DPPX AB IFA CSF,221.55,132.93,10.0,7411.0,55
CDM,30200852,REF DPPX AB IFA S,221.55,132.93,10.0,7411.0,55
CDM,30200853,REF DPPX AB IFA TITER CSF,192.71,115.63,10.0,7411.0,55
CDM,30200854,REF DPPX AB IFA TITER S,208.13,124.88,10.0,7411.0,55
CDM,30200855,REF GFAP CBA CSF,221.55,132.93,10.0,7411.0,55
CDM,30200856,REF GFAP CBA S,221.55,132.93,10.0,7411.0,55
CDM,30200857,REF GFAP IFA CSF,221.55,132.93,10.0,7411.0,55
CDM,30200858,REF GFAP IFA S,221.55,132.93,10.0,7411.0,55
CDM,30200859,REF GFAP IFA TITER CSF,208.13,124.88,10.0,7411.0,55
CDM,30200860,REF GFAP IFA TITER S,208.13,124.88,10.0,7411.0,55
CDM,30200861,REF MGLUR1 AB CBA CSF,221.55,132.93,10.0,7411.0,55
CDM,30200862,REF MGLUR1 AB CBA S,221.55,132.93,10.0,7411.0,55
CDM,30200863,REF MGLUR1 AB IFA CSF,221.55,132.93,10.0,7411.0,55
CDM,30200864,REF MGLUR1 AB IFA S,221.55,132.93,10.0,7411.0,55
CDM,30200865,REF MGLUR1 AB IFA TITER CSF,208.13,124.88,10.0,7411.0,55
CDM,30200866,HC REF MGLUR1 AB TITER S,196.88,118.13,10.0,7411.0,55
CDM,30200868,HC REF MYO MARKER NUCLEAR AG,887.5,532.5,10.0,7411.0,55
CDM,30200869,HC REF ANTI-MARKEL CELL PANEL,828.13,496.88,10.0,7411.0,55
CDM,30200870,HC REF HEPARIN DEPENDENT PLATLET AB SEROTONIN RELEASE ASSAY,871.5,522.9,10.0,7411.0,55
CDM,30200871,HC REF FLUORESCENT ANTIBODY SCREEN,508.78,305.27,10.0,7411.0,55
CDM,30200873,HC REF FRANCISELLA TULARENSIS IGM,156.25,93.75,10.0,7411.0,55
CDM,30200874,HC REF FRANCISELLA TULARENSIS IGG,156.25,93.75,10.0,7411.0,55
CDM,30200875,HC LYME DISEASE ANTIBODY,187.37,112.42,10.0,7411.0,55
CDM,30200879,HC REF FILARIA IGG4 ANTIBODY,360.15,216.09,10.0,7411.0,55
CDM,30200880,"HC REF, PHOSPHOLIPASE A2 RECEPTOR, IGG TITER, ARUP",525.0,315.0,10.0,7411.0,55
CDM,30200881,HC REF MYELIN OLIGODENDROCYTE GLYCOPROTEIN,1155.0,693.0,10.0,7411.0,55
CDM,30200882,HC NEUTRALIZING ANTIBODY SARS-COV-2 TITER,712.5,427.5,10.0,7411.0,55
CDM,30200883,"HC REF MAYO, COMPONENT OF FAVI PANEL, IMMUNODIFFUSION OUCHTERLONY",217.88,130.73,10.0,7411.0,55
CDM,30200884,"HC REF MAYO, BSA - BOVINE SERUM ALBUMIN",23.65,14.19,8.51,7411.0,55
CDM,30200885,"HC REF MAYO, OVAL - OVALBUMIN, IGE, SERUM",23.65,14.19,8.51,7411.0,55
CDM,30200886,"HC REF MAYO, FSAR2 - SARS COV 2 NEUTRALIZING ANTIBODY",750.0,450.0,10.0,7411.0,55
CDM,30200887,HC SEV AQT RESPIR SYND CORONAVIRUS 2 ANTIBODY QUAN,28.98,17.39,10.0,7411.0,55
CDM,30200889,"HC REF DR JACK S REMMINGTON LAB , TOXOPLASMA IGA, IGA ELISA",433.13,259.88,10.0,7411.0,55
CDM,30200890,"HC REF DR JACK S REMMINGTON LAB , TOXOPLASMA IGG",446.25,267.75,10.0,7411.0,55
CDM,30200891,"HC REF DR JACK S REMMINGTON LAB , TOXOPLASMA IGM, IGM ISAGA",420.0,252.0,10.0,7411.0,55
CDM,30200892,HC ANTIMITOCONDRIAL ANTIBODY,325.92,195.55,10.0,7411.0,55
CDM,30200893,"HC ANTI-NEUTROPHILIC CYTOPLASMIC ANTIBODY, EA",162.96,97.78,10.0,7411.0,55
CDM,30200894,"HC REF ARUP 3002723, SAR-Z COVID-19 SPIKE PROTEIN",135.85,81.51,10.0,7411.0,55
CDM,30200895,"HC REF MAYO, MOLD1 MOLD PANEL ALLERGY TEST",120.57,72.34,4.38,7411.0,55
CDM,30200896,"HC REF ARUP, COMP 3002912, CPT 86668",150.0,90.0,10.0,7411.0,55
CDM,30200897,HC ALLERGY TEST - AMOXICILLIN,80.05,48.03,4.38,7411.0,55
CDM,30200898,HC ALLERGY TEST - AMPICILLIN,80.05,48.03,4.38,7411.0,55
CDM,30200899,HC ALLERGY TEST - APRICOT,80.05,48.03,4.38,7411.0,55
CDM,30200900,HC ALLERGY TEST - ASPARAGUS,80.05,48.03,4.38,7411.0,55
CDM,30200901,HC ALLERGY TEST - BARLEY,80.05,48.03,4.38,7411.0,55
CDM,30200902,HC ALLERGY TEST - BETA-LACTOBLOBULIN,80.05,48.03,4.38,7411.0,55
CDM,30200903,HC ALLERGY TEST - BLACK PEPPER,80.05,48.03,4.38,7411.0,55
CDM,30200904,HC ALLERGY TEST - BLUE MUSCLE,80.05,48.03,4.38,7411.0,55
CDM,30200905,HC ALLERGY TEST - BLUEBERRY,80.05,48.03,4.38,7411.0,55
CDM,30200906,HC ALLERGY TEST - BROCCOLI,80.05,48.03,4.38,7411.0,55
CDM,30200907,HC ALLERGY TEST - CABBAGE,80.05,48.03,4.38,7411.0,55
CDM,30200908,HC ALLERGY TEST - CARROT,80.05,48.03,4.38,7411.0,55
CDM,30200909,HC ALLERGY TEST - CELERY,80.05,48.03,4.38,7411.0,55
CDM,30200910,"HC ALLERGY TEST - CHEESE, CHEDDAR",80.05,48.03,4.38,7411.0,55
CDM,30200911,"HC ALLERGY TEST - CHEESE, MOLD",80.05,48.03,4.38,7411.0,55
CDM,30200912,HC ALLERGY TEST - CHERRY,80.05,48.03,4.38,7411.0,55
CDM,30200913,"HC ALLERGY TEST - CHESTNUT, SWEET",80.05,48.03,4.38,7411.0,55
CDM,30200914,HC ALLERGY TEST - CHICKPEA,80.05,48.03,4.38,7411.0,55
CDM,30200915,HC ALLERGY TEST - CHILI PEPPER,80.05,48.03,4.38,7411.0,55
CDM,30200916,HC ALLERGY TEST - CINNAMON,80.05,48.03,4.38,7411.0,55
CDM,30200917,HC ALLERGY TEST - CLOVE,80.05,48.03,4.38,7411.0,55
CDM,30200918,HC ALLERGY TEST - COCONUT,80.05,48.03,4.38,7411.0,55
CDM,30200919,HC ALLERGY TEST - COFFEE,80.05,48.03,4.38,7411.0,55
CDM,30200920,HC ALLERGY TEST - CRAYFISH,80.05,48.03,4.38,7411.0,55
CDM,30200921,HC ALLERGY TEST - CUCUMBER,80.05,48.03,4.38,7411.0,55
CDM,30200922,"HC ALLERGY TEST - EGG, WHOLE",80.05,48.03,4.38,7411.0,55
CDM,30200923,HC ALLERGY TEST - FLOUNDER,80.05,48.03,4.38,7411.0,55
CDM,30200924,HC ALLERGY TEST - GINGER,80.05,48.03,4.38,7411.0,55
CDM,30200925,HC ALLERGY TEST - GRAPE,80.05,48.03,4.38,7411.0,55
CDM,30200926,HC ALLERGY TEST - GRAPEFRUIT,80.05,48.03,4.38,7411.0,55
CDM,30200927,HC ALLERGY TEST - GREEN BEAN,80.05,48.03,4.38,7411.0,55
CDM,30200928,HC ALLERGY TEST - GREEN PEPPER,80.05,48.03,4.38,7411.0,55
CDM,30200929,HC ALLERGY TEST - LAMB,80.05,48.03,4.38,7411.0,55
CDM,30200930,HC ALLERGY TEST - LEMON,80.05,48.03,4.38,7411.0,55
CDM,30200931,HC ALLERGY TEST - LENTIL,80.05,48.03,4.38,7411.0,55
CDM,30200932,HC ALLERGY TEST - LETTUCE,80.05,48.03,4.38,7411.0,55
CDM,30200933,HC ALLERGY TEST - LIME,80.05,48.03,4.38,7411.0,55
CDM,30200934,HC ALLERGY TEST - MANGO,80.05,48.03,4.38,7411.0,55
CDM,30200935,HC ALLERGY TEST - MOSQUITO,80.05,48.03,4.38,7411.0,55
CDM,30200936,"HC ALLERGY TEST - EPITHELIUM/DANDER, MOUSE",80.05,48.03,4.38,7411.0,55
CDM,30200937,HC ALLERGY TEST - MUSHROOM,80.05,48.03,4.38,7411.0,55
CDM,30200938,HC ALLERGY TEST - MUSTARD,80.05,48.03,4.38,7411.0,55
CDM,30200939,HC ALLERGY TEST - ONION,80.05,48.03,4.38,7411.0,55
CDM,30200940,HC ALLERGY TEST - ORANGE,80.05,48.03,4.38,7411.0,55
CDM,30200941,HC ALLERGY TEST - PAPAYA,80.05,48.03,4.38,7411.0,55
CDM,30200942,HC ALLERGY TEST - GREEN PEA,80.05,48.03,4.38,7411.0,55
CDM,30200943,HC ALLERGY TEST - PEACH,80.05,48.03,4.38,7411.0,55
CDM,30200944,HC ALLERGY TEST - PEAR,80.05,48.03,4.38,7411.0,55
CDM,30200945,HC ALLERGY TEST - PENICILLIN G,80.05,48.03,4.38,7411.0,55
CDM,30200946,HC ALLERGY TEST - PENICILLIN V,80.05,48.03,4.38,7411.0,55
CDM,30200947,HC ALLERGY TEST - PINE NUT,80.05,48.03,4.38,7411.0,55
CDM,30200948,HC ALLERGY TEST - PINEAPPLE,80.05,48.03,4.38,7411.0,55
CDM,30200949,HC ALLERGY TEST - PLUM,80.05,48.03,4.38,7411.0,55
CDM,30200950,HC ALLERGY TEST - SWEET POTATO,80.05,48.03,4.38,7411.0,55
CDM,30200951,HC ALLERGY TEST - WHITE POTATO,80.05,48.03,4.38,7411.0,55
CDM,30200952,"HC ALLERGY TEST - EPITHELIUM/DANDER, RABBIT",80.05,48.03,4.38,7411.0,55
CDM,30200953,HC ALLERGY TEST - RASPBERRY,80.05,48.03,4.38,7411.0,55
CDM,30200954,HC ALLERGY TEST - SPINACH,80.05,48.03,4.38,7411.0,55
CDM,30200955,"HC ALLERGY TEST - SQUASH, PUMPKIN",80.05,48.03,4.38,7411.0,55
CDM,30200956,HC ALLERGY TEST - SUNFLOWER SEED,80.05,48.03,4.38,7411.0,55
CDM,30200957,HC ALLERGY TEST - TEA,80.05,48.03,4.38,7411.0,55
CDM,30200958,HC ALLERGY TEST - TROUT,80.05,48.03,4.38,7411.0,55
CDM,30200959,HC ALLERGY TEST - VANILLA,80.05,48.03,4.38,7411.0,55
CDM,30200960,HC ALLERGY TEST - WATERMELON,80.05,48.03,4.38,7411.0,55
CDM,30200961,"HC ALLERGY TEST - WHEY, COW",80.05,48.03,4.38,7411.0,55
CDM,30200962,HC ALLERGY TEST - WHITE BEAN,80.05,48.03,4.38,7411.0,55
CDM,30200963,HC ALLERGY TEST - YEAST,80.05,48.03,4.38,7411.0,55
CDM,30200964,HC ALLERGY TEST - SCALLOP,80.05,48.03,4.38,7411.0,55
CDM,30200965,"HC ALLERGY TEST - URINE PROTEIN, MOUSE",80.05,48.03,4.38,7411.0,55
CDM,30200966,HC ALLERGY TEST - OVOMUCOID,80.05,48.03,4.38,7411.0,55
CDM,30200967,HC ALLERGY TEST - SALMON,80.05,48.03,4.38,7411.0,55
CDM,30200968,HC ALLERGY TEST - OVALBUMIN,80.05,48.03,4.38,7411.0,55
CDM,30200969,HC ALLERGY TEST - KIWI,80.05,48.03,4.38,7411.0,55
CDM,30200970,HC ALLERGY TEST - OAT,80.05,48.03,4.38,7411.0,55
CDM,30200971,HC ALLERGY TEST - RICE,80.05,48.03,4.38,7411.0,55
CDM,30200972,HC ALLERGY TEST - SESAME SEED,80.05,48.03,4.38,7411.0,55
CDM,30200973,HC ALLERGY TEST - CATFISH,80.05,48.03,4.38,7411.0,55
CDM,30200974,"HC ALLERGY TEST - OLIVE, BLACK",80.05,48.03,4.38,7411.0,55
CDM,30200975,HC ALLERGY TEST - GLUTEN,80.05,48.03,4.38,7411.0,55
CDM,30200976,"HC ALLERGY TEST - VENOM, EUROPEAN HORNET",80.05,48.03,4.38,7411.0,55
CDM,30200977,HC ALLERGY TEST - CACAO/COCOA,80.05,48.03,4.38,7411.0,55
CDM,30200978,HC ALLERGY TEST - HALIBUT,80.05,48.03,4.38,7411.0,55
CDM,30200979,"HC ALLERGY TEST - EPITHELIUM/DANDER, COW",80.05,48.03,4.38,7411.0,55
CDM,30200980,HC ALLERGY TEST - MELONS,80.05,48.03,4.38,7411.0,55
CDM,30200981,HC ALLERGY TEST - RYE,80.05,48.03,4.38,7411.0,55
CDM,30200982,HC ALLERGY TEST - TURKEY,80.05,48.03,4.38,7411.0,55
CDM,30200983,HC ALLERGY TEST - DILL,80.05,48.03,4.38,7411.0,55
CDM,30200984,HC ALLERGY TEST - OREGANO,80.05,48.03,4.38,7411.0,55
CDM,30200985,HC ALLERGY TEST - PAPRIKA,80.05,48.03,4.38,7411.0,55
CDM,30200986,HC ALLERGY TEST - BLACKBERRY,80.05,48.03,4.38,7411.0,55
CDM,30200987,HC ALLERGY TEST - BUDGERIGAR FEATHERS,80.05,48.03,4.38,7411.0,55
CDM,30200988,"HC ALLERGY TEST - DROPPINGS, CHICKEN",80.05,48.03,4.38,7411.0,55
CDM,30200989,"HC ALLERGY TEST - MILK, PROCESSED",80.05,48.03,4.38,7411.0,55
CDM,30200990,HC ALLERGY TEST - KIDNEY BEAN,80.05,48.03,4.38,7411.0,55
CDM,30200991,HC ALLERGY TEST - MACKEREL,80.05,48.03,4.38,7411.0,55
CDM,30200992,HC ALLERGY TEST - CARMINE/RED DYE,80.05,48.03,4.38,7411.0,55
CDM,30200993,"HC ALLERGY TEST - SQUID, PACIFIC",80.05,48.03,4.38,7411.0,55
CDM,30200994,HC ALLERGY TEST - TILAPIA,80.05,48.03,4.38,7411.0,55
CDM,30200995,HC ALLERGY TEST - BASIL,80.05,48.03,4.38,7411.0,55
CDM,30200996,HC ALLERGY TEST - BAY LEAF,80.05,48.03,4.38,7411.0,55
CDM,30200997,HC ALLERGY TEST - CARAWAY,80.05,48.03,4.38,7411.0,55
CDM,30200998,HC ALLERGY TEST - CARDAMOM,80.05,48.03,4.38,7411.0,55
CDM,30200999,HC ALLERGY TEST - CORIANDER,80.05,48.03,4.38,7411.0,55
CDM,30201000,HC ALLERGY TEST - CURRY,80.05,48.03,4.38,7411.0,55
CDM,30201001,HC ALLERGY TEST - MACE,80.05,48.03,4.38,7411.0,55
CDM,30201002,HC ALLERGY TEST - MARJORAM,80.05,48.03,4.38,7411.0,55
CDM,30201003,HC ALLERGY TEST - NUTMEG,80.05,48.03,4.38,7411.0,55
CDM,30201004,HC ALLERGY TEST - POPPY SEED,80.05,48.03,4.38,7411.0,55
CDM,30201005,HC ALLERGY TEST - THYME,80.05,48.03,4.38,7411.0,55
CDM,30201006,HC ALLERGY TEST - CAULIFLOWER,80.05,48.03,4.38,7411.0,55
CDM,30201007,HC ALLERGY TEST - DATE,80.05,48.03,4.38,7411.0,55
CDM,30201008,HC ALLERGY TEST - PARSLEY,80.05,48.03,4.38,7411.0,55
CDM,30201009,HC ALLERGY TEST - WHITE PINE,80.05,48.03,4.38,7411.0,55
CDM,30201010,"HC ALLERGY TEST - INSULIN, HUMAN",80.05,48.03,4.38,7411.0,55
CDM,30201011,HC ALLERGY TEST - SQUID,80.05,48.03,4.38,7411.0,55
CDM,30201012,"HC ALLERGY TEST - EPITHEIUM/DANDER, HAMSTER",80.05,48.03,4.38,7411.0,55
CDM,30201013,HC ALLERGY TEST - GELATIN,80.05,48.03,4.38,7411.0,55
CDM,30201014,HC ALLERGY TEST - HAZELNUT,80.05,48.03,4.38,7411.0,55
CDM,30201015,HC ALLERGY TEST - AVOCADO,80.05,48.03,4.38,7411.0,55
CDM,30201016,HC ALLERGY TEST - BANANA,80.05,48.03,4.38,7411.0,55
CDM,30201017,HC ALLERGY TEST - BRAZIL NUT,80.05,48.03,4.38,7411.0,55
CDM,30201018,HC ALLERGY TEST - CASEIN,80.05,48.03,4.38,7411.0,55
CDM,30201019,HC ALLERGY TEST - CHICKEN,80.05,48.03,4.38,7411.0,55
CDM,30201020,HC ALLERGY TEST - FIRE ANT,80.05,48.03,4.38,7411.0,55
CDM,30201021,HC ALLERGY TEST - HELMINTHOSPORIUM HALODES,80.05,48.03,4.38,7411.0,55
CDM,30201022,"HC ALLERGY TEST - VENOM, HONEY BEE",80.05,48.03,4.38,7411.0,55
CDM,30201023,"HC ALLERGY TEST - EPITHELIUM/DANDER, HORSE",80.05,48.03,4.38,7411.0,55
CDM,30201024,HC ALLERGY TEST - OYSTER,80.05,48.03,4.38,7411.0,55
CDM,30201025,"HC ALLERGY TEST - VENOM, PAPER WASP",80.05,48.03,4.38,7411.0,55
CDM,30201026,HC ALLERGY TEST - PISTACHIO,80.05,48.03,4.38,7411.0,55
CDM,30201027,HC ALLERGY TEST - STRAWBERRY,80.05,48.03,4.38,7411.0,55
CDM,30201028,"HC ALLERGY TEST - VENOM, WHITE-FACED HORNET",80.05,48.03,4.38,7411.0,55
CDM,30201029,"HC ALLERGY TEST - VENOM, YELLOW JACKET",80.05,48.03,4.38,7411.0,55
CDM,30201030,HC ALLERGY TEST - CEDAR,80.05,48.03,4.38,7411.0,55
CDM,30201031,HC ALLERGY TEST - CODFISH,80.05,48.03,4.38,7411.0,55
CDM,30201032,HC ALLERGY TEST - SHRIMP,80.05,48.03,4.38,7411.0,55
CDM,30201033,HC ALLERGY TEST - SOYBEAN,80.05,48.03,4.38,7411.0,55
CDM,30201034,HC ALLERGY TEST - WHEAT,80.05,48.03,4.38,7411.0,55
CDM,30201035,HC ALLERGY TEST - CLAM,80.05,48.03,4.38,7411.0,55
CDM,30201036,HC ALLERGY TEST - CORN,80.05,48.03,4.38,7411.0,55
CDM,30201037,HC ALLERGY TEST - CRAB,80.05,48.03,4.38,7411.0,55
CDM,30201038,HC ALLERGY TEST - EGG YOLK,80.05,48.03,4.38,7411.0,55
CDM,30201039,HC ALLERGY TEST - PORK,80.05,48.03,4.38,7411.0,55
CDM,30201040,HC ALLERGY TEST - TOMATO,80.05,48.03,4.38,7411.0,55
CDM,30201041,"HC ALLERGY TEST - HOUSE DUST, GREER",80.05,48.03,4.38,7411.0,55
CDM,30201042,HC ALLERGY TEST - LOBSTER,80.05,48.03,4.38,7411.0,55
CDM,30201043,HC ALLERGY TEST - TUNA,80.05,48.03,4.38,7411.0,55
CDM,30201044,HC ALLERGY TEST - ALPHA LACTALBUMIN,80.05,48.03,4.38,7411.0,55
CDM,30201045,HC ALLERGY TEST - CHAETOMIUM GLOBOSUM,80.05,48.03,4.38,7411.0,55
CDM,30201046,HC ALLERGY TEST - TARRAGON,80.05,48.03,4.38,7411.0,55
CDM,30201047,HC ALLERGY TEST - DERMATOPHAGOIDES FARINAE,80.05,48.03,4.38,7411.0,55
CDM,30201048,HC ALLERGY TEST - ASPERGILLUS NIGER,80.05,48.03,4.38,7411.0,55
CDM,30201049,HC ALLERGY TEST - WILLOW,80.05,48.03,4.38,7411.0,55
CDM,30201050,HC ALLERGY TEST - EPICOCCUM PURPURASCENS,80.05,48.03,4.38,7411.0,55
CDM,30201051,HC ALLERGY TEST - AUREOBASIDIUM PULLULANS,80.05,48.03,4.38,7411.0,55
CDM,30201052,HC ALLERGY TEST - FUSARIUM MONILIFORME,80.05,48.03,4.38,7411.0,55
CDM,30201053,HC ALLERGY TEST - RHIZOPUS NIGRICAN,80.05,48.03,4.38,7411.0,55
CDM,30201054,HC ALLERGY TEST - PEANUT,80.05,48.03,4.38,7411.0,55
CDM,30201055,HC ALLERGY TEST - EGG WHITE,80.05,48.03,4.38,7411.0,55
CDM,30201056,HC ALLERGY TEST - COW MILK,80.05,48.03,4.38,7411.0,55
CDM,30201057,HC ALLERGY TEST - PECAN,80.05,48.03,4.38,7411.0,55
CDM,30201058,HC ALLERGY TEST - ALMOND,80.05,48.03,4.38,7411.0,55
CDM,30201059,HC ALLERGY TEST - WALNUT,80.05,48.03,4.38,7411.0,55
CDM,30201060,HC ALLERGY TEST - CASHEW,80.05,48.03,4.38,7411.0,55
CDM,30201061,HC ALLERGY TEST - SARDINE,80.05,48.03,4.38,7411.0,55
CDM,30201062,HC ALLERGY TEST - TRICHOPHYTON RUBRUM,80.05,48.03,4.38,7411.0,55
CDM,30201063,HC ALLERGY TEST - FALSE RAGWEED,80.05,48.03,4.38,7411.0,55
CDM,30201064,HC ALLERGY TEST - STEMPHYLIUM HERBARUM,80.05,48.03,4.38,7411.0,55
CDM,30201065,HC ALLERGY TEST - EGGPLANT,80.05,48.03,4.38,7411.0,55
CDM,30201066,HC ALLERGY TEST - FIREBUSH (KOCHIA),80.05,48.03,4.38,7411.0,55
CDM,30201067,HC ALLERGY TEST - PRIVET TREE,80.05,48.03,4.38,7411.0,55
CDM,30201068,"HC ALLERGY TEST - EPITHELIUM/DANDER, SHEEP",80.05,48.03,4.38,7411.0,55
CDM,30201069,HC ALLERGY TEST - SWORDFISH,80.05,48.03,4.38,7411.0,55
CDM,30201070,"HC ALLERGY TEST - EPITHELIUM/DANDER, GOAT",80.05,48.03,4.38,7411.0,55
CDM,30201071,HC ALLERGY TEST - GOAT MILK,80.05,48.03,4.38,7411.0,55
CDM,30201072,HC ALLERGY TEST - BUCKWHEAT,80.05,48.03,4.38,7411.0,55
CDM,30201073,HC ALLERGY TEST - HAKE,80.05,48.03,4.38,7411.0,55
CDM,30201074,HC ALLERGY TEST - OCTOPUS,80.05,48.03,4.38,7411.0,55
CDM,30201075,HC RBC ANTIBODY SCREEN -  PRENATAL,228.91,137.35,9.28,7411.0,55
CDM,30201076,HC FLUORESCENT AB TITER - PHOSPHOLIPASE A2 RECEPTOR,208.13,124.88,10.0,7411.0,55
CDM,30201077,HC FLUORESCENT AB TITER - STRIATED MUSCLE,208.13,124.88,10.0,7411.0,55
CDM,30201078,HC FLUORESCENT AB TITER - MOG IGG,208.13,124.88,10.0,7411.0,55
CDM,30201079,HC FLUORESCENT AB TITER - METHYL-D-ASPARTATE RECEPTOR,208.13,124.88,10.0,7411.0,55
CDM,30201080,HC HEPATITIS DELTA IGM,187.64,112.58,10.0,7411.0,55
CDM,30201081,HC HEPATITIS DELTA ANTIBODY,187.64,112.58,10.0,7411.0,55
CDM,30201082,"HC AB ID, HEPARIN INDUCED PLATELET AB",462.77,277.66,10.0,7411.0,55
CDM,30201083,"HC AB ID, PLATELET CLUMPING PROFILE",462.77,277.66,10.0,7411.0,55
CDM,30201084,HC BLASTOMYCES AB - IMMUNODIFFUSION,125.26,75.16,10.0,7411.0,55
CDM,30201085,HC BLASTOMYCES AB - SERUM,125.26,75.16,10.0,7411.0,55
CDM,30201086,"HC COMPLEMENT, ANTIGEN - C1 ESTERASE INHIBITOR",223.29,133.97,10.0,7411.0,55
CDM,30201087,"HC COMPLEMENT, ANTIGEN - C1Q",223.29,133.97,10.0,7411.0,55
CDM,30201088,"HC COMPLEMENT, ANTIGEN - C3",223.29,133.97,10.0,7411.0,55
CDM,30201089,"HC COMPLEMENT, ANTIGEN - C3A",223.29,133.97,10.0,7411.0,55
CDM,30201090,"HC COMPLEMENT, ANTIGEN - C4",223.29,133.97,10.0,7411.0,55
CDM,30201091,"HC EPSTEIN BARR AB VCA, IGG",220.82,132.49,10.0,7411.0,55
CDM,30201092,"HC EPSTEIN BARR AB VCA, IGM",220.82,132.49,10.0,7411.0,55
CDM,30201093,"HC FLUORESCENT AB SCREEN - ACHR MODULATING, FLOW CYTO",251.24,150.74,10.0,7411.0,55
CDM,30201094,HC FLUORESCENT AB SCREEN - ANTI DNA DOUBLE STRANDED,251.24,150.74,10.0,7411.0,55
CDM,30201095,HC FLUORESCENT AB SCREEN - ANTI PARIETAL CELL,251.24,150.74,10.0,7411.0,55
CDM,30201096,HC FLUORESCENT AB SCREEN - ENDOMYSIAL IGA,251.24,150.74,10.0,7411.0,55
CDM,30201097,HC FLUORESCENT AB SCREEN - METHYL-D-ASPARTATE RECEPTOR IGG,251.24,150.74,10.0,7411.0,55
CDM,30201098,HC FLUORESCENT AB SCREEN - PHOSPHOLIPASE A2 RECEPTOR IGG,251.24,150.74,10.0,7411.0,55
CDM,30201099,HC FLUORESCENT AB SCREEN - SMOOTH MUSCLE,193.35,116.01,10.0,7411.0,55
CDM,30201100,HC FLUORESCENT AB SCREEN - STRIATED MUSCLE,251.24,150.74,10.0,7411.0,55
CDM,30201101,HC HELMINTH AB NES - ECHINOCOCCUS IGG,221.2,132.72,10.0,7411.0,55
CDM,30201102,HC HELMINTH AB NES - STRONGLYOIDES IGG,221.2,132.72,10.0,7411.0,55
CDM,30201103,HC HELMINTH AB NES - TOXOCARA,221.2,132.72,10.0,7411.0,55
CDM,30201104,"HC IMMUNOASSAY TUMOR ANTIGEN, 15-3",286.24,171.74,10.0,7411.0,55
CDM,30201105,"HC IMMUNOASSAY TUMOR ANTIGEN, 27.29",286.24,171.74,10.0,7411.0,55
CDM,30201106,"HC ISLET CELL AB, GLUTAMIC ACID DECARBOXYLASE AB",238.0,142.8,10.0,7411.0,55
CDM,30201107,"HC ISLET CELL AB, IA-2",238.0,142.8,10.0,7411.0,55
CDM,30201108,"HC ISLET CELL AB, IGG",238.0,142.8,10.0,7411.0,55
CDM,30201109,"HC ISLET CELL AB, ZINC TRANSPORTER 8 AB",238.0,142.8,10.0,7411.0,55
CDM,30201110,HC MICROSOMAL AB - KIDNEY MICROSOME 1 IGG,172.55,103.53,10.0,7411.0,55
CDM,30201111,HC MICROSOMAL AB - THYROID PEROXIDASE,172.55,103.53,10.0,7411.0,55
CDM,30201112,"HC NUCLEAR ANTIGEN AB, ANTI CENTROMERE",196.69,118.01,10.0,7411.0,55
CDM,30201113,"HC NUCLEAR ANTIGEN AB, JO-1, IGG",196.69,118.01,10.0,7411.0,55
CDM,30201114,"HC NUCLEAR ANTIGEN AB, RIBOSOMAL P PROTEIN, IGG",290.98,174.59,10.0,7411.0,55
CDM,30201115,"HC NUCLEAR ANTIGEN AB, SCLERODERMA SCL 70",196.69,118.01,10.0,7411.0,55
CDM,30201116,"HC Q FEVER AB PHASE II, IGG",125.0,75.0,10.0,7411.0,55
CDM,30201117,"HC Q FEVER AB PHASE II, IGM",125.0,75.0,10.0,7411.0,55
CDM,30201118,HC RICKETTSIA IGG,194.59,116.75,10.0,7411.0,55
CDM,30201119,HC RICKETTSIA IGM,194.59,116.75,10.0,7411.0,55
CDM,30201120,"HC RUBELLA AB, IGG",166.7,100.02,10.0,7411.0,55
CDM,30201121,"HC RUBELLA AB, IGM",166.7,100.02,10.0,7411.0,55
CDM,30201122,"HC RUBEOLA AB, IGG",165.51,99.31,10.0,7411.0,55
CDM,30201123,"HC RUBEOLA AB, IGM",165.51,99.31,10.0,7411.0,55
CDM,30201124,HC SYPHILIS NON-TREPONEMAL AB QUAL - RPR,106.6,63.96,3.59,7411.0,55
CDM,30201125,HC SYPHILIS NON-TREPONEMAL AB QUAL - VDRL,106.6,63.96,3.59,7411.0,55
CDM,30201126,"HC SYPHILIS NON-TREPONEMAL AB QUAL - VDRL, CSF BKR",106.6,63.96,3.59,7411.0,55
CDM,30201127,"HC TOXOPLASMA GONDII AB, IGA",165.51,99.31,10.0,7411.0,55
CDM,30201128,"HC TOXOPLASMA GONDII AB, IGG",119.19,71.51,4.67,7411.0,55
CDM,30201129,"HC TREPONEMA PALLIDUM, CSF",163.81,98.29,10.0,7411.0,55
CDM,30201130,"HC TREPONEMA PALLIDUM, IGG",163.81,98.29,10.0,7411.0,55
CDM,30201131,"HC TREPONEMA PALLIDUM, IGG & IGM",163.81,98.29,10.0,7411.0,55
CDM,30201132,"HC VARICELLA-ZOSTER (C-POX/SHINGLES), IGM",181.65,108.99,10.0,7411.0,55
CDM,30201133,"HC VIRUS AB NOS - HEPATITIS E, IGG",188.22,112.93,10.0,7411.0,55
CDM,30201134,"HC VIRUS AB NOS - HEPATITIS E, IGM",188.22,112.93,10.0,7411.0,55
CDM,30201135,"HC VIRUS AB NOS - HTLV I,II",188.22,112.93,10.0,7411.0,55
CDM,30201136,"HC WEST NILE VIRUS AB, BLOOD",173.53,104.12,10.0,7411.0,55
CDM,30201137,"HC WEST NILE VIRUS AB, CSF",173.53,104.12,10.0,7411.0,55
CDM,30201138,"HC AB SCREEN, RBC (INDIRECT COOMBS)",228.91,137.35,9.28,7411.0,55
CDM,30201139,HC ALLERGY TEST - ALPHA-GAL,80.05,48.03,4.38,7411.0,55
CDM,30201141,HC ALLERGY TEST - YELLOW FACED HORNET,80.05,48.03,4.38,7411.0,55
CDM,30201142,HC ALLERGY TEST IGG - GLUTEN,73.21,43.93,6.57,7411.0,55
CDM,30201143,HC ALLERGY TEST PANEL QUAL - GRASS PANEL #1,86.11,51.67,6.69,7411.0,55
CDM,30201144,HC ALLERGY TEST PANEL QUAL - IGE ANIMAL-SKIN PANEL #2,86.11,51.67,6.69,7411.0,55
CDM,30201145,HC ALLERGY TEST PANEL QUAL - IGE EPITHELIA PANEL #1,86.11,51.67,6.69,7411.0,55
CDM,30201146,HC ALLERGY TEST PANEL QUAL - IGE FEATHER PANEL #2,86.11,51.67,6.69,7411.0,55
CDM,30201147,HC ALLERGY TEST PANEL QUAL - IGE FOOD PANEL #1,86.11,51.67,6.69,7411.0,55
CDM,30201149,HC ALLERGY TEST PANEL QUAL - IGE FOOD-FRUIT PANEL,86.11,51.67,6.69,7411.0,55
CDM,30201150,HC ALLERGY TEST PANEL QUAL - IGE FOOD-GRAIN PANEL,86.11,51.67,6.69,7411.0,55
CDM,30201151,HC ALLERGY TEST PANEL QUAL - IGE FOOD-NUT PANEL #1,86.11,51.67,6.69,7411.0,55
CDM,30201152,HC ALLERGY TEST PANEL QUAL - IGE FOOD-NUT PANEL #2,86.11,51.67,6.69,7411.0,55
CDM,30201153,HC ALLERGY TEST PANEL QUAL - IGE GRASS PANEL #2,86.11,51.67,6.69,7411.0,55
CDM,30201154,HC ALLERGY TEST PANEL QUAL - IGE GRASS PANEL #3,86.11,51.67,6.69,7411.0,55
CDM,30201155,HC ALLERGY TEST PANEL QUAL - IGE HOUSE DUST PANEL,86.11,51.67,6.69,7411.0,55
CDM,30201156,HC ALLERGY TEST PANEL QUAL - IGE MOLD PANEL,86.11,51.67,6.69,7411.0,55
CDM,30201157,HC ALLERGY TEST PANEL QUAL - IGE SEAFOOD PANEL,86.11,51.67,6.69,7411.0,55
CDM,30201158,HC ALLERGY TEST PANEL QUAL - IGE TREE PANEL #3,86.11,51.67,6.69,7411.0,55
CDM,30201159,HC ALLERGY TEST PANEL QUAL - IGE TREE PANEL #4,86.11,51.67,6.69,7411.0,55
CDM,30201160,HC ALLERGY TEST PANEL QUAL - IGE WEED PANEL #1,86.11,51.67,6.69,7411.0,55
CDM,30201161,HC ALLERGY TEST PANEL QUAL - IGE WEED PANEL #4,86.11,51.67,6.69,7411.0,55
CDM,30201162,HC ALLERGY TEST PANEL QUAL - TREE PANEL #1,86.11,51.67,6.69,7411.0,55
CDM,30201163,"HC ANTIBODY - COCCIDIOIDES, CSF",143.88,86.33,9.63,7411.0,55
CDM,30201164,"HC ANTIBODY ASPERGILLUS, CSF",127.77,76.66,10.0,7411.0,55
CDM,30201165,"HC ANTIBODY BLASTOMYCES, BLOOD",125.26,75.16,10.0,7411.0,55
CDM,30201166,"HC ANTIBODY BLASTOMYCES, CSF",125.26,75.16,10.0,7411.0,55
CDM,30201167,HC ANTIHUMAN GLOBULIN (COOMBS),135.97,81.58,4.53,7411.0,55
CDM,30201168,"HC ANTIHUMAN GLOBULIN (COOMBS), C3",135.97,81.58,4.53,7411.0,55
CDM,30201169,"HC ANTIHUMAN GLOBULIN (COOMBS), IGG",135.97,81.58,4.53,7411.0,55
CDM,30201170,"HC BARTONELLA ANTIBODY PANEL, CSF",95.5,57.3,8.55,7411.0,55
CDM,30201171,"HC BORRELIA BURGDORFERI (LYME) AB, IGG",187.37,112.42,10.0,7411.0,55
CDM,30201172,"HC BORRELIA BURGDORFERI (LYME) AB, IGM",187.37,112.42,10.0,7411.0,55
CDM,30201173,"HC CARDIOLIPIN AB, IGA",242.38,145.43,10.0,7411.0,55
CDM,30201174,"HC CARDIOLIPIN AB, IGG",242.38,145.43,10.0,7411.0,55
CDM,30201175,"HC CARDIOLIPIN AB, IGM",242.38,145.43,10.0,7411.0,55
CDM,30201176,"HC COXIELLA BURNETII PHASE I, IGG",125.0,75.0,10.0,7411.0,55
CDM,30201177,"HC COXIELLA BURNETII PHASE I, IGM",125.0,75.0,10.0,7411.0,55
CDM,30201178,"HC COXIELLA BURNETII PHASE II, IGG",125.0,75.0,10.0,7411.0,55
CDM,30201179,"HC COXIELLA BURNETII PHASE II, IGM",125.0,75.0,10.0,7411.0,55
CDM,30201180,"HC FLUORESCENT AB SCREEN - N-METHYL-D-ASPARTATE RECEPTOR, CSF",251.24,150.74,10.0,7411.0,55
CDM,30201181,"HC HELMINTH AB, NES - CYSTICERCOSIS, CSF",221.2,132.72,10.0,7411.0,55
CDM,30201182,"HC HEPATITIS A AB, IGG",187.64,112.58,10.0,7411.0,55
CDM,30201183,"HC HEPATITIS A AB, TOTAL",187.64,112.58,10.0,7411.0,55
CDM,30201184,HC HLA CLASS I HIGH DEF QUAL,927.71,556.63,10.0,7411.0,55
CDM,30201185,"HC HLA CLASS I HIGH DEF QUAL, POST TRANSPLANT DSA",927.71,556.63,10.0,7411.0,55
CDM,30201186,HC HLA CLASS II HIGH DEF DSA - POST TRANSPLANT,884.24,530.54,10.0,7411.0,55
CDM,30201187,HC HLA CLASS II HIGH DEF QUAL - TXG COMPLEMENT BINDING,884.24,530.54,10.0,7411.0,55
CDM,30201188,HC LYME CNS INFECTION IGG W/AB,234.74,140.84,10.0,7411.0,55
CDM,30201189,"HC Q FEVER AB PHASE I, IGG",125.0,75.0,10.0,7411.0,55
CDM,30201190,"HC Q FEVER AB PHASE I, IGM",125.0,75.0,10.0,7411.0,55
CDM,30201193,"HC WEST NILE VIRUS AB, IGG BLOOD",175.14,105.08,10.0,7411.0,55
CDM,30201194,"HC WEST NILE VIRUS AB, IGG CSF",175.14,105.08,10.0,7411.0,55
CDM,30201195,"HC ANTIBODY - ASPERGIILLUS IGG, BLOOD",127.77,76.66,10.0,7411.0,55
CDM,30201197,"HC FLUORESCENT AB TITER - ANNA-3, CSF",208.13,124.88,10.0,7411.0,55
CDM,30201198,"HC FLUORESCENT AB TITER - CRMP-5-LGG, CSF",208.13,124.88,10.0,7411.0,55
CDM,30201199,"HC FLUORESCENT AB TITER - NIF IFA, CSF",208.13,124.88,10.0,7411.0,55
CDM,30201200,"HC FLUORESCENT AB TITER - PCA-1, CSF",208.13,124.88,10.0,7411.0,55
CDM,30201201,"HC FLUORESCENT AB TITER - SEPTIN-7 IFA, CSF",208.13,124.88,10.0,7411.0,55
CDM,30201202,HC FLUORESCENT AB TITER -  MUSK ANTIBODY IGG,208.13,124.88,10.0,7411.0,55
CDM,30201203,HC FLUORESCENT AB TITER - PARIETAL CELL,208.13,124.88,10.0,7411.0,55
CDM,30201204,"HC REF MAYO, COMP FMGRP, CPT 86255",181.79,109.07,10.0,7411.0,55
CDM,30201205,"HC REF MAYO, CCPQ P/Q TYPE CALCIUM CHANNEL AB",687.5,412.5,10.0,7411.0,55
CDM,30201206,"HC FLUORESCENT AB TITER - ENDOMYSIAL ANTIBODIES, IGA",208.13,124.88,10.0,7411.0,55
CDM,30201207,"HC NUCLEAR ANTIGEN AB, SSA",196.69,118.01,10.0,7411.0,55
CDM,30201208,"HC NUCLEAR ANTIGEN AB, SSB",196.69,118.01,10.0,7411.0,55
CDM,30201209,HC ALLERGY TEST - GARLIC,80.05,48.03,4.38,7411.0,55
CDM,30201210,HC CMV ANTIBODY - BONE MAR INF DIS PROF,200.89,120.53,10.0,7411.0,55
CDM,30201211,HC HLA CLASS I&II ANTIBODY QUAL - PRA AB SCREEN,510.71,306.43,10.0,7411.0,55
CDM,30201212,HC HLA CLASS I HIGH DEF - DONOR SPECIFIC,927.71,556.63,10.0,7411.0,55
CDM,30201213,HC HLA CLASS II HIGH DEF - DONOR SPECIFIC,884.24,530.54,10.0,7411.0,55
CDM,30201215,HC HLA CLASS I&II ANTIBODY QUAL - XPLANT PRA AB SCREEN,510.71,306.43,10.0,7411.0,55
CDM,30201216,HC RHEUMATOID FACTOR QUANT - IGA/IGM,138.65,83.19,4.76,7411.0,55
CDM,30201217,HC COCCIDIOIDES ANTIBODY - COMPLEMENT FIXATION & IMMUNODIFFUSION,143.88,86.33,9.63,7411.0,55
CDM,30201218,"HC ANTIBODY BLASTOMYCES IMMUNODIF, CSF",125.26,75.16,10.0,7411.0,55
CDM,30201220,"HC ANTIBODY - COCCIDIOIDES, BLOOD",143.88,86.33,9.63,7411.0,55
CDM,30201221,HC COMPLEMENT (C2)- FUNCTIONAL ACTIVITY EA,191.77,115.06,10.0,7411.0,55
CDM,30201222,HC DIPTHERIA TOXOID - IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,144.74,86.84,10.0,7411.0,55
CDM,30201223,HC 14-3-3 PROTEIN TAU- IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,144.74,86.84,10.0,7411.0,55
CDM,30201224,HC OCCUP ASSESS - ANTIBODY - RUBEOLA,165.51,99.31,10.0,7411.0,55
CDM,30201225,HC OCCUP ASSESS - ANTIBODY - MUMPS,162.53,97.52,10.0,7411.0,55
CDM,30201226,HC FUNGAL PROFILE CSF - ANTIBODY - COCCIDIOIDES,143.88,86.33,9.63,7411.0,55
CDM,30201227,"HC FUNGAL PROFILE - ANTIBODY BLASTOMYCES, CSF",125.26,75.16,10.0,7411.0,55
CDM,30201228,"HC IBD PANEL - ANTIBODY - FUNGUS, NES",158.76,95.26,10.0,7411.0,55
CDM,30201229,HC FUNGAL ABS - ANTIBODY - COCCIDIOIDES,143.88,86.33,9.63,7411.0,55
CDM,30201230,HC FUNGAL ANTIBODIES - ANTIBODY - HISOTPLASMA,117.66,70.6,10.0,7411.0,55
CDM,30201231,HC FUNGAL PROFILE - ANTIBODY - HISOTPLASMA,117.66,70.6,10.0,7411.0,55
CDM,30201232,HC IMMUNFIX E-PHORSIS/URINE/CSF - BETA 2 TRANSF DETECT,322.97,193.78,10.0,7411.0,55
CDM,30201233,HC RUBELLA ANTIBODY - OCCUPATION AB ASSESSMENT (MMR/VSV),166.7,100.02,10.0,7411.0,55
CDM,30201234,HC ANTINUCLEAR ANTIBODIES - COXSACKIE A ANTIBODY PANEL,200.23,120.14,10.0,7411.0,55
CDM,30201235,HC COXSACKIE PANEL - ANITBODY - ENTEROVIRUS,131.32,78.79,10.0,7411.0,55
CDM,30201236,HC DEOXYRIBONUCLEASE ANTIBODY - STREPTOCOCCAL AB PROFILE,171.74,103.04,10.0,7411.0,55
CDM,30201237,HC TOXOPLASMA ANTIBODY IGM - TOXOPLASMA GONDII IGG IGM,196.6,117.96,10.0,7411.0,55
CDM,30201238,"HC PARANEOPLASTIC AUTOAB EVAL -  FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN EACH",251.24,150.74,10.0,7411.0,55
CDM,30201239,"HC DEMENTIA AUTOIMM EVAL -  FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN EACH, CSF",251.24,150.74,10.0,7411.0,55
CDM,30201240,"HC DEMENTIA AUTOIMM EVAL - ISLET CELL ANTIBODY, CSF",238.0,142.8,10.0,7411.0,55
CDM,30201241,"HC ARBOVIRUS PANEL - ANTIBODY,WEST NILE VIRUS",175.14,105.08,10.0,7411.0,55
CDM,30201242,"HC DEMENTIA AUTOIMM EVAL -  FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN EACH, SERUM",251.24,150.74,10.0,7411.0,55
CDM,30201243,"HC DEMENTIA AUTOIMM EVAL - ISLET CELL ANTIBODY, SERUM",238.0,142.8,10.0,7411.0,55
CDM,30201244,HC HEP B CORE ANTIBODY TOTAL - CORE AB W/REFLEX,180.88,108.53,10.0,7411.0,55
CDM,30201245,HC ROCKY MT SPOTTED FEVER IGG,194.59,116.75,10.0,7411.0,55
CDM,30201246,HC ROCKY MT SPOTTED FEVER IGM,194.59,116.75,10.0,7411.0,55
CDM,30201247,HC NUCLEAR ANTIGEN ANTIBODY - SMITH AUTOANTIBODY,196.69,118.01,10.0,7411.0,55
CDM,30201248,HC RICKETTSIA ANTIBODY - TYPHUS FEVER AB TITER IGG,194.59,116.75,10.0,7411.0,55
CDM,30201249,HC RICKETTSIA ANTIBODY - TYPHUS FEVER AB TITER IGM,194.59,116.75,10.0,7411.0,55
CDM,30201250,HC IMMUNOASSAY INFECTIOUS AGENT - HEPATITIS B SURFACE ANTIBODY,144.74,86.84,10.0,7411.0,55
CDM,30201251,HC ROCKY MT SPOTTED FEVER IGG/IGM,194.59,116.75,10.0,7411.0,55
CDM,30201252,"HC EPSTEIN-BARR NUCLEAR ANTIGEN - EBV AB PANEL W/O EARLY ANTIGEN, QUAL",179.63,107.78,10.0,7411.0,55
CDM,30201253,HC ASPERGILLUS ANTIBODY - FUNGAL ANTIBODIES,127.77,76.66,10.0,7411.0,55
CDM,30201254,HC COCCIDIOIDES ANTIBODY - FUNGAL ANTIBODIES,143.88,86.33,9.63,7411.0,55
CDM,30201255,HC HEP B SURFACE ANTIBODY - HEPATITIS CHRONIC PANEL,197.09,118.25,9.02,7411.0,55
CDM,30201256,HC HEPATITIS A ANTIBODY - HEPATITIS CHRONIC PANEL,187.64,112.58,10.0,7411.0,55
CDM,30201257,HC HEPATITIS C AB TEST - HEPATITIS CHRONIC PANEL,254.96,152.98,10.0,7411.0,55
CDM,30201258,HC HEP B CORE ANTIBODY TOTAL - HEPATITIS CHRONIC PANEL,180.88,108.53,10.0,7411.0,55
CDM,30201259,HC ALLG SPEC IGE CRUDE XTRC EA - NTX ALLERGY PANEL,80.05,48.03,4.38,7411.0,55
CDM,30201260,HC MUMPS ANTIBODY - IGG QUAL,162.53,97.52,10.0,7411.0,55
CDM,30201261,HC ACTIN ANTIBODY EACH - TITER,193.35,116.01,10.0,7411.0,55
CDM,30201262,HC HIV-2 ANTIBODY - HIV 1/2 CONFIRM & DIFF,171.78,103.07,10.0,7411.0,55
CDM,30201263,"HC HERPES SIMPLEX TYPE 1 TEST - HSV 1/2 IGG, TYPE SPECIFIC AB",164.66,98.8,10.0,7411.0,55
CDM,30201264,"HC HERPES SIMPLEX TYPE 2 TEST - HSV 1/2 IGG, TYPE SPECIFIC AB",174.66,104.8,10.0,7411.0,55
CDM,30201265,HC ANTINUCLEAR ANTIBODIES - PROFILE,200.23,120.14,10.0,7411.0,55
CDM,30201266,HC MITOCHONDRIAL ANTIBODY EACH - TITER,325.92,195.55,10.0,7411.0,55
CDM,30201267,HC CMV ANTIBODY - IGG & IGM,200.89,120.53,10.0,7411.0,55
CDM,30201268,HC CMV ANTIBODY IGM - IGG & IGM,221.25,132.75,10.0,7411.0,55
CDM,30201269,HC EPSTEIN-BARR CAPSID VCA - SACCHAROMYCES CEREVISIAE AB IGG & IGA,220.82,132.49,10.0,7411.0,55
CDM,30201270,HC THYROGLOBULIN ANTIBODY - TUMOR MARKER,192.99,115.79,10.0,7411.0,55
CDM,30201271,HC WEST NILE AB IGG/IGM EXT- IGM,173.53,104.12,10.0,7411.0,55
CDM,30201272,HC THYROGLOBULIN ANTIBODY - THYROID AB,192.99,115.79,10.0,7411.0,55
CDM,30201273,HC MUMPS ANTIBODY - MMR,162.53,97.52,10.0,7411.0,55
CDM,30201274,HC RUBEOLA ANTIBODY - MMR,165.51,99.31,10.0,7411.0,55
CDM,30201275,"HC FLUORESCENT ANTIBODY SCREEN - CASPR2 IGG CBA, BLOOD",251.24,150.74,10.0,7411.0,55
CDM,30201276,HC FLUORESCENT ANTIBODY TITER - DPPX ANTIBODY TITER,208.13,124.88,10.0,7411.0,55
CDM,30201277,HC FLUORESCENT ANTIBODY TITER - GABA B RECEPTOR ANTIBODIES TITER,208.13,124.88,10.0,7411.0,55
CDM,30201278,HC FLUORESCENT ANTIBODY TITER - GFAP IFA TITER,208.13,124.88,10.0,7411.0,55
CDM,30201279,HC FLUORESCENT ANTIBODY SCREEN - LGI1 IGG CBA,251.24,150.74,10.0,7411.0,55
CDM,30201280,"HC FLUORESCENT ANTIBODY TITER - MGLUR1 ANTIBODY TITER, IFA",208.13,124.88,10.0,7411.0,55
CDM,30201281,"HC FLUORESCENT ANTIBODY TITER - NMDA RECEPTOR ANTIBODIES, IF TITER",208.13,124.88,10.0,7411.0,55
CDM,30201282,HC FLUORESCENT ANTIBODY SCREEN - PARANEOPLASTIC AUTOANTIBODY EVALUATION,251.24,150.74,10.0,7411.0,55
CDM,30201283,HC ISLET CELL ANTIBODY - PARANEOPLASTIC AUTOAB EVAL,238.0,142.8,10.0,7411.0,55
CDM,30201284,HC LEUKOCYTE HISTAMINE RELEASE - CHRONIC URTICARIA INDEX,338.08,202.85,10.0,7411.0,55
CDM,30201285,HC MICROSOMAL ANTIBODY EACH - CHRONIC URTICARIA INDEX,172.55,103.53,10.0,7411.0,55
CDM,30201286,HC THYROGLOBULIN ANTIBODY - CHRONIC URTICARIA INDEX,192.99,115.79,10.0,7411.0,55
CDM,30201287,"HC ARUP ALLERGY PANEL FARMERS LUNG, CPT 86003",74.12,44.47,4.38,7411.0,55
CDM,30201288,"HC ARUP ALLERGY PANEL FARMERS LUNG, CPT 86005",89.7,53.82,6.69,7411.0,55
CDM,30201289,"HC ARUP ALLERGY PANEL FARMERS LUNG, CPT 86331",103.24,61.94,10.0,7411.0,55
CDM,30201290,"HC ARUP ALLERGY PANEL FARMERS LUNG, CPT 86006",131.21,78.73,10.0,7411.0,55
CDM,30201291,HC ASPERGILLUS ANTIBODY - HYPERSENSITIVITY PNEUMONITIS PANEL,127.77,76.66,10.0,7411.0,55
CDM,30201292,HC CHLAMYDIA ANTIBODY - HYPERSENSITIVITY PNEUMONITIS PANEL,119.02,71.41,9.93,7411.0,55
CDM,30201293,HC HEPATITIS A ANTIBODY - TOTAL AB REFLEX IGM,187.64,112.58,10.0,7411.0,55
CDM,30201294,HC NUCLEAR ANTIGEN ANTIBODY - SMITH RNP AUTOANTIBODY,196.69,118.01,10.0,7411.0,55
CDM,30201295,HC WBC ANTIBODY IDENTIFICATION - INFLAM BOWEL DISEASE PANEL,265.04,159.02,10.0,7411.0,55
CDM,30201296,HC FUNGUS NES ANTIBODY - INFLAM BOWEL DISEASE PANEL,158.76,95.26,10.0,7411.0,55
CDM,30201297,HC NUCLEAR ANTIGEN ANTIBODY - MYOSITIS ANTIBODIES PANEL,196.69,118.01,10.0,7411.0,55
CDM,30201298,HC WEST NILE AB IGG/IGM - IGM,173.53,104.12,10.0,7411.0,55
CDM,30201299,HC BARTONELLA HENSELAE AB IGG/IGM,95.5,57.3,8.55,7411.0,55
CDM,30201300,HC T CELL ABSOLUTE COUNT/RATIO - LYMPHOCYTE SUBSET PANEL BY FLOW,380.72,228.43,10.0,7411.0,55
CDM,30201301,HC ALLG SPEC IGE CRUDE XTRC EA - NUT ALLERGEN PANEL,80.05,48.03,4.38,7411.0,55
CDM,30201302,HC ALLG SPEC IGE CRUDE XTRC EA - OKTX ALLERGY PANEL,80.05,48.03,4.38,7411.0,55
CDM,30201303,HC ALLG SPEC IGE CRUDE XTRC EA - REG 10 OKTX RESP ALLERGY PANEL,80.05,48.03,4.38,7411.0,55
CDM,30201304,HC ASSAY OF IGE - FOOD ALLERGY PANEL,80.05,48.03,4.38,7411.0,55
CDM,30201305,"HC REF ARUP, UWMC, SENSORY MOTOR NEUROPATHY PANEL",1212.75,727.65,10.0,7411.0,55
CDM,30201306,"HC REF COMP ARUP, EUROFINS VIRACOR 30360,CPT 86352",525.0,315.0,10.0,7411.0,55
CDM,30201307,"HC ANTI-NEUTROPHILIC CYTOPLASMIC ANTIBODY, ATYPICAL P-ANCA",162.96,97.78,10.0,7411.0,55
CDM,30201308,"HC ANTI-NEUTROPHILIC CYTOPLASMIC ANTIBODY, P-ANCA",162.96,97.78,10.0,7411.0,55
CDM,30201309,HC NUCLEAR ANTIGEN ANTIBODY - RNP,196.69,118.01,10.0,7411.0,55
CDM,30201310,HC JC ANTIBODY - W/INDEX & REFLX INHIBITION,1716.0,1029.6,10.0,7411.0,55
CDM,30201311,HC RBC ANTIBODY IDENTIFICATION,396.34,237.8,10.0,7411.0,55
CDM,30201312,HC COOMBS TEST INDIRECT TITER,243.33,146.0,4.35,7411.0,55
CDM,30201313,HC BLOOD TYPING RBC ANTIGENS,357.21,214.33,3.22,7411.0,55
CDM,30201314,HC BARTONELLA ANTIBODY - IGG TITER,95.5,57.3,8.55,7411.0,55
CDM,30201315,HC BARTONELLA ANTIBODY - IGM TITER,95.5,57.3,8.55,7411.0,55
CDM,30201316,HC CHLAMYDIA ANTIBODY - CHLAMYDIA PSITTACI ANTIBODIES,119.02,71.41,9.93,7411.0,55
CDM,30201317,HC CHLAMYDIA IGM ANTIBODY - CHLAMYDIA PSITTACI ANTIBODIES,114.25,68.55,10.0,7411.0,55
CDM,30201318,HC ALLG SPEC IGE CRUDE XTRC EA - TREE PANEL,80.05,48.03,4.38,7411.0,55
CDM,30201319,HC IMMUNOFIX E-PHORESIS SERUM,319.85,191.91,10.0,7411.0,55
CDM,30201320,HC IMMUNE COMPLEX ASSAY - CIRC IMMUNE COMPLX C3 FRAG,236.18,141.71,10.0,7411.0,55
CDM,30201321,HC BARTONELLA ANTIBODY - B QUINTANA IGG TITER,95.5,57.3,8.55,7411.0,55
CDM,30201322,"HC REF ARUP, COMP EUROFINS VIVACOR 401844P, CPT 86684",69.63,41.78,10.0,7411.0,55
CDM,30201323,"HC REF ARUP, COMP EUROFINS VIVACOR 401844P, CPT 86774",69.63,41.78,10.0,7411.0,55
CDM,30201324,"HC REF ARUP, COMP EUROFINS VIVACOR 401844P, CPT 86317",73.11,43.87,10.0,7411.0,55
CDM,30201325,"HC REF ARUP, COMP EUROFINS VIVACOR 401844P, CPT 86001",73.11,43.87,6.57,7411.0,55
CDM,30201326,"HC REF ARUP, COMP BABESIA MICROTI, AMP PROBE 2008665, CPT 87469",290.0,174.0,10.0,7411.0,55
CDM,30201327,"HC REF ARUP, 0099529 LISTERIA AB, SERUM",184.54,110.72,10.0,7411.0,55
CDM,30201328,"HC ACETYLCHOLINE RECEPTOR (ACHR), BINDING AB",336.44,201.86,10.0,7411.0,55
CDM,30201329,"HC ACETYLCHOLINE RECEPTOR (ACHR), BLOCKING AB",214.82,128.89,10.0,7411.0,55
CDM,30201330,"HC ACETYLCHOLINE RECEPTOR (ACHR), MODULATING AB",336.44,201.86,10.0,7411.0,55
CDM,30201331,HC MUSCLE-SPECIFIC KINASE (MUSK) AB,336.44,201.86,10.0,7411.0,55
CDM,30201332,"HC REF MAYO, ALGAL, ALPHA-GAL IGE, SERUM",167.5,100.5,10.0,7411.0,55
CDM,30201334,HC ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA - PEANUT PANEL,97.23,58.34,10.0,7411.0,55
CDM,30201335,"HC REF MAYO, PMND1, PRIM MEMBRANOUS NEPHROPATHY DIAG, S",703.5,422.1,10.0,7411.0,55
CDM,30201336,"HC REF ARUP, QUEST COMP 94955, CPT 86255",970.83,582.5,10.0,7411.0,55
CDM,30201337,"HC REF ARUP, QUEST COMP 94955, CPT 86341",970.83,582.5,10.0,7411.0,55
CDM,30201338,"HC REF ARUP, QUEST COMP 94955, CPT 83519",970.83,582.5,10.0,7411.0,55
CDM,30201339,"HC REF ARUP, UWMC COMP GQ1B-IGG, CPT 83520",437.5,262.5,10.0,7411.0,55
CDM,30201340,"HC REF ARUP, COMP 3001186, CPT 87900",113.55,68.13,10.0,7411.0,55
CDM,30201341,"HC REF ARUP, COMP 3001186, CPT 87901",113.55,68.13,10.0,7411.0,55
CDM,30201342,"HC REF ARUP, COMP 3001186, CPT 87903",113.55,68.13,10.0,7411.0,55
CDM,30201343,"HC REF ARUP, COMP 3001186, CPT 87904",113.55,68.13,10.0,7411.0,55
CDM,30201344,"HC REF ARUP, COMP 3001186, CPT 87906",113.55,68.13,10.0,7411.0,55
CDM,30201345,"HC REF ARUP, COMP 8032, CPT 86003",15.51,9.31,4.38,7411.0,55
CDM,30201346,"HC REF ARUP, COMP 8032, CPT 86005",15.51,9.31,5.58,7411.0,55
CDM,30201347,"HC REF ARUP, COMP 8032, CPT 86331",15.51,9.31,5.58,7411.0,55
CDM,30201348,"HC REF ARUP, COMP 8032, CPT 86606",15.51,9.31,5.58,7411.0,55
CDM,30201349,"HC REF ARUP, COMP 7814, CPT 86332",206.73,124.04,10.0,7411.0,55
CDM,30201350,"HC REF ARUP, 9590, NMO-AQUAPORIN-4 RECEPTOR AB",387.5,232.5,9.69,7411.0,55
CDM,30201351,"HC REF ARUP, COMP 3002105, CPT 86335",62.23,37.34,10.0,7411.0,55
CDM,30201352,"HC REF MAYO, EZNT8, ZINC TRANSPORTER 8 (ZNT8) ANTIBODY, SERUM",1538.5,923.1,10.0,7411.0,55
CDM,30201353,"HC REF ARUP, QUEST COMP 34345, CPT 86727",151.25,90.75,10.0,7411.0,55
CDM,30201354,"HC REF ARUP, QUEST COMP 12600, CPT 86695",120.05,72.03,10.0,7411.0,55
CDM,30201355,"HC REF ARUP, QUEST COMP 12600, CPT 86696",120.05,72.03,10.0,7411.0,55
CDM,30201356,"HC REF ARUP, QUEST COMP 12600, CPT 86788",160.68,96.41,10.0,7411.0,55
CDM,30201357,"HC REF ARUP, QUEST COMP 12600, CPT 86789",120.05,72.03,10.0,7411.0,55
CDM,30201358,"HC REF ARUP, QUEST COMP 12600, CPT 86651",120.05,72.03,10.0,7411.0,55
CDM,30201359,"HC REF ARUP, QUEST COMP 12600, CPT 86652",120.05,72.03,10.0,7411.0,55
CDM,30201360,"HC REF ARUP, QUEST COMP 12600, CPT 86653",120.05,72.03,10.0,7411.0,55
CDM,30201361,"HC REF ARUP, QUEST COMP 12600, CPT 86654",120.05,72.03,10.0,7411.0,55
CDM,30201362,"HC REF ARUP, QUEST COMP 12600, CPT 86727",120.05,72.03,10.0,7411.0,55
CDM,30201363,"HC REF ARUP, QUEST COMP 12600, CPT 86735",120.05,72.03,10.0,7411.0,55
CDM,30201364,"HC REF CINCINNATI CHILDREN'S, COMP TMA COMPLEMENT PANEL, CPT 86160",411.41,246.85,10.0,7411.0,55
CDM,30201365,"HC REF MAYO, COMP ALPS, CPT 86356",353.88,212.33,10.0,7411.0,55
CDM,30201366,"HC REF MAYO, COMP ALPS, CPT 86359",249.28,149.57,10.0,7411.0,55
CDM,30201367,"HC REF ARUP, COPM 0095899, CPT 86355",28.05,16.83,10.0,7411.0,55
CDM,30201368,"HC REF ARUP, COPM 0095899, CPT 86357",28.05,16.83,10.0,7411.0,55
CDM,30201369,"HC REF ARUP, COPM 0095899, CPT 86359",28.05,16.83,10.0,7411.0,55
CDM,30201370,"HC REF ARUP, COPM 0095899, CPT 86360",28.05,16.83,10.0,7411.0,55
CDM,30201371,"HC REF ARUP, COPM 0095899, CPT 86356",28.05,16.83,10.0,7411.0,55
CDM,30201372,"HC REF MAYO, COMP FMNPP, CPT 83516",115.66,69.4,9.69,7411.0,55
CDM,30201373,"HC REF MAYO, COMP FMNPP, CPT 86334",224.1,134.46,10.0,7411.0,55
CDM,30201374,"HC REF ARUP, 2009452, CASPR2 ANTIBODY, IGG CBA-IFA W REFLEX TO TITER SERUM",258.75,155.25,10.0,7411.0,55
CDM,30201375,"HC REF COMP EUROFINS VIRACOR 33369, CPT 87552",481.25,288.75,10.0,7411.0,55
CDM,30201376,"HC REF COMP EUROFINS VIRACOR 33369, CPT 87561",481.25,288.75,10.0,7411.0,55
CDM,30201377,"HC REF ARUP, 3003480 THSD7A ANTIBODY IGG TITER",775.0,465.0,10.0,7411.0,55
CDM,30201378,"HC REF MAYO, COMP MDC2 CPT 86255",79.28,47.57,10.0,7411.0,55
CDM,30201379,"HC REF MAYO, COMP MDC2 CPT 86341",155.08,93.05,10.0,7411.0,55
CDM,30201380,"HC REF LAB MAYO, MAC1 MYELOPATHY, AUTOIMM/PARA CSF COMP 86255",166.58,99.95,10.0,7411.0,55
CDM,30201381,"HC REF LAB MAYO, MAC1 MYELOPATHY, AUTOIMM/PARA CSF COMP 86341",325.85,195.51,10.0,7411.0,55
CDM,30201382,"HC REF LAB MAYO, MAC1 MYELOPATHY, AUTOIMM/PARA CSF COMP 86053",521.6,312.96,10.0,7411.0,55
CDM,30201383,"HC REF ARUP, PM/SCL-100 ANTIBODY",162.5,97.5,10.0,7411.0,55
CDM,30201384,"HC REF ARUP, FIBRILLARIN (3U RNP) AB IGG",198.75,119.25,10.0,7411.0,55
CDM,30201385,"HC REF LAB MAYO, MAS1 MYELOPATHY, AUTOIMM/PARA, S COMP 86255",110.35,66.21,10.0,7411.0,55
CDM,30201386,"HC REF LAB MAYO, MAS1 MYELOPATHY, AUTOIMM/PARA, S COMP 86053",345.53,207.32,10.0,7411.0,55
CDM,30201387,"HC REF LAB MAYO, MAS1 MYELOPATHY, AUTOIMM/PARA, S COMP 86363",345.53,207.32,10.0,7411.0,55
CDM,30201388,"HC REF LAB MAYO, MAS1 MYELOPATHY, AUTOIMM/PARA, S COMP 86341",215.85,129.51,10.0,7411.0,55
CDM,30201389,"HC REF EUROFINS VIRACOR COMP  33350, CPT 87551",375.0,225.0,10.0,7411.0,55
CDM,30201390,"HC REF EUROFINS VIRACOR COMP  33350, CPT 87552",375.0,225.0,10.0,7411.0,55
CDM,30201391,"HC REF EUROFINS VIRACOR COMP  33350, CPT 87561",375.0,225.0,10.0,7411.0,55
CDM,30201394,"HC REF MAYO, FJPE, JALALPENO/CHIPOTLE IGE",140.15,84.09,4.38,7411.0,55
CDM,30201395,"HC REF PROMETHEUS, COMP IBD SGI DIAGNOSTIC CPT 86140",81.18,48.71,4.35,7411.0,55
CDM,30201396,"HC REF MAYO MOGTS, MOG FACS TITER, S",200.0,120.0,10.0,7411.0,55
CDM,30201397,"HC REF MAYO, MUSK MUSCLE SPECIFIC KINASE AUTOANTIBODY, SERUM",1378.13,826.88,10.0,7411.0,55
CDM,30201398,"HC REF MAYO, FZCCE ZUCCHINI IGE",110.9,66.54,4.38,7411.0,55
CDM,30201399,"HC REF MAYO COMP, CIDP, CPT 86255",787.5,472.5,10.0,7411.0,55
CDM,30201400,"HC REF MAYO COMP, AIAES CPT 86255",95.33,57.2,10.0,7411.0,55
CDM,30201401,HC ACETYLCHOLINE RECEPTOR REFLEXIVE BINDING AB,336.44,201.86,10.0,7411.0,55
CDM,30201402,HC ACETYLCHOLINE RECEPTOR REFLEXIVE BLOCKING AB,214.82,128.89,10.0,7411.0,55
CDM,30201403,HC ACETYLCHOLINE RECEPTOR REFLEXIVE MODULATING AB,336.44,201.86,10.0,7411.0,55
CDM,30201404,"HC REF MAYO, CBRP, COXIELLA BURNETII (Q FEVER), PCR VARIES",1415.0,849.0,10.0,7411.0,55
CDM,30201405,"HC REF ARUP, COMP 2012729, CPT 86148",127.01,76.21,10.0,7411.0,55
CDM,30201406,"HC REF ARUP, COMP 2012729, CPT 83516",127.01,76.21,9.69,7411.0,55
CDM,30201407,"HC REF ARUP, COMP 2012729, CPT 86849",127.01,76.21,10.0,7411.0,39
CDM,30201408,"HC REF ARUP, COMP 2008912, CPT 86356",214.84,128.9,10.0,7411.0,55
CDM,30201409,"HC REF MAYO, COMP DMS2, CPT 86255",152.47,91.48,10.0,7411.0,55
CDM,30201410,"HC REF MAYO, COMP DMS2, CPT 86341",298.23,178.94,10.0,7411.0,55
CDM,30201411,"HC REF LABCORP, COMP 520196, CPT 83516",334.58,200.75,9.69,7411.0,55
CDM,30201412,"HC REF LABCORP, COMP 520196, CPT 86235",334.58,200.75,10.0,7411.0,55
CDM,30201413,"HC REF LABCORP, PARACOCCIDIOIDES BRAS IGG/IGM",206.25,123.75,9.63,7411.0,55
CDM,30201414,"HC REF MAYO, FQUIN, QUINOA (CHENOPODIUM QUINOA) IGE",167.5,100.5,4.38,7411.0,55
CDM,30201415,"HC REF ARUP, 0054445, VARICELLA IGM",38.9,23.34,10.0,7411.0,55
CDM,30201416,"HC REF MAYO, COMP EPS2, 86255",167.02,100.21,10.0,7411.0,55
CDM,30201417,"HC REF MAYO, COMP PVLE, 86255",307.15,184.29,10.0,7411.0,55
CDM,30201418,"HC REF MAYO, COMP EPS2, 86341",326.68,196.01,10.0,7411.0,55
CDM,30201419,"HC REF ARUP, COMP 3006210, CPT 86052",204.55,122.73,10.0,7411.0,55
CDM,30201420,"HC REF ARUP, COMP 3006210, CPT 86255",204.55,122.73,10.0,7411.0,55
CDM,30201421,"HC REF ARUP, COMP 3006210, CPT 86341",204.55,122.73,10.0,7411.0,55
CDM,30201422,"HC REF ARUP, 2014351 RABIES ANTIBODY SCREEN RFFIT SERUM",192.5,115.5,10.0,7411.0,55
CDM,30201423,"HC REF ARUP, COMP 3000230, CPT 86606",25.88,15.53,9.32,7411.0,55
CDM,30201424,"HC REF ARUP, COMP 3000230, CPT 86612",25.88,15.53,9.32,7411.0,55
CDM,30201425,"HC REF ARUP, COMP 3000230, CPT 86635",25.88,15.53,9.32,7411.0,55
CDM,30201426,"HC REF ARUP, COMP 3000230, CPT 86698",25.88,15.53,9.32,7411.0,55
CDM,30201427,"HC REF ARUP, COMP 0050164, CPT 86606",28.77,17.26,10.0,7411.0,55
CDM,30201428,"HC REF ARUP, COMP 0050164, CPT 86612",28.77,17.26,10.0,7411.0,55
CDM,30201429,"HC REF ARUP, COMP 0050164, CPT 86635",28.77,17.26,9.63,7411.0,55
CDM,30201430,"HC REF ARUP, COMP 0050164, CPT 86698",28.77,17.26,10.0,7411.0,55
CDM,30201431,"HC REF MAYO, COMP FMMPP, CPT 86235",65.71,39.43,10.0,7411.0,55
CDM,30201432,"HC REF MAYO, COMP FGGMC, CPT 86777",218.48,131.09,10.0,7411.0,55
CDM,30201433,"HC REF MAYO, COMP FGGMC, CPT 86778",218.73,131.24,10.0,7411.0,55
CDM,30201434,"HC REF MAYO, COMP DMC2, CPT 86255",98.01,58.81,10.0,7411.0,55
CDM,30201435,"HC REF MAYO, COMP DMC2, CPT 86341",191.7,115.02,10.0,7411.0,55
CDM,30201436,"HC REF ARUP, COMP 2010805, CPT 86622",31.13,18.68,7.5,7411.0,55
CDM,30201437,"HC REF ARUP, COMP 2010805, CPT 86757",31.13,18.68,10.0,7411.0,55
CDM,30201438,"HC REF ARUP, COMP 2010805, CPT 86768",31.13,18.68,10.0,7411.0,55
CDM,30201439,"HC REF ARUP, COMP 0050791, CPT 86235",23.38,14.03,8.42,7411.0,55
CDM,30201440,"HC REF ARUP, 0054444 VARICELLA-ZOSTER IGG CSF",38.9,23.34,10.0,7411.0,55
CDM,30201441,"HC REF ARUP, COMP 201805, CPT 86622",31.88,19.13,7.5,7411.0,55
CDM,30201442,"HC REF ARUP, COMP 201805, CPT 86757",31.88,19.13,10.0,7411.0,55
CDM,30201443,"HC REF ARUP, COMP 201805, CPT 86768",31.88,19.13,10.0,7411.0,55
CDM,30201444,"HE REF ARUP, COMP 0065100, CPT 86631",21.13,12.68,7.61,7411.0,55
CDM,30201445,"HE REF ARUP, COMP 0065100, CPT 86632",21.13,12.68,7.61,7411.0,55
CDM,30201446,"HC REF ARUP, 2013115 INTERLEUKIN 17",212.5,127.5,10.0,7411.0,55
CDM,30201447,"HC REF ARUP, 0054444 VARICELLA IGG QUANT CSF",38.9,23.34,10.0,7411.0,55
CDM,30201448,"HC REF MEDFUSION, 36668 DAT ANTI IGG C3D PANEL",93.3,55.98,4.53,7411.0,55
CDM,30201449,"HC REF LABCORP, 520034 U1RNP",271.25,162.75,10.0,7411.0,55
CDM,30201450,"HC REF ARUP, 2003347 RHEUMATOID FACTOR BF",25.0,15.0,4.76,7411.0,55
CDM,30201451,"HC REF MAYO, PANEL FGAGM, CPT 83516",129.33,77.6,9.69,7411.0,55
CDM,30201452,"HC REF ARUP, AUTOIMMUNE DYSAUTONOMIA 3006203 COMP CPT 83519",291.67,175.0,10.0,7411.0,55
CDM,30201453,"HC REF ARUP, AUTOIMMUNE DYSAUTONOMIA 3006203 COMP CPT 86255",291.67,175.0,10.0,7411.0,55
CDM,30201454,"HC REF LAB ARUP, HISTO GAL BF 3005941",285.0,171.0,10.0,7411.0,55
CDM,30201455,"HC REF LAB ARUP, COCCI PCR 3016687",650.0,390.0,10.0,7411.0,55
CDM,30201456,"HC REF LAB ARUP, HHV8 QUANT PCR 2013089",412.5,247.5,10.0,7411.0,55
CDM,30201457,"HC REF LAB UWMC, SENSORY NEURO/NEURON COMP CPT 86256",141.33,84.8,10.0,7411.0,55
CDM,30201458,"HC REF LAB UWMC, BACTERIAL PCR BY NGS",858.13,514.88,10.0,7411.0,55
CDM,30201459,"HC REF ARUP COMP, RISK OF MALIGNANCY ALGO 2012618 CPT 86304",181.1,108.66,10.0,7411.0,55
CDM,30201460,"HC REF ARUP COMP, RISK OF MALIGNANCY ALGO 2012618 CPT 86305",181.1,108.66,10.0,7411.0,55
CDM,30201461,"HC REF MAYO COMP, DMNES DEMYELINATING NEUROPATHY CPT 86255",243.39,146.03,10.0,7411.0,55
CDM,30201462,HC REF MAYO FIGE FIG IGE,140.15,84.09,4.38,7411.0,55
CDM,30201463,HC REF ARUP COMP 3001720 ALLERGEN REG 10 CPT 86003,12.77,7.66,4.38,7411.0,55
CDM,30201464,"HC REF MAYO GABA A RECEPTOR ANTIBODY, CBA, SERUM",1375.0,825.0,10.0,7411.0,55
CDM,30201465,HC REF QUEST 37737 T SPOT TB,843.7,506.22,10.0,7411.0,55
CDM,30201466,"HC REF ARUP 3000082 ANTINUCLEAR ANTIBODY (ANA), HEP-2 IGG",36.38,21.83,9.37,7411.0,55
CDM,30201467,HC REF ARUP COMP 3003745 CPT 86036,33.88,20.33,10.0,7411.0,55
CDM,30201468,HC REF ARUP COMP 0051162 CPT 86147,27.58,16.55,9.93,7411.0,55
CDM,30201469,HC REF ARUP COMP 0099344 CPT 86147,26.94,16.16,9.7,7411.0,55
CDM,30201470,HC REF ARUP COMP 0065139 CPT 86631,21.13,12.68,7.61,7411.0,55
CDM,30201471,HC REF ARUP 2002693 DSDNA (CRITHIDIA LUCILIAE) AB IGG,57.5,34.5,10.0,7411.0,55
CDM,30201472,"HC REF MAYO RHUT RHEUMATOID FACTOR, SERUM",40.18,24.11,4.76,7411.0,55
CDM,30201473,HC REF ARUP 3001284 HERPESVIRUS 6 AB IGM,238.0,142.8,10.0,7411.0,55
CDM,30201474,HC REF ARUP 2013423 HERPESVIRUS 6 AB IGG,237.5,142.5,10.0,7411.0,55
CDM,30201475,HC REF ARUP 3016760 LYME STANDARD 2-TIER CSF,137.83,82.7,10.0,7411.0,55
CDM,30201476,HC REF ARUP COMP 0097303 CPT 86666,76.1,45.66,8.55,7411.0,55
CDM,30201478,"HC REF, CONFIRMATORY TESTING CPT 86689",0.01,0.01,0.0036,7411.0,55
CDM,30201479,"HC REF, CONFIRMATORY TESTING CPT 86804",0.01,0.01,0.0036,7411.0,55
CDM,30201480,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86703,14.85,8.91,5.35,7411.0,55
CDM,30201481,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86687,14.85,8.91,5.35,7411.0,55
CDM,30201482,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86688,14.85,8.91,5.35,7411.0,55
CDM,30201483,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86803,14.85,8.91,5.35,7411.0,55
CDM,30201484,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86704,14.85,8.91,5.35,7411.0,55
CDM,30201485,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86900,14.85,8.91,2.51,7411.0,55
CDM,30201486,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86901,14.85,8.91,2.51,7411.0,55
CDM,30201487,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86850,14.85,8.91,2.52,7411.0,55
CDM,30201488,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86644,14.85,8.91,5.35,7411.0,55
CDM,30201489,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86753,14.85,8.91,5.35,7411.0,55
CDM,30201490,HC REF MAYO COMP ABOPC CPT 86651,48.85,29.31,10.0,7411.0,55
CDM,30201491,HC REF MAYO COMP ABOPC CPT 86652,48.85,29.31,10.0,7411.0,55
CDM,30201492,HC REF MAYO COMP ABOPC CPT 86653,48.86,29.32,10.0,7411.0,55
CDM,30201493,HC REF MAYO COMP ABOPC CPT 86654,48.86,29.32,10.0,7411.0,55
CDM,30201494,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86703,6.25,3.75,2.25,7411.0,55
CDM,30201495,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86687,6.25,3.75,2.25,7411.0,55
CDM,30201496,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86688,6.25,3.75,2.25,7411.0,55
CDM,30201497,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86803,6.25,3.75,2.25,7411.0,55
CDM,30201498,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86704,6.25,3.75,2.25,7411.0,55
CDM,30201499,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86900,6.25,3.75,2.25,7411.0,55
CDM,30201500,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86901,6.25,3.75,2.25,7411.0,55
CDM,30201501,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86850,6.25,3.75,1.06,7411.0,55
CDM,30201502,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86644,6.25,3.75,2.25,7411.0,55
CDM,30201503,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86753,6.25,3.75,2.25,7411.0,55
CDM,30201504,"HC REF MAYO BETA2 BETA-2 TRANSFERRIN, BF",243.75,146.25,10.0,7411.0,55
CDM,30201505,"HC REF MAYO HTLVC HTLV-1/2 AB SCREEN, CSF",55.08,33.05,10.0,7411.0,55
CDM,30201506,"HC REF MAYO COMP CTDC, CPT 86038",45.15,27.09,10.0,7411.0,55
CDM,30201507,"HC REF MAYO COMP CTDC, CPT 86200",48.35,29.01,10.0,7411.0,55
CDM,30201508,HC REF ARUP 0099521 ACETYLCHOLINE RECEPTOR MODULATING AB,97.5,58.5,10.0,7411.0,55
CDM,30201510,"HC REF ARUP 3000601 ANTINUCLEAR AB (ANA), HEP-2, IGG W/RFLX",36.38,21.83,9.37,7411.0,55
CDM,30201511,HC REF ARUP COMP 0095853 CPT 86359,44.06,26.44,10.0,7411.0,55
CDM,30201512,HC REF ARUP COMP 0095853 CPT 86360,44.06,26.44,10.0,7411.0,55
CDM,30201513,"HC REF ARUP 3006198 MUSK IGG AB CBA, SERUM WITH RFLX",737.5,442.5,10.0,7411.0,55
CDM,30201514,"HC REF ARUP 0050380 MEASLES (RUBEOLA) ANTIBODY, IGG",22.5,13.5,8.1,7411.0,55
CDM,30201515,HC REF ARUP 3001868 ACHR BINDING AB W/RFLX TO MUSK AB,62.5,37.5,10.0,7411.0,55
CDM,30201516,HC REF ARUP 0099580 ACETYLCHOLINE BLOCKING AB,77.5,46.5,10.0,7411.0,55
CDM,30201517,HC REF ARUP COMP 0050255 CPT 86617,37.5,22.5,10.0,7411.0,55
CDM,30201518,HC REF ARUP 2010798 SALMONELLA TYPHI AND PARATYPHI ANTIBODIES,30.08,18.05,10.0,7411.0,55
CDM,30201519,HC REF ARUP 2007725 FYB ANTIGEN TYPING,262.83,157.7,3.22,7411.0,55
CDM,30201520,"HC REF ARUP 2011699 AQUAPORIN 4 (AQP4) AB, IGG BY CBA-IFA",625.0,375.0,10.0,7411.0,55
CDM,30201521,HC REF ARUP COMP 2001635 CPT 86727,49.88,29.93,10.0,7411.0,55
CDM,30201522,"HC REF VIRACOR 70610 SAGE, PRARIE/MUGWORT IGE",33.6,20.16,4.38,7411.0,55
CDM,30201523,HC REF VIRACOR 75710 PENICILLIUM NOTATUM IGE,33.6,20.16,4.38,7411.0,55
CDM,30201524,HC REF VIRACOR 62610 LIVE OAK IGE,67.2,40.32,4.38,7411.0,55
CDM,30201525,"HC REF VIRACOR 72710 HEMP, WESTERN/WATER IGE",33.6,20.16,4.38,7411.0,55
CDM,30201526,HC REF VIRACOR 90710 AMERICAN COCKROACH IGE,33.6,20.16,4.38,7411.0,55
CDM,30201527,HC REF MEDFUSION 30337 WHEAT IGG,164.08,98.45,6.57,7411.0,55
CDM,30201528,HC REF MEDFUSION 34680 SOY IGG,164.08,98.45,6.57,7411.0,55
CDM,30201529,HC REF MEDFUSION 34679 PEANUT IGG,164.08,98.45,6.57,7411.0,55
CDM,30201530,HC REF MEDFUSION 34678 EGG WHITE IGG,164.08,98.45,6.57,7411.0,55
CDM,30201531,HC REF MEDFUSION 92789 COWS MILK IGG,164.08,98.45,6.57,7411.0,55
CDM,30201532,HC REF MEDFUSION 38110 COD IGG,164.08,98.45,6.57,7411.0,55
CDM,30201533,HC REF MEDFUSION 38100 CASEIN IGG,164.08,98.45,6.57,7411.0,55
CDM,30201534,HC REF ARUP 2011813 - CYTOMEGALOVIRUS IGG AB AVIDITY,237.5,142.5,10.0,7411.0,55
CDM,30201535,"HC REF MAYO ANCH - ANCHOVY, IGE, SERUM",34.03,20.42,4.38,7411.0,55
CDM,30201536,HC REF EUROFINS VIRACOR 33335 SOLUBLE C5B-9,903.88,542.33,10.0,7411.0,55
CDM,30201537,HC REF MAYO COMP FH7GM CPT 86790,305.08,183.05,10.0,7411.0,55
CDM,30201538,HC REF EUROFINS VIRACOR 403918P HERPESVIRUS 6 (HHV-6) IGM & IGG IFA,606.23,363.74,10.0,7411.0,55
CDM,30201539,"HC REF ARUP COMP 0065105, CPT 86631",21.13,12.68,7.61,7411.0,55
CDM,30201540,"HC REF ARUP COMP 3001982, CPT 86635",36.75,22.05,9.63,7411.0,55
CDM,30201541,HC REF ARUP 2007717 FYA ANTIGEN TYPING,262.83,157.7,3.22,7411.0,55
CDM,30201542,HC REF LABCORP 520158 ANTI OVARIAN ANTIBODY,207.5,124.5,10.0,7411.0,55
CDM,30201543,HC REF MAYO FOVAS OVARIAN AB SCREEN,235.98,141.59,10.0,7411.0,55
CDM,30201544,"HC REF MEDFUSION COMP 10211, CPT 86041",700.99,420.59,10.0,7411.0,55
CDM,30201545,"HC REF MEDFUSION COMP 10211, CPT 86042",700.99,420.59,10.0,7411.0,55
CDM,30201546,"HC REF MEDFUSION COMP 10211, CPT 86043",700.99,420.59,10.0,7411.0,55
CDM,30201547,"HC REF MEDFUSION COMP 10211, CPT 86255",700.99,420.59,10.0,7411.0,55
CDM,30201548,HC REF MEDFUSION 94744 LRP4 AUTOANTIBODY,2288.0,1372.8,10.0,7411.0,55
CDM,30201549,HC REF MAYO HCVL HEPATITIS C VIRUS AB CONFIRMATION,706.25,423.75,10.0,7411.0,55
CDM,30201550,"HC REF ARUP 3006053 LYME MODIFIED 2-TIER TESTING, 1ST TIER",137.83,82.7,10.0,7411.0,55
CDM,30201551,"HC REF ARUP COMP 0050625, CPT 86698",53.53,32.12,10.0,7411.0,55
CDM,30201552,HC REF ARUP 0055285 CYSTICERCOSIS AB IGG CSF,52.63,31.58,10.0,7411.0,55
CDM,30201553,"HC REF ARUP COMP 0060055, CPT 86658",46.75,28.05,10.0,7411.0,55
CDM,30201554,HC REF EUROFINS VIRACOR 33334 CH5O,309.9,185.94,10.0,7411.0,55
CDM,30201555,"HC REF MAYO SCLE - SCALE, IGE, SERUM",34.03,20.42,4.38,7411.0,55
CDM,30201556,"HC REF MAYO PHMA - PHOMA BETAE, IGE, SERUM",34.03,20.42,4.38,7411.0,55
CDM,30201557,"HC REF MAYO RAT - RAT EPITHELIUM, IGE, SERUM",34.03,20.42,4.38,7411.0,55
CDM,30201558,"HC REF EUROFINS VIRACOR COMP 30360, CPT 86352",606.21,363.73,10.0,7411.0,55
CDM,30201559,HC REF MEDFUSION 58689 AH50 ALTERNATIVE COMPLEMENT PATHWAY FUNCTIONAL,400.5,240.3,10.0,7411.0,55
CDM,30201560,HC REF MAYO FVZGC VARICELLA ZOSTER VIRUS IGG CSF,161.88,97.13,10.0,7411.0,55
CDM,30201561,"HC REF LABCORP COMP 505635, CPT 86255",159.21,95.53,10.0,7411.0,55
CDM,30201562,"HC REF LABCORP COMP 505635, CPT 86341",159.21,95.53,10.0,7411.0,55
CDM,30201563,"HC REF ARUP COMP 3001869, CPT 86041",70.0,42.0,10.0,7411.0,55
CDM,30201564,"HC REF ARUP COMP 3001869, CPT 86042",70.0,42.0,10.0,7411.0,55
CDM,30201566,HC REF ARUP 0050324 BETA2 GLYCOPROTEIN I IGA,37.5,22.5,10.0,7411.0,55
CDM,30201567,HC REF LABCORP 160721 ANTIPANCREATIC ISLET CELLS,188.63,113.18,10.0,7411.0,55
CDM,30201568,HC REF ARUP 0098358 CARDIOLIPIN ANTIBODY IGA,28.88,17.33,10.0,7411.0,55
CDM,30201569,"HC REF ARUP COMP 3002104, CPT 86335",67.5,40.5,10.0,7411.0,55
CDM,30201570,HC REF ARUP 3017902 SC5B-9,550.0,330.0,10.0,7411.0,55
CDM,30201571,HC REF ARUP 3004472 SCHISTOSOMA ANTIBODY IGG BY ELISA,225.0,135.0,10.0,7411.0,55
CDM,30201572,"HC REF EUROFINS VIRACOR COMP 401708, CPT 86331",122.93,73.76,10.0,7411.0,55
CDM,30201573,"HC REF MAYO HTLLC HTLV 1/2 AB CONFIRMATION, CSF",389.8,233.88,10.0,7411.0,55
CDM,30201574,"HC REF ARUP 0055449 ALLERGEN, TREE, VIRGINIA LIVE OAK",12.5,7.5,4.38,7411.0,55
CDM,30201575,"HC REF ARUP 0050533 ALLERGEN, GRASS, CULTIVATED OAT POLLEN",12.5,7.5,4.38,7411.0,55
CDM,30201576,"HC REF ARUP 2005164 NMDA RECEPTOR AB IGG, CSF",292.5,175.5,10.0,7411.0,55
CDM,30201577,"HC REF ARUP 0054441 MEASLES (RUBEOLA) ANTIBODY, IGM, CSF",52.2,31.32,10.0,7411.0,55
CDM,30201578,"HC REF ARUP 0054440 MEASLES (RUBEOLA) ANTIBODY, IGG, CSF",42.2,25.32,10.0,7411.0,55
CDM,30201579,"HC REF ARUP COMP 0050119, CPT 86431",23.38,14.03,4.76,7411.0,55
CDM,30201580,"HC REF ARUP COMP 0050119, CPT 86160",23.38,14.03,8.42,7411.0,55
CDM,30201581,"HC REF ARUP COMP 0050119, CPT 86038",23.38,14.03,8.42,7411.0,55
CDM,30201582,HC REF ARUP 2010784 HEPATITIS C VIRUS AB BY CIA W/RFLX TO HCV QUANT NAAT,32.5,19.5,10.0,7411.0,55
CDM,30201583,"HC REF ARUP COMP 0060053, CPT 86658",63.5,38.1,10.0,7411.0,55
CDM,30201584,HC REF MEDFUSION CYSTG FOCUS CYSTICERCOSIS ANTIBODY IGG BY WESTERN BLOT,141.88,85.13,10.0,7411.0,55
CDM,30201585,HC REF ARUP 0050465 RHEUMATOID FACTOR,22.5,13.5,4.76,7411.0,55
CDM,30201586,"HC REF MAYO GUIN GUINEA PIG EPITHELIUM, IGE, SERUM",34.03,20.42,4.38,7411.0,55
CDM,30201587,"HC REF MAYO AMOXY AMOXICILLIN, IGE, SERUM",34.03,20.42,4.38,7411.0,55
CDM,30201588,HC REF MAYO FBBLE BASS BLACK (SEA BASS) CENTROPRISTIS STRIATA IGE,110.9,66.54,4.38,7411.0,55
CDM,30201589,"HC REF MEDFUSION COMP 93859, CPT 86041",781.83,469.1,10.0,7411.0,55
CDM,30201590,"HC REF MEDFUSION COMP 93859, CPT 86042",781.83,469.1,10.0,7411.0,55
CDM,30201591,"HC REF MEDFUSION COMP 93859, CPT 86043",781.83,469.1,10.0,7411.0,55
CDM,30201592,"HC REF MAYO CYSTG CYSTICRRCOSIS (T. SOLIUM), IGG, S",217.5,130.5,10.0,7411.0,55
CDM,30201593,"HC REF MAYO GELA GELATIN, IGE",34.03,20.42,4.38,7411.0,55
CDM,30201594,"HC REF ARUP < QUEST 2002932 COXSACKIE A ANTIBODIES (SEROTYPES 2, 4, 7, 9, 10 AND 16), SERUM",194.25,116.55,10.0,7411.0,55
CDM,30201595,"HC REF ARUP < MAYO 2002257 OSMOTIC FRAGILITY, ERYTHROCYTE",181.83,109.1,10.0,7411.0,55
CDM,30201596,HC REF ARUP 0050215 DOUBLE STRANDED DNA,26.25,15.75,9.45,7411.0,55
CDM,30201597,"HC REF ARUP 3016860 TISSUE TRANSGLUTAMINASE, IGA AB",30.0,18.0,9.69,7411.0,55
CDM,30201598,"HC REF ARUP COMP 0050602, CPT 86665",40.0,24.0,10.0,7411.0,55
CDM,30201599,"HC REF ARUP 0050235 EBV AB TO VIRAL CAPSID AG, IGG",20.0,12.0,7.2,7411.0,55
CDM,30201600,"HC REF ARUP 0050240 EBV AB TO VIRAL CAPSID AG, IGM",20.0,12.0,7.2,7411.0,55
CDM,30201601,HC REF TDH CHAGAS DISEASE,510.0,306.0,10.0,7411.0,55
CDM,30201602,"HC REF ARUP COMP 2013070, CPT 86022",116.67,70.0,10.0,7411.0,55
CDM,30201603,"HC REF ARUP COMP 0013039, CPT 86940",180.38,108.23,7.37,7411.0,55
CDM,30201604,"HC REF ARUP COMP 0013039, CPT 86941",180.38,108.23,10.0,7411.0,55
CDM,30201605,"HC REF ARUP COMP 2001594, CPT 86651",46.96,28.18,10.0,7411.0,55
CDM,30201606,"HC REF ARUP COMP 2001594, CPT 86652",46.96,28.18,10.0,7411.0,55
CDM,30201607,"HC REF ARUP COMP 2001594, CPT 86653",46.96,28.18,10.0,7411.0,55
CDM,30201608,"HC REF ARUP COMP 2001594, CPT 86654",46.96,28.18,10.0,7411.0,55
CDM,30201609,"HC REF ARUP COMP 2001594, CPT 86789",46.96,28.18,10.0,7411.0,55
CDM,30201610,"HC REF ARUP COMP 2001594, CPT 86788",46.96,28.18,10.0,7411.0,55
CDM,30201611,"HC REF ARUP 3016632 - CYCLIC CITRULLINATED PEPTIDE AB, IGG & IGA",27.5,16.5,9.9,7411.0,55
CDM,30201612,"HC REF ARUP COMP 2001571, CPT 86041",70.0,42.0,10.0,7411.0,55
CDM,30201613,"HC REF ARUP COMP 2001571, CPT 86042",70.0,42.0,10.0,7411.0,55
CDM,30201614,"HC REF ARUP COMP 2001571, CPT 86043",97.5,58.5,10.0,7411.0,55
CDM,30201615,"HC REF ARUP COMP 0050772, CPT 86644",27.1,16.26,9.76,7411.0,55
CDM,30201616,"HC REF ARUP COMP 0050772, CPT 86694",27.1,16.26,9.76,7411.0,55
CDM,30201617,"HC REF ARUP COMP 0050772, CPT 86762",27.1,16.26,9.76,7411.0,55
CDM,30201618,"HC REF ARUP COMP 0050772, CPT 86777",27.08,16.25,9.75,7411.0,55
CDM,30201619,"HC REF ARUP COMP 3017749, CPT 86645",24.18,14.51,8.7,7411.0,55
CDM,30201620,"HC REF ARUP COMP 3017749, CPT 86762",24.18,14.51,8.7,7411.0,55
CDM,30201621,"HC REF ARUP COMP 3017749, CPT 86778",24.15,14.49,8.69,7411.0,55
CDM,30201622,"HC REF ARUP 3017565 ALLERGEN, FOOD, WHEAT COMPONENT RTRI A 19 OMEGA 5-GLIADIN IGE",92.5,55.5,10.0,7411.0,55
CDM,30201623,"HC REF ARUP 0097653 ALLERGEN, FOOD, CASEIN (COW'S MILK) IGG",44.38,26.63,6.57,7411.0,55
CDM,30201624,"HC REF ARUP 0090289 ALLERGEN, FOOD, GLUTEN IGG",44.38,26.63,6.57,7411.0,55
CDM,30201625,"HC REF ARUP 0097315 ALLERGEN, FOOD, EGG YOLK IGG",44.38,26.63,6.57,7411.0,55
CDM,30201626,"HC REF ARUP 0097659 ALLERGEN, FOOD, EGG WHITE IGG",44.38,26.63,6.57,7411.0,55
CDM,30201627,"HC REF ARUP 0050294 HERPES SIMPLEX VIRUS TYPE 2 GLYCOPROTEIN G-SPECIFIC ANTIBODY, IGG BY CIA",33.75,20.25,10.0,7411.0,55
CDM,30201628,"HC REF ARUP COMP 0095200, CPT 86628",32.5,19.5,10.0,7411.0,55
CDM,30201629,"HC REF MAYO COMP HCVDX, CPT 86803",77.85,46.71,10.0,7411.0,55
CDM,30201630,"HC REF ARUP COMP 3017059, CPT 86618",137.83,82.7,10.0,7411.0,55
CDM,30201631,"HC REF ARUP COMP 3017059, CPT 86617",37.5,22.5,10.0,7411.0,55
CDM,30201632,"HC REF LABCORP 505355 ANTI-LEUCINE-RICH (LGI1), SERUM",562.5,337.5,10.0,7411.0,55
CDM,30201633,"HC REF ARUP COMP 2014107, CPT 86658",96.25,57.75,10.0,7411.0,55
CDM,30201634,"HC REF MAYO COMP SCOC, CPT 86635",50.33,30.2,9.63,7411.0,55
CDM,30201635,"HC REF VERSITI COMP 5303, CPT 86022",245.28,147.17,10.0,7411.0,55
CDM,30201636,HC REF MAYO FIAAB IA2 AUTOANTIBODIES,75.28,45.17,10.0,7411.0,55
CDM,30201637,HC REF MACHAON P3366 C3 NEPHRITIC FACTOR,1097.5,658.5,10.0,7411.0,55
CDM,30201638,"HC REF MAYO C5AG C5 COMPLEMENT ANTIGEN, S",120.3,72.18,10.0,7411.0,55
CDM,30201639,"HC REF MAYO C5FX C5 COMPLEMENT, FUNCTIONAL",157.4,94.44,10.0,7411.0,55
CDM,30201640,"HC REF ARUP COMP 3000480, CPT 86039",98.8,59.28,9.37,7411.0,55
CDM,30201641,"HC REF ARUP COMP 3000480, CPT 86235",98.8,59.28,10.0,7411.0,55
CDM,30201642,"HC REF MAYO COMP FPOLO, CPT 86382",254.53,152.72,10.0,7411.0,55
CDM,30201643,"HC REF MAYO HAVTA HEPATITIS A TOTAL AB, S",42.95,25.77,10.0,7411.0,55
CDM,30201644,HC REF LABCORP 082024 ANTIADRENAL ANTIBODIES,95.8,57.48,10.0,7411.0,55
CDM,30201645,"HC REF ARUP 3005200 L. PNEUMOPHILA TYPES 1-6, ANTIBODIES",57.5,34.5,10.0,7411.0,55
CDM,30201646,"HC REF ARUP 3001499 ISLET ANTIGE-2 (IA-2) AB, SERUM",162.5,97.5,10.0,7411.0,55
CDM,30201647,"HC REF ARUP COMP 0050371, CPT 86757",31.25,18.75,10.0,7411.0,55
CDM,30201648,"HC REF MAYO COMP PCDEC, CPT 86255",124.33,74.6,10.0,7411.0,55
CDM,30201649,"HC REF MAYO COMP PCDEC, CPT 86341",243.18,145.91,10.0,7411.0,55
CDM,30201650,"HC REF MAYO COMP PCDEC, CPT 86053",389.25,233.55,10.0,7411.0,55
CDM,30201651,"HC REF MAYO COMP PCDES, CPT 86341",299.23,179.54,10.0,7411.0,55
CDM,30201652,"HC REF MAYO COMP PCDES, CPT 86255",61.19,36.71,10.0,7411.0,55
CDM,30201653,"HC REF MAYO COMP PCDES, CPT 86053",479.0,287.4,10.0,7411.0,55
CDM,30201654,"HC REF MAYO COMP PCDES, CPT 86363",479.0,287.4,10.0,7411.0,55
CDM,30201655,HC REF MAYO FGUMX GUM XANTHAN IGE,140.15,84.09,4.38,7411.0,55
CDM,30201656,HC REF MAYO FIOCA TAPIOCA  IGE,110.9,66.54,4.38,7411.0,55
CDM,30201657,HC REF MAYO OLIVF OLIVE FOOD  IGE,22.15,13.29,4.38,7411.0,55
CDM,30201658,HC REF ARUP 0080009 ACETYLCHOLINE RECEPTOR BINDING ANTIBODY,62.5,37.5,10.0,7411.0,55
CDM,30201659,"HC REF ARUP 2013890 TOXOPLASMA GONDII AB IGA, ELISA",525.0,315.0,10.0,7411.0,55
CDM,30201660,HC REF ARUP 2012135 HSV-2 IGG INHIBITION BY ELISA,396.88,238.13,10.0,7411.0,55
CDM,30201661,HC REF ARUP COMP 2004359 CPT 86356,84.66,50.8,10.0,7411.0,55
CDM,30201662,HC REF ARUP COMP 0051241 CPT 86793,102.92,61.75,10.0,7411.0,55
CDM,30201663,HC REF LABCORP 144733 CA 125 IN PRESENCE OF HAMA,125.0,75.0,10.0,7411.0,55
CDM,30201664,"HC REF ARUP 0050085, SMITH ENA ANTIBODY, IGG",35.08,21.05,10.0,7411.0,55
CDM,30201665,"HC REF ARUP, VERSITI 3110 DRUG DEPENDENT RBC AB",7925.0,4755.0,2.51,7411.0,55
CDM,30201666,HC REF LABCORP ANTI CCP IGG AND IGA,50.0,30.0,10.0,7411.0,55
CDM,30201667,"HC REF MAYO LAGGN GRANULOCYTE AB SCREEN, SERUM",321.78,193.07,10.0,7411.0,55
CDM,30201668,HC REF MAYO COMP TREGS CPT 86359,606.25,363.75,10.0,7411.0,55
CDM,30201669,HC REF MAYO COMP TREGS CPT 86361,430.33,258.2,10.0,7411.0,55
CDM,30201671,HC REF ARUP 0050381 TYPHUS FEVER AB IGG,37.5,22.5,10.0,7411.0,55
CDM,30201672,HC REF ARUP COMP 2005639 CPT 86041,92.5,55.5,10.0,7411.0,55
CDM,30201673,HC REF ARUP COMP 2005639 CPT 86042,92.5,55.5,10.0,7411.0,55
CDM,30201674,HC REF ARUP COMP 2005639 CPT 86255,92.5,55.5,10.0,7411.0,55
CDM,30201675,"HC REF ARUP 0055284 CYSTICERCOSIS ANTIBODY, IGG BY ELISA",53.5,32.1,10.0,7411.0,55
CDM,30201676,HC REF ARUP COMP 0055260 CPT 86617,46.75,28.05,10.0,7411.0,55
CDM,30201677,HC REF ARUP COMP 0095950 CPT 86359,62.5,37.5,10.0,7411.0,55
CDM,30201678,HC REF ARUP COMP 0095950 CPT 86360,62.5,37.5,10.0,7411.0,55
CDM,30201679,HC REF ARUP 0050692 SSB LA ENA AB,35.08,21.05,10.0,7411.0,55
CDM,30201680,HC REF ARUP COMP 2012074 CPT 86235,17.93,10.76,6.45,7411.0,55
CDM,30201682,HC REF MAYO COMP MGLE CPT 86041,346.63,207.98,10.0,7411.0,55
CDM,30201683,HC REF MAYO COMP MGLE CPT 86596,227.0,136.2,10.0,7411.0,55
CDM,30201684,HC REF MAYO COMP RSCOC CPT 86635,46.6,27.96,9.63,7411.0,55
CDM,30201685,HC REF MAYO COXIS COCCIDIOIDES AB W/ COCCIDIOIDES AB SCREEN W/ RFLX,95.85,57.51,9.63,7411.0,55
CDM,30201686,"HC REF ARUP 0050692 SSB (LA) (ENA) AB, IGG",35.08,21.05,10.0,7411.0,55
CDM,30201687,"HC REF ARUP 0050162 VARICELLA ZOSTER VIRUS ABS, IGG & IGM",47.5,28.5,10.0,7411.0,55
CDM,30201688,HC REF ARUP 0050140 C-1 ESTERASE INHIBITOR,32.63,19.58,10.0,7411.0,55
CDM,30201689,HC REF ARUP 3006018 IGLON5 AB IGG,287.5,172.5,10.0,7411.0,55
CDM,30201690,HC REF LABCORP 138452 PARACOCCIDIOIDES BRASILIENIS AB IGG/IGM,206.25,123.75,9.63,7411.0,55
CDM,30201691,HC REF MORL UNIVERSITY IOWA COMP C3G-CP CPT 86161,577.07,346.24,10.0,7411.0,55
CDM,30201692,HC REF MORL UNIVERSITY IOWA COMP C3G-CP CPT 86160,577.07,346.24,10.0,7411.0,55
CDM,30201693,HC REF MORL UNIVERSITY IOWA COMP C3G-CP CPT 86162,577.07,346.24,10.0,7411.0,55
CDM,30201694,HC REF MORL UNIVERSITY IOWA COMP C3G-CP CPT 86334,577.07,346.24,10.0,7411.0,55
CDM,30201695,HC REF LABCORP 138022 CHLAMYDIA PSITTACI AB IGG,168.8,101.28,9.93,7411.0,55
CDM,30201696,HC REF LABCORP 138006 CHLAMYDIA PSITTACI AB IGM,160.75,96.45,10.0,7411.0,55
CDM,30201697,HC REF ARUP 0096055 LYMPHOCYTE ANTIGEN PROLIFERATION,771.88,463.13,10.0,7411.0,55
CDM,30201698,HC REF QUEST 37710 ANIT HU ANTIBODY,478.15,286.89,10.0,7411.0,55
CDM,30201699,"HC REF ARUP 2005779 STREPTOCOCCUS PNEUMOIAE ANTIBODIES, IGG (23 SEROTYPES)",175.88,105.53,10.0,7411.0,54
CDM,30201700,"HC REF MAYO FPBLG, PEPPER BLACK IGG",124.5,74.7,6.57,7411.0,55
CDM,30201701,HC REF ARUP 0095840 HLA B27,67.5,40.5,10.0,7411.0,55
CDM,30201702,HC REF MAYO APGAL COMP CPT 86003,40.99,24.59,4.38,7411.0,55
CDM,30201703,HC REF MAYO APGAL COMP CPT 86008,140.8,84.48,10.0,7411.0,55
CDM,30201704,HC REF ARUP 2014093 FILARIA AB IGG,231.5,138.9,10.0,7411.0,55
CDM,30201705,"HC REF ARUP COMP 0095614, CPT 86023",71.95,43.17,10.0,7411.0,55
CDM,30201706,"HC REF ARUP COMP 3020058, CPT 86753",56.25,33.75,10.0,7411.0,55
CDM,30201707,"HC REF MAYO FOOD4, FOOD-GRAIN PANEL",98.65,59.19,4.38,7411.0,55
CDM,30201708,"HC REF MAYO FOOD2, FOOD-FRUIT PANEL",98.65,59.19,4.38,7411.0,55
CDM,30201709,"HC REF MAYO FOOD6, FOOD PANEL",98.65,59.19,4.38,7411.0,55
CDM,30201710,"HC REF MAYO FDP1, FOOD PANEL 2, IGE",98.65,59.19,4.38,7411.0,55
CDM,30201711,"HC HIV COMBO ASSAY, SCREENING",48.16,28.9,8.19,7411.0,55
CDM,30201712,"HC REF UCLA IMMUNOGENETICS CENTER, 310056 MICA ANTIBODY",625.0,375.0,10.0,7411.0,55
CDM,30201713,HC REF EUROFINS VIRACOR 402810P COMP CPT 86003,434.28,260.57,4.38,7411.0,55
CDM,30201714,HC REF ARUP 2003020 HUMAN EPIDIDYMIS PROTEIN 4 (HE4),262.2,157.32,10.0,7411.0,55
CDM,30201715,HC REF ARUP 3000236 BLASTOMYCES DERM AB BY IMMUNOASSAY,34.25,20.55,10.0,7411.0,55
CDM,30201716,"HC REF ARUP COMP 0050627, CPT 86698",27.59,16.55,9.93,7411.0,55
CDM,30201717,"HC REF MAYO COMP CRUZI, CPT 86753",112.5,67.5,10.0,7411.0,55
CDM,30201718,"HC REF NATIONAL JEWISH C3NF, C3 NEPHRITIC FACTOR BY IMM FIX",662.5,397.5,10.0,7411.0,55
CDM,30201719,"HC REF NATIONAL JEWISH FHAB, AUTOANTIBODY TO FACTOR H BY ELISA",457.5,274.5,10.0,7411.0,55
CDM,30201720,"HC REF NATIONAL JEWISH FHL, FACOT H LEVEL BY RID",457.5,274.5,10.0,7411.0,55
CDM,30201721,"HC REF NATIONAL JEWISH FIL, FACTOR I LEVEL BY RID",457.5,274.5,10.0,7411.0,55
CDM,30201722,HC REF ARUP 0095862 COMP CPT 86355,51.46,30.88,10.0,7411.0,55
CDM,30201723,HC REF ARUP 0095862 COMP CPT 86357,51.46,30.88,10.0,7411.0,55
CDM,30201724,HC REF ARUP 0095862 COMP CPT 86359,51.46,30.88,10.0,7411.0,55
CDM,30201725,HC REF ARUP 0095862 COMP CPT 86360,51.46,30.88,10.0,7411.0,55
CDM,30201726,HC REF ARUP 0095862 COMP CPT 86356,51.46,30.88,10.0,7411.0,55
CDM,30201727,HC REF MAYO FHORS HORSERADISH AMORACIA RUSTICANA/A.LAPATHIFOLIA IGE,110.9,66.54,4.38,7411.0,55
CDM,30500001,"HC BLEEDING TIME, IVY OR TEMPLATE",146.56,87.94,4.05,7411.0,55
CDM,30500002,"HC BLOOD SMEAR,MICRO EXAM W/ MANUAL WBC DIFFERENTIAL",93.56,56.14,3.19,7411.0,55
CDM,30500003,HC SPUN MICROHEMATOCRIT,8.36,5.02,3.01,7411.0,55
CDM,30500004,HC HEMATOCRIT (HCT),76.63,45.98,1.99,7411.0,55
CDM,30500005,HC HEMOGLOBIN (HGB),72.35,43.41,1.99,7411.0,55
CDM,30500006,HC COMPLETE CBC W/AUTO WBC DIFF,183.63,110.18,6.53,7411.0,55
CDM,30500007,HC COMPLETE CBC AUTOMATED W/OUT DIFF,149.84,89.9,5.43,7411.0,55
CDM,30500008,"HC RETICULOCYTE, MANUAL",96.81,58.09,3.62,7411.0,55
CDM,30500009,"HC RETICULOCYTE, AUTOMATED",106.26,63.76,3.35,7411.0,55
CDM,30500010,HC PLATELET COUNT AUTOMATED,122.23,73.34,3.76,7411.0,55
CDM,30500011,HC BLOOD SMEAR INTERPRETATION,104.9,62.94,10.0,7411.0,39
CDM,30500012,"HC BONE MARROW,SMEAR INTERPRETATION",903.39,542.03,10.0,7411.0,55
CDM,30500013,HC CHROMOGENIC SUBSTRATE ASSAY,508.16,304.9,9.99,7411.0,55
CDM,30500014,"HC FACTOR II, PROTHROMBIN",263.75,158.25,10.0,7411.0,55
CDM,30500015,"HC FACTOR V (ACG), LABILE FACTOR",366.71,220.03,10.0,7411.0,55
CDM,30500016,"HC CLOTTING, FACTOR VII(PROCONVER",429.93,257.96,10.0,7411.0,55
CDM,30500017,"HC FACTOR VIII (AHG), 1 -STAGE",611.73,367.04,10.0,7411.0,55
CDM,30500018,"HC FACTOR VIII, VW FACTOR, RISTOCETIN COFACTOR",361.28,216.77,10.0,7411.0,55
CDM,30500019,"HC FACTOR VIII, VW FACTOR ANTIGEN",322.62,193.57,10.0,7411.0,55
CDM,30500020,"HC FACTOR VIII, MULTIMETRIC ANALYSIS",338.16,202.9,10.0,7411.0,55
CDM,30500021,HC FACTOR IX (PTC OR CHRISTMAS),419.12,251.47,10.0,7411.0,55
CDM,30500022,HC FACTOR X (STUART-PROWER),364.53,218.72,10.0,7411.0,55
CDM,30500023,"HC CLOTTING, FACTOR XI (PTA)",366.64,219.98,10.0,7411.0,55
CDM,30500024,HC FACTOR XII (HAGEMAN),375.0,225.0,10.0,7411.0,55
CDM,30500025,HC FACTOR XIII (FIBRIN STABILIZING),244.12,146.47,10.0,7411.0,55
CDM,30500026,"HC FACTOR XIII (FIBRN STABILIZING), SCREEN SOLUBILITY",190.1,114.06,7.65,7411.0,55
CDM,30500027,HC ANTITHROMBIN III ACTIVITY,314.82,188.89,9.95,7411.0,55
CDM,30500028,HC ANTITHROMBIN III ANTIGEN,111.88,67.13,9.08,7411.0,55
CDM,30500029,HC PROTEIN C ANTIGEN,296.08,177.65,10.0,7411.0,55
CDM,30500030,"HC PROTEIN S, TOTAL",273.76,164.26,9.75,7411.0,55
CDM,30500031,"HC PROTEIN S, FREE",334.89,200.93,10.0,7411.0,55
CDM,30500032,HC ACTIVATED PROTEIN C (APC) RESISTANCE ASSAY,274.43,164.66,10.0,7411.0,55
CDM,30500033,HC FACTOR INHIBITOR TEST,415.88,249.53,10.0,7411.0,55
CDM,30500034,HC ACTIVATED CLOTTING TIME,166.1,99.66,3.6,7411.0,55
CDM,30500035,HC FDP OR FSP BY AGGLUTINATION,186.91,112.15,5.79,7411.0,55
CDM,30500037,HC FDP OR D-DIMER QUANTITATIVE,248.29,148.97,8.55,7411.0,55
CDM,30500038,HC FDP OR D-DIMER ULTRASENSITIVE,557.67,334.6,8.55,7411.0,55
CDM,30500039,"HC FIBRINOGEN, ACTIVITY",245.6,147.36,8.16,7411.0,55
CDM,30500040,HC FIBRINOGEN - ANTIGEN,211.12,126.67,10.0,7411.0,55
CDM,30500041,"HC COAGULATION AND FIBRINOLYSIS, FUNCTIONAL ACTIVITY, NOS, EA ANALYTE",249.09,149.45,10.0,7411.0,55
CDM,30500042,HC ALPHA-2 ANTIPLASMIN,218.16,130.9,6.48,7411.0,55
CDM,30500043,HC PLASMINOGEN ACTIVITY,272.11,163.27,5.49,7411.0,55
CDM,30500044,HC FETAL HEMOGLOBIN OR RBC BY DIFFERENTIAL LYSIS,278.15,166.89,6.49,7411.0,55
CDM,30500046,HC HEPARIN ASSAY,342.42,205.45,10.0,7411.0,55
CDM,30500047,HC HEPARIN-PROTAMINE TOLERANCE TEST,146.97,88.18,10.0,7411.0,55
CDM,30500049,HC LEUKOCYTE ALKALINE PHOSPHATASE,147.66,88.6,7.22,7411.0,55
CDM,30500050,HC MURAMIDASE,149.56,89.74,10.0,7411.0,55
CDM,30500052,HC PLATELET AGGREGATION EACH AGENT,321.65,192.99,10.0,7411.0,55
CDM,30500053,"HC HEXAGONAL, PLATELET",185.0,111.0,10.0,7411.0,55
CDM,30500054,HC PROTHROMBIN TIME,140.91,84.55,3.6,7411.0,55
CDM,30500055,HC PROTHROMBIN TIME SUBSTITUTION PLASMA EACH FRACTION,141.31,84.79,3.31,7411.0,55
CDM,30500056,HC RUSSELL VIPER VENOM TIME - DILUTED,170.11,102.07,8.05,7411.0,55
CDM,30500057,HC SEDIMENTATION RATE RBC NON-AUTOMATED,133.46,80.08,3.59,7411.0,55
CDM,30500058,HC SEDIMENTATION RATE RBC AUTOMATED,111.76,67.06,2.27,7411.0,55
CDM,30500059,HC SICKLE CELL BY REDUCTION,119.91,71.95,4.63,7411.0,55
CDM,30500060,"HC THROMBIN TIME, PLASMA",120.37,72.22,4.85,7411.0,55
CDM,30500061,HC PARTIALTHROMBOPLASTIN TIME (APTT),146.11,87.67,5.05,7411.0,55
CDM,30500062,"HC PARTIAL THROMBOPLASTIN TIME SUBSTITUTION, EA",142.2,85.32,5.43,7411.0,55
CDM,30500063,HC VISCOSITY,142.25,85.35,9.8,7411.0,55
CDM,30500065,HC BLOOD BANK PHYS SERV - INVESTIGATION TRANSFUSION REACTION,366.57,219.94,10.0,7411.0,55
CDM,30500066,HC BLOOD COUNT - AUTOMATED DIFFERENTIAL WBC COUNT,79.43,47.66,5.43,7411.0,55
CDM,30500067,"HC MANUAL CELL COUNT - RBC, WBC, OR PLATELET",107.43,64.46,3.62,7411.0,55
CDM,30500068,HC OSMOTIC FRAGILITY RBC UNINCUBATED,253.0,151.8,6.27,7411.0,55
CDM,30500069,"HC BLOOD COUNT - RBC, AUTOMATED",19.75,11.85,2.54,7411.0,55
CDM,30500070,"HC LEUKOCYTE (WBC), AUTOMATED",80.13,48.08,2.13,7411.0,55
CDM,30500095,HC PROTEIN C ACTIVITY,361.61,216.97,10.0,7411.0,55
CDM,30500096,HC DECALCIFICATION PROCEDURE - HEMA,147.19,88.31,10.0,7411.0,39
CDM,30500099,HC OSMOTIC FRAGILITY RBC INCUBATED,238.28,142.97,10.0,7411.0,55
CDM,30500100,HC KLEIHAUER-BETKE SCAN,278.15,166.89,6.49,7411.0,55
CDM,30500107,HC PANEL I-STATC (HCT/GLU/BUN/CREA/EGR) - ISCHC,76.63,45.98,1.99,7411.0,55
CDM,30500108,HC PLASMINOGEN ACTIVATOR,359.0,215.4,10.0,7411.0,55
CDM,30500115,HC BLOOD SMEAR EXAM W/OUT MANUAL DIFFERENTIAL,76.19,45.71,2.88,7411.0,55
CDM,30500117,HC HEMOSTASIS PROFILE,206.81,124.09,10.0,7411.0,55
CDM,30500118,HC FIBRINOLYSINS TEG,206.81,124.09,10.0,7411.0,55
CDM,30500119,HC FIBRINOLYSINS CRYSTAL SMR SCRN,206.81,124.09,10.0,7411.0,55
CDM,30500120,HC FACTOR DEFICIENCY SCREEN,206.81,124.09,10.0,7411.0,55
CDM,30500121,HC FIBRINOLYSINS TEG 1ST CUP,206.81,124.09,10.0,7411.0,55
CDM,30500122,HC FIBRINOLYSINS TEG PLT MAP,206.81,124.09,10.0,7411.0,55
CDM,30500123,HC FIBRINOLYSINS TEG 2ND CUP,206.81,124.09,10.0,7411.0,55
CDM,30500124,HC SCANNED DIFF,76.19,45.71,2.88,7411.0,55
CDM,30500125,HC CLOT LYSIS TIME TEG,78.44,47.06,10.0,7411.0,55
CDM,30500126,HC HEINZ BODIES INDUCED,130.15,78.09,5.73,7411.0,55
CDM,30500127,HC HEINZ BODY SUSCEPTIBILITY,130.15,78.09,5.73,7411.0,55
CDM,30500128,HC PATHOGEN TEST FOR PLATELETS,49.84,29.9,8.47,7411.0,55
CDM,30500129,HC HEMATOCRIT BLOOD COUNT,76.63,45.98,1.99,7411.0,55
CDM,30500130,HC HEMATOCRIT BLOOD COUNT,76.63,45.98,1.99,7411.0,55
CDM,30500131,"HC HEMOGLOBIN,FETAL,ROSETTE",166.43,99.86,7.86,7411.0,55
CDM,30500132,"HC HEMOGLOBIN, FETAL, DIFFERENTIA",278.15,166.89,6.49,7411.0,55
CDM,30500133,HC HEMATOCRIT BLOOD COUNT,76.63,45.98,1.99,7411.0,55
CDM,30500134,HC HEMATOCRIT BLOOD COUNT,76.63,45.98,1.99,7411.0,55
CDM,30500135,HC HEMATOCRIT BLOOD COUNT,76.63,45.98,1.99,7411.0,55
CDM,30500136,HC DECALCIFICATION PROCEDURE - HEMA,147.19,88.31,10.0,7411.0,39
CDM,30500137,"HC COAGULATION TIME, ACTIVATED",166.1,99.66,3.6,7411.0,55
CDM,30500138,"HC CLOTTING INHIBITORS, ANTITHROM",314.82,188.89,9.95,7411.0,55
CDM,30500139,"HC CBC,COMPLTE/AUTO&AUTO DIFFERTI",183.63,110.18,6.53,7411.0,55
CDM,30500140,HC WHITE BLOOD CELL COUNT,80.13,48.08,2.13,7411.0,55
CDM,30500141,"HC COAGULATION TIME, ACTIVATED",166.1,99.66,3.6,7411.0,55
CDM,30500142,"HC BLOOD COUNT - PLATELET,AUTOMATED",122.23,73.34,3.76,7411.0,55
CDM,30500143,"HC DIFFERENTIAL WBC BLOOD COUNT,",93.56,56.14,3.19,7411.0,55
CDM,30500144,HC PLATELET - AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500145,"HC FIBRIN DEGRADATION PROD, D-DIM",248.29,148.97,8.55,7411.0,55
CDM,30500146,"HC FIBRINOGEN, ACTIVITY",245.6,147.36,8.16,7411.0,55
CDM,30500147,HC HEMOGLOBIN,72.35,43.41,1.99,7411.0,55
CDM,30500148,HC HEMOGRAM,149.84,89.9,5.43,7411.0,55
CDM,30500149,HC PT PROTHROMBIN TIME,140.91,84.55,3.6,7411.0,55
CDM,30500150,"HC THROMBOPLASTIN TIME,PART - SUB,P",142.2,85.32,5.43,7411.0,55
CDM,30500151,HC PLATELET - AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500152,"HC COAGULATION TIME, ACTIVATED",166.1,99.66,3.6,7411.0,55
CDM,30500153,"HC FIBRINOGEN, ACTIVITY",245.6,147.36,8.16,7411.0,55
CDM,30500154,HC PLATELET - AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500155,"HC FIBRINOGEN, ACTIVITY",245.6,147.36,8.16,7411.0,55
CDM,30500156,"HC SICKLING OF RBC, REDUCTION, SL",119.91,71.95,4.63,7411.0,55
CDM,30500157,"HC THROMBOPLASTIN TIME,PART - SUB,P",142.2,85.32,5.43,7411.0,55
CDM,30500158,HC COAGULATION/FIBRINALYSIS/FUNCT,249.09,149.45,10.0,7411.0,55
CDM,30500159,HC PLATELET - AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500160,HC PLATELET - AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500161,HC PLATELET - AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500162,HC PLATELET - AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500163,HC PLATELET - AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500164,"HC SICKLING OF RBC, REDUCTION, SL",119.91,71.95,4.63,7411.0,55
CDM,30500165,HC PLATELET - AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500166,HC COAGULATION/FIBRINALYSIS/FUNCT,249.09,149.45,10.0,7411.0,55
CDM,30500167,HC HEPARIN ASSAY,342.42,205.45,10.0,7411.0,55
CDM,30500168,"HC CLOTTING INHIBITORS, ANTITHROM",314.82,188.89,9.95,7411.0,55
CDM,30500169,HC PLATELET - AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500170,HC CLOTTING INHIBITORS/PROT S FRE,334.89,200.93,10.0,7411.0,55
CDM,30500171,HC CLOTTING INHIBITORS/PROT S FRE,334.89,200.93,10.0,7411.0,55
CDM,30500172,"HC SICKLING OF RBC, REDUCTION, SL",119.91,71.95,4.63,7411.0,55
CDM,30500173,HC HEPARIN ASSAY,342.42,205.45,10.0,7411.0,55
CDM,30500174,HC PLATELET - AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500175,HC PLATELET - AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500176,HC PLATELET - AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500177,"HC SICKLING OF RBC, REDUCTION, SL",119.91,71.95,4.63,7411.0,55
CDM,30500178,HC PLATELET - AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500179,"HC COAGULATION TIME, ACTIVATED",166.1,99.66,3.6,7411.0,55
CDM,30500180,"HC FIBRINOGEN, ACTIVITY",245.6,147.36,8.16,7411.0,55
CDM,30500181,"HC FIBRINOGEN, ACTIVITY",245.6,147.36,8.16,7411.0,55
CDM,30500182,HC PLATELET - AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500183,HC HEMOGLOBIN,72.35,43.41,1.99,7411.0,55
CDM,30500184,HC PT PROTHROMBIN TIME,140.91,84.55,3.6,7411.0,55
CDM,30500185,HC COAGULATION/FIBRINALYSIS/FUNCT,249.09,149.45,10.0,7411.0,55
CDM,30500186,"HC COAGULATION TIME, ACTIVATED",166.1,99.66,3.6,7411.0,55
CDM,30500187,HC WHITE BLOOD CELL COUNT,80.13,48.08,2.13,7411.0,55
CDM,30500188,"HC COAGULATION TIME, ACTIVATED",166.1,99.66,3.6,7411.0,55
CDM,30500189,HC PLATELET; AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500190,"HC COAGULATION TIME, ACTIVATED",166.1,99.66,3.6,7411.0,55
CDM,30500191,"HC FIBRIN DEGRADATION PROD, D-DIM",248.29,148.97,8.55,7411.0,55
CDM,30500192,HC HEMOGLOBIN,72.35,43.41,1.99,7411.0,55
CDM,30500193,HC HEMOGLOBIN,72.35,43.41,1.99,7411.0,55
CDM,30500194,HC HEMOGLOBIN,72.35,43.41,1.99,7411.0,55
CDM,30500195,HC HEMOGLOBIN,72.35,43.41,1.99,7411.0,55
CDM,30500196,HC HEMOGLOBIN,72.35,43.41,1.99,7411.0,55
CDM,30500197,HC HEPARIN ASSAY,342.42,205.45,10.0,7411.0,55
CDM,30500198,HC PLATELET; AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500199,HC PLATELET - AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500200,HC HEMOGLOBIN,72.35,43.41,1.99,7411.0,55
CDM,30500201,"HC BLOOD COUNT - PLATELET,AUTOMATED",122.23,73.34,3.76,7411.0,55
CDM,30500202,HC PLATELET; AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500203,HC PLATELET; AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,55
CDM,30500204,"HC DIFFERENTIAL WBC BLOOD COUNT,",93.56,56.14,3.19,7411.0,55
CDM,30500205,"HC COAGULATION TIME, ACTIVATED",166.1,99.66,3.6,7411.0,55
CDM,30500206,"HC CBC,COMPLTE/AUTO&AUTO DIFFERTI",183.63,110.18,6.53,7411.0,55
CDM,30500207,HC HEMOGLOBIN,72.35,43.41,1.99,7411.0,55
CDM,30500208,HC HEMOGLOBIN,72.35,43.41,1.99,7411.0,55
CDM,30500209,HC HEMOGRAM,149.84,89.9,5.43,7411.0,55
CDM,30500210,HC PT PROTHROMBIN TIME,140.91,84.55,3.6,7411.0,55
CDM,30500211,HC PT PROTHROMBIN TIME,140.91,84.55,3.6,7411.0,55
CDM,30500212,HC IGE ACARUS SIRO,80.05,48.03,4.38,7411.0,55
CDM,30500213,HC IGE ALMOND,80.05,48.03,4.38,7411.0,55
CDM,30500214,HC IGE ALPHA AMYLASE,80.05,48.03,4.38,7411.0,55
CDM,30500215,HC IGE ALPHA-LACTALBUMIN,80.05,48.03,4.38,7411.0,55
CDM,30500216,HC IGE ALTERNARIA TENUIS,80.05,48.03,4.38,7411.0,55
CDM,30500217,HC IGE AMOXICILLIN,80.05,48.03,4.38,7411.0,55
CDM,30500218,HC IGE AMPICILLIN,80.05,48.03,4.38,7411.0,55
CDM,30500219,HC IGE ANCHOVY,80.05,48.03,4.38,7411.0,55
CDM,30500220,HC IGE ANISE,80.05,48.03,4.38,7411.0,55
CDM,30500221,HC IGE APPLE,80.05,48.03,4.38,7411.0,55
CDM,30500222,HC IGE APRICOT,80.05,48.03,4.38,7411.0,55
CDM,30500223,HC IGE ASPARAGUS,80.05,48.03,4.38,7411.0,55
CDM,30500224,HC IGE ASPERGILLUS FUMIGATUS,80.05,48.03,4.38,7411.0,55
CDM,30500225,HC IGE ASPERGILLUS NR,80.05,48.03,4.38,7411.0,55
CDM,30500226,HC IGE AUREOBASIDIUM PULLULANS,80.05,48.03,4.38,7411.0,55
CDM,30500227,HC IGE AUSTRALIAN PINE TREE,80.05,48.03,4.38,7411.0,55
CDM,30500228,HC IGE AVOCADO,80.05,48.03,4.38,7411.0,55
CDM,30500229,HC IGE BAHIA GRASS,80.05,48.03,4.38,7411.0,55
CDM,30500230,HC IGE BAMBOO SHOOT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500231,HC IGE BANANA (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500232,HC IGE BARLEY GRASS,80.05,48.03,4.38,7411.0,55
CDM,30500233,HC IGE BARLEY (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500234,HC IGE BASIL (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500235,HC IGE BAY LEAF (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500236,HC IGE BEECH TREE,80.05,48.03,4.38,7411.0,55
CDM,30500237,HC IGE BEEF (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500238,"HC IGE BEETS, BEETROOT (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500239,HC IGE BERMUDA GRASS,80.05,48.03,4.38,7411.0,55
CDM,30500240,HC IGE BETA-LACTOGLOBULIN (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500241,HC IGE BLACK PEPPER (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500242,HC IGE BLACKBERRY (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500243,HC IGE BLOMIA TROPICALIS,80.05,48.03,4.38,7411.0,55
CDM,30500244,HC IGE BLUE MUSSEL (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500245,HC IGE BLUEBERRY (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500246,HC IGE BOTRYTIS CINEREA,80.05,48.03,4.38,7411.0,55
CDM,30500247,HC IGE BOVINE SERUM ALBUMIN (BSA),80.05,48.03,4.38,7411.0,55
CDM,30500248,HC IGE BOX ELDER/MAPLE,80.05,48.03,4.38,7411.0,55
CDM,30500249,HC IGE BRAZIL NUT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500250,HC IGE BROCCOLI (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500251,HC IGE BROME GRASS,80.05,48.03,4.38,7411.0,55
CDM,30500252,HC IGE BRUSSEL SPROUT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500253,HC IGE BUCKWHEAT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500254,HC IGE BUDGERIGAR DROPPINGS,80.05,48.03,4.38,7411.0,55
CDM,30500255,HC IGE BUDGERIGAR FEATHERS,80.05,48.03,4.38,7411.0,55
CDM,30500256,HC IGE CABBAGE (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500257,HC IGE CACAO/COCOA (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500258,HC IGE CANARY FEATHERS,80.05,48.03,4.38,7411.0,55
CDM,30500259,HC IGE CANDIDA ALBICANS,80.05,48.03,4.38,7411.0,55
CDM,30500260,HC IGE CARAWAY (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500261,HC IGE CARDAMOM (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500262,HC IGE CARMINE/RED DYE (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500263,HC IGE CAROB (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500264,HC IGE CARROT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500265,HC IGE CASEIN (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500266,HC IGE CASHEW NUT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500267,HC IGE CAT EPITHELIUM DANDER,80.05,48.03,4.38,7411.0,55
CDM,30500268,HC IGE CATFISH (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500269,HC IGE CAULIFLOWER (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500270,HC IGE CEDAR TREE,80.05,48.03,4.38,7411.0,55
CDM,30500271,HC IGE CELERY (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500272,HC IGE CEPHALOSPORIUM ACREMONIUM,80.05,48.03,4.38,7411.0,55
CDM,30500273,HC IGE CHAETOMIUM GLOBOSUM,80.05,48.03,4.38,7411.0,55
CDM,30500274,"HC IGE CHEESE, CHEDDAR (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500275,"HC IGE CHEESE, MOLD TYPE (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500276,HC IGE CHERRY (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500277,"HC IGE CHESTNUT, SWEET (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500278,HC IGE CHICKEN DROPPINGS,80.05,48.03,4.38,7411.0,55
CDM,30500279,HC IGE CHICKEN FEATHERS,80.05,48.03,4.38,7411.0,55
CDM,30500280,HC IGE CHICKEN (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500281,HC IGE CHICKEN SERUM PROTIEN,80.05,48.03,4.38,7411.0,55
CDM,30500282,HC IGE CHICKPEA (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500283,HC IGE CHILI PEPPER (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500284,HC IGE CINNAMON (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500285,HC IGE CLADOSPORIUM,80.05,48.03,4.38,7411.0,55
CDM,30500286,HC IGE CLAM (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500287,HC IGE CLOVE (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500288,HC IGE COCKLEBUR,80.05,48.03,4.38,7411.0,55
CDM,30500289,HC IGE COCKROACH,80.05,48.03,4.38,7411.0,55
CDM,30500290,HC IGE COCONUT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500291,HC IGE COD FISH (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500292,HC IGE COFFEE (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500293,HC IGE COMMON MILLET (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500294,HC IGE CORIANDER (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500295,HC IGE CORN (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500296,HC IGE COTTON FIBER,80.05,48.03,4.38,7411.0,55
CDM,30500297,HC IGE COTTON SEED,80.05,48.03,4.38,7411.0,55
CDM,30500298,HC IGE COTTONWOOD TREE,80.05,48.03,4.38,7411.0,55
CDM,30500299,HC IGE COW EPITHELIUM,80.05,48.03,4.38,7411.0,55
CDM,30500300,HC IGE CRAB (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500301,HC IGE CRANBERRY (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500302,HC IGE CRAYFISH (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500303,HC IGE CUCUMBER (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500304,HC IGE CULTIVATED OAT GRASS,80.05,48.03,4.38,7411.0,55
CDM,30500305,HC IGE CULTIVATED WHEAT GRASS,80.05,48.03,4.38,7411.0,55
CDM,30500306,HC IGE CURRY (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500307,HC IGE CURVULARIA LUNATA,80.05,48.03,4.38,7411.0,55
CDM,30500308,"HC IGE CYPRESS, BALD TREE",80.05,48.03,4.38,7411.0,55
CDM,30500309,HC IGE DANDELION,80.05,48.03,4.38,7411.0,55
CDM,30500310,HC IGE DATE (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500311,HC IGE DEER EPITHELIUM,80.05,48.03,4.38,7411.0,55
CDM,30500312,HC IGE DERMATOPHAGOIDES MICROCERAS,80.05,48.03,4.38,7411.0,55
CDM,30500313,HC IGE DILL (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500314,HC IGE DOG DANDER,80.05,48.03,4.38,7411.0,55
CDM,30500315,HC IGE DUCK FEATHERS,80.05,48.03,4.38,7411.0,55
CDM,30500316,HC IGE EASTERN SYCAMORE TREE,80.05,48.03,4.38,7411.0,55
CDM,30500317,HC IGE EGG WHITE (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500318,HC IGE EGG YOLK (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500319,"HC IGE EGG, WHOLE (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500320,HC IGE EGGPLANT,80.05,48.03,4.38,7411.0,55
CDM,30500321,HC IGE ELDER TREE,80.05,48.03,4.38,7411.0,55
CDM,30500322,HC IGE ELM TREE,80.05,48.03,4.38,7411.0,55
CDM,30500323,HC IGE ENGLISH PLANTAIN,80.05,48.03,4.38,7411.0,55
CDM,30500324,HC IGE EPICOCCUM PURPURASCENS,80.05,48.03,4.38,7411.0,55
CDM,30500325,HC IGE ETHYLENE OXIDE,80.05,48.03,4.38,7411.0,55
CDM,30500326,HC IGE EUCALYPTUS (GUM TREE),80.05,48.03,4.38,7411.0,55
CDM,30500327,HC IGE EUROGLYPHUS MAYNEI,80.05,48.03,4.38,7411.0,55
CDM,30500328,HC IGE EUROPEAN HORNET VENOM,80.05,48.03,4.38,7411.0,55
CDM,30500329,HC IGE FENNEL SEED (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500330,"HC IGE FENNEL, FRESH, GREEK (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500331,HC IGE FERRET EPITHELIUM,80.05,48.03,4.38,7411.0,55
CDM,30500332,HC IGE FINCH FEATHERS,80.05,48.03,4.38,7411.0,55
CDM,30500333,HC IGE FIRE ANT,80.05,48.03,4.38,7411.0,55
CDM,30500334,HC IGE FIREBUSH (KOCHIA),80.05,48.03,4.38,7411.0,55
CDM,30500335,HC IGE FORMALDEHYDE,80.05,48.03,4.38,7411.0,55
CDM,30500336,HC IGE FUSARIUM MONILIFORME,80.05,48.03,4.38,7411.0,55
CDM,30500337,HC IGE GARLIC (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500338,HC IGE GELATIN,80.05,48.03,4.38,7411.0,55
CDM,30500339,HC IGE GERBIL EPITHELIUM,80.05,48.03,4.38,7411.0,55
CDM,30500340,HC IGE GIANT RAGWEED,80.05,48.03,4.38,7411.0,55
CDM,30500341,HC IGE GINGER (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500342,HC IGE GLUTEN (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500343,HC IGE GOAT EPITHELIUM,80.05,48.03,4.38,7411.0,55
CDM,30500344,HC IGE GOLDENROD,80.05,48.03,4.38,7411.0,55
CDM,30500345,HC IGE GOOSE FEATHERS,80.05,48.03,4.38,7411.0,55
CDM,30500346,HC IGE GRAPE (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500347,HC IGE GRAPEFRUIT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500348,HC IGE GREEN BEAN (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500349,HC IGE GREEN COFFEE BEAN,80.05,48.03,4.38,7411.0,55
CDM,30500350,HC IGE GREEN PEA (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500351,HC IGE GREEN PEPPER (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500352,HC IGE GREY ALDER TREE,80.05,48.03,4.38,7411.0,55
CDM,30500353,HC IGE GUAR GUM (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500354,HC IGE GUAVA (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500355,HC IGE GUINEA PIG EPITHELIUM,80.05,48.03,4.38,7411.0,55
CDM,30500356,HC IGE GUM ARABIC (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500357,HC IGE HALIBUT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500358,HC IGE HAMSTER EPITHELIUM,80.05,48.03,4.38,7411.0,55
CDM,30500359,HC IGE HAZELNUT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500360,HC IGE HELMINTHOSPORIUM HALODES,80.05,48.03,4.38,7411.0,55
CDM,30500361,HC IGE HERRING (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500362,HC IGE HEXAHYDROPHTHALIC ANHYDRI,80.05,48.03,4.38,7411.0,55
CDM,30500363,"HC IGE HICKORY, WHITE TREE",80.05,48.03,4.38,7411.0,55
CDM,30500364,HC IGE HONEY (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500365,HC IGE HONEYBEE VENOM,80.05,48.03,4.38,7411.0,55
CDM,30500366,HC IGE HOP FRUIT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500367,HC IGE HORN BEAM TREE,80.05,48.03,4.38,7411.0,55
CDM,30500368,HC IGE HORSE DANDER,80.05,48.03,4.38,7411.0,55
CDM,30500369,HC IGE HORSE FLY,80.05,48.03,4.38,7411.0,55
CDM,30500370,HC IGE HORSE MEAT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500371,HC IGE HORSE SERUM PROTEIN,80.05,48.03,4.38,7411.0,55
CDM,30500372,HC IGE HOUSE DUST MITES/DERMATOPHAGOIDES FARINAE,80.05,48.03,4.38,7411.0,55
CDM,30500373,HC IGE HOUSE DUST MITES/DERMATOPHAGOIDES PTERONYSSINUS,80.05,48.03,4.38,7411.0,55
CDM,30500374,HC IGE HOUSE DUST/H-S LAB,80.05,48.03,4.38,7411.0,55
CDM,30500375,HC IGE HOUSE DUST-GREER LAB,80.05,48.03,4.38,7411.0,55
CDM,30500376,HC IGE INSULIN (HUMAN),80.05,48.03,4.38,7411.0,55
CDM,30500377,HC IGE ISOCYANATE HDI,80.05,48.03,4.38,7411.0,55
CDM,30500378,HC IGE ISOCYANATE MDI,80.05,48.03,4.38,7411.0,55
CDM,30500379,HC IGE ISOCYANATE TDI,80.05,48.03,4.38,7411.0,55
CDM,30500380,HC IGE JACK FRUIT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500381,HC IGE JAPANESE CEDAR TREE,80.05,48.03,4.38,7411.0,55
CDM,30500382,HC IGE JOHNSON  GRASS,80.05,48.03,4.38,7411.0,55
CDM,30500383,HC IGE KENTUCKY BLUE (JUNE) GRASS,80.05,48.03,4.38,7411.0,55
CDM,30500384,"HC IGE KIDNEY BEAN, RED (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500385,HC IGE KIWI (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500386,"HC IGE LAMB, MUTTON (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500387,HC IGE LAMB'S QUARTERS (GOOSEFOOT),80.05,48.03,4.38,7411.0,55
CDM,30500388,"HC IGE LANGUST, SPINY LOBSTER (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500389,HC IGE LATEX,80.05,48.03,4.38,7411.0,55
CDM,30500390,HC IGE LEMON (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500391,HC IGE LENTIL (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500392,HC IGE LETTUCE (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500393,HC IGE LIMA BEAN (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500394,HC IGE LIME (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500395,HC IGE LINSEED (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500396,HC IGE LOBSTER (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500397,HC IGE MACE (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500398,"HC IGE MACKERAL, CHUB (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500399,"HC IGE MACKERAL, JACK (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500400,HC IGE MACKEREL (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500401,"HC IGE MAIZE, CORN POLLEN TREE",80.05,48.03,4.38,7411.0,55
CDM,30500402,HC IGE MALEIC ANHYDRIDE,80.05,48.03,4.38,7411.0,55
CDM,30500403,HC IGE MALT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500404,HC IGE MANDARIN (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500405,HC IGE MANGO (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500406,HC IGE MARJORAM (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500407,HC IGE MEGRIM (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500408,HC IGE MELONS (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500409,HC IGE MESQUITE TREE,80.05,48.03,4.38,7411.0,55
CDM,30500410,HC IGE MILK (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500411,"HC IGE MILK, GOAT",80.05,48.03,4.38,7411.0,55
CDM,30500412,"HC IGE MILK, MARE",80.05,48.03,4.38,7411.0,55
CDM,30500413,"HC IGE MILK, PROCESSED (BOILED)",80.05,48.03,4.38,7411.0,55
CDM,30500414,"HC IGE MILLET, FOXTAIL (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500415,"HC IGE MILLET, JAPANESE (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500416,HC IGE MOSQUITO SPP.,80.05,48.03,4.38,7411.0,55
CDM,30500417,HC IGE MOTH,80.05,48.03,4.38,7411.0,55
CDM,30500418,HC IGE MOUNTAIN CEDAR (JUNIPER) TREE,80.05,48.03,4.38,7411.0,55
CDM,30500419,HC IGE MOUSE EPITHELIUM,80.05,48.03,4.38,7411.0,55
CDM,30500420,HC IGE MOUSE SERUM PROTEIN,80.05,48.03,4.38,7411.0,55
CDM,30500421,HC IGE MOUSE URINE PROTEIN,80.05,48.03,4.38,7411.0,55
CDM,30500422,HC IGE MUCOR,80.05,48.03,4.38,7411.0,55
CDM,30500423,HC IGE MUGWORT,80.05,48.03,4.38,7411.0,55
CDM,30500424,HC IGE MULBERRY TREE,80.05,48.03,4.38,7411.0,55
CDM,30500425,HC IGE MUSHROOM (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500426,HC IGE MUSTARD (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500427,HC IGE NETTLE,80.05,48.03,4.38,7411.0,55
CDM,30500428,HC IGE NUTMEG (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500429,HC IGE OAK TREE,80.05,48.03,4.38,7411.0,55
CDM,30500430,HC IGE OAT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500431,HC IGE OCTOPUS (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500432,"HC IGE OLIVE, BLACK (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500433,HC IGE ONION (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500434,HC IGE ORANGE (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500435,HC IGE ORCHARD (COCKSFOOT) GRASS,80.05,48.03,4.38,7411.0,55
CDM,30500436,HC IGE OREGANO (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500437,HC IGE OVALBUMIN (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500438,HC IGE OVOMUCOID (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500439,HC IGE OYSTER (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500440,HC IGE PAPAIN,80.05,48.03,4.38,7411.0,55
CDM,30500441,HC IGE PAPAYA (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500442,HC IGE PAPRIKA (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500443,HC IGE PAREITARIA JUDAICA (WALL PELLITORY),80.05,48.03,4.38,7411.0,55
CDM,30500444,HC IGE PARSLEY (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500445,HC IGE PASSION FRUIT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500446,HC IGE PEACH (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500447,HC IGE PEANUT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500448,HC IGE PEAR (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500449,HC IGE PECAN (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500450,HC IGE PECAN HICKORY TREE,80.05,48.03,4.38,7411.0,55
CDM,30500451,HC IGE PENICILLIN G,80.05,48.03,4.38,7411.0,55
CDM,30500452,HC IGE PENICILLIN V,80.05,48.03,4.38,7411.0,55
CDM,30500453,HC IGE PENICILLIUM CHRYSOGENUM,80.05,48.03,4.38,7411.0,55
CDM,30500454,HC IGE PERSIMMON (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500455,HC IGE PHOMA BETAE,80.05,48.03,4.38,7411.0,55
CDM,30500456,HC IGE PHTHALIC ANHYDRIDE,80.05,48.03,4.38,7411.0,55
CDM,30500457,HC IGE PIG EPITHELIUM,80.05,48.03,4.38,7411.0,55
CDM,30500458,HC IGE PON DROPPING,80.05,48.03,4.38,7411.0,55
CDM,30500459,HC IGE PON FEATHERS,80.05,48.03,4.38,7411.0,55
CDM,30500460,HC IGE PINE NUT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500461,"HC IGE PINE, WHITE TREE",80.05,48.03,4.38,7411.0,55
CDM,30500462,HC IGE PINEAPPLE (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500463,HC IGE PISTACHIO (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500464,HC IGE PLAICE (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500465,HC IGE PLUM (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500466,HC IGE POPPY SEED (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500467,HC IGE PORK (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500468,HC IGE PRIVET TREE,80.05,48.03,4.38,7411.0,55
CDM,30500469,HC IGE PUMPKIN SEED (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500470,HC IGE RABBIT EPITHELIUM,80.05,48.03,4.38,7411.0,55
CDM,30500471,HC IGE RABBIT MEAT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500472,HC IGE RABBIT SERUM PROTEIN,80.05,48.03,4.38,7411.0,55
CDM,30500473,HC IGE RABBIT URINE PROETIN,80.05,48.03,4.38,7411.0,55
CDM,30500474,"HC IGE RAGWEED, FALSE",80.05,48.03,4.38,7411.0,55
CDM,30500475,HC IGE RAPESEED (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500476,HC IGE RASPBERRY (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500477,HC IGE RAT EPITELIUM,80.05,48.03,4.38,7411.0,55
CDM,30500478,HC IGE RAT SERUM PROTEINS,80.05,48.03,4.38,7411.0,55
CDM,30500479,HC IGE RAT URINE PROTEINS,80.05,48.03,4.38,7411.0,55
CDM,30500480,HC IGE RED CURRENT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500481,HC IGE RED SORREL,80.05,48.03,4.38,7411.0,55
CDM,30500482,HC IGE REDTOP (BENTGRASS),80.05,48.03,4.38,7411.0,55
CDM,30500483,HC IGE RHIZOPUS NIGRICANS,80.05,48.03,4.38,7411.0,55
CDM,30500484,HC IGE RICE (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500485,HC IGE ROUGH MARSH ELDER,80.05,48.03,4.38,7411.0,55
CDM,30500486,HC IGE ROUGH PIGWEED,80.05,48.03,4.38,7411.0,55
CDM,30500487,HC IGE RUSSIAN THISTLE (SALTWORT),80.05,48.03,4.38,7411.0,55
CDM,30500488,HC IGE RYE GRASS,80.05,48.03,4.38,7411.0,55
CDM,30500489,HC IGE RYE (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500490,HC IGE SAGE (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500491,HC IGE SALMON (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500492,HC IGE SALT GRASS,80.05,48.03,4.38,7411.0,55
CDM,30500493,"HC IGE SARDINE, PILCHARD (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500494,HC IGE SCALE (LENSCALE),80.05,48.03,4.38,7411.0,55
CDM,30500495,HC IGE SCALLOP (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500496,"HC IGE SEAFOOD, HAKE (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500497,HC IGE SESAME SEED (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500498,HC IGE SHEEP WOOL,80.05,48.03,4.38,7411.0,55
CDM,30500499,HC IGE SHORT RAGWEED,80.05,48.03,4.38,7411.0,55
CDM,30500500,HC IGE SHRIMP (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500501,HC IGE SILVER BIRCH TREE,80.05,48.03,4.38,7411.0,55
CDM,30500502,HC IGE SNAIL (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500503,HC IGE SOLE (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500504,HC IGE SOYBEAN (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500505,HC IGE SPINACH (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500506,HC IGE SPRUCE TREE,80.05,48.03,4.38,7411.0,55
CDM,30500507,"HC IGE SQUASH, PUMPKIN, (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500508,"HC IGE SQUID, PACIFIC, (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500509,HC IGE SQUID (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500510,HC IGE STEMPHYLIUM HERBARUM,80.05,48.03,4.38,7411.0,55
CDM,30500511,HC IGE STRAWBERRY (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500512,HC IGE SUGAR BEET SEED (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500513,HC IGE SUNFLOWER SEED (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500514,HC IGE SWEET GUM TREE,80.05,48.03,4.38,7411.0,55
CDM,30500515,HC IGE SWEET POTATO (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500516,HC IGE SWEET VERNAL GRASS,80.05,48.03,4.38,7411.0,55
CDM,30500517,HC IGE SWORDFISH (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500518,HC IGE TARRAGON (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500519,HC IGE TEA (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500520,HC IGE THYME (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500521,HC IGE TILAPIA (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500522,HC IGE TILLETIA TRITICI (USTILAGO),80.05,48.03,4.38,7411.0,55
CDM,30500523,HC IGE TIMOTHY GRASS,80.05,48.03,4.38,7411.0,55
CDM,30500524,HC IGE TOBACCO,80.05,48.03,4.38,7411.0,55
CDM,30500525,HC IGE TOMATO (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500526,HC IGE TRAGACANTH (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500527,HC IGE TRICHODERMA VIRIDE,80.05,48.03,4.38,7411.0,55
CDM,30500528,HC IGE TRICHOPHYTON RUBRUM,80.05,48.03,4.38,7411.0,55
CDM,30500529,HC IGE TRICHOSPORON PULLULANS,80.05,48.03,4.38,7411.0,55
CDM,30500530,HC IGE TROUT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500531,HC IGE TUNA (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500532,HC IGE TURKEY FEATHERS,80.05,48.03,4.38,7411.0,55
CDM,30500533,HC IGE TURKEY (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500534,HC IGE ULOCLADIUM CHARTARUM,80.05,48.03,4.38,7411.0,55
CDM,30500535,HC IGE VANILLA (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500536,HC IGE WALNUT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500537,HC IGE WALNUT TREE,80.05,48.03,4.38,7411.0,55
CDM,30500538,HC IGE WASP VENOM (PAPER),80.05,48.03,4.38,7411.0,55
CDM,30500539,HC IGE WATERMELON (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500540,HC IGE WESTERN RAGWEED,80.05,48.03,4.38,7411.0,55
CDM,30500541,HC IGE WHEAT (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500542,"HC IGE WHEY, COW (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500543,HC IGE WHITE ASH TREE,80.05,48.03,4.38,7411.0,55
CDM,30500544,HC IGE WHITE BEAN (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500545,HC IGE WHITE POTATO (FOOD),80.05,48.03,4.38,7411.0,55
CDM,30500546,HC IGE WHITE-FACED HORNET VENOM,80.05,48.03,4.38,7411.0,55
CDM,30500547,HC IGE WILD RYE GRASS,80.05,48.03,4.38,7411.0,55
CDM,30500548,HC IGE WILLOW TREE,80.05,48.03,4.38,7411.0,55
CDM,30500549,HC IGE WORMWOOD,80.05,48.03,4.38,7411.0,55
CDM,30500550,"HC IGE YEAST, BAKER'S, BREWERS (FOOD)",80.05,48.03,4.38,7411.0,55
CDM,30500551,HC IGE YELLOW FACE HORNET VENOM,80.05,48.03,4.38,7411.0,55
CDM,30500552,HC IGE YELLOW JACKET (COMMON WASP) VENOM,80.05,48.03,4.38,7411.0,55
CDM,30500553,HC IGE ALLERGEN SPEC CRUDE ALLERGEN EXTRACT EACH,80.05,48.03,4.38,7411.0,55
CDM,30500554,HC IGE EPITHELIA PANEL #1,80.05,48.03,4.38,7411.0,55
CDM,30500555,HC IGE FEATHER PANEL #2,80.05,48.03,4.38,7411.0,55
CDM,30500556,HC IGE FOOD-FRUIT PANEL,80.05,48.03,4.38,7411.0,55
CDM,30500557,HC IGE FOOD-GRAIN PANEL,80.05,48.03,4.38,7411.0,55
CDM,30500558,HC IGE FOOD-NUT PANEL #1,80.05,48.03,4.38,7411.0,55
CDM,30500559,HC IGE FOOD-NUT PANEL #2,80.05,48.03,4.38,7411.0,55
CDM,30500560,HC IGE FOOD PANEL #1,80.05,48.03,4.38,7411.0,55
CDM,30500561,HC IGE FOOD-VEGETABLE PANEL,80.05,48.03,4.38,7411.0,55
CDM,30500562,HC IGE GRASS PANEL #2,80.05,48.03,4.38,7411.0,55
CDM,30500563,HC IGE HOUSE DUST PANEL,80.05,48.03,4.38,7411.0,55
CDM,30500564,HC IGE MOLD PANEL,80.05,48.03,4.38,7411.0,55
CDM,30500565,HC IGE TREE PANEL #1,80.05,48.03,4.38,7411.0,55
CDM,30500566,HC IGE TREE PANEL #2,80.05,48.03,4.38,7411.0,55
CDM,30500567,HC IGE WEED PANEL #1,80.05,48.03,4.38,7411.0,55
CDM,30500568,HC IGE WEED PANEL #2,80.05,48.03,4.38,7411.0,55
CDM,30500569,HC IGE WEED PANEL #4,80.05,48.03,4.38,7411.0,55
CDM,30500570,HC IGE SEAFOOD PANEL,80.05,48.03,4.38,7411.0,55
CDM,30500571,HC GRASS PANEL #1,80.05,48.03,4.38,7411.0,55
CDM,30500572,HC IGE FOOD PANEL #2,80.05,48.03,4.38,7411.0,55
CDM,30500573,HC IGE ANIMAL-SKIN PANEL #2,80.05,48.03,4.38,7411.0,55
CDM,30500574,HC IGE MEAT PANEL,80.05,48.03,4.38,7411.0,55
CDM,30500575,HC IGE GRASS PANEL #3,80.05,48.03,4.38,7411.0,55
CDM,30500576,HC IGE TREE PANEL #3,80.05,48.03,4.38,7411.0,55
CDM,30500577,HC IGE TREE PANEL #4,80.05,48.03,4.38,7411.0,55
CDM,30500578,HC IGE WEED PANEL #3,80.05,48.03,4.38,7411.0,55
CDM,30500579,HC IGE OCCUPATIONAL PANEL,80.05,48.03,4.38,7411.0,55
CDM,30500583,HC COMPLETE CBC W/AUTO DIFF WBC,183.63,110.18,6.53,7411.0,55
CDM,30500584,HC PROTHROMBIN TIME,140.91,84.55,3.6,7411.0,55
CDM,30500585,HC HEMOGLOBIN,72.35,43.41,1.99,7411.0,55
CDM,30500586,HC HEMATOCRIT,76.63,45.98,1.99,7411.0,55
CDM,30500587,HC PLATELET COUNT,122.23,73.34,3.76,7411.0,55
CDM,30500588,HC FACTOR XIII,244.12,146.47,10.0,7411.0,55
CDM,30500589,HC VCD3 CBC AUTO DIFF WBC,183.63,110.18,6.53,7411.0,55
CDM,30500590,HC REF ARUP 0030064 HEXAGONAL PHOSPHOLIPID NEUTRAL,132.5,79.5,10.0,7411.0,55
CDM,30500591,HC REF MAYO COMP APROL CPT 85379,191.38,114.83,8.55,7411.0,55
CDM,30500592,HC REF MAYO COMP APROL CPT 85384,182.7,109.62,8.16,7411.0,55
CDM,30500593,HC REF MAYO COMP APROL CPT 85390,290.98,174.59,10.0,7411.0,55
CDM,30500594,HC REF MAYO COMP APROL CPT 85610,80.65,48.39,3.6,7411.0,55
CDM,30500595,HC REF MAYO COMP APROL CPT 85613,180.08,108.05,8.05,7411.0,55
CDM,30500596,HC REF MAYO COMP APROL CPT 85670,108.48,65.09,4.85,7411.0,55
CDM,30500597,HC REF MAYO COMP APROL CPT 85730,112.95,67.77,5.05,7411.0,55
CDM,30500598,HC REF QUEST COMP 40083 CPT 85240,818.75,491.25,10.0,7411.0,55
CDM,30500599,HC REF QUEST COMP 40083 CPT 85335,818.75,491.25,10.0,7411.0,55
CDM,30500600,"HC REF QUEST 347 FACTOR VIII ACTIVITY, CLOTTING",749.58,449.75,10.0,7411.0,55
CDM,30500601,"HC REF ARUP, 2013399 HEMOGLOBIN S SICKLE CELL SOLUTILITY SCREEN",65.95,39.57,4.63,7411.0,55
CDM,30500602,"HC REF ARUP, COMP 0030137, CPT 85384",77.16,46.3,8.16,7411.0,55
CDM,30500603,"HC REF ARUP, COMP 0030137, CPT 85385",77.16,46.3,10.0,7411.0,55
CDM,30500604,HC REF ARUP 2007945 ARIPIPRAZOLE,118.5,71.1,10.0,7411.0,34
CDM,30500605,"HC REF MAYO COMP RBCME, CPT 85557",329.88,197.93,10.0,7411.0,55
CDM,30500606,"HC REF MEDFUSION, XAUNFB HEPARIN ANTI-XA UNFRACTIONATED",105.65,63.39,10.0,7411.0,55
CDM,30500607,"HC REF COOKS 360, FACTOR VIII ASSAY",1356.0,813.6,10.0,7411.0,55
CDM,30500608,HC REF MAYO 9INHE COMP CPT 85250,93.78,56.27,10.0,7411.0,55
CDM,30500609,HC REF MAYO 9INHE COMP CPT 85390,76.23,45.74,10.0,7411.0,55
CDM,30500701,"HC COAGULATION TIME, ACTIVATED POINT OF CARE PATHOLOGY",166.1,99.66,3.6,7411.0,55
CDM,30500702,HC HEMATOCRIT BLOOD COUNT POINT OF CARE PATHOLOGY,76.63,45.98,1.99,7411.0,55
CDM,30500704,HC REF PLSMNOGEN ACTVTR INHBTR AG,293.49,176.09,10.0,7411.0,55
CDM,30500728,HC EOSINOPHILS URINE,123.65,74.19,3.59,7411.0,55
CDM,30500729,HC WHITE BLOOD CELL COUNT,80.13,48.08,2.13,7411.0,55
CDM,30500730,"HC RETICULOCYTES, CHR, IRF, MRV, MEASUREMENT",110.73,66.44,4.68,7411.0,55
CDM,30500731,HC RETICULATED PLATELET ASSAY,82.34,49.4,10.0,7411.0,55
CDM,30500738,"HC FIBRINOLYSINS OR COAGULOPATHY SCREEN, INTERPRETATION & REPORT",206.81,124.09,10.0,7411.0,55
CDM,30500740,HC PLASMINOGEN ANTIGEN,636.95,382.17,8.55,7411.0,55
CDM,30500741,HC ACID HEMOLYSIN,227.23,136.34,7.45,7411.0,55
CDM,30500742,HC RUSSELL VIPER VENOM TIME - UNDILUTED,192.02,115.21,10.0,7411.0,55
CDM,30500750,HC REF FACTOR IX ASSAY,887.36,532.42,10.0,7411.0,55
CDM,30500752,HC REF ARIXTRA LEVEL FONDAPARINUX,312.5,187.5,9.99,7411.0,55
CDM,30500753,HC REF ARGATROBAN LEVEL ANTI IIA,1190.05,714.03,9.99,7411.0,55
CDM,30500754,HC HEMATOCRIT POC (CARDIOPULMONARY),76.63,45.98,1.99,7411.0,55
CDM,30500755,HC REF FACTOR VIII ACTIVITY -CHROMOGENIC,232.5,139.5,9.99,7411.0,55
CDM,30500757,HC ACTIVATED CLOTTING TIME,166.1,99.66,3.6,7411.0,55
CDM,30500758,"HC ACTIVATED CLOTTING TIME, KAOLIN POC",166.1,99.66,3.6,7411.0,55
CDM,30500759,"HC CLOTTING INHIB/ANTICOAG, PROTEIN S ACTIVITY",334.89,200.93,10.0,7411.0,55
CDM,30500760,"HC CLOTTING INHIB/ANTICOAG, PROTEIN S FREE",334.89,200.93,10.0,7411.0,55
CDM,30500761,"HC FACTOR INHIBITOR, ADAMTS13",415.88,249.53,10.0,7411.0,55
CDM,30500762,HC FACTOR VIII INHIBITOR,415.88,249.53,10.0,7411.0,55
CDM,30500763,HC HEMATOCRIT (HCT),76.63,45.98,1.99,7411.0,55
CDM,30500764,"HC HEMATOCRIT (HCT), POC",76.63,45.98,1.99,7411.0,55
CDM,30500765,HC HEMOGLOBIN,72.35,43.41,1.99,7411.0,55
CDM,30500766,"HC HEMOGLOBIN, TDH",72.35,43.41,1.99,7411.0,55
CDM,30500767,"HC PARTIAL THROMBOPLASTIN TIME (APTT), POST HEPARIN REMOVAL",146.11,87.67,5.05,7411.0,55
CDM,30500768,"HC PLATELET AGGREGATION, ASPRIN",321.65,192.99,10.0,7411.0,55
CDM,30500769,"HC PLATELET AGGREGATION, CLOPIDOGREL",321.65,192.99,10.0,7411.0,55
CDM,30500770,"HC PLATELET AGGREGATION, PLATELET FUNCTION SCREEN",321.65,192.99,10.0,7411.0,55
CDM,30500771,HC PROTHROMBIN TIME W/INR,140.91,84.55,3.6,7411.0,55
CDM,30500772,"HC PROTHROMBIN TIME, POST HEPARIN REMOVAL",140.91,84.55,3.6,7411.0,55
CDM,30500773,HC THROMBIN TIME PLASMA - REFLEX,120.37,72.22,4.85,7411.0,55
CDM,30500774,HC DRVVT 1:1 MIX - REFLEX,170.11,102.07,8.05,7411.0,55
CDM,30500775,HC DRVVT CONFIRMATION - REFLEX,170.11,102.07,8.05,7411.0,55
CDM,30500776,HC PARTIALTHROMBOPLASTIN TIME D (APTT-D),146.11,87.67,5.05,7411.0,55
CDM,30500778,"HC FIBRINOGEN ACTIVITY, TEG 5 WHOLE BLOOD",245.6,147.36,8.16,7411.0,55
CDM,30500779,"HC BLOOD PLATELET AGGREGATION, TEG 5 WHOLE BLOOD",321.65,192.99,10.0,7411.0,55
CDM,30500780,"HC FIBRINOLYSINS, TEG 5 WHOLE BLOOD",206.81,124.09,10.0,7411.0,55
CDM,30500781,HC TEG 5 PLATELET MAPPING,166.1,99.66,3.6,7411.0,55
CDM,30500782,"HC FIBRINOGEN ACTIVITY, TEG 5 PLATELET MAPPING",245.6,147.36,8.16,7411.0,55
CDM,30500783,"HC BLOOD PLATELET AGGREGATION, TEG 5 PLATELET MAPPING",321.65,192.99,10.0,7411.0,55
CDM,30500784,"HC FIBRINOLYSINS, TEG 5 PLATELET MAPPING",206.81,124.09,10.0,7411.0,55
CDM,30500785,HC ANTITHROMBIN III ACTIVITY - FUNCTIONAL,314.82,188.89,9.95,7411.0,55
CDM,30500786,HC THROMBOPLASTIN TIME PARTIAL - LUPUS ANTICOAG PANEL,146.11,87.67,5.05,7411.0,55
CDM,30500787,HC CLOT FACTOR VIII VW ANTIGEN - VON WILLEBRAND PROFILE,322.62,193.57,10.0,7411.0,55
CDM,30500788,HC CLOT FACTOR VIII VW RISTOCTN - VON WILLEBRAND PROFILE,361.28,216.77,10.0,7411.0,55
CDM,30500789,HC CLOT FACTOR VIII AHG 1 STAGE - VON WILLEBRAND PROFILE,611.73,367.04,10.0,7411.0,55
CDM,30500790,HC CLOT FACTOR VIII VW ANTIGEN - VON WILLEBRAND DX PANEL,322.62,193.57,10.0,7411.0,55
CDM,30500791,HC CLOT FACTOR VIII VW RISTOCTN - VON WILLEBRAND DX PANEL,361.28,216.77,10.0,7411.0,55
CDM,30500792,HC CLOT FACTOR VIII AHG 1 STAGE - VON WILLEBRAND DX PANEL,611.73,367.04,10.0,7411.0,55
CDM,30500793,HC THROMBOPLASTIN TIME PARTIAL - VON WILLEBRAND DX PANEL,146.11,87.67,5.05,7411.0,55
CDM,30500794,HC RBC SICKLE CELL TEST - W/ RFLX TO HGBE,119.91,71.95,4.63,7411.0,55
CDM,30500795,HC CLOT INHIBIT PROT C ACTIVITY - PROTEIN C & S,361.61,216.97,10.0,7411.0,55
CDM,30500796,HC CLOT INHIBIT PROT S FREE - PROTEIN C & S,334.89,200.93,10.0,7411.0,55
CDM,30500797,HC CLOT INHIBIT PROT S TOTAL,273.76,164.26,9.75,7411.0,55
CDM,30500800,"HC REF ARUP, EUROFINS-VIRACOR 43010E, HOPS/FRUIT CONE IGE",65.25,39.15,4.38,7411.0,55
CDM,30500801,"HC REF MAYO, BAYL, BAY LEAF IGE",34.03,20.42,4.38,7411.0,55
CDM,30500802,"HC REF MAYO, CRANB, CRANBERRY IGE",34.03,20.42,4.38,7411.0,55
CDM,30500803,"HC REF MAYO, EGGP, EGGPLANT IGE",34.03,20.42,4.38,7411.0,55
CDM,30500804,"HC REF MAYO, MACK, MACKEREL IGE",34.03,20.42,4.38,7411.0,55
CDM,30500805,"HC REF ARUP, EUROFINS-VIRACOR 43310S, BASS IGE",65.25,39.15,4.38,7411.0,55
CDM,30500806,"HC REF ARUP, EUROFINS-VIRACOR 45310S, PERCH IGE",65.25,39.15,4.38,7411.0,55
CDM,30500807,"HC REF ARUP, EUROFINS-VIRACOR 54710S, SQUASH IGE",65.25,39.15,4.38,7411.0,55
CDM,30500808,"HC REF ARUP, EUROFINS-VIRACOR 41610S, TURNIP IGE",65.25,39.15,4.38,7411.0,55
CDM,30500809,"HC REF ARUP, EUROFINS-VIRACOR 40610S, RADISH IGE",65.25,39.15,4.38,7411.0,55
CDM,30500810,"HC REF ARUP, EUROFINS-VIRACOR 154910S, CANTALOUPE IGE",65.25,39.15,4.38,7411.0,55
CDM,30500811,"HC REF ARUP, EUROFINS-VIRACOR 36610E, TUMERIC IGE",65.25,39.15,4.38,7411.0,55
CDM,30500812,"HC REF MAYO COMP, ALUPP, CPT 85390",59.8,35.88,10.0,7411.0,55
CDM,30500813,"HC REF MAYO COMP, ALUPP, CPT 85610",16.55,9.93,3.6,7411.0,55
CDM,30500814,"HC REF MAYO COMP, ALUPP, CPT 85613",37.0,22.2,8.05,7411.0,55
CDM,30500815,"HC REF MAYO COMP, ALUPP, CPT 85730",23.23,13.94,5.05,7411.0,55
CDM,30500816,"HC REF ARUP, 3002343 CHROMOGENIC FACTOR VIII",450.0,270.0,10.0,7411.0,55
CDM,30500817,HC REF MAYO COMP PTEM PLATELET TRANS EM STUDY CPT 85390,96.68,58.01,10.0,7411.0,55
CDM,30500818,HC REF ARUP 0030260 THROMBIN TIME W/RFLX TO 1:1 MIX,37.2,22.32,4.85,7411.0,55
CDM,30500819,HC REF ARUP 0030100 FACTOR IX ACTIVITY,93.5,56.1,10.0,7411.0,55
CDM,30500820,HC REF MAYO COMP AVWPR VON WILLEBRAND DISEASE PROF CPT 85246,280.83,168.5,10.0,7411.0,55
CDM,30500821,HC REF MAYO COMP AVWPR VON WILLEBRAND DISEASE PROF CPT 85240,219.15,131.49,10.0,7411.0,55
CDM,30500822,HC REF MAYO COMP AVWPR VON WILLEBRAND DISEASE PROF CPT 85397,377.8,226.68,10.0,7411.0,55
CDM,30500823,HC REF MAYO COMP AVWPR VON WILLEBRAND DISEASE PROF CPT 85390,189.5,113.7,10.0,7411.0,55
CDM,30500824,HC REF ARUP COMP 0030182 CPT 85303,67.5,40.5,10.0,7411.0,55
CDM,30500825,HC REF ARUP COMP 0030182 CPT 85306,67.5,40.5,10.0,7411.0,55
CDM,30500826,"HC REF MAYO CHF8 CHROMOGENIC FV111, P",888.0,532.8,9.99,7411.0,55
CDM,30500827,HC REF MAYO < ISI FGHRH GROWTH HORMONE RELEASING HORMONE,612.5,367.5,10.0,7411.0,39
CDM,30500828,HC REF MAYO PAI1 PAI-1 ANTIGEN,439.88,263.93,10.0,7411.0,55
CDM,30500829,"HC REF MAYO COMP CHF8P, CPT 85335",548.83,329.3,10.0,7411.0,55
CDM,30500830,"HC REF MAYO COMP CHF8P, CPT 85390",660.13,396.08,10.0,7411.0,55
CDM,30500831,"HC REF MAYO COMP CHF8P, CPT 85130",507.05,304.23,9.99,7411.0,55
CDM,30500832,HC REF ARUP 2007578 HMWK ACTIVITY,314.38,188.63,10.0,7411.0,55
CDM,30500833,HC REF ARUP 0099043 PREKALLEKRINE FACTOR ACTIVITY,287.83,172.7,10.0,7411.0,55
CDM,30500834,"HC REF ARUP 0020221, HEMOGLOBIN, URINE",43.5,26.1,3.32,7411.0,55
CDM,30500835,HC REF LABCORP COMP 117754  CPT 85305,94.92,56.95,9.75,7411.0,55
CDM,30500836,HC REF LABCORP COMP 117754  CPT 85306,94.92,56.95,10.0,7411.0,55
CDM,30500837,HC REF ARUP 0030056 ADAMTS13 ACTIVITY,283.75,170.25,10.0,7411.0,55
CDM,30500838,HC REF QUEST 14325 RETIC COUNT AND RETIC HEMOGLOBIN,95.63,57.38,4.68,7411.0,55
CDM,30600002,"HC CONCENTRATION(ANY TYPE),FOR IN",85.54,51.32,5.61,7411.0,55
CDM,30600003,"HC CULT,BACT - BLOOD,AEROBIC W/ISO",340.52,204.31,8.67,7411.0,55
CDM,30600004,"HC CULT, BACT - STOOL,AEROBIC W/ISO",255.47,153.28,7.93,7411.0,55
CDM,30600005,"HC CULT,BACT - STOOL,AEROBIC,ADD PA",116.69,70.01,7.93,7411.0,55
CDM,30600006,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600007,"HC CULT,BACT - QUANT,AER W/ISO & PR",223.85,134.31,8.31,7411.0,55
CDM,30600009,"HC CULTRE BACT, ANY SOURCE,EXCPT",346.77,208.06,7.95,7411.0,55
CDM,30600010,"HC CULTURE, BACTERIAL/DEFINITIVE",174.15,104.49,6.79,7411.0,55
CDM,30600011,"HC CULT,BACT,AEROBIC ISO,ADD METH",146.91,88.15,6.79,7411.0,55
CDM,30600012,"HC CULTURE,PRESUMP,PATHOGENIC ORG",179.61,107.77,5.57,7411.0,55
CDM,30600014,"HC CULTURE,BACTERIAL,URINE - QUANTI",215.5,129.3,6.78,7411.0,55
CDM,30600015,"HC CULTURE, BACTERIAL, URINE/IDEN",142.75,85.65,6.8,7411.0,55
CDM,30600016,"HC CULTURE, FUNGI ISOLATION - SKIN,",168.27,100.96,6.48,7411.0,55
CDM,30600017,"HC CULTURE, FUNGI, ISOLATION, OTH",271.93,163.16,7.06,7411.0,55
CDM,30600018,"HC CULTURE, FUNGI, ISOLATION, BLO",248.92,149.35,10.0,7411.0,55
CDM,30600019,"HC CULT, FUNGI - DEFINITIVE ID/EA O",172.34,103.4,8.67,7411.0,55
CDM,30600020,HC CULTURE ID FUNGAL/MOLD,167.43,100.46,8.67,7411.0,55
CDM,30600021,"HC CULTURE, MYCOPLASMA, ANY SOURC",202.24,121.34,10.0,7411.0,55
CDM,30600022,"HC CULTURE, CHLAMYDIA",265.68,159.41,10.0,7411.0,55
CDM,30600023,"HC CULTURE, TUBERCLE OR OTHER ACI",258.4,155.04,9.07,7411.0,55
CDM,30600024,"HC CULT,MYCOBACTERIAL,DEFINITIVE",172.83,103.7,10.0,7411.0,55
CDM,30600025,"HC CULT, TYP - IMM METD,NOT IMMFLOU",86.98,52.19,4.35,7411.0,55
CDM,30600026,"HC CULTURE TYPE,NUCLEIC ACID",222.25,133.35,10.0,7411.0,55
CDM,30600027,"HC CULT,TYPING - DNA/RNA - SEQUENCE T",788.88,473.33,10.0,7411.0,55
CDM,30600028,HC MACROSCOPIC EXAMINATION - PARAS,81.24,48.74,3.62,7411.0,55
CDM,30600029,HC PINWORM EXAM,82.5,49.5,3.59,7411.0,55
CDM,30600030,"HC HOMOGENIZATION, TISSUE, FOR CU",76.2,45.72,4.94,7411.0,55
CDM,30600031,"HC OVA/PARASITES, DIRECT SMEAR",171.03,102.62,7.48,7411.0,55
CDM,30600032,"HC SUSCEPT STUDY,ANTIMIC AGT,AGR",91.04,54.62,3.99,7411.0,55
CDM,30600033,"HC SUSCEPT STUDY,ANTIMIC AGT,DISK",132.19,79.31,6.28,7411.0,55
CDM,30600034,"HC SUS STUDY,ANTIMIC AGT,ENZYME D",78.38,47.03,3.99,7411.0,55
CDM,30600035,"HC SUSCEPT STUDY,ANTIMIC AGT,MICR",282.44,169.46,7.27,7411.0,55
CDM,30600036,"HC SUSCEPT STUDY,ANTIMIC AGT,MACR",99.52,59.71,5.58,7411.0,55
CDM,30600039,"HC SMEAR,FLORESCENT/ACID FAST STA",145.82,87.49,4.53,7411.0,55
CDM,30600040,"HC SMEAR,SPECL STAN(EG.MALAR,HERP",167.96,100.78,5.03,7411.0,55
CDM,30600041,"HC SMEAR,PRIMAR,CONCNTRTE/CMPLX S",151.85,91.11,10.0,7411.0,55
CDM,30600042,"HC SMEAR, WET MOUNT FOR INFECTIOU",125.99,75.59,4.89,7411.0,55
CDM,30600043,HC TISSUE EXAMINATION FOR FUNGI,85.04,51.02,3.59,7411.0,55
CDM,30600044,"HC VIRUS ISO - TISUE CULTRE,INOCUL/",311.83,187.1,10.0,7411.0,55
CDM,30600045,"HC VIRS ISO,CENTRFG ENH TENQ,INC",221.67,133.0,10.0,7411.0,55
CDM,30600046,HC ADENOVIRUS ANTIGEN RL,131.81,79.09,10.0,7411.0,55
CDM,30600047,"HC INF AGENT DETCT,DFA - BORDETELLA",131.81,79.09,10.0,7411.0,55
CDM,30600049,HC INF AGT DETECT - CYTOMEGALOVIRUS,275.67,165.4,10.0,7411.0,55
CDM,30600051,"HC INF AGENT DETCT,DFA - LEGIONELLA",210.04,126.02,10.0,7411.0,55
CDM,30600052,"HC INF AFT DETCT IMMUNO TECH,ASPE",265.41,159.25,10.0,7411.0,55
CDM,30600053,HC CLOSTRIDIUM DIFF TOX A/B,211.69,127.01,10.0,7411.0,55
CDM,30600055,"HC HELICOBACTER PYLORI,STOOL",234.74,140.84,10.0,7411.0,55
CDM,30600056,HC HEPATITIS B SURFACE ANTIGEN - EN,197.09,118.25,8.68,7411.0,55
CDM,30600057,HC HEPATITIS B SURFACE ANTIGEN - NE,155.64,93.38,8.68,7411.0,55
CDM,30600058,HC HEPATITIS BE ANTIGEN(HBEAG),164.4,98.64,9.69,7411.0,55
CDM,30600059,"HC HEPATITIS,DELTA AGENT, INFECT",366.07,219.64,10.0,7411.0,55
CDM,30600060,"HC HISTOPLASMA CAPSULATUM, INFECT",315.42,189.25,10.0,7411.0,55
CDM,30600061,HC HIV-1 ANTIGEN W/HIV-1&HIV-2AN,241.82,145.09,10.0,7411.0,55
CDM,30600062,HC INFLUENZA A OR B,203.21,121.93,10.0,7411.0,55
CDM,30600063,"HC RESPIRATORY SYNCYTIAL VIRUS, STAT ONLY",233.02,139.81,10.0,7411.0,55
CDM,30600064,HC ROTAVIRUS ANTIGEN STL,256.01,153.61,10.0,7411.0,55
CDM,30600065,HC INF AGENT ANTIGEN DETECT,174.63,104.78,10.0,7411.0,55
CDM,30600066,HC LYMES RCR-DNA RL,555.66,333.4,10.0,7411.0,55
CDM,30600067,"HC INF AGNT DETCT,DNA/RNA,CHLAMYDIA",465.18,279.11,10.0,7411.0,55
CDM,30600068,HC CHLAMYDIA PROBE,190.8,114.48,10.0,7411.0,55
CDM,30600069,"HC INFECTIVE AGENT DETECTION, DNA/RNA",275.56,165.34,10.0,7411.0,55
CDM,30600070,"HC INF AGENT DETCT,DNA/RNA - CLOSTR",358.64,215.18,10.0,7411.0,55
CDM,30600071,"HC INF AGNT DETCT,DNA/RNA,CYTOMEG",428.2,256.92,10.0,7411.0,55
CDM,30600072,"HC INF AGENT DETCT,CYTOMEGALOVIRU",904.2,542.52,10.0,7411.0,55
CDM,30600073,"HC INF DECT,CYTOMEGALOVIRUS,QUANT",528.95,317.37,10.0,7411.0,55
CDM,30600074,"HC INF AGENT DETCT,ENTEROVIRUS,AM",415.17,249.1,10.0,7411.0,55
CDM,30600075,"HC INF AGENT DETCT,VANCOMYCIN RES",290.4,174.24,10.0,7411.0,55
CDM,30600076,"HC INF AGENT DETCT,INFLNZA - AMPLFD",650.73,390.44,10.0,7411.0,55
CDM,30600077,HC HEP B VIRUS ULTRA QUAN RL,553.28,331.97,10.0,7411.0,55
CDM,30600078,HC HEP C GENOTYPE S,396.22,237.73,10.0,7411.0,55
CDM,30600079,HC HEP C RNA QUANT REVERSE,636.53,381.92,10.0,7411.0,55
CDM,30600080,"HC INF AGNT DETCT,DNA/RNA - HERPES",376.44,225.86,10.0,7411.0,55
CDM,30600082,HC HIV-1 AMPLIFIED PROBE TECHNIQU,432.8,259.68,10.0,7411.0,55
CDM,30600083,"HC INF AGT DETCT,DNA/RNA - HIV-1,QU",747.18,448.31,10.0,7411.0,55
CDM,30600084,"HC ING AGNT DETCT,DNA/RNA - M.TUBER",446.73,268.04,10.0,7411.0,55
CDM,30600085,"HC INF AGNT DETCT,DNA/RNA - M.AVIUM",483.0,289.8,10.0,7411.0,55
CDM,30600086,"HC ING AGNT DETCT,DNA/RNA - M.PLASM",448.72,269.23,10.0,7411.0,55
CDM,30600087,HC GONORRHOEAE RNA RL,169.95,101.97,10.0,7411.0,55
CDM,30600088,HC N.GONORRHOEAE DNA AMP PROB,271.03,162.62,10.0,7411.0,55
CDM,30600090,"HC INF AGENT DETCT,STAPH,AURS,MET",280.7,168.42,10.0,7411.0,55
CDM,30600091,HC INF AGENT DETCT DNA/RNA - STRETB,323.69,194.21,10.0,7411.0,55
CDM,30600092,HC INF AGENT DETCT DNA/RNA - TRICHO,105.0,63.0,10.0,7411.0,55
CDM,30600093,"HC INF AGENT DETCT,NUCL ACID,NOS,",199.39,119.63,10.0,7411.0,55
CDM,30600094,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",357.84,214.7,10.0,7411.0,55
CDM,30600095,"HC INF AGNT DETCT DNA/RNA,NOS - QUA",500.52,300.31,10.0,7411.0,55
CDM,30600096,HC INFECT AGENT ANTGEN DETECT - INFLUENZA A,155.3,93.18,10.0,7411.0,55
CDM,30600097,HC INFECT AGENT ANTGEN DETECT - RES,184.1,110.46,10.0,7411.0,55
CDM,30600098,HC INF AGENT DETECT STREP A,433.21,259.93,10.0,7411.0,55
CDM,30600099,HC INF AGNT DETCT ASSAY W/DIR OPT,135.06,81.04,10.0,7411.0,55
CDM,30600100,HC INF AGENT GENO ANALYS/HIV 1-REV,1380.53,828.32,10.0,7411.0,55
CDM,30600101,HC HEP C VIRUS GENOTYPE RL,1372.12,823.27,10.0,7411.0,55
CDM,30600102,HC INF AGENT DETCT - HIV-1 - OTHER,876.0,525.6,10.0,7411.0,55
CDM,30600103,"HC CYTOPATH FLUIDS,SMEAR,INTERP",299.37,179.62,10.0,7411.0,55
CDM,30600104,HC VIRUS ID INOC EMBRYONATED,343.29,205.97,10.0,7411.0,55
CDM,30600107,"HC INF AGT DETECT - ENTEROVIRUS,FLO",92.0,55.2,10.0,7411.0,55
CDM,30600108,HC MACROSCOPIC EXAM - PARASITE,75.6,45.36,3.59,7411.0,55
CDM,30600111,HC INF AGT DETECT - HERPES SIMPLEX,136.32,81.79,10.0,7411.0,55
CDM,30600112,HC INF AGENT DETECT - VARICELLA ZO,154.63,92.78,10.0,7411.0,55
CDM,30600114,"HC INF AGENT DETCT,INFLNZA - AMPLFD",263.44,158.06,10.0,7411.0,55
CDM,30600116,HC INF AGENT PHENOTY ANALYSIS/HIV,1405.43,843.26,10.0,7411.0,55
CDM,30600118,"HC INF AGT DETECT - ENTEROVIRUS,FLO",157.16,94.3,10.0,7411.0,55
CDM,30600119,HC RESP VIRUS 3-5 TARGETS - MINIPANEL,575.91,345.55,10.0,7411.0,55
CDM,30600120,HC RESPIRATORY PANEL BY PCR,1676.28,1005.77,10.0,7411.0,55
CDM,30600121,HC INF AGENT DETCT DNA/RNA - RESP VIRUS 12-25 TARGETS,1796.94,1078.16,10.0,7411.0,55
CDM,30600122,HC INF AGENT DETCT - DNA OR RNA - CYTOMEGALOVIRUS,2214.43,1328.66,10.0,7411.0,55
CDM,30600123,HC INF AGENT DETCT - HEPATITIS B VIRUS,1211.74,727.04,10.0,7411.0,55
CDM,30600163,HC GRAM STAIN SMEAR,123.65,74.19,3.59,7411.0,55
CDM,30600170,HC HC INF AGENT DETCT DNA/RNA - TRICHMNS VAG AMPFD APPR,271.42,162.85,10.0,7411.0,55
CDM,30600171,HC INF AGT DRG SUSCEP PHENOTPE PREDCTN REG GE,763.84,458.3,10.0,7411.0,55
CDM,30600176,HC HPV HIGH RISK TYPES,219.11,131.47,10.0,7411.0,55
CDM,30600177,HC HPV LOW RISK TYPES,200.95,120.57,10.0,7411.0,55
CDM,30600181,HC INFECT AGENT ANTGEN DETECT - INFLUENZA B,155.3,93.18,10.0,7411.0,55
CDM,30600182,HC CANDIDA DNA AMP PROBE,282.19,169.31,10.0,7411.0,55
CDM,30600184,HC HIV 2 RNA PCR,600.61,360.37,10.0,7411.0,55
CDM,30600185,HC HHV-6 PCR,576.29,345.77,10.0,7411.0,55
CDM,30600206,HC CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,1425.75,855.45,10.0,7411.0,55
CDM,30600209,HC LEGION PNEUMO DNA AMP PROB,252.77,151.66,10.0,7411.0,55
CDM,30600210,HC EIA QL SHIGELLA-LIKE TXN,113.52,68.11,10.0,7411.0,55
CDM,30600211,HC MYCOBACT HPLC ID,137.88,82.73,10.0,7411.0,55
CDM,30600212,HC IF HERPES SIMPLEX TYPE 2,139.0,83.4,10.0,7411.0,55
CDM,30600213,HC DFA HSV2,139.0,83.4,10.0,7411.0,55
CDM,30600214,HC IF INFLUENZA B VIRUS,134.56,80.74,10.0,7411.0,55
CDM,30600215,HC IF INFLUENZA B VIRUS,134.56,80.74,10.0,7411.0,55
CDM,30600217,HC SHIGA LIKE TOXIN,113.52,68.11,10.0,7411.0,55
CDM,30600218,HC CRYPTOCOCCAL ANTIGEN,124.65,74.79,10.0,7411.0,39
CDM,30600219,HC EIA H INFLUENZAE AG,124.65,74.79,10.0,7411.0,39
CDM,30600220,HC H.INFLUENZAE AG IMMUNOASSAY,124.65,74.79,10.0,7411.0,39
CDM,30600221,HC CANDIDA SPECIES DIRECT PROBE,105.0,63.0,10.0,7411.0,55
CDM,30600222,HC GARDNERALLA VAGINLS DRCT PROBE,102.0,61.2,10.0,7411.0,55
CDM,30600224,HC RSV DNA/RNA AMP PROBE,215.78,129.47,10.0,7411.0,55
CDM,30600225,HC ZIKA VIRUS DNA/RNA AMP PROBE,193.91,116.35,10.0,7411.0,55
CDM,30600226,HC INFECT AGENT ANTGEN DETECT - INFLUENZA A,155.3,93.18,10.0,7411.0,55
CDM,30600227,HC INFECT AGENT ANTGEN DETECT - INFLUENZA A,155.3,93.18,10.0,7411.0,55
CDM,30600228,HC INFECT AGENT ANTGEN DETECT - INFLUENZA A,155.3,93.18,10.0,7411.0,55
CDM,30600229,HC INFECT AGENT ANTGEN DETECT - INFLUENZA A,155.3,93.18,10.0,7411.0,55
CDM,30600230,HC HEPATITIS B SURFACE ANTIGEN - EN,197.09,118.25,8.68,7411.0,55
CDM,30600231,"HC SMEAR, WET MOUNT FOR INFECTIOU",125.99,75.59,4.89,7411.0,55
CDM,30600232,HC INF AGENT ANTIGEN DETECT,174.63,104.78,10.0,7411.0,55
CDM,30600233,"HC CULT, TYP - IMM METD,NOT IMMFLOU",86.98,52.19,4.35,7411.0,55
CDM,30600234,"HC SMEAR,FLORESCENT/ACID FAST STA",145.82,87.49,4.53,7411.0,55
CDM,30600235,"HC CULTURE, TUBERCLE OR OTHER ACI",258.4,155.04,9.07,7411.0,55
CDM,30600236,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600237,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600238,"HC CULTURE, FUNGI, ISOLATION, OTH",271.93,163.16,7.06,7411.0,55
CDM,30600239,"HC CULTURE,PRESUMP,PATHOGENIC ORG",179.61,107.77,5.57,7411.0,55
CDM,30600240,"HC CULTURE,PRESUMP,PATHOGENIC ORG",179.61,107.77,5.57,7411.0,55
CDM,30600241,"HC CULT,BACT - STOOL,AEROBIC,ADD PA",116.69,70.01,7.93,7411.0,55
CDM,30600242,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600243,"HC CULTURE,PRESUMP,PATHOGENIC ORG",179.61,107.77,5.57,7411.0,55
CDM,30600244,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600245,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600246,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600247,HC GRAM STAIN SMEAR,123.65,74.19,3.59,7411.0,55
CDM,30600248,"HC CULTURE,PRESUMP,PATHOGENIC ORG",179.61,107.77,5.57,7411.0,55
CDM,30600249,"HC SMEAR, WET MOUNT FOR INFECTIOU",125.99,75.59,4.89,7411.0,55
CDM,30600250,"HC OVA/PARASITES, DIRECT SMEAR",171.03,102.62,7.48,7411.0,55
CDM,30600251,"HC SUSCEPT STUDY,ANTIMIC AGT,MICR",282.44,169.46,7.27,7411.0,55
CDM,30600252,"HC SUSCEPT STUDY,ANTIMIC AGT,DISK",132.19,79.31,6.28,7411.0,55
CDM,30600253,"HC SMEAR,FLORESCENT/ACID FAST STA",145.82,87.49,4.53,7411.0,55
CDM,30600254,"HC SMEAR,FLORESCENT/ACID FAST STA",145.82,87.49,4.53,7411.0,55
CDM,30600255,"HC SMEAR,SPECL STAN(EG.MALAR,HERP",167.96,100.78,5.03,7411.0,55
CDM,30600256,"HC CULT,BACT,AEROBIC ISO,ADD METH",146.91,88.15,6.79,7411.0,55
CDM,30600258,"HC SUSCEPT STUDY,ANTIMIC AGT,MICR",282.44,169.46,7.27,7411.0,55
CDM,30600259,"HC SUSCEPT STUDY,ANTIMIC AGT,AGR",91.04,54.62,3.99,7411.0,55
CDM,30600260,"HC SUSCEPT STUDY,ANTIMIC AGT,AGR",91.04,54.62,3.99,7411.0,55
CDM,30600261,"HC SUSCEPT STUDY,ANTIMIC AGT,AGR",91.04,54.62,3.99,7411.0,55
CDM,30600262,"HC SUSCEPT STUDY,ANTIMIC AGT,AGR",91.04,54.62,3.99,7411.0,55
CDM,30600263,"HC SUSCEPT STUDY,ANTIMIC AGT,AGR",91.04,54.62,3.99,7411.0,55
CDM,30600264,"HC SUSCEPT STUDY,ANTIMIC AGT,AGR",91.04,54.62,3.99,7411.0,55
CDM,30600265,"HC CONCENTRATION(ANY TYPE),FOR IN",85.54,51.32,5.61,7411.0,55
CDM,30600266,"HC CONCENTRATION(ANY TYPE),FOR IN",85.54,51.32,5.61,7411.0,55
CDM,30600267,"HC CULTURE,PRESUMP,PATHOGENIC ORG",179.61,107.77,5.57,7411.0,55
CDM,30600268,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600269,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600270,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600271,"HC CULT,BACT - QUANT,AER W/ISO & PR",223.85,134.31,8.31,7411.0,55
CDM,30600272,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600273,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600274,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600275,"HC CULTURE, FUNGI, ISOLATION, OTH",271.93,163.16,7.06,7411.0,55
CDM,30600276,"HC CULT,BACT,AEROBIC ISO,ADD METH",146.91,88.15,6.79,7411.0,55
CDM,30600277,"HC INFECTIVE AGENT DETECTION, DNA/RNA",275.56,165.34,10.0,7411.0,55
CDM,30600278,HC N.GONORRHOEAE DNA AMP PROB,271.03,162.62,10.0,7411.0,55
CDM,30600279,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",357.84,214.7,10.0,7411.0,55
CDM,30600280,"HC CULTURE TYPE,NUCLEIC ACID",222.25,133.35,10.0,7411.0,55
CDM,30600281,"HC CULTURE TYPE,NUCLEIC ACID",222.25,133.35,10.0,7411.0,55
CDM,30600282,"HC CULTURE TYPE,NUCLEIC ACID",222.25,133.35,10.0,7411.0,55
CDM,30600283,"HC CULTURE TYPE,NUCLEIC ACID",222.25,133.35,10.0,7411.0,55
CDM,30600284,"HC INF AGNT DETCT DNA/RNA,NOS - QUA",500.52,300.31,10.0,7411.0,55
CDM,30600285,"HC CULTURE TYPE,NUCLEIC ACID",222.25,133.35,10.0,7411.0,55
CDM,30600286,"HC CULTURE TYPE,NUCLEIC ACID",222.25,133.35,10.0,7411.0,55
CDM,30600287,"HC INF AGNT DETCT DNA/RNA,NOS - QUA",500.52,300.31,10.0,7411.0,55
CDM,30600288,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",357.84,214.7,10.0,7411.0,55
CDM,30600289,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",386.47,231.88,10.0,7411.0,55
CDM,30600290,"HC OVA/PARASITES, DIRECT SMEAR",171.03,102.62,7.48,7411.0,55
CDM,30600291,"HC SMEAR,SPECL STAN(EG.MALAR,HERP",167.96,100.78,5.03,7411.0,55
CDM,30600292,HC INF AGENT ANTIGEN DETECT,174.63,104.78,10.0,7411.0,55
CDM,30600293,HC INF AGENT ANTIGEN DETECT,174.63,104.78,10.0,7411.0,55
CDM,30600294,HC INF AGENT ANTIGEN DETECT,174.63,104.78,10.0,7411.0,55
CDM,30600295,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",357.84,214.7,10.0,7411.0,55
CDM,30600296,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",357.84,214.7,10.0,7411.0,55
CDM,30600297,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",357.84,214.7,10.0,7411.0,55
CDM,30600298,HC INF AGNT DETCT ASSAY W/DIR OPT,123.19,73.91,10.0,7411.0,55
CDM,30600299,HC INF AGENT GENO ANAL/HIV 1 - REV,1380.53,828.32,10.0,7411.0,55
CDM,30600300,HC HIV CO-RECEPTOR TROPISM ASSAY,164.94,98.96,10.0,7411.0,39
CDM,30600301,"HC CULTURE,PRESUMP,PATHOGENIC ORG",179.61,107.77,5.57,7411.0,55
CDM,30600302,"HC CONCENTRATION(ANY TYPE),FOR IN",85.54,51.32,5.61,7411.0,55
CDM,30600303,HC INF AGNT DETCT ASSAY W/DIR OPT,127.0,76.2,10.0,7411.0,55
CDM,30600304,"HC ING AGNT DETCT,DNA/RNA - M.TUBER",446.73,268.04,10.0,7411.0,55
CDM,30600305,"HC SMEAR,FLORESCENT/ACID FAST STA",145.82,87.49,4.53,7411.0,55
CDM,30600306,"HC VIRUS ISO - TISUE CULTRE,INOCUL/",311.83,187.1,10.0,7411.0,55
CDM,30600307,HC INF AGENT ANTIGEN DETECT,174.63,104.78,10.0,7411.0,55
CDM,30600308,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",357.84,214.7,10.0,7411.0,55
CDM,30600309,HC INF AGENT ANTIGEN DETECT,174.63,104.78,10.0,7411.0,55
CDM,30600310,"HC VIRS ISO,CENTRFG ENH TENQ,INC",221.67,133.0,10.0,7411.0,55
CDM,30600311,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",357.84,214.7,10.0,7411.0,55
CDM,30600312,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",386.47,231.88,10.0,7411.0,55
CDM,30600313,HC GRAM STAIN SMEAR,123.65,74.19,3.59,7411.0,55
CDM,30600314,"HC INFECTIVE AGENT DETECTION, DNA/RNA",275.56,165.34,10.0,7411.0,55
CDM,30600315,"HC VIRUS ISO - TISUE CULTRE,INOCUL/",311.83,187.1,10.0,7411.0,55
CDM,30600316,HC N.GONORRHOEAE DNA AMP PROB,271.03,162.62,10.0,7411.0,55
CDM,30600317,"HC VIRUS ISO - TISUE CULTRE,INOCUL/",311.83,187.1,10.0,7411.0,55
CDM,30600318,"HC CULTURE,PRESUMP,PATHOGENIC ORG",179.61,107.77,5.57,7411.0,55
CDM,30600319,HC INF AGENT ANTIGEN DETECT,174.63,104.78,10.0,7411.0,55
CDM,30600320,HC INF AGENT GENO ANAL/HIV 1 - REV,1380.53,828.32,10.0,7411.0,55
CDM,30600321,"HC INF AGNT DETCT,DNA/RNA - HERPES",376.44,225.86,10.0,7411.0,55
CDM,30600322,"HC INF AGNT DETCT,DNA/RNA - HERPES",376.44,225.86,10.0,7411.0,55
CDM,30600323,HC HIV-1 ANGTIGEN W/HIV-1&HIV-2AN,241.82,145.09,10.0,7411.0,55
CDM,30600324,"HC VIRUS ISO - TISUE CULTRE,INOCUL/",311.83,187.1,10.0,7411.0,55
CDM,30600325,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",357.84,214.7,10.0,7411.0,55
CDM,30600326,"HC INF AGNT DETCT DNA/RNA,NOS - QUA",500.52,300.31,10.0,7411.0,55
CDM,30600327,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",357.84,214.7,10.0,7411.0,55
CDM,30600328,HC HEP C RNA QUANT REVERSE,636.53,381.92,10.0,7411.0,55
CDM,30600329,"HC INF AGNT DETCT DNA/RNA,NOS - QUA",500.52,300.31,10.0,7411.0,55
CDM,30600330,HC HEP C RNA QUANT REVERSE,636.53,381.92,10.0,7411.0,55
CDM,30600331,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",357.84,214.7,10.0,7411.0,55
CDM,30600332,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",357.84,214.7,10.0,7411.0,55
CDM,30600333,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",357.84,214.7,10.0,7411.0,55
CDM,30600334,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",357.84,214.7,10.0,7411.0,55
CDM,30600335,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",357.84,214.7,10.0,7411.0,55
CDM,30600336,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",357.84,214.7,10.0,7411.0,55
CDM,30600337,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",386.47,231.88,10.0,7411.0,55
CDM,30600338,"HC INF AGNT DETCT DNA/RNA,NOS - QUA",500.52,300.31,10.0,7411.0,55
CDM,30600339,HC HIV CO-RECEPTOR TROPISM ASSAY,164.94,98.96,10.0,7411.0,39
CDM,30600341,"HC SMEAR,SPECL STAN(EG.MALAR,HERP",167.96,100.78,5.03,7411.0,55
CDM,30600342,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",357.84,214.7,10.0,7411.0,55
CDM,30600343,"HC ING AGNT DETCT,DNA/RNA - M.TUBER",446.73,268.04,10.0,7411.0,55
CDM,30600346,"HC CULT,BACT - QUANT,AER W/ISO & PR",223.85,134.31,8.31,7411.0,55
CDM,30600347,"HC CULT,BACT - STOOL,AEROBIC,ADD PA",116.69,70.01,7.93,7411.0,55
CDM,30600348,"HC CULT,BACT - STOOL,AEROBIC,ADD PA",116.69,70.01,7.93,7411.0,55
CDM,30600349,HC HEPATITIS B SURFACE ANTIGEN - EN,197.09,118.25,8.68,7411.0,55
CDM,30600350,"HC VIRS ISO,CENTRFG ENH TENQ,INC",221.67,133.0,10.0,7411.0,55
CDM,30600351,"HC VIRS ISO,CENTRFG ENH TENQ,INC",221.67,133.0,10.0,7411.0,55
CDM,30600353,"HC VIRS ISO,CENTRFG ENH TENQ,INC",221.67,133.0,10.0,7411.0,55
CDM,30600354,"HC VIRS ISO,CENTRFG ENH TENQ,INC",221.67,133.0,10.0,7411.0,55
CDM,30600356,"HC CULTURE, TUBERCLE OR OTHER ACI",258.4,155.04,9.07,7411.0,55
CDM,30600357,"HC CULTURE, BACTERIAL; ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600358,"HC CULTURE,PRESUMP,PATHOGENIC ORG",179.61,107.77,5.57,7411.0,55
CDM,30600359,"HC SMEAR, WET MOUNT FOR INFECTIOU",125.99,75.59,4.89,7411.0,55
CDM,30600360,"HC CULTURE TYPE,NUCLEIC ACID",222.25,133.35,10.0,7411.0,55
CDM,30600361,"HC VIRS ISO,CENTRFG ENH TENQ,INC",221.67,133.0,10.0,7411.0,55
CDM,30600362,"HC VIRS ISO,CENTRFG ENH TENQ,INC",221.67,133.0,10.0,7411.0,55
CDM,30600363,"HC VIRS ISO,CENTRFG ENH TENQ,INC",221.67,133.0,10.0,7411.0,55
CDM,30600364,"HC VIRS ISO,CENTRFG ENH TENQ,INC",221.67,133.0,10.0,7411.0,55
CDM,30600365,"HC VIRS ISO,CENTRFG ENH TENQ,INC",221.67,133.0,10.0,7411.0,55
CDM,30600366,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600367,"HC SUSCEPT STUDY,ANTIMIC AGT,DISK",132.19,79.31,6.28,7411.0,55
CDM,30600368,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600369,"HC CULTURE, BACTERIAL/DEFINITIVE",174.15,104.49,6.79,7411.0,55
CDM,30600370,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600371,"HC CULTURE, BACTERIAL/DEFINITIVE",174.15,104.49,6.79,7411.0,55
CDM,30600372,"HC CULTURE, BACTERIAL/DEFINITIVE",174.15,104.49,6.79,7411.0,55
CDM,30600373,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,55
CDM,30600374,HC GRAM STAIN SMEAR,123.65,74.19,3.59,7411.0,55
CDM,30600376,HC STREP A AG IA,173.39,104.03,10.0,7411.0,55
CDM,30600377,HC BACTERIAL DETECTION BY PCR,271.93,163.16,7.06,7411.0,55
CDM,30600378,HC FUNGAL DETECTION BY PCR,172.34,103.4,8.67,7411.0,55
CDM,30600380,HC MUMPS BY PCR,357.84,214.7,10.0,7411.0,55
CDM,30600382,HC IF INFLUENZA A VIRUS,137.43,82.46,10.0,7411.0,55
CDM,30600383,HC INFLUENZA ASSAY W/OPTIC,155.3,93.18,10.0,7411.0,55
CDM,30600384,HC STREP A AG IA,173.39,104.03,10.0,7411.0,55
CDM,30600385,HC EIA S PNEUMONIAE URINE,124.65,74.79,10.0,7411.0,39
CDM,30600386,HC REF NUCLEIC ACID AMP CMV,1311.32,786.79,10.0,7411.0,55
CDM,30600389,HC SARSCOV2&INF A&B&RSV AMP PRB,174.88,104.93,10.0,7411.0,55
CDM,30600391,HC IADNA NOS - MEASLES PCR,386.47,231.88,10.0,7411.0,55
CDM,30600392,HC REF LABCORP COMP 138370 CPT 87252,392.18,235.31,10.0,7411.0,55
CDM,30600393,HC REF LABCORP COMP 138370 CPT 87253,392.18,235.31,10.0,7411.0,55
CDM,30600394,HC REF ARUP COMP 00992399 CPT 87900,332.88,199.73,10.0,7411.0,55
CDM,30600395,HC REF ARUP COMP 00992399 CPT 87901,332.88,199.73,10.0,7411.0,55
CDM,30600396,HC REF ARUP COMP 00992399 CPT 87903,332.88,199.73,10.0,7411.0,55
CDM,30600397,HC REF ARUP COMP 00992399 CPT 87904,332.88,199.73,10.0,7411.0,55
CDM,30600398,"HC REF MAYO ASPAG ASPERGILLUS AG, SERUM",149.6,89.76,10.0,7411.0,55
CDM,30600399,HC REF EUROFINS VIRACOR 33385 TTV TORQUE TENO VIRUS QPCR,400.0,240.0,10.0,7411.0,55
CDM,30600400,"HC REF MEDFUSION, BLACT BETA LACTAMASE",146.73,88.04,3.99,7411.0,55
CDM,30600401,HC REF LABCORP 552020 COMP CPT 87901,831.88,499.13,10.0,7411.0,55
CDM,30600402,HC REF LABCORP 552020 COMP CPT 87906,831.88,499.13,10.0,7411.0,55
CDM,30600403,HC REF LABCORP 552020 COMP CPT 87900,561.25,336.75,10.0,7411.0,55
CDM,30600404,"HC REF ARUP COMP 2002289, CPT 88262",387.5,232.5,10.0,7411.0,55
CDM,30600405,"HC REF ARUP COMP 2002289, CPT 88230",387.5,232.5,10.0,7411.0,55
CDM,30600406,HC REF ARUP 0065005 HERPES SIMPLEX VIRUS CULTURE,70.95,42.57,10.0,7411.0,55
CDM,30600407,HC REF ARUP 2006499 VIRAL CULTURE RESPIRATORY,150.0,90.0,10.0,7411.0,55
CDM,30600408,HC REF MIRA 310 HISTOPLASMA ANTIGEN CSF,262.5,157.5,10.0,7411.0,55
CDM,30600409,HC REF MIRA 315 COCCIDIOIDES ANTIGEN CSF,267.5,160.5,10.0,7411.0,55
CDM,30600410,"HC REF ARUP COMP 2004963, CPT 87798",150.0,90.0,10.0,7411.0,55
CDM,30600504,"HC INFECTIVE AGENT DETECTION, DNA/RNA HISTOPATHOLOGY",275.56,165.34,10.0,7411.0,55
CDM,30600508,HC CYTOLOGY URINE HISTOPATHOLOGY,299.37,179.62,10.0,7411.0,55
CDM,30600527,HC INFLUENZA A/B AND RSV BY PCR,575.91,345.55,10.0,7411.0,55
CDM,30600528,HC STERILITY TEST ID ANAER AUTO,174.15,104.49,6.79,7411.0,55
CDM,30600529,HC REF INFECT AGNT AG EA ORGANISM,125.0,75.0,10.0,7411.0,55
CDM,30600530,HC REF GARDNERELLA VAG QUANT,108.88,65.33,10.0,7411.0,55
CDM,30600531,HC REF CANDIDA ALB GLBRT QUAL PCR,260.0,156.0,10.0,7411.0,55
CDM,30600532,HC REF CHLAMYDIA TRACHOMATIS AMP,74.28,44.57,10.0,7411.0,55
CDM,30600533,HC REF NEISSERIA GONORRHOEAE AMP,74.18,44.51,10.0,7411.0,55
CDM,30600534,HC REF TRICHOMANAS VAGINALIS AMP,91.0,54.6,10.0,7411.0,55
CDM,30600535,HC STERILITY TEST ID ANAER ALLO,174.15,104.49,6.79,7411.0,55
CDM,30600536,"HC REF ZIKA VIRUS BY PCR, URINE",646.17,387.7,10.0,7411.0,55
CDM,30600537,HC REF TOXOPLASMA GONDII BY PCR,357.84,214.7,10.0,7411.0,55
CDM,30600541,HC RSV RAPID SCREEN,173.39,104.03,10.0,7411.0,55
CDM,30600542,HC ROTAVIRUS AG IA,256.01,153.61,10.0,7411.0,55
CDM,30600543,HC HEPATITIS B QUANTITATIVE,553.28,331.97,10.0,7411.0,55
CDM,30600544,HC HEPATITIS C RNA QUANTITATIVE,636.53,381.92,10.0,7411.0,55
CDM,30600546,HC REF E HISTOLYTICA AG EIA,278.93,167.36,10.0,7411.0,55
CDM,30600596,HC HISTOPLASMA CAPSUL AG IA (SERUM),315.42,189.25,10.0,7411.0,55
CDM,30600597,HC HISTOPLASMA CAPSUL AG IA (URINE),315.42,189.25,10.0,7411.0,55
CDM,30600598,HC ASPERGILLUS AG IA (SERUM),265.41,159.25,10.0,7411.0,55
CDM,30600599,HC ASPERGILLUS AG IA (URINE),265.41,159.25,10.0,7411.0,55
CDM,30600602,HC CYTOMEG DNA AMP PROBE,904.2,542.52,10.0,7411.0,55
CDM,30600603,HC REF GENOTYPE DNA HIV REVERSE TRANSCRIPTASE AND PROTEASE,787.5,472.5,10.0,7411.0,55
CDM,30600604,HC REF AG DETECT NOS IA MULT,161.69,97.01,10.0,7411.0,55
CDM,30600605,HC REF BROAD RANGE BACTI PCR SEQ,865.2,519.12,10.0,7411.0,55
CDM,30600606,"HC REF HIV-1 GENOTYPIC INTEGRASE RESIST, P",1115.5,669.3,10.0,7411.0,55
CDM,30600607,HC REF DETECT AGENT NOS DNA AMP,268.75,161.25,10.0,7411.0,55
CDM,30600608,"HC REF MYCOPLASMA GENITALIUM, AMPLIFIED PROBE",268.75,161.25,10.0,7411.0,55
CDM,30600609,"HC SARS-COV-2, AMPLIFIED PROBE TECHNIQUE, HIGH THROUGHPUT TECH",181.13,108.68,10.0,7411.0,39
CDM,30600610,HC REF MYCOPLASMA PNEUMONIAE PCR,1285.5,771.3,10.0,7411.0,55
CDM,30600611,HC SARS COV2 TOTAL ANTIBODIES,102.41,61.45,10.0,7411.0,55
CDM,30600612,"HC REF HSV PCR, COOKS",1087.78,652.67,10.0,7411.0,55
CDM,30600613,"HC REF ENTEROVIRUS BY RT_PCR, COOKS",1057.02,634.21,10.0,7411.0,55
CDM,30600614,HC COVID ANTIGEN DETECTION BY IMMUNOASSAY,100.67,60.4,10.0,7411.0,55
CDM,30600615,"HC DETECTION BY NUCLEIC ACID FOR GI PATHOGEN, MTPL TYPES, 6-11 TRGTS",859.0,515.4,10.0,7411.0,55
CDM,30600616,"HC BIOFIRE RESPIRATORY PANEL, NFCT DS 22 TRGT SARS-COV-2",318.65,191.19,10.0,7411.0,55
CDM,30600617,HC PR IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ,102.41,61.45,10.0,7411.0,55
CDM,30600618,HC NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN,174.88,104.93,10.0,7411.0,40
CDM,30600619,HC IAAD IA SARSCOV & INFLUENZA VIRUS TYPES A&B,73.5,44.1,10.0,7411.0,55
CDM,30600620,HC SARS COV2 IGA ANTIBODIES,102.41,61.45,10.0,7411.0,55
CDM,30600621,HC INFEC AGEN DETEC AMPLI PROBE (ADD ON CODE),56.7,34.02,9.64,7411.0,39
CDM,30600622,"HC REF MAYO, HIVP, HIV-1 DNA & RNA QUALITATIVE DETECTION BY PCR, PLASMA",805.35,483.21,10.0,7411.0,55
CDM,30600623,HC IADNA STAPH AUREUS AMPLIFIED PROBE TQ,193.98,116.39,10.0,7411.0,55
CDM,30600624,"HC HEP B SURFACE ANTIGEN, QUANT",165.52,99.31,10.0,7411.0,54
CDM,30600625,HC IAD BY DNA/RNA; ANAPLASMA,283.2,169.92,10.0,7411.0,55
CDM,30600628,"HC EHRLICHIA CHAFFEENSIS, AMP PROBE",283.2,169.92,10.0,7411.0,55
CDM,30600630,HC CHLAMYDIA PNEUMONIAE PCR,465.18,279.11,10.0,7411.0,55
CDM,30600631,"HC IAAD IMMUNOASSAY NOS - LEGIONELLA PNEUMOPHILIA, URINE",174.63,104.78,10.0,7411.0,55
CDM,30600632,HC IAAD IMMUNOASSAY NOS - STREPTOCOCCUS PNEUMONIAE,174.63,104.78,10.0,7411.0,55
CDM,30600633,"HC IAAD IMMUNOASSAY NOS - COCCIDIOIDES, BLOOD",174.63,104.78,10.0,7411.0,55
CDM,30600634,HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,172.5,103.5,10.0,7411.0,55
CDM,30600635,"HC REF ARUP, 0060256 MYCOPLASMA PNEUMONIAE, PCR",217.5,130.5,10.0,7411.0,55
CDM,30600636,"HC REF ARUP, EUROFINS-VIRACOR 6500 HHV6 QUANT RT PCR",853.13,511.88,10.0,7411.0,55
CDM,30600637,"HC REF MEDFUSION, MTUBID DNA PROBE ID M TUBE",511.72,307.03,10.0,7411.0,55
CDM,30600638,"HC REF MEDFUSION, MAVIIDDNA PROBE ID M AVIUM CHR",510.38,306.23,10.0,7411.0,55
CDM,30600639,"HC REF MEDFUSION, VSDNA1 VERIGENE GRAM POS DNA BLOOD",350.36,210.22,10.0,7411.0,55
CDM,30600640,"HC REF MAYO, MTBRP M TUBERCULOSIS COMPLEX PCR",487.28,292.37,10.0,7411.0,55
CDM,30600641,HC CHLAMYDIA PNEUMONIAE PCR - RESP VIRUS COMP PANEL,465.18,279.11,10.0,7411.0,55
CDM,30600642,"HC ENTEROVIRUS PROBE&REVRS TRNS, PCR QUAL",415.17,249.1,10.0,7411.0,55
CDM,30600643,"HC IAAD CLOSTRIDIUM DIFFICILE TOXINS, EIA",211.69,127.01,10.0,7411.0,55
CDM,30600644,HC IAAD IA - HISTOPLASMA ANTIGEN,163.81,98.29,10.0,7411.0,55
CDM,30600645,"HC IAAD IA - HISTOPLASMA ANTIGEN, CSF",315.42,189.25,10.0,7411.0,55
CDM,30600646,HC IADNA NOS - BK VIRAL LOAD PCR,500.52,300.31,10.0,7411.0,55
CDM,30600647,"HC IADNA NOS - BK VIRAL LOAD PCR, CSF",500.52,300.31,10.0,7411.0,55
CDM,30600648,"HC IADNA NOS - BK VIRAL LOAD PCR, URINE",500.52,300.31,10.0,7411.0,55
CDM,30600649,"HC IADNA NOS - EPSTEIN BARR VIRUS PCR, BLOOD",500.52,300.31,10.0,7411.0,55
CDM,30600650,"HC IADNA NOS - EPSTEIN BARR VIRUS PCR, CSF",500.52,300.31,10.0,7411.0,55
CDM,30600651,"HC IADNA NOS - EPSTEIN BARR VIRUS PCR, NON-BLOOD",500.52,300.31,10.0,7411.0,55
CDM,30600652,HC IADNA NOS - HUMAN HERPES VIRUS 8 PCR,500.52,300.31,10.0,7411.0,55
CDM,30600653,HC IADNA NOS - MYCOPLASMA GENITALIUM NAA,386.47,231.88,10.0,7411.0,55
CDM,30600654,"HC IADNA NOS - TOXOPLASMA GONDII PCR, BLOOD",386.47,231.88,10.0,7411.0,55
CDM,30600655,"HC IADNA NOS - TROPHERYMA WHIPPLEI, PCR",386.47,231.88,10.0,7411.0,55
CDM,30600656,"HC IADNA NOS - VARICELLA ZOSTER VIRUS, PCR",386.47,231.88,10.0,7411.0,55
CDM,30600657,"HC IIAD CLOSTRIDIUM DIFFICILE TOXIN, SCREEN",211.69,127.01,10.0,7411.0,55
CDM,30600658,"HC REF MEDFUSION, YSTID1 FUNGAL ID 1 YEAST",127.82,76.69,8.67,7411.0,55
CDM,30600659,"HC REF MEDFUSION, AERID1 BAC ID AEROBIC 1 ORG",120.7,72.42,6.79,7411.0,55
CDM,30600660,"HC REF MEDFUSION, CONCEN CONCEN FOR INF AGENTS",65.33,39.2,5.61,7411.0,55
CDM,30600661,"HC REF MEDFUSION, MLDID1 FUNGAL ID 1 MOLD",114.85,68.91,8.67,7411.0,55
CDM,30600662,"HC CHLAMYDIA TRACHOMATIS, URINE",275.56,165.34,10.0,7411.0,55
CDM,30600663,HC CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25 - MENINGITIS PANEL,1425.75,855.45,10.0,7411.0,55
CDM,30600664,HC CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,1425.75,855.45,10.0,7411.0,55
CDM,30600665,"HC HEP B VIRUS DNA QUANT, PCR",553.28,331.97,10.0,7411.0,55
CDM,30600666,"HC HIV-1 AMP PRB TECH, DNA PCR",432.8,259.68,10.0,7411.0,55
CDM,30600667,"HC HIV-1 AMP PRB TECH, PCR",432.8,259.68,10.0,7411.0,55
CDM,30600668,"HC HIV-1 AMP PRB TECH, RNA NAAT",432.8,259.68,10.0,7411.0,55
CDM,30600669,"HC IAAD, STREP A EIA",433.21,259.93,10.0,7411.0,55
CDM,30600670,HC CULTURE OTHR SPECIMN AEROBIC - THROAT CULTURE,285.48,171.29,7.24,7411.0,55
CDM,30600671,"HC IADNA ANAPLASMA PHAGOCYTOPHILUM, PCR",283.2,169.92,10.0,7411.0,55
CDM,30600672,"HC IADNA CHLAMYDIA TRACHOMATIS, BODY FLUID PCR",275.56,165.34,10.0,7411.0,55
CDM,30600673,"HC IADNA EHRLICHA CHAFFEENSIS, PCR",283.2,169.92,10.0,7411.0,55
CDM,30600674,"HC IADNA HERPES SIMPLEX VIRUS, TYPE I",376.44,225.86,10.0,7411.0,55
CDM,30600675,"HC IADNA HERPES SIMPLEX VIRUS, TYPE II",376.44,225.86,10.0,7411.0,55
CDM,30600676,"HC IADNA NEISSERIA GONORRHOEAE, BODY FLUID PCR",271.03,162.62,10.0,7411.0,55
CDM,30600677,HC IADNA NOS - BK VIRUS PCR BLOOD,500.52,300.31,10.0,7411.0,55
CDM,30600678,HC IADNA NOS - BK VIRUS PCR URINE,500.52,300.31,10.0,7411.0,55
CDM,30600679,"HC IADNA NOS - BORDETELLA PERTUSSIS, PCR",386.47,231.88,10.0,7411.0,55
CDM,30600680,"HC IADNA NOS - EHRLICHA EWINGII/CANIS, PCR",386.47,231.88,10.0,7411.0,55
CDM,30600681,"HC IADNA NOS - EHRLICHA MURIS-LIKE, PCR",386.47,231.88,10.0,7411.0,55
CDM,30600682,HC IADNA NOS - JC VIRUS PCR BLOOD,500.52,300.31,10.0,7411.0,55
CDM,30600683,HC IADNA NOS - JC VIRUS PCR URINE,500.52,300.31,10.0,7411.0,55
CDM,30600684,"HC IADNA NOS - PARAPERTUSSIS, PCR",386.47,231.88,10.0,7411.0,55
CDM,30600685,"HC IADNA NOS - PARVOVIRUS B19, QUAL PCR",386.47,231.88,10.0,7411.0,55
CDM,30600686,"HC NEISSERIA GONORRHOEAE, URINE",271.03,162.62,10.0,7411.0,55
CDM,30600687,"HC REF ARUP, COMP 2013798, CPT 87481",103.5,62.1,10.0,7411.0,55
CDM,30600688,"HC REF MEDFUSION, SERA1 1 BACT TYPING ANTISERA",144.38,86.63,4.35,7411.0,55
CDM,30600689,"HC REF MEDFUSION, ANID1 BAC ID ANEROBIC 1 ORG",228.01,136.81,6.79,7411.0,55
CDM,30600690,"HC REF ARUP, 3006370 CANDIDA AURIS BY PCR",1375.0,825.0,10.0,7411.0,55
CDM,30600691,HC JOINT INFECTION PANEL,1782.68,1069.61,10.0,7411.0,39
CDM,30600692,HC DETECT AGENT NOS DNA AMP - BONE MAR INF DIS PROF,386.47,231.88,10.0,7411.0,55
CDM,30600696,HC DETECT AGNT MULT DNA AMPLI - DERMATOPHYTE PANEL PCR,515.16,309.1,10.0,7411.0,55
CDM,30600697,"HC DETECT AGNT MULT DNA AMPLI - FUNGAL PANEL PCR, FIXED TISSUE",515.16,309.1,10.0,7411.0,55
CDM,30600698,"HC REF ARUP, EUROFINS VIRACOR 5508, CYTOMEGALOVIRUS QUANT PCR",812.5,487.5,10.0,7411.0,55
CDM,30600699,HC ZIKA VIRUS DNA/RNA AMP PROBE - URINE,193.91,116.35,10.0,7411.0,55
CDM,30600700,HC NFCT AGT GNTYP ALYS HEP C - HCV NS5A DRUG RESIST BY SEQ,1372.12,823.27,10.0,7411.0,55
CDM,30600701,HC HHV-6 DNA QUANT - A&B,576.29,345.77,10.0,7411.0,55
CDM,30600702,HC CULTURE OTHR SPECIMN AEROBIC - NASOPHARYNGEAL,285.48,171.29,7.24,7411.0,55
CDM,30600703,HC STOOL CULTR AEROBIC BACT EA - YERSINIA,116.69,70.01,7.93,7411.0,55
CDM,30600704,"HC SMEAR SPECIAL STAIN - PARASITE STAIN, BLOOD",167.96,100.78,5.03,7411.0,55
CDM,30600706,HC SMEAR FLUORESCENT/ACID STAI - ACID FAST BACTERIA,145.82,87.49,4.53,7411.0,55
CDM,30600707,HC MYCOBACTERIA CULTURE - BLOOD ACID FAST,258.4,155.04,9.07,7411.0,55
CDM,30600708,HC SMEAR FLUORESCENT/ACID STAI - BLOOD ACID FAST,145.82,87.49,4.53,7411.0,55
CDM,30600709,"HC SMEAR GRAM STAIN - CULTURE, H. PYLORI",123.65,74.19,3.59,7411.0,55
CDM,30600710,HC CULTURE SCREEN ONLY - H. PYLORI,179.61,107.77,5.57,7411.0,55
CDM,30600711,"HC SMEAR GRAM STAIN - CULTURE, ORTHOPEDIC",123.65,74.19,3.59,7411.0,55
CDM,30600712,"HC SMEAR GRAM STAIN - CULTURE, SURGICAL WOUND",123.65,74.19,3.59,7411.0,55
CDM,30600713,HC CULTURE OTHR SPECIMN AEROBIC - SURGICAL WOUND,285.48,171.29,7.24,7411.0,55
CDM,30600714,HC CHLMYD TRACH DNA AMP PROBE - RNA THROAT NAA,275.56,165.34,10.0,7411.0,55
CDM,30600715,HC N.GONORRHOEAE DNA AMP PROB - RNA THROAT NAA,271.03,162.62,10.0,7411.0,55
CDM,30600716,"HC CANDIDA DNA AMP PROBE - BV, CAND, TRICH PANEL",282.19,169.31,10.0,7411.0,55
CDM,30600717,HC HEPATITIS B SURFACE AG IA - HEPATITIS CHRONIC PANEL,197.09,118.25,8.68,7411.0,55
CDM,30600718,HC ASPERGILLUS AG IA - GALACTOMANNAN BAL,265.41,159.25,10.0,7411.0,55
CDM,30600719,HC DETECT AGENT NOS DNA AMP - PNEUMONIA PANEL,386.47,231.88,10.0,7411.0,55
CDM,30600720,"HC SMEAR GRAM STAIN - CULTURE, BODY FLUID",123.65,74.19,3.59,7411.0,55
CDM,30600721,"HC SMEAR GRAM STAIN - CULTURE, CSF",123.65,74.19,3.59,7411.0,55
CDM,30600722,HC CULTURE OTHR SPECIMN AEROBIC - EAR,285.48,171.29,7.24,7411.0,55
CDM,30600723,"HC SMEAR GRAM STAIN - CULTURE, EAR",123.65,74.19,3.59,7411.0,55
CDM,30600724,HC CULTURE OTHR SPECIMN AEROBIC - EYE,285.48,171.29,7.24,7411.0,55
CDM,30600725,"HC SMEAR GRAM STAIN - CULTURE, EYE",123.65,74.19,3.59,7411.0,55
CDM,30600726,"HC SPECIMEN INFECT AGNT CONCNTJ - CULTURE, FUNGAL BLOOD",85.54,51.32,5.61,7411.0,55
CDM,30600727,"HC CULTURE OTHR SPECIMN AEROBIC - CULTURE, MEDICAL DEVICE",285.48,171.29,7.24,7411.0,55
CDM,30600728,"HC CULTR BACTERIA EXCEPT BLOOD - CULTURE, MEDICAL DEVICE",346.77,208.06,7.95,7411.0,55
CDM,30600729,"HC SMEAR GRAM STAIN - CULTURE, RESPIRATORY",123.65,74.19,3.59,7411.0,55
CDM,30600730,HC CULTURE OTHR SPECIMN AEROBIC - SINUS,285.48,171.29,7.24,7411.0,55
CDM,30600731,"HC SMEAR GRAM STAIN - CULTURE, SINUS",123.65,74.19,3.59,7411.0,55
CDM,30600732,"HC SMEAR GRAM STAIN - CULTURE, TISSUE",123.65,74.19,3.59,7411.0,55
CDM,30600733,"HC SMEAR GRAM STAIN - CULTURE, WOUND",123.65,74.19,3.59,7411.0,55
CDM,30600734,HC BLOOD CULTURE FOR BACTERIA - BLOOD TXFUSION REACTION,340.52,204.31,8.67,7411.0,55
CDM,30600735,HC BLOOD CULTURE FOR BACTERIA - QUANTITATIVE,340.52,204.31,8.67,7411.0,55
CDM,30600736,"HC SPECIMEN INFECT AGNT CONCNTJ - CULTURE, BLOOD, QUANT",85.54,51.32,5.61,7411.0,55
CDM,30600737,HC HEPATITIS C REVRS TRNSCRPJ - HCV RNA QUANT W/REFLEX TO GENOTYPE,636.53,381.92,10.0,7411.0,55
CDM,30600738,"HC SMEAR GRAM STAIN - CULTURE, RESP, CYSTIC FIBROSIS",123.65,74.19,3.59,7411.0,55
CDM,30600739,"HC FECES CULTURE AEROBIC BACT - CULTURE, STOOL",255.47,153.28,7.93,7411.0,55
CDM,30600740,"HC SHIGA-LIKE TOXIN AG IA - CULTURE, STOOL",113.52,68.11,10.0,7411.0,55
CDM,30600741,HC MICROBE SUSCEPTIBLE MIC - MEDFUSION 1003373/AERSUS,282.44,169.46,7.27,7411.0,55
CDM,30600742,HC MICROBE SUSCEPTIBLE DISK - MEDFUSION 1003373/AERSUS,132.19,79.31,6.28,7411.0,55
CDM,30600743,HC MICROBE SUSCEPTIBLE DIFFUSE - MEDFUSION 1003373/AERSUS,91.04,54.62,3.99,7411.0,55
CDM,30600744,"HC HPV HIGH-RISK TYPES - HPV GENOTYPES 16, 18 RECTAL",219.11,131.47,10.0,7411.0,55
CDM,30600745,HC CULTURE OTHR SPECIMN AEROBIC - MODIFIED ACID FAST STAIN,285.48,171.29,7.24,7411.0,55
CDM,30600746,HC SMEAR FLUORESCENT/ACID STAI - MODIFIED ACID FAST STAIN,145.82,87.49,4.53,7411.0,55
CDM,30600747,"HC REF ARUP, COMP BABESIA MICROTI, AMP PROBE 2008665, CPT 87798",290.0,174.0,10.0,7411.0,55
CDM,30600748,"HC REF ARUP, COMP ERLICHIA AND ANAPLAMA SPECIES BY PCR 2007862, CPT 87468",400.0,240.0,10.0,7411.0,55
CDM,30600749,"HC REF ARUP, COMP ERLICHIA AND ANAPLAMA SPECIES BY PCR 2007862, CPT 87484",400.0,240.0,10.0,7411.0,55
CDM,30600750,HC IADNA HEPATITIS D DELTA QUAN W/REV TRANSCRIPTION,357.84,214.7,10.0,7411.0,55
CDM,30600751,"HC REF EUROFINS-VIRACOR, COMP 33306, CPT 87481",220.83,132.5,10.0,7411.0,55
CDM,30600752,"HC REF ARUP, 2002434 (1,3) BETA-D-GLUCAN (FUNGITELL)",270.0,162.0,10.0,7411.0,55
CDM,30600753,"HC IADNA NOS QUANT - VARICELLA ZOSTER VIRUS, PCR",500.52,300.31,10.0,7411.0,55
CDM,30600754,"HC REF MAYO, HEVQU, HEV RNA DETECT / QUANT, S",1612.4,967.44,10.0,7411.0,55
CDM,30600755,"HC REF ARUP, COMP 2008670, CPT 87468",127.08,76.25,10.0,7411.0,55
CDM,30600756,"HC REF ARUP, COMP 2008670, CPT 87484",127.08,76.25,10.0,7411.0,55
CDM,30600757,"HC REF ARUP, COMP 2008670, CPT 87798",127.08,76.25,10.0,7411.0,55
CDM,30600758,"HC REF ARUP, COMP 2008670, CPT 87469",127.08,76.25,10.0,7411.0,55
CDM,30600759,"HC REF LABCORP, COMP 551776, CPT 87901",554.58,332.75,10.0,7411.0,55
CDM,30600760,"HC REF LABCORP, COMP 551776, CPT 87906",554.58,332.75,10.0,7411.0,55
CDM,30600761,"HC REF LABCORP, COMP 551776, CPT 87900",554.58,332.75,10.0,7411.0,55
CDM,30600762,"HC REF MAYO, CMVQN, CYTOMEGALOVIRUS DNA DET AND QUANT",220.28,132.17,10.0,7411.0,55
CDM,30600763,"HC REF ARUP, MAGNESIUM URINE 0020477",25.88,15.53,5.63,7411.0,55
CDM,30600765,HC MTB RIFAMPIN RST AMP PRB TQ,413.64,248.18,10.0,7411.0,54
CDM,30600766,HC PNEUMCYSTS JIROVECII AMP PRB,357.84,214.7,10.0,7411.0,54
CDM,30600767,HC HPV SEP HI-RSK TYP&POOL RSLT,202.88,121.73,10.0,7411.0,54
CDM,30600768,"HC REF UNWASH, 16S SEQUENCING",3147.13,1888.28,10.0,7411.0,55
CDM,30600769,"HC SARS-COV-2 (COVID 19), NAA",97.2,58.32,10.0,7411.0,55
CDM,30600770,"HC REF MEDFUSION, VSDNA1 VERIGENE GRAM POS DNA BLOOD",244.13,146.48,10.0,7411.0,55
CDM,30600771,"HC SMEAR GRAM STAIN - CULTURE, ANAEROBIC",123.65,74.19,3.59,7411.0,55
CDM,30600772,HC CONCENTRATION INF AGENT - CULTURE BLOOD ACID-FAST BACTERIA,85.54,51.32,5.61,7411.0,55
CDM,30600773,"HC CULTURE,PRESUMP,PATHOGENIC ORG,SCREEN - GROUP A STREP",179.61,107.77,5.57,7411.0,55
CDM,30600774,"HC CULTURE,PRESUMP,PATHOGENIC ORG,SCREEN - NOCARDIA",179.61,107.77,5.57,7411.0,55
CDM,30600775,"HC CULTURE,BACT EXCEPT BLOOD, - ORTHOPEDIC",346.77,208.06,7.95,7411.0,55
CDM,30600776,"HC CULT,BACT,QUANT,AER W/ISO &PR - RESPIRATORY",223.85,134.31,8.31,7411.0,55
CDM,30600777,"HC CULTURE, BACTERIAL, ANY OTHER - THROAT",285.48,171.29,7.24,7411.0,55
CDM,30600778,"HC REF MAYO, FUNSF FUNGITELL CSF",325.0,195.0,10.0,7411.0,55
CDM,30600779,"HC REF LAB LABCORP, 183858 ASPERGILLUS AG CSF",517.5,310.5,10.0,7411.0,55
CDM,30600780,"HC REF MAYO, FUNSF FUNGITELL CSF",325.0,195.0,10.0,7411.0,55
CDM,30600781,"HC REF ARUP, 2007473 ADENOVIRUS PCR URINE",450.63,270.38,10.0,7411.0,55
CDM,30600782,HC REF MIRAVISTA 315 COCCIDIOIDES,267.5,160.5,10.0,7411.0,55
CDM,30600783,"HC REF ARUP 3006075 BK VIRUS BY QUANT NAAT, URINE",310.0,186.0,10.0,7411.0,55
CDM,30600784,"HC REF ARUP 3005895 CMV BY QUANT NAAT, PLASMA",262.5,157.5,10.0,7411.0,55
CDM,30600785,"HC REF COMP EUROFINS VIRACOR PFL8006, CPT 87798",84.29,50.57,10.0,7411.0,55
CDM,30600786,"HC REF EUROFINS VIRACOR COMP PFL8006, CPT 87799",84.29,50.57,10.0,7411.0,55
CDM,30600787,HC REF ARUP COMP 2009226 PNEUMO JIROVECII DFA W/R CPT 87015,29.4,17.64,5.61,7411.0,55
CDM,30600788,HC REF ARUP COMP 2009226 PNEUMO JIROVECII DFA W/R CPT 87281,29.4,17.64,10.0,7411.0,55
CDM,30600789,HC REF ARUP 2006254 PNEUMO JIROVECII PCR REFLEX,408.13,244.88,10.0,7411.0,54
CDM,30600790,HC REF MAYO MEASR MEASLES PCR,1165.25,699.15,10.0,7411.0,55
CDM,30600791,"HC REF ARUP 3006075 BK VIRUS BY QUANT NAAT, URINE",310.0,186.0,10.0,7411.0,55
CDM,30600792,"HC REF ARUP 3006076 BK VIRUS BY QUANT NAAT, PLASMA",310.0,186.0,10.0,7411.0,55
CDM,30600793,HC REF MEDFUSION 14163 EBV QUANT WB PCR,746.0,447.6,10.0,7411.0,55
CDM,30600794,HC REF ARUP 3000572 HCV BY QUANT NAAT,200.0,120.0,10.0,7411.0,55
CDM,30600795,HC REF ARUP 3000576 HCV QUANT W/REFLEX TO GENOTYPE,200.0,120.0,10.0,7411.0,55
CDM,30600796,HC REF ARUP 0055593 REFLEX HEP C GENOTYPE BY SEQ,225.0,135.0,10.0,7411.0,55
CDM,30600797,HC REF ARUP COMP 2006686 CPT 87070,58.44,35.06,7.24,7411.0,55
CDM,30600798,HC REF ARUP COMP 2006686 CPT 87176,58.44,35.06,4.94,7411.0,55
CDM,30600799,HC REF ARUP 2007192 ADENOVIRUS QUANT PCR,500.0,300.0,10.0,7411.0,55
CDM,30600800,HC REF MEDFUSION 19727 HERPISVIRUS 7 (HHV-7) DNA QUAL PCR,1376.9,826.14,10.0,7411.0,55
CDM,30600801,HC REF MEDFUSION 15873 HERPISVIRUS 8 (HHV-8) DNA QUAL PCR,1395.0,837.0,10.0,7411.0,55
CDM,30600802,HC REF TDH MEASLES VIRUS QUAL PCR,317.08,190.25,10.0,7411.0,55
CDM,30600803,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 87340,14.85,8.91,5.35,7411.0,55
CDM,30600804,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 87798,14.85,8.91,5.35,7411.0,55
CDM,30600805,HC REF QUEST COMP 13947 CPT 87910,1281.25,768.75,10.0,7411.0,55
CDM,30600806,HC REF QUEST COMP 13947 CPT 87900,1281.25,768.75,10.0,7411.0,55
CDM,30600807,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 87340,6.25,3.75,2.25,7411.0,55
CDM,30600808,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 87798,6.25,3.75,2.25,7411.0,55
CDM,30600809,HC REF ARUP COMP 3017779 CPT 87535,167.5,100.5,10.0,7411.0,55
CDM,30600810,HC REF ARUP COMP 3017779 CPT 87538,167.5,100.5,10.0,7411.0,55
CDM,30600811,"HC REF ARUP 0065147 HELICOBACTER PYLORI AG, FECAL BY EIA",100.0,60.0,10.0,7411.0,55
CDM,30600812,HC REF ARUP 2011075 COCCIDIOIDES ANTIGEN BY EIA,297.5,178.5,10.0,7411.0,55
CDM,30600813,HC REF ARUP 2012043 PARVOVIRUS B19 BY QUANT PCR,325.0,195.0,10.0,7411.0,55
CDM,30600814,HC REF EUROFINS VIRACOR COMP 8519 CPT 87530,473.43,284.06,10.0,7411.0,55
CDM,30600815,HC REF ARUP 0060042 VARICELLA-ZOSTER VIRUS BY PCR,172.5,103.5,10.0,7411.0,55
CDM,30600816,HC REF ARUP 0055570 BORRELIA SPECIES BY PCR (LYME DISEASE),172.5,103.5,10.0,7411.0,55
CDM,30600817,HC REF MEDFUSION 19503 JC POLYVIRUS DNA PCR,1615.0,969.0,10.0,7411.0,55
CDM,30600818,HC REF ARUP 3003279 - GASTROINTESTINAL PATHOGENS PANEL BY PCR,1212.5,727.5,10.0,7411.0,55
CDM,30600819,HC REF EUROFINS VIRACOR 7000 HHV-7 PLASMA,946.85,568.11,10.0,7411.0,55
CDM,30600820,HC REF UNIV WASHINGTON HSVDR ACYCLOVIR DRUG RESISTANCE,2013.45,1208.07,10.0,7411.0,55
CDM,30600821,HC REF EUROFINS VIRACOR COMP 33125 CPT 87910,1596.5,957.9,10.0,7411.0,55
CDM,30600822,"HC REF ARUP COMP 2010095, CPT 87529",206.25,123.75,10.0,7411.0,55
CDM,30600823,"HC REF ARUP COMP 3000265, CPT 87798",297.28,178.37,10.0,7411.0,55
CDM,30600824,HC REF ARUP 2013305 MENINGITIS ENCEPHALITIS PANEL BY PCR,812.5,487.5,10.0,7411.0,55
CDM,30600825,"HC REF EUROFINS VIRACOR COMP 8501, CPT 87530",473.43,284.06,10.0,7411.0,55
CDM,30600826,HC REF EUROFINS VIRACOR 4503 EBV QPCR (CSF),946.85,568.11,10.0,7411.0,55
CDM,30600827,HC REF ARUP < QUEST COMP 19502 CPT 87530,349.13,209.48,10.0,7411.0,55
CDM,30600828,HC REF MAYO CMVPV CYTOMEGALOVIRUS PCR,195.03,117.02,10.0,7411.0,55
CDM,30600829,HC REF EUROFINS VIRACOR 30882 HISTOPLASMA GALACTOMANNAN EIA,250.0,150.0,10.0,7411.0,55
CDM,30600830,"HC REF EUROFINS VIRACOR 5508 CYTOMEGALOVIRUS CMV QUANTITATIVE PCR, FECAL",946.85,568.11,10.0,7411.0,55
CDM,30600831,HC REF UWMC ASPDNA ASPERGILLUS FUMIGATUS DNA DETECTION BY PCR,1185.15,711.09,10.0,7411.0,55
CDM,30600832,HC REF UWMC MUCDNA MUCORALES DNA DETECTION BY PCR,926.43,555.86,10.0,7411.0,55
CDM,30600833,"HC REF ARUP COMP 3002503, CPT 87900",692.5,415.5,10.0,7411.0,55
CDM,30600834,"HC REF ARUP COMP 3002503, CPT 87901",692.5,415.5,10.0,7411.0,55
CDM,30600835,"HC REF ARUP COMP 3002503, CPT 87906",692.5,415.5,10.0,7411.0,55
CDM,30600836,"HC REF ARUP 92522 HISTOPLASMA ANTIGEN QUANT BY EIA, SERUM",112.5,67.5,10.0,7411.0,55
CDM,30600837,HC REF MAYO FHV8P HERPES 8 (HHV-8) QUANT REAL-TIME PCR,870.23,522.14,10.0,7411.0,55
CDM,30600838,HC REF MAYO FHST MVISTA HISTOPLASMA ANTIGEN,318.5,191.1,10.0,7411.0,55
CDM,30600839,HC REF ARUP 0060043 PARVOVIRUS B19 QUALITATIVE PCR,187.5,112.5,10.0,7411.0,55
CDM,30600840,"HC REF ARUP COMP 2011172, CPT 87798",121.18,72.71,10.0,7411.0,55
CDM,30600841,"HC REF ARUP COMP 2011172, CPT 87563",121.18,72.71,10.0,7411.0,55
CDM,30600842,HC REF ARUP 3000352 MUCORALES BY PCR,600.0,360.0,10.0,7411.0,55
CDM,30600843,HC REF ARUP 0093057 BARTONELLA BY PCR,462.5,277.5,10.0,7411.0,55
CDM,30600844,"HC REF MAYO COMP HCVDX, CPT 87522",365.63,219.38,10.0,7411.0,55
CDM,30600845,"HC REF ARUP 3001798 - BLASTOMYCES ANTIGEN QUANTITATIVE BY EIA, URINE",200.0,120.0,10.0,7411.0,55
CDM,30600846,HC REF ARUP 0060048 GIARDIA AG BY EIA,38.45,23.07,10.0,7411.0,55
CDM,30600847,HC REF ARUP 0060159 BRUCELLA CULTURE,116.88,70.13,5.57,7411.0,55
CDM,30600848,HC REF LABCORP 18835 PNEUMOCYSTIS JIROVECII DNA PCR,1376.9,826.14,10.0,7411.0,54
CDM,30600849,"HC REF ARUP 2004589 FUNGAL STAIN, KOH WITH CALCOFLUOR WHITE",52.63,31.58,4.53,7411.0,55
CDM,30600850,HC REF ARUP 0050249 ENTEROVIRUS BY PCR,250.0,150.0,10.0,7411.0,55
CDM,30600851,HC REF ARUP 0050246 EPSTEIN-BARR VIRUS BY QUAL PCR,162.5,97.5,10.0,7411.0,55
CDM,30600852,"HC REF ARUP COMP 0060052, CPT 87015",45.94,27.56,5.61,7411.0,55
CDM,30600853,"HC REF ARUP COMP 0060052, CPT 87281",45.94,27.56,10.0,7411.0,55
CDM,30600854,HC JOINT INFECTION PANEL,1782.68,1069.61,10.0,7411.0,54
CDM,30600855,HC IADNA CHLMYD TRCHMTS&NEISRA GONORR MULT AMP PRB,546.59,327.95,10.0,7411.0,54
CDM,30600856,HC SC STD CARBAPENEMASE NZM DET,78.38,47.03,3.99,7411.0,37
CDM,30600857,HC REF ARUP 0050229 WEST NILE VIRUS PCR,325.0,195.0,10.0,7411.0,55
CDM,30600858,HC REF CINCINNATI CHILDREN'S 8003904 ADENOVIRUS QUANTITATIVE PCR,1842.5,1105.5,10.0,7411.0,55
CDM,30600859,HC REF ARUP 3000863 HBV BY QUANT,246.25,147.75,10.0,7411.0,55
CDM,30600860,HC REF ARUP COMP 3019269 CPT 87798,412.5,247.5,10.0,7411.0,55
CDM,30600861,HC REF MAYO HPFRP H.PYLORI WITH CLARITHRO PCR,192.98,115.79,10.0,7411.0,54
CDM,30600862,HC REF ARUP 0060040 CMV URINE,177.5,106.5,10.0,7411.0,55
CDM,30600863,HC REF UNIV WASHINGTON AMBPCR ACANTHAMOEBA & BALAMUTHIA SPECIES PCR,1058.0,634.8,10.0,7411.0,55
CDM,30600864,HC REF UNIV WASHINGTON BCTDNA BACTERIAL DNA PCR W/ RFLX TO NGS,901.03,540.62,10.0,7411.0,55
CDM,30600865,HC REF UNIV WASHINGTON FUNDNA FUNGAL DNA PCR W/ RFLX TO NGS,1470.18,882.11,10.0,7411.0,55
CDM,30600866,HC REF UNIV WASHINGTON LSHDNA LEISHMANIA SPECIES DNA DETECTION,1057.33,634.4,10.0,7411.0,55
CDM,30600867,HC REF UNIV WASHINGTON TOXDNA TOXOPLASMA DNA DETECTION BY PCR,926.43,555.86,10.0,7411.0,55
CDM,30600868,"HC REF MAYO MTBT MTB COMPLEX PCR, FFPE",398.68,239.21,10.0,7411.0,55
CDM,30600869,HC REF MAYO PLFA CRYPTOCOCCUS AG SCREEN LFA PF,108.03,64.82,10.0,7411.0,55
CDM,30600871,HC REF VIRACOR 33432 CHAGAS (T.CRUZI) PCR,979.05,587.43,10.0,7411.0,55
CDM,30600872,HC REF ARUP 3005716 ORTHOPOXVIRUS BY PCR,212.5,127.5,10.0,7411.0,54
CDM,30600873,"HC REF MAYO VZVPV VARICELLA-ZOSTER VIRUS, PCR",199.58,119.75,10.0,7411.0,55
CDM,30600874,HC REF EUROFINS VIRACOR 5504 CMV Q PCR,979.05,587.43,10.0,7411.0,55
CDM,30600875,HC REF EUROFINS VIRACOR 6504 HHV6 Q PCR,979.05,587.43,10.0,7411.0,55
CDM,30600876,HC REF QUEST 17875 LEPTOSPIRA DNA QUALITATIVE REAL-TIME PCR,975.98,585.59,10.0,7411.0,55
CDM,30700001,"HC URINALYSIS, NONAUTO, W/SCOPE",65.55,39.33,3.38,7411.0,55
CDM,30700002,"HC URINALYSIS, AUTO, W/SCOPE",129.78,77.87,2.66,7411.0,55
CDM,30700003,HC URINALYSIS NONAUTO W/O SCOPE,59.67,35.8,2.92,7411.0,55
CDM,30700004,HC URINALYSIS AUTO W/O SCOPE,83.58,50.15,1.89,7411.0,55
CDM,30700005,"HC URINALYSIS, QUALITATIVE OR SEMIQUANTITATIVE",57.0,34.2,1.82,7411.0,55
CDM,30700006,HC URINALYSIS MICROSCOPIC ONLY,52.92,31.75,2.56,7411.0,55
CDM,30700007,"HC URINE PREG TEST, BY VISUAL COLOR",162.16,97.3,7.23,7411.0,55
CDM,30700008,HC VOLUME MEASUREMENT FOR TIMED COLLECTION,38.88,23.33,3.06,7411.0,55
CDM,30700010,HC SA-PREGNANCY TEST,150.15,90.09,7.23,7411.0,55
CDM,30700011,HC ALDOSTERONE URINE,365.41,219.25,10.0,7411.0,55
CDM,30700012,"HC URINE PREG TEST,BY VISUAL COLO",162.16,97.3,7.23,7411.0,55
CDM,30700013,"HC URINE PREG TEST,BY VISUAL COLO",162.16,97.3,7.23,7411.0,55
CDM,30700014,"HC URINE PREG TEST,BY VISUAL COLO",162.16,97.3,7.23,7411.0,55
CDM,30700015,"HC URINALYSIS, REAGENT STRIP",59.67,35.8,2.92,7411.0,55
CDM,30700016,"HC URINALYSIS, WITHOUT MICROSCOPY",83.58,50.15,1.89,7411.0,55
CDM,30700017,"HC URINALYSIS, WITHOUT MICROSCOPY",83.58,50.15,1.89,7411.0,55
CDM,30700018,"HC URINALYSIS, WITHOUT MICROSCOPY",83.58,50.15,1.89,7411.0,55
CDM,30700019,"HC URINALYSIS, REAGENT STRIP",59.67,35.8,2.92,7411.0,55
CDM,30700020,"HC URINALYSIS, WITHOUT MICROSCOPY",83.58,50.15,1.89,7411.0,55
CDM,30700021,"HC URINALYSIS, WITHOUT MICROSCOPY",83.58,50.15,1.89,7411.0,55
CDM,30700022,"HC URINALYSIS, WITHOUT MICROSCOPY",83.58,50.15,1.89,7411.0,55
CDM,30700023,"HC URINALYSIS, REAGENT STRIP",59.67,35.8,2.92,7411.0,55
CDM,30700024,"HC URINALYSIS, WITHOUT MICROSCOPY",83.58,50.15,1.89,7411.0,55
CDM,30700025,"HC URINALYSIS, REAGENT STRIP",59.67,35.8,2.92,7411.0,55
CDM,30700026,"HC URINALYSIS, REAGENT STRIP",59.67,35.8,2.92,7411.0,55
CDM,30700031,HC URINALYSIS AUTO W/O SCOPE,83.58,50.15,1.89,7411.0,55
CDM,30700032,HC URINE PREGNANCY TEST,162.16,97.3,7.23,7411.0,55
CDM,30700054,"HC URINE PREG TEST,BY VISUAL COLO POINT OF CARE PATHOLOGY",162.16,97.3,7.23,7411.0,55
CDM,30700055,"HC URINALYSIS, WITHOUT MICROSCOPY POINT OF CARE PATHOLOGY",83.58,50.15,1.89,7411.0,55
CDM,30700056,"HC URINALYSIS NONAUTO W/O SCOPE, PH URINE",59.67,35.8,2.92,7411.0,55
CDM,30700057,"HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY, KETONES",83.58,50.15,1.89,7411.0,55
CDM,30700058,"HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY, URINALYSIS",83.58,50.15,1.89,7411.0,55
CDM,30700059,HC URINALYSIS AUTO W/SCOPE - W/RFLX TO CULTURE,129.78,77.87,2.66,7411.0,55
CDM,30700060,HC REF MEDFUSION 669 INDICAN URINE,78.1,46.86,1.82,7411.0,55
CDM,30700061,"HC REF MAYO SKETC KETONE QL, U",160.5,96.3,1.89,7411.0,55
CDM,30900001,"HC CELL COUNT, BODY FLUIDS EXCEPT",170.9,102.54,3.96,7411.0,55
CDM,30900002,"HC CELL COUNT,BODY FLUIDS,W/DIFFE",200.76,120.46,4.7,7411.0,55
CDM,30900003,"HC LEUKOCYTE ASSESSMENT - FECAL,QUA",115.13,69.08,3.59,7411.0,55
CDM,30900004,HC CRYSTAL IDENTIFICATION/LIGHT M,140.93,84.56,6.16,7411.0,55
CDM,30900006,HC NASAL SMEAR FOR EOSINOPHILS,101.0,60.6,4.86,7411.0,55
CDM,30900010,HC OOCYTE IDENTIFICATION FROM FOL,562.0,337.2,10.0,7411.0,55
CDM,30900019,"HC OOCYTE FERTILIZATION,<OR=10 OO",2153.95,1292.37,10.0,7411.0,55
CDM,30900022,"HC SEMN ANALA,MOTLTY&COUNT(NOT IN",143.0,85.8,8.18,7411.0,55
CDM,30900024,"HC SEMEN ANALYSIS,PRESENCE/MOTILI",133.2,79.92,10.0,7411.0,55
CDM,30900032,HC PATHOLOGY LAB PROCEDURE,149.0,89.4,10.0,7411.0,55
CDM,30900034,"HC CELL COUNT,BODY FLUIDS,W/DIFFE",200.76,120.46,4.7,7411.0,55
CDM,30900035,HC ASSAY SPEC XCP UR&BREATH I,356.96,214.18,10.0,7411.0,55
CDM,30900036,"HC CELL COUNT, SYNOVIAL FLUID",170.9,102.54,3.96,7411.0,55
CDM,30900037,"HC CELL COUNT, BAL",170.9,102.54,3.96,7411.0,55
CDM,30900038,"HC CELL COUNT W/MANUAL DIFF, BAL",200.76,120.46,4.7,7411.0,55
CDM,30900039,"HC CELL COUNT PEDI ONC, CSF",170.9,102.54,3.96,7411.0,55
CDM,30900040,"HC CELL COUNT, CSF",170.9,102.54,3.96,7411.0,55
CDM,30900041,"HC CELL COUNT W/MANUAL DIFF, SYNOVIAL FLUID",200.76,120.46,4.7,7411.0,55
CDM,30900042,"HC CELL COUNT W/MAN DIFF - PATHOLOGIST MAN DIFF, CSF",200.76,120.46,4.7,7411.0,55
CDM,31000002,"HC CALCULUS ANALYSIS, INFRARED SPECTROSCOPY",177.93,106.76,10.0,7411.0,55
CDM,31000003,HC ESTROGEN RECEPTOR,307.24,184.34,35.0,7411.0,55
CDM,31000004,HC PROGESTERONE RECEPTOR,475.32,285.19,35.0,7411.0,55
CDM,31000009,"HC SMEARS,EXTENDED SLIDES/STAINS",242.18,145.31,35.0,7411.0,55
CDM,31000010,"HC SURG PATH, GROSS, LEVEL I",183.37,110.02,27.61,7411.0,55
CDM,31000011,"HC SURGICAL PATH,GROSS, LEVEL II",294.38,176.63,35.0,7411.0,55
CDM,31000012,"HC SURGICAL PATH, GROSS, LEVEL III",399.16,239.5,35.0,7411.0,55
CDM,31000013,"HC SURGICAL PATH, LEVEL IV, GROSS",495.22,297.13,35.0,7411.0,55
CDM,31000014,"HC SURGICAL PATH, GROSS, LEVEL V",794.58,476.75,35.0,7411.0,55
CDM,31000015,"HC SURGICAL PATH, GROSS, LEVEL VI",1095.2,657.12,35.0,7411.0,55
CDM,31000016,HC DECALCIFICATION PROCEDURE,147.19,88.31,21.98,7411.0,39
CDM,31000017,"HC SPECIAL STAINS, GROUP I, EACH",276.92,166.15,35.0,7411.0,55
CDM,31000018,"HC SPECIAL STAINS, GROUP II, EACH",264.91,158.95,35.0,7411.0,55
CDM,31000019,"HC SPECIAL STAINS, HISTOCHEM STAIN",318.09,190.85,35.0,7411.0,39
CDM,31000020,HC ENZYME CONSTITUENTS HISTOCHEMI,857.3,514.38,35.0,7411.0,55
CDM,31000022,HC CONSLTN&REPRT MATERIAL REQUIRING PREPN SLIDES,459.04,275.42,35.0,7411.0,55
CDM,31000023,HC CONSLTN COMPRE REVIEW REPRT REFERRED MATRL,709.88,425.93,35.0,7411.0,55
CDM,31000024,"HC IMMUNOHISTOCHEMISTRY, 1ST ANTIBODY STAIN PROCEDURE",432.52,259.51,35.0,7411.0,55
CDM,31000025,HC IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,416.63,249.98,35.0,7411.0,55
CDM,31000027,"HC ELECTRON MICROSCOPY, DIAGNOSTIC",2094.51,1256.71,35.0,7411.0,55
CDM,31000028,HC MORPHOMETRIC ANALYSIS TUMOR IMHCHEM EA ANTIBODY MANUAL,476.5,285.9,35.0,7411.0,55
CDM,31000029,HC NERVE TEASING PREPARATIONS,944.77,566.86,35.0,7411.0,55
CDM,31000030,HC EXAM & SELECT ARCHIVE TISSUE MOLECULAR ANALYSIS,69.44,41.66,11.8,7411.0,55
CDM,31000031,HC IN SITU HYBRIDIZATION 1ST PROBE STAIN,622.39,373.43,35.0,7411.0,55
CDM,31000033,HC MORPHOMETRIC ANALYSIS SKELETAL MUSCLE,544.72,326.83,35.0,7411.0,55
CDM,31000034,"HC MORPHOMETRIC ANALYSIS, NERVE",102.08,61.25,17.35,7411.0,55
CDM,31000042,HC MORPHOMETRIC ANALYSIS TUMOR IMHCHEM EA ANTBDY CMPTR ASST,537.06,322.24,35.0,7411.0,55
CDM,31000054,HC HLA CLASS I TYPING HIGH RESOLUTION 1 ALLELE/ALLELE GROUP,656.51,393.91,35.0,7411.0,55
CDM,31000055,HC RBC-DNA TYPING,3779.42,2267.65,35.0,7411.0,39
CDM,31000057,HC APC GENE ANALYSIS FULL GENE SEQUENCE,3897.36,2338.42,35.0,7411.0,55
CDM,31000060,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE,3936.9,2362.14,35.0,7411.0,39
CDM,31000061,HC FANCC GENE ANALYSIS COMMON VARIANT,502.71,301.63,30.76,7411.0,55
CDM,31000064,HC MGMT METHYLATION ANALYSIS,796.37,477.82,35.0,7411.0,55
CDM,31000068,HC SURG PATH PROSTATE BX 10-20 SPECIMENS,1023.51,614.11,35.0,7411.0,55
CDM,31000074,HC PTEN - GENE ANALYSIS - FULL SEQUENCE ANALYSIS,1544.4,926.64,35.0,7411.0,55
CDM,31000082,HC TRANS PREP CELLS CRYOPRESERVATION & STORAGE,5869.29,3521.57,35.0,7411.0,55
CDM,31000083,HC CYP2C19 - COMMON VARIANTS,68.04,40.82,24.49,7411.0,55
CDM,31000084,HC CYP2D6 - COMMON VARIANTS,1139.79,683.87,35.0,7411.0,55
CDM,31000085,"HC IMMUNOHISTO ANITBODY SLIDE, ADDL SINGLE SLIDE",361.74,217.04,35.0,7411.0,39
CDM,31000086,"HC IMMUNOHISTO ANITBODY SLIDE, MULTIPLEX",519.32,311.59,35.0,7411.0,55
CDM,31000087,"HC INSITU HYBRIDIZATION (FISH), ADDL SINGLE",602.66,361.6,35.0,7411.0,39
CDM,31000088,HC IN SITU HYBRIDIZATION EA MULTIPLEX PROBE STAIN,124.29,74.57,21.13,7411.0,55
CDM,31000090,"HC MORPHOMETRIC ANALYSIS IN SITU HYBRIDIZATION, CPTR ASSIST EACH MULTIPLEX",1037.36,622.42,35.0,7411.0,55
CDM,31000092,"HC MORPHOMETRIC ANALYSIS IN SITU HYBRIDIZATION, MNL, ADDL PROBE STAIN",552.58,331.55,35.0,7411.0,39
CDM,31000093,HC MORPHOMETRIC ANALYSIS IN SITU HYBRIDIZATION MANUAL EACH MULTIPLEX,948.51,569.11,35.0,7411.0,55
CDM,31000096,HC CYP2C9 - COMMON VARIANTS,61.55,36.93,22.16,7411.0,55
CDM,31000097,HC BCR/ABL1 GENE MINOR BREAKPOINT,599.53,359.72,35.0,7411.0,55
CDM,31000098,HC CFTR - INTRON 8 POLY-T ANALYSIS,708.1,424.86,35.0,7411.0,55
CDM,31000099,HC CFTR - FULL GENE SEQUENCE,3742.14,2245.28,35.0,7411.0,55
CDM,31000100,HC HLA CLASS I TYPING HIGH RESOLUTION COMPLETE,1013.1,607.86,35.0,7411.0,55
CDM,31000101,HC ENDOCRINE AUTO ANTIBODIES,330.53,198.32,35.0,7411.0,39
CDM,31000102,HC IBD SGI DIAGNOSTICS,330.53,198.32,35.0,7411.0,39
CDM,31000103,HC OVARIAN AUTO ANTIBODY,416.63,249.98,35.0,7411.0,55
CDM,31000104,HC NRAS,983.76,590.26,35.0,7411.0,55
CDM,31000105,HC IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN,330.53,198.32,35.0,7411.0,39
CDM,31000108,HC KIT GENE TARGETED SEQ ANALYS,745.75,447.45,35.0,7411.0,55
CDM,31000109,HC WHOLE MITOCHONDRIAL GENOME LARGE DELETION ANALYSIS PANEL,3600.0,2160.0,35.0,7411.0,55
CDM,31000110,"HC WHOLE MITOCHONDRIAL GENOME SEQUENCE, ENTIRE MITOCHONDRIAL GENOME",4856.3,2913.78,35.0,7411.0,55
CDM,31000111,HC FETAL CONGENITAL ABNOR ASSAY FOUR ANALYTES,198.9,119.34,33.81,7411.0,55
CDM,31000114,"HC IGH VARIABLE REGION, SOMATIC MUTATION ANALYSIS",1325.41,795.25,35.0,7411.0,55
CDM,31000118,HC SERPINA 1 GENE ANALYSIS,558.63,335.18,35.0,7411.0,55
CDM,31000119,HC PTEN GENE DUP/DELET VARIANT,1376.44,825.86,35.0,7411.0,55
CDM,31000120,HC CFTR GENE ANALYSIS DUPLICATION/DELETION VARIANTS,2189.25,1313.55,35.0,7411.0,55
CDM,31000121,HC TARGETED GENOMIC SEQUENCE ANALYSIS PANEL DNA,6429.78,3857.87,35.0,15065.14,55
CDM,31000122,HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS,2052.0,1231.2,35.0,7411.0,55
CDM,31000123,HC GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE DNA,3202.49,1921.49,35.0,7411.0,55
CDM,31000125,HC NOONAN SPECTRUM DISORDERS GEN SEQ ANALYS 12 GEN,596.31,357.79,35.0,11060.98,55
CDM,31000127,HC CEBPA GENE FULL SEQUENCE,822.02,493.21,35.0,7411.0,55
CDM,31000129,HC DPYD (5-FLUOROURACIL) COMMON VARIANTS GENE ANALYSIS,1289.93,773.96,35.0,7411.0,55
CDM,31000131,HC PROSIGNA TESTING,5020.42,3012.25,35.0,12952.68,55
CDM,31000132,HC CYTOLOGY CELL BLOCK,495.22,297.13,35.0,7411.0,55
CDM,31000133,HC IHC MANUAL HER/2 ER/PR QUANT,476.5,285.9,35.0,7411.0,55
CDM,31000134,HC STR MRKERS SPEC ANAL ADDL CASO,798.61,479.17,35.0,7411.0,55
CDM,31000135,HC STR MRKERS SPEC ANAL ADDL POEN,798.61,479.17,35.0,7411.0,55
CDM,31000136,HC STR MRKERS SPEC ANAL ADDL POEF,798.61,479.17,35.0,7411.0,55
CDM,31000137,HC TARGETED GENOMIC SEQ ANALYS DNA,2909.42,1745.65,35.0,7411.0,55
CDM,31000138,HC CYP2D6 GENE COM VARIANTS,1139.79,683.87,35.0,7411.0,55
CDM,31000139,HC NGS ACUTE MYELOID LEUKEMIA DNA,2909.42,1745.65,35.0,7411.0,55
CDM,31000140,HC K RAS VARIANTS EXONS,1034.66,620.8,35.0,7411.0,55
CDM,31000141,HC PROMETHEUS TPMT GENETICS PANEL,771.48,462.89,35.0,7411.0,55
CDM,31000142,HC APOLIPOPROTEIN E GENOTYPING,771.48,462.89,35.0,7411.0,55
CDM,31000143,HC MULTIPLE ENDOCRINE NEOPLASIA 2,1034.66,620.8,35.0,7411.0,55
CDM,31000144,HC BCR/ABL TYROSINE KINASE,1034.66,620.8,35.0,7411.0,55
CDM,31000145,HC MULT ENDCRN NEOPL 2 2A 2B FMTC,1703.93,1022.36,35.0,7411.0,55
CDM,31000146,HC WILSON DISEASE MUTATION SCREEN,2010.1,1206.06,35.0,7411.0,55
CDM,31000147,HC CNBP DNA DM2,771.48,462.89,35.0,7411.0,55
CDM,31000148,HC DRB3/4/5 HIGH RES TYPING DONOR,623.69,374.21,35.0,7411.0,55
CDM,31000149,HC DPB1 HIGH RES TYPING DONOR,623.69,374.21,35.0,7411.0,55
CDM,31000150,HC DRB3/4/5 HIGH RES TYPING,623.69,374.21,35.0,7411.0,55
CDM,31000151,HC DQB1 HIGH RES TYPING,623.69,374.21,35.0,7411.0,55
CDM,31000152,HC DPB1 HIGH RES TYPING,623.69,374.21,35.0,7411.0,55
CDM,31000153,HC HLA DQA1 HIGH RES TYPING,623.69,374.21,35.0,7411.0,55
CDM,31000154,HC HLA DPA1 HIGH RES TYPING,623.69,374.21,35.0,7411.0,55
CDM,31000155,HC CEPBA MUTATION DETECTION,1034.66,620.8,35.0,7411.0,55
CDM,31000156,HC PLASMINOGEN ACTIVATOR INHIB 1,619.92,371.95,35.0,7411.0,55
CDM,31000159,HC TRANS PREP RBC REMOVAL AUTO,3005.3,1803.18,35.0,7411.0,55
CDM,31000160,HC TRANS PREP RBC REMOVAL DNR,3005.3,1803.18,35.0,7411.0,55
CDM,31000161,HC TRAN PREP PLATELET REMOVE AUTO,2378.53,1427.12,35.0,7411.0,55
CDM,31000162,HC TRANS PREP PLATELET REMOVE DNR,2378.53,1427.12,35.0,7411.0,55
CDM,31000163,HC IDH1 COMMON VARIANTS,718.95,431.37,35.0,7411.0,55
CDM,31000164,HC IDH2 COMMON VARIANTS,735.35,441.21,35.0,7411.0,55
CDM,31000165,HC BRCA1&2 SEQ & FULL DUP/DEL,5770.38,3462.23,35.0,9416.38,55
CDM,31000166,HC BCR/ABL 1 GENE OTHER BP,643.44,386.06,35.0,7411.0,55
CDM,31000167,HC CALR GENE COM VARIANTS,553.35,332.01,35.0,7411.0,55
CDM,31000168,HC STR MARKERS SPEC ANAL CASO,1640.68,984.41,35.0,7411.0,55
CDM,31000169,HC HBA1/HBA2 GENE DUP/DEL VRNTS,1900.36,1140.22,35.0,7411.0,55
CDM,31000170,HC KRAS GENE ADDL VARIANTS,535.8,321.48,35.0,7411.0,55
CDM,31000171,HC IFNL3 GENE ANALYSIS,150.88,90.53,25.65,7411.0,55
CDM,31000172,HC MLH1 GENE,2560.9,1536.54,35.0,7411.0,55
CDM,31000173,HC IDH1 COMMON VARIANTS,718.95,431.37,35.0,7411.0,55
CDM,31000174,HC IDH2 COMMON VARIANTS,597.63,358.58,35.0,7411.0,55
CDM,31000175,HC CYP3A5 GENE ANALYSIS COMMON VARIANTS,377.13,226.28,35.0,7411.0,55
CDM,31000176,HC CARDIAC ION CHNNLPATH INC 10 GNS,270.0,162.0,35.0,7411.0,55
CDM,31000177,HC REF CARDIAC ION INC 10 GENES,1604.66,962.8,35.0,7411.0,55
CDM,31000178,HC CARDIAC ION CHNNLPATH DUP/DEL GN ALYS PANEL 2 GNS,1819.68,1091.81,35.0,7411.0,55
CDM,31000179,HC REF CARDIAC ION DUP/DEL GN ALYS PANEL 2 GENES,1684.89,1010.93,35.0,7411.0,55
CDM,31000180,HC HRDTRY BRST CA-RLATD DSORDRS,596.31,357.79,35.0,7411.0,55
CDM,31000181,HC HRDTRY BRST CA-RLATD DSORDRS,596.31,357.79,35.0,7411.0,40
CDM,31000182,HC HEREDITARY RETINAL DISORDERS,596.31,357.79,35.0,7411.0,55
CDM,31000183,HC HEREDTRY NURONDCRN TUM DSRDR,596.31,357.79,35.0,7411.0,55
CDM,31000184,HC HEREDTRY NURONDCRN TUM DSRDR,596.31,357.79,35.0,7411.0,40
CDM,31000185,HC AUTOIMMUNE RHEUMATOID ARTHR,596.31,357.79,35.0,7411.0,55
CDM,31000186,HC COR ARTERY DISEASE MRNA,596.31,357.79,35.0,7411.0,55
CDM,31000187,HC ONCOLOGY LUNG,596.31,357.79,35.0,14814.36,55
CDM,31000188,HC ONCOLOGY TUM UNKNOWN ORIGIN,596.31,357.79,35.0,19350.0,55
CDM,31000189,HC ONCOLOGY THYROID,596.31,357.79,35.0,7411.0,39
CDM,31000190,HC CARDIOLOGY HRT TRNSPL MRNA,596.31,357.79,35.0,16718.4,55
CDM,31000192,HC CHROM ANALY SCE 20-25 CELLS,1028.85,617.31,35.0,7411.0,55
CDM,31000193,HC CHROM COUNT 45/2 MOSAICISM,1225.85,735.51,35.0,7411.0,55
CDM,31000195,HC ASSAY SECRETORY TYPE II PLA2,596.31,357.79,35.0,7411.0,39
CDM,31000196,HC HLA A B OR C HIGH RESOLUTION,774.98,464.99,35.0,7411.0,55
CDM,31000197,HC PRE TX BM ENGRAF RECIPIENT,1640.68,984.41,35.0,7411.0,55
CDM,31000198,HC PRE TX BM ENGRAF DONOR,1640.68,984.41,35.0,7411.0,55
CDM,31000202,HC HLA HR CLASS I AND II-DRB1,2883.76,1730.26,35.0,7411.0,55
CDM,31000203,HC ASHKENAZI JEWISH ASSOC DIS,596.31,357.79,35.0,12634.57,55
CDM,31000206,HC RBC-DNA TYPING,3936.9,2362.14,35.0,7411.0,39
CDM,31000207,HC RBC-DNA TYPING,3936.9,2362.14,35.0,7411.0,39
CDM,31000208,HC RBC-DNA TYPING,3936.9,2362.14,35.0,7411.0,39
CDM,31000209,HC RBC-DNA TYPING,3936.9,2362.14,35.0,7411.0,39
CDM,31000210,HC RBC-DNA TYPING,3936.9,2362.14,35.0,7411.0,39
CDM,31000211,HC RBC-DNA TYPING,3936.9,2362.14,35.0,7411.0,39
CDM,31000212,HC RBC-DNA TYPING,3936.9,2362.14,35.0,7411.0,39
CDM,31000213,HC RBC-DNA TYPING,3936.9,2362.14,35.0,7411.0,39
CDM,31000214,HC RBC-DNA TYPING,3936.9,2362.14,35.0,7411.0,39
CDM,31000215,HC RBC-DNA TYPING,3936.9,2362.14,35.0,7411.0,39
CDM,31000216,HC RBC-DNA TYPING,3936.9,2362.14,35.0,7411.0,39
CDM,31000217,HC RBC-DNA TYPING,3936.9,2362.14,35.0,7411.0,39
CDM,31000218,HC RBC-DNA TYPING,3936.9,2362.14,35.0,7411.0,39
CDM,31000219,HC RBC-DNA TYPING,3936.9,2362.14,35.0,7411.0,39
CDM,31000220,"HC IN SITU HYBRIDIZATION,EACH PRO",622.39,373.43,35.0,7411.0,55
CDM,31000221,"HC SMEARS,EXTENDED SLIDES/STAINS",242.18,145.31,35.0,7411.0,55
CDM,31000222,"HC MORPHOMETRIC ANALYSIS,TUMOR IM",476.5,285.9,35.0,7411.0,55
CDM,31000223,HC BREAST TUMOR EVALUATION,250.14,150.08,17.48,7411.0,55
CDM,31000224,"HC SURGICAL PATH, LEVEL IV, GROSS",495.22,297.13,35.0,7411.0,55
CDM,31000225,"HC IMMUNOFLUORESCENT STUDY, INITIAL",416.63,249.98,35.0,7411.0,55
CDM,31000226,"HC SURGICAL PATH, LEVEL III,GROSS",399.16,239.5,35.0,7411.0,55
CDM,31000227,"HC SURGICAL PATH, LEVEL IV, GROSS",495.22,297.13,35.0,7411.0,55
CDM,31000228,"HC SURGICAL PATH, LEVEL V, GROSS",794.58,476.75,35.0,7411.0,55
CDM,31000229,"HC SPECIAL STAINS, GROUP I, EACH",276.92,166.15,35.0,7411.0,55
CDM,31000230,"HC IMMUNOFLUORESCENT STUDY, INITIAL",416.63,249.98,35.0,7411.0,55
CDM,31000231,HC ENDOCRINE AUTO ANTIBODIES,330.53,198.32,35.0,7411.0,39
CDM,31000233,"HC IMMUNOFLUORESCENT STUDY, INITIAL",416.63,249.98,35.0,7411.0,55
CDM,31000234,"HC IMMUNOFLUORESCENT STUDY, INITIAL",416.63,249.98,35.0,7411.0,55
CDM,31000235,"HC IMMUNOFLUORESCENT STUDY, INITIAL",416.63,249.98,35.0,7411.0,55
CDM,31000236,"HC IN SITU HYBRIDIZATION,EACH PRO",622.39,373.43,35.0,7411.0,55
CDM,31000237,HC BREAST TUMOR EVALUATION,250.14,150.08,17.48,7411.0,55
CDM,31000238,"HC IMMUNOFLUORESCENT STUDY, INITIAL",416.63,249.98,35.0,7411.0,55
CDM,31000239,HC ENDOCRINE AUTO ANTIBODIES,330.53,198.32,35.0,7411.0,39
CDM,31000240,"HC IN SITU HYBRIDIZATION,EACH PRO",622.39,373.43,35.0,7411.0,55
CDM,31000241,"HC IMMUNOFLUORESCENT STUDY, INITIAL",416.63,249.98,35.0,7411.0,55
CDM,31000242,"HC IMMUNOFLUORESCENT STUDY, INITIAL",416.63,249.98,35.0,7411.0,55
CDM,31000244,HC CYTOGENOM CONST CHROM ABNORM COPY NUMBER VARIANTS & SNP VAR (CGH MICROARRAY),3691.39,2214.83,35.0,7411.0,55
CDM,31000245,HC TARGETED GENOMIC SEQUENCE ANALYSIS PANEL DNA,6429.78,3857.87,35.0,15065.14,55
CDM,31000247,HC TRANS PREP CELLS CRYOPRESERVATION & STORAGE,5869.29,3521.57,35.0,7411.0,55
CDM,31000248,HC TRANS PREP CELLS CRYOPRESERVATION & STORAGE,5869.29,3521.57,35.0,7411.0,55
CDM,31000249,HC NEURO CSF PRION PROTEIN QUALITATIVE,1690.41,1014.25,35.0,7411.0,55
CDM,31000250,HC SKELETAL DYSPLASIA CORE (COMPREHENSIVE: NGS/DEL DUP) PANEL,3936.9,2362.14,35.0,7411.0,39
CDM,31000253,HC ABL1 GENE ANALYSIS KINASE DOMAIN VARIANTS,1263.91,758.35,35.0,7411.0,55
CDM,31000262,HC CALR GENE ANALYSIS COMMON VARIANTS EXON 9,553.35,332.01,35.0,7411.0,55
CDM,31000271,HC CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION,1669.4,1001.64,35.0,7411.0,55
CDM,31000272,HC CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA,1767.34,1060.4,35.0,7411.0,55
CDM,31000273,HC KIT GENE ANALYS D816 VARIANT,997.27,598.36,35.0,7411.0,55
CDM,31000274,HC KRAS GENE ADDL VARIANTS,535.8,321.48,35.0,7411.0,55
CDM,31000275,HC MLH1 GENE ANALYSIS PROMOTER METHYLATION ANALYSIS,2560.9,1536.54,35.0,7411.0,55
CDM,31000285,HC SEPT9 METHYLATION ANALYSIS,627.64,376.58,35.0,7411.0,55
CDM,31000288,HC HLA CLASS II TYPING LOW RESOLUTION ONE ANTIGEN EQUIVALENT EA,377.13,226.28,35.0,7411.0,55
CDM,31000291,HC GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE DNA,2909.42,1745.65,35.0,7411.0,55
CDM,31000292,HC CHROMOSOME ANALYSIS AMNIO FLD,1353.8,812.28,35.0,7411.0,55
CDM,31000293,HC CHIMER ANAL NO CELL SELEC CASO,1669.4,1001.64,35.0,7411.0,55
CDM,31000294,HC CHIMER ANAL W/CELL SELEC CASO,1767.34,1060.4,35.0,7411.0,55
CDM,31000295,HC CHIMER ANAL NO CELL SELEC POEN,1669.4,1001.64,35.0,7411.0,55
CDM,31000296,HC CHIMER ANAL NO CELL SELEC POEF,1669.4,1001.64,35.0,7411.0,55
CDM,31000297,HC CHIMER ANAL W/CELL SELEC POEF,1767.34,1060.4,35.0,7411.0,55
CDM,31000298,HC FLT3 MUTATION DETECTION BY PCR,808.3,484.98,35.0,7411.0,55
CDM,31000299,HC C-KIT MUTATION D816V BY PCR,771.48,462.89,35.0,7411.0,55
CDM,31000300,HC MOPATH PROCEDURE LEVEL 9,4898.88,2939.33,35.0,10320.0,55
CDM,31000301,HC CDKNIC GENE FULL ANALYSIS,3936.9,2362.14,35.0,7411.0,39
CDM,31000302,HC CX TISSUE NON NEOPLAS AMNIO FL,975.24,585.14,35.0,7411.0,55
CDM,31000303,HC C-KIT MUTATION D816V BY PCR,771.48,462.89,35.0,7411.0,55
CDM,31000304,HC FLT3 MUTATION DETECTION BY PCR,808.3,484.98,35.0,7411.0,55
CDM,31000305,HC HLA DRB1 HIGH RESOLUTION BY SE,623.69,374.21,35.0,7411.0,55
CDM,31000306,HC HLA CLASS 1 DNA DONOR LOW RES,1255.28,753.17,35.0,7411.0,55
CDM,31000307,HC DONOR HLA ABC HIGH RES BY SEQ,1013.1,607.86,35.0,7411.0,55
CDM,31000308,HC KIT GENE ANALYS D816 VARIANT,997.27,598.36,35.0,7411.0,55
CDM,31000310,"HC IMMUNOFLUORESCENT STUDY, INITIAL HISTOPATHOLOGY",416.63,249.98,35.0,7411.0,55
CDM,31000315,"HC SPECIAL STAINS, GROUP I, EACH HISTOPATHOLOGY",276.92,166.15,35.0,7411.0,55
CDM,31000374,HC REF IDH1 MUT ANLYS EXON 4,649.69,389.81,35.0,7411.0,55
CDM,31000375,HC REF IDH2 MUT ANLYS EXON 4,618.75,371.25,35.0,7411.0,55
CDM,31000377,HC REF HPA-1 GENOTYPING,146.32,87.79,35.0,7411.0,55
CDM,31000378,HC REF HPA-2 GENOTYPING,1802.5,1081.5,35.0,7411.0,55
CDM,31000379,HC REF HPA-3 GENOTYPING,1802.5,1081.5,35.0,7411.0,55
CDM,31000380,HC REF HPA-4 GENOTYPING,1802.5,1081.5,35.0,7411.0,55
CDM,31000381,HC REF HPA-5 GENOTYPING,1802.5,1081.5,35.0,7411.0,55
CDM,31000382,HC REF HPA-6 GENOTYPING,1802.5,1081.5,35.0,7411.0,55
CDM,31000383,HC REF HPA-9 GENOTYPING,1802.5,1081.5,35.0,7411.0,55
CDM,31000384,HC REF HPA-15 GENOTYPING,1802.5,1081.5,35.0,7411.0,55
CDM,31000385,HC CELL FREE DNA QUANT CFDNA,1669.4,1001.64,35.0,7411.0,55
CDM,31000386,HC DNA QUANT RELAPSE,1669.4,1001.64,35.0,7411.0,55
CDM,31000387,HC DNA QUANT RELAPSE CD14,1767.34,1060.4,35.0,7411.0,55
CDM,31000388,HC DNA QUANT RELAPSE CD15,1767.34,1060.4,35.0,7411.0,55
CDM,31000389,HC DNA QUANT RELAPSE CD16,1767.34,1060.4,35.0,7411.0,55
CDM,31000390,HC DNA QUANT RELAPSE CD19,1767.34,1060.4,35.0,7411.0,55
CDM,31000391,HC DNA QUANT RELAPSE CD3,1767.34,1060.4,35.0,7411.0,55
CDM,31000392,HC DNA QUANT RELAPSE CD33,1767.34,1060.4,35.0,7411.0,55
CDM,31000393,HC DNA QUANT RELAPSE CD34,1767.34,1060.4,35.0,7411.0,55
CDM,31000394,HC DNA QUANT RELAPSE CD4,1767.34,1060.4,35.0,7411.0,55
CDM,31000395,HC DNA QUANT RELAPSE CD56,1767.34,1060.4,35.0,7411.0,55
CDM,31000396,HC DNA QUANT RELAPSE CD8,1767.34,1060.4,35.0,7411.0,55
CDM,31000397,HC REF GENE ANALYSIS KIT D816,677.55,406.53,35.0,7411.0,55
CDM,31000398,HC MARROW FREEZE & STORAGE AUTO,5869.29,3521.57,35.0,7411.0,55
CDM,31000399,HC REF LEVEL 5 MOLECULAR PATH - TPMT,1068.64,641.18,35.0,7411.0,55
CDM,31000405,HC CYP2C9 GENE COM VARIANTS,61.55,36.93,22.16,7411.0,55
CDM,31000406,HC VKORC1 GENE,66.47,39.88,23.93,7411.0,55
CDM,31000407,HC PGX CYP3A4 COMMON VARIANTS,63.0,37.8,10.71,7411.0,55
CDM,31000408,HC PGX CYP3A5 COMMON VARIANTS,63.0,37.8,10.71,7411.0,55
CDM,31000409,HC PGX SLCO1B1 COM VARIANTS,63.0,37.8,10.71,7411.0,55
CDM,31000410,HC PGX CYP3A4 COMMON VARIANTS,63.0,37.8,10.71,7411.0,55
CDM,31000411,HC PGX CYP3A5 COMMON VARIANTS,63.0,37.8,10.71,7411.0,55
CDM,31000412,HC REF SMA CARRIER,793.75,476.25,35.0,7411.0,55
CDM,31000414,HC REF TPMT GENE ANALYSIS COMMON VARIANTS,790.0,474.0,35.0,7411.0,55
CDM,31000415,HC MOLECULAR PATH PROCEDURE - LEVEL 5,1285.59,771.35,35.0,7411.0,55
CDM,31000418,HC REF MYD88 L265P MUTATION,800.0,480.0,35.0,7411.0,55
CDM,31000419,HC MOLECULAR PATH PROCEDURE - LEVEL 1,619.92,371.95,35.0,7411.0,55
CDM,31000420,HC MOLECULAR PATH PROCEDURE - LEVEL 2,771.48,462.89,35.0,7411.0,55
CDM,31000421,HC MOLECULAR PATH PROCEDURE - LEVEL 3,1097.69,658.61,35.0,7411.0,55
CDM,31000422,HC MOLECULAR PATH PROCEDURE - LEVEL 4,1034.66,620.8,35.0,7411.0,55
CDM,31000423,HC MOLECULAR PATH PROCEDURE - LEVEL 6,1703.93,1022.36,35.0,7411.0,55
CDM,31000424,HC MOLECULAR PATH PROCEDURE - LEVEL 7,2010.1,1206.06,35.0,7411.0,55
CDM,31000426,HC MOLECULAR PATH PROCEDURE - LEVEL 9,4898.88,2939.33,35.0,10320.0,55
CDM,31000428,HC REF PRETREATMENT OF RBC IN ANTIBODY DETECTION,73.66,44.2,12.52,7411.0,55
CDM,31000430,"HC REF ARUP, 0040018 HUNTINGTON DISEASE PCR",375.0,225.0,35.0,7411.0,55
CDM,31000431,HC REF LUNGSEQ PNL FISH RUNCONC DNA,3375.0,2025.0,35.0,7411.0,55
CDM,31000432,HC REF MAP2K1-LUNG ADENOCARCINOMA,3936.9,2362.14,35.0,7411.0,39
CDM,31000433,HC REF SEQ  DNMT3A,548.8,329.28,35.0,7411.0,55
CDM,31000434,HC REF SEQ CBL,3936.9,2362.14,35.0,7411.0,39
CDM,31000435,HC REF SEQ ETV6(TEL),3936.9,2362.14,35.0,7411.0,39
CDM,31000436,HC REF SEQ JAK2,543.29,325.97,35.0,7411.0,55
CDM,31000437,HC REF SEQ MPL,465.15,279.09,35.0,7411.0,55
CDM,31000438,HC REF SEQ PHF6,3936.9,2362.14,35.0,7411.0,39
CDM,31000439,HC REF SEQ SRSF2,3936.9,2362.14,35.0,7411.0,39
CDM,31000440,HC REF SEQ U2AF1,3936.9,2362.14,35.0,7411.0,39
CDM,31000441,HC REF THIOPURNE S MTHYLTRANS GEN,1062.5,637.5,35.0,7411.0,55
CDM,31000443,HC REF JAK2 EXON 12 MUT DETECT B,912.25,547.35,35.0,7411.0,55
CDM,31000444,HC HBB FULL GENE SEQUENCE,1079.78,647.87,35.0,7411.0,55
CDM,31000445,HC NUDT15 GENE ANALYSIS COMMON VARIANTS,377.6,226.56,35.0,7411.0,55
CDM,31000447,HC AORTIC DYSFUNTN OR DIALTN,306.18,183.71,35.0,7411.0,55
CDM,31000448,HC CARDIAC ION CHANNELOPATH,270.0,162.0,35.0,7411.0,55
CDM,31000449,HC MOL PATH  L7/11 - 25 EXONS,2010.1,1206.06,35.0,7411.0,55
CDM,31000450,"HC REF MAYO HL57R, HLA-B 5701 GENOTYPE, V",1552.25,931.35,35.0,7411.0,55
CDM,31000451,HC REF BCR-ABL1 MUT,1302.5,781.5,35.0,7411.0,55
CDM,31000452,HC REF FRAGILE X FLLW UP ANLYSIS,652.75,391.65,35.0,7411.0,55
CDM,31000460,HC REF PLT DERVD GRWTH PDGFRA,1000.83,600.5,35.0,7411.0,55
CDM,31000461,HC REF HEP C VIRUS FIBROSURE,659.38,395.63,35.0,7411.0,55
CDM,31000462,HC REF FOCUSED PHARMGENOM PANEL,1250.0,750.0,35.0,7411.0,55
CDM,31000463,HC REF CYSTIC FIBROSIS SEQ & DEL/DUP CRTF (REFLEX),1337.5,802.5,35.0,7411.0,55
CDM,31000464,HC REF CYSTIC FIBROSIS SEQ FULL CRTF (REFLEX),3000.0,1800.0,35.0,7411.0,55
CDM,31000465,"HC REF MAYO, TERTD PROMOTER MUTATIONS, TUMOR",2750.0,1650.0,35.0,7411.0,55
CDM,31000466,"HC REF MAYO, HEMP, HEREDITARY ERYTHROCYTOSIS MUT B",1657.25,994.35,35.0,7411.0,39
CDM,31000550,HC MOL PATH L6/6 -10 EXONS,1703.93,1022.36,35.0,7411.0,55
CDM,31000551,HC MOL PATH L5/2 - 5 EXONS,1285.59,771.35,35.0,7411.0,55
CDM,31000552,HC MOL PATH L4/SNGL EXONS,1034.66,620.8,35.0,7411.0,55
CDM,31000553,HC MOL PATH  L9/50 EXONS,4898.88,2939.33,35.0,10320.0,55
CDM,31000554,HC MOL PATH  L8/26-50 EXONS,2064.68,1238.81,35.0,7411.0,55
CDM,31000555,HC HEREDITARY CARDIOMYOPATHY,283.5,170.1,35.0,7411.0,55
CDM,31000556,HC REF 50SEQ PANEL DNA,3375.0,2025.0,35.0,7411.0,55
CDM,31000557,HC REF 50SEQ WITH FISH,3375.0,2025.0,35.0,7411.0,55
CDM,31000558,HC REF 50SEQ WITH FISH NO PDL1,3375.0,2025.0,35.0,7411.0,55
CDM,31000559,HC REF LUNGSEQ PANEL,2205.0,1323.0,35.0,7411.0,55
CDM,31000560,HC REF LUNGSEQ PNL FISH RUNCONC DNA,3375.0,2025.0,35.0,7411.0,55
CDM,31000561,HC REF LUNGSEQ PNL FISH RUNREFLX DNA,3375.0,2025.0,35.0,7411.0,55
CDM,31000562,HC REF COLONSEQ PANEL DNA,2205.0,1323.0,35.0,7411.0,55
CDM,31000563,HC REF COLONSEQ PLUS PANEL DNA,3375.0,2025.0,35.0,7411.0,55
CDM,31000564,HC REF MELANOMASEQ PLUS PANEL DNA,3375.0,2025.0,35.0,7411.0,55
CDM,31000565,HC REF AML PROFILE DNA,4074.83,2444.9,35.0,7411.0,55
CDM,31000566,HC REF AML MUTATION ANALYSIS DNA,4074.83,2444.9,35.0,7411.0,55
CDM,31000567,HC REF CLL PROFILE DNA,2582.9,1549.74,35.0,7411.0,55
CDM,31000568,HC REF CLL MUTUTATION ANALYSIS DNA,2582.9,1549.74,35.0,7411.0,55
CDM,31000569,HC REF DLBCL PROFILE DNA,2267.3,1360.38,35.0,7411.0,55
CDM,31000570,HC REF DLBCL MUT ANALYS MPN PRFL DNA,2267.3,1360.38,35.0,7411.0,55
CDM,31000571,HC REF MPN PROFILE DNA,1838.45,1103.07,35.0,7411.0,55
CDM,31000572,HC REF MDS MUTATUION ANALYSIS DNA,2713.03,1627.82,35.0,7411.0,55
CDM,31000573,HC REF COLONSEQ PANEL DNA,2205.0,1323.0,35.0,7411.0,55
CDM,31000574,HC REF COLONSEQ PANEL GENES,515.55,309.33,35.0,7411.0,55
CDM,31000575,HC REF MELANOMASEQ PANEL DNA,2949.56,1769.74,35.0,7411.0,55
CDM,31000576,HC REF MPN MINI PANEL,1769.09,1061.45,35.0,7411.0,55
CDM,31000578,HC REF MYELOID NEOPLSM MUT ANLYS DNA,5750.0,3450.0,35.0,7411.0,55
CDM,31000579,HC TXG-MINIMAL RESIDUAL DISEASE,2909.42,1745.65,35.0,7411.0,55
CDM,31000580,HC REF BRCA 1&2 GENE FULL SEQ ALYS,1872.0,1123.2,35.0,7411.0,55
CDM,31000586,"HC REF MAYO, PMLR PML/RARA QUANT, PCR",1054.55,632.73,35.0,7411.0,55
CDM,31000587,HC REF CHROMOSOMAL MICROARRAY HERMATOLOGIC,6625.0,3975.0,35.0,7411.0,55
CDM,31000590,"HC REF MAYO, CYTOGENETICS DNA PROBE",1613.57,968.14,17.99,7411.0,55
CDM,31000592,HC RBC DNA HEA 35 AG 11 BLD GRP WHL BLD CMN ALLEL,645.51,387.31,35.0,7411.0,55
CDM,31000593,HC REF BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE,1156.0,693.6,35.0,7411.0,55
CDM,31000594,HC NRAS GENE ANALYSIS VARIANTS IN EXON 2&3,983.76,590.26,35.0,7411.0,55
CDM,31000595,"HC REF BIOTHERANOSTICS, BREAST CANCER INDEX",9500.0,5700.0,35.0,19350.0,55
CDM,31000596,"HC MAYO CALR GENE MUTATION, EXON 9",1589.49,953.69,35.0,7411.0,55
CDM,31000597,HC TRGT GEN SEQ DNA 324 GENES,4200.0,2520.0,35.0,18060.0,55
CDM,31000598,HC REF AGGRESSIVE B-CELL LYMPHOMA,830.0,498.0,35.0,7411.0,55
CDM,31000599,"HC REF ARUP, 2 SNPS",3936.9,2362.14,35.0,7411.0,39
CDM,31000600,"HC REF ARUP, IL28B-ASSOCIATED VARIANTS",150.88,90.53,25.65,7411.0,55
CDM,31000601,"HC ONC THYR MRNA 10,196 GENES FINE NDL ASPIRATE ALG",7200.0,4320.0,35.0,18576.0,55
CDM,31000602,HC MEASUREMENT OF RNA OF BACTERIA IN VAGINAL FLUID SPECIMEN,365.21,219.13,35.0,7411.0,55
CDM,31000604,"HC REF ARUP, 2009314 - LIS-FRAUMENI (TP53) SEQ, DELDUP SPCM",1100.0,660.0,35.0,7411.0,55
CDM,31000605,"HC REF ARUP, 2009315 - LIS-FRAUMENI (TP53) SEQ, DELDUP INTERP",3936.9,2362.14,35.0,7411.0,39
CDM,31000606,"HC REF MAYO, UCDP, UREA CYCLE DISORDERS GENE PANEL, VARIES",5000.0,3000.0,35.0,12634.57,55
CDM,31000607,"HC REF ARUP, COMPONENT OF 3001959 PANEL, MITOCHONDRIAL GENE",1683.33,1010.0,35.0,17151.84,55
CDM,31000608,"HC REF ARUP, COMPONENT OF 3001959 PANEL, WHOE MITOCHONDRIAL GENOME",1683.33,1010.0,35.0,7411.0,55
CDM,31000609,"HC REF ARUP, COMPONENT OF 3001959 PANEL, WHOE MITOCHONDRIAL GENOME AP",1683.33,1010.0,35.0,7411.0,55
CDM,31000610,"HC REF NEOGENOMICS, NEOTYPE OVARIAN PROFILE",3936.9,2362.14,35.0,7411.0,39
CDM,31000611,"HC REF NEOGENOMICS, NEOTYPE LUNG TUMOR PROFILE",9875.0,5925.0,35.0,8393.75,39
CDM,31000612,"HC REF NEOGENOMICS, PRECISION PROFILE SOLID TUMORS",3936.9,2362.14,35.0,7411.0,39
CDM,31000613,"HC REF NEOGENOMICS, NTRK NGS FUSION PROFILE",2000.0,1200.0,35.0,7411.0,55
CDM,31000614,"HC REF MAYO, COMPONENT OF GIST PANEL, GENE TARGETED SEQ ANALYS",2279.95,1367.97,35.0,7411.0,55
CDM,31000615,"HC REF MAYO, COMPONENT OF GIST PANEL, PDGFRA GENE",2171.38,1302.83,35.0,7411.0,55
CDM,31000616,"HC REF MAYO, TELGP - TELOMERE DEFECTS GENE PANEL",3936.9,2362.14,35.0,7411.0,39
CDM,31000617,HC REF KARIUS LAB KARIUS SPECTRUM,5000.0,3000.0,35.0,7411.0,55
CDM,31000618,"HC REF NEOGENOMICS, NEOTYPE GASTRIC PROFILE",4125.0,2475.0,35.0,7411.0,39
CDM,31000619,"HC REF PATHGROUP, ENDEAVOUR DNA",6131.16,3678.7,35.0,15065.14,55
CDM,31000620,"HC REF ARUP, 2014059 - PROSTATE-SPECIFIC KALLIKREIN, 4KSCORE",1925.0,1155.0,35.0,7411.0,55
CDM,31000621,HC KRAS MUTATION ANALYSIS (REF),2753.5,1652.1,35.0,7411.0,55
CDM,31000622,"HC REF MAYO, MYD88 - L265P GENE MUTATION ANALYSIS",1750.0,1050.0,35.0,7411.0,55
CDM,31000623,"HC REF MAYO, WASQR -  ALPHA GLOBIN GENE SEQUENCING, BLOOD",1835.75,1101.45,35.0,7411.0,55
CDM,31000624,HC FLOW CYTOMETRY INTERPRETATION 16/> MARKERS,257.23,154.34,35.0,7411.0,39
CDM,31000625,"HC REF MAYO, CAPN - TARGETED CANCER GENE PANEL, NEXT GEN SEQNCING, VARIES",8731.25,5238.75,35.0,7411.0,55
CDM,31000626,"HC REF MAYO, AMPIP - AMYLOID PROTEIN IDENTIFICATION, PARAFFIN, SPECTROMETRY",511.5,306.9,35.0,7411.0,55
CDM,31000627,"HC REF MAYO, EGFRT - GENE MUTATION ANALYSIS, TUMOR",5072.55,3043.53,35.0,7411.0,55
CDM,31000628,"HC REF QUEST, 1003096 - JAK2 EXON 12 MUTATION ANALYSIS",228.14,136.88,35.0,7411.0,55
CDM,31000629,"HC REF MAYO, NGAML - NEXT-GENERATION SEQUENCING, ACUTE MYELOID LEUKEMIA 11GENE PANEL, VARIES DNA",3379.2,2027.52,35.0,7411.0,55
CDM,31000631,"HC REF MAYO, NGAMT TP53 GENE TARGETED SEQ ANALYSIS",1312.4,787.44,35.0,7411.0,55
CDM,31000632,"HC REF QUEST, 10120 NFCT DS BACTERIAL VAGINOSIS RNA VAG-FLUID ALG",106.58,63.95,35.0,7411.0,55
CDM,31000633,"HC REF ARUP, 2005545 MPL MUT DET BY CAP ELECTROPHORESIS",1036.88,622.13,35.0,7411.0,55
CDM,31000634,"HC REF MAYO, SCOVT SARS COV-2 RNA DDPCR, QUAL, FFPE",1500.0,900.0,35.0,7411.0,55
CDM,31000636,HC REF FOUNDATION MED FC5 FOUNDATIONONE CDX,8750.0,5250.0,35.0,18060.0,55
CDM,31000638,"HC REF ARUP, 3004383 CADASIL NOTCH3",3150.0,1890.0,35.0,7411.0,55
CDM,31000639,"HC REF ATHENA DIAGNOSTICS, 827 ABCC8 (CHI) DNA SEQUENCING TEST",5827.5,3496.5,35.0,7411.0,55
CDM,31000640,"HC REF ARUP, 2006336, EXOME SEQUENCING PROBAND",8187.5,4912.5,35.0,24664.8,55
CDM,31000641,"HC REF MAYO, UGTFG, UGT1A1 FULL GENE SEQUENCING",2730.0,1638.0,35.0,7411.0,55
CDM,31000643,"HC REF MAYO, BHDZ, FLCN FULL GENE ANALYSIS",4000.0,2400.0,35.0,7411.0,39
CDM,31000644,HC REF MEDFUSION 88271 COMPONENT 1003148 OPPOSITE SEX BM XPLANT FISH,131.25,78.75,17.99,7411.0,55
CDM,31000645,HC REF MEDFUSION 88275 COMPONENT 1003148 OPPOSITE SEX BM XPLANT FISH,122.9,73.74,35.0,7411.0,55
CDM,31000646,"HC REF MAYO, IDHT - IDH1/IDH2 MUTATIONS ANALYSIS, TUMOR",1896.18,1137.71,35.0,7411.0,39
CDM,31000647,"HC REF ARUP, 2013484 TP53 SOMATIC MUTATION, PROGNOSTIC",3047.5,1828.5,35.0,7411.0,55
CDM,31000648,HC HEREDITARY PERIPH NEUROPATHY PANEL,1169.8,701.88,35.0,7411.0,55
CDM,31000649,"HC DRUG METABOLISM, GEN SEQ PANEL; >=6 GENES INCL CYP2C19 & CYP2D6",1834.16,1100.5,35.0,7411.0,55
CDM,31000650,"HC IBMFS SEQ PANEL, >=30 GENES",15629.0,9377.4,35.0,12634.57,55
CDM,31000651,HC GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE; RNA ANALYSIS,3049.99,1829.99,35.0,7411.0,55
CDM,31000652,HC GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE; RNA ANALYSIS,2565.63,1539.38,35.0,7411.0,55
CDM,31000653,"HC SOLID ORGAN/HEMATOLYMPHOID NPLSM/DISORDER, >50 GENES; RNA ANALYSIS",5755.28,3453.17,35.0,15065.14,55
CDM,31000654,HC DIGITIZATION SURG PATH II,18.14,10.88,3.08,7411.0,39
CDM,31000655,HC DIGITIZATION SURG PATH III,15.75,9.45,2.68,7411.0,39
CDM,31000656,HC DIGITIZATION SURG PATH IV,16.01,9.61,2.72,7411.0,39
CDM,31000657,HC DIGITIZATION SURG PATH V,17.28,10.37,2.94,7411.0,39
CDM,31000658,HC DIGITIZATION SURG PATH VI,17.28,10.37,2.94,7411.0,39
CDM,31000659,HC DIGITIZATION SPECIAL STAIN GRP I MICRO,17.28,10.37,2.94,7411.0,39
CDM,31000660,HC DIGITIZATION SPECIAL STAIN GRP II NON MICRO/ENZYME/CYTO/HISTO,17.28,10.37,2.94,7411.0,39
CDM,31000661,HC DIGITIZATION SPECIAL STAIN HISTOCHEM FRZ TISSUE BLCK,16.0,9.6,2.72,7411.0,39
CDM,31000662,HC DIGITIZATION SPECIAL STAIN GRP III,16.0,9.6,2.72,7411.0,39
CDM,31000663,"HC DIGITIZATION HISTO/CYTOCHEM, PER SPECIMEN, 1ST AB STAIN",16.0,9.6,2.72,7411.0,39
CDM,31000664,"HC DIGITIZATION HISTO/CYTOCHEM, PER SPECIMEN, EA ADD AB STAIN",17.28,10.37,2.94,7411.0,39
CDM,31000665,"HC DIGITIZATION HISTO/CYTOCHEM, PER SPECIMEN, EA MULTIPLEX AB STAIN",16.0,9.6,2.72,7411.0,39
CDM,31000666,"HC DIGITIZATION MORPH/TUMOR HISTO, QUANT/SEMIQUANT PER SPECIMEN, EA PROCEDURE, MANUAL",17.28,10.37,2.94,7411.0,39
CDM,31000668,HC GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE RNA,3049.99,1829.99,35.0,7411.0,55
CDM,31000669,HC REF LUNGSEQ PNL FISH RUNCONC RNA,3375.0,2025.0,35.0,7411.0,55
CDM,31000670,HC REF 50SEQ PANEL RNA,3375.0,2025.0,35.0,7411.0,55
CDM,31000671,HC REF LUNGSEQ PNL FISH RUNCONC RNA,3375.0,2025.0,35.0,7411.0,55
CDM,31000672,HC REF LUNGSEQ PNL FISH RUNREFLX RNA,3375.0,2025.0,35.0,7411.0,55
CDM,31000673,HC REF COLONSEQ PANEL RNA,2205.0,1323.0,35.0,7411.0,55
CDM,31000674,HC REF COLONSEQ PLUS PANEL RNA,3375.0,2025.0,35.0,7411.0,55
CDM,31000675,HC REF MELANOMASEQ PLUS PANEL RNA,3375.0,2025.0,35.0,7411.0,55
CDM,31000676,HC REF MELANOMASEQ PANEL RNA,3375.0,2025.0,35.0,7411.0,55
CDM,31000677,HC TARGETED GENOMIC SEQ ANALYS RNA,2565.63,1539.38,35.0,7411.0,55
CDM,31000678,HC NGS ACUTE MYELOID LEUKEMIA RNA,2565.63,1539.38,35.0,7411.0,55
CDM,31000679,HC GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE RNA,2565.63,1539.38,35.0,7411.0,55
CDM,31000680,HC REF AML PROFILE RNA,4074.83,2444.9,35.0,7411.0,55
CDM,31000681,HC REF AML MUTATION ANALYSIS RNA,4074.83,2444.9,35.0,7411.0,55
CDM,31000682,HC REF CLL PROFILE RNA,2582.9,1549.74,35.0,7411.0,55
CDM,31000683,HC REF CLL MUTUTATION ANALYSIS RNA,2582.9,1549.74,35.0,7411.0,55
CDM,31000684,HC REF DLBCL PROFILE RNA,2267.3,1360.38,35.0,7411.0,55
CDM,31000685,HC REF DLBCL MUT ANALYS MPN PRFL RNA,2267.3,1360.38,35.0,7411.0,55
CDM,31000686,HC REF MPN PROFILE RNA,1838.45,1103.07,35.0,7411.0,55
CDM,31000687,HC REF MDS MUTATUION ANALYSIS RNA,2713.03,1627.82,35.0,7411.0,55
CDM,31000688,HC REF MYELOID NEOPLSM MUT ANLYS RNA,5750.0,3450.0,35.0,7411.0,55
CDM,31000689,"HC REF MAYO, NGAML - NEXT-GENERATION SEQUENCING, ACUTE MYELOID LEUKEMIA 11GENE PANEL, VARIES RNA",3379.2,2027.52,35.0,7411.0,55
CDM,31000690,HC TARGETED GENOMIC SEQUENCE ANALYSIS PANEL RNA,5755.28,3453.17,35.0,15065.14,55
CDM,31000691,"HC REF PATHGROUP, ENDEAVOUR RNA",6131.16,3678.7,35.0,15065.14,55
CDM,31000692,HC REF COLONSEQ PANEL RNA,2205.0,1323.0,35.0,7411.0,55
CDM,31000693,HC TARGETED GENOMIC SEQUENCE ANALYSIS PANEL RNA,5755.28,3453.17,35.0,15065.14,55
CDM,31000695,HC REF ARUP 2012166 DPYD 3 VARIANTS,687.5,412.5,35.0,7411.0,55
CDM,31000696,"HC REF MAYO HL58R, HLA-B 5801 GENOTYPE, V",1408.48,845.09,35.0,7411.0,55
CDM,31000699,"HC REF MAYO, LPLFX LYMPHOPLASMATIC LYMPHOMA",1750.0,1050.0,35.0,7411.0,55
CDM,31000700,"HC REF ARUP, 2002528 FISH 88366G PANCREATOBILIARY",1150.0,690.0,35.0,7411.0,55
CDM,31000701,"HC REF ARUP, COMP 3001409, CPT 88346",286.17,171.7,35.0,7411.0,55
CDM,31000702,"HC REF ARUP, COMP 3001409, CPT 88350",286.17,171.7,35.0,7411.0,39
CDM,31000703,"HC REF ARUP, 3003800 JAK2 MUTATION BY DDPCR",437.5,262.5,35.0,7411.0,55
CDM,31000704,"HC REF MAYO, COMP CDCOM, CPT 81376",311.66,187.0,10.0,7411.0,55
CDM,31000705,"HC REF MAYO, COMP FAEAB, CPT 88346",671.84,403.1,35.0,7411.0,55
CDM,31000706,"HC REF MAYO, COMP FAEAB, CPT 88350",514.08,308.45,35.0,7411.0,39
CDM,31000707,"HC REF MAYO, COMP BALPF, CPT 88291",156.73,94.04,26.64,7411.0,39
CDM,31000708,"HC REF MAYO, COMP BALPF, CPT 88271",108.97,65.38,17.99,7411.0,55
CDM,31000709,"HC REF MAYO, COMP BALPF, CPT 88275",260.41,156.25,35.0,7411.0,55
CDM,31000710,"HC REF CARTER BLOOD CARE, B1009 MOLECULAR RBC GENOTYPE",706.13,423.68,10.82,7411.0,55
CDM,31000711,"HC REF MAYO, COMP ML1HM, CPT 81288",584.38,350.63,35.0,7411.0,55
CDM,31000712,"HC REF MAYO, COMP ML1HM, CPT 88381",584.38,350.63,35.0,7411.0,39
CDM,31000713,"HC REF MAYO, COMP EOSDF, CPT 88291",198.93,119.36,33.82,7411.0,39
CDM,31000714,"HC REF MAYO, COMP EOSDF, CPT 88271",138.3,82.98,17.99,7411.0,55
CDM,31000715,"HC REF MAYO, COMP EOSDF, CPT 88275",330.51,198.31,35.0,7411.0,55
CDM,31000716,"HC REF MAYO, NGSHM MYELOID NEOPLASMS, NGS, V",6250.0,3750.0,35.0,7411.0,55
CDM,31000717,"HC REF ARUP, COMP 3001541, CPT 81227",210.0,126.0,35.0,7411.0,55
CDM,31000718,"HC REF ARUP, COMP 3001541, CPT 81355",210.0,126.0,35.0,7411.0,55
CDM,31000719,"HC REF ARUP, COMP 3001541, CPT 81479",200.0,120.0,34.0,7411.0,39
CDM,31000720,"HC REF ARUP, COMP UPMC PANCREATIC SEQ, CPT 81275",382.93,229.76,35.0,7411.0,55
CDM,31000721,"HC REF ARUP, COMP UPMC PANCREATIC SEQ, CPT 81276",382.93,229.76,35.0,7411.0,55
CDM,31000722,HC JAK2 TARGETED SEQUENCE ANALYSIS,776.24,465.74,35.0,7411.0,55
CDM,31000723,HC MPL GENE ANALYSIS COMMON VARIANTS,814.31,488.59,35.0,7411.0,55
CDM,31000724,"HC REF ARUP, COMP UPMC PANCREATIC SEQ, CPT 81403",382.93,229.76,35.0,7411.0,55
CDM,31000725,"HC REF ARUP, COMP UPMC PANCREATIC SEQ, CPT 81405",382.93,229.76,35.0,7411.0,55
CDM,31000726,"HC REF MAYO, COMP SARCP, CPT 81456",7311.15,4386.69,35.0,15065.14,55
CDM,31000727,"HC REF MAYO, COMP ESTUF, CPT 88271",872.17,523.3,17.99,7411.0,55
CDM,31000728,"HC REF MAYO, COMP EWSF, CPT 88271",361.52,216.91,17.99,7411.0,55
CDM,31000729,"HC REF MAYO, COMP FUSF, CPT 88271",860.28,516.17,17.99,7411.0,55
CDM,31000730,"HC REF MAYO, COMP TLBLF, CPT 88271",650.2,390.12,17.99,7411.0,55
CDM,31000731,"HC REF MAYO, COMP ESTUF, CPT 88291",1254.48,752.69,35.0,7411.0,39
CDM,31000732,"HC REF MAYO, COMP EWSF, CPT 88291",519.98,311.99,35.0,7411.0,39
CDM,31000733,"HC REF MAYO, COMP FUSF, CPT 88291",1237.4,742.44,35.0,7411.0,39
CDM,31000734,"HC REF MAYO, COMP TLBLF, CPT 88291",867.7,520.62,35.0,7411.0,39
CDM,31000735,"HC REF MAYO, SLIRV SLIDE REVIEW",246.7,148.02,35.0,7411.0,39
CDM,31000736,"HC REF ARUP, COMP UPMC PANCREATIC SEQ, CPT 81479",191.46,114.88,32.55,7411.0,39
CDM,31000737,"HC REF MAYO, MCSTP MAYOCOMPLETE SOLID TUMOR PANEL",12600.0,7560.0,35.0,15065.14,55
CDM,31000738,"HC REF MAYO, SLL FISH, TISSUE",1990.99,1194.59,35.0,7411.0,55
CDM,31000739,"HC REF MAYO, TELDP TELOMERE DISORDERS GENE PANEL",5625.0,3375.0,35.0,12634.57,55
CDM,31000740,"HC REF MAYO, COMP MCSMP, CPT 81445",6250.0,3750.0,35.0,7411.0,55
CDM,31000741,"HC REF GREENWOOD, EPISIGN COMPLETE METHYLATION ARRAY",3750.0,2250.0,35.0,7411.0,55
CDM,31000742,"HC REF ARUP, CINCINNATI CHILDRENS 7256268 DYSKERATOSIS CONGENITA/TELOMERE DISORDERS GENE SEQ",7232.5,4339.5,11.27,7411.0,34
CDM,31000743,"HC REF MAYO, CACMG HERDTRY CARDMYPY GENE PANEL",7743.75,4646.25,35.0,7411.0,55
CDM,31000744,"HC REF ARUP, COMP 3004745, CPT 81222",2175.0,1305.0,35.0,7411.0,55
CDM,31000745,"HC REF ARUP, COMP 3004745, CPT 81223",2175.0,1305.0,35.0,7411.0,55
CDM,31000746,"HC REF AMBRY, COMP 8022, CPT 81223",2491.67,1495.0,35.0,7411.0,55
CDM,31000747,"HC REF AMBRY, COMP 8022, CPT 81404",2616.25,1569.75,35.0,7411.0,55
CDM,31000748,"HC REF AMBRY, COMP 8022, CPT 81405",2491.67,1495.0,35.0,7411.0,55
CDM,31000749,"HC REF MAYO, COMP AATHR, CPT 81240",732.98,439.79,35.0,7411.0,55
CDM,31000750,"HC REF MAYO, JAKXM JAK2 EXON 12 MUT DET, BM",802.23,481.34,35.0,7411.0,55
CDM,31000751,"HC REF MAYO, COMP AMLMF, CPT 88291",394.0,236.4,35.0,7411.0,39
CDM,31000752,"HC REF MAYO, COMP AMLMF, CPT 88271",273.93,164.36,17.99,7411.0,55
CDM,31000753,"HC REF MAYO, COMP AMLMF, CPT 88275",654.65,392.79,35.0,7411.0,55
CDM,31000754,"HC REF MAYO, COMP AMLAF, CPT 88291",251.75,151.05,35.0,7411.0,39
CDM,31000755,"HC REF MAYO, COMP AMLAF, CPT 88271",175.02,105.01,17.99,7411.0,55
CDM,31000756,"HC REF MAYO, COMP AMLAF, CPT 88275",418.28,250.97,35.0,7411.0,55
CDM,31000757,"HC REF ARUP, 0055567 T-CELL CLONALITY SCREENING PCR",1010.63,606.38,35.0,7411.0,55
CDM,31000758,"HC REF ARUP, 2011117 MYELOID MALIGNANCIES MUTATION PANEL NGS",5236.88,3142.13,35.0,15065.14,55
CDM,31000759,HC JAK2 TARGETED SEQUENCE ANALYSIS - MPN MINI PROFILE,776.24,465.74,35.0,7411.0,55
CDM,31000760,HC MORPHOMET ANALYS ISH MANUAL - ALK GENE REARR 2P23 FISH,948.51,569.11,35.0,7411.0,55
CDM,31000761,HC MPL GENE ANALYSIS COMMON VARIANTS - MPN MINI PROFILE,814.31,488.59,35.0,7411.0,55
CDM,31000762,"HC INFECTIOUS DISEASE BV/VAGINITIS, CANDIDA, TV AMP PRB",285.23,171.14,35.0,7411.0,40
CDM,31000763,"HC REF MAYO, COMP CLLDF, CPT 88271",91.02,54.61,17.99,7411.0,55
CDM,31000764,"HC REF MAYO, COMP CLLDF, CPT 88275",217.54,130.52,35.0,7411.0,55
CDM,31000765,"HC REF MAYO, COMP CLLDF, CPT 88291",130.93,78.56,22.26,7411.0,39
CDM,31000766,"HC CHROMOSOMAL MICROARRAY CONGENTIAL, BLOOD",3691.39,2214.83,35.0,7411.0,55
CDM,31000767,"HC CHROMOSOMAL MICROARRAY CONGENTIAL, PROD OF CONCEPT",3691.39,2214.83,35.0,7411.0,55
CDM,31000768,"HC REF NEOGENOMICS, FLT3 MUTATION ANALYSIS, PART 1 NON-DUPLICATE",850.0,510.0,35.0,7411.0,39
CDM,31000769,"HC REF LABCORP, GENOME PROBAND ONLY SEQ",8750.0,5250.0,35.0,25960.99,55
CDM,31000770,"HC REF PATHGROUP, SOLID TUMOR FUSIONPLEX",7663.95,4598.37,35.0,15065.14,55
CDM,31000771,"HC PGDX ELIOTM TISSUE, COMPLETE",5885.91,3531.55,35.0,18060.0,55
CDM,31000772,"HC REF MAYO, HIVDR HIV-1 GENOTYPIC DRUG RESISTANCE, P",1350.0,810.0,35.0,7411.0,55
CDM,31000773,"HC REF MAYO, ISPP SPASTIC PARAPLEGIA GENE PANEL",6250.0,3750.0,35.0,7411.0,55
CDM,31000774,"HC REF CARTER BLOOD CARE, B1009 MOLECULAR RBC GENOTYPE",672.5,403.5,35.0,7411.0,55
CDM,31000775,HC HEREDITARY COLON CANCER DISORDERS AT LEAST 5 GENES,3328.0,1996.8,35.0,7411.0,40
CDM,31000776,HC HEREDITARY COLON CANCER DISORDERS AT LEAST 10 GENES,3328.0,1996.8,35.0,7411.0,55
CDM,31000777,"HC CHIMERISM ANALYS NO CELL SELECT - NONFRACTIONATED POST XPLANT,PCR",1669.4,1001.64,35.0,7411.0,55
CDM,31000778,"HC CHIMERISM ANALYS W/CELL SELECT - LINEAGE SPEC FRACTIONATED POST XPLANT, PCR",1767.34,1060.4,35.0,7411.0,55
CDM,31000779,HC M/PHMTRC ALYS ISHQUANT/SEMIQ - HER2/NEU AMP FISH,948.51,569.11,35.0,7411.0,55
CDM,31000780,HC CYTOGEN DNA PROBE FISH IGH/FGFR3,306.48,183.89,17.99,7411.0,55
CDM,31000781,HC CYTOGEN DNA PROBE FISH IGH/MYC,306.48,183.89,17.99,7411.0,55
CDM,31000782,HC CYTOGEN DNA PROBE FISH PML RARA,306.48,183.89,17.99,7411.0,55
CDM,31000784,HC MOLECULAR CYTOGENETICS DNA PROBE - INDIV FISH,306.48,183.89,17.99,7411.0,55
CDM,31000785,"HC REF EXACT SCIENCES, COMP 10243, CPT 81479",176.79,106.07,30.05,7411.0,39
CDM,31000786,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE - TXG CARDIO PANEL,3779.42,2267.65,35.0,7411.0,39
CDM,31000787,"HC REF MAYO, BPGMM BPGM FULL GENE SEQ",1766.75,1060.05,35.0,7411.0,39
CDM,31000788,"HC REF MAYO, VHLE VHL GENE ERYTHROCYTO MUT",2493.75,1496.25,35.0,7411.0,55
CDM,31000789,HC PIK3CA GENE ANALYSIS TARGETED SEQUENCE ANALYSIS,1054.74,632.84,35.0,7411.0,55
CDM,31000790,HC MOLEC CYTO DNA PROBE - LYMPH PAR EMB TISS PANEL FISH,306.48,183.89,17.99,7411.0,55
CDM,31000791,HC MOLEC CYTO DNA PROBE - MYELOPROLIFERATIVE DISORDER PANEL FISH,306.48,183.89,17.99,7411.0,55
CDM,31000792,HC MYD88 GENE P.LEU265PRO VRNT - CHRONIC LYMPHO LEUK PANEL PCR,963.25,577.95,35.0,7411.0,55
CDM,31000793,HC SF3B1 GENE COMMON VARIANTS - CHRONIC LYMPHO LEUK PANEL PCR,193.25,115.95,32.85,7411.0,55
CDM,31000794,HC KRAS GENE VARIANTS EXON 2 - COLO CANCER MUT PANEL PCR,653.69,392.21,35.0,7411.0,55
CDM,31000795,HC KRAS GENE ADDL VARIANTS - COLO CANCER MUT PANEL PCR,535.8,321.48,35.0,7411.0,55
CDM,31000796,HC BRAF GENE - COLO CANCER MUT PANEL PCR,812.04,487.22,35.0,7411.0,55
CDM,31000797,HC CYTOGENETICS DNA PROBE - EOSINOPHILIA PANEL FISH,306.48,183.89,17.99,7411.0,55
CDM,31000798,HC CYTOGENETICS DNA PROBE - THROMBOCYTHEMIA PANEL FISH,306.48,183.89,17.99,7411.0,55
CDM,31000799,HC CYTOGENETICS DNA PROBE - GLIOBLASTOMA BRAIN PANEL FISH,306.48,183.89,17.99,7411.0,55
CDM,31000800,HC GSAP SO NEO 5-50DNA/DNA&RNA - ALK/RET/ROS PANEL PCR,3202.49,1921.49,35.0,7411.0,55
CDM,31000801,HC REF MAYO MCSRC SARCOMA PANEL,3885.0,2331.0,35.0,15065.14,55
CDM,31000802,"HC NFCT DS BV RNA VAG FLU ALG - BV, CAND, TRICH PANEL",365.21,219.13,35.0,7411.0,55
CDM,31000803,HC MLH1 GENE - MGLUR1 ANTIBODY CBA,2560.9,1536.54,35.0,7411.0,55
CDM,31000804,"HC MLH1 GENE - MLH1 HYPERMETHYLATION ANALYSIS, TUMOR",2560.9,1536.54,35.0,7411.0,55
CDM,31000805,HC HLA I TYPING 1 ALLELE HR - CELIAC ASSOCIATED HLA DQ TYPE,656.51,393.91,35.0,7411.0,55
CDM,31000806,"HC REF ARUP, UCSF HEALTH CLINICAL LABS, MNGS PATHOGEN DX P710",7822.5,4693.5,35.0,7411.0,39
CDM,31000807,"HC REF MAYO, MPNR MPN (JAK2 V617F, CALR, MPL) REFLEX",802.23,481.34,35.0,7411.0,55
CDM,31000808,HC MICROSATELLITE INSTABILITY,931.6,558.96,35.0,7411.0,55
CDM,31000809,"HC REF QUEST, 11786 BETA-AMYLOID 42/40 RATIO, PLASMA",1125.0,675.0,35.0,7411.0,40
CDM,31000810,"HC REF ARUP, INTRINSIC DX HEPCIDIN TEST",450.0,270.0,16.41,7411.0,55
CDM,31000811,HC REF CIN CHILDRENS BONE MARROW FAILURE 7256262,11250.0,6750.0,35.0,12634.57,55
CDM,31000813,HC DIGITIZATION GLASS MCRSCP SLD CYTP SMEARS W/INTERPJ,16.0,9.6,2.72,7411.0,39
CDM,31000814,HC DIGITIZATION GLASS MCRSCP SLD CYTP SMPL FLTR METH INTERP,16.0,9.6,2.72,7411.0,39
CDM,31000815,HC DIGITIZATION GLASS MCRSCP SLD CYTP CONCTRJ TQ SMR&INTERP,16.0,9.6,2.72,7411.0,39
CDM,31000816,HC DIGITIZATION GLASS MCRSCP SLD CYTP SLCTV CELL NHNCMNT TQ,16.0,9.6,2.72,7411.0,39
CDM,31000817,HC DIGITIZATION GLASS MCRSCP SLD CYTP CERVICAL OR VAGINAL,16.0,9.6,2.72,7411.0,39
CDM,31000818,HC DIGITIZATION GLASS MCRSCP SLD CYTP SMR OTH SRC SCR&NTRP,16.0,9.6,2.72,7411.0,39
CDM,31000819,HC DIGITIZATION GLASS MCRSCP SLD CYTP SMR OTH SRC PREP SCR,16.0,9.6,2.72,7411.0,39
CDM,31000820,HC DIGITIZATION GLASS MCRSCP SLD CYTP SMR OTH SRC EXTND STD,16.0,9.6,2.72,7411.0,39
CDM,31000821,HC DIGITIZATION GLASS MCRSCP SLD CYTP FNA IMMT 1ST EPSD EA,16.0,9.6,2.72,7411.0,39
CDM,31000822,HC DIGITIZATION GLASS MCRSCP SLD CYTP FNA IMMT EA SEP ADDL,16.0,9.6,2.72,7411.0,39
CDM,31000823,HC DIGITIZATION GLASS MCRSCP SLD CYTP FNA INTERPJ&REPRT,16.0,9.6,2.72,7411.0,39
CDM,31000824,HC DIGITIZATION GLS MCRSCP SLD CNSLT&REPRT REF SLD PREP ELS,16.0,9.6,2.72,7411.0,39
CDM,31000825,HC DIGITIZATION GLS MCRSCP SLD CNSLT&REPRT REF MAT PREP SLD,16.0,9.6,2.72,7411.0,39
CDM,31000826,HC DIGITIZATION GLS MCRSCP SLD FOR CONSLTJ COMPREHENSIVE,16.0,9.6,2.72,7411.0,39
CDM,31000827,HC DIGITIZATION GLS MCRSCP SLD PATH CNSLT DRG SRG 1ST TIS 1,17.28,10.37,2.94,7411.0,39
CDM,31000828,HC DIGITIZATION GLS MCRSCP SLD PATH CNSLT DRG SURG EA ADDL,17.28,10.37,2.94,7411.0,39
CDM,31000829,HC DIGITIZATION GLS MCRSCP SLD PATH CNSLT SURG CYTL XM 1ST,16.0,9.6,2.72,7411.0,39
CDM,31000830,HC DIGITIZATION DGTZ GLS MCRSCP SLD PATH CNSLT SURG CYTL XM EA,16.0,9.6,2.72,7411.0,39
CDM,31000831,HC DIGITIZATION DGTZ GLS MCRSCP SLD IMFLUOR 1ST SINGLE ANTB STN,16.0,9.6,2.72,7411.0,39
CDM,31000832,HC DIGITIZATION DGTZ GLS MCRSCP SLD IMFLUOR EACH ADDL 1 ANTB STN,16.0,9.6,2.72,7411.0,39
CDM,31000833,HC DIGITIZATION DGTZ GLS MCRSCP SLD XM&SLCTN ARCH TIS MOLEC ALYS,16.0,9.6,2.72,7411.0,39
CDM,31000834,HC DIGITIZATION DGTZ GLS MCRSCP SLD ISH 1ST SINGLE PROBE STAIN,17.28,10.37,2.94,7411.0,39
CDM,31000835,HC DIGITIZATION DGTZ GLS MCRSCP SLD ISH EA ADDL 1 PROBE STAIN,17.28,10.37,2.94,7411.0,39
CDM,31000836,HC DIGITIZATION DGTZ GLS MCRSCP SLD ISH EA MULT PROBE STAIN,16.0,9.6,2.72,7411.0,39
CDM,31000837,HC DIGITIZATION DGTZ GLS MCRSCP SLD M/PHMTRC ISH 1ST 1 PROBE STN,16.0,9.6,2.72,7411.0,39
CDM,31000838,HC DIGITIZATION DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA ADD 1PRB STN,16.0,9.6,2.72,7411.0,39
CDM,31000839,HC DIGITIZATION DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA MULT PRB STN,16.0,9.6,2.72,7411.0,39
CDM,31000840,HC DIGITIZATION DGTZ GLS MCRSCP SLD BLOOD SMEAR PERIPHERAL I&R,16.0,9.6,2.72,7411.0,39
CDM,31000841,HC DIGITIZATION DGTZ GLS MCRSCP SLD BONE MARROW SMEAR INTERPJ,16.0,9.6,2.72,7411.0,39
CDM,31000842,HC DIGITIZATION DGTZ GLS MCRSCP SLD ELECTRON MICROSCOPY DX,16.0,9.6,2.72,7411.0,39
CDM,31000843,HC SO NEO GSAP DNA ALYS/DNA&RNA CPY NMBR MCRSTL INS,5670.0,3402.0,35.0,7411.0,54
CDM,31000844,"HC REF MAYO, MALP MALABSORPTION EVALUATION PANEL, FECES",1750.0,1050.0,35.0,7411.0,54
CDM,31000845,"HC REF MAYO, GLYCC GLYCINE RECEPTOR ALPHA 1 IGG, CSF",1250.0,750.0,34.74,7411.0,54
CDM,31000846,"HC REF MAYO, GLYCS GLYCINE RECEPTOR ALPHA 1 IGG, SERUM",1250.0,750.0,34.74,7411.0,54
CDM,31000847,"HC REF MAYO, K11CC KELCH-LIKE PROTEIN 11 AB, CSF",1250.0,750.0,34.74,7411.0,54
CDM,31000848,"HC REF MAYO, K11CS KELCH-LIKE PROTEIN 11 AB, SERUM",1250.0,750.0,34.74,7411.0,54
CDM,31000850,"HC REF MAYO, TTRZ, TTR FULL GENE ANALYSIS",5000.0,3000.0,35.0,7411.0,55
CDM,31000851,"HC REF MAYO, COMP TALAF, CPT 88291",173.58,104.15,29.51,7411.0,39
CDM,31000852,"HC REF MAYO, COMP TALAF, CPT 88271",114.93,68.96,17.99,7411.0,55
CDM,31000853,"HC REF MAYO, COMP TALAF, CPT 88275",274.65,164.79,35.0,7411.0,55
CDM,31000854,"HC REF MAYO, APOEG APOLIP E GENOTYPE",875.15,525.09,35.0,7411.0,55
CDM,31000855,"HC REF MAYO, BRCAT BRCA 1/2 MUTATION ANALYSIS",3500.0,2100.0,35.0,7411.0,55
CDM,31000856,"HC REF PATHGROUP, MSI, MICROSATELLITE INSTABILITY (PCR), CPT 81301",871.4,522.84,35.0,7411.0,55
CDM,31000857,"HC REF ARUP, 3001304, DDIT3 (CHOP) GENE REARR, FISH",1126.58,675.95,35.0,7411.0,55
CDM,31000858,"HC REF MAYO, HLHGP, HLH GENE PANEL",5625.0,3375.0,35.0,12634.57,55
CDM,31000859,"HC REF MAYO, IMMAU, DISREGULATION/AUTOIMMUNE GENE PANEL",5906.25,3543.75,35.0,12634.57,55
CDM,31000860,"HC REF MAYO, G6PDZ, G6PD FULL GENE SEQUENCING, V",3290.5,1974.3,35.0,7411.0,55
CDM,31000861,"HC REF MAYO, AUTOG, AUTOINFLAMMATORY GENE PANEL",8137.5,4882.5,35.0,12634.57,55
CDM,31000862,"HC REF PATHGROUP, MSI, MICROSATELLITE INSTABILITY (PCR), CPT 88381",458.18,274.91,35.0,7411.0,39
CDM,31000863,"HC REF PREVENTION GENETICS PANEL, 12625 CPT 81405",112.5,67.5,35.0,7411.0,55
CDM,31000864,"HC REF PREVENTION GENETICS PANEL, 12625 CPT 81406",112.5,67.5,35.0,7411.0,55
CDM,31000865,"HC REF PREVENTION GENETICS PANEL, 12625 CPT 81479",112.5,67.5,19.12,7411.0,39
CDM,31000866,"HC REF MEDFUSION, 100273 T CELL RECEPTOR BETA CHAIN GENE REARRANG",1356.75,814.05,35.0,7411.0,55
CDM,31000867,"HC REF MAYO, COMP MDS2, CPT 0432U",0.1,0.06,0.017,7411.0,54
CDM,31000868,"HC REF MAYO, MBX MUSCLE PATHOLOGY CONSULT",790.0,474.0,35.0,7411.0,55
CDM,31000869,"HC REF MAYO, PNBX, PERIPHERAL NERVE PATHOLOGY CONSULTATION",790.0,474.0,35.0,7411.0,55
CDM,31000870,"HC REF ARUP, COMP 3001410, CPT 88350",1678.33,1007.0,35.0,7411.0,39
CDM,31000871,"HC REF ARUP, COMP 3001410, CPT 88346",1678.33,1007.0,35.0,7411.0,55
CDM,31000872,"HC REF MAYO, NTC3Z, NOTCH3 GENE, FULL GENE ANALYSIS",5591.25,3354.75,35.0,7411.0,39
CDM,31000873,"HC REF MAYO, HISGT, HISTONE GENE MUTATION ANALYSIS, TS",4725.0,2835.0,35.0,7411.0,55
CDM,31000874,"HC REF MICROGENDX, UROKEY, UROKEY TEST SERVICE",887.5,532.5,35.0,7411.0,55
CDM,31000875,"HC REF CINCINNATI CHILDREN'S, COMP REFLEX, CPT 81479",442.31,265.39,35.0,7411.0,39
CDM,31000876,"HC REF MAYO, IN16Q, INV(16); CBFB-MYH11, QUANT, V",2236.5,1341.9,35.0,7411.0,55
CDM,31000877,"HC REF BRIGHAM AND WOMEN'S HOSPITAL, RAPID HEME PANEL CSF",14945.0,8967.0,35.0,11208.75,55
CDM,31000878,"HC REF MAYO, COMP SPPS, CPT 0431U",0.35,0.21,0.0595,7411.0,54
CDM,31000879,"HC REF MAYO, IMSNP, INHERITED MOTOR AND SENSORY NEURO PANEL",6250.0,3750.0,35.0,7411.0,55
CDM,31000880,"HC REF AMBRY, PHOX2B, FULL GENE SEQUENCE ANALYSIS",3000.0,1800.0,35.0,7411.0,55
CDM,31000881,"HC REF NEO, 5659897FL, COMP HEME CANCERS",11125.0,6675.0,35.0,9456.25,39
CDM,31000882,"HC REF NEO, 5659897FL, FLT3",250.0,150.0,35.0,7411.0,39
CDM,31000883,"HC REF LABCORP, 550659, NASH AND NAFLD",1001.45,600.87,35.0,7411.0,55
CDM,31000884,"HC REF QUEST, 10350, ENHANCED LIVER FIBROSIS",1100.0,660.0,35.0,7411.0,55
CDM,31000885,"HC REF MAYO COMP, AHUGP, CPT 81404",7617.98,4570.79,35.0,7411.0,55
CDM,31000886,"HC REF MAYO COMP, AHUGP, CPT 81479",0.28,0.17,0.0476,7411.0,39
CDM,31000887,"HC REF LAB MAYO, HHTGG HHT AND VASCULAR GENE PANEL COMP 81406",6299.93,3779.96,35.0,7411.0,55
CDM,31000888,"HC REF LAB MAYO, HHTGG HHT AND VASCULAR GENE PANEL COMP 81479",0.08,0.05,0.0136,7411.0,39
CDM,31000889,"HC REF LAB, MAYO PCGP, PORPHYRIA COMP 81405",1953.13,1171.88,35.0,7411.0,55
CDM,31000890,"HC REF LAB, MAYO PCGP, PORPHYRIA COMP 81406",3666.8,2200.08,35.0,7411.0,55
CDM,31000891,"HC REF LAB, MAYO PCGP, PORPHYRIA COMP2 81405",0.08,0.05,0.0288,7411.0,55
CDM,31000892,"HC REF ARUP, FAMILIAL MED FEVER 3004434",2250.0,1350.0,35.0,7411.0,55
CDM,31000893,"HC REF MICROGENDX, WOUNDKEY, WOUNDKEY TEST SERVICE",887.5,532.5,35.0,7411.0,55
CDM,31000894,"HC REF MAYO, CHLGP, CHOLESTASIS GENETIC PANEL",8169.08,4901.45,35.0,12634.57,55
CDM,31000895,"HC REF MAYO COMP, SMCP, CPT 81403",895.68,537.41,35.0,7411.0,55
CDM,31000896,"HC REF MAYO COMP, SMCP, CPT 81406",411.78,247.07,35.0,7411.0,55
CDM,31000897,"HC REF MAYO COMP, SMCP, CPT 81479",0.05,0.03,0.0085,7411.0,39
CDM,31000898,"HC REF MAYO, FDM1, DMPK DNA TEST (DM1)",1937.5,1162.5,35.0,7411.0,55
CDM,31000899,"HC REF MAYO PEPAN, PERIPHERAL NEUROPATHY GENE PANEL",7500.0,4500.0,35.0,7411.0,55
CDM,31000900,"HC REF ARUP, QUEST 16515X, TP53 SOMATIC MUTATION, PROGNOSTIC",3047.5,1828.5,35.0,7411.0,55
CDM,31000901,"HC REF MAYO, MCLNM MAYOCOMPLETE LUNG CANCER MUTATIONS",4705.5,2823.3,35.0,7411.0,54
CDM,31000902,"HC REF PROMETHEUS, COMP IBD SGI DIAGNOSTIC CPT 81479",81.18,48.71,13.8,7411.0,39
CDM,31000903,"HC REF MAYO, APOL1 GENOTYPE VAIRES",1537.75,922.65,35.0,7411.0,39
CDM,31000904,"HC REF PROMETHEUS, COMP IBD SGI DIAGNOSTIC CPT 88346",81.18,48.71,13.8,7411.0,55
CDM,31000905,"HC REF PROMETHEUS, COMP IBD SGI DIAGNOSTIC CPT 88350",81.18,48.71,13.8,7411.0,39
CDM,31000906,"HC REF ARUP, PMM AML-FLT3 ITD MRD ASSAY",5637.5,3382.5,35.0,7411.0,55
CDM,31000907,"HC REF NEOGENOMICS, FLT3 MUTATION ANALYSIS, PART 1 DUPLICATE",250.0,150.0,35.0,7411.0,39
CDM,31000908,"HC REF NEOGENOMICS, NEOCOMPREHENSIVE MYELOID DISORDERS PLUS FLT3 PART 2",11125.0,6675.0,35.0,9456.25,39
CDM,31000909,"HC REF NEOGENOMICS, SARCOMA COMPREHENSIVE NGS FUSION PANEL",9227.5,5536.5,35.0,7411.0,55
CDM,31000910,"HC REF MAYO, NGPCM PLASMA CELL MYELOMA, NGS, V",5775.0,3465.0,35.0,7411.0,55
CDM,31000911,"HC REF MAYO COMP, SPPC CPT 0431U",0.38,0.23,0.0646,7411.0,54
CDM,31000912,"HC REF NEOGENOMICS, NEOTYPE MDS/CMML PROFILE",7145.0,4287.0,35.0,7411.0,55
CDM,31000913,HC SOLID TUMOR PROFILE > 50 GENES,6429.78,3857.87,35.0,15065.14,55
CDM,31000914,"HC REF CINCINNATI CHILDREN'S, 1172504, PLATELET DISORDER GENE",7482.5,4489.5,35.0,12634.57,55
CDM,31000915,"HC REF ARUP, COMP 3001585, CPT 81405",1796.88,1078.13,35.0,7411.0,55
CDM,31000916,"HC REF ARUP, COMP 3001585, CPT 81406",1796.88,1078.13,35.0,7411.0,55
CDM,31000917,"HC REF ARUP, 2013341, APOLIPOPROTEIN E GENOTYPE ALZHEIMER RISK",212.5,127.5,35.0,7411.0,55
CDM,31000918,"HC REF , MAYO GNMY9, MYH9 MUTATION NGS",4200.0,2520.0,35.0,7411.0,39
CDM,31000919,HC SO NEO GSAP DNA MCRSTL INS - 50SEQ W/MSI,3645.0,2187.0,35.0,7411.0,54
CDM,31000920,HC SO NEO GSAP DNA MCRSTL INS - COLONSEQ PLUS,3645.0,2187.0,35.0,7411.0,54
CDM,31000921,HC SO NEO GSAP DNA MCRSTL INS - COLONSEQ,3645.0,2187.0,35.0,7411.0,54
CDM,31000922,"HC EUROFINS VIRACOR, 33356, NEXGEN FUNGAL/AFB NGS ASSAY",3779.42,2267.65,35.0,7411.0,39
CDM,31000923,"HC REF LABCORP, COMP NGS360, 81405",397.5,238.5,35.0,7411.0,55
CDM,31000924,"HC REF LABCORP, COMP NGS360, 81406",397.5,238.5,35.0,7411.0,55
CDM,31000925,"HC REF ARUP, COMP 3004486, 81406",1312.5,787.5,35.0,7411.0,55
CDM,31000926,"HC REF MAYO, SCCNP CONGENITAL NEUTRO GENE",5625.0,3375.0,35.0,12634.57,55
CDM,31000927,"HC REF LABCORP, COMP NGS360, 81479",397.5,238.5,35.0,7411.0,39
CDM,31000928,"HC REF MAYO, CXCFX REFLEX TO CXCR4 MUTATION DETECTION",1750.0,1050.0,35.0,7411.0,39
CDM,31000929,"HC REF ARUP, COMP 3004486, 81479",1312.5,787.5,35.0,7411.0,39
CDM,31000930,"HC REF MAYO, UBA1Q UBA1 MUTATION QUANT",3225.0,1935.0,35.0,7411.0,39
CDM,31000931,"HF REF ARUP, 3017051 RAPID AML INTERP",6125.0,3675.0,35.0,7411.0,55
CDM,31000932,"HC REF ARUP, 3017050 RAPID AML TARGETED THERAPY MUT PANEL",6125.0,3675.0,35.0,7411.0,55
CDM,31000933,"HC REF ARUP, 0055656 HEMOCHROMATOSIS HFE 3 MUTATIONS",222.5,133.5,35.0,7411.0,55
CDM,31000934,"HC REF LABCORP, 252823 BETA THALASSEMIA",1745.63,1047.38,35.0,7411.0,55
CDM,31000935,"HC REF ARUP, 2012049 HLA B1502 CARBAMAZEPINE SEN",600.0,360.0,35.0,7411.0,55
CDM,31000936,"HC REF GREEN WOOD, BWS MLPA",1500.0,900.0,35.0,7411.0,55
CDM,31000937,"HC REF MACHAON, COMP AHUS, CPT 81404",365.12,219.07,35.0,7411.0,55
CDM,31000938,"HC REF MACHAON, COMP AHUS, CPT 81405",365.12,219.07,35.0,7411.0,55
CDM,31000939,"HC REF ARUP, 3001615 HEREDITARY BONE MARROW FAILURE",3750.0,2250.0,35.0,12634.57,55
CDM,31000940,"HC REF MACHAON, COMP AHUS, CPT 81479",365.12,219.07,35.0,7411.0,39
CDM,31000941,"HC REF GREENWOOD, BWS CDKN1C SEQ",1250.0,750.0,35.0,7411.0,39
CDM,31000942,HC NFCT DS BV&VAGINITIS DNA ALG,285.23,171.14,35.0,7411.0,54
CDM,31000943,"HC REF MAYO, POLET, POLE MUTATION ANALYSIS TUMOR",3806.25,2283.75,35.0,7411.0,39
CDM,31000944,"HC REF ATHENA, COMP 5506, CPT 81187",12479.92,7487.95,35.0,9359.94,55
CDM,31000945,"HC REF ATHENA, COMP 5506, CPT 81234",12479.92,7487.95,35.0,9359.94,55
CDM,31000946,"HC REF ATHENA, COMP 5506, CPT 81404",12479.92,7487.95,35.0,9359.94,55
CDM,31000947,"HC REF ATHENA, COMP 5506, CPT 81406",12479.92,7487.95,35.0,9359.94,55
CDM,31000948,"HC REF ATHENA, COMP 5506, CPT 81479",12479.92,7487.95,35.0,10607.93,39
CDM,31000949,"HC REF ARUP, 2001778, Y CHROMOSOME MICRODELETION",500.0,300.0,35.0,7411.0,55
CDM,31000950,"HC REF ARUP, 2005545, MPL MUTATION DETECTION",842.5,505.5,35.0,7411.0,55
CDM,31000951,"HC REF MACHAON, COMP P1236, CPT 81479",3908.75,2345.25,35.0,7411.0,39
CDM,31000952,"HC REF PATHGROUP, PANTRKIHC CPT 88341",164.73,98.84,28.0,7411.0,39
CDM,31000953,"HC REF PATHGROUP, PANTRKIHC CPT 81210",438.5,263.1,35.0,7411.0,55
CDM,31000954,"HC REF PATHGROUP, EGFRSA CPT 81235",811.45,486.87,35.0,7411.0,55
CDM,31000955,"HC REF PATHGROUP, IDH1SA CPT 81220",483.13,289.88,35.0,7411.0,55
CDM,31000956,"HC REF PATHGROUP, IDH2SA CPT 81121",739.48,443.69,35.0,7411.0,55
CDM,31000957,"HC REF PATHGROUP, IDH2 CPT 81272",823.78,494.27,35.0,7411.0,55
CDM,31000958,"HC REF PATHGROUP, KRASSA CPT 81275",483.13,289.88,35.0,7411.0,55
CDM,31000959,"HC REF PATHGROUP, KRASSA CPT 81276",483.13,289.88,35.0,7411.0,55
CDM,31000960,"HC REF PATHGROUP, NRASSA CPT 81311",739.48,443.69,35.0,7411.0,55
CDM,31000961,"HC REF PATHGROUP, MLH1PCR CPT 81288",480.8,288.48,35.0,7411.0,55
CDM,31000962,"HC REF PATHGROUP, MGMT CPT 81287",311.6,186.96,35.0,7411.0,55
CDM,31000963,HC REF PATHGROUP MICRODISSECTION (CPT 88381),399.35,239.61,35.0,7411.0,39
CDM,31000964,HC REF PATHGROUP MORPHOMETRIC ANALYSIS (CPT 88377),877.3,526.38,35.0,7411.0,55
CDM,31000965,HC REF PATHGROUP CYTOPATHOLOGY (CPT 88120),1348.48,809.09,35.0,7411.0,55
CDM,31000966,"HC REF MAYO, U1A1Q, UGT1A1 TA REPEAT GENOTYPE",2461.0,1476.6,35.0,7411.0,55
CDM,31000967,"HC REF JOHNS HOPKINS, COMP BMFLO, CPT 88188",270.0,162.0,35.0,7411.0,39
CDM,31000968,"HC REF JOHNS HOPKINS, COMP BMFLO, CPT 88184",275.0,165.0,35.0,7411.0,55
CDM,31000969,"HC REF JOHNS HOPKINS, COMP BMFLO, CPT 88185",165.0,99.0,28.05,7411.0,39
CDM,31000970,"HC REF MAYO, WGSDX, WHOLE GENOME SEQUENCING FOR HEREDITARY DISORD",12500.0,7500.0,35.0,25960.99,55
CDM,31000971,"HC REF MAYO, HFET HEREDITARY HEMOCHROMATOSIS HFE TEST",476.93,286.16,35.0,7411.0,55
CDM,31000972,HC LRT IAD 18BCT/8VIR&7ARG RNA,1871.81,1123.09,35.0,7411.0,54
CDM,31000973,"HC REF LAB MAYO, COMP PHLDF, CPT 88271",114.76,68.86,17.99,7411.0,55
CDM,31000974,"HC REF LAB MAYO, COMP PHLDF, CPT 88275",274.25,164.55,35.0,7411.0,55
CDM,31000975,"HC REF LAB MAYO, COMP PHLDF, CPT 88271",177.86,106.72,17.99,7411.0,55
CDM,31000976,"HC REF MACHAON, COMP P1236, CPT 81443",3908.75,2345.25,35.0,12634.57,55
CDM,31000977,"HC REF ARUP, 2004980 PAI-1 GENOTYPING",383.75,230.25,35.0,7411.0,55
CDM,31000978,"HC REF MAYO, AGDD ALPHA-GLOBIN GENE DEL/DUP",800.0,480.0,35.0,7411.0,55
CDM,31000979,"HC REF MAYO, C9ORF C9ORF72 HEXANUCLEOTIDE REPREAT",1500.0,900.0,35.0,7411.0,39
CDM,31000980,"HC REF SEATTLE CHI, LAB1866 INTESTINAL PSEUDO-OB PANEL",6632.5,3979.5,35.0,7411.0,39
CDM,31000981,"HC REF MAYO, NHHA HEREDITARY HEMOLYTIC ANEMIA GENE",13816.5,8289.9,35.0,12634.57,55
CDM,31000982,"HC REF MAYO, AMYR BETA-AMYLOID RATIO CSF",1903.0,1141.8,35.0,7411.0,55
CDM,31000983,"HC REF PATHGROUP, IHD1SA CPT 81120",483.13,289.88,35.0,7411.0,55
CDM,31000984,"HC REF LAB MAYO, BAKDM BCR/ABL1 SEQ",962.68,577.61,35.0,7411.0,55
CDM,31000985,"HC REF LAB MAYO, GNHTC THROMBOCYTOPENIA GENE PANEL",5708.75,3425.25,35.0,12634.57,55
CDM,31000987,"HC REF ARUP QUEST 14991, MANTLE CELL LYMPHOMA, CELL BASED",1050.0,630.0,35.0,7411.0,55
CDM,31000988,"HC REF ARUP 3001855, BRCA1 BRCA2 NGS, DELDUP",5012.5,3007.5,35.0,9416.38,55
CDM,31000989,"HC REF MICROGEN DX, NGS PCR PANEL",887.5,532.5,35.0,7411.0,55
CDM,31000990,"HC REF MAYO COMP IDHQ, CPT 81120",1068.93,641.36,35.0,7411.0,55
CDM,31000991,"HC REF MAYO COMP IDHQ, CPT 81121",1636.08,981.65,35.0,7411.0,55
CDM,31000992,"HC REF  ARUP, TTR NGS 3004531",2250.0,1350.0,35.0,7411.0,55
CDM,31000993,HC REF NEOGENOMICS CMP BCR-ABL1 TRANSLOCATION 9;22 MAJOR,767.5,460.5,35.0,7411.0,55
CDM,31000994,HC REF NEOGENOMICS CMP BCR-ABL1 TRANSLOCATION 9;22 MINOR,612.5,367.5,35.0,7411.0,55
CDM,31000995,HC REF GENEDX COMP TH78A GENOMEXPRESS TRIO RAPID GENOME SEQ CPT 81425,5416.67,3250.0,35.0,25960.99,55
CDM,31000996,HC REF GENEDX COMP TH78A GENOMEXPRESS TRIO RAPID GENOME SEQ CPT 81426,5416.67,3250.0,35.0,13983.34,55
CDM,31000997,HC REF ARUP COMP 3004471 PHARMACOGENETICS PANEL CPT 81225,125.0,75.0,35.0,7411.0,55
CDM,31000998,HC REF ARUP COMP 3004471 PHARMACOGENETICS PANEL CPT 81226,125.0,75.0,35.0,7411.0,55
CDM,31000999,HC REF ARUP COMP 3004471 PHARMACOGENETICS PANEL CPT 81227,125.0,75.0,35.0,7411.0,55
CDM,31001000,HC REF ARUP COMP 3004471 PHARMACOGENETICS PANEL CPT 81230,125.0,75.0,21.25,7411.0,55
CDM,31001001,HC REF ARUP COMP 3004471 PHARMACOGENETICS PANEL CPT 81231,125.0,75.0,21.25,7411.0,55
CDM,31001002,HC REF ARUP COMP 3004471 PHARMACOGENETICS PANEL CPT 81291,125.0,75.0,35.0,7411.0,55
CDM,31001003,HC REF ARUP COMP 3004471 PHARMACOGENETICS PANEL CPT 81479,125.0,75.0,21.25,7411.0,39
CDM,31001004,"HC REF MAYO COMP BCGRV IMMUNOGLOBULIN GENE REARRANGE, V CPT 81261",685.53,411.32,35.0,7411.0,55
CDM,31001005,"HC REF MAYO COMP BCGRV IMMUNOGLOBULIN GENE REARRANGE, V CPT 81264",598.05,358.83,35.0,7411.0,55
CDM,31001006,HC REF NEOGENOMICS NEOTYPE LYMPHOID DISORDERS PROFILE,9952.5,5971.5,35.0,15065.14,55
CDM,31001007,HC REF NEOGENOMICS COMP NEOTYPE ALL CPT 81450,8020.0,4812.0,35.0,7411.0,55
CDM,31001008,HC REF ARUP COMP 2007384 VASCULAR MALFORMATION PANEL CPT 81321,1121.25,672.75,35.0,7411.0,55
CDM,31001009,HC REF ARUP COMP 2007384 VASCULAR MALFORMATION PANEL CPT 81323,1121.25,672.75,35.0,7411.0,55
CDM,31001010,HC REF ARUP COMP 2007384 VASCULAR MALFORMATION PANEL CPT 81405,1121.25,672.75,35.0,7411.0,55
CDM,31001011,HC REF ARUP COMP 2007384 VASCULAR MALFORMATION PANEL CPT 81406,1121.25,672.75,35.0,7411.0,55
CDM,31001012,HC REF ARUP COMP 2007384 VASCULAR MALFORMATION PANEL CPT 81479,1121.25,672.75,35.0,7411.0,39
CDM,31001013,HC REF ARUP 2011622 ALPHA GLOBIN (HBA1 AND HBA2) DEL/DUP,875.0,525.0,35.0,7411.0,55
CDM,31001014,HC REF ARUP 0056060 PROTHROMBIN (F2) G20210A VARIANT,120.0,72.0,35.0,7411.0,55
CDM,31001015,"HC REF ARUP 3016621 MYELOID MUTATION PANEL BY NGS, DELDUP",6162.5,3697.5,35.0,15065.14,55
CDM,31001016,HC REF MAYO NGTCL T-CELL LYMPHOMA NGS,5980.75,3588.45,35.0,7411.0,55
CDM,31001017,HC REF ARUP COMP 3003927 CPT 81405,1800.0,1080.0,35.0,7411.0,55
CDM,31001018,HC REF ARUP COMP 3003927 CPT 81408,1800.0,1080.0,35.0,10320.0,55
CDM,31001019,HC REF ARUP COMP 3003927 CPT 81479,1800.0,1080.0,35.0,7411.0,39
CDM,31001020,HC REF NEOGENOMICS NEO AML EXPRESS,7487.5,4492.5,35.0,7411.0,55
CDM,31001021,"HC REF MAYO BILAO BILIARY TRACT MALIGN, FISH",1604.45,962.67,35.0,7411.0,55
CDM,31001022,"HC REF MAYO BLYM B-CELL LYMPHOMA, FISH, TISSUE",1196.63,717.98,35.0,7411.0,55
CDM,31001023,HC REF MAYO _PRAA EA ADDL BLYM PROBE,500.0,300.0,35.0,7411.0,55
CDM,31001024,HC REF MAYO COMP TCGBM CPT 81340,653.4,392.04,35.0,7411.0,55
CDM,31001025,HC REF MAYO COMP TCGBM CPT 81342,630.18,378.11,35.0,7411.0,55
CDM,31001026,HC REF MAYO COMP TLPDF CPT 88291,326.35,195.81,35.0,7411.0,39
CDM,31001027,HC REF MAYO COMP TLPDF CPT 88271,212.28,127.37,17.99,7411.0,55
CDM,31001028,HC REF MAYO COMP TLPDF CPT 88275,507.32,304.39,35.0,7411.0,55
CDM,31001029,"HC REF MAYO NF1Z NEUROFIBROMATOSIS TYPE 1, NF1 FULL GENE ANALYSIS",4630.2,2778.12,35.0,10320.0,55
CDM,31001030,"HC REF ARUP 2005633 SNP MICROARRAY, PROD OF CONCEP",3618.75,2171.25,35.0,7411.0,55
CDM,31001031,HC REF ARUP 3016839 JAK2 V617F QUAL W/RFLX TO CALR AND MPL,312.5,187.5,35.0,7411.0,55
CDM,31001032,HC REF ARUP 2003220 FACTOR XIII (F13A1) V34L VARIANT,423.0,253.8,35.0,7411.0,55
CDM,31001033,HC REF ARUP 3000066 NPM1 MUTATION DETECTION BY RT QPCR,673.45,404.07,35.0,7411.0,55
CDM,31001034,HC REF ARUP 3005867 FAMILIAL TARGETING SEQUENCING,1250.0,750.0,35.0,7411.0,55
CDM,31001035,HC REF MAYO PERA PREECLAMPSIA SFIT/PLGF RATIO S,906.25,543.75,35.0,7411.0,54
CDM,31001036,HC REF ARUP 3004386 UGT1A1 NGS,2250.0,1350.0,35.0,7411.0,55
CDM,31001037,HC REF MAYO RETZZ RET FULL GENE ANALYSIS,4632.25,2779.35,35.0,7411.0,55
CDM,31001038,HC REF MAYO COMP CYPZ CYP21A2 GENE CPT 81405,1557.03,934.22,35.0,7411.0,55
CDM,31001039,HC REF MAYO COMP CYPZ CYP21A2 GENE CPT 81402,776.73,466.04,35.0,7411.0,55
CDM,31001040,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81201,558.15,334.89,35.0,7411.0,55
CDM,31001041,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81408,1431.18,858.71,35.0,10320.0,55
CDM,31001042,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81162,1305.85,783.51,35.0,9416.38,55
CDM,31001043,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81406,202.43,121.46,35.0,7411.0,55
CDM,31001044,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81404,196.68,118.01,35.0,7411.0,55
CDM,31001045,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81403,132.53,79.52,35.0,7411.0,55
CDM,31001046,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81405,215.64,129.38,35.0,7411.0,55
CDM,31001047,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81292,483.33,290.0,35.0,7411.0,55
CDM,31001048,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81295,273.13,163.88,35.0,7411.0,55
CDM,31001049,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81298,459.3,275.58,35.0,7411.0,55
CDM,31001050,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81307,484.1,290.46,35.0,7411.0,55
CDM,31001051,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81319,145.63,87.38,35.0,7411.0,55
CDM,31001052,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81321,429.35,257.61,35.0,7411.0,55
CDM,31001053,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81351,459.3,275.58,35.0,7411.0,55
CDM,31001055,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81317,484.1,290.46,35.0,7411.0,55
CDM,31001056,HC REF ARUP COMP 4751300 CPT 81407,3325.0,1995.0,35.0,7411.0,55
CDM,31001057,HC REF ARUP COMP 4751300 CPT 81479,3325.0,1995.0,35.0,7411.0,39
CDM,31001058,HC REF ARUP 2003220 FACTOR XIII (FI3AI) V34L VARIANT,423.0,253.8,35.0,7411.0,55
CDM,31001059,HC REF ARUP 3004379 VON WILLEBRAND DISEASE BY NGS,2250.0,1350.0,35.0,10320.0,55
CDM,31001060,HC REF FULGENT CSF1R SINGLE GENE,1250.0,750.0,35.0,7411.0,39
CDM,31001061,HC REF ARUP 2013661 CYSTIC FIBROSIS (CFTR) EXPANDED VARIANT PANEL,537.5,322.5,35.0,7411.0,55
CDM,31001062,"HC REF MAYO 2C19R CYP2C19 GENOTYPE, V",1754.75,1052.85,35.0,7411.0,55
CDM,31001063,HC REF ARUP 3001508 CYP2C19,325.0,195.0,35.0,7411.0,55
CDM,31001064,HC REF ARUP 0040227 IGHV MUTATION ANALYSIS BY SEQUENCING,1125.0,675.0,35.0,7411.0,55
CDM,31001065,HC REF ARUP 2002871 PML/RARA,817.5,490.5,35.0,7411.0,55
CDM,31001066,HC REF BLOODWORKS 3117-08 RED CELL GENOTYPING FOR ABO,1632.5,979.5,35.0,7411.0,55
CDM,31001067,"HC REF LABCORP 482424 GENESEQ PLUS, ATP7B",3150.0,1890.0,35.0,7411.0,55
CDM,31001068,"HC REF ARUP > UPMC MISC BILISEQ, BILE DUCT BRUSHING PANEL",2962.5,1777.5,35.0,7411.0,55
CDM,31001069,HC REF EUROFINS VIRACOR 33457 NEXGEN FUNGAL/AFB NGS,3237.5,1942.5,35.0,7411.0,37
CDM,31001070,HC REF ARUP 2003414 CYTOGENOMIC SNP MICROARRAY,2652.5,1591.5,35.0,7411.0,55
CDM,31001071,HC REF ARUP 2006325 CYTOGENOMIC SNP MICROARRAY - ONCO,3837.5,2302.5,35.0,7411.0,55
CDM,31001072,HC REF ARUP 3004572 MEN2 BY NGS,2250.0,1350.0,35.0,7411.0,55
CDM,31001073,HC REF ARUP 2014599 PNPLA3 GENOTYPE,675.0,405.0,35.0,7411.0,39
CDM,31001074,"HC REF ARUP COMP 2012052, CPT 81249",1060.16,636.1,35.0,7411.0,55
CDM,31001075,"HC REF ARUP COMP 2012052, CPT 81404",1060.16,636.1,35.0,7411.0,55
CDM,31001076,"HC REF ARUP COMP 2012052, CPT 81405",1060.16,636.1,35.0,7411.0,55
CDM,31001077,"HC REF ARUP COMP 2012052, CPT 81479",1060.16,636.1,35.0,7411.0,39
CDM,31001078,"HC REF MAYO COMP TCGR, CPT 81240",653.4,392.04,35.0,7411.0,55
CDM,31001079,"HC REF MAYO COMP TCGR, CPT 81242",630.18,378.11,30.76,7411.0,55
CDM,31001080,"HC REF MAYO NGBCL B-CELL LYMPHOMA, NGS, V",7204.0,4322.4,35.0,7411.0,55
CDM,31001081,HC REF BAYLOR 1729 RAPID PROBAND WHOLE EXOME SEQ,6250.0,3750.0,35.0,24664.8,55
CDM,31001082,HC REF ARUP 3002309 MALIGNANCY RISK OVA1 PLUS,1137.5,682.5,35.0,7411.0,55
CDM,31001083,HC REF ARUP 3001393 HLA B5801 GENOTYPING ALLOPURINOL HYPER,600.0,360.0,35.0,7411.0,55
CDM,31001084,HC REF MAYO SMN1Z FULL GENE ANALYSIS,2000.0,1200.0,35.0,7411.0,55
CDM,31001085,HC REF ARUP 2008420 ABL1 GENE TEST,1852.83,1111.7,35.0,7411.0,55
CDM,31001086,HC REF UW MEDICINE HCAPSG HEME SINGLE GENE BY NGS,1417.5,850.5,35.0,7411.0,39
CDM,31001087,"HC REF MORL COMP GRP08, CPT 81479",3750.0,2250.0,35.0,7411.0,39
CDM,31001088,"HC REF MORL COMP GRP08, CPT 81405",3750.0,2250.0,35.0,7411.0,55
CDM,31001089,"HC REF MAYO TPNUQ TPMT AND NUDT15 GENOTYPE, V",1110.0,666.0,35.0,7411.0,55
CDM,31001090,"HC REF MAYO C2AD2 PRECIVITYAD2, PLASMA",3625.0,2175.0,35.0,7411.0,54
CDM,31001091,HC REF ARUP 0051266 ACHONDROPLASIA (FGFR3) 2 MUTATIONS,689.08,413.45,35.0,7411.0,55
CDM,31001092,"HC REF MAYO COMP EDSGG, CPT 81408",3624.99,2174.99,35.0,10320.0,55
CDM,31001093,"HC REF MAYO COMP EDSGG, CPT 81479",0.03,0.02,0.0051,7411.0,39
CDM,31001094,"HC REF MAYO GSDGP GLYCOGEN STORAGE DISEASE GENE PANEL, VARIES",6250.0,3750.0,35.0,12634.57,55
CDM,31001095,HC REF ARUP 3001053 RED BLOOD CELL ANTIGEN GENOTYPING,600.0,360.0,35.0,7411.0,55
CDM,31001096,"HC REF ARUP 2007370 PERIODIC FEVER SYNDROMES PANEL, SEQUENCING AND DELETION/DUPLICATION",5175.0,3105.0,35.0,7411.0,55
CDM,31001097,HC REF ARUP 2013337 APOLIPOPROTEIN E,212.5,127.5,35.0,7411.0,55
CDM,31001098,HC REF MAYO VHLZZ VHL FULL GENE ANALYSIS,4632.25,2779.35,35.0,7411.0,55
CDM,31001099,"HC REF MAYO NONCM NEURO-ONC PANEL, MUTATIONS ONLY",6625.0,3975.0,35.0,7411.0,54
CDM,31001100,"HC REF MAYO COMTQ - CATECHOL-O-METHYLTRANSFERASE (COMT) GENOTYPE, VARIES",1685.0,1011.0,35.0,7411.0,55
CDM,31001101,HC REF NEOGENOMICS NGS NEO COMPREHENSIVE HEME CANCERS,12015.0,7209.0,35.0,10212.75,39
CDM,31001102,"HC REF ARUP COMP 3001524, CPT 81225",223.7,134.22,35.0,7411.0,55
CDM,31001103,"HC REF ARUP COMP 3001524, CPT 81226",223.7,134.22,35.0,7411.0,55
CDM,31001104,"HC REF ARUP COMP 3001524, CPT 81227",223.7,134.22,35.0,7411.0,55
CDM,31001105,"HC REF ARUP COMP 3001524, CPT 81230",223.7,134.22,35.0,7411.0,55
CDM,31001106,"HC REF ARUP COMP 3001524, CPT 81231",223.7,134.22,35.0,7411.0,55
CDM,31001107,"HC REF ARUP COMP 3001524, CPT 81479",223.7,134.22,35.0,7411.0,39
CDM,31001108,HC REF ARUP 3005480 REFLEX CYP2D6 LONG RANGE PCR DUPLICATION,1250.0,750.0,35.0,7411.0,39
CDM,31001109,"HC REF MAYO MSCSF METAGENOMIC SEQUENCING, CSF",7500.0,4500.0,35.0,7411.0,54
CDM,31001110,"HC REF ARUP < QUEST COMP 91445, CPT 81340",712.5,427.5,35.0,7411.0,55
CDM,31001111,"HC REF ARUP < QUEST COMP 91445, CPT 81342",712.5,427.5,35.0,7411.0,55
CDM,31001112,"HC REF MAYO SEP9Z SEPTIN9 GENE, FULL GENE ANALYSIS",5250.0,3150.0,35.0,7411.0,39
CDM,31001113,"HC REF MAYO PMPDD PMP22 GENE, LARGE DEL/DUP ANALYSIS",1716.25,1029.75,35.0,7411.0,55
CDM,31001114,"HC REF ARUP 3017549 HLA-B51 GENOTYPING, BEHCET DISEASE",600.0,360.0,35.0,7411.0,55
CDM,31001115,HC REF ARUP 3019007 HEMOCHROMATOSIS (HFE) 3 VARIANTS,222.5,133.5,35.0,7411.0,55
CDM,31001116,"HC REF MAYO COMP CVHBG, CPT 81405",415.14,249.08,35.0,7411.0,55
CDM,31001117,"HC REF MAYO COMP CVHBG, CPT 81406",389.69,233.81,35.0,7411.0,55
CDM,31001118,"HC REF MAYO COMP CVHBG, CPT 81408",2755.2,1653.12,35.0,10320.0,55
CDM,31001119,"HC REF MAYO COMP CVHBG, CPT 81479",0.03,0.02,0.0051,7411.0,39
CDM,31001120,"HC REF MAYO GNF7 F7 GENE, FULL GENE NGS",3750.0,2250.0,35.0,7411.0,39
CDM,31001121,"HC REF LABCORP COMP 620011, CPT 81231",120.0,72.0,20.4,7411.0,55
CDM,31001122,"HC REF ARUP 2009318 MYD88 L265P MUTATION DETECTION BY PCR, QUANTITATIVE",729.7,437.82,35.0,7411.0,55
CDM,31001123,HC REF ARUP 0051332 UDP GLUCURONOSYLTRANSFERASE 1A1 (UGT1A1) GENOTYPING,580.33,348.2,35.0,7411.0,55
CDM,31001124,HC REF ARUP 3004411 WILSON DISEASE (ATP7B) SEQUENCING,2250.0,1350.0,35.0,7411.0,55
CDM,31001125,"HC REF ARUP COMP 3004407, CPT 81201",781.25,468.75,35.0,7411.0,55
CDM,31001126,"HC REF ARUP COMP 3004407, CPT 81203",781.25,468.75,35.0,7411.0,55
CDM,31001127,"HC REF ARUP COMP 3004407, CPT 81406",781.25,468.75,35.0,7411.0,55
CDM,31001128,"HC REF ARUP COMP 3004407, CPT 81479",781.25,468.75,35.0,7411.0,39
CDM,31001129,HC REF ARUP 0051684 G6PD 2 MUTATIONS,405.0,243.0,35.0,7411.0,55
CDM,31001130,HC REF ARUP 3004457 G6PD BY NGS,2250.0,1350.0,35.0,7411.0,55
CDM,31001131,HC REF MAYO ATAXP INHERITED ATAXIA GENE PANEL,7500.0,4500.0,35.0,12634.57,55
CDM,31001132,"HC REF VERSITI COMP 5303, CPT 81105",245.28,147.17,35.0,7411.0,55
CDM,31001133,"HC REF VERSITI COMP 5303, CPT 81106",245.28,147.17,35.0,7411.0,55
CDM,31001134,"HC REF VERSITI COMP 5303, CPT 81107",245.28,147.17,35.0,7411.0,55
CDM,31001135,"HC REF VERSITI COMP 5303, CPT 81108",245.28,147.17,35.0,7411.0,55
CDM,31001136,"HC REF VERSITI COMP 5303, CPT 81109",245.28,147.17,35.0,7411.0,55
CDM,31001137,"HC REF VERSITI COMP 5303, CPT 81110",245.28,147.17,35.0,7411.0,55
CDM,31001138,"HC REF VERSITI COMP 5303, CPT 81111",245.28,147.17,35.0,7411.0,55
CDM,31001139,"HC REF VERSITI COMP 5303, CPT 81112",245.28,147.17,35.0,7411.0,55
CDM,31001140,"HC REF MAYO CTNBT B-CATENIN MUTATIONS ANALYSIS, TUMOR",3331.0,1998.6,35.0,7411.0,39
CDM,31001141,HC REF MEDFUSION 16141 FAMILIAL MEDITERRANEAN FEVER MUTATION ANALYSIS,1997.83,1198.7,35.0,7411.0,55
CDM,31001142,HC REF GENEDX 896B XOMEDXXPRESS PROBAND,5725.0,3435.0,35.0,24664.8,55
CDM,31001143,HC REF ARUP 3004547 BETA GLOBIN BY NGS,2250.0,1350.0,35.0,7411.0,55
CDM,31001144,"HC REF MAYO COMP AFTDP, CPT 81403",268.3,160.98,35.0,7411.0,55
CDM,31001145,"HC REF MAYO COMP AFTDP, CPT 81406",409.8,245.88,35.0,7411.0,55
CDM,31001146,"HC REF MAYO COMP AFTDP, CPT 81404",398.13,238.88,35.0,7411.0,55
CDM,31001147,"HC REF MAYO COMP AFTDP, CPT 81405",436.56,261.94,35.0,7411.0,55
CDM,31001148,"HC REF MAYO COMP AFTDP, CPT 81407",1225.95,735.57,35.0,7411.0,55
CDM,31001149,"HC REF MAYO COMP AFTDP, CPT 81479",0.03,0.02,0.0051,7411.0,39
CDM,31001150,HC REF ARUP 2010673 CALR (CALRETICULIN) EXON 9 MUTATION ANALYSIS BY PCR,500.0,300.0,35.0,7411.0,55
CDM,31001151,HC REF ARUP 3005840 QUANT DETECT BCR::ABL1 MAJOR (P210),610.0,366.0,35.0,7411.0,55
CDM,31001152,HC NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM,521.0,312.6,35.0,7411.0,55
CDM,31001153,HC REF ARUP 3005935  RAPID WHOLE GENOME SEQUENCING,9000.0,5400.0,35.0,25960.99,55
CDM,31001154,HC REF ARUP 3006117 REFLEX BILL RWGS FAM,6250.0,3750.0,35.0,13983.34,55
CDM,31001155,HC REF ARUP 3006119 REFLEX BILL RWGS FRPT,6500.0,3900.0,35.0,13983.34,55
CDM,31001156,HC REF MAYO NONCP NEURO-ONC EXPANDED PANEL,12014.25,7208.55,35.0,15065.14,55
CDM,31001157,HC REF NEOGENOMICS B-CELL GENE REARRANGEMENT,1677.5,1006.5,35.0,7411.0,39
CDM,31001158,HC REF MAYO LYNCP LYNCH SYNDROME PANEL,5197.5,3118.5,35.0,7411.0,55
CDM,31001159,HC REF PREVENTION GENETICS 10319 CHOLESTASIS PANEL,2475.0,1485.0,35.0,7411.0,39
CDM,31001160,HC REF CARIS MI CANCER SEEK,21137.5,12682.5,35.0,20292.0,55
CDM,31001161,HC REF NEOGENOMICS C-KIT MUTATION ANALYSIS EACH STAIN,935.0,561.0,35.0,7411.0,55
CDM,31001162,HC REF MAYO HIESG HYPER-IGE SYNDROME GENE PANEL,5825.25,3495.15,35.0,12634.57,55
CDM,31001163,HC REF GREENWOOD TARGETED INFERTILITY ARRAY,2500.0,1500.0,35.0,7411.0,55
CDM,31001164,"HC REF ARUP COMP 3001535, CPT 81355",437.5,262.5,35.0,7411.0,55
CDM,31001165,"HC REF ARUP COMP 3001535, CPT 81306",437.5,262.5,35.0,7411.0,55
CDM,31001166,"HC REF MAYO CMAPT CHROMOSOMAL MICROARRAY, TUMOR, FFPE",5722.5,3433.5,35.0,7411.0,55
CDM,31001167,HC REF ARUP 3004531 FAMILIAL TRANSTHYRETIN AMYLOIDOSIS( TTR) SEQUENCING,2250.0,1350.0,35.0,7411.0,55
CDM,31001168,"HC REF MAYO COMP SCAP, CPT 81178",434.3,260.58,35.0,7411.0,55
CDM,31001169,"HC REF MAYO COMP SCAP, CPT 81179",434.3,260.58,35.0,7411.0,55
CDM,31001170,"HC REF MAYO COMP SCAP, CPT 81180",434.3,260.58,35.0,7411.0,55
CDM,31001171,"HC REF MAYO COMP SCAP, CPT 81184",434.3,260.58,35.0,7411.0,55
CDM,31001172,"HC REF MAYO COMP SCAP, CPT 81181",434.3,260.58,35.0,7411.0,55
CDM,31001173,HC REF ARUP 3017373 NUDT15 GENOTYPING,462.5,277.5,35.0,7411.0,55
CDM,31001174,HC REF ARUP COMP 3004788 CPT 81223,1583.33,950.0,35.0,7411.0,55
CDM,31001175,HC REF ARUP COMP 3004788 CPT 81404,1583.33,950.0,35.0,7411.0,55
CDM,31001176,HC REF ARUP COMP 3004788 CPT 81405,1583.33,950.0,35.0,7411.0,55
CDM,31001177,HC REF LABCORP 620158 DRPLA (ATN1) GENETIC TESTING,620.0,372.0,35.0,7411.0,55
CDM,31001178,HC REF MAYO COMP SCAP CPT 81178,434.3,260.58,35.0,7411.0,55
CDM,31001179,HC REF MAYO COMP SCAP CPT 81179,434.3,260.58,35.0,7411.0,55
CDM,31001180,HC REF MAYO COMP SCAP CPT 81180,434.3,260.58,35.0,7411.0,55
CDM,31001181,HC REF MAYO COMP SCAP CPT 81181,434.3,260.58,35.0,7411.0,55
CDM,31001182,HC REF MAYO COMP SCAP CPT 81184,434.3,260.58,35.0,7411.0,55
CDM,31001183,HC REF ARUP COMP 3002110 CPT 81406,1250.0,750.0,35.0,7411.0,55
CDM,31001184,HC REF ARUP COMP 3002110 CPT 81407,1250.0,750.0,35.0,7411.0,55
CDM,31001185,HC REF ARUP COMP 3002110 CPT 81479,1250.0,750.0,35.0,7411.0,39
CDM,31001186,HC REF ARUP COMP 3001161 CPT 81245,306.25,183.75,35.0,7411.0,55
CDM,31001187,HC REF ARUP COMP 3001161 CPT 81246,306.25,183.75,35.0,7411.0,55
CDM,31001188,"HC REF MAYO MCGST MAYOCOMP GASTROINTESTINAL STROMAL TUMOR PANEL, NEXT GEN SEQ",4361.18,2616.71,35.0,7411.0,54
CDM,31001189,HC REF ARUP 3016968 BCL ABL 190 MINOR QUANTITATIVE,630.0,378.0,35.0,7411.0,55
CDM,31001190,HC REF ARUP 3019007 HEMOCHROMATOSIS (HFE) VARIANTS,222.5,133.5,35.0,7411.0,55
CDM,31001191,"HC REF ARUP 3005654, HEREDITARY BREAST CANCER GUIDL-BASED PANEL",3750.0,2250.0,35.0,7411.0,55
CDM,31001192,"HC REF ARUP 3003751, JAK2 MUTATION BY DDPCR, QUANT",350.0,210.0,35.0,7411.0,55
CDM,31001193,HC REF ARUP 0097102 MISC FOR FRAT TO RELIGENDX,825.0,495.0,35.0,7411.0,54
CDM,31001194,HC REF MAYO COMP PHCGD CPT 81223,2554.0,1532.4,35.0,7411.0,55
CDM,31001195,HC REF MAYO COMP PHCGD CPT 81249,3070.95,1842.57,35.0,7411.0,55
CDM,31001196,HC REF MAYO COMP PHCGD CPT 81479,0.05,0.03,0.0085,7411.0,39
CDM,31001197,HC REF ARUP 3017399 TPSAB1 COPY NUMBER ANALYSIS BY DDPCR,412.5,247.5,35.0,7411.0,39
CDM,31001198,"HC REF NEOGENOMICS, COMP NEOTYPE LYMPHOMA PROFILE CPT 81479",2450.0,1470.0,35.0,7411.0,39
CDM,31001199,"HC REF NEOGENOMICS, COMP NEOTYPE LYMPHOMA PROFILE CPT 88374",920.0,552.0,35.0,7411.0,55
CDM,31001200,HC REF BAYLOR GENETICS 6034 HUNTINGTONS DISEASE MUTATION,1000.0,600.0,35.0,7411.0,55
CDM,31001201,HC REF MAYO EM - ELECTRON MICROSCOPY,2232.73,1339.64,35.0,7411.0,55
CDM,31001202,HC REF MAYO COMP PARDP CPT 81403,159.78,95.87,35.0,7411.0,55
CDM,31001203,HC REF MAYO COMP PARDP CPT 81404,237.08,142.25,35.0,7411.0,55
CDM,31001204,HC REF MAYO COMP PARDP CPT 81405,259.96,155.98,35.0,7411.0,55
CDM,31001205,HC REF MAYO COMP PARDP CPT 81406,244.03,146.42,35.0,7411.0,55
CDM,31001206,HC REF MAYO COMP PARDP CPT 81407,730.05,438.03,35.0,7411.0,55
CDM,31001207,HC REF MAYO COMP PARDP CPT 81408,1725.33,1035.2,35.0,10320.0,55
CDM,31001209,"HC REF MAYO NCDA CDA SEQUENCING, NGS",9554.0,5732.4,35.0,8120.9,39
CDM,31001210,HC REF ARUP COMP 3002100 CPT 81405,1633.33,980.0,35.0,7411.0,55
CDM,31001211,HC REF ARUP COMP 3002100 CPT 81406,1633.33,980.0,35.0,7411.0,55
CDM,31001212,HC REF ARUP COMP 3002100 CPT 81407,1633.33,980.0,35.0,7411.0,55
CDM,31001213,HC REF ARUP COMP 3017909 CPT 0524U,393.75,236.25,35.0,7411.0,54
CDM,31001214,HC REF NEOGENOMICS MYD88 MUTATION ANALYSIS,887.5,532.5,35.0,7411.0,39
CDM,31001215,HC REF ARUP COMP 2006193 CPT 81261,500.0,300.0,35.0,7411.0,55
CDM,31001216,HC REF ARUP COMP 2006193 CPT 81264,500.0,300.0,35.0,7411.0,55
CDM,31001218,"HC REF MAYO, CD25, IHC ADDL",187.5,112.5,31.88,7411.0,39
CDM,31001219,"HC REF MAYO, CD25, IHC INITIAL",187.5,112.5,31.88,7411.0,55
CDM,31001220,HC REF LABCORP 252489 ZAP70 FULL GENE SEQ,3000.0,1800.0,35.0,7411.0,39
CDM,31001222,HC REF MAYO EPPAN COMPREHENSIVE EPILEPSY GENE PANEL,7192.5,4315.5,35.0,7411.0,55
CDM,31001223,HC REF MAYO ISNP SENSORY NEUROPATHY NE PANEL,6037.5,3622.5,35.0,7411.0,55
CDM,31001224,HC TRAUMATIC BRAIN INJURY SCREEN,521.0,312.6,35.0,7411.0,54
CDM,31001225,HC REF NEOGENOMICS IGVH MUTATION ANALYSIS,1277.5,766.5,35.0,7411.0,55
CDM,31001226,HC REF PANEL MAYO GNVWD CPT 81408,4510.25,2706.15,35.0,10320.0,55
CDM,31001227,HC REF PANEL MAYO GNVWD CPT 81479,0.03,0.02,0.0051,7411.0,39
CDM,31001228,HC REF ARUP COMP 3001607 CPT 81405,1050.0,630.0,35.0,7411.0,55
CDM,31001229,HC REF ARUP COMP 3001607 CPT 81406,1050.0,630.0,35.0,7411.0,55
CDM,31001230,HC REF ARUP COMP 3001607 CPT 81408,1050.0,630.0,35.0,10320.0,55
CDM,31001231,HC REF ARUP COMP 3001607 CPT 81479,1050.0,630.0,35.0,7411.0,39
CDM,31001232,HC REF QUEST 16924 ACCUTYPE CP CLOPIDOGREL CYP2C19 GENOTYPE,1534.58,920.75,35.0,7411.0,55
CDM,31001233,"HC REF ARUP 3017909 PREECLAMPSIA SFLT-1/PIGF RATIO, S/P",787.5,472.5,35.0,7411.0,54
CDM,31001234,"HC REP MAYO WASEQ ALPHA GLOBIN GENE SEQUENCING, B",1835.75,1101.45,35.0,7411.0,55
CDM,31001235,HC REF ARUP COMP 3005839 CPT 81206,134.17,80.5,35.0,7411.0,55
CDM,31001236,HC REF ARUP COMP 3005839 CPT 81207,134.17,80.5,35.0,7411.0,55
CDM,31001237,HC REF ARUP COMP 3005839 CPT 81208,134.17,80.5,35.0,7411.0,55
CDM,31001238,"HC REF ARUP  3005840 RFLX QUANT DETECT BCR-ABL1, MAJOR FORM P210",610.0,366.0,35.0,7411.0,55
CDM,31001239,"HC REF ARUP  3016968 RFLX QUANT DETECT BCR-ABL1, MAJOR FORM P210",630.0,378.0,35.0,7411.0,55
CDM,31001240,"HC REF MAYO DPYDQ DPYD GENOTYPE, V",1418.65,851.19,35.0,7411.0,55
CDM,31001241,"HC REF MAYO IMSNP INHERITED MOTOR SENSORY NEUROPATHY GENE PANEL, VARIES",6037.5,3622.5,35.0,7411.0,55
CDM,31001242,HC REF MAYO LQTSG COMP CPT 81403,547.88,328.73,35.0,7411.0,55
CDM,31001243,HC REF MAYO LQTSG COMP CPT 81406,836.81,502.09,35.0,7411.0,55
CDM,31001244,HC REF MAYO LQTSG COMP CPT 81407,2503.48,1502.09,35.0,7411.0,55
CDM,31001245,HC REF MAYO LQTSG COMP CPT 81479,0.03,0.02,0.0051,7411.0,39
CDM,31001246,"HC REF MAYO MCKCP MAYOCOMPLETE KIDNEY CANCER PANEL, NEXT-GEN SEQ, TUMOR",6300.0,3780.0,35.0,7411.0,54
CDM,31001247,"HC REF MAYO MCRSP MAYOCOMPLETE TARGETED RNA SEQ PANEL, NEXT GEN SEQ TUMOR",8375.0,5025.0,35.0,15065.14,55
CDM,31001248,"HC REF MAYO GNMTC MACRO/MICROTHROMBOCYTOPENIA GENE PANEL, NEXT GEN SEQ, VARIES",4593.75,2756.25,35.0,12634.57,55
CDM,31001249,"HC REF MAYO FIBRO, FIBROTEST-ACTITEST",456.75,274.05,35.0,7411.0,55
CDM,31001250,"HC REF MAYO CMSP, CONGENITAL MYASTHENIA SYNDROME PANEL",6008.75,3605.25,35.0,12634.57,55
CDM,31001251,HC REF NEOGENOMICS NEOTYPE CLL PROFILE,1575.0,945.0,10.0,7411.0,55
CDM,31001252,HC REF ARUP 3019947 COMP CPT 81425,3625.0,2175.0,35.0,25960.99,55
CDM,31001253,HC REF ARUP 3019947 COMP CPT 81460,3625.0,2175.0,35.0,7411.0,55
CDM,31001254,HC REF MAYO RABMP RHABDO/METABOLIC MYOPATHY PANEL,6858.0,4114.8,35.0,12634.57,55
CDM,31001255,HC REF ARUP 3005703 BIR-GOTT-DUBE SYNDROME (FLCN) SEQ/DEL DUP,2625.0,1575.0,35.0,7411.0,39
CDM,31001256,"HC REF ARUP COMP 2010183, CPT 81403",768.17,460.9,35.0,7411.0,55
CDM,31001257,"HC REF ARUP COMP 2010183, CPT 81404",768.17,460.9,35.0,7411.0,55
CDM,31001258,"HC REF ARUP COMP 2010183, CPT 81405",768.17,460.9,35.0,7411.0,55
CDM,31001259,"HC REF ARUP COMP 2010183, CPT 81406",768.17,460.9,35.0,7411.0,55
CDM,31001260,"HC REF ARUP COMP 2010183, CPT 81407",768.17,460.9,35.0,7411.0,55
CDM,31001261,"HC REF ARUP COMP 2010183, CPT 81408",768.17,460.9,35.0,10320.0,55
CDM,31001262,"HC REF ARUP COMP 2010183, CPT 81479",768.17,460.9,35.0,7411.0,39
CDM,31001263,"HC REF ARUP COMP 2010183, CPT 81414",768.17,460.9,35.0,7411.0,55
CDM,31001264,HC REF ARUP 3002956 KIT D816V MUTATION BY DDPCR QUANT,700.0,420.0,35.0,7411.0,55
CDM,31001265,"HC REF MAYO UGTFZ UGT1A1 FULL GENE SEQUENCING, V",2342.23,1405.34,35.0,7411.0,55
CDM,31001266,HC REF MAYO BMFGP BONE MARROW FAILURE GENE PANEL,8503.75,5102.25,35.0,12634.57,55
CDM,31001267,HC REF QUEST 91065 COMP CPT 81206,441.8,265.08,35.0,7411.0,55
CDM,31001268,HC REF QUEST 91065 COMP CPT 81206,441.8,265.08,35.0,7411.0,55
CDM,31001269,HC REF MAYO MNDP MOTOR NEURON DISEASE GENE PANEL,6858.0,4114.8,35.0,12634.57,55
CDM,31001270,"HC REF CHILDREN'S HOSPITAL COLORADO LAB6949 TMA/TMAO PROFILE, URINE",1312.5,787.5,35.0,7411.0,55
CDM,31100002,HC CYTOPATH CONCENTRATION SMEARS & INTERPRETATION,238.24,142.94,35.0,7411.0,55
CDM,31100003,"HC CYTOPATH, CELL ENHANCE TECH",331.8,199.08,35.0,7411.0,55
CDM,31100004,HC CYTP URNE 3-5 PROBES EA SPEC,1054.93,632.96,35.0,7411.0,55
CDM,31100005,HC CYTOPATH CERV/VAG THIN LAYER,171.58,102.95,17.02,7411.0,55
CDM,31100007,"HC CYTOPATH,OTHR SOURC,SCREEN,INTERP",143.0,85.8,24.31,7411.0,55
CDM,31100008,"HC CYTOPATH,OTHR SOURC,PREP,SCRN,INTERP",167.23,100.34,27.61,7411.0,55
CDM,31100009,HC CYTOPATH TBS CERV/VAG MANUAL,96.57,57.94,15.28,7411.0,55
CDM,31100010,HC CYTP FINE NDL ASPIRATE IMMEDIATE ADEQUACY 1ST EPISODE,319.43,191.66,35.0,7411.0,55
CDM,31100011,HC CYTP EVAL FINE NEEDLE ASPIRATE INTERP & REPORT,437.49,262.49,35.0,7411.0,55
CDM,31100012,HC CYTOPATH C/V AUTO FLUID,169.4,101.64,22.35,7411.0,55
CDM,31100013,HC CYTP FINE NDL ASPIRATE IMMEDIATE ADEQUACY ADDITIONAL EVAL,182.12,109.27,17.59,7411.0,39
CDM,31100015,"HC FLOW CYTOMETRY,CELL SRFCE,CYTP - 1ST MARKER",457.39,274.43,35.0,7411.0,55
CDM,31100016,"HC FLOW CYTOMETRY,CELL SRFCE,CYTP - EA ADD MARKER",210.3,126.18,35.0,7411.0,39
CDM,31100020,HC TISSUE CULTURE/NON-NEO DISORDERS LYMPHOCYTE,903.05,541.83,35.0,7411.0,55
CDM,31100021,"HC TISSUE CULTURE, SKIN/ SOLID TISSUE BIOPSY",1145.6,687.36,35.0,7411.0,55
CDM,31100022,HC TISSUE CULTURE AMINOTIC FLUID OR CHRONIONIC VILLUS,975.24,585.14,35.0,7411.0,55
CDM,31100023,HC TISSUE CULTURE NEO DISORDERS BONE MARROW BLOOD CELLS,820.49,492.29,35.0,7411.0,55
CDM,31100024,HC TISSUE CULTURE NEO DISORDERS SOLID TUMOR,1286.85,772.11,35.0,7411.0,55
CDM,31100025,HC CHROMOSOME ANALYSIS COUNT 5 CELLS 1 KARYOTYPE BANDING,1412.64,847.58,35.0,7411.0,55
CDM,31100026,HC CHROMOSOME ANALYSIS COUNT 15-20 CELLS 2 KARYOTYPE BANDING,1275.61,765.37,35.0,7411.0,55
CDM,31100027,HC CHROMOSOME ANALYSIS 20-25 CELLS,931.37,558.82,35.0,7411.0,55
CDM,31100028,HC CHROMOSOME ANALYSIS AMNIOTIC CELLS 6-12 COLONIES 1 KARAOTYPE,1353.8,812.28,35.0,7411.0,55
CDM,31100029,HC MOLECULAR CYTOGENETICS DNA PROBE EACH,306.48,183.89,17.99,7411.0,55
CDM,31100031,HC MOLECULAR CYTOGENETICS CHRMOML ISH 10-30 CELLS,406.18,243.71,29.24,7411.0,55
CDM,31100032,HC MOLECULAR CYTOGENETICS INTERPHASE ISH 25-99 CELLS,410.94,246.56,35.0,7411.0,55
CDM,31100033,HC MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CELLS,412.89,247.73,35.0,7411.0,55
CDM,31100034,HC CHROMOSOME ANALYSIS ADDL KARYOTYPE EACH STUDY,658.41,395.05,28.11,7411.0,55
CDM,31100035,HC CHROMOSOME ANALYSIS ADDL SPECIALIZED BANDING,453.68,272.21,35.0,7411.0,55
CDM,31100036,HC CHROMOSOME ANALYSIS ADDL CELLS COUNTED EACH STUDY,243.94,146.36,22.6,7411.0,55
CDM,31100037,HC CHROMOSOME ANALYSIS ADDL HIGH RESOLUTION STUDY,328.58,197.15,28.92,7411.0,55
CDM,31100038,HC CYTOGENETICS & MOLECULAR CYTOGENETICS INTERP & REPORT,163.57,98.14,27.81,7411.0,39
CDM,31100039,HC PATH CONSULT OR,224.43,134.66,35.0,7411.0,55
CDM,31100040,"HC PATH CONSLTN SURG 1ST BLK FROZEN SCTN SINGLE SPECIMEN,",496.45,297.87,35.0,7411.0,55
CDM,31100041,HC PATH CONSLTN SURG EA ADDL BLK FROZEN SECTION,256.96,154.18,35.0,7411.0,39
CDM,31100042,HC PATH CONSLTN SURG CYTOLOGIC EXAM INITIAL SITE,769.91,461.95,35.0,7411.0,55
CDM,31100043,HC PATH CONSLTN SURG CYTOLOGIC EXAM ADDL SITE,169.64,101.78,28.84,7411.0,39
CDM,31100047,HC CRYOPRESRVATION FRZING & STORAGE CELLS EA CELL LINE,69.98,41.99,10.98,7411.0,55
CDM,31100082,"HC CYTOPATHOLOGY,CERV/VAG - INTERP",154.07,92.44,26.19,7411.0,39
CDM,31100085,"HC SURGICAL PATH, LEVEL III,GROSS - CYTO",399.16,239.5,35.0,7411.0,55
CDM,31100086,"HC SPECIAL STAINS, GROUP I, EACH - CYTO",276.92,166.15,35.0,7411.0,55
CDM,31100089,"HC IN SITU HYBRIDIZATION, CYTO",622.39,373.43,35.0,7411.0,55
CDM,31100098,HC CX TISSUE NEOPLASM BLD HEMA,820.49,492.29,35.0,7411.0,55
CDM,31100099,HC TISSUE CULTURE - CHROMOSOME,1286.85,772.11,35.0,7411.0,55
CDM,31100100,HC CHROM ANALY 15-20 2 KARY WBAND,1275.61,765.37,35.0,7411.0,55
CDM,31100101,HC CYTOGEN DNA PROBE FISH,306.48,183.89,17.99,7411.0,55
CDM,31100102,HC MOLE CYTOGEME DNA PROB 1P/19Q,306.48,183.89,17.99,7411.0,55
CDM,31100103,HC MOLE CYTOGENE DNA PROB C-MYC,306.48,183.89,17.99,7411.0,55
CDM,31100104,HC MOL CYTOGENE DNA PROB IGH/BCL2,306.48,183.89,17.99,7411.0,55
CDM,31100105,HC CYTOGEN DNA PROBE FISH NPM1,306.48,183.89,17.99,7411.0,55
CDM,31100106,HC CYTOGEN DNA PROBE FISH BCR/ABL,306.48,183.89,17.99,7411.0,55
CDM,31100107,HC CYTOGEN DNA PROBE FISH MDS,306.48,183.89,17.99,7411.0,55
CDM,31100108,HC CYTOGEN DNA PROBE FISH CLL,306.48,183.89,17.99,7411.0,55
CDM,31100109,HC CYTOGEN DNA PROBE FISH MM,306.48,183.89,17.99,7411.0,55
CDM,31100110,HC CYTOGEN DNA PROBE FISH IGHM,306.48,183.89,17.99,7411.0,55
CDM,31100111,HC CYTOGEN DNA PROBE FISH BCL2F,306.48,183.89,17.99,7411.0,55
CDM,31100112,HC CYTOGEN DNA PROBE FISH BCL6,306.48,183.89,17.99,7411.0,55
CDM,31100113,HC CYTOGEN DNA PROBE FISH CBFM,306.48,183.89,17.99,7411.0,55
CDM,31100114,HC MOL CYTOGENETIC DNA PROBE,306.48,183.89,17.99,7411.0,55
CDM,31100115,HC CYTOGEN CHROM IN SITU 25-99,410.94,246.56,35.0,7411.0,55
CDM,31100116,HC INTER HYBRID 25-99 (19006814),410.94,246.56,35.0,7411.0,55
CDM,31100117,HC CYTOGEN CHROM IN SITU 25-99,410.94,246.56,35.0,7411.0,55
CDM,31100121,HC FLOW CYTOMETRY INTERP 2-8 MAR,106.92,64.15,18.18,7411.0,39
CDM,31100122,HC FLOW CYTOMETRY INTERP 9-15 MAR,287.91,172.75,35.0,7411.0,39
CDM,31100123,HC UNLISTED CYTOGENETIC STUDY,517.44,310.46,35.0,7411.0,55
CDM,31100124,HC AUTO ISLET CELL TRANSPLANT,111534.8,66920.88,35.0,94804.58,39
CDM,31100125,HC CYTO EXAM INITIAL,769.91,461.95,35.0,7411.0,55
CDM,31100126,"HC CYTO, EA ADD'L",169.64,101.78,28.84,7411.0,39
CDM,31100127,HC MOLECULAR CYTOGENETICS - DNA PRB,306.48,183.89,17.99,7411.0,55
CDM,31100128,HC MOLECULAR CYTOGENETICS - DNA PRB,306.48,183.89,17.99,7411.0,55
CDM,31100129,HC MOLECULAR CYTOGENETICS - DNA PRB,306.48,183.89,17.99,7411.0,55
CDM,31100130,HC MOLECULAR CYTOGENETICS - DNA PRB,306.48,183.89,17.99,7411.0,55
CDM,31100131,HC TISSUE CULTURE/NEO/DISO/BONE M,820.49,492.29,35.0,7411.0,55
CDM,31100132,HC CHROMOSOME ANALYSIS/15-20 CELL,1181.12,708.67,35.0,7411.0,55
CDM,31100133,HC MOLECULAR CYTOGENETICS - DNA PRB,306.48,183.89,17.99,7411.0,55
CDM,31100134,HC MOLECULAR CYTOGENETICS - DNA PRB,306.48,183.89,17.99,7411.0,55
CDM,31100135,HC MOLECULAR CYTO - INTERPH IN-SITU,410.94,246.56,35.0,7411.0,55
CDM,31100136,HC CHROMOSOME ANALYSIS/15-20 CELL,1275.61,765.37,35.0,7411.0,55
CDM,31100137,HC TISSUE CULTURE/NEOPLASTIC DISO,1286.85,772.11,35.0,7411.0,55
CDM,31100138,HC MOLECULAR CYTOGENETICS - DNA PRB,306.48,183.89,17.99,7411.0,55
CDM,31100139,HC MOLECULAR CYTOGENETICS - DNA PRB,306.48,183.89,17.99,7411.0,55
CDM,31100140,HC MOLECULAR CYTOGENETICS - DNA PRB,306.48,183.89,17.99,7411.0,55
CDM,31100141,HC MOLECULAR CYTOGENETICS - DNA PRB,306.48,183.89,17.99,7411.0,55
CDM,31100142,HC MOLECULAR CYTOGENETICS - DNA PRB,306.48,183.89,17.99,7411.0,55
CDM,31100143,HC MOLECULAR CYTOGENETICS - DNA PRB,306.48,183.89,17.99,7411.0,55
CDM,31100144,"HC CHROMOSOME ANALYSIS, ADDITIONAL KEROTYPES",658.41,395.05,28.11,7411.0,55
CDM,31100145,HC TISSUE CULTURE/CHROM ANALYSIS/,975.24,585.14,35.0,7411.0,55
CDM,31100146,HC TISSUE CULTURE/NEOPLASTIC DISO,1286.85,772.11,35.0,7411.0,55
CDM,31100147,HC TISSUE CULTURE/NEO/DISO/BONE M,820.49,492.29,35.0,7411.0,55
CDM,31100148,HC MOLECULAR CYTOGENETICS - DNA PRB,306.48,183.89,17.99,7411.0,55
CDM,31100149,HC MOLECULAR CYTOGENETICS - DNA PRB,306.48,183.89,17.99,7411.0,55
CDM,31100150,HC MOLECULAR CYTOGENETICS - DNA PRB,306.48,183.89,17.99,7411.0,55
CDM,31100151,HC FLOWCELL CYTOMETRY RL,509.7,305.82,35.0,7411.0,55
CDM,31100152,"HC FLOW CYTOMETRY,CELL SRFCE,CYTP - 1ST MARKER",457.39,274.43,35.0,7411.0,55
CDM,31100153,"HC FLOW CYTOMETRY,CELL SRFCE,CYTP - EA ADD MARKER",210.3,126.18,35.0,7411.0,39
CDM,31100154,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,55
CDM,31100155,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,55
CDM,31100156,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,55
CDM,31100157,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,55
CDM,31100158,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,55
CDM,31100159,"HC CRYOPRESRVATION,FREEZING/STRG",69.98,41.99,10.98,7411.0,55
CDM,31100160,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,55
CDM,31100161,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,55
CDM,31100162,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,55
CDM,31100163,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,55
CDM,31100164,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,55
CDM,31100165,"HC FLOW CYTOMETRY,CELL SRFCE,CYTP - 1ST MARKER",457.39,274.43,35.0,7411.0,55
CDM,31100166,"HC FLOW CYTOMETRY,CELL SRFCE,CYTP - 1ST MARKER",457.39,274.43,35.0,7411.0,55
CDM,31100167,"HC CRYOPRESRVATION,FREEZING/STRG",69.98,41.99,10.98,7411.0,55
CDM,31100168,HC MOLECULAR CYTO - CHROM IN-SITU - 10-30 CELLS,406.18,243.71,29.24,7411.0,55
CDM,31100169,HC MOLECULAR CYTO - CHROM IN-SITU - 10-30 CELLS,406.18,243.71,29.24,7411.0,55
CDM,31100170,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,55
CDM,31100171,"HC FLOW CYTOMETRY,CELL SRFCE,CYTP - EA ADD MARKER",210.3,126.18,35.0,7411.0,39
CDM,31100172,"HC FLOW CYTOMETRY,CELL SRFCE,CYTP - 1ST MARKER",457.39,274.43,35.0,7411.0,55
CDM,31100173,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,55
CDM,31100174,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,55
CDM,31100175,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,55
CDM,31100176,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,55
CDM,31100177,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,55
CDM,31100178,"HC FLOW CYTOMETRY,CELL SRFCE,CYTP - 1ST MARKER",457.39,274.43,35.0,7411.0,55
CDM,31100179,"HC FLOW CYTOMETRY,CELL SRFCE,CYTP - 1ST MARKER",457.39,274.43,35.0,7411.0,55
CDM,31100180,"HC FLOW CYTOMETRY,CELL SRFCE,CYTP - EA ADD MARKER",210.3,126.18,35.0,7411.0,39
CDM,31100181,"HC FLOW CYTOMETRY,CELL SRFCE,CYTP - EA ADD MARKER",210.3,126.18,35.0,7411.0,39
CDM,31100183,"HC CRYOPRESRVATION,FREEZING/STRG",69.98,41.99,10.98,7411.0,55
CDM,31100184,"HC FLOW CYTOMETRY,CELL SRFCE,CYTP - 1ST MARKER",457.39,274.43,35.0,7411.0,55
CDM,31100185,"HC FLOW CYTOMETRY,CELL SRFCE,CYTP - 1ST MARKER",457.39,274.43,35.0,7411.0,55
CDM,31100186,"HC FLOW CYTOMETRY,CELL SRFCE,CYTP - 1ST MARKER",457.39,274.43,35.0,7411.0,55
CDM,31100187,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,55
CDM,31100190,HC CHROMOSOME ANALYSIS COUNT 45 CELLS MOSAICISM 2 KARYOTYPES,1225.85,735.51,35.0,7411.0,55
CDM,31100191,HC CHROMOSOME ANALYSIS AMNIOTIC/VILLUS 15 CELL 1 KARYOTYPE,1464.24,878.54,35.0,7411.0,55
CDM,31100193,HC AUTO ISLET CELL PROCESSING,73237.84,43942.7,35.0,62252.16,39
CDM,31100194,"HC REF ARUP 3005882 DYSAUTONOMIA, FAMIAL (ELP1) 2 VARIANTS",793.75,476.25,33.02,7411.0,55
CDM,31100195,"HC REF ARUP COMP 3000455, CPT 88271",210.71,126.43,17.99,7411.0,55
CDM,31100196,"HC REF ARUP COMP 3000455, CPT 88275",210.71,126.43,35.0,7411.0,55
CDM,31100197,"HC REF MAYO COMP RBCME, CPT 88184",2050.13,1230.08,35.0,7411.0,55
CDM,31100198,"HC REF MAYO CHRBM CHROMOSOME ANALYSIS, HEMATOLOGIC DISORDERS, BONE MARROW",1562.5,937.5,35.0,7411.0,55
CDM,31100199,"HC REF MAYO COMP COGTF, CPT 88271",27.39,16.43,9.86,7411.0,55
CDM,31100200,"HC REF MAYO COMP COGTF, CPT 88275",65.46,39.28,23.57,7411.0,55
CDM,31100245,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI FISH ANAL 100-300CELL IGH/BCL2 MOLECULAR LAB,412.89,247.73,35.0,7411.0,55
CDM,31100246,HC VCD3 FLOW CYTMTRY FIRST MARKER,457.39,274.43,35.0,7411.0,55
CDM,31100247,HC VCD3 ADDITIONAL MARKER CD4,210.3,126.18,35.0,7411.0,39
CDM,31100248,HC VCD3 ADDITIONAL MARKER CD8,210.3,126.18,35.0,7411.0,39
CDM,31100249,HC VCD3 ADDITIONL MARKER VIABLITY,210.3,126.18,35.0,7411.0,39
CDM,31100250,"HC REF COLONIES, 6+",437.5,262.5,35.0,7411.0,55
CDM,31100251,HC M/PHMTRC ALYS ISHQUANT/SEMIQ (WOMENS IMAGING CENTER,948.51,569.11,35.0,7411.0,55
CDM,31100252,"HC REF MAYO, ATPCO ANAL THINPREP CYTO HPV",1068.22,640.93,35.0,7411.0,55
CDM,31100253,"HC MOLEC CYTO DNA PROBE - LYMPHOMA PANEL (B-CELL), FISH",306.48,183.89,17.99,7411.0,55
CDM,31100254,"HC FLOW CYTO, TC 1ST MARKER - ANTI RECEPTOR AB IGE",457.39,274.43,35.0,7411.0,55
CDM,31100255,"HC FLOW CYTO, TC ADDL MARKER - ANTI RECEPTOR AB IGE",210.3,126.18,35.0,7411.0,39
CDM,31100256,HC MOLEC CYTO CHROM ISH 3-5 - ACUTE MYELOID LEUKEMIA FISH,283.78,170.27,34.19,7411.0,55
CDM,31100257,HC MOLEC CYTO DNA - ACUTE MYELOID LEUKEMIA FISH,306.48,183.89,17.99,7411.0,55
CDM,31100258,HC MOLEC CYTO DNA PROBE - CHRONIC LYMPHOMOCYTIC LEUKEMIA FISH,306.48,183.89,17.99,7411.0,55
CDM,31100261,HC MOLEC CYTO ISH ANALYZE 100-300 CLL - CHRONIC LYMPHOMOCYTIC LEUKEMIA FISH,412.89,247.73,35.0,7411.0,55
CDM,31100262,HC MOLEC CYTO ISH ANALYZE 100-300 CLL - FISH,412.89,247.73,35.0,7411.0,55
CDM,31100264,"HC MOLEC CYTO ISH ANALYZE 100-300 CLL - LYMPHOMA PANEL (B-CELL), FISH",412.89,247.73,35.0,7411.0,55
CDM,31100265,HC MOLECULAR CYTO INTERPHASE SISTU HYRI - BCR/ABL,412.89,247.73,35.0,7411.0,55
CDM,31100266,HC MOLECULAR CYTO INTERPHASE SISTU HYRI - IGH/FGFR3,412.89,247.73,35.0,7411.0,55
CDM,31100267,HC MOLECULAR CYTO INTERPHASE SISTU HYRI - IGH/BCL2,412.89,247.73,35.0,7411.0,55
CDM,31100268,HC MOLECULAR CYTO INTERPHASE SISTU HYRI - IGH/MYC,412.89,247.73,35.0,7411.0,55
CDM,31100269,HC MOLECULAR CYTO INTERPHASE SISTU HYRI - C-MYC,412.89,247.73,35.0,7411.0,55
CDM,31100270,HC MOLECULAR CYTO INTERPHASE SISTU HYRI - PML RARA,412.89,247.73,35.0,7411.0,55
CDM,31100271,HC MOLECULAR CYTO INTERPHASE SISTU HYRI - INDIV FISH,412.89,247.73,35.0,7411.0,55
CDM,31100272,HC CYTO/MOLEC CYTO INTERP/REPORT - INDIV FISH,163.57,98.14,27.81,7411.0,39
CDM,31100273,HC MOLEC CYTO INTERPHASE SISTU HYRI - LYMPH PAR EMB TISS PANEL FISH,412.89,247.73,35.0,7411.0,55
CDM,31100274,HC CYTO/MOLEC CYTO INTERP/REPORT - LYMPH PAR EMB TISS PANEL FISH,163.57,98.14,27.81,7411.0,39
CDM,31100275,HC CYTO/MOLEC CYTO INTERP/REPORT - ACUTE LYMPH LEUK PANEL PED FISH,163.57,98.14,27.81,7411.0,39
CDM,31100276,HC MOLEC CYTO INTERPHASE SISTU HYRI - MYELOPROLIFERATIVE DISORDER PANEL FISH,412.89,247.73,35.0,7411.0,55
CDM,31100277,HC CYTO/MOLEC CYTO INTERP/REPORT - MYELOPROLIFERATIVE DISORDER PANEL FISH,163.57,98.14,27.81,7411.0,39
CDM,31100278,HC CYTOGENETICS 100-300 - EOSINOPHILIA PANEL FISH,412.89,247.73,35.0,7411.0,55
CDM,31100279,HC CYTO/MOLECULAR REPORT - EOSINOPHILIA PANEL FISH,163.57,98.14,27.81,7411.0,39
CDM,31100280,HC CYTOGENETICS 100-300 - ESSENTIAL THROMBOCYTHEMIA PANEL FISH,412.89,247.73,35.0,7411.0,55
CDM,31100281,HC CYTO/MOLECULAR REPORT - ESSENTIAL THROMBOCYTHEMIA PANEL FISH,163.57,98.14,27.81,7411.0,39
CDM,31100282,HC CYTOGENETICS 100-300 - GLIOBLASTOMA BRAIN PANEL FISH,412.89,247.73,35.0,7411.0,55
CDM,31100283,HC CYTO/MOLECULAR REPORT - GLIOBLASTOMA BRAIN PANEL FISH,163.57,98.14,27.81,7411.0,39
CDM,31100284,HC CYTO/MOLECULAR REPORT - OLIGO BRAIN PANEL FISH,163.57,98.14,27.81,7411.0,39
CDM,31100285,HC BCL2 GENE REARR - MOLECULAR CYTOGENETICS DNA PROBE EACH,306.48,183.89,17.99,7411.0,55
CDM,31100286,HC BCL6 GENE REARR - MOLECULAR CYTOGENETICS DNA PROBE EACH,306.48,183.89,17.99,7411.0,55
CDM,31100287,HC BCL2 GENE REARR - MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CELLS,412.89,247.73,35.0,7411.0,55
CDM,31100288,HC BCL6 GENE REARR - MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CELLS,412.89,247.73,35.0,7411.0,55
CDM,31100289,HC CYTOGENETICS DNA PROBE - CBFB MYH11 TRANSLOC INV(16) T(16; 16) FISH,306.48,183.89,17.99,7411.0,55
CDM,31100290,HC CYTOGENETICS 100-300 - CBFB MYH11 TRANSLOC INV(16) T(16; 16) FISH,412.89,247.73,35.0,7411.0,55
CDM,31100291,HC CYTOGENETICS DNA PROBE - CCND1 GENE REARRANG (11Q13) FISH,306.48,183.89,17.99,7411.0,55
CDM,31100292,HC CYTOGENETICS 100-300 - CCND1 GENE REARRANG (11Q13) FISH,412.89,247.73,35.0,7411.0,55
CDM,31100293,HC CYTOGENETICS DNA PROBE - RUNX1 (AML1) GENE REARRANG FISH,306.48,183.89,17.99,7411.0,55
CDM,31100294,HC CYTOGENETICS 100-300 - RUNX1 (AML1) GENE REARRANG FISH,412.89,247.73,35.0,7411.0,55
CDM,31100295,"HC CYTOGENETICS DNA PROBE - MULTI MYELOMA PANEL, FISH",306.48,183.89,17.99,7411.0,55
CDM,31100296,"HC CYTOGENETICS 100-300 - MULTI MYELOMA PANEL, FISH",412.89,247.73,35.0,7411.0,55
CDM,31100297,"HC TISSUE CULTURE BONE MARROW - CHROM ANALYS HEM DISORD, LYMPH NODE",820.49,492.29,35.0,7411.0,55
CDM,31100298,HC CYTOGENETICS DNA PROBE - ACUTE LYMPH LEUK PANEL FISH PEDI,306.48,183.89,17.99,7411.0,55
CDM,31100299,HC CYTOGENETICS DNA PROBE - ACUTE MYELOID LEUK PANEL FISH,306.48,183.89,17.99,7411.0,55
CDM,31100300,"HC CHROMOSOME ANALYSIS 20-25 - CHROMOS ANALYS, CONGENITAL",931.37,558.82,35.0,7411.0,55
CDM,31100301,"HC TISSUE CULTURE LYMPHOCYTE - CHROMOS ANALYS, CONGENITAL",903.05,541.83,35.0,7411.0,55
CDM,31100302,HC FLOWCYTOMETRY/ TC 1 MARKER - LEUK LYMPH PANEL FLOW,457.39,274.43,35.0,7411.0,55
CDM,31100303,HC FLOWCYTOMETRY/TC ADD-ON - LEUK LYMPH PANEL FLOW,210.3,126.18,35.0,7411.0,39
CDM,31100304,HC CYTOGENETICS DNA PROBE - MYELODYSPLASTIC SYND PANEL FISH,306.48,183.89,17.99,7411.0,55
CDM,31100305,HC CYTOGENETICS 100-300 - MYELODYSPLASTIC SYND PANEL FISH,412.89,247.73,35.0,7411.0,55
CDM,31100306,"HC REF JOHNS HOPKINS, FLOW CYTOMETRY BM",270.0,162.0,35.0,7411.0,39
CDM,31100307,"HC REF MAYO, COMP, FGFR2, CPT 88271",856.8,514.08,17.99,7411.0,55
CDM,31100308,"HC REF MAYO, COMP, FGFR2, CPT 88291",1306.4,783.84,35.0,7411.0,39
CDM,31100309,"HC REF MAYO COMP, PLASF, CPT 88271",2535.25,1521.15,17.99,7411.0,55
CDM,31100310,"HC REF MAYO COMP, PLASF, CPT 88291",1964.75,1178.85,35.0,7411.0,39
CDM,31100311,"HC REF MAYO COMP, RETF CPT 88271",1595.65,957.39,17.99,7411.0,55
CDM,31100312,"HC REF MAYO COMP, RETF CPT 88291",1236.6,741.96,35.0,7411.0,39
CDM,31100313,"HC REF MAYO COMP, PRKAF, CPT 88271",850.71,510.43,17.99,7411.0,55
CDM,31100314,"HC REF MAYO COMP, PRKAF, CPT 88291",1318.58,791.15,35.0,7411.0,39
CDM,31100315,"HC REF CINCINNATI, COMP 7372838, CPT 88184",254.58,152.75,35.0,7411.0,55
CDM,31100316,"HC REF CINCINNATI, COMP 7372838, CPT 88185",254.58,152.75,35.0,7411.0,39
CDM,31100317,"HC REF CINCINNATI, COMP 7372838, CPT 88187",254.58,152.75,35.0,7411.0,39
CDM,31100318,"HC REF CINCINNATI, COMP 2904400, CPT 88184",99.62,59.77,16.94,7411.0,55
CDM,31100319,"HC REF CINCINNATI, COMP 2904400, CPT 88185",99.62,59.77,16.94,7411.0,39
CDM,31100320,"HC REF CINCINNATI, COMP 2904400, CPT 88188",99.62,59.77,16.94,7411.0,39
CDM,31100321,"HC REF MAYO, COMP HAEV1, CPT 88184",1443.38,866.03,35.0,7411.0,55
CDM,31100322,"HC REF MAYO, COMP PLAFL, CPT 88184",591.1,354.66,35.0,7411.0,55
CDM,31100323,"HC REF MAYO, COMP PLAFL, CPT 88185",902.0,541.2,35.0,7411.0,39
CDM,31100324,"HC REF MAYO, COMP PLAFL, CPT 88187",256.9,154.14,35.0,7411.0,39
CDM,31100325,"HC REF ARUP, COMP 3003142, CPT 88184",89.78,53.87,15.26,7411.0,55
CDM,31100326,"HC REF ARUP, COMP 3003142, CPT 88185",89.78,53.87,15.26,7411.0,39
CDM,31100327,"HC REF ARUP, COMP 3003142, CPT 88188",89.78,53.87,15.26,7411.0,39
CDM,31100328,"HC REF MAYO, DD22F 22Q11.2 DELETION/DUPLICATION FISH CPT 88271",157.76,94.66,17.99,7411.0,55
CDM,31100329,"HC REF MAYO, DD22F 22Q11.2 DELETION/DUPLICATION FISH CPT 88291",242.03,145.22,35.0,7411.0,39
CDM,31100330,HC REF JOHN HOPKINS TELOMERE LENGTH MEASUREMENT FLOW CYTOMETRY AND FISH,1375.0,825.0,35.0,7411.0,55
CDM,31100331,"HC REF NEBRASKA COMP, CHROMOSOME ANALYSIS, CPT 88271",162.5,97.5,17.99,7411.0,55
CDM,31100332,"HC REF NEBRASKA COMP, CHROMOSOME ANALYSIS, CPT 88275",302.5,181.5,35.0,7411.0,55
CDM,31100333,HC REF MAYO COMP COGBM CPT 88237,2441.83,1465.1,35.0,7411.0,55
CDM,31100334,HC REF MAYO COMP COGBM CPT 88291,558.18,334.91,35.0,7411.0,39
CDM,31100335,HC REF MAYO COMP COGBM CPT 88264,875.0,525.0,35.0,7411.0,55
CDM,31100336,"HC REF MAYO COMP  COGBF COG-ALL, FISH CPT 88271",343.65,206.19,17.99,7411.0,55
CDM,31100337,"HC REF MAYO COMP  COGBF COG-ALL, FISH CPT 88275",821.28,492.77,35.0,7411.0,55
CDM,31100338,"HC REF MAYO COMP  COGBF COG-ALL, FISH CPT 88291",527.18,316.31,35.0,7411.0,39
CDM,31100339,HC REF HEMATOLOGICS COMP LEUKEMIA/LYMPHOMA FLOW CYTO CPT 88184,250.0,150.0,35.0,7411.0,55
CDM,31100340,HC REF HEMATOLOGICS COMP LEUKEMIA/LYMPHOMA FLOW CYTO CPT 88185,102.94,61.76,17.5,7411.0,39
CDM,31100341,HC REF HEMATOLOGICS COMP LEUKEMIA/LYMPHOMA FLOW CYTO CPT 88189,500.0,300.0,35.0,7411.0,39
CDM,31100342,HC REF MEDFUSION COMP 16000 ZAP-70 CPT 88184,287.5,172.5,35.0,7411.0,55
CDM,31100343,HC REF MEDFUSION COMP 16000 ZAP-70 CPT 88185,287.5,172.5,35.0,7411.0,39
CDM,31100344,HC REF MAYO COMP AHUSD ATYPICAL HEMOLYTIC UREMIC SYNDROME CPT 86160,510.45,306.27,10.08,7411.0,55
CDM,31100345,HC REF MAYO COMP AHUSD ATYPICAL HEMOLYTIC UREMIC SYNDROME CPT 86161,510.45,306.27,10.08,7411.0,55
CDM,31100346,HC REF MAYO COMP AHUSD ATYPICAL HEMOLYTIC UREMIC SYNDROME CPT 86162,864.35,518.61,17.07,7411.0,55
CDM,31100347,HC REF ARUP COMP 2002292 CHROMOSOME ANALYSIS BM CPT 88237,467.19,280.31,35.0,7411.0,55
CDM,31100348,HC REF ARUP COMP 2002292 CHROMOSOME ANALYSIS BM CPT 88264,467.19,280.31,35.0,7411.0,55
CDM,31100349,HC REF ARUP COMP 2002709 CPT 88271,225.0,135.0,17.99,7411.0,55
CDM,31100350,HC REF ARUP COMP 2002709 CPT 88275,225.0,135.0,35.0,7411.0,55
CDM,31100351,HC REF ARUP COMP 3000894 CPT 88184,132.13,79.28,22.46,7411.0,55
CDM,31100352,HC REF MAYO COMP MRDMM CPT 88184,1256.48,753.89,35.0,7411.0,55
CDM,31100353,HC REF MAYO COMP MRDMM CPT 88185,368.54,221.12,35.0,7411.0,39
CDM,31100354,HC REF MAYO COMP MRDMM CPT 88188,940.4,564.24,35.0,7411.0,39
CDM,31100355,HC REF ARUP COMP 3016654 CPT 88271,241.07,144.64,17.99,7411.0,55
CDM,31100356,HC REF ARUP COMP 3016654 CPT 88275,241.07,144.64,35.0,7411.0,55
CDM,31100357,HC REF ARUP COMP 2002363 CPT 88275,333.6,200.16,35.0,7411.0,55
CDM,31100358,HC REF ARUP COMP 2002363 CPT 88271,333.6,200.16,17.99,7411.0,55
CDM,31100359,"HC REF ARUP COMP 3001780, CPT 88184",44.57,26.74,7.58,7411.0,55
CDM,31100360,"HC REF ARUP COMP 3001780, CPT 88185",44.57,26.74,7.58,7411.0,39
CDM,31100361,HC REF ARUP 3001780 LEUK/LUMPH PHENOTYPING BY FC - 16+ MARKERS,241.88,145.13,35.0,7411.0,39
CDM,31100362,"HC REF MAYO COMP TALPF, CPT 88291",189.78,113.87,32.26,7411.0,39
CDM,31100363,"HC REF MAYO COMP TALPF, CPT 88271",123.44,74.06,17.99,7411.0,55
CDM,31100364,"HC REF MAYO COMP TALPF, CPT 88275",295.0,177.0,35.0,7411.0,55
CDM,31100365,"HC REF ARUP COMP 2002378, CPT 88271",275.0,165.0,17.99,7411.0,55
CDM,31100366,"HC REF ARUP COMP 2002378, CPT 88275",275.0,165.0,35.0,7411.0,55
CDM,31100367,"HC REF MEDFUSION < QUEST COMP MDIGEROGE, CPT 88271",58.88,35.33,17.99,7411.0,55
CDM,31100368,"HC REF MEDFUSION < QUEST COMP MDIGEROGE, CPT 88273",58.88,35.33,21.2,7411.0,55
CDM,31100369,"HC REF GREENWOOD COMP CHROMOSOME ANALYSIS, CPT 88230",496.25,297.75,35.0,7411.0,55
CDM,31100370,"HC REF GREENWOOD COMP CHROMOSOME ANALYSIS, CPT 88262",469.25,281.55,35.0,7411.0,55
CDM,31100371,"HC REF GREENWOOD COMP CHROMOSOME ANALYSIS, CPT 88289",496.25,297.75,28.92,7411.0,55
CDM,31100372,"HC REF GREENWOOD COMP CHROMOSOME ANALYSIS, CPT 88291",496.25,297.75,35.0,7411.0,39
CDM,31100373,HC REF ARUP 2008460 RBC BAND 3 PROTEIN REDUCTION IN HEREDITARY SPHEROCYTOSIS,276.13,165.68,35.0,7411.0,55
CDM,31100374,HC REF ARUP 2002287 COMP CPT 88230,584.38,350.63,35.0,7411.0,55
CDM,31100375,"HC REF CINNCINNATI CHILDRENS COMP 2903600, CPT 88184",124.17,74.5,21.11,7411.0,55
CDM,31100376,"HC REF CINNCINNATI CHILDRENS COMP 2903600, CPT 88185",124.17,74.5,21.11,7411.0,39
CDM,31100377,"HC REF CINNCINNATI CHILDRENS COMP 2903600, CPT 88188",124.17,74.5,21.11,7411.0,39
CDM,31100378,"HC REF ARUP COMP 2002360, CPT 88271",225.0,135.0,17.99,7411.0,55
CDM,31100379,"HC REF ARUP COMP 2002360, CPT 88275",225.0,135.0,35.0,7411.0,55
CDM,31100380,"HC REF MAYO COMP COGBL, CPT 88237",2440.85,1464.51,35.0,7411.0,55
CDM,31100381,"HC REF MAYO COMP COGBL, CPT 88291",559.15,335.49,35.0,7411.0,39
CDM,31100382,"HC REF MAYO COMP BLBLF, CPT 88271",728.51,437.11,17.99,7411.0,55
CDM,31100383,"HC REF MAYO COMP BLBLF, CPT 88291",1119.98,671.99,35.0,7411.0,39
CDM,31100384,HC REF ARUP 0097688 CHROMOSOME ANALYSIS BREAKAGE,975.0,585.0,35.0,7411.0,55
CDM,31100385,HC REF MAYO COMP BALAF CPT 88271,181.74,109.04,17.99,7411.0,55
CDM,31100386,HC REF MAYO COMP BALAF CPT 88275,434.33,260.6,35.0,7411.0,55
CDM,31100387,HC REF MAYO COMP BALAF CPT 88291,279.4,167.64,35.0,7411.0,39
CDM,31100388,HC REF MAYO COMP PHLFD CPT 88271,67.53,40.52,17.99,7411.0,55
CDM,31100389,HC REF MAYO COMP PHLFD CPT 88275,161.38,96.83,35.0,7411.0,55
CDM,31100390,HC REF MAYO COMP PHLFD CPT 88291,103.83,62.3,17.65,7411.0,39
CDM,31100391,HC REF MAYO COMP  TLPFD CPT 88291,180.53,108.32,30.69,7411.0,39
CDM,31100392,HC REF MAYO COMP  TLPFD CPT 88275,280.64,168.38,35.0,7411.0,55
CDM,31100393,HC REF MAYO COMP  TLPFD CPT 88271,117.43,70.46,17.99,7411.0,55
CDM,31100394,HC REF MAYO COMP EOSFD CPT 88291,116.78,70.07,19.85,7411.0,39
CDM,31100395,HC REF MAYO COMP EOSFD CPT 88275,181.53,108.92,35.0,7411.0,55
CDM,31100396,HC REF MAYO COMP EOSFD CPT 88271,75.96,45.58,17.99,7411.0,55
CDM,31100397,HC REF COMP EUROFINS VIRACOR 30035 CPT 88184,701.45,420.87,35.0,7411.0,55
CDM,31100398,HC REF COMP EUROFINS VIRACOR 30035 CPT 88185,701.45,420.87,35.0,7411.0,39
CDM,31100399,"HC REF MEDFUSION 1003140 LEUK/LYMPHOMA BY FLOW, 1ST MARKER",50.87,30.52,8.65,7411.0,55
CDM,31100400,"HC REF MEDFUSION 1003140 LEUK/LYMPHOMA BY FLOW, EA ADDL MARKER",50.87,30.52,8.65,7411.0,39
CDM,31100401,HC REF ARUP 2002287 COMP CPT 88263,584.38,350.63,35.0,7411.0,55
CDM,31100402,HC REF MAYO BLPMF COMP CPT 88291,382.23,229.34,35.0,7411.0,39
CDM,31100403,HC REF MAYO BLPMF COMP CPT 88271,247.79,148.67,17.99,7411.0,55
CDM,31100404,HC REF MAYO BLPMF COMP CPT 88275,592.2,355.32,35.0,7411.0,55
CDM,31100405,HC REF ARUP 2002290  COMP CPT 88237,467.19,280.31,35.0,7411.0,55
CDM,31100406,HC REF ARUP 2002290  COMP CPT 88264,467.19,280.31,35.0,7411.0,55
CDM,31200001,HC MORPHOMETRIC ANALYSIS CPTR-ASST TECH 1ST PROBE STAIN,490.0,294.0,35.0,7411.0,55
CDM,31200002,HC MORPHOMETRIC ANALYSIS IN SITU HYBRIDIZATION EA PROBE MANUAL,668.8,401.28,35.0,7411.0,55
CDM,31200005,HC MACROSCOPIC EXAM DISSECT&PREP TISS NONMICRO STUDY EA,168.82,101.29,16.71,7411.0,39
CDM,31200006,HC BILIRUBIN TEST,70.25,42.15,4.22,7411.0,55
CDM,31200007,"HC MICRODISSECTION, MANUAL",646.79,388.07,35.0,7411.0,39
CDM,31200012,"HC MORPHOMETRIC ANALYSIS,IN SITU - MANUAL",668.8,401.28,35.0,7411.0,55
CDM,31200013,"HC MORPHOMETRIC ANALYSIS,IN SITU - MANUAL",668.8,401.28,35.0,7411.0,55
CDM,31200014,"HC MORPHOMETRIC ANALYSIS,IN SITU - MANUAL",668.8,401.28,35.0,7411.0,55
CDM,31200015,"HC MORPHOMETRIC ANALYSIS,IN SITU - MANUAL",668.8,401.28,35.0,7411.0,55
CDM,31200016,"HC MORPHOMETRIC ANALYSIS,IN SITU - MANUAL",668.8,401.28,35.0,7411.0,55
CDM,31200017,HC SS18 SYT FISH PROBE STAIN,948.51,569.11,35.0,7411.0,55
CDM,31200022,HC VCD3 T CELLS TOTAL COUNT,274.42,164.65,31.69,7411.0,55
CDM,31200023,HC IN SITU HYBRIDIZATION FISH,622.39,373.43,35.0,7411.0,55
CDM,31200024,HC REF C-MET AMP BY FISH,486.89,292.13,35.0,7411.0,55
CDM,31200025,HC CYTOLOGY CELL BLOCK (WOMENS IMAGING CENTER),495.22,297.13,35.0,7411.0,55
CDM,31200026,HC IHC ANTIBODY SLIDE ADDL SINGLE (WOMENS IMAGING CENTER),361.74,217.04,35.0,7411.0,39
CDM,31200027,HC IHC ANTIBODY SLIDE SINGLE (WOMENS IMAGING CENTER),432.52,259.51,35.0,7411.0,55
CDM,31200028,HC MORPHO ANLYS TUMR MANUAL (WOMENS IMAGING CENTER),476.5,285.9,35.0,7411.0,55
CDM,31200029,HC M/PHMTRC ALYS ISHQUANT/SEMIQ - RET GENE REARRANG FISH,948.51,569.11,35.0,7411.0,55
CDM,31200030,HC REF MAYO COMP PTEM PLATELET TRANS EM STUDY CPT 88348,3028.33,1817.0,35.0,7411.0,55
CDM,31200031,HC REF NEOGENOMICS COMP NEOTYPE ALL CPT 88374,1360.0,816.0,35.0,7411.0,55
CDM,31200032,HC REF NEOGENOMICS COMP ALL FISH PH-LIKE MANUAL CPT 88377,1360.0,816.0,35.0,7411.0,55
CDM,31200033,HC REF ARUP 3006357 NR4A3 REARRANGEMENT BY FISH,1437.5,862.5,35.0,7411.0,55
CDM,31200034,HC REF NEOGENOMICS COMP FISH SMALL B-CELL LYMPHOMA CPT 88374,1360.0,816.0,35.0,7411.0,55
CDM,31200035,HC REF NEOGENOMICS COMP FISH CLL CPT 88374,1360.0,816.0,35.0,7411.0,55
CDM,31200036,"HC REF MAYO COMP MBX, CPT 88314",298.4,179.04,35.0,7411.0,39
CDM,31200037,"HC REF MAYO COMP MBX, CPT 88319",358.78,215.27,35.0,7411.0,55
CDM,31200038,HC REF ARUP 3001301 MDM2 GENE AMP BY FISH,1301.25,780.75,35.0,7411.0,55
CDM,31200039,HC REF NEOGENOMICS HIGH-GRADE/LARGE B-CELL LYMPHOMA FISH COMP CPT 88374,1895.0,1137.0,35.0,7411.0,55
CDM,31200040,HC REF NEOGENOMICS AML STANDARD FISH COMP CPT 88374,1895.0,1137.0,35.0,7411.0,55
CDM,32000007,HC ARTHR ASP INJ MJ JNT BURS,1192.29,715.37,27.96,7411.0,55
CDM,32000011,HC VENA CAVA FILTER INSERTION,12017.97,7210.78,2043.05,13613.39,55
CDM,32000014,HC NG TUBE PLACEMENT BY PHYSICIAN,706.27,423.76,112.34,7411.0,55
CDM,32000016,HC INJECTION FOR TUBE CHECK,1045.04,627.02,177.66,7411.0,55
CDM,32000017,HC CYSTO CATH PLACEMENT INJ,1300.0,780.0,221.0,7411.0,34
CDM,32000018,HC INJECTION RETRO URETHROCYSTOGRA,1008.37,605.02,171.42,7411.0,34
CDM,32000019,HC CATH/INJECT FOR HYSTROSONOGRAM,883.44,530.06,150.18,7411.0,34
CDM,32000023,HC INJECTION EPI L/S 1 LEVEL,3751.66,2251.0,340.77,7411.0,55
CDM,32000025,"HC CISTERNOGRAPHY,POSITIVE CON,RA",2227.2,1336.32,166.4,7411.0,55
CDM,32000026,HC EYE FOR DETECTION OF FOREIGN B,460.0,276.0,32.75,7411.0,55
CDM,32000027,HC MANDIBLE PARTIAL < 4 VIEW,201.87,121.12,39.09,7411.0,55
CDM,32000028,"HC MANDIBLE X-RAY - COMPLETE,MINIMU",302.04,181.22,43.78,7411.0,55
CDM,32000029,HC MASTOID < 3 V / SIDE,322.35,193.41,38.43,7411.0,55
CDM,32000030,"HC MASTOID, COMPLETE SERIES",396.9,238.14,62.15,7411.0,55
CDM,32000031,HC FACIAL BONES < 3 VIEWS,201.87,121.12,32.08,7411.0,55
CDM,32000032,"HC FACIAL BONES, COMPLETE SERIES",469.66,281.8,47.45,7411.0,55
CDM,32000033,"HC NASAL BONES,X-RAY - COMPLETE",429.82,257.89,37.76,7411.0,55
CDM,32000034,"HC ORBITS, UP TO 4 VIEWS",258.88,155.33,48.11,7411.0,55
CDM,32000035,HC SINUSES PARANASAL <3 VIEW,253.04,151.82,32.41,7411.0,55
CDM,32000036,HC SINUSES-PARANASAL COMPLET,546.74,328.04,37.76,7411.0,55
CDM,32000037,HC SKULL 1 VEIW,462.56,277.54,36.09,7411.0,55
CDM,32000038,"HC SKULL, COMPLETE SERIES",584.6,350.76,44.78,7411.0,55
CDM,32000039,HC TEETH X-RAY - SINGLE VIEW,116.34,69.8,13.03,7411.0,55
CDM,32000040,"HC TEETH, PARTIAL X-RAY, LESS THA",253.62,152.17,40.76,7411.0,55
CDM,32000041,"HC TMJ,X-RAY,OPEN & CLOSED MOUTH - UNILATERAL",192.82,115.69,34.75,7411.0,55
CDM,32000042,"HC TMJ,X-RAY,OPEN & CLOSED MOUTH - BILATERAL",796.34,477.8,53.13,7411.0,55
CDM,32000044,HC ORTHOPANTOGRAM,365.36,219.22,18.38,7411.0,55
CDM,32000045,HC NECK SOFT TISSUE X-RAY,319.82,191.89,31.41,7411.0,55
CDM,32000046,HC PHARYNGEAL/SPEECH EVAL VIDEO,878.44,527.06,109.6,7411.0,55
CDM,32000047,HC SIALOGRAM SALIVARY GLANDS,492.93,295.76,115.94,7411.0,55
CDM,32000048,"HC RIBS X-RAY,UNILATERAL,2 VIEWS",493.87,296.32,36.75,7411.0,55
CDM,32000049,"HC RIBS-3 VIEWS, UNILATERAL X-RAY",657.82,394.69,42.44,7411.0,55
CDM,32000050,"HC RIBS X-RAY,BILATERAL,3 VIEWS",635.06,381.04,44.1,7411.0,55
CDM,32000051,"HC RIBS,BILATERAL,W/PA CHEST,MINI",917.49,550.49,52.79,7411.0,55
CDM,32000052,"HC STERNUM X-RAY,MINIMUM 2 VIEWS",363.73,218.24,33.75,7411.0,55
CDM,32000053,HC STERNOCLAVICULAR JOINTS 3 VIEW,364.13,218.48,41.44,7411.0,55
CDM,32000055,HC SPINE SINGLE VIEW,471.86,283.12,24.39,7411.0,55
CDM,32000056,HC SPINE-CERVICAL 2-3 VIEWS,542.99,325.79,39.76,7411.0,55
CDM,32000057,"HC SPINE/CERVICAL XRAY,MIN 4 VIEW",755.07,453.04,53.8,7411.0,55
CDM,32000058,HC SPINE-CERVICAL COMPLETE,796.06,477.64,62.81,7411.0,55
CDM,32000060,"HC SPINE X-RAY - THORACIC, 2 VIEWS",521.34,312.8,33.08,7411.0,55
CDM,32000061,"HC SPINE X-RAY - THORACIC, 3 VIEWS",659.91,395.95,39.76,7411.0,55
CDM,32000062,HC SPINE THORACIC MIN 4 VIEW,720.37,432.22,44.78,7411.0,55
CDM,32000063,HC THORACOLUMBAR SPINE S-RAY AP AND LAT,497.64,298.58,34.75,7411.0,55
CDM,32000065,"HC SPINE,LUMBOSACRAL 2-3 VIEWS",562.56,337.54,40.1,7411.0,55
CDM,32000066,"HC SPINE,LUMBOSACRAL MIN 4 VIEWS",791.73,475.04,52.13,7411.0,55
CDM,32000067,"HC SPINE,LUMBOSACRAL COMPLETE",893.19,535.91,61.48,7411.0,55
CDM,32000068,"HC SPINE,LUMBOSACRAL,BENDING VIEW",568.84,341.3,40.76,7411.0,55
CDM,32000069,HC PELVIS X-RAY - 1 OR 2 VIEWS,451.4,270.84,28.06,7411.0,55
CDM,32000070,HC PELVIS COMP MIN 3 VIEWS,593.13,355.88,42.44,7411.0,55
CDM,32000071,HC SACROILIAC JOINTS <3 VIEW,271.22,162.73,33.41,7411.0,55
CDM,32000072,"HC SACROILIAC JOINTS X-RAY,3 OR M",284.87,170.92,39.43,7411.0,55
CDM,32000073,HC SACRUM-COCCYX-2 VIEWS,464.28,278.57,32.75,7411.0,55
CDM,32000074,HC MYELOGRAM CERVICAL,1459.0,875.4,112.26,7411.0,55
CDM,32000075,HC MYELOGRAM THORACIC,1690.21,1014.13,107.93,7411.0,55
CDM,32000076,"HC MYELOGRAPHY,LUMBOSACRAL,RAD SU",2251.14,1350.68,109.26,7411.0,55
CDM,32000077,"HC MYELOGRPHY,2 OR MORE REGIONS,",2692.06,1615.24,153.04,7411.0,55
CDM,32000078,"HC EPIDUROGRAPHY, RAD SUPER & INT",981.74,589.04,166.9,7411.0,39
CDM,32000079,HC DISKOGRAPHY CERVICAL S&I,3418.19,2050.91,132.31,7411.0,55
CDM,32000082,HC DISKOGRAPHY LUMBAR S&I,3930.39,2358.23,111.6,7411.0,55
CDM,32000083,"HC CLAVICLE X-RAY,COMPLETE",393.82,236.29,32.75,7411.0,55
CDM,32000084,"HC SCAPULA X-RAY,COMPLETE",373.08,223.85,24.06,7411.0,55
CDM,32000085,"HC SHOULDER X-RAY,1 VIEW",447.67,268.6,21.71,7411.0,55
CDM,32000086,HC SHOULDER -2 OR MORE VIEWS,511.46,306.88,35.09,7411.0,55
CDM,32000087,HC A/C JOINT-W/WO WEIGHT BEARING,332.92,199.75,29.08,7411.0,55
CDM,32000088,"HC HUMERUS, MIN TWO VIEWS",515.52,309.31,32.08,7411.0,55
CDM,32000089,HC ELBOW - TWO VIEWS,486.57,291.94,29.4,7411.0,55
CDM,32000090,"HC ELBOW X-RAY,COMPLETE,MINIMUM 3",543.14,325.88,33.08,7411.0,55
CDM,32000091,HC FOREARM X-RAY - TWO VIEWS,529.37,317.62,29.4,7411.0,55
CDM,32000092,"HC UPPER EXTREMITY X-RAY, INFANT> 365 DAYS",189.05,113.43,68.06,7411.0,55
CDM,32000093,"HC WRIST X-RAY, 2 VIEWS",486.95,292.17,34.09,7411.0,55
CDM,32000094,"HC WRIST X-RAY,COMPLETE,MINIMUM 3",515.76,309.46,41.44,7411.0,55
CDM,32000095,"HC HAND X-RAY,2 VIEWS",530.0,318.0,31.74,7411.0,55
CDM,32000096,HC HAND 3 VIEWS,529.64,317.78,37.43,7411.0,55
CDM,32000097,"HC FINGER(S) ,MIN 2 VIEWS",363.38,218.03,38.43,7411.0,55
CDM,32000104,"HC KNEE XRAY,ONE OR TWO VIEWS",455.33,273.2,34.41,7411.0,55
CDM,32000105,HC KNEE XRAY THREE VIEWS,532.06,319.24,41.1,7411.0,55
CDM,32000106,"HC KNEE,XRAY,COMPLETE,FOUR OR MOR",595.34,357.2,47.45,7411.0,55
CDM,32000107,"HC KNEE X-RAY - BOTH KNEES,STANDING",499.64,299.78,40.1,7411.0,55
CDM,32000108,HC TIBIA & FIBULA X-RAY - 2 VIEWS,510.79,306.47,31.74,7411.0,55
CDM,32000109,"HC LOWER EXTREMITY, INFANT < 365 DAYS 2 VIEWS",189.05,113.43,68.06,7411.0,55
CDM,32000110,HC ANKLE 2 VIEWS,362.58,217.55,32.41,7411.0,55
CDM,32000111,"HC ANKLE X-RAY,COMPLETE,MINIMUM 3",493.74,296.24,36.75,7411.0,55
CDM,32000112,"HC ARTHROGRAM,ANKLE",825.96,495.58,128.31,7411.0,55
CDM,32000113,"HC FOOT X-RAY,COMPLETE,MINIMUM 3",608.85,365.31,34.41,7411.0,55
CDM,32000114,"HC CALCANEUS XRAY,MINIMUM 2 VIEWS",201.81,121.09,28.74,7411.0,55
CDM,32000115,"HC TOE(S) X-RAY,MINIMUM 2 VIEWS",319.76,191.86,29.4,7411.0,55
CDM,32000119,"HC ABD X-RAY,COMPLETE,ACUTE SERIE",697.72,418.63,50.13,7411.0,55
CDM,32000120,HC RADIOLOGIC EXAM ESOPHAGUS,835.57,501.34,97.56,7411.0,55
CDM,32000121,HC BARIUM SWALLOW W CIN/VID,841.8,505.08,124.96,7411.0,55
CDM,32000122,"HC GI TRACT, UPPER W/O KUB",925.06,555.04,122.96,7411.0,55
CDM,32000123,"HC GI TRACT, UPPER W/KUB",385.54,231.32,65.54,7411.0,39
CDM,32000124,HC UPPER GI WITH SMALL BOWEL,1202.37,721.42,204.4,7411.0,39
CDM,32000125,"HC GI TRACT,UPPER,W/CONT, W OR WO KUB",1096.29,657.77,139.34,7411.0,55
CDM,32000127,"HC GI TRACT UPPER,W/CONTRAST,W/SM",1271.55,762.93,216.16,7411.0,39
CDM,32000128,"HC BOWEL SMALL,XRAY EXAM,MULTIPLE",936.12,561.67,121.96,7411.0,55
CDM,32000129,HC ENTEROCLYSIS SMALL BOWEL,484.85,290.91,167.39,7411.0,55
CDM,32000130,"HC COLON,X-RAY EXAM - BARIUM ENEMA",1055.94,633.56,153.7,7411.0,55
CDM,32000131,HC COLON AIR CONTRAST W/BARI,1309.77,785.86,167.39,7411.0,55
CDM,32000132,HC THERAPEUTIC ENEMA,387.2,232.32,139.39,7411.0,55
CDM,32000133,HC CHOLECYSTOGRAPHY ORAL CON,310.41,186.25,85.2,7411.0,55
CDM,32000134,HC CHOLANGIOGRAM OPERATIVE,1110.02,666.01,37.48,7411.0,39
CDM,32000135,HC CHOLANGIO/PANCREATO - ADDITION S,537.09,322.25,21.62,7411.0,39
CDM,32000139,HC ENDOSCOPIC CATH/BILIARY DUCT S,1106.03,663.62,72.8,7411.0,39
CDM,32000140,HC ENDOSCOPIC CATH/PANCREATIC DUC,1075.0,645.0,72.8,7411.0,39
CDM,32000141,"HC ENDOSCOP.CATH,BILIARY,PANCREAT",1611.73,967.04,92.98,7411.0,39
CDM,32000142,"HC TUBE,GI INTRO,MULT FLUOROSCOPI",1074.16,644.5,55.5,7411.0,39
CDM,32000143,"HC DILATE,PERCUT.TRANSHEP/BIL.DCT",1179.51,707.71,87.94,7411.0,39
CDM,32000144,"HC PYELOGRAM, IV 5 FILMS",1146.33,687.8,135.33,7411.0,55
CDM,32000145,HC IVP W NEPHROTOMOGRAPHY,1123.0,673.8,151.36,7411.0,55
CDM,32000146,HC PYELOGRAM RETROGRADE,1198.95,719.37,78.19,7411.0,55
CDM,32000147,HC NEPHROSTOGRAM/LOOPOGRAM,988.95,593.37,135.99,7411.0,55
CDM,32000148,"HC CYSTOGRAPHY,MIN. 3 VIEWS,RAD S",543.46,326.08,41.44,7411.0,55
CDM,32000150,"HC URETHROCYSTOGRAPHY,RETROGRADE,",1025.14,615.08,81.38,7411.0,55
CDM,32000151,"HC URETHROCYSTOGRAPHY,VOIDING,RAD",1171.61,702.97,104.25,7411.0,55
CDM,32000155,HC DILIATION OF URETERS,2542.0,1525.2,119.63,7475.94,55
CDM,32000156,HC PELVIMETRY,262.31,157.39,44.59,7411.0,39
CDM,32000157,HC HYSTEROSALIPINGOGRAM,1170.68,702.41,66.83,7411.0,55
CDM,32000158,HC TRANSCERVICAL CATH FALOP,764.47,458.68,63.42,7411.0,39
CDM,32000159,"HC THORACIC,AORTOGRAM",5950.0,3570.0,182.78,11694.8,55
CDM,32000160,HC FOOT X-RAY - 2 VIEWS,479.87,287.92,28.74,7411.0,55
CDM,32000161,HC PLACE XCRAN CAROTID ARTERY STENT - INT VSL,15029.28,9017.57,2554.98,12774.89,39
CDM,32000167,"HC FLUOROSCOPY,UP TO 1 HOUR PHYSI",773.0,463.8,42.78,7411.0,55
CDM,32000168,HC DUAL ENERGY X-RAY-BONE DENSITY,635.32,381.19,39.09,7411.0,55
CDM,32000169,HC FLUORO GUIDANCE FOR NEEDLE PLACEMENT,946.11,567.67,149.2,7411.0,39
CDM,32000178,HC XR SELLA TURCICA,154.13,92.48,33.08,7411.0,55
CDM,32000182,HC XR FLUORO IVP INFUSION DRIP & OR BOLUS,1151.41,690.85,142.0,7411.0,55
CDM,32000185,HC XR NOSE TO RECTUM CHILD FOREIGN BODY,189.05,113.43,68.06,7411.0,55
CDM,32000186,"HC XR FLUORO ABSCESS, FISTULA OR SINUS TRACT STUDY",820.05,492.03,59.81,7411.0,55
CDM,32000187,HC XR SURGICAL SPECIMEN,764.8,458.88,42.78,7411.0,55
CDM,32000188,HC XR TOMOGRAPHY SINGLE PLANE,500.0,300.0,89.55,7411.0,55
CDM,32000189,HC XR BONE AGE STUDY,291.73,175.04,26.06,7411.0,55
CDM,32000190,HC XR BONE LENGTH STUDY,521.51,312.91,45.44,7411.0,55
CDM,32000191,HC XR OSSEOUS SURVEY LIMITED < 10 VIEWS,497.21,298.33,65.49,7411.0,55
CDM,32000192,HC XR OSSEOUS SURVEY COMPLETE 10+ VIEWS,1351.31,810.79,99.77,7411.0,55
CDM,32000193,HC XR OSSEOUS SURVEY - INFANT < 365 DAYS,388.52,233.11,99.77,7411.0,55
CDM,32000194,HC XR DXA PERIPHERAL APPENDICULAR SKELETON,367.38,220.43,31.74,7411.0,55
CDM,32000195,HC XR DXA VERTEBRAL FRACTURE ASSESSMENT,446.52,267.91,33.75,7411.0,55
CDM,32000197,"HC PERC TUBE/CATH CHANGE,CONTRAST",1056.61,633.97,136.94,7411.0,39
CDM,32000198,"HC DILATION,INTRALUM.STRICT/OBSTR",551.09,330.65,57.66,7411.0,39
CDM,32000199,"HC ENTEROCLYSIS TUBE,PERC PLACE,R",392.84,235.7,66.78,7411.0,39
CDM,32000200,HC ENDOVASCULAR REPR THORACIC AOR,2262.75,1357.65,384.67,7411.0,39
CDM,32000201,HC ENDOVASCLR REPR THORC AORTA NO,3386.39,2031.83,575.69,7411.0,39
CDM,32000202,HC ENDOVASCLR REPR - PLACE PROX EXT,1676.4,1005.84,284.99,7411.0,39
CDM,32000207,"HC PERCUT.DRAIN/RAD GUIDANCE,RAD",1808.42,1085.05,127.58,7411.0,39
CDM,32000209,"HC LYMPHANGIOGRAPHY,PELVIC/ABDOM.",2064.32,1238.59,146.54,11694.8,55
CDM,32000210,"HC VENOGRAPHY, EXTREMITY/UNILAT./",2001.51,1200.91,107.93,7411.0,55
CDM,32000211,"HC VENOGRAPHY, EXTREMITY/BILAT./R",2396.69,1438.01,133.65,7411.0,55
CDM,32000212,"HC VENOGRAPHY, CAVAL/INFER.-W/SER",4916.76,2950.06,114.28,11694.8,55
CDM,32000213,"HC VENOGRAPHY, CAVAL/SUPERIOR W/S",3224.36,1934.62,118.95,7411.0,55
CDM,32000214,"HC VENOGRAPHY,RENAL/UNILAT./SELEC",4286.58,2571.95,119.63,11694.8,55
CDM,32000215,"HC VENOGRAPHY, RENAL/BILAT./SELEC",4643.79,2786.27,148.35,11694.8,55
CDM,32000216,"HC VENOGRAPHY,ADRENAL./SELECTIVE/",4722.24,2833.34,128.64,11694.8,55
CDM,32000217,"HC VENOGRAPHY, ADRENAL/BILAT./SEL",5589.74,3353.84,950.26,19395.92,40
CDM,32000218,"HC VENOGRAPHY,VENSOUS SINUS/JUGUL",3421.11,2052.67,125.64,11694.8,55
CDM,32000219,"HC VENOGRAPHY, SUP.SAGITTAL SINUS",3538.08,2122.85,155.7,7896.23,55
CDM,32000220,"HC VENOGRAPHY, EPIDURAL, RADIOLOG",1677.34,1006.4,128.64,7411.0,55
CDM,32000221,HC PERCUTAN.TRANS.PORTO. W/HEMO.E,3961.24,2376.74,136.66,11694.8,55
CDM,32000222,HC PERCUTAN.TRANS.PORTO. W/O HEMO,3115.34,1869.2,137.66,7896.23,55
CDM,32000223,HC HEPATIC VENO./WEDGED/FREE W/HE,5614.92,3368.95,123.63,11694.8,55
CDM,32000224,HC HEPATIC VENO/WEDGED/FREE W/O H,4272.48,2563.49,124.3,11694.8,55
CDM,32000225,"HC VENOUS SAMPLING THRU CATHETER,",7938.0,4762.8,105.25,19395.92,55
CDM,32000226,HC TRANSCATHETER THERAPY/EMBOLIZA,5100.08,3060.05,148.48,7411.0,39
CDM,32000228,"HC ANGIOGRAM,EXISTING CATHETER,FO",3231.9,1939.14,133.71,7896.23,55
CDM,32000230,HC MECHANICAL REMVL CVA DVC OF OB,1137.23,682.34,193.33,7411.0,39
CDM,32000231,HC MECHANICAL REMVL CVA OF OBSTRU,1083.08,649.85,121.1,7411.0,39
CDM,32000243,"HC TRANSCATHETER BIOPSY,SUPERVISI",2958.24,1774.94,81.44,7411.0,39
CDM,32000247,"HC CINERADIOGRAPHY,TO COMPLEMENT",579.27,347.56,28.84,7411.0,39
CDM,32000249,"HC JOINT SURVEY,SINGLE VIEW,2 OR",207.07,124.24,47.11,7411.0,55
CDM,32000250,HC FLUOROSCOPIC GUIDE CVA DEVICE,1007.06,604.24,145.6,7411.0,39
CDM,32000251,HC MAMMARY DUCTOGRAM/GALACTOGRAM,492.92,295.75,54.13,7411.0,55
CDM,32000308,HC ASPIRATE BREAST CYST,1980.0,1188.0,59.25,7411.0,55
CDM,32000310,"HC JOINT RADIOGRAPHY,MANL APPL ST",169.55,101.73,55.73,7411.0,55
CDM,32000311,HC FLUOROSCOPIC PROCEDURE - UNLISTE,600.0,360.0,83.05,7411.0,55
CDM,32000312,HC FLUOROSCOPIC GUIDE/LOCAL NEEDLE - SPINE,1277.18,766.31,137.66,7411.0,39
CDM,32000313,"HC SHUNTOGRAM, INVESTIGATE PREV PLACED SHUNT",1161.78,697.07,81.86,7411.0,55
CDM,32000314,HC CONTRAST XRAY THROAT/CERV ESOPHA,333.99,200.39,94.89,7411.0,55
CDM,32000317,HC FLUOROSCOPIC GUIDE CVA DEVICE (VASC ACCESS),1007.06,604.24,145.6,7411.0,39
CDM,32000318,HC DXA BONE DENSITY STUDY WITH FRACTURE ASSESSMENT,608.57,365.14,53.46,7411.0,55
CDM,32000320,"HC RADIOLOGIC EXAM SPINE, ENTIRE SPINE, 2-3 VIEWS",774.93,464.96,70.5,7411.0,55
CDM,32000321,"HC RADIOLOGIC EXAM SPINE, ENTIRE SPINE, 1 VIEW",312.83,187.7,42.78,7411.0,55
CDM,32000322,"HC RADIOLOGIC EXAM SPINE, ENTIRE SPINE, 4-5 VIEWS",899.68,539.81,79.53,7411.0,55
CDM,32000323,"HC RADIOLOGIC EXAM SPINE, ENTIRE SPINE, 6+ VIEWS",959.6,575.76,98.9,7411.0,55
CDM,32000324,"HC RADIOLOGIC EXAM HIP, UNILATERAL, 1 VIEW",327.45,196.47,33.08,7411.0,55
CDM,32000325,"HC RADIOLOGIC EXAM HIP, UNILATERAL, 2-3 VIEWS",493.42,296.05,47.78,7411.0,55
CDM,32000327,"HC RADIOLOGIC EXAM HIP, BIILATERAL, 2 VIEWS",581.93,349.16,41.44,7411.0,55
CDM,32000328,"HC RADIOLOGIC EXAM HIP, BIILATERAL, 3-4 VIEWS",726.93,436.16,54.13,7411.0,55
CDM,32000329,"HC RADIOLOGIC EXAM HIP, BIILATERAL, 5+ VIEWS",909.4,545.64,62.15,7411.0,55
CDM,32000330,"HC RADIOLOGIC EXAM FEMUR, 1 VIEW",264.93,158.96,29.4,7411.0,55
CDM,32000331,"HC RADIOLOGIC EXAM FEMUR, 2+ VIEWS",484.07,290.44,35.75,7411.0,55
CDM,32000334,HC X-RAY EXAM ABDOMEN 1 VIEW,412.73,247.64,30.4,7411.0,55
CDM,32000335,HC X-RAY EXAM ABDOMEN 2 VIEWS,527.16,316.3,36.75,7411.0,55
CDM,32000336,HC X-RAY EXAM ABDOMEN 3+ VIEWS,407.52,244.51,43.1,7411.0,55
CDM,32000338,HC GUIDE FLUORO CVC CVAD EXCH,1007.06,604.24,145.6,7411.0,39
CDM,32000340,HC GUIDE FLUORO CVC CVAD RMV,709.35,425.61,120.59,7411.0,39
CDM,32000341,HC FULL MOUTH X-RAY OF TEETH,340.89,204.53,53.46,7411.0,55
CDM,32000342,HC DX SALIVARY GLAND,207.07,124.24,37.76,7411.0,55
CDM,32000343,HC DX ABD AP OBLIQ CONE V,407.52,244.51,43.1,7411.0,55
CDM,32000344,HC PERITONEOGRAM SI,938.67,563.2,81.04,7411.0,55
CDM,32000345,HC IR VENOGRAM ORBITAL SI,1880.69,1128.41,107.93,7411.0,55
CDM,32000346,HC CINE/VIDEO X RAY,708.2,424.92,99.77,7411.0,55
CDM,32000347,HC ECHO GUIDE FOR HEART BIOPSY,758.77,455.26,67.76,7411.0,39
CDM,32000348,"HC VENOGRAPHY EXTREMITY S&I, UNILATERAL - LT",2001.51,1200.91,107.93,7411.0,40
CDM,32000349,"HC VENOGRAPHY EXTREMITY S&I, UNILATERAL - RT",2001.51,1200.91,107.93,7411.0,40
CDM,32000350,HC DX FINGER MIN 2V LT,363.38,218.03,38.43,7411.0,40
CDM,32000351,HC DX FINGER MIN 2V RT,363.38,218.03,38.43,7411.0,40
CDM,32000352,HC DX ANKLE 2V RT,362.58,217.55,32.41,7411.0,40
CDM,32000353,HC DX ANKLE MIN 3V RT,493.74,296.24,36.75,7411.0,40
CDM,32000354,HC DX CLAVICLE COMPL RT,393.82,236.29,32.75,7411.0,40
CDM,32000355,HC DX ELBOW 2V RT,486.57,291.94,29.4,7411.0,40
CDM,32000356,HC DX ELBOW MIN 3V RT,543.14,325.88,33.08,7411.0,40
CDM,32000357,HC DX FEMUR MIN 2V RT,484.07,290.44,35.75,7411.0,40
CDM,32000358,HC DX ANKLE 2V LT,362.58,217.55,32.41,7411.0,40
CDM,32000359,HC DX ANKLE MIN 3V LT,493.74,296.24,36.75,7411.0,40
CDM,32000360,HC DX CLAVICLE COMPL LT,393.82,236.29,32.75,7411.0,40
CDM,32000361,HC DX ELBOW 2V LT,486.57,291.94,29.4,7411.0,40
CDM,32000362,HC DX ELBOW MIN 3V LT,543.14,325.88,33.08,7411.0,40
CDM,32000363,HC DX FEMUR MIN 2V LT,484.07,290.44,35.75,7411.0,40
CDM,32000364,HC DX FOOT 2V RT,479.87,287.92,28.74,7411.0,40
CDM,32000365,HC DX FOOT 2V LT,479.87,287.92,28.74,7411.0,40
CDM,32000366,HC DX FOOT MIN 3V LT,608.85,365.31,34.41,7411.0,40
CDM,32000367,HC DX FOOT MIN 3V RT,608.85,365.31,34.41,7411.0,40
CDM,32000368,HC DX FOREARM 2V LT,529.37,317.62,29.4,7411.0,40
CDM,32000369,HC DX FOREARM 2V RT,529.37,317.62,29.4,7411.0,40
CDM,32000370,HC DX HAND 2V LT,530.0,318.0,31.74,7411.0,40
CDM,32000371,HC DX HAND 2V RT,530.0,318.0,31.74,7411.0,40
CDM,32000372,HC DX HAND MIN 3V LT,529.64,317.78,37.43,7411.0,40
CDM,32000373,HC DX HAND MIN 3V RT,529.64,317.78,37.43,7411.0,40
CDM,32000374,HC DX CALCANEUS MIN 2V LT,201.81,121.09,28.74,7411.0,40
CDM,32000375,HC DX CALCANEUS MIN 2V RT,201.81,121.09,28.74,7411.0,40
CDM,32000376,HC DX HIP WWO PEL 1V LT,327.45,196.47,33.08,7411.0,40
CDM,32000377,HC DX HIP WWO PEL 1V RT,327.45,196.47,33.08,7411.0,40
CDM,32000378,HC DX HIP WWO PEL 2V BI,581.93,349.16,41.44,7411.0,40
CDM,32000379,HC DX HUMERUS MIN 2V LT,515.52,309.31,32.08,7411.0,40
CDM,32000380,HC DX HUMERUS MIN 2V RT,515.52,309.31,32.08,7411.0,40
CDM,32000381,HC DX KNEE MIN 4V RT,595.34,357.2,47.45,7411.0,40
CDM,32000382,HC DX KNEE 3V LT,532.06,319.24,41.1,7411.0,40
CDM,32000383,HC DX KNEE 3V RT,532.06,319.24,41.1,7411.0,40
CDM,32000384,HC DX KNEE 1 OR 2V LT,455.33,273.2,34.41,7411.0,40
CDM,32000385,HC DX KNEE 1 OR 2V RT,455.33,273.2,34.41,7411.0,40
CDM,32000386,HC DX RIBS 2V LT,493.87,296.32,36.75,7411.0,40
CDM,32000387,HC DX RIBS 2V RT,493.87,296.32,36.75,7411.0,40
CDM,32000388,HC DX RIBS MIN 3V W PA CHEST LT,657.82,394.69,42.44,7411.0,40
CDM,32000389,HC DX RIBS MIN 3V W PA CHEST RT,657.82,394.69,42.44,7411.0,40
CDM,32000390,HC DX SCAPULA COMPL LT,373.08,223.85,24.06,7411.0,40
CDM,32000391,HC DX SCAPULA COMPL RT,373.08,223.85,24.06,7411.0,40
CDM,32000392,HC DX SHOULDER MIN 2V LT,511.46,306.88,35.09,7411.0,40
CDM,32000393,HC DX SHOULDER MIN 2V RT,511.46,306.88,35.09,7411.0,40
CDM,32000394,HC DX SHOULDER 1V LT,447.67,268.6,21.71,7411.0,40
CDM,32000395,HC DX SHOULDER 1V RT,447.67,268.6,21.71,7411.0,40
CDM,32000396,HC DX ANKLE 2V BI,362.58,217.55,32.41,7411.0,40
CDM,32000397,HC DX ANKLE MIN 3V BI,493.74,296.24,36.75,7411.0,40
CDM,32000398,HC DX CALCANEUS MIN 2V BI,201.81,121.09,28.74,7411.0,40
CDM,32000399,HC DX ELBOW 2V BI,486.57,291.94,29.4,7411.0,40
CDM,32000400,HC DX ELBOW MIN 3V BI,543.14,325.88,33.08,7411.0,40
CDM,32000401,HC DX FEMUR MIN 2V BI,484.07,290.44,35.75,7411.0,40
CDM,32000402,HC DX FOOT 2V BI,479.87,287.92,28.74,7411.0,40
CDM,32000403,HC DX FOOT MIN 3V BI,608.85,365.31,34.41,7411.0,40
CDM,32000404,HC DX FOREARM 2V BI,529.37,317.62,29.4,7411.0,40
CDM,32000405,HC DX HAND 2V BI,530.0,318.0,31.74,7411.0,40
CDM,32000406,HC DX HAND MIN 3V BI,529.64,317.78,37.43,7411.0,40
CDM,32000407,HC DX HUMERUS MIN 2V BI,515.52,309.31,32.08,7411.0,40
CDM,32000408,HC DX KNEE 1 OR 2V BI,455.33,273.2,34.41,7411.0,40
CDM,32000409,HC DX KNEE 3V BI,532.06,319.24,41.1,7411.0,40
CDM,32000410,HC DX KNEE MIN 4V BI,595.34,357.2,47.45,7411.0,40
CDM,32000411,HC DX SHOULDER 1V BI,447.67,268.6,21.71,7411.0,40
CDM,32000412,HC DX SHOULDER MIN 2V BI,511.46,306.88,35.09,7411.0,40
CDM,32000413,HC DX TIBIA FIBULA 2V BI,510.79,306.47,31.74,7411.0,40
CDM,32000414,HC DX WRIST 2V BI,486.95,292.17,34.09,7411.0,40
CDM,32000415,HC DX WRIST MIN 3V BI,515.76,309.46,41.44,7411.0,40
CDM,32000416,HC DX TIBIA FIBULA 2V LT,510.79,306.47,31.74,7411.0,40
CDM,32000417,HC DX TIBIA FIBULA 2V RT,510.79,306.47,31.74,7411.0,40
CDM,32000418,HC DX TOES MIN 2V LT,319.76,191.86,29.4,7411.0,40
CDM,32000419,HC DX TOES MIN 2V RT,319.76,191.86,29.4,7411.0,40
CDM,32000420,HC DX WRIST 2V LT,486.95,292.17,34.09,7411.0,40
CDM,32000421,HC DX WRIST 2V RT,486.95,292.17,34.09,7411.0,40
CDM,32000422,HC DX WRIST MIN 3V LT,515.76,309.46,41.44,7411.0,40
CDM,32000423,HC DX WRIST MIN 3V RT,515.76,309.46,41.44,7411.0,40
CDM,32000424,HC DX FOOT MIN 3V LT PORT,608.85,365.31,34.41,7411.0,40
CDM,32000425,HC DX FOOT MIN 3V RT PORT,608.85,365.31,34.41,7411.0,40
CDM,32000426,HC DX KNEE 1 OR 2V LT PORT,455.33,273.2,34.41,7411.0,40
CDM,32000427,HC DX KNEE 1 OR 2V RT PORT,455.33,273.2,34.41,7411.0,40
CDM,32000428,HC DX ELBOW 2V LT PORT,486.57,291.94,29.4,7411.0,40
CDM,32000429,HC DX ANKLE MIN 3V RT PORT,493.74,296.24,36.75,7411.0,40
CDM,32000430,HC DX KNEE 1 OR 2V BI PORT,455.33,273.2,34.41,7411.0,40
CDM,32000431,HC DX SHOULDER MIN 2V RT PORT,511.46,306.88,35.09,7411.0,40
CDM,32000432,HC DX SHOULDER MIN 2V LT PORT,511.46,306.88,35.09,7411.0,40
CDM,32000433,HC DX HIP WWO PEL 1V LT PORT,327.45,196.47,33.08,7411.0,40
CDM,32000434,HC DX ELBOW 2V RT PORT,486.57,291.94,29.4,7411.0,40
CDM,32000435,HC DX HIP WWO PEL 1V RT PORT,327.45,196.47,33.08,7411.0,40
CDM,32000436,HC DX ANKLE MIN 3V LT PORT,493.74,296.24,36.75,7411.0,40
CDM,32000437,HC DX HIP WWO PEL 2-3V RT,493.42,296.05,47.78,7411.0,40
CDM,32000438,HC DX HIP WWO PEL 2-3V LT,493.42,296.05,47.78,7411.0,40
CDM,32000439,HC DX HIP WWO PEL 2-3V RT PORT,493.42,296.05,47.78,7411.0,40
CDM,32000440,HC DX HIP WWO PEL 2-3V LT PORT,493.42,296.05,47.78,7411.0,40
CDM,32000441,HC DX HIP WWO PEL MIN 4V RT,500.0,300.0,60.14,7411.0,40
CDM,32000442,HC DX HIP WWO PEL MIN 4V LT,500.0,300.0,60.14,7411.0,40
CDM,32000443,HC DX HIP WWO PEL MIN 4V RT PORT,500.0,300.0,60.14,7411.0,40
CDM,32000444,HC DX HIP WWO PEL MIN 4V LT PORT,500.0,300.0,60.14,7411.0,40
CDM,32000445,HC DX HIP WWO POL 2V BI PORT,581.93,349.16,41.44,7411.0,40
CDM,32000446,HC DX FEMUR 1V RT,264.93,158.96,29.4,7411.0,40
CDM,32000447,HC DX FEMUR 1V LT,264.93,158.96,29.4,7411.0,40
CDM,32000448,HC DX FEMUR 1V RT PORT,264.93,158.96,29.4,7411.0,40
CDM,32000449,HC DX FEMUR 1V LT PORT,264.93,158.96,29.4,7411.0,40
CDM,32000450,HC DX FEMUR MIN 2V BI PORT,484.07,290.44,35.75,7411.0,40
CDM,32000451,HC DX FEMUR MIN 2V LT PORT,484.07,290.44,35.75,7411.0,40
CDM,32000452,HC DX FEMUR MIN 2V RT PORT,484.07,290.44,35.75,7411.0,40
CDM,32000453,HC DX FINGER MIN 2V LT PORT,363.38,218.03,38.43,7411.0,40
CDM,32000454,HC DX FINGER MIN 2V RT PORT,363.38,218.03,38.43,7411.0,40
CDM,32000455,HC DX UPR EXT INF MIN 2V LT PORT,189.05,113.43,68.06,7411.0,40
CDM,32000456,HC DX UPR EXT INF MIN 2V RT PORT,189.05,113.43,68.06,7411.0,40
CDM,32000457,HC DX LWR EXT INF MIN 2V LT PORT,189.05,113.43,68.06,7411.0,40
CDM,32000458,HC DX LWR EXT INF MIN 2V RT PORT,189.05,113.43,68.06,7411.0,40
CDM,32000459,HC DX CALCANEUS MIN 2V LT PORT,201.81,121.09,28.74,7411.0,40
CDM,32000460,HC DX CALCANEUS MIN 2V RT PORT,201.81,121.09,28.74,7411.0,40
CDM,32000461,HC DX SCAPULA COMPL LT PORT,373.08,223.85,24.06,7411.0,40
CDM,32000462,HC DX SCAPULA COMPL RT PORT,373.08,223.85,24.06,7411.0,40
CDM,32000463,HC DX SHOULDER 1V LT PORT,447.67,268.6,21.71,7411.0,40
CDM,32000464,HC DX SHOULDER 1V RT PORT,447.67,268.6,21.71,7411.0,40
CDM,32000465,HC DX TMJ LT,192.82,115.69,34.75,7411.0,40
CDM,32000466,HC DX UPR EXT INF MIN 2V LT,189.05,113.43,68.06,7411.0,40
CDM,32000467,HC DX UPR EXT INF MIN 2V RT,189.05,113.43,68.06,7411.0,40
CDM,32000468,HC DX LWR EXT INF MIN 2V LT,189.05,113.43,68.06,7411.0,40
CDM,32000469,HC DX LWR EXT INF MIN 2V RT,189.05,113.43,68.06,7411.0,40
CDM,32000470,HC DX FOOT 2V LT PORT,479.87,287.92,28.74,7411.0,40
CDM,32000471,HC DX FOOT 2V RT PORT,479.87,287.92,28.74,7411.0,40
CDM,32000472,HC DX ANKLE 2V LT PORT,362.58,217.55,32.41,7411.0,40
CDM,32000473,HC DX ANKLE 2V RT PORT,362.58,217.55,32.41,7411.0,40
CDM,32000474,HC DX TOES MIN 2V LT PORT,319.76,191.86,29.4,7411.0,40
CDM,32000475,HC DX TOES MIN 2V RT PORT,319.76,191.86,29.4,7411.0,40
CDM,32000476,HC DX TIBIA FIBULA 2V LT PORT,510.79,306.47,31.74,7411.0,40
CDM,32000477,HC DX TIBIA FIBULA 2V RT PORT,510.79,306.47,31.74,7411.0,40
CDM,32000478,HC DX HAND MIN 3V LT PORT,529.64,317.78,37.43,7411.0,40
CDM,32000479,HC DX HAND MIN 3V RT PORT,529.64,317.78,37.43,7411.0,40
CDM,32000480,HC DX WRIST 2V LT PORT,486.95,292.17,34.09,7411.0,40
CDM,32000481,HC DX WRIST 2V RT PORT,486.95,292.17,34.09,7411.0,40
CDM,32000482,HC DX FOREARM 2V LT PORT,529.37,317.62,29.4,7411.0,40
CDM,32000483,HC DX FOREARM 2V RT PORT,529.37,317.62,29.4,7411.0,40
CDM,32000484,HC DX CLAVICLE COMPL LT PORT,393.82,236.29,32.75,7411.0,40
CDM,32000485,HC DX CLAVICLE COMPL RT PORT,393.82,236.29,32.75,7411.0,40
CDM,32000486,HC DX HUMERUS MIN 2V LT PORT,515.52,309.31,32.08,7411.0,40
CDM,32000487,HC DX HUMERUS MIN 2V RT PORT,515.52,309.31,32.08,7411.0,40
CDM,32000488,HC DX KNEE MIN 4V LT,595.34,357.2,47.45,7411.0,40
CDM,32000489,HC DX HAND 2V LT PORT,530.0,318.0,31.74,7411.0,40
CDM,32000490,HC DX HAND 2V RT PORT,530.0,318.0,31.74,7411.0,40
CDM,32000491,HC DX ANKLE 2V BI PORT,362.58,217.55,32.41,7411.0,40
CDM,32000492,HC DX CALCANEUS MIN 2V BI PORT,201.81,121.09,28.74,7411.0,40
CDM,32000493,HC DX CLAVICLE COMPL BI,393.82,236.29,32.75,7411.0,40
CDM,32000494,HC DX CLAVICLE COMPL BI PORT,393.82,236.29,32.75,7411.0,40
CDM,32000495,HC DX ELBOW 2V BI PORT,486.57,291.94,29.4,7411.0,40
CDM,32000496,HC DX EYE FB BI,460.0,276.0,32.75,7411.0,40
CDM,32000497,HC DX FINGER 2V BI,363.38,218.03,38.43,7411.0,40
CDM,32000498,HC DX FINGER 2V BI PORT,363.38,218.03,38.43,7411.0,40
CDM,32000499,HC DX FOOT 2V BI PORT,479.87,287.92,28.74,7411.0,40
CDM,32000500,HC DX FOREARM 2V BI PORT,529.37,317.62,29.4,7411.0,40
CDM,32000501,HC DX HAND 2V BI PORT,530.0,318.0,31.74,7411.0,40
CDM,32000502,HC DX HAND MIN 3V BI PORT,529.64,317.78,37.43,7411.0,40
CDM,32000503,HC DX HUMERUS MIN 2V BI PORT,515.52,309.31,32.08,7411.0,40
CDM,32000504,HC DX LWR EXT INF MIN 2V BI,189.05,113.43,68.06,7411.0,40
CDM,32000505,HC DX LWR EXT INF MIN 2V BI PORT,189.05,113.43,68.06,7411.0,40
CDM,32000506,HC DX OPTIC FORAMINA BI,231.21,138.73,37.76,7411.0,40
CDM,32000507,HC DX SCAPULA COMPL BI,373.08,223.85,24.06,7411.0,40
CDM,32000508,HC DX SHOULDER 1V BI PORT,447.67,268.6,21.71,7411.0,40
CDM,32000509,HC DX SHOULDER MIN 2V BI PORT,511.46,306.88,35.09,7411.0,40
CDM,32000510,HC DX TIBIA FIBULA 2V BI PORT,510.79,306.47,31.74,7411.0,40
CDM,32000511,HC DX TOES MIN 2V BI,319.76,191.86,29.4,7411.0,40
CDM,32000512,HC DX TOES MIN 2V BI PORT,319.76,191.86,29.4,7411.0,40
CDM,32000513,HC DX UPR EXT INF MIN 2V BI,189.05,113.43,68.06,7411.0,40
CDM,32000514,HC DX UPR EXT INF MIN 2V BI PORT,189.05,113.43,68.06,7411.0,40
CDM,32000515,HC DX WRIST 2V BI PORT,486.95,292.17,34.09,7411.0,40
CDM,32000516,HC MG DUCTOGRAM SNGL SI LT,492.92,295.75,54.13,7411.0,40
CDM,32000517,HC MG DUCTOGRAM SNGL SI RT,492.92,295.75,54.13,7411.0,40
CDM,32000518,HC IR SCLERA RENL PEL VIA CATH LT,1258.98,755.39,41.53,7411.0,40
CDM,32000519,HC X-RAY EXAM COMPLETE WRIST MIN 3 VIEWS - BI,515.76,309.46,41.44,7411.0,40
CDM,32000520,HC X-RAY EXAM COMPLETE WRIST MIN 3 VIEWS - LT,515.76,309.46,41.44,7411.0,40
CDM,32000521,HC X-RAY EXAM COMPLETE WRIST MIN 3 VIEWS - RT,515.76,309.46,41.44,7411.0,40
CDM,32000522,HC DX WRIST MIN 3V LT PORT,515.76,309.46,41.44,7411.0,40
CDM,32000523,HC DX WRIST MIN 3V RT PORT,515.76,309.46,41.44,7411.0,40
CDM,32000524,HC DX ANKLE MIN 3V BI PORT,493.74,296.24,36.75,7411.0,40
CDM,32000525,HC DX FOOT MIN 3V BI PORT,608.85,365.31,34.41,7411.0,40
CDM,32000526,HC DX KNEE 3V BI PORT,532.06,319.24,41.1,7411.0,40
CDM,32000527,HC DX KNEE 3V LT PORT,532.06,319.24,41.1,7411.0,40
CDM,32000528,HC DX KNEE 3V RT PORT,532.06,319.24,41.1,7411.0,40
CDM,32000529,HC DX WRIST MIN 3V BI PORT,515.76,309.46,41.44,7411.0,40
CDM,32000534,HC IR LYMPHANGIOGRAM PEL/ABD RT,4490.09,2694.05,313.39,7896.23,40
CDM,32000536,HC DX TMJ RT,192.82,115.69,34.75,7411.0,55
CDM,32000538,"HC SPLENOPORTOGRAPHY, S&I",3867.22,2320.33,612.59,7896.23,55
CDM,32000539,HC INJECTION PROCEDURE FOR SPLENOPORTOGRAPHY,1637.87,982.72,278.44,7411.0,32
CDM,32000541,HC US TRGT DYN MBUBB 1ST LES,1038.14,622.88,175.06,7411.0,55
CDM,32000542,HC US TRGT DYN MBUBB EA ADDL,491.62,294.97,143.01,7411.0,39
CDM,32000543,"HC RADIOLOGICAL EXAMINATION, SURGICAL SPECIMEN - RT",764.8,458.88,42.78,7411.0,55
CDM,32000544,"HC RADIOLOGICAL EXAMINATION, SURGICAL SPECIMEN - LT",764.8,458.88,42.78,7411.0,55
CDM,32000545,"HC VENOGRAPHY RENAL SELECTIVE, S&I, UNILATERAL - RT",4286.58,2571.95,119.63,11694.8,55
CDM,32000546,"HC VENOGRAPHY RENAL SELECTIVE, S&I, UNILATERAL - LT",4286.58,2571.95,119.63,11694.8,55
CDM,32000550,HC X-RAY EXAM ABDOMEN 1 VIEW - RT,412.73,247.64,30.4,7411.0,55
CDM,32000551,HC X-RAY EXAM ABDOMEN 1 VIEW - LT,412.73,247.64,30.4,7411.0,55
CDM,32000553,HC X-RAY EXAM OF SMALL BOWEL,484.85,290.91,167.39,7411.0,55
CDM,32000554,HC RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,2057.65,1234.59,82.53,7411.0,39
CDM,32000555,HC XRAY EXAM ESOPHAGUS DOUBLE CONTRAST STDY,965.91,579.55,109.93,7411.0,55
CDM,32000556,HC XRAY SM INT F-THRU STD,2057.65,1234.59,82.53,7411.0,39
CDM,32000557,HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,567.0,340.2,96.39,7411.0,39
CDM,32000558,HC MRI BREAST BIOPSY,2880.0,1728.0,83.05,7411.0,55
CDM,32000559,HC RADIATION DOSE ASSESSMENT,1330.02,798.01,226.1,7411.0,55
CDM,32000561,HC AUTO QUAN&CHARAC CORONARY PLAQ DATA PREP&TRNSMIS,150.0,90.0,25.5,7411.0,39
CDM,32000562,HC AUTO QUAN&CHARAC CORONARY PLAQ COMPUTERIZED ALYS,1830.52,1098.31,311.19,7411.0,40
CDM,32000564,HC VENOGRAM OF THE RT OVARIAN VEIN,5723.32,3433.99,83.05,7411.0,55
CDM,32000565,HC TBS TECHL PREP&TRANSMIS DATA ALYS PFRMD ELSEWHR,165.22,99.13,28.09,7411.0,55
CDM,32000566,HC TBS TECHNICAL CALCULATION ONLY,165.22,99.13,28.09,7411.0,55
CDM,32000569,"HC VENOGRAPHY, GASTRIC VEIN",2747.21,1648.33,83.05,7411.0,55
CDM,32000570,"HC VENOGRAPHY, OPHTHALMIC VEIN(S)",3772.61,2263.57,83.05,7411.0,55
CDM,32000571,HC CORPORA CAVERNOSOGRAPY RS&I,942.0,565.2,99.77,7411.0,55
CDM,32000572,HC PENILE VEIN VENOGRAM,1765.0,1059.0,83.05,7411.0,55
CDM,32000573,"HC VENOGRAPHY, LIP, RADIOLOGICAL SUPERVISION AND INTERPRETATION",3961.24,2376.74,83.05,7411.0,55
CDM,32000574,HC VENOGRAPHY DEEP DORSAL VEIN PENIS RADIOLGICL SUPERVISION INTERPRETATION,4465.19,2679.11,83.05,7411.0,55
CDM,32000575,"HC LYMPHANGIOGRAPHY, CERVICAL/NECK, INCL RADIOLOGICAL SUPRVSN&INTRPRTTN",2064.32,1238.59,83.05,7411.0,55
CDM,32000576,"HC ABLATION, BILIARY STRICTURE, PERCUTANEOUS, RADIOFREQUENCY",12606.79,7564.07,865.56,9455.09,53
CDM,32000577,HC VNGRPH INFROR EPGSTRC VEIN W/ RDIOLGCL SPRVSION & INTRPRTION,4465.19,2679.11,83.05,7411.0,55
CDM,32200003,"HC SHOULDER ARTHROGRAPHY X-RAY,RA",436.32,261.79,131.99,7411.0,55
CDM,32200004,"HC WRIST ARTHROGRAPHY X-RAY,RAD S",825.96,495.58,135.33,7411.0,55
CDM,32200005,"HC HIP ARTHROGRAPHY X-RAY,RAD SUP",867.3,520.38,129.31,7411.0,55
CDM,32200006,HC ARTHROGRAM KNEE,826.0,495.6,110.94,7411.0,55
CDM,32200007,"HC ARTHROGRAM, ELBOW",826.0,495.6,100.24,7411.0,55
CDM,32200009,HC DX ARTHROGRAM TMJ BI SI,425.58,255.35,82.86,7411.0,40
CDM,32200010,HC DX ARTHROGRAM TMJ LT SI,425.58,255.35,82.86,7411.0,40
CDM,32200011,HC DX ARTHROGRAM TMJ RT SI,425.58,255.35,82.86,7411.0,40
CDM,32200012,HC DX ARTHROGRAM TMJ BI SI,425.58,255.35,82.86,7411.0,40
CDM,32200013,HC DX ARTHROGRAM TMJ LT SI,425.58,255.35,82.86,7411.0,40
CDM,32200014,HC DX ARTHROGRAM TMJ RT SI,425.58,255.35,82.86,7411.0,40
CDM,32200015,HC DX ARTHROGRAM KNEE RT SI,826.0,495.6,110.94,7411.0,40
CDM,32200016,HC DX ARTHROGRAM WRIST RT SI,825.96,495.58,135.33,7411.0,40
CDM,32200017,HC DX ARTHROGRAM ANKLE LT SI,825.96,495.58,128.31,7411.0,40
CDM,32200018,HC DX ARTHROGRAM KNEE LT SI,826.0,495.6,110.94,7411.0,40
CDM,32200019,HC DX ARTHROGRAM WRIST LT SI,825.96,495.58,135.33,7411.0,40
CDM,32200020,HC DX ARTHROGRAM SHOULDER LT SI,436.32,261.79,131.99,7411.0,40
CDM,32200021,HC DX ARTHROGRAM HIP BI SI,867.3,520.38,129.31,7411.0,40
CDM,32200022,HC DX ARTHROGRAM SHOULDER RT SI,436.32,261.79,131.99,7411.0,40
CDM,32200023,HC DX ARTHROGRAM SHOULDER BI SI,436.32,261.79,131.99,7411.0,40
CDM,32200024,HC DX ARTHROGRAM HIP RT SI,867.3,520.38,129.31,7411.0,40
CDM,32200026,HC DX ARTHROGRAM HIP LT SI,867.3,520.38,129.31,7411.0,40
CDM,32200033,HC DX ARTHROGRAM ELBOW LT,826.0,495.6,100.24,7411.0,40
CDM,32200034,HC DX ARTHROGRAM ELBOW RT,826.0,495.6,100.24,7411.0,40
CDM,32200035,HC DX ARTHROGRAM HIP LT SI,867.3,520.38,129.31,7411.0,40
CDM,32200036,HC DX ARTHROGRAM ANKLE RT SI,825.96,495.58,128.31,7411.0,40
CDM,32300001,"HC AORTOGRAPHY,THORACIC/SERIALOGR",5278.77,3167.26,120.95,19395.92,55
CDM,32300002,HC ABDOMIANAL AORTOGRAM,5648.49,3389.09,126.64,11694.8,55
CDM,32300003,"HC AORTOGRAPHY,ABD BIL.LOWER EXT.",5678.87,3407.32,157.04,11694.8,55
CDM,32300006,"HC ANGIOGRAPHY,SELECTIVE,EACH ADD",3274.4,1964.64,132.62,7411.0,39
CDM,32300007,"HC ANGIOGRAPHY,ADRENAL UNILAT.SEL",3336.24,2001.74,153.7,7896.23,55
CDM,32300008,"HC ANGIOGRAPHY, INTERNAL MAMMARY,",2715.55,1629.33,165.4,11694.8,55
CDM,32300014,"HC ANGIOGRAPHY,EXTREMITY BIL.RAD",5950.63,3570.38,163.05,11694.8,55
CDM,32300015,"HC ANGIOGRAPHY,CAROTID/CERE.BIL.R",5950.63,3570.38,163.05,11694.8,55
CDM,32300016,"HC ANGIOGRAPHY,EXTREMITY,UNI.RAD",5241.37,3144.82,150.36,11694.8,55
CDM,32300017,"HC ANGIOGRAPHY,PELVIC,SEL/SUPRASE",6655.69,3993.41,143.68,19395.92,55
CDM,32300018,"HC ANGIOGRAPHY,PULMONARY/UNILATERAL/SELECTIVE CATH",5250.0,3150.0,129.98,11694.8,55
CDM,32300019,"HC ANGIOGRAPHY,PULMONARY,BIL.SEL.",5892.62,3535.57,147.69,11694.8,55
CDM,32300020,HC ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I,2840.55,1704.33,134.99,7896.23,55
CDM,32300021,"HC ANGIOGRAPHY,SPINAL,SEL.RAD SUPER/INTERP",6824.33,4094.6,250.94,19395.92,55
CDM,32300023,"HC ANGIOGRAPHY,VISCERAL SEL/SUPRASEL.RAD SUP/",7764.98,4658.99,170.08,19395.92,55
CDM,32300026,"HC ANGIOGRAPHY,SPINAL,SEL.RAD SUPER/INTERP",6824.33,4094.6,250.94,19395.92,55
CDM,32300027,"HC ANGIOGRAPHY, INTERNAL MAMMARY, ADD",2715.55,1629.33,165.4,11694.8,55
CDM,32300028,HC ART ADRNL SELECTVE BI SI,4874.1,2924.46,172.75,11694.8,55
CDM,32300029,HC IR ART ADRNL SELECTVE BI SI,4874.1,2924.46,172.75,11694.8,55
CDM,32300030,HC ANGIO EXTREMITY S&I LT,5241.37,3144.82,150.36,11694.8,40
CDM,32300031,HC ANGIO EXTREMITY S&I RT,5241.37,3144.82,150.36,11694.8,40
CDM,32300032,HC ART PULM SELECTVE S&I RT,5250.0,3150.0,129.98,11694.8,40
CDM,32300033,HC IR ART PELVIC SELECTVE BI SI,6655.69,3993.41,143.68,19395.92,40
CDM,32300034,"HC ANGIOGRAPHY EXTREMITY, S&I - RT",5241.37,3144.82,150.36,11694.8,55
CDM,32300035,"HC ANGIOGRAPHY EXTREMITY, S&I - LT",5241.37,3144.82,150.36,11694.8,55
CDM,32400009,HC X-RAY EXAM CHEST 1 VIEW,366.74,220.04,25.73,7411.0,55
CDM,32400010,HC X-RAY EXAM CHEST 2 VIEWS,656.37,393.82,33.75,7411.0,55
CDM,32400011,HC X-RAY EXAM CHEST 3 VIEWS,456.83,274.1,42.44,7411.0,55
CDM,32400012,HC X-RAY EXAM CHEST 4 VIEWS,655.92,393.55,45.78,7411.0,55
CDM,32400013,HC CHEST 2V W OBLIQUES,655.92,393.55,45.78,7411.0,55
CDM,32400014,HC CHEST APICAL LORDOTIC,366.74,220.04,25.73,7411.0,55
CDM,32400015,HC X-RAY EXAM CHEST 2 VIEWS,656.37,393.82,33.75,7411.0,55
CDM,32400016,HC CHEST DECUB LT,366.74,220.04,25.73,7411.0,55
CDM,32400017,HC CHEST DECUB RT,366.74,220.04,25.73,7411.0,55
CDM,32900013,HC R-T FLUOR WOUND IMG 1ST SITE,595.0,357.0,101.15,7411.0,55
CDM,32900015,"HC ABLATION, PERCUTANEOUS, CRYOABLATION, INCLUDES IMAGING GUIDANCE(FAVA)",3595.04,2157.02,235.4,7411.0,53
CDM,32900016,"HC BIOPSY, BREAST, W/WO PLACEMENT OF LOCALIZATION DEVICE(S), WHEN PERFORMED",4750.0,2850.0,1187.5,9442.65,53
CDM,32900017,"HC BREAK UP OF FIBRIN SHEATH W/BALLOON, VENOUS",6152.83,3691.7,598.65,7411.0,53
CDM,32900018,HC R-T FLUOR WOUND IMG 1ST SITE,595.0,357.0,101.15,7411.0,55
CDM,33100001,HC CHEMO ADMINISTRATION IM OR SUB,574.51,344.71,68.71,7411.0,55
CDM,33100002,"HC CHEMO.ADMIN,SUBQ/IM,HORMONAL A",491.03,294.62,68.71,7411.0,55
CDM,33100005,HC CHEMO ADMINISTRATION IV PUSH,853.78,512.27,145.14,7411.0,55
CDM,33100007,HC CHEMOTHERAPY ADMIN/IV PUSH - EA,616.43,369.86,68.71,7411.0,55
CDM,33100008,"HC CHEMOTHERAPY ADMIN.,INTRA-ARTE",999.86,599.92,169.98,7411.0,55
CDM,33100009,HC CHEMOTHERAPY ADM/INTO CNS W/LU,1749.88,1049.93,251.16,7411.0,55
CDM,33100010,"HC CHEMO INJECTION,SUBARACHNOID/I",804.63,482.78,131.67,7411.0,55
CDM,33100012,HC CHEMOTX ADMIN PRTL CA,845.28,507.17,87.4,7411.0,55
CDM,33300001,HC SIMULATION-AIDED FIELD SETTING - SIMPLE,1391.26,834.76,128.27,7411.0,55
CDM,33300002,HC SIMULATION-AIDED FIELD SETTING - INTERMEDIATE,1116.61,669.97,189.82,7411.0,55
CDM,33300003,"HC SIMULATION, COMPLEX",2727.26,1636.36,357.33,7411.0,55
CDM,33300004,HC 3D THERAPEUTIC RAD SIMULATION,9137.47,5482.48,423.9,7411.0,55
CDM,33300006,"HC RADIATION DOSIMETRY,BASIC CALC",788.35,473.01,53.98,7411.0,55
CDM,33300007,"HC INTENSITY MODULTD RADIOTHRPY,I",9994.01,5996.41,1320.92,7495.51,55
CDM,33300011,"HC TELETHERAPY PORT PLAN,SPECIAL(",884.11,530.47,69.72,7411.0,55
CDM,33300012,"HC BRACHYTHERAPY,ISODOSE PLAN - SIM",1056.51,633.91,179.61,7411.0,55
CDM,33300013,HC BRACHYTHERAPY ISODOSE CALC - INTERMED,1066.72,640.03,181.34,7411.0,55
CDM,33300014,"HC BRACHYTHERAPY,ISODOSE CALC - COMPLEX",1175.75,705.45,199.88,7411.0,55
CDM,33300015,"HC SPECIAL DOSIMETRY (TLD, MICROD",899.95,539.97,30.36,7411.0,55
CDM,33300016,HC TREAT.DEVICES-SIMPLE(SIMPLE BL,437.59,262.55,45.54,7411.0,55
CDM,33300017,HC TREAT.DEVICES-INTERM.(MULT.BLO,1217.85,730.71,111.32,7411.0,55
CDM,33300018,"HC TREAT.DEVICES-CMPX.(COMP.,WEDG",2012.13,1207.28,107.95,7411.0,55
CDM,33300019,"HC CONSULT, MEDICAL RADIATION PHY",1157.31,694.39,127.06,7411.0,55
CDM,33300020,HC MLC DEVICE FOR IMRT DESIGN/CON,3301.54,1980.92,357.33,7411.0,55
CDM,33300021,HC SPEC MED RAD PHYSICS CONSULT,1576.11,945.67,128.27,7411.0,55
CDM,33300022,HC FACILITY- EXT.RADIATION DOSIME,626.72,376.03,106.54,7411.0,55
CDM,33300023,HC RAD TRT DEL/SUPERFICIAL &/OR O,218.27,130.96,37.11,7411.0,40
CDM,33300032,HC PORTAL VERIFICATION FILM,383.81,230.29,17.99,7411.0,39
CDM,33300035,"HC SPECIAL TREAT.(HEMI-BODY, WHOL",2979.19,1787.51,40.48,7411.0,55
CDM,33300036,HC INTRACAVITARY RADIATION SOURCE APPLICATION - SIMPLE,1328.29,796.97,225.81,7411.0,55
CDM,33300037,HC INTRACAVITARY RADIATION SOURCE APPLICATION - INTERMEDIATE,5640.06,3384.04,359.25,7411.0,55
CDM,33300038,HC INTRACAVITARY RADIATION SOURCE APPLICATION - COMPLEX,1845.24,1107.14,313.69,7411.0,55
CDM,33300039,HC INTERSTITIAL RADIATION SOURCE,1937.41,1162.45,329.36,7411.0,55
CDM,33300043,HC SURFACE APPLICATION,218.27,130.96,37.11,7411.0,55
CDM,33300044,"HC RADIATION SOURCE, SUPRVIS, HAN",355.95,213.57,24.18,7411.0,39
CDM,33300050,HC INTERSTITIAL RADIATION SOURCE,2074.0,1244.4,97.38,7411.0,55
CDM,33300053,HC RESPIRATORY MOTION MANAGEMENT SIMULATION,2000.89,1200.53,340.15,7411.0,39
CDM,33300055,HC RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR,21779.1,13067.46,1700.12,19291.06,52
CDM,33300056,"HC RADN RX DELIV,BODY,EACH FRACTION",13908.12,8344.87,1706.39,10431.09,55
CDM,33300057,HC GUIDANCE LOCALIZED RADIATION TX DELIVERY,1034.85,620.91,175.92,7411.0,39
CDM,33300058,"HC TELETHERAPY ISODOSE PLAN, SIMPLE",1033.5,620.1,121.43,7411.0,55
CDM,33300059,"HC TELETHERAPY ISODOSE PLAN, COMPLEX",2798.85,1679.31,219.26,7411.0,55
CDM,33300072,"HC RADIATION TX DELIVERY IMRT, SIMPLE",4324.94,2594.96,735.24,7411.0,40
CDM,33300073,"HC RADIATION TX DELIVERY IMRT, COMPLEX",4324.94,2594.96,735.24,7411.0,40
CDM,33300074,HC RADIATION TREATMENT DELIVERY LEVEL 1,2000.0,1200.0,97.38,7411.0,55
CDM,33300075,HC RADIATION TREATMENT DELIVERY LEVEL 2,3100.0,1860.0,368.08,7411.0,55
CDM,33300076,HC RADIATION TREATMENT DELIVERY LEVEL 3,4000.0,2400.0,378.92,7411.0,55
CDM,33300078,"HC HDR RADIONUCLIDE INTERSTITIAL/INTRACAVITARY BRACHYTHERAPY, 1 CHANNEL",3564.84,2138.9,363.18,7411.0,55
CDM,33300079,"HC HDR RADIONUCLIDE INTERSTITIAL/INTRACAVITARY BRACHYTHERAPY, 2-12 CHANNELS",2938.82,1763.29,499.6,7411.0,55
CDM,33300080,"HC HDR RADIONUCLIDE INTERSTITIAL/INTRACAVITARY BRACHYTHERAPY, 13+ CHANNELS",2665.6,1599.36,453.15,7411.0,55
CDM,33300081,HC HDR RDNCL SKN SRF BRACHYTX - UP TO 2CM OR 1 CHNL,662.15,397.29,112.57,7411.0,55
CDM,33300082,HC HDR RDNCL SKN SRF BRACHYTX - OVER 2CM AND 2 OR MORE CHNL,662.15,397.29,112.57,7411.0,55
CDM,33300084,HC TREATMENT PLANNING INTERM,355.1,213.06,60.37,7411.0,39
CDM,33300085,HC TREATMENT PLANNING COMPLE,448.72,269.23,76.28,7411.0,39
CDM,33300086,HC MCARE PHOTON SRS COMP.DELIVERY,53000.0,31800.0,1700.12,39750.0,52
CDM,33300087,HC WHOLE SKIN ELECTRON EXAM,543.6,326.16,92.41,7411.0,39
CDM,33300088,HC SUPERFICIAL HYPERTHERMIA,1489.76,893.86,253.26,7411.0,55
CDM,33300089,HC INFSN RADIOELEMENT SOLUTION,1001.49,600.89,170.25,7411.0,55
CDM,33300090,HC TREATMENT PLANNING COMPLE,448.72,269.23,76.28,7411.0,39
CDM,33300092,HC EVALUATE TUMOR VOLUME CT PROCEDURE FOR TREATMENT PLANNING,528.2,316.92,83.05,7411.0,55
CDM,33500001,HC CHEMO ADMIN INFUSION SINGLE/INITIAL UP TO 1 HR,1238.09,742.85,210.48,7411.0,55
CDM,33500002,HC CHEMO ADMIN INFUSION EACH ADDITIONAL HR,507.0,304.2,68.71,7411.0,55
CDM,33500003,HC CHEMO INFUSE PUMP > 8 HRS,1387.34,832.4,235.85,7411.0,55
CDM,33500004,HC CHEMO ADMIN INFUSION EACH ADDL SEQ UP TO 1 HR,623.56,374.14,68.71,7411.0,55
CDM,33500005,"HC CHEMO ADMIN,INTRA-ARTERL - INFUS.",1303.48,782.09,221.59,7411.0,55
CDM,33500006,"HC CHEMO ADMIN,INTRA-ARTERL - INFUS.T",428.5,257.1,44.69,7411.0,55
CDM,33500008,HC CHEMO CONCURRENT INFUSION IV,419.28,251.57,44.69,7411.0,55
CDM,33900001,HC ECMO/ECLS INITIATION ARTERY,3164.44,1898.66,420.86,8280.0,37
CDM,33900002,ECMO/ECLS INSERT CTR 0-5 YO,3164.44,1898.66,420.86,8280.0,37
CDM,33900003,HC ECMO/ECLS INSERT CTR 6+ YO,3164.44,1898.66,420.86,8280.0,37
CDM,33900004,HC ECMO/ECLS INSJ PRPH OPN 0-5 YO,3164.44,1898.66,420.86,8280.0,37
CDM,33900005,HC ECMO/ECLS INSJ PRPH OPN 6+ YO,3164.44,1898.66,420.86,8280.0,37
CDM,33900006,ECMO/ECLS REM PRPH PRC 0-5 YO,3164.44,1898.66,420.86,8280.0,37
CDM,33900007,ECMO/ECLS REM PRPH PRC 6+ YO,3164.44,1898.66,420.86,8280.0,37
CDM,33900008,ECMO/ECLS REMOVE CTR 0-5 YO,3164.44,1898.66,420.86,8280.0,37
CDM,33900009,ECMO/ECLS REPO CTR 0-5 YO,3164.44,1898.66,420.86,8280.0,37
CDM,33900010,ECMO/ECLS REPO CTR 6+ YO,3164.44,1898.66,420.86,8280.0,37
CDM,33900011,ECMO/ECLS REPO PRPH OPN 0-5 YO,3164.44,1898.66,420.86,8280.0,37
CDM,33900012,ECMO/ECLS REPO PRPH OPN 6+ YO,3164.44,1898.66,420.86,8280.0,37
CDM,33900013,ECMO/ECLS REPO PRPH PRC 0-5 YO,3164.44,1898.66,420.86,8280.0,37
CDM,33900014,ECMO/ECLS REPO PRPH PRC 6+ YO,3164.44,1898.66,420.86,8280.0,37
CDM,34000001,HB RA TRACER ID OF SENTINL NODE,2469.78,1481.87,381.51,7411.0,55
CDM,34100007,HC THYROID CARCINOMA METAST. IMAG,2873.8,1724.28,280.0,7411.0,55
CDM,34100008,HC THYROID CARCINOMA METASTASES U,664.0,398.4,112.88,7411.0,39
CDM,34100009,HC PARATHYROID IMAGING,2538.06,1522.84,265.3,7411.0,55
CDM,34100010,HC BONE MARROW IMAGE LIMITED,1170.44,702.26,159.38,7411.0,55
CDM,34100011,HC BONE MARROW IMAGE MULTIPL,611.77,367.06,169.08,7411.0,55
CDM,34100012,HC BONE MARROW IMAGE WHOLE B,753.93,452.36,225.2,7411.0,55
CDM,34100013,HC SPLEEN W OR W/O VAS FLOW,611.77,367.06,153.36,7411.0,55
CDM,34100014,HC LYMPHATICS & LYMPH NODES,3232.45,1939.47,317.76,7411.0,55
CDM,34100015,HC LIVER STATIC ONLY SCAN,2131.83,1279.1,175.43,7411.0,55
CDM,34100016,HC LIVER W/VAS FLOW SCAN,2091.92,1255.15,194.8,7411.0,55
CDM,34100017,HC LIVER IMAGING SPECT,1997.76,1198.66,339.62,7411.0,39
CDM,34100018,HC LIVER/SPLEEN STATIC SCAN,2452.54,1471.52,180.1,7411.0,55
CDM,34100019,HC LIVER/SPLEEN W/VAS FLOW,841.37,504.82,135.99,7411.0,55
CDM,34100020,HC HEPATOBILIARY SYS IMAG,2933.97,1760.38,290.7,7411.0,55
CDM,34100022,HC HEPATOBILIARY SYTEM IMAGING W/,3167.73,1900.64,390.26,7411.0,55
CDM,34100023,HC GASTROESOPHAGEAL REFLUX STUDY,822.91,493.75,223.2,7411.0,55
CDM,34100024,HC GASTRIC EMPTYING STUDY,3101.9,1861.14,296.71,7411.0,55
CDM,34100025,"HC UREA BREATH TEST,C-14 - ACQUIS F",54.34,32.6,9.29,7411.0,55
CDM,34100026,"HC UREA BREATH TEST,C-14 - ANALYSIS",328.9,197.34,79.3,7411.0,55
CDM,34100027,HC GI BLOOD LOSS ACUTE SCAN,2267.59,1360.55,313.08,7411.0,55
CDM,34100028,HC MECKEL'S LOCALIZATION,2361.72,1417.03,295.7,7411.0,55
CDM,34100029,HC BONE/JNT IMAGE LIMITED AR,2222.1,1333.26,203.15,7411.0,55
CDM,34100030,HC BONE/JNT IMAGE MULTIPLE A,743.39,446.03,247.59,7411.0,55
CDM,34100031,HC BONE/JNT IMAGE WHOLE BODY,3038.83,1823.3,264.64,7411.0,55
CDM,34100032,HC BONE/JOINT IMAGING - 3 PHASE ST,3125.24,1875.14,310.74,7411.0,55
CDM,34100033,HC BONE SCAN SPECT LIMITED,2101.67,1261.0,357.28,7411.0,39
CDM,34100035,HC MYOCARD IMAGE SPECT - SNGL STDY,5108.11,3064.87,306.74,7411.0,55
CDM,34100036,HC MYOCARD IMAGE SPECT - MLTPL STDY,7322.73,4393.64,422.34,7411.0,55
CDM,34100037,HC MYOCARDIAL PERFUSION SNGL,2091.92,1255.15,264.3,7411.0,55
CDM,34100038,HC MYO R&S PLANAR MLT,2658.77,1595.26,391.26,7411.0,55
CDM,34100040,HC VENOGRAM BILATERAL,1016.22,609.73,190.79,7411.0,55
CDM,34100041,HC MYOCARDIAL SCAN,1401.23,840.74,160.05,7411.0,55
CDM,34100042,"HC CARDIAC BLOOD POOL IMAGE,GATED",2648.05,1588.83,206.83,7411.0,55
CDM,34100046,HC PULMONARY PERFUSION IMAGING,2247.36,1348.42,213.51,7411.0,55
CDM,34100047,HC PULMONARY VENTILATION/PERFUSION,3969.0,2381.4,297.04,7411.0,55
CDM,34100049,HC QUANTVE DIFFERENTIAL PULMONARY,2684.88,1610.93,269.31,7411.0,55
CDM,34100050,HC BRAIN LTD W/VAS FLOW,1772.47,1063.48,196.8,7411.0,55
CDM,34100052,HC BRAIN CMPLT W/VAS FLOW,2589.46,1553.68,295.7,7411.0,55
CDM,34100053,"HC BRAIN IMAGING,TOMAGRAPHIC",2091.92,1255.15,355.63,7411.0,39
CDM,34100054,HC CEREBRAL VASC FLOW,788.2,472.92,160.05,7411.0,55
CDM,34100055,HC CISTERNOGRAM CSF IMAGING,2681.97,1609.18,302.05,7411.0,55
CDM,34100056,HC RENAL IMAGE STATIC ONLY,899.95,539.97,157.04,7411.0,55
CDM,34100057,"HC KIDNEY IMAGING,W/VASC FLOW",1085.99,651.59,205.83,7411.0,55
CDM,34100058,"HC KIDNEY IMAGING,W/VASC FLOW, SINGLE",2446.73,1468.04,212.84,7411.0,55
CDM,34100059,"HC KIDNEY IMAGING,W/VASC FLOW, SINGLE W/PHARM",2831.51,1698.91,176.09,7411.0,55
CDM,34100060,"HC KIDNEY IMAGING,W/VASC FLOW, MULTIPLE",1989.55,1193.73,332.13,7411.0,55
CDM,34100061,HC KIDNEY IMAGING (SPECT),788.2,472.92,133.99,7411.0,39
CDM,34100062,HC URETERAL REFLUX STUDY,721.49,432.89,209.5,7411.0,55
CDM,34100063,HC TESTICULAR IMAGE W/VAS FL,749.28,449.57,195.14,7411.0,55
CDM,34100064,HC TUMOR LOCALIZE LTD,2490.81,1494.49,228.55,7411.0,55
CDM,34100065,HC TUMOR LOCALIZE MULTIPLE,2671.81,1603.09,244.59,7411.0,55
CDM,34100066,"HC RADIONUCLIDE LOCALIZTN TUMOR,W",3626.35,2175.81,275.66,7411.0,55
CDM,34100067,HC TUMOR LOCALIZATION (SPECT),4538.43,2723.06,338.81,7411.0,55
CDM,34100068,HC TUMOR LOCAL BODY 2>DAYS,5595.76,3357.46,518.17,7411.0,55
CDM,34100069,HC RADIONUCLIDE LOCALIZA INFLAME,1830.0,1098.0,311.1,7411.0,39
CDM,34100070,HC INFECTIOUS IMAGING WHOLE,2429.53,1457.72,413.02,7411.0,39
CDM,34100071,HC INFECTIOUS IMAGING SPECT,1952.9,1171.74,331.99,7411.0,39
CDM,34100072,"HC INJECTN,LOCALIZ NONIMAG PROBE",757.9,454.74,128.84,7411.0,55
CDM,34100074,HC LUNG VENTILATION,1381.21,828.73,169.08,7411.0,55
CDM,34100077,HC THERAPY SIR-SPHERES,1954.46,1172.68,222.68,7411.0,55
CDM,34100078,HC URINARY BLADDER RESIDUAL STUDY,515.37,309.22,87.61,7411.0,39
CDM,34100085,HC THYROID IMAGING (INCLUDING VASCULAR FLOW),1121.69,673.01,171.74,7411.0,55
CDM,34100087,HC PARATHYROID IMAGING W/TOMOGRAPHIC (SPECT),3122.81,1873.69,314.75,7411.0,55
CDM,34100088,HC PARATHYROID IMAGING W/TOMOGRAPHIC AND CT,3756.76,2254.06,518.17,7411.0,55
CDM,34100090,HC CARDIAC SHUNT DETECTION,2258.0,1354.8,171.08,7411.0,55
CDM,34100092,HC MI INFARCT AVID SCANH,2484.3,1490.58,375.52,7411.0,55
CDM,34100093,HC CARDIAC SCAN W/MULTPL GATES,944.57,566.74,209.5,7411.0,55
CDM,34100094,HC LUNG PERFUSION DIFFERENTIAL,1998.6,1199.16,181.76,7411.0,55
CDM,34100095,HC CSF LEAK STUDY,2388.75,1433.25,242.91,7411.0,55
CDM,34100096,"HC THYROID UPTAKE, SINGLE OR MULTIPLE QUANTIT",1134.61,680.77,81.2,7411.0,55
CDM,34100106,"HC CEREBROSPINAL FLUID FLOW, IMAGE",1493.25,895.95,290.7,7411.0,55
CDM,34100736,HC LEVEEN/SHUNT PATENCY EXAM,735.35,441.21,238.58,7411.0,55
CDM,34100737,"HC VASCULAR FLOW IMAGING,NONCARDIAC",611.77,367.06,171.74,7411.0,55
CDM,34100740,HC CSF SCAN SPECT,1713.5,1028.1,291.3,7411.0,39
CDM,34100742,HC GASTRIC EMPTYING IMAG STUDY W/SML BOWEL TRANSIT,4227.5,2536.5,353.51,7411.0,55
CDM,34100745,HC THYROID SCAN W UPTAKE MULT,2431.74,1459.04,218.19,7411.0,55
CDM,34100746,HC THYROID SCAN W UPTAKE SNGL,2431.74,1459.04,218.19,7411.0,55
CDM,34100747,HC NM SPLENIC SEQUESTRATION,741.9,445.14,109.6,7411.0,55
CDM,34100748,HC NM LIVER BLOOD POOL ECT W FLW,788.2,472.92,133.99,7411.0,39
CDM,34100749,HC NM SALIVARY GLAND SCAN,611.77,367.06,104.25,7411.0,55
CDM,34100751,HC NM CT FUSION,772.8,463.68,278.21,7411.0,52
CDM,34100752,HC UNLISTED MISC NUCLEAR MED,672.48,403.49,242.09,7411.0,52
CDM,34100753,HC NM TREAT PLAN RESEARCH,4051.1,2430.66,222.68,7411.0,52
CDM,34100754,HC LIVER IMAGING SPECT,1997.76,1198.66,339.62,7411.0,39
CDM,34100755,HC RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING,5010.65,3006.39,436.04,7411.0,55
CDM,34100756,HC RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG>2+D,4552.43,2731.46,652.23,7411.0,55
CDM,34100757,HC RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG>2+D,6358.14,3814.88,823.96,7411.0,55
CDM,34100758,HC RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA,1223.48,734.09,89.21,7411.0,39
CDM,34200001,HC RADIPHARMACEUTICAL THERPY - INTR,1259.09,755.45,100.9,7411.0,55
CDM,34200002,"HC RADIONUCLIDE THERAPY,RADIOLABE",1463.89,878.33,167.94,7411.0,55
CDM,34200004,HC RADIOPHARMACEUTICAL THERAPY,2523.73,1514.24,101.64,7411.0,55
CDM,34200005,HC RADIOPHARMACEUTICAL THERAPY BY INTRACAVITA,1249.25,749.55,105.96,7411.0,55
CDM,34200006,HC NM THERASPHERE THERAPY,1954.46,1172.68,222.68,7411.0,55
CDM,34200007,HC NM RADIOPHARM INTRA ARTERIAL,1954.46,1172.68,222.68,7411.0,55
CDM,34200008,HC IR THERASPHERE THERAPY,1954.46,1172.68,222.68,7411.0,55
CDM,34300001,florbetapir F-18 10 mCi (370 MBq) intravenous solution,8268.0,4960.8,1405.56,7411.0,54
CDM,34300004,fluciclovine F18 10 mCi (370 MBq) intravenous solution,13218.0,7930.8,306.16,9913.5,54
CDM,34300004,flutemetamol F-18 5 mCi (185 MBq) intravenous solution,8775.0,5265.0,1491.75,7458.75,93
CDM,34300004,kit for the preparation of Ga-68-dotatate 40 mcg intravenous soln,10500.0,6300.0,47.15,7875.0,54
CDM,34300006,kit for preparation Tc-99m-succimer 1 mg intravenous solution,4950.0,2970.0,626.93,7411.0,93
CDM,34300006,kit for preparation of Tc 99m-sodium thiosulfate 2 mg Solution,342.59,205.55,58.24,7411.0,39
CDM,34300006,kit preparation of Tc 99m-sestamibi combo no.1 IV solution,182.7,109.62,31.06,7411.0,117
CDM,35000003,"HC CT COLONOGRAPHY,DIAG,SCREENING",2055.02,1233.01,227.71,7411.0,54
CDM,35000004,HC SCAN LIMITED OR LOCALIZED FOLLOW UP,1237.4,742.44,83.05,7411.0,55
CDM,35000005,HC CT GUIDE ABSCESS DRAIN,1808.42,1085.05,127.58,7411.0,39
CDM,35000006,"HC 3D RENDERING W/I&R OF CT,MRI,U",202.14,121.28,26.66,7411.0,39
CDM,35000007,HC CT RECON SEPERATE STATION,1135.58,681.35,63.42,7411.0,39
CDM,35000008,HC CT STEREOTACTIC LOCALIZATION,1330.59,798.35,226.2,7411.0,39
CDM,35000009,HC CT GUIDE FOR NEEDLE PLACEMENT,2510.07,1506.04,156.4,7411.0,39
CDM,35000010,HC CT TISSUE ABLATION,2608.2,1564.92,393.54,7411.0,39
CDM,35000011,HC CT THERAPY FIELDS-SIMPLE,1093.55,656.13,154.24,7411.0,39
CDM,35000018,HC CT LOW DOSE LUNG SCREENING,260.1,156.06,44.22,7411.0,39
CDM,35000020,HC VISIT TO DETERM LDCT ELIG,163.56,98.14,27.81,7411.0,55
CDM,35000021,HC CT THORACOLUMBAR W CM,2554.2,1532.52,83.05,7411.0,55
CDM,35000022,HC CT ANGIO RECON SURGICAL PLAN,848.18,508.91,72.8,7411.0,39
CDM,35000023,HC 3D ECHO WO INDEP WKSTN,202.14,121.28,26.66,7411.0,39
CDM,35000024,HC CT THORACOLUMBAR WO CM,2554.2,1532.52,83.05,7411.0,55
CDM,35000025,HC CT THORACOLUMBAR WWO CM,2554.2,1532.52,83.05,7411.0,55
CDM,35000026,HC MR 3D RENDERING WO INDEP WKSTN,202.14,121.28,26.66,7411.0,39
CDM,35000037,HC N-INVAS EST C FFR AUGMNT SW ALYS CTA I&R PHY/QHP,8555.53,5133.32,819.52,7411.0,55
CDM,35000039,HC CT CERE PRFUJ ALYS C+ W/CT/CTA SAME ANATOMY,2462.46,1477.48,152.36,7411.0,39
CDM,35000040,HC CT CERE PRFUJ ALYS C+ W/O CT/CTA SAME ANATOMY,2462.46,1477.48,167.39,7411.0,54
CDM,35000041,HC CTA HEAD&NECK C+ W/NONCONTRAST IMG&POST-PXESSING,11751.19,7050.71,332.94,8813.39,54
CDM,35100001,HC CT HEAD/BRAIN SCAN W/O CONTRAST,3178.59,1907.15,99.77,7411.0,55
CDM,35100002,HC HEAD/BRAIN CT SCAN W/CONTRAST,2802.32,1681.39,152.36,7411.0,55
CDM,35100003,HC CT HEAD W/O&W CONTRAST,3403.14,2041.88,167.39,7411.0,55
CDM,35100004,HC CT ORBITS W/O CONTRAST,2798.1,1678.86,99.77,7411.0,55
CDM,35100005,HC ORBIT/SELLA/POSTER.FOSSA/EAR C,2573.05,1543.83,167.39,7411.0,55
CDM,35100006,"HC ORBIT/SELLA/POSTER,FOSSA/EAR C",2605.77,1563.46,167.39,7411.0,55
CDM,35100007,HC CT MAXILLOFACIAL AREA SCAN W/O,2840.9,1704.54,99.77,7411.0,55
CDM,35100008,HC MAXILLOFACIAL AREA CT SCAN W/C,3340.68,2004.41,156.38,7411.0,55
CDM,35100009,"HC MAXILLOFACIAL AREA CT SCAN, W",3180.33,1908.2,167.39,7411.0,55
CDM,35100010,HC SOFT TISSUE NECK CT SCAN W/O C,2566.11,1539.67,99.77,7411.0,55
CDM,35100011,HC SOFT TISSUE NECK CT SCAN W/CON,3306.97,1984.18,167.39,7411.0,55
CDM,35100012,HC SOFT TISSUE NECK CT SCAN W & W,3851.7,2311.02,167.39,7411.0,55
CDM,35100013,"HC CT ANGIO,HEAD,W/CONTRAST",5907.07,3544.24,167.39,7411.0,55
CDM,35100014,"HC CT ANGIO,NECK,W/WO CONTRAST MA",5844.12,3506.47,167.39,7411.0,55
CDM,35100015,HC CEREBRAL PERFUSION ANALYSIS CT W/CNTRST,2462.46,1477.48,196.0,7411.0,39
CDM,35200001,HC THORAX CT SCAN WITHOUT CONTRAS,2800.19,1680.11,99.77,7411.0,55
CDM,35200002,HC CT THORAX SCAN W/CONTRAST,3339.84,2003.9,167.39,7411.0,55
CDM,35200003,"HC CT THORAX SCAN, W/WO CONTRAST",5103.0,3061.8,167.39,7411.0,55
CDM,35200004,"HC CT ANGIOGRAPHY,CHEST",6290.97,3774.58,167.39,7411.0,55
CDM,35200005,HC CERVICAL SPINE CT W/CONTRAST,3840.99,2304.59,173.41,7411.0,55
CDM,35200006,HC CERVICAL SPINE CT W/O&W/CONTRAST,5103.0,3061.8,167.39,7411.0,55
CDM,35200007,HC CT THORACIC SPINE W/O CONT,3150.74,1890.44,99.77,7411.0,55
CDM,35200008,HC CT THORACIC SPINE W CONTRAST,3790.29,2274.17,167.39,7411.0,55
CDM,35200009,"HC THORACIC SPINE CT,W & W/O CONT",5506.58,3303.95,167.39,7411.0,55
CDM,35200010,"HC LUMBAR SPINE CT SCAN, W/O CONT",3424.65,2054.79,99.77,7411.0,55
CDM,35200011,"HC LUMBAR SPINE CT SCAN, W/CONTRA",3969.0,2381.4,173.75,7411.0,55
CDM,35200012,HC LUMBAR SPINE CT W/WO CONT,2795.59,1677.35,167.39,7411.0,55
CDM,35200013,"HC PELVIS CT ANG,W/WO CONTRAST",5429.06,3257.44,167.39,7411.0,55
CDM,35200014,"HC PELVIS CT SCAN,W/O CONTRAST",2703.1,1621.86,99.77,7411.0,55
CDM,35200015,"HC PELVIS CT SCAN,W/CONTRAST",3665.78,2199.47,167.39,7411.0,55
CDM,35200016,"HC PELVIS CT SCAN, W/O CONTRAST &",3412.78,2047.67,167.39,7411.0,55
CDM,35200017,"HC UPPER EXTREMITY CT, W/O CONTRA",3078.86,1847.32,99.77,7411.0,55
CDM,35200018,"HC UPPER EXTREMITY CT,W/ CONTRAST",3991.35,2394.81,206.49,7411.0,55
CDM,35200019,"HC UPPER EXTREMITY CT, W/WO CONTR",3075.6,1845.36,167.39,7411.0,55
CDM,35200020,"HC UPPER EXTRMTY CT,ANGIO, W/WO C",5648.73,3389.24,167.39,7411.0,55
CDM,35200021,"HC LOWER EXTREMITY CT,W/O CONTRAS",2858.93,1715.36,99.77,7411.0,55
CDM,35200022,"HC LOWER EXTREMITY CT, W/WO CONTR",3448.48,2069.09,167.39,7411.0,55
CDM,35200023,HC LOWER EXTREMITY CT W/CONTRAST,3999.86,2399.92,167.39,7411.0,55
CDM,35200024,"HC LOWER EXTRMITY CT,ANGIO, W/WO",5103.0,3061.8,167.39,7411.0,55
CDM,35200025,HC ABDOMEN CT SCAN WITHOUT CONTRA,3628.8,2177.28,99.77,7411.0,55
CDM,35200026,HC ABDOMEN CT SCAN W/CONTRAST,5103.0,3061.8,167.39,7411.0,55
CDM,35200027,HC ABDOMEN CT W&W/O CONTRAST,5103.0,3061.8,167.39,7411.0,55
CDM,35200028,HC CTANGIOGRAPHY ABD & PELVIS,9294.97,5576.98,332.94,7411.0,55
CDM,35200029,HC ABDOMEN CT ANG W/WO CONTRAST,5870.67,3522.4,167.39,7411.0,55
CDM,35200030,HC CT ABD&PELVIS W/O CONTRAS,5896.8,3538.08,188.11,7411.0,55
CDM,35200031,HC CT ABDOMEN/PELVIS W/CONTRAST,6484.35,3890.61,312.08,7411.0,55
CDM,35200032,HC CT ABD & PELVIS W & WO CONT,6953.54,4172.12,332.94,7411.0,55
CDM,35200033,"HC CT COLONOGRAPHY,DIAG,W/O CONTR",1165.0,699.0,99.77,7411.0,55
CDM,35200035,"HC CT,HEART W/O CONTRAST W/QUANT",131.67,79.0,47.4,7411.0,55
CDM,35200036,"HC CT,HEART W/CONTRAS - EVAL CARD S",3127.46,1876.48,175.06,7411.0,55
CDM,35200037,"HC CT,HEART W/CONTRAST - EVAL IN CO",1557.33,934.4,175.06,7411.0,55
CDM,35200038,"HC CTA,HEART,ARTERIES/BYPS GRAFT",3161.35,1896.81,175.06,7411.0,55
CDM,35200039,"HC CT ANG,ABD/LWR EXTRMTY,SUPR&IN",4613.58,2768.15,167.39,7411.0,55
CDM,35200043,HC CT CERVICAL SPINE W/O CONTRAST,3403.77,2042.26,99.77,7411.0,55
CDM,35200044,HC CT ANGIO LWR EXT WWO CM RT,5103.0,3061.8,175.06,7411.0,40
CDM,35200045,HC CT ANGIO LWR EXT WWO CM LT,5103.0,3061.8,175.06,7411.0,40
CDM,35200046,HC CT LWR EXT WO CM RT,2858.93,1715.36,104.75,7411.0,40
CDM,35200047,HC CT LWR EXT WO CM LT,2858.93,1715.36,104.75,7411.0,40
CDM,35200048,HC CT UPR EXT WO CM RT,3078.86,1847.32,104.75,7411.0,40
CDM,35200049,HC CT UPR EXT WO CM LT,3078.86,1847.32,104.75,7411.0,40
CDM,35200050,HC CT UPR EXT W CM RT,3991.35,2394.81,206.49,7411.0,40
CDM,35200051,HC CT UPR EXT W CM LT,3991.35,2394.81,206.49,7411.0,40
CDM,35200052,HC CT UPR EXT WWO CM RT,3075.6,1845.36,175.06,7411.0,40
CDM,35200053,HC CT UPR EXT WWO CM LT,3075.6,1845.36,175.06,7411.0,40
CDM,35200054,HC CT LWR EXT W CM RT,3999.86,2399.92,171.41,7411.0,40
CDM,35200055,HC CT LWR EXT W CM LT,3999.86,2399.92,171.41,7411.0,40
CDM,35200056,HC CT LWR EXT WWO CM RT,3448.48,2069.09,175.06,7411.0,40
CDM,35200057,HC CT LWR EXT WWO CM LT,3448.48,2069.09,175.06,7411.0,40
CDM,35200058,HC CT ANGIO UPR EXT WWO CM LT,5648.73,3389.24,175.06,7411.0,40
CDM,35200059,HC CT ANGIO UPR EXT WWO CM RT,5648.73,3389.24,175.06,7411.0,40
CDM,35200060,HC CT ANGIO LWR EXT WWO CM BI,5103.0,3061.8,175.06,7411.0,40
CDM,35200061,HC CT ANGIO UPR EXT WWO CM BI,5648.73,3389.24,175.06,7411.0,40
CDM,35200062,HC CT LWR EXT W CM BI,3999.86,2399.92,171.41,7411.0,40
CDM,35200063,HC CT LWR EXT WO CM BI,2858.93,1715.36,104.75,7411.0,40
CDM,35200064,HC CT LWR EXT WWO CM BI,3448.48,2069.09,175.06,7411.0,40
CDM,35200065,HC CT UPR EXT WO CM BI,3078.86,1847.32,104.75,7411.0,40
CDM,35200066,HC CT UPR EXT W CM BI,3991.35,2394.81,206.49,7411.0,40
CDM,35200067,HC CT CSPINE WO CM,3403.77,2042.26,99.77,7411.0,55
CDM,35200068,HC MULTIPLE LESIONS MYELOMA CT SCREENING,2554.2,1532.52,83.05,7411.0,55
CDM,35200069,HC CT LUNG SCREEN LOW DOSE,306.75,184.05,99.77,7411.0,55
CDM,35200070,HC CT SCAN WHOLE BODY,6421.14,3852.68,83.05,7411.0,55
CDM,36000001,HC OB OR BASE 0-30 MINUTES,9979.2,5987.52,1696.46,8482.32,37
CDM,36000008,HC LEVEL 1 EACH ADDL 15 MIN,110.0,66.0,18.7,7411.0,37
CDM,36000014,HC OB OR EACH ADDL 30 MINUTES,311.85,187.11,53.01,7411.0,37
CDM,36000015,HC ASPIR OR INJ OF JOINT SMALL,1004.97,602.98,22.7,7411.0,53
CDM,36000016,HC ASPIRA/INJ OF JOINT INTERMEDIA,980.89,588.53,23.54,7411.0,53
CDM,36000017,HC ASPIR/INJ OF MAJOR JOINT OR BURSA,1192.29,715.37,27.96,7411.0,53
CDM,36000018,"HC PARA NERVE INJ,CERV/THORA/SING",3659.91,2195.95,340.77,7411.0,53
CDM,36000019,"HC PARA NERVE INJ,CERV/THOR/2LEVE",1885.68,1131.41,320.57,7411.0,32
CDM,36000020,"HC PARA NERVE INJ,CERV/THOR/3RD",2017.63,1210.58,343.0,7411.0,32
CDM,36000021,"HC PARA NERVE INJ,LUMBAR/SACRAL/SINGLE",3609.74,2165.84,340.77,7411.0,53
CDM,36000022,"HC PARA NERVE INJ,LUMBAR/SACRAL/2",1610.54,966.32,273.79,7411.0,32
CDM,36000023,"HC PARA NERVE INJ,LUMBAR/SACRAL/3",1405.38,843.23,238.91,7411.0,32
CDM,36000024,HC REMOVAL TUNNELED CV CATH,4331.88,2599.13,446.27,7411.0,53
CDM,36000025,HC ELECTRICAL CONVERSION OF ARRHY,3281.49,1968.89,557.85,7411.0,53
CDM,36000027,HC INTRACRANIAL BALLOON ANGIOPLSTY W/STENT,20064.4,12038.64,2546.0,17054.74,37
CDM,36000029,HC ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS & OLDER,2323.49,1394.09,394.99,8280.0,37
CDM,36000031,HC TRANSCATH PULMONARY VALVE IMPLANTATION PRQ APPROACH,49992.44,29995.46,2419.18,42493.57,37
CDM,36000032,HC VALVULOPLASTY TRICUSPID,25871.87,15523.12,2546.0,21991.09,37
CDM,36000033,HC ECMO/ECLS INITIATION ARTERY,7201.38,4320.83,607.23,8280.0,37
CDM,36000034,HC ECMO/ECLS INSJ PRPH OPN 6+ YO,2189.46,1313.68,372.21,8280.0,37
CDM,36000035,HC ECMO/ECLS INSERT CTR 6+ YO,2168.99,1301.39,368.73,8280.0,37
CDM,36000036,HC ECMO/ECLS REPO PRPH PRC 6+ YO,18068.42,10841.05,327.07,15358.16,37
CDM,36000037,HC ECMO/ECLS REPO PRPH OPN 6+ YO,1589.0,953.4,270.13,8280.0,37
CDM,36000038,HC ECMO/ECLS REPO CTR 6+ YO,1747.9,1048.74,297.14,8280.0,37
CDM,36000039,HC ECMO/ECLS REM PRPH PRC 6+ YO,3164.44,1898.66,420.86,8280.0,37
CDM,36000040,HC ECMO/ECLS REM PRPH OPN 6+ YO,3134.1,1880.46,502.47,8280.0,37
CDM,36000042,HC EVASC RPR A-AO NDGFT,8298.9,4979.34,1410.81,8280.0,37
CDM,36000043,HC EVASC RPR A-AO NDGFT RPT,6949.17,4169.5,1181.36,8280.0,37
CDM,36000044,HC EVASC RPR A-UNILAC NDGFT,5408.37,3245.02,919.42,8280.0,37
CDM,36000045,HC EVASC RPR A-UNILAC NDGFT RPT,4446.41,2667.85,755.89,8653.64,37
CDM,36000046,HC EVASC RPR A-BI-ILIAC NDGFT,20514.57,12308.74,2546.0,17437.38,37
CDM,36000047,HC EVASC RPR A-BI-ILIAC RPT,10552.36,6331.42,1793.9,8969.51,37
CDM,36000048,HC EVASC RPR ILIO-ILIAC NDGFT,14021.41,8412.85,2036.7,11918.2,37
CDM,36000049,HC EVASC RPR ILIO-ILIAC RPT,14993.55,8996.13,2546.0,12744.52,37
CDM,36000050,HC PLMT XTN PROSTH EVASC RPR,5534.49,3320.69,571.3,8280.0,37
CDM,36000051,HC DLYD PLMT XTN PROSTH 1ST VSL,5497.69,3298.61,934.61,8280.0,37
CDM,36000052,HC DLYD PLMT XTN PROSTH EA ADDL,2300.59,1380.35,391.1,8280.0,37
CDM,36000053,HC IR FEM ART EXPOSE FOR GRAFT,2903.73,1742.24,365.43,8280.0,37
CDM,36000054,HC IR FEM FEM GRAFT PLCMT,359.16,215.5,61.06,8280.0,37
CDM,36000055,HC IR ART ILIAC EXPOSE FOR GRAFT,1948.82,1169.29,331.3,8280.0,37
CDM,36000056,HC IR BRACH ART EXPOSE FOR GRAFT,359.0,215.4,61.03,8280.0,37
CDM,36000057,HC THROMBOENDARTEMY ILIAC SINGLE,5882.58,3529.55,1000.04,8280.0,37
CDM,36000058,HC IR ILIOFEMORAL THROMBOENDARTER,2241.6,1344.96,381.07,8280.0,37
CDM,36000059,HC COMMON FEMORAL THROMBOENENDART,5526.06,3315.64,939.43,8280.0,37
CDM,36000060,HC CT ABSCESS DRAIN PERITONE,2667.94,1600.76,453.55,8280.0,37
CDM,36000061,HC THROMBOENDARTEMY ILIAC BILAT,5882.58,3529.55,1000.04,8280.0,37
CDM,36000065,HC SURGICAL PROCEDURE PER 15 MIN,920.71,552.43,156.52,7411.0,37
CDM,36000068,HC HYSTERECTOMY,5392.0,3235.2,916.64,7411.0,37
CDM,36000069,HC CERCLAGE OF CERVIX,8231.04,4938.62,1399.28,7411.0,37
CDM,36000070,HC REMOVE CERCLAGE UNDER ANEST,2829.44,1697.66,481.0,7411.0,37
CDM,36000071,HC SKIN TAG REMOVAL,327.14,196.28,55.61,7411.0,37
CDM,36000072,HC EXCISION LESION,1112.41,667.45,189.11,7411.0,37
CDM,36000073,HC LASER LEAD EXTRACTION,4419.1,2651.46,751.25,7411.0,37
CDM,36000074,HC INSERT CENTRAL VENOUS CTH,684.81,410.89,116.42,7411.0,37
CDM,36000075,HC HYSTERORRHAPHY RUPTURED UTERUS,3527.54,2116.52,599.68,7411.0,37
CDM,36000076,HC TRNSCATH STNT ART INI RT,27999.58,16799.75,5004.56,35373.27,38
CDM,36000077,HC TRNSCATH STNT ART INI LT,27999.58,16799.75,5004.56,35373.27,38
CDM,36000078,HC TRNSCATH STNT ART EA ADD RT,15697.36,9418.42,2668.55,13342.76,32
CDM,36000079,HC TRNSCATH STNT ART EA ADD LT,15697.36,9418.42,2668.55,13342.76,32
CDM,36000080,HC TRNSCATH STNT VEN INI RT,27812.84,16687.7,5114.71,35373.27,38
CDM,36000081,HC TRNSCATH STNT VEN EA ADD RT,18243.75,10946.25,3101.44,15507.19,32
CDM,36000082,HC TRNSCATH STNT VEN EA ADD LT,18243.75,10946.25,3101.44,15507.19,32
CDM,36000083,HC TRNSCATH STNT VEN INI LT,27812.84,16687.7,5114.71,35373.27,38
CDM,36000084,HC CATH VEN 2ND ORDER LT,4677.07,2806.24,795.1,7411.0,32
CDM,36000085,HC FACET CRV/THOR LEVEL 1 BI,3659.91,2195.95,340.77,7411.0,38
CDM,36000086,HC FACET CRV/THOR LEVEL 2 BI,1885.68,1131.41,320.57,7411.0,32
CDM,36000087,HC FACET CRV/THOR LEVEL 3 BI,2017.63,1210.58,343.0,7411.0,32
CDM,36000088,HC FACET LUMB/SAC LEVEL 1 BI,3609.74,2165.84,340.77,7411.0,38
CDM,36000089,HC FACET LUMB/SAC LEVEL 2 BI,1610.54,966.32,273.79,7411.0,32
CDM,36000090,HC FACET LUMB/SAC LEVEL 3 BI,1405.38,843.23,238.91,7411.0,32
CDM,36000100,HC OR GROUP LEVEL 1,3240.0,1944.0,550.8,7411.0,37
CDM,36000101,"HC OR TIME LEVEL 1, 15 MIN",108.0,64.8,18.36,7411.0,37
CDM,36000102,HC OR GROUP LEVEL 2,7020.0,4212.0,1193.4,7411.0,37
CDM,36000103,"HC OR TIME LEVEL 2, 15 MIN",113.4,68.04,19.28,7411.0,37
CDM,36000104,HC OR GROUP LEVEL 3,8100.0,4860.0,1377.0,7411.0,37
CDM,36000105,"HC OR TIME LEVEL 3, 15 MIN",118.8,71.28,20.2,7411.0,37
CDM,36000106,HC OR GROUP LEVEL 4,13500.0,8100.0,2295.0,11475.0,37
CDM,36000107,"HC OR TIME LEVEL 4, 15 MIN",144.72,86.83,24.6,7411.0,37
CDM,36000108,HC OR GROUP LEVEL 5,16200.0,9720.0,2754.0,13770.0,37
CDM,36000109,"HC OR TIME LEVEL 5, 15 MIN",204.12,122.47,34.7,7411.0,37
CDM,36000110,HC OR GROUP LEVEL 6,21060.0,12636.0,3580.2,17901.0,37
CDM,36000111,"HC OR TIME LEVEL 6, 15 MIN",330.48,198.29,56.18,7411.0,37
CDM,36000112,HC OR GROUP LEVEL 7,29160.0,17496.0,4957.2,24786.0,37
CDM,36000113,"HC OR TIME LEVEL 7, 15 MIN",437.4,262.44,74.36,7411.0,37
CDM,36000114,HC OR GROUP LEVEL 8,37260.0,22356.0,6299.0,31671.0,37
CDM,36000115,"HC OR TIME LEVEL 8, 15 MIN",559.44,335.66,95.1,7411.0,37
CDM,36000116,"HC OR GROUP LEVEL 2, ROBOTIC",11340.0,6804.0,1927.8,9639.0,37
CDM,36000117,"HC OR TIME LEVEL 2, 15 MIN ROBOTIC",170.64,102.38,29.01,7411.0,37
CDM,36000118,"HC OR GROUP LEVEL 3, ROBOTIC",12420.0,7452.0,2111.4,10557.0,37
CDM,36000119,"HC OR TIME LEVEL 3, 15 MIN ROBOTIC",193.32,115.99,32.86,7411.0,37
CDM,36000120,"HC OR GROUP LEVEL 4, ROBOTIC",17820.0,10692.0,3029.4,15147.0,37
CDM,36000121,"HC OR TIME LEVEL 4, 15 MIN ROBOTIC",216.0,129.6,36.72,7411.0,37
CDM,36000122,"HC OR GROUP LEVEL 5, ROBOTIC",20520.0,12312.0,3488.4,17442.0,37
CDM,36000123,"HC OR TIME LEVEL 5, 15 MIN ROBOTIC",259.2,155.52,44.06,7411.0,37
CDM,36000124,"HC OR GROUP LEVEL 6, ROBOTIC",25380.0,15228.0,4314.6,21573.0,37
CDM,36000125,"HC OR TIME LEVEL 6, 15 MIN ROBOTIC",381.24,228.74,64.81,7411.0,37
CDM,36000126,"HC OR GROUP LEVEL 7, ROBOTIC",33480.0,20088.0,5691.6,28458.0,37
CDM,36000127,"HC OR TIME LEVEL 7, 15 MIN ROBOTIC",502.2,301.32,85.37,7411.0,37
CDM,36000128,"HC OR GROUP LEVEL 8, ROBOTIC",41580.0,24948.0,6299.0,35343.0,37
CDM,36000129,"HC OR TIME LEVEL 8, 15 MIN ROBOTIC",624.24,374.54,106.12,7411.0,37
CDM,36000130,HC VENTRICULOCISTERNOSTOMY,4042.71,2425.63,687.26,8280.0,37
CDM,36000132,HC INSERT CENTRAL VENOUS CATH,684.81,410.89,116.42,7411.0,37
CDM,36000135,HC IR CATH ART THROM DIFF EA ADD,7204.26,4322.56,599.31,7411.0,37
CDM,36000137,HC REPLACE AORTIC VALVE PERQ FEMORAL ARTERY APPROACH,54267.42,32560.45,2404.57,46127.31,37
CDM,36000138,HCDLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN,3052.86,1831.72,518.99,8280.0,37
CDM,36000140,"HC ENDOVASCULAR REPAIR OF VISCERAL AORTA, 1 GRAFT",17069.99,10241.99,1826.96,14509.49,37
CDM,36000141,"HC ENDOVASCULAR REPAIR OF VISCERAL AORTA, 2 GRAFTS",22404.36,13442.62,1826.96,19043.71,37
CDM,36000142,"HC ENDOVASCULAR REPAIR OF VISCERAL AORTA, 3 GRAFTS",23277.27,13966.36,1826.96,19785.68,37
CDM,36000143,"HC ENDOVASCULAR REPAIR OF VISCERAL AORTA, 4 OR MORE GRAFTS",27156.8,16294.08,1826.96,23083.28,37
CDM,36000145,"HC ENDOVASCULAR REPAIR OF VISCERAL AORTA & INFRARENAL ABD AORTA, 2 PROSTH",23538.74,14123.24,1826.96,20007.93,37
CDM,36000146,"HC ENDOVASCULAR REPAIR OF VISCERAL AORTA & INFRARENAL ABD AORTA, 3 PROSTH",27600.85,16560.51,1826.96,23460.72,37
CDM,36000147,"HC ENDOVASCULAR REPAIR OF VISCERAL AORTA & INFRARENAL ABD AORTA, 4 OR MORE PROSTH",32640.38,19584.23,1826.96,27744.32,37
CDM,36000148,HC REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH,49163.52,29498.11,2546.0,41788.99,37
CDM,36000149,HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH,42565.82,25539.49,2546.0,36180.95,37
CDM,36000150,HC REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH,46822.4,28093.44,2546.0,39799.04,37
CDM,36000151,HC AORTA(TAVR/TAVI) TRANSAORTIC EXPOSURE,42565.82,25539.49,2546.0,36180.95,37
CDM,36000152,HC DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART,2348.35,1409.01,399.22,8280.0,37
CDM,36000153,HC REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH,65290.43,39174.26,2546.0,55496.87,37
CDM,36000154,HC TRANS-CAROTID TRANSCATHETER AORTIC VALVE REPLACEMENT,19590.48,11754.29,598.65,14692.86,51
CDM,36000155,HC THH ONLY - REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH,54267.42,32560.45,2404.57,46127.31,37
CDM,36000156,"HC THH ONLY - PERQ TRNSCATH LAA CLOSURE, W/ENDOCARDIAL IMPLANT ADD ON",34640.97,20784.58,1401.45,29444.82,37
CDM,36000157,HC INTERNAL CAROTID ANGIOPLASTY W/ DISTAL PROTECTION,15645.79,9387.47,598.65,11734.34,51
CDM,36000158,HC TRANSCATHETHER AORTIC VALVE REPLACEMENT WITH A PROSTHETIC VALVE; CAROTID APPROACH,42565.82,25539.49,598.65,31924.37,51
CDM,36000159,HC THROMBOENDARTECTMY FEMORAL COMMON,5526.06,3315.64,939.43,8280.0,37
CDM,36000160,HC TTVR PERQ EA ADDL PROSTH,29151.66,17491.0,1826.96,24778.91,37
CDM,36000161,HC TTVR PERQ APPR 1ST PROSTH,38150.18,22890.11,1826.96,32427.65,37
CDM,36000162,HC TCAT PLMT XTRC VRT CRTD STENT RS&IPRQ EA VSL,10471.16,6282.7,1780.1,8900.49,37
CDM,36000163,HC INSJ PERQ VAD W/RS&I R HEART VENOUS ACCESS ONLY,19260.53,11556.32,652.31,16371.45,37
CDM,36000164,"HC INSERT PERQ VAD W/IMAGING; RIGHT HEART, ARTERY ACCESS ONLY",15440.54,9264.32,598.65,11580.41,51
CDM,36000165,"HC INSERT PERQ VAD TRNSPTAL W/IMAGE; LEFT HEART, ARTERIAL & VENOUS ACCESS W/ TRANSEPTAL PUNC",12218.25,7330.95,1107.88,10385.51,37
CDM,36000166,HC REMOVAL PERQ R HEART VAD VENOUS CANNULA SEP INSJ,7721.76,4633.06,289.92,8280.0,37
CDM,36000167,HC ENDOVASC TAA REINCL SUBCL,14474.42,8684.65,2460.65,12303.26,37
CDM,36000168,"HC CEREBRAL EMBOLIC PROTECTION, SENTINEL W/TAVR",10992.23,6595.34,598.65,8280.0,51
CDM,36000169,HC INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD,78876.17,47325.7,6299.0,81499.55,53
CDM,36000170,HC ARTERIAL INFUSION CATHETER IN THE HEPATIC ARTERY FOR CHEMO,6181.19,3708.71,598.65,8280.0,51
CDM,36000171,HC TRANSCATHETER PLACEMENT&SBSQ REMOVAL CEPD PERQ,13711.7,8227.02,1896.0,11654.94,37
CDM,36000173,HC EVASC ST RPR COARCJ THRC/AA XCRSG MAJ SIDE BRNCH,37310.0,22386.0,1380.14,31713.5,37
CDM,36000175,HC TRNSCTHTR PLCMNT TRNSVRS SGMD VNS SINUS STNT INC BLN ANGPLSTY IF PRFRMD,14893.5,8936.1,292.93,11170.12,51
CDM,36000176,HC PERC TRANSCATH PSEUDO-/ANEURYSM REPAIR W/ PRTCTN DVC (INS/REM/RAD I&I),45935.09,27561.05,598.65,34451.32,51
CDM,36000179,"HC REPAIR OF ILIOTIBIAL BAND, OPEN",7767.73,4660.64,235.4,8280.0,51
CDM,36000180,HC ILIOTIBAL BAND REPAIR/RECONSTRUCTION W MESH/GRAFT (EG: HERNIATION),9906.62,5943.97,235.4,8280.0,51
CDM,36000182,"HC VENOGRAPHY, GONADAL, UNILATERAL, SELECTIVE, RDLGCL SPRVSN AND INTRPRTTN",4252.56,2551.54,83.05,7411.0,55
CDM,36000183,"HC VENOGRAPHY, GONADAL, BILATERAL, SELECTIVE, RDLGCL SPRVSN AND INTRPRTTN",4252.56,2551.54,83.05,7411.0,53
CDM,36000184,"HC PERCUTANEOUS ABLATION OF SUBMANDIBULAR GLAND, UNILATERAL",2365.55,1419.33,226.03,8280.0,51
CDM,36000185,"HC PERCUTANEOUS ABLATION OF SUBMANDIBULAR GLANDS, BILATERAL",4731.1,2838.66,226.03,8280.0,51
CDM,36000186,"HC CPSLRRHPH; MTTRSPHLNGL JOINT W/WO TNRRHPH OR LGMNT RPAIR, SNGL JOINT",5280.03,3168.02,235.4,8280.0,51
CDM,36000187,"HC LPRSCPY, SURGICAL; REPAIR AND/OR PLICATION OF RECTUS DIASTASIS W/WO MESH",19304.31,11582.59,235.4,14478.23,51
CDM,36000188,"HC MICROFRACTURE OF OSTEOCHONDRAL DEFECT, ELBOW (E.G. CAPITELLUM)",7163.52,4298.11,235.4,8280.0,51
CDM,36000189,"HC BIOPSY, SUBCUTANEOUS TISSUE/FAT, PERCUTANEOUS NEEDLE",2516.16,1509.7,191.47,8280.0,53
CDM,36000190,"HC ABLTN, GANGLION IMPAR, PERCTNS, ETHNL INJECTION, W/WO IMGNG GDNCE",5443.93,3266.36,292.93,8280.0,51
CDM,36000191,"HC ABLTN =1 ADRNL GLND LSNS RDFRQNCY (MCRWVE), W/WO IMGNG GDNCE, UNLTRL",10914.97,6548.98,2728.74,17256.34,51
CDM,36000193,HC REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH,6874.05,4124.43,1113.98,8280.0,37
CDM,36000194,HC EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR,32701.77,19621.06,5559.3,35373.27,53
CDM,36000195,HC IM/REPL CARTD SINUS BAROREFLX ACTIV DEV TOT SYST,83197.21,49918.33,6299.0,117001.3,38
CDM,36000196,"HC REPOSITION OF INTRA-AORTIC BALLOON ASSIST DEVICE, PERCUTANEOUS",3591.96,2155.18,598.65,8280.0,51
CDM,36000197,HC INSJ RX ELUTING IMPLT PUNCTAL DILAT LAC CANAL EA,4287.84,2572.7,550.33,7411.0,53
CDM,36000199,"HC CRYOABLATION, BODY WALL MASS",12185.54,7311.32,235.4,9139.16,51
CDM,36000200,"HC SELECTIVE CATHETER PLACEMENT, VENOUS SYSTEM, SUPERIOR PULMONARY VEIN",4672.64,2803.58,598.65,8280.0,51
CDM,36000203,HC INJCTN PROC. FOR PERCTNS TRTMNT OF ANRYSM/PSDOANRSM OTHER THAN EXTREMITY,1564.93,938.96,391.23,7411.0,30
CDM,36000204,HC TCAT TV ANN RCNSTJ W/IMPL ADJST ANN RCNSTJ DEV,62316.52,37389.91,1826.96,52969.04,37
CDM,36000205,"HC DIR RPR OF ANEUR, PSEUDOANEUR, OR EXC AND GRAFT INS, W/WO PATCH GRAFT",3614.43,2168.66,598.65,8280.0,51
CDM,36000206,HC INCIS HEART SAC WINDW FOR DRAIN,5269.82,3161.89,895.87,8280.0,37
CDM,36000207,HC TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS&I,13545.0,8127.0,1208.99,11513.25,37
CDM,36000208,HC REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS,33908.12,20344.87,2546.0,28821.9,37
CDM,36000209,HC REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS,7699.66,4619.8,1308.94,15319.51,37
CDM,36100002,HC FISTULA CLOSURE,2427.92,1456.75,412.75,8280.0,37
CDM,36100003,HC HPC ALLOGENIC TRANSPLANTATION,47061.0,28236.6,6299.0,135853.66,46
CDM,36100007,HC ASP JT INTERMED W IMG LT,1845.32,1107.19,42.36,7411.0,38
CDM,36100010,HC BRONCHOSCOPY THERAPY BEDSIDE,1573.85,944.31,139.48,8280.0,37
CDM,36100011,HC IR ART THOR ENDO REP W LT SUB,14474.42,8684.65,2460.65,12303.26,37
CDM,36100012,HC IR ART THOR ENDO REP WO SUB,4318.41,2591.05,734.13,8280.0,37
CDM,36100013,HC ECMO/ECLS DAILY MGMT-VENOUS,3781.62,2268.97,420.86,8280.0,37
CDM,36100014,HC ECMO/ECLS DAILY MGMT ARTERY,3781.62,2268.97,409.28,8280.0,37
CDM,36100016,HC IR ILIAC REP ANEURYSM,3614.43,2168.66,614.45,8280.0,37
CDM,36100017,HC IR FEM REP ANEURYSM,1989.61,1193.77,338.23,8280.0,37
CDM,36100018,HC IR CVAD TUNL EXCH W PUMP,7401.63,4440.98,2664.59,16408.4,53
CDM,36100019,HC EXTERNAL CANNULA DECLOTTING,2341.44,1404.86,446.27,7411.0,53
CDM,36100020,HC BN MARROW/STM TRANSPLT ALLO,47061.0,28236.6,6299.0,135853.66,46
CDM,36100021,HC LYMPHOCYTE INFUSE TRANSPLANT,5647.73,3388.64,564.62,8280.0,46
CDM,36100022,HC DX INJ PERITNL AIR OR CM,885.81,531.49,150.59,7411.0,32
CDM,36100023,HC DILATION URETRL STRCTR,4999.0,2999.4,849.83,8280.0,37
CDM,36100024,HC IR DILATATION BALLOON PERC INI,15434.33,9260.6,853.3,13119.18,37
CDM,36100025,HC DISCOGRAPHY CRV/THOR EA LEVEL,1458.8,875.28,248.0,7411.0,32
CDM,36100026,HC PSEUDOANEURYSM INJ BILAT,1690.12,1014.07,223.75,7411.0,40
CDM,36100027,HC ATHERECTOMY AORTA,11832.71,7099.63,2011.56,35373.27,53
CDM,36100028,HC TMVI PERCUTANEOUS APPROACH,52987.48,31792.49,2546.0,45039.36,37
CDM,36100029,HC TMVI TRANSTHORACIC EXPOSURE,25523.6,15314.16,2546.0,21695.06,37
CDM,36100030,HC PSEUDOANEURYSM INJ LT,1690.12,1014.07,223.75,7411.0,40
CDM,36100031,HC PSEUDOANEURYSM INJ RT,1690.12,1014.07,223.75,7411.0,40
CDM,36100032,HC IR PLCMT FUDICIAL MARKER,2638.34,1583.0,448.52,7411.0,53
CDM,36100033,HC ARTHRO SACROILIAC W INJ BI,1394.0,836.4,236.98,7411.0,34
CDM,36100034,HC ARTHRO SACROILIAC W INJ LT,1394.0,836.4,236.98,7411.0,34
CDM,36100035,HC ARTHRO SACROILIAC W INJ RT,1394.0,836.4,236.98,7411.0,34
CDM,36100036,HC IR INFSN ISLET CELL TRANSPLANT,3118.13,1870.88,530.08,8280.0,30
CDM,36100038,HC CHEST TUBE INSERTION,2594.19,1556.51,441.01,7411.0,37
CDM,36100040,HC BAND ADJUSTMENT,362.34,217.4,61.6,7411.0,37
CDM,36100041,HC REMOVAL OF CHEST TUBE,214.26,128.56,36.42,7411.0,37
CDM,36100042,HC PERC CHOLECYSTM,3010.09,1806.05,511.72,7411.0,37
CDM,36100043,HC TRANSCATH STENT CCA W/EPS RT,22171.21,13302.73,1779.06,18845.53,37
CDM,36100044,HC TRANSCATH STENT CCA W/EPS LT,22171.21,13302.73,1779.06,18845.53,37
CDM,36100045,HC ILIAC ADD VSL W STENT RT,23985.53,14391.32,4077.54,20387.7,32
CDM,36100046,HC CATH ART ABD LOW EXT 1ST LT,6207.74,3724.64,1055.32,7411.0,32
CDM,36100047,HC INJ VENOGRAM EXT LT,3097.26,1858.36,526.53,7411.0,32
CDM,36100048,HC INJ VENOGRAM EXT RT,3097.26,1858.36,526.53,7411.0,32
CDM,36100049,HC ACCESS EXTREMITY ART LT,3224.38,1934.63,548.14,7411.0,32
CDM,36100050,HC ACCESS EXTREMITY ART RT,3224.38,1934.63,548.14,7411.0,32
CDM,36100051,HC CATH PLC THOR BRACH 2ND INI RT,4446.09,2667.65,755.84,7411.0,32
CDM,36100052,HC TRLUML BAL ANGIOP LT,21191.89,12715.13,2300.22,18013.11,38
CDM,36100053,HC IR PTA ARTERIES INITIAL RT,21191.89,12715.13,2300.22,18013.11,38
CDM,36100054,HC IR CATH INTRO DIALYSIS CIR BI,5324.38,3194.63,111.0,7411.0,38
CDM,36100055,HC IR CATH INTRO DIALYSIS CIR RT,5324.38,3194.63,111.0,7411.0,38
CDM,36100056,HC IR CATH INTRO DIALYSIS CIR LT,5324.38,3194.63,111.0,7411.0,38
CDM,36100057,HC ILIAC ADD VSL W STENT LT,23985.53,14391.32,4077.54,20387.7,32
CDM,36100058,HC TBPRNL W ANGPLAS LT,30648.97,18389.38,5210.32,35373.27,38
CDM,36100059,HC TBPRNL W ANGPLAS RT,30648.97,18389.38,5210.32,35373.27,38
CDM,36100060,HC TBPRNL W ANGPLAS W ATHER LT,46540.68,27924.41,6299.0,56905.69,38
CDM,36100061,HC TBPRNL W ANGPLAS W ATHER RT,46540.68,27924.41,6299.0,56905.69,38
CDM,36100062,HC TBPRNL W STENT LT,46400.94,27840.56,6299.0,56905.69,38
CDM,36100063,HC TBPRNL W STENT RT,46400.94,27840.56,6299.0,56905.69,38
CDM,36100064,HC TBPRNL W STENT AND ATHER LT,56284.8,33770.88,6299.0,56905.69,38
CDM,36100065,HC TBPRNL W STENT AND ATHER RT,56284.8,33770.88,6299.0,56905.69,38
CDM,36100066,HC FEMPOP W ANGPLAS LT,28124.2,16874.52,4781.11,23905.57,38
CDM,36100067,HC FEMPOP W ANGPLAS RT,28124.2,16874.52,4781.11,23905.57,38
CDM,36100068,HC FEMPOP W ANGPLAS W ATHER LT,44172.48,26503.49,6299.0,43439.01,38
CDM,36100069,HC FEMPOP W ANGPLAS W ATHER RT,44172.48,26503.49,6299.0,43439.01,38
CDM,36100070,HC FEMPOP W STENT LT,42046.91,25228.15,6299.0,35739.87,38
CDM,36100071,HC FEMPOP W STENT RT,42046.91,25228.15,6299.0,35739.87,38
CDM,36100072,HC FEMPOP W STENT AND ATHER LT,81835.93,49101.56,6299.0,69560.54,38
CDM,36100073,HC FEMPOP W STENT AND ATHER RT,81835.93,49101.56,6299.0,69560.54,38
CDM,36100074,HC ILIAC W ANGPLAS LT,21276.79,12766.07,3617.05,18085.27,38
CDM,36100075,HC ILIAC W ANGPLAS RT,21276.79,12766.07,3617.05,18085.27,38
CDM,36100076,HC ILIAC W STENT LT,40091.98,24055.19,6299.0,35373.27,38
CDM,36100077,HC ILIAC W STENT RT,40091.98,24055.19,6299.0,35373.27,38
CDM,36100078,HC ILIAC ADD VSL W ANGPLAS RT,17389.59,10433.75,2956.23,14781.15,32
CDM,36100079,HC ILIAC ADD VSL W ANGPLAS LT,17389.59,10433.75,2956.23,14781.15,32
CDM,36100080,HC CATH ART ABD LOW EXT SEL3RD RT,6706.97,4024.18,1140.18,7411.0,32
CDM,36100081,HC CATH ART ABD LOW EXT 2ND LT,5898.75,3539.25,1002.79,7411.0,32
CDM,36100082,HC INJ PSEUDOANEURYSM EXT LT,1690.12,1014.07,223.75,7411.0,38
CDM,36100083,HC FEMORAL ILIAC ARTERIOGRAPHY LT,4329.44,2597.66,736.0,7411.0,32
CDM,36100084,HC FEMORAL ILIAC ARTERIOGRAPHY RT,4329.44,2597.66,736.0,7411.0,32
CDM,36100085,HC CATH PLC THOR BRACH SEL 1ST RT,4809.48,2885.69,817.61,7411.0,32
CDM,36100086,HC CATH PLC THOR BRACH 2ND ADD RT,4446.09,2667.65,755.84,7411.0,32
CDM,36100087,HC CATH PLC THOR BRACH 2ND INI LT,4446.09,2667.65,755.84,7411.0,32
CDM,36100088,HC CATH PLC THOR BRACH 3RD ADD RT,5613.29,3367.97,954.26,7411.0,32
CDM,36100089,HC CATH PLC THOR BRACH 3RD INI LT,5613.29,3367.97,954.26,7411.0,32
CDM,36100090,HC CATH PLC THOR BRACH 3RD INI RT,5613.29,3367.97,954.26,7411.0,32
CDM,36100091,HC CATH THORAC BRACIO ADD 2ND LT,2470.24,1482.14,419.94,7411.0,32
CDM,36100092,HC SEL COM CAR INNOM CERV BI,11220.8,6732.48,1907.54,9893.47,38
CDM,36100093,HC SEL COM CAR INNOM CERVCERBL BI,15302.25,9181.35,2601.38,16408.4,38
CDM,36100094,HC SEL INT CAR CERVCERBL BI,20885.46,12531.28,3550.53,17752.64,38
CDM,36100095,HC SEL SUBCLV INNOM VERT BI,11220.8,6732.48,1907.54,9893.47,38
CDM,36100096,HC SEL VERT BI,17918.04,10750.82,3046.07,16408.4,38
CDM,36100097,HC SEL EXT CAR BI,5753.82,3452.29,978.15,8280.0,32
CDM,36100098,HC SEL INT CAR VERT EA BRANCH BI,3821.91,2293.15,649.72,8280.0,32
CDM,36100099,HC CATH ART ABD LOW EXT 1ST RT,6207.74,3724.64,1055.32,7411.0,32
CDM,36100100,HC CATH ART ABD LOW EXT 2ND RT,5898.75,3539.25,1002.79,7411.0,32
CDM,36100101,HC CATH ART ABD LOW EXT ADD3RD LT,6706.97,4024.18,1140.18,7411.0,32
CDM,36100102,HC CATH ART ABD LOW EXT SEL3RD LT,6706.97,4024.18,1140.18,7411.0,32
CDM,36100103,HC CATH ART ABD LOW EXT ADD 2NDLT,2800.81,1680.49,476.14,7411.0,32
CDM,36100104,HC CATH ART ABD LOW EXT ADD 2NDRT,2800.81,1680.49,476.14,7411.0,32
CDM,36100105,HC ILIAC W ANGPLAS BI,21276.79,12766.07,3617.05,18085.27,38
CDM,36100106,HC ILIAC W STENT BI,40091.98,24055.19,6299.0,35373.27,38
CDM,36100107,HC TBPRNL W ANGPLAS BI,30648.97,18389.38,5210.32,35373.27,38
CDM,36100108,HC IR CATH NEPHRO PLACEMENT BI,7953.93,4772.36,652.8,10495.0,38
CDM,36100109,HC IR CATH NEPHRO PLACEMENT RT,7953.93,4772.36,652.8,10495.0,38
CDM,36100110,HC IR CATH NEPHRO PLACEMENT LT,7953.93,4772.36,652.8,10495.0,38
CDM,36100111,HC IR CATH NEPHROURET PLACE BI,6368.04,3820.82,1142.9,10776.19,38
CDM,36100112,HC IR CATH NEPHROURET PLACE RT,6368.04,3820.82,1142.9,10776.19,38
CDM,36100113,HC IR CATH NEPHROURET PLACE LT,6368.04,3820.82,1142.9,10776.19,38
CDM,36100114,HC IR CATH CNVERT TO NEPHOURET BI,7112.47,4267.48,652.8,7411.0,38
CDM,36100115,HC IR CATH CNVERT TO NEPHOURET RT,7112.47,4267.48,652.8,7411.0,38
CDM,36100116,HC IR CATH CNVERT TO NEPHOURET LT,7112.47,4267.48,652.8,7411.0,38
CDM,36100117,HC IR URETRL STENT PLCMT BI,7433.69,4460.21,1142.9,12700.0,38
CDM,36100118,HC IR URETRL STENT PLCMT LT,7433.69,4460.21,1142.9,12700.0,38
CDM,36100119,HC IR URETRL STENT PLCMT RT,7433.69,4460.21,1142.9,12700.0,38
CDM,36100120,HC IR URETRL STENT NEW ACCESS BI,7849.6,4709.76,1142.9,12700.0,38
CDM,36100121,HC IR URETRL STENT NEW ACCESS LT,7849.6,4709.76,1142.9,12700.0,38
CDM,36100122,HC IR URETRL STENT NEW ACCESS RT,7849.6,4709.76,1142.9,12700.0,38
CDM,36100123,HC IR URETRL STENT W SEP CATH BI,10080.0,6048.0,1493.34,12700.0,38
CDM,36100124,HC IR URETRL STENT W SEP CATH LT,10080.0,6048.0,1493.34,12700.0,38
CDM,36100125,HC IR URETRL STENT W SEP CATH RT,10080.0,6048.0,1493.34,12700.0,38
CDM,36100126,HC IR INJ NEPH WWO URETR NEW BI,2553.64,1532.18,434.12,7411.0,38
CDM,36100127,HC IR INJ NEPH WWO URETR NEW LT,2553.64,1532.18,434.12,7411.0,38
CDM,36100128,HC IR INJ NEPH WWO URETR NEW RT,2553.64,1532.18,434.12,7411.0,38
CDM,36100129,HC IR INJ NEPH WWO URETR EXIST BI,2615.39,1569.23,444.62,7411.0,38
CDM,36100130,HC IR INJ NEPH WWO URETR EXIST LT,2615.39,1569.23,444.62,7411.0,38
CDM,36100131,HC IR INJ NEPH WWO URETR EXIST RT,2615.39,1569.23,444.62,7411.0,38
CDM,36100132,HC IR TUBE CHG NEPHROSTOMY BI,4380.22,2628.13,652.8,7411.0,38
CDM,36100133,HC IR TUBE CHG NEPHROSTOMY LT,4380.22,2628.13,652.8,7411.0,38
CDM,36100134,HC IR TUBE CHG NEPHROSTOMY RT,4380.22,2628.13,652.8,7411.0,38
CDM,36100135,HC CATH PLC THOR BRACH SEL 1ST LT,4809.48,2885.69,817.61,7411.0,32
CDM,36100136,HC CATH RENAL COMP 1ST ORD LT,8132.73,4879.64,1382.56,9893.47,38
CDM,36100137,HC CATH RENAL COMP 1ST ORD RT,8132.73,4879.64,1382.56,9893.47,38
CDM,36100138,HC CATH RENAL COMP SUPRSEL RT,9214.9,5528.94,1566.53,16408.4,38
CDM,36100139,HC SEL COM CAR INNOM CERV RT,11220.8,6732.48,1907.54,9893.47,38
CDM,36100140,HC SEL COM CAR INNOM CERV LT,11220.8,6732.48,1907.54,9893.47,38
CDM,36100141,HC SEL COM CAR INNOM CERVCERBL RT,15302.25,9181.35,2601.38,16408.4,38
CDM,36100142,HC SEL COM CAR INNOM CERVCERBL LT,15302.25,9181.35,2601.38,16408.4,38
CDM,36100143,HC SEL INT CAR CERVCERBL RT,20885.46,12531.28,3550.53,17752.64,38
CDM,36100144,HC SEL INT CAR CERVCERBL LT,20885.46,12531.28,3550.53,17752.64,38
CDM,36100145,HC SEL SUBCLV INNOM VERT RT,11220.8,6732.48,1907.54,9893.47,38
CDM,36100146,HC SEL SUBCLV INNOM VERT LT,11220.8,6732.48,1907.54,9893.47,38
CDM,36100147,HC SEL VERT RT,17918.04,10750.82,3046.07,16408.4,38
CDM,36100148,HC SEL VERT LT,17918.04,10750.82,3046.07,16408.4,38
CDM,36100149,HC SEL EXT CAR LT,5753.82,3452.29,978.15,8280.0,32
CDM,36100150,HC SEL INT CAR VERT EA BRANCH RT,3821.91,2293.15,649.72,8280.0,32
CDM,36100151,HC INJ SHOULDER ARTHROGRAPHY CT/MRI ARTHG - LT,857.26,514.36,145.73,7411.0,32
CDM,36100152,HC DX INJ ARTHROGRAM WRIST LT,868.64,521.18,147.67,7411.0,32
CDM,36100153,HC DX INJ ARTHRO HIP WO ANES LT,1015.34,609.2,172.61,7411.0,32
CDM,36100154,HC DX INJ ARTHRO HIP WO ANES BI,1015.34,609.2,172.61,7411.0,32
CDM,36100156,HC INJ SHOULDER ARTHROGRAPHY CT/MRI ARTHG - RT,857.26,514.36,145.73,7411.0,32
CDM,36100157,HC INJ SHOULDER ARTHROGRAPHY CT/MRI ARTHG - BI,857.26,514.36,145.73,7411.0,32
CDM,36100158,HC DX INJ ARTHROGRAM ELBOW RT,663.35,398.01,112.77,7411.0,32
CDM,36100159,HC DX INJ ARTHROGRAM WRIST RT,868.64,521.18,147.67,7411.0,32
CDM,36100160,HC DX INJ ARTHRO HIP WO ANES RT,1015.34,609.2,172.61,7411.0,32
CDM,36100162,HC BX/EXC LYMPH NODE NEEDLE SUPERFICIAL - BI,3839.39,2303.63,486.45,7411.0,38
CDM,36100163,HC BX/EXC LYMPH NODE NEEDLE SUPERFICIAL - LT,3839.39,2303.63,486.45,7411.0,38
CDM,36100164,HC BX/EXC LYMPH NODE NEEDLE SUPERFICIAL - RT,3839.39,2303.63,486.45,7411.0,38
CDM,36100165,HC CT THORACOSTOMY W TUBE RT,3058.83,1835.3,520.0,7411.0,38
CDM,36100166,HC CT THORACOSTOMY W TUBE LT,3058.83,1835.3,520.0,7411.0,38
CDM,36100167,HC CT BX LUNG MEDIASTINUM BI,2951.0,1770.6,501.67,7411.0,37
CDM,36100168,HC RENAL BX PRQ TROCAR/NEEDLE - BI,3625.85,2175.51,486.45,7411.0,38
CDM,36100169,HC CT ABL RF LUNG LT,10798.89,6479.33,1835.81,17256.34,38
CDM,36100170,HC RENAL BX PRQ TROCAR/NEEDLE - LT,3625.85,2175.51,486.45,7411.0,38
CDM,36100171,HC BX PLEURA PERCUTANEOUS NEEDLE - LT,3613.17,2167.9,486.45,7411.0,38
CDM,36100172,HC CT BX LUNG MEDIASTINUM LT,2951.0,1770.6,501.67,7411.0,37
CDM,36100173,HC CT CATH NEPHRO PLACEMENT RT,7953.93,4772.36,652.8,10495.0,38
CDM,36100174,HC CT CATH NEPHRO PLACEMENT LT,7953.93,4772.36,652.8,10495.0,38
CDM,36100175,HC CT INJ NEPH WWO URETR EXIST BI,2615.39,1569.23,444.62,7411.0,38
CDM,36100176,HC ABLTJ 1/> RENAL TUMOR PRQ RF UNI - LT,11582.46,6949.48,1888.85,17256.34,38
CDM,36100177,HC ABLTJ 1/> RENAL TUMOR PRQ RF UNI - RT,11582.46,6949.48,1888.85,17256.34,38
CDM,36100178,HC RENAL BX PRQ TROCAR/NEEDLE - RT,3625.85,2175.51,486.45,7411.0,38
CDM,36100179,HC BX PLEURA PERCUTANEOUS NEEDLE - RT,3613.17,2167.9,486.45,7411.0,38
CDM,36100180,HC BX LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE - RT,2951.0,1770.6,501.67,7411.0,37
CDM,36100181,HC CT ABL CRYO RENAL LT,21730.83,13038.5,4645.39,30034.8,38
CDM,36100182,HC CT ABL CRYO RENAL RT,21730.83,13038.5,4645.39,30034.8,38
CDM,36100183,HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING - LT,2351.37,1410.82,223.75,7411.0,38
CDM,36100184,HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING - RT,2351.37,1410.82,223.75,7411.0,38
CDM,36100185,HC US BX RENAL PERC BI,3625.85,2175.51,486.45,7411.0,38
CDM,36100186,HC US INJ PSEUDOANEURYSM EXT LT,1690.12,1014.07,223.75,7411.0,38
CDM,36100187,HC US INJ PSEUDOANEURYSM EXT RT,1690.12,1014.07,223.75,7411.0,38
CDM,36100188,HC US BX LYMPH NODE LT,3839.39,2303.63,486.45,7411.0,38
CDM,36100189,HC US BX LYMPH NODE RT,3839.39,2303.63,486.45,7411.0,38
CDM,36100190,HC US BX BRST INI RT,5153.43,3092.06,486.45,7411.0,38
CDM,36100191,HC US BX BRST INI BI,5153.43,3092.06,486.45,7411.0,38
CDM,36100192,HC US BX BRST INI LT,5153.43,3092.06,486.45,7411.0,38
CDM,36100193,HC US ASP BRST CYST  LT,1980.0,1188.0,59.25,7411.0,38
CDM,36100194,HC US ASP BRST CYST  RT,1980.0,1188.0,59.25,7411.0,38
CDM,36100195,HC US BX LYMPH NODE BI,3839.39,2303.63,486.45,7411.0,38
CDM,36100196,HC US BX RENAL PERC LT,3625.85,2175.51,486.45,7411.0,38
CDM,36100197,HC US BX RENAL PERC RT,3625.85,2175.51,486.45,7411.0,38
CDM,36100198,HC US THORACENTESIS W IMAGE LT,2351.37,1410.82,223.75,7411.0,38
CDM,36100199,HC US THORACENTESIS W IMAGE RT,2351.37,1410.82,223.75,7411.0,38
CDM,36100200,HC US THORACENTESIS W IMAGE BI,2351.37,1410.82,223.75,7411.0,38
CDM,36100201,HC MR BX BRST INI RT,5386.5,3231.9,486.45,7411.0,38
CDM,36100202,HC MR BX BRST INI BI,5386.5,3231.9,486.45,7411.0,38
CDM,36100203,HC MR BX BRST INI LT,5386.5,3231.9,486.45,7411.0,38
CDM,36100204,HC MR GUIDE NDL MARK PLCMT INI RT,3802.6,2281.56,646.44,7411.0,38
CDM,36100205,HC MR GUIDE NDL MARK PLCMT INI LT,3802.6,2281.56,646.44,7411.0,38
CDM,36100206,HC CT THORCENT W TUBE W IMAGE BI,3731.7,2239.02,446.27,7411.0,38
CDM,36100207,HC PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING - LT,3731.7,2239.02,446.27,7411.0,38
CDM,36100208,HC PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING - RT,3731.7,2239.02,446.27,7411.0,38
CDM,36100209,HC IR NEPHRO TUBE REM W FLUOR BI,2810.6,1686.36,238.15,7411.0,38
CDM,36100210,HC IR NEPHRO TUBE REM W FLUOR RT,2810.6,1686.36,238.15,7411.0,38
CDM,36100211,HC IR CATH RENAL COMP 1ST ORD LT,8132.73,4879.64,1382.56,9893.47,38
CDM,36100212,HC IR CATH RENAL COMP 1ST ORD RT,8132.73,4879.64,1382.56,9893.47,38
CDM,36100213,HC IR CATH RENAL COMP SUPRSEL LT,9214.9,5528.94,1566.53,16408.4,38
CDM,36100214,HC IR CATH ART THOR 1ST ORD RT,4809.48,2885.69,817.61,7411.0,32
CDM,36100215,HC IR BX LYMPH NODE LT,3839.39,2303.63,486.45,7411.0,38
CDM,36100216,HC IR BX LYMPH NODE RT,3839.39,2303.63,486.45,7411.0,38
CDM,36100217,HC IR CATH ART BRCHCEP 1ST ORD LT,4809.48,2885.69,817.61,7411.0,32
CDM,36100218,HC IR CATH ART BRCHCEP 2ND ORD LT,4446.09,2667.65,755.84,7411.0,32
CDM,36100219,HC IR CATH ART BRCHCEP 3RD ORD LT,5613.29,3367.97,954.26,7411.0,32
CDM,36100220,HC IR CATH ART BRCHCEP 3RD ORD RT,5613.29,3367.97,954.26,7411.0,32
CDM,36100221,HC IR CATH ART BRCHCEP EA ADD LT,2470.24,1482.14,419.94,7411.0,32
CDM,36100222,HC IR CATH ART BRCHCEP EA ADD RT,2470.24,1482.14,419.94,7411.0,32
CDM,36100223,HC IR CATH ART CAR 2ND ORD RT,4446.09,2667.65,755.84,7411.0,32
CDM,36100224,HC IR CATH ART CAR 3RD ORD RT,5613.29,3367.97,954.26,7411.0,32
CDM,36100225,HC IR CATH ART SUBCLAV 2ND ORD RT,4446.09,2667.65,755.84,7411.0,32
CDM,36100226,HC IR CATH ART SUBCLAV 3RD ORD RT,5613.29,3367.97,954.26,7411.0,32
CDM,36100227,HC IR CATH ART SUBCLAV EA ADD RT,2470.24,1482.14,419.94,7411.0,32
CDM,36100228,HC IR CATH CELIAC MES ADD LT,2800.81,1680.49,476.14,7411.0,32
CDM,36100229,HC IR CATH CELIAC MES ADD RT,2800.81,1680.49,476.14,7411.0,32
CDM,36100230,HC IR CATH ILIAC FEM ADD LT,2800.81,1680.49,476.14,7411.0,32
CDM,36100231,HC IR CATH LWR EXT 2ND ORD LT,5898.75,3539.25,1002.79,7411.0,32
CDM,36100232,HC IR CATH LWR EXT 2ND ORD RT,5898.75,3539.25,1002.79,7411.0,32
CDM,36100233,HC IR CATH LWR EXT 3RD ORD LT,6706.97,4024.18,1140.18,7411.0,32
CDM,36100234,HC IR CATH LWR EXT 3RD ORD RT,6706.97,4024.18,1140.18,7411.0,32
CDM,36100235,HC IR CATH LWR EXT ADD RT,2800.81,1680.49,476.14,7411.0,32
CDM,36100236,HC IR CATH PULM ART 1ST ORDER BI,3470.39,2082.23,589.97,7411.0,32
CDM,36100237,HC IR CATH PULM ART 2ND ORDER RT,2430.57,1458.34,413.2,7411.0,32
CDM,36100238,HC IR CATH VEN BLOOD SAMP BI,2999.73,1799.84,509.95,7411.0,32
CDM,36100239,HC IR FB RMV UP ARM SUBQ LT,2074.48,1244.69,123.47,7411.0,38
CDM,36100242,HC IR TUBE TRANSNEPH STNT EXCH BI,4263.18,2557.91,652.8,7411.0,38
CDM,36100243,HC IR TUBE TRANSNEPH STNT EXCH LT,4263.18,2557.91,652.8,7411.0,38
CDM,36100244,HC IR TUBE TRANSNEPH STNT EXCH RT,4263.18,2557.91,652.8,7411.0,38
CDM,36100245,HC IR URETRL STENT EXCH PERC BI,4625.43,2775.26,652.8,7411.0,38
CDM,36100246,HC IR URETRL STENT EXCH PERC RT,4625.43,2775.26,652.8,7411.0,38
CDM,36100247,HC IR URETRL TUBE CHG BI,4571.01,2742.61,652.8,7411.0,38
CDM,36100248,HC IR CATH COM CAR INOM EXTCRN RT,11220.8,6732.48,1907.54,9893.47,38
CDM,36100249,HC IR CATH COM CAR INOM EXTCRN LT,11220.8,6732.48,1907.54,9893.47,38
CDM,36100250,HC IR CATH COM CAR INOM EXTCRN BI,11220.8,6732.48,1907.54,9893.47,38
CDM,36100251,HC IR CATH COM CAR INOM INTCRL RT,15302.25,9181.35,2601.38,16408.4,38
CDM,36100252,HC IR CATH COM CAR INOM INTCRL LT,15302.25,9181.35,2601.38,16408.4,38
CDM,36100253,HC IR CATH COM CAR INOM INTCRL BI,15302.25,9181.35,2601.38,16408.4,38
CDM,36100254,HC IR CATH INT CAR INTCRL RT,20885.46,12531.28,3550.53,17752.64,38
CDM,36100255,HC IR CATH INT CAR INTCRL LT,20885.46,12531.28,3550.53,17752.64,38
CDM,36100256,HC IR CATH INT CAR INTCRL BI,20885.46,12531.28,3550.53,17752.64,38
CDM,36100257,HC IR CATH SUBCLV INNOM VERT RT,11220.8,6732.48,1907.54,9893.47,38
CDM,36100258,HC IR CATH SUBCLV INNOM VERT LT,11220.8,6732.48,1907.54,9893.47,38
CDM,36100259,HC IR CATH SUBCLV INNOM VERT BI,11220.8,6732.48,1907.54,9893.47,38
CDM,36100260,HC IR CATH VERT W ANGIO RT,17918.04,10750.82,3046.07,16408.4,38
CDM,36100261,HC IR CATH VERT W ANGIO LT,17918.04,10750.82,3046.07,16408.4,38
CDM,36100262,HC IR CATH VERT W ANGIO BI,17918.04,10750.82,3046.07,16408.4,38
CDM,36100263,HC IR CATH EXT CAR W ANGIO RT,5753.82,3452.29,978.15,8280.0,32
CDM,36100264,HC IR CATH EXT CAR W ANGIO LT,5753.82,3452.29,978.15,8280.0,32
CDM,36100265,HC IR CATH INTCRL W ANGIO RT,3821.91,2293.15,649.72,8280.0,32
CDM,36100266,HC IR CATH INTCRL W ANGIO LT,3821.91,2293.15,649.72,8280.0,32
CDM,36100267,HC IR BX RENAL PERC LT,3625.85,2175.51,486.45,7411.0,38
CDM,36100268,HC IR ASP RENAL CYST LT,2866.55,1719.93,257.6,7411.0,38
CDM,36100269,HC IR URETRL TUBE CHG LT,4571.01,2742.61,652.8,7411.0,38
CDM,36100270,HC IR THORACOSTOMY W TUBE LT,3058.83,1835.3,520.0,7411.0,38
CDM,36100271,HC BX PLEURA PERCUTANEOUS NEEDLE - LT,3613.17,2167.9,486.45,7411.0,38
CDM,36100272,HC BX LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE - LT,2951.0,1770.6,501.67,7411.0,37
CDM,36100273,HC IR CATH LWR EXT 1ST ORD LT,6207.74,3724.64,1055.32,7411.0,32
CDM,36100274,HC IR CATH PULM ART 1ST ORDER LT,3470.39,2082.23,589.97,7411.0,32
CDM,36100275,HC IR INTRO NDL EXT ART LT,3224.38,1934.63,548.14,7411.0,32
CDM,36100276,HC IR INJ VENOGRAM EXT LT,3097.26,1858.36,526.53,7411.0,32
CDM,36100277,HC IR BX RENAL PERC RT,3625.85,2175.51,486.45,7411.0,38
CDM,36100278,HC IR ASP RENAL CYST RT,2866.55,1719.93,257.6,7411.0,38
CDM,36100279,HC IR BX LUNG MEDIASTINUM RT,2951.0,1770.6,501.67,7411.0,37
CDM,36100280,HC IR URETRL TUBE CHG RT,4571.01,2742.61,652.8,7411.0,38
CDM,36100281,HC IR THORACOSTOMY W TUBE RT,3058.83,1835.3,520.0,7411.0,38
CDM,36100282,HC IR BX PLEURA PERC RT,3613.17,2167.9,486.45,7411.0,38
CDM,36100283,HC IR CATH LWR EXT 1ST ORD RT,6207.74,3724.64,1055.32,7411.0,32
CDM,36100284,HC IR CATH PULM ART 1ST ORDER RT,3470.39,2082.23,589.97,7411.0,32
CDM,36100285,HC IR INTRO NDL EXT ART RT,3224.38,1934.63,548.14,7411.0,32
CDM,36100286,HC IR INJ VENOGRAM EXT RT,3097.26,1858.36,526.53,7411.0,32
CDM,36100287,HC IR PTA ARTERIES INITIAL LT,21191.89,12715.13,2300.22,18013.11,38
CDM,36100288,HC IR TUNL CATH INS PLEURAL RT,7541.1,4524.66,1551.5,12700.0,38
CDM,36100289,HC IR TUNL CATH INS PLEURAL LT,7541.1,4524.66,1551.5,12700.0,38
CDM,36100290,HC IR TUNL CATH INS PLEURAL BI,7541.1,4524.66,1551.5,12700.0,38
CDM,36100291,HC IR TBPRNL W ANGPLAS LT,30648.97,18389.38,5210.32,35373.27,38
CDM,36100292,HC IR TBPRNL W ANGPLAS RT,30648.97,18389.38,5210.32,35373.27,38
CDM,36100293,HC IR TBPRNL W ANGPLAS W ATHER BI,46540.68,27924.41,6299.0,56905.69,38
CDM,36100294,HC IR TBPRNL W ANGPLAS W ATHER LT,46540.68,27924.41,6299.0,56905.69,38
CDM,36100295,HC IR TBPRNL W ANGPLAS W ATHER RT,46540.68,27924.41,6299.0,56905.69,38
CDM,36100296,HC IR TBPRNL W STENT LT,46400.94,27840.56,6299.0,56905.69,38
CDM,36100297,HC IR TBPRNL W STENT AND ATHER LT,56284.8,33770.88,6299.0,56905.69,38
CDM,36100298,HC IR ILIAC W ANGPLAS BI,21276.79,12766.07,3617.05,18085.27,38
CDM,36100299,HC IR ILIAC W ANGPLAS LT,21276.79,12766.07,3617.05,18085.27,38
CDM,36100300,HC IR ILIAC W ANGPLAS RT,21276.79,12766.07,3617.05,18085.27,38
CDM,36100301,HC IR ILIAC W STENT BI,40091.98,24055.19,6299.0,35373.27,38
CDM,36100302,HC IR ILIAC W STENT LT,40091.98,24055.19,6299.0,35373.27,38
CDM,36100303,HC IR ILIAC W STENT RT,40091.98,24055.19,6299.0,35373.27,38
CDM,36100304,HC IR FEMPOP W ANGPLAS BI,28124.2,16874.52,4781.11,23905.57,38
CDM,36100305,HC IR FEMPOP W ANGPLAS LT,28124.2,16874.52,4781.11,23905.57,38
CDM,36100306,HC IR FEMPOP W ANGPLAS RT,28124.2,16874.52,4781.11,23905.57,38
CDM,36100307,HC IR FEMPOP W ANGPLAS W ATHER LT,44172.48,26503.49,6299.0,43439.01,38
CDM,36100308,HC IR FEMPOP W ANGPLAS W ATHER RT,44172.48,26503.49,6299.0,43439.01,38
CDM,36100309,HC IR FEMPOP W STENT LT,42046.91,25228.15,6299.0,35739.87,38
CDM,36100310,HC IR FEMPOP W STENT RT,42046.91,25228.15,6299.0,35739.87,38
CDM,36100311,HC IR FEMPOP W STENT AND ATHER LT,81835.93,49101.56,6299.0,69560.54,38
CDM,36100312,HC IR FEMPOP W STENT AND ATHER RT,81835.93,49101.56,6299.0,69560.54,38
CDM,36100313,HC INJ PX PRQ TX EXTREMITY PSEUDOANEURYSM - LT,1690.12,1014.07,223.75,7411.0,38
CDM,36100314,HC INJ PX PRQ TX EXTREMITY PSEUDOANEURYSM - RT,1690.12,1014.07,223.75,7411.0,38
CDM,36100315,HC US THORCENT W TUBE W IMAGE RT,3731.7,2239.02,446.27,7411.0,38
CDM,36100316,HC IR INTRO NDL EXT ART BI,3224.38,1934.63,548.14,7411.0,32
CDM,36100317,HC IR INJ VENOGRAM EXT BI,3097.26,1858.36,526.53,7411.0,32
CDM,36100318,HC IR CATH ART CAR 1ST ORD LT,4809.48,2885.69,817.61,7411.0,32
CDM,36100319,HC IR CATH ART CAR 2ND ORD LT,4446.09,2667.65,755.84,7411.0,32
CDM,36100320,HC IR CATH ART CAR 3RD ORD LT,5613.29,3367.97,954.26,7411.0,32
CDM,36100321,HC IR CATH PULM ART 2ND ORDER LT,2430.57,1458.34,413.2,7411.0,32
CDM,36100322,HC IR CATH RENAL 1ST ORD LT,6207.74,3724.64,1055.32,7411.0,32
CDM,36100323,HC IR CATH RENAL 3RD ORD LT,6706.97,4024.18,1140.18,7411.0,32
CDM,36100324,HC IR CATH VEN 1ST ORDER LT,5046.45,3027.87,857.9,7411.0,32
CDM,36100325,HC IR CATH ART SUBCLAV 1ST ORD LT,4809.48,2885.69,817.61,7411.0,32
CDM,36100326,HC IR CATH ART SUBCLAV 2ND ORD LT,4446.09,2667.65,755.84,7411.0,32
CDM,36100327,HC IR CATH ART SUBCLAV 3RD ORD LT,5613.29,3367.97,954.26,7411.0,32
CDM,36100328,HC IR CATH ART SUBCLAV EA ADD LT,2470.24,1482.14,419.94,7411.0,32
CDM,36100329,HC IR CATH VEN 1ST ORDER RT,5046.45,3027.87,857.9,7411.0,32
CDM,36100330,HC IR CATH RENAL 1ST ORD RT,6207.74,3724.64,1055.32,7411.0,32
CDM,36100331,HC IR CATH RENAL 3RD ORD RT,6706.97,4024.18,1140.18,7411.0,32
CDM,36100332,HC IR THORACENTESIS W IMAGE LT,2351.37,1410.82,223.75,7411.0,38
CDM,36100333,HC IR THORACENTESIS W IMAGE RT,2351.37,1410.82,223.75,7411.0,38
CDM,36100334,HC IR THORCENT W TUBE W IMAGE LT,3731.7,2239.02,446.27,7411.0,38
CDM,36100335,HC IR THORCENT W TUBE W IMAGE RT,3731.7,2239.02,446.27,7411.0,38
CDM,36100336,HC IR TRNSCATH  LYSIS ART INI BI,8936.2,5361.72,2532.26,16408.4,38
CDM,36100337,HC IR TRNSCATH  LYSIS ART INI RT,8936.2,5361.72,2532.26,16408.4,38
CDM,36100338,HC IR TRNSCATH  LYSIS ART INI LT,8936.2,5361.72,2532.26,16408.4,38
CDM,36100339,HC IR TRNSCATH  LYSIS VEN INI BI,7537.94,4522.76,1518.93,9893.47,38
CDM,36100340,HC IR TRNSCATH  LYSIS VEN INI RT,7537.94,4522.76,1518.93,9893.47,38
CDM,36100341,HC IR TRNSCATH  LYSIS VEN INI LT,7537.94,4522.76,1518.93,9893.47,38
CDM,36100342,HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING - BI,2351.37,1410.82,223.75,7411.0,38
CDM,36100343,HC IR NEPHRO TUBE REM W FLUOR LT,2810.6,1686.36,238.15,7411.0,38
CDM,36100344,HC IR URETRL STENT RMV LT,3853.02,2311.81,652.8,7411.0,38
CDM,36100345,HC IR NEPHROSTOMY PERC RETRO RT,5228.27,3136.96,1142.9,10776.19,38
CDM,36100346,HC US THORCENT W TUBE W IMAGE BI,3731.7,2239.02,446.27,7411.0,38
CDM,36100347,HC US THORCENT W TUBE W IMAGE LT,3731.7,2239.02,446.27,7411.0,38
CDM,36100348,HC CT ABS PEL HIP HEMAT LT,4447.71,2668.63,1088.27,9772.7,38
CDM,36100349,HC MG ASP BRST CYST  LT,1980.0,1188.0,59.25,7411.0,38
CDM,36100350,HC MG ASP BRST CYST  RT,1980.0,1188.0,59.25,7411.0,38
CDM,36100351,HC BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID - RT,6237.0,3742.2,486.45,7411.0,38
CDM,36100352,HC MG GUIDE NDL MARK PLCMT INI RT,2999.64,1799.78,509.94,7411.0,38
CDM,36100353,HC MG BX BRST STEREO INI BI,6237.0,3742.2,486.45,7411.0,38
CDM,36100354,HC BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID - LT,6237.0,3742.2,486.45,7411.0,38
CDM,36100355,HC MG GUIDE NDL MARK PLCMT INI BI,2999.64,1799.78,509.94,7411.0,38
CDM,36100356,HC MG GUIDE NDL MARK PLCMT INI LT,2999.64,1799.78,509.94,7411.0,38
CDM,36100357,HC MG STEREO GUIDE NDL PLC INI RT,3667.77,2200.66,623.52,7411.0,38
CDM,36100358,HC MG STEREO GUIDE NDL PLC INI LT,3667.77,2200.66,623.52,7411.0,38
CDM,36100359,HC US GUIDE NDL MARK PLCMT INI RT,2869.41,1721.65,487.8,7411.0,38
CDM,36100360,HC US GUIDE NDL MARK PLCMT INI LT,2869.41,1721.65,487.8,7411.0,38
CDM,36100361,HC US GUIDE NDL MARK PLCMT INI BI,2869.41,1721.65,487.8,7411.0,38
CDM,36100362,HC CT INJ FACET JT LS 2 LVL BI,1610.54,966.32,273.79,7411.0,32
CDM,36100363,HC CT INJ FACET JT LS 1 LVL BI,3609.74,2165.84,340.77,7411.0,38
CDM,36100364,HC CT INJ FACET JT LS 3 LVL BI,1405.38,843.23,238.91,7411.0,32
CDM,36100365,HC IR THORACENTESIS WO IMAGE RT,2245.45,1347.27,223.75,7411.0,38
CDM,36100366,HC ATHERECTOMY TBPRNL RT INI,46540.68,27924.41,6299.0,56905.69,38
CDM,36100367,HC INJ SI JNT ARTHRGRPHY&/ANES/STROID W/IMG THRPEUTIC,1583.81,950.29,111.0,7411.0,37
CDM,36100368,HC INJ SI JNT ARTHRGRPHY&/ANES/STROID W/IMG THRPEUTIC,1583.81,950.29,111.0,7411.0,37
CDM,36100369,HC INJ SI JNT ARTHRGRPHY&/ANES/STROID W/IMG THRPEUTIC,1583.81,950.29,111.0,7411.0,37
CDM,36100370,HC IR CATH ART THOR 1ST ORD BI,4809.48,2885.69,817.61,7411.0,32
CDM,36100371,HC IR CATH ART THOR 1ST ORD LT,4809.48,2885.69,817.61,7411.0,32
CDM,36100372,HC IR CATH ART THOR 2ND ORD RT,4446.09,2667.65,755.84,7411.0,32
CDM,36100373,HC IR CATH ART THOR EA ADD RT,2470.24,1482.14,419.94,7411.0,32
CDM,36100374,HC DX INJ SIALOGRAPHY BI,698.9,419.34,118.81,7411.0,32
CDM,36100375,HC DX INJ SIALOGRAPHY LT,698.9,419.34,118.81,7411.0,32
CDM,36100376,HC DX INJ SIALOGRAPHY RT,698.9,419.34,118.81,7411.0,32
CDM,36100377,HC ABLTJ 1/> RENAL TUMOR PRQ RF UNI - RT,11582.46,6949.48,1888.85,17256.34,38
CDM,36100378,HC IR ABL RF RENAL LT,11582.46,6949.48,1888.85,17256.34,38
CDM,36100379,HC MG 3D BX BRST STEREO INI LT,6237.0,3742.2,486.45,7411.0,38
CDM,36100380,HC MG 3D BX BRST STEREO INI BI,6237.0,3742.2,486.45,7411.0,38
CDM,36100381,HC MG 3D BX BRST STEREO INI RT,6237.0,3742.2,486.45,7411.0,38
CDM,36100382,HC US BREAST CYST ASP ADD RT,817.19,490.31,138.92,7411.0,32
CDM,36100383,HC US BREAST CYST ASP ADD LT,817.19,490.31,138.92,7411.0,32
CDM,36100385,HC IR INJ ARTHROGRAM SHOULDER LT,857.26,514.36,145.73,7411.0,32
CDM,36100386,HC IR INJ ARTHROGRAM SHOULDER RT,857.26,514.36,145.73,7411.0,32
CDM,36100391,HC IR ABL CRYO RENAL LT,21730.83,13038.5,4645.39,30034.8,38
CDM,36100392,HC IR CATH EXT CAR W ANGIO BI,5753.82,3452.29,978.15,8280.0,32
CDM,36100393,HC IR DRAIN PROSTATIC ABSCESS,3766.82,2260.09,1142.9,8636.11,53
CDM,36100395,HC THH ONLY - TMVI PERCUTANEOUS APPROACH,52987.48,31792.49,2546.0,45039.36,37
CDM,36100396,HC TRANSCATHETER TRICUSPID VALVE IMPLANT,57037.37,34222.42,1826.96,48481.76,37
CDM,36100397,HC ABLTJ PERC CRYOABLTJ IMG GDN UXTR/PERPH NERVE,3595.04,2157.02,611.16,8568.0,53
CDM,36100398,HC ABLTJ PERC CRYOABLTJ IMG GDN LXTR/PERPH NERVE,3595.04,2157.02,611.16,8568.0,53
CDM,36100399,HC ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV,12357.3,7414.38,2100.74,19667.17,53
CDM,36100400,"HC ABLTN, 1+ LYMPH NDS, PERCUTANEOUS, ETHNL INJCTN, W/WO IMGNG GDNCE",15539.04,9323.42,421.02,11654.28,51
CDM,36100401,"HC NASO- /ORO-ESPHAGL TB PLCMT,NEDNG PHYSN'S STILL,+ FLURSCPC GUDNC IF DONE",737.55,442.53,184.39,8280.0,51
CDM,36100402,HC PERCUTANEOUS ASPIRATION OF MENINGOCELE/PSEUDOMENINGOCELE,4077.66,2446.6,292.93,8280.0,51
CDM,36100405,HC ECMO/ECLS INITIATION VENO-VENOUS,7561.45,4536.87,547.54,8280.0,37
CDM,36100406,HC ECMO/ECLS INITIATION VENO-ARTERIAL,7201.38,4320.83,607.23,8280.0,37
CDM,36100407,HC ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS,3781.62,2268.97,420.86,8280.0,37
CDM,36100408,HC ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL,3781.62,2268.97,409.28,8280.0,37
CDM,36100410,HC ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS & OLDER PERQ,15894.95,9536.97,757.07,13510.71,37
CDM,36100416,HC ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS & OLDER,18068.42,10841.05,327.07,15358.16,37
CDM,36100422,HC ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS & OLDER,3164.44,1898.66,420.86,8280.0,37
CDM,36100424,HC ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS & OLDER,3134.1,1880.46,502.47,8280.0,37
CDM,36100428,HC BONE MARROW ASPIRATION(S),2294.27,1376.56,92.74,7411.0,53
CDM,36100429,HC BURSA OR JT INJ MAJOR OR,1192.29,715.37,27.96,7411.0,53
CDM,36100430,"HC ABLTION, BILATRL MEDIAL BRANCH NERVES, RADIOFREQUENCY W/WO IMAGNG GDNCE",13742.41,8245.45,292.93,10306.81,51
CDM,36100509,HC MG STEREO GUIDE NDL PLC INI BI,3667.77,2200.66,623.52,7411.0,38
CDM,36100510,HC DX INJ ARTHROGRAM ANKLE BI,675.51,405.31,114.84,7411.0,32
CDM,36100511,HC DX INJ ARTHROGRAM ANKLE LT,675.51,405.31,114.84,7411.0,32
CDM,36100512,HC DX INJ ARTHROGRAM ANKLE RT,675.51,405.31,114.84,7411.0,32
CDM,36100513,HC DX INJ ARTHROGRAM ELBOW BI,663.35,398.01,112.77,7411.0,32
CDM,36100514,HC DX INJ ARTHROGRAM ELBOW LT,663.35,398.01,112.77,7411.0,32
CDM,36100516,HC DX INJ ARTHROGRAM WRIST BI,868.64,521.18,147.67,7411.0,32
CDM,36100517,HC ABLATION THERAPY 1 OR MORE PULM TUMOR RF LT,10798.89,6479.33,1835.81,17256.34,38
CDM,36100518,HC ABLATION THERAPY 1 OR MORE PULM TUMOR RF RT,10798.89,6479.33,1835.81,17256.34,38
CDM,36100519,HC ABLATION RENAL TUMOR CRYO RT,21730.83,13038.5,4645.39,30034.8,38
CDM,36100520,HC SUPRSEL CATH RENAL ARTERY 2ND+ ORDER S&I RT,9214.9,5528.94,1566.53,16408.4,38
CDM,36100521,HC INJECTION SACROILIAC JOINT STEROID/THERAPEUTIC BI,2636.87,1582.12,448.27,7411.0,38
CDM,36100522,HC INJECTION SACROILIAC JOINT STEROID/THERAPEUTIC LT,2636.87,1582.12,448.27,7411.0,38
CDM,36100523,HC INJECTION SACROILIAC JOINT STEROID/THERAPEUTIC RT,2636.87,1582.12,448.27,7411.0,38
CDM,36100524,HC ASP RENAL CYST PERCUTANEOUS BI,2866.55,1719.93,257.6,7411.0,38
CDM,36100525,HC TRLUML BALO ANGIOP 1ST ARTERY BI,21191.89,12715.13,2300.22,18013.11,38
CDM,36100526,HC REVSC OPN/PRQ FEM/POP W/ATHRC/ANGIOP SM VSL UNILATERAL,44172.48,26503.49,6299.0,43439.01,38
CDM,36100527,HC REVSC OPN/PRQ W/STENT/ANGIOP SM VSL BI,42046.91,25228.15,6299.0,35739.87,38
CDM,36100528,HC REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIO SM VSL BI,81835.93,49101.56,6299.0,69560.54,38
CDM,36100529,HC REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY BI,30648.97,18389.38,5210.32,35373.27,38
CDM,36100530,HC REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP SM VSL BI,46400.94,27840.56,6299.0,56905.69,38
CDM,36100531,HC REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP SM VSL RT,46400.94,27840.56,6299.0,56905.69,38
CDM,36100532,HC REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL BI,56284.8,33770.88,6299.0,56905.69,38
CDM,36100533,HC REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL RT,56284.8,33770.88,6299.0,56905.69,38
CDM,36100534,HC PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING - BI,3731.7,2239.02,446.27,7411.0,38
CDM,36100539,HC RMVL AND RPLCMT INTLY DWELLING URETERAL STENT PRQ LT,4625.43,2775.26,652.8,7411.0,38
CDM,36100540,HC RMVL INDWELLING URETERAL STENT PRQ BI,3853.02,2311.81,652.8,7411.0,38
CDM,36100541,HC RMVL INDWELLING URETERAL STENT PRQ RT,3853.02,2311.81,652.8,7411.0,38
CDM,36100542,HC SLCTV CATH 1ST ORD ABDL/PEL/LOW EXT ART BRANCH BI,6207.74,3724.64,1055.32,7411.0,32
CDM,36100543,HC SLCTV CATH 2ND ORD ABDL/PEL/LOW EXT ART BRANCH BI,5898.75,3539.25,1002.79,7411.0,32
CDM,36100544,HC SLCTV CATH 3RD ORD ABDL/PEL/LOW EXT ART BRANCH BI,6706.97,4024.18,1140.18,7411.0,32
CDM,36100545,HC SLCTV CATH 2ND+ ORD ABDL/PEL/LOW EXT ART BRANCH ADD BI,2800.81,1680.49,476.14,7411.0,32
CDM,36100546,HC SLCTV CATH 2ND+ ORD ABDL/PEL/LOW EXT ART BRANCH ADD LT,2800.81,1680.49,476.14,7411.0,32
CDM,36100547,HC SLCTV CATH 1ST ORD THRC/BRCH/CPHLC BRNCH RT,4809.48,2885.69,817.61,7411.0,32
CDM,36100548,HC SLCTV CATH 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH LT,4446.09,2667.65,755.84,7411.0,32
CDM,36100549,HC SLCTV CATH 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH,4446.09,2667.65,755.84,7411.0,32
CDM,36100550,HC SLCTV CATH 3RD+ ORD SLCTV THRC/BRACH/CPHLC BRANCH LT,5613.29,3367.97,954.26,7411.0,32
CDM,36100551,HC SLCTV CATH 3RD+ ORD SLCTV THRC/BRACH/CPHLC BRANCH RT,5613.29,3367.97,954.26,7411.0,32
CDM,36100552,HC SLCTV CATH 3RD+ ORD SLCTV THRC/BRCH/CPHLC BRNCH LT,2470.24,1482.14,419.94,7411.0,32
CDM,36100553,HC SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH BI,5046.45,3027.87,857.9,7411.0,32
CDM,36100554,HC SLCTV CATH PLMT VEN SYS 1ST 2ND ORDER/>SLCTV BRANCH BI,4677.07,2806.24,795.1,7411.0,32
CDM,36100555,HC SLCTV CATH PLMT VEN SYS 1ST 2ND ORDER/>SLCTV BRANCH LT,4677.07,2806.24,795.1,7411.0,32
CDM,36100557,HC INJ ARTHROGRAM ANKLE - BI,675.51,405.31,114.84,7411.0,32
CDM,36100558,HC INJ ARTHROGRAM ANKLE - LT,675.51,405.31,114.84,7411.0,32
CDM,36100559,HC INJ ARTHROGRAM ANKLE - RT,675.51,405.31,114.84,7411.0,32
CDM,36100560,HC IR INJ ARTHROGRAM ELBOW BI,663.35,398.01,112.77,7411.0,32
CDM,36100561,HC INJ ARTHROGRAM ELBOW - LT,663.35,398.01,112.77,7411.0,32
CDM,36100562,HC INJ ARTHROGRAM ELBOW - RT,663.35,398.01,112.77,7411.0,32
CDM,36100563,HC INJ ARTHROGRAM HIP W/O ANESTHESIA - BI,1015.34,609.2,172.61,7411.0,32
CDM,36100564,HC INJ ARTHROGRAM HIP W/O ANESTHESIA - LT,1015.34,609.2,172.61,7411.0,32
CDM,36100565,HC INJ ARTHROGRAM HIP W/O ANESTHESIA - RT,1015.34,609.2,172.61,7411.0,32
CDM,36100566,HC PERQ BREAST LOC DEVICE PLCMT 1ST LES MR GUID - BI,3802.6,2281.56,646.44,7411.0,53
CDM,36100568,HC PERQ DEVICE PLCMT BREAST LOC EAC ADD LESION - LT,1946.07,1167.64,330.83,7411.0,32
CDM,36100569,HC PERQ DEVICE PLCMT BREAST LOC EAC ADD LESION - RT,1946.07,1167.64,330.83,7411.0,32
CDM,36100570,HC BRONCHOSCOPY ABLATION,3088.1,1852.86,524.98,7411.0,37
CDM,36100571,"HC BRONCHOSCOPY ASIPRATION, INITIAL",1212.06,727.24,206.05,7411.0,37
CDM,36100572,HC BRONCHOSCOPY BALLOON OCCLUSION,3137.31,1882.39,533.34,7411.0,37
CDM,36100573,HC BRONCHOSCOPY BIOPSY,1398.52,839.11,237.75,7411.0,37
CDM,36100574,HC BRONCHOSCOPY BRUSHINGS,466.17,279.7,79.25,7411.0,37
CDM,36100575,HC BRONCHOSCOPY FB REMOVAL,1398.52,839.11,237.75,7411.0,37
CDM,36100576,HC BRONCHOSCOPY FIDUCIAL MARKERS,3259.6,1955.76,554.13,7411.0,37
CDM,36100577,HC BRONCHOSCOPY LAVAGE,466.17,279.7,79.25,7411.0,37
CDM,36100578,HC BRONCHOSCOPY THERMOPLASTY 1 LOBE,8991.68,5395.01,1528.59,7642.93,37
CDM,36100579,HC BRONCHOSCOPY THERMOPLASTY 2> LOBES,8849.0,5309.4,1504.33,7521.65,37
CDM,36100580,HC BRONCHOSCOPY,5146.09,3087.65,874.84,7411.0,37
CDM,36100581,HC BRONCHOSCOPY/EBUS,7205.74,4323.44,1224.98,7411.0,37
CDM,36100582,HC BRONCHOSCOPY IMG GUID NAVIGATION,3398.32,2038.99,577.71,7411.0,37
CDM,36100585,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US - LT,980.89,588.53,23.54,7411.0,53
CDM,36100586,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US - RT,980.89,588.53,23.54,7411.0,53
CDM,36100587,HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US - LT,1192.29,715.37,27.96,7411.0,38
CDM,36100588,HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US - RT,1192.29,715.37,27.96,7411.0,53
CDM,36100589,HC SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BI,10192.52,6115.51,1732.73,9893.47,53
CDM,36100591,HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US - RT,1872.6,1123.56,47.34,7411.0,53
CDM,36100592,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US - LT,980.89,588.53,23.54,7411.0,53
CDM,36100593,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US - RT,980.89,588.53,23.54,7411.0,53
CDM,36100595,HC BRONCHOSCOPY ASIPRATION SUBSEQUENT,826.41,495.85,140.49,7411.0,37
CDM,36100596,HC TENDON FENESTRATION,590.11,354.07,147.53,8280.0,51
CDM,36100597,HC DX LMBR SPI PNXR W/FLUOR/CT,2821.46,1692.88,262.86,7411.0,53
CDM,36100598,HC DX LMBR SPI PNXR CSF FLUOR/CT,2027.03,1216.22,262.86,7411.0,53
CDM,36100599,HC AA&/STRD NRV NRVTG SI JT,1374.96,824.98,262.86,7411.0,53
CDM,36100600,HC NJX AA&/STRD GNCLR NRV BRNCH,1717.62,1030.57,139.81,7411.0,53
CDM,36100601,HC DSTRJ NULYT AGT GNCLR NRV W/IMG,4334.04,2600.42,538.55,7411.0,53
CDM,36100602,HC RF ABLTJ NRV NRVTG SI JT W/IMG,4084.73,2450.84,659.94,10495.0,53
CDM,36100603,HC ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL,6007.52,3604.51,1021.28,9442.65,53
CDM,36100608,HC BRONCHOSCOPY/EBUS BIOPSY,6694.25,4016.55,1138.02,7411.0,37
CDM,36100609,HC BRONCHOSCOPY BRONCHIAL STENT EA ADD,2894.1,1736.46,492.0,7411.0,37
CDM,36100610,HC TRANSABDOMINAL AMNIOINFUSION W/ULTRSND,843.92,506.35,143.47,7411.0,53
CDM,36100611,HC PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT,5644.24,3386.54,959.52,7411.0,32
CDM,36100612,HC BRONCHOSCOPY TUMOR DESTRUCTION,3645.15,2187.09,619.68,7411.0,37
CDM,36100613,HC CHOLECYSTOSTOMY TUBE CHECK,3497.0,2098.2,83.05,7411.0,53
CDM,36100614,HC INSJ/RPLC NSTIM SYSTEM SLEEP APNEA COMPLETE,86663.76,51998.26,6299.0,103953.9,37
CDM,36100615,HC REMOVAL PULSE GENERATOR VAGUS NERVE,11105.04,6663.02,1887.86,19305.0,37
CDM,36100616,HC LAPS RMVL NSTIM ELTRD ARRAY & PLS GEN VAGUS NRV,11105.04,6663.02,1887.86,19305.0,37
CDM,36100617,HC BRONCHOSCOPY DIL/CLSD RED,1917.68,1150.61,326.01,7411.0,37
CDM,36100618,HC IR CT GUIDED TISSUE ABLATION,9952.97,5971.78,235.4,8280.0,51
CDM,36100619,HC IR DILAT IC VSPSM EA DIFF TER,7204.26,4322.56,599.31,7411.0,37
CDM,36100620,HC IR DILAT IC VSPSM EA VSL SM TER,2784.83,1670.9,299.65,7411.0,37
CDM,36100621,HC US GUIDED ETHANOL INJECTION,25138.58,15083.15,5769.43,18853.94,51
CDM,36100623,HC IRE ABLATION 1+TUMORS PER ORGAN W/IMG GDN PERQ,18192.92,10915.75,3092.8,25500.18,53
CDM,36100625,HC BIOPSY LUNG MEDIASTINUM  W/ GUIDANCE,5105.52,3063.31,486.45,10495.0,53
CDM,36100628,HC ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN,52961.56,31776.94,6299.0,95131.46,53
CDM,36100629,HC TRANSRECTAL ABLTJ MAL PRST8 TISSUE HIFU W/US,8463.24,5077.94,1438.75,22821.27,53
CDM,36100633,HC BRONCHOSCOPY STENT PLACEMENT,10110.67,6066.4,1718.81,8594.07,37
CDM,36100634,HC MECH REMOV TUNNELED CV CATH,5723.32,3433.99,235.4,8280.0,51
CDM,36100635,HC MECH REMOV TUNNELED CV CATH,5723.32,3433.99,598.65,8280.0,51
CDM,36100636,HC COMPL RPLCMT PICC RS&I,2812.28,1687.37,598.65,8280.0,51
CDM,36100638,"HC BILIARY ENDOSCOPY,PERCUT,W/REM, STONE(S)",12471.55,7482.93,1888.85,25500.18,53
CDM,36100640,HC GANGLION IMPAR NERVE BLOCK,1249.96,749.98,292.93,8280.0,51
CDM,36100641,HC EPISIOTOMY VAG REPAIR NO DELIVERY,6297.62,3778.57,189.08,8280.0,53
CDM,36100642,HC HEPATIC OR LIVER DENERVATION,11042.46,6625.48,865.56,8281.84,51
CDM,36100643,HB INSJ/RPLC NSTIM SYSTEM SLEEP APNEA SENSING LEAD,21904.76,13142.86,3723.81,22088.05,37
CDM,36100644,HB INSJ/RPLC NSTIM SYSTEM SLEEP APNEA STIMJ LEAD,23657.14,14194.28,4021.71,68827.53,37
CDM,36100645,HB INSJ/RPLC NSTIM SYSTEM SLEEP APNEA PLS GENERATOR,57401.5,34440.9,6299.0,103953.9,37
CDM,36100646,HB REMOVAL NSTIM SYSTEM SLEEP APNEA PLS GENERATOR,6704.4,4022.64,1139.75,11240.15,37
CDM,36100647,HB REMOVAL NSTIM SYSTEM SLEEP APNEA SENSING LEAD,7240.75,4344.45,1230.93,11240.15,37
CDM,36100648,HB REMOVAL NSTIM SYSTEM SLEEP APNEA STIMJ LEAD,6704.4,4022.64,1139.75,11240.15,37
CDM,36100649,HB RMVL/RPLC NSTIM SYSTEM SLEEP APNEA PLS GENERATOR,60271.58,36162.95,6299.0,103953.9,37
CDM,36100650,HB REPOS NSTIM SYSTEM SLEEP APNEA STIMJ LEAD,6385.14,3831.08,1085.47,11240.15,37
CDM,36100651,HB REPOS NSTIM SYSTEM SLEEP APNEA SENSING LEAD,6385.14,3831.08,1085.47,11240.15,37
CDM,36100652,HC REPOSITION GASTRO TU,2152.7,1291.62,110.15,7411.0,53
CDM,36100653,HC INS NASO-INTESTINAL TUBE,1726.66,1036.0,334.95,7411.0,53
CDM,36100654,HC INTRACRANIAL BALLOON ANGIOPLSTY W/STENT,20064.4,12038.64,2546.0,17054.74,37
CDM,36100655,HC HCTRLML PERIP ATHRC,31082.55,18649.53,5284.03,56905.69,53
CDM,36100656,HC SLCTV CATH 2ND ORD ABDL/PEL/LOW EXT ART BRANCH,5898.75,3539.25,1002.79,7411.0,32
CDM,36100657,HC SLCTV CATH 3RD ORD ABDL/PEL/LOW EXT ART BRANCH,6706.97,4024.18,1140.18,7411.0,32
CDM,36100658,HC SLCTV CATH EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH,2800.81,1680.49,476.14,7411.0,32
CDM,36100659,HC NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN,3430.72,2058.43,709.01,12700.0,53
CDM,36100660,HC NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS,3430.72,2058.43,709.01,12700.0,53
CDM,36100661,HC OPEN IMPLTJ HPGLSL NRV NSTIM RA PG&RESPIR SENSOR,60126.96,36076.18,6299.0,107326.62,53
CDM,36100662,HC REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG&RESPIR SNR,22966.76,13780.06,6299.0,40995.67,53
CDM,36100663,HC THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC,25186.58,15111.95,6299.0,44958.05,53
CDM,36100664,HC TRANSPERINEAL FOCAL LASER ABLTJ MAL PRST8 TISS,6208.08,3724.85,1055.37,12700.0,53
CDM,36100666,HC ABLATION B9 THYROID NODULE PERQ LASER W/IMG GDN,2873.98,1724.39,488.58,10495.0,53
CDM,36100667,HC HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN,25001.0,15000.6,4250.17,45501.3,53
CDM,36100669,HC INJECTION POSTERIOR CHAMBER EYE MEDICATION,4241.72,2545.03,721.09,12700.0,53
CDM,36100670,HC NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT,5784.56,3470.74,983.38,12700.0,53
CDM,36100671,HC THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC,17256.41,10353.85,1896.0,14667.95,37
CDM,36100672,HC PLACE NEEDLE IN VEIN – ONLY FOR CATH LAB USE,356.25,213.75,60.56,7411.0,32
CDM,36100673,HC INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD,78876.17,47325.7,6299.0,81499.55,53
CDM,36100674,HC INSJ/RPLC CARDIAC MODULJ SYS PLS GENERATOR ONLY,27495.24,16497.14,4674.19,81085.02,53
CDM,36100675,HC INSJ/RPLC CARDIAC MODULJ SYS ATR ELECTRODE ONLY,25333.64,15200.18,4306.72,27281.4,53
CDM,36100676,HC INSJ/RPLC CAR MODULJ SYS VENTR ELECTRODE ONLY,19855.52,11913.31,3375.44,27281.4,53
CDM,36100677,HC REMOVAL CARDIAC MODULJ SYS PLS GENERATOR ONLY,9390.88,5634.53,1596.45,12700.0,53
CDM,36100678,HC REMOVAL CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE,1847.0,1108.2,313.99,17181.0,53
CDM,36100679,HC RMVL & RPL CARDIAC MODULJ SYS PLS GENERATOR ONLY,16227.17,9736.3,2758.62,81085.02,53
CDM,36100680,HC REPOS CARDIAC MODULJ TRANSVENOUS ELECTRODE,8387.3,5032.38,598.65,17181.0,53
CDM,36100681,HC RELOC SKIN POCKET CARDIAC MODULJ PULSE GENERATOR,6320.77,3792.46,1074.53,10495.0,53
CDM,36100682,HC PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM,386.73,232.04,35.62,7411.0,53
CDM,36100683,HC INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM,483.99,290.39,35.62,7411.0,53
CDM,36100684,HC CT GUIDED GASTROSTOMY TUBE PLACEMENT,3076.32,1845.79,769.08,8280.0,51
CDM,36100685,HC BILIARY TRACT EMBOLIZATION,26154.62,15692.77,865.56,19615.97,51
CDM,36100700,HC POCUS PLACE NEEDLE IN VEIN,356.25,213.75,60.56,7411.0,32
CDM,36100701,HC REVASC INTRAVASC LITHOTRIPSY,28124.2,16874.52,4781.11,27252.71,53
CDM,36100702,HC REVASC INTRA LITHOTRIP-STENT,43798.86,26279.32,6299.0,43439.01,53
CDM,36100703,HC REVASC INTRA LITHOTRIP-ATHER,48004.44,28802.66,6299.0,43439.01,53
CDM,36100704,HC REVASC LITHOTRIP-STENT-ATHER,84763.57,50858.14,6299.0,63572.68,53
CDM,36100705,HC REVASC LITHOTRIP TIBI/PERONE,24422.24,14653.34,4750.24,35853.3,53
CDM,36100706,HC REVASC LITHOTR-STENT TIB/PER,37203.94,22322.36,6299.0,57348.48,53
CDM,36100707,HC REVASC LITHOTR-ATHER TIB/PER,35512.85,21307.71,6299.0,57348.48,53
CDM,36100708,HC REVASC LITH-STEN-ATH TIB/PER,31316.44,18789.86,6299.0,57348.48,53
CDM,36100709,HC DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX,408.15,244.89,68.14,7411.0,53
CDM,36100710,"HC BILIARY ENDOSCOPY PERCUT,BIOPSY",5253.6,3152.16,1151.54,18741.87,53
CDM,36100711,HC BRONCHOSCOPY BALLOON DILATION,2010.45,1206.27,190.49,8280.0,51
CDM,36100712,HC PERCUTANEOUS AV FISTULA CREATION BY TISSUE W THERMAL E,28350.0,17010.0,4819.5,24097.5,37
CDM,36100713,HC PERCUTANEOUS AV FISTULA CREATION USE MAGNETIC/ART/VEN,26892.5,16135.5,4571.73,22858.62,37
CDM,36100719,HC IR PERQ P-ART REVSC 1 NM NT UNI,20672.68,12403.61,5338.09,37896.66,53
CDM,36100720,HC IR PERQ P-ART REVSC 1 NM NT BI,20672.68,12403.61,5338.09,37896.66,53
CDM,36100721,HC IR PERQ P-ART REVSC 1 ABNOR UNI,33452.34,20071.4,5338.09,61324.03,53
CDM,36100722,HC IR PERQ P-ART REVSC 1 ABNOR BI,20672.68,12403.61,5338.09,37896.66,53
CDM,36100723,HC IR PERQ P-ART REVSC EACH ADDL,15736.7,9442.02,1896.0,13376.19,37
CDM,36100724,HC IR PRQ AV FSTL CRTJ UXTR 1 ACS,28350.0,17010.0,1939.15,61324.03,53
CDM,36100725,HC IR PRQ AV FSTL CRT UXTR SEP ACS,26892.5,16135.5,1939.15,61324.03,53
CDM,36100727,"HC VENOPLASTY, BALLOON, RELEASE OF FIBRIN SHEATH",6152.83,3691.7,598.65,8280.0,51
CDM,36100728,HC ECMO/ECLS DAILY MANAGEMENT W PUMP EXCHANGE VENO-VENOUS,18137.84,10882.7,420.86,15417.16,37
CDM,36100729,HC ECMO/ECLS DAILY MANAGEMENT W PUMP EXCHANGE VENO-ARTERIAL,18137.84,10882.7,409.28,15417.16,37
CDM,36100730,HC REMOVAL OF SURGICAL DRAIN WITHOUT INCISION REQUIRING ANESTHESIA,1438.0,862.8,191.47,8280.0,53
CDM,36100731,HC REPLACEMENT OF LONG GASTROINTESTINAL TUBE,1644.44,986.66,411.11,8280.0,51
CDM,36100732,HC NON-RA TRACER ID OF SENTINL NODE,1191.08,714.65,297.77,7411.0,30
CDM,36100733,HC ENTEROCUTANEOUS FISTULA PLUG PLACEMENT,1684.13,1010.48,421.03,8280.0,51
CDM,36100735,HC INSERTION PHRENIC NERVE STIMULATOR SYSTEM,93596.86,56158.12,6299.0,117001.3,53
CDM,36100736,HC INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD,21904.76,13142.86,1896.0,18619.05,37
CDM,36100737,HC RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY,6385.14,3831.08,1518.53,8428.94,53
CDM,36100738,HC RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD,13281.09,7968.65,1912.42,9960.82,53
CDM,36100739,HC REMOVAL PHRENIC NERVE STIMULATOR SYSTEM,21239.53,12743.72,1518.53,15929.65,53
CDM,36100740,HC RMVL&RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD,58842.99,35305.79,6299.0,44132.24,53
CDM,36100741,HC RMVL&RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR,57401.5,34440.9,6299.0,76924.35,53
CDM,36100742,HC REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD,12770.28,7662.17,1518.53,9577.71,53
CDM,36100743,HC PERQ NJX CALCIUM BIOD OSTEOCONDUCTIVE MATRL FEM,8512.35,5107.41,1447.1,7411.0,37
CDM,36100744,"HC ABLATION, LUMBAR SYMPATHETIC CHAIN, RADIOFREQUENCY W/WO IMAGING GUIDANCE",3967.95,2380.77,292.93,8280.0,51
CDM,36100745,HC REMOVAL ENTIRE OI IMPLT SKL PERQ ATTACHMENT ESP,6168.06,3700.84,1088.27,11546.0,53
CDM,36100746,HC ASPIRATION SYNOVIAL CYST; FACET JOINT,3183.19,1909.91,292.93,8280.0,51
CDM,36100747,HC RENAL VENOGRAM,4252.56,2551.54,83.05,7411.0,53
CDM,36100749,HC PERCUTAN LAA CLOSUR PLUG FLUOROSTRANS CATHETER ANGIO RADIOLO SUPRVIS,32991.4,19794.84,598.65,24743.55,51
CDM,36100750,HC ETHANOL ABLATION FOR AN ABDOMINAL CYST,2483.83,1490.3,620.96,8280.0,51
CDM,36100751,HC VASC EMB/OCC W/PRS CATH,26767.56,16060.54,4550.49,43439.01,53
CDM,36100752,"HC ABLTN, 1/MORE ADRNL GLND LSN, CRYOABLTN/CRYOTHRP, W/WO IMGNG GDNC UNLTRL",12606.79,7564.07,3151.7,17256.34,51
CDM,36100753,HC RFA OF BILIARY STRICTURE,12606.79,7564.07,865.56,9455.09,51
CDM,36100754,HC BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT,4460.4,2676.24,1559.13,13982.14,53
CDM,36100755,HC TRANSCATH PLAC INTRAVASCULAR STENT - INTL VEIN,27812.84,16687.7,5114.71,35373.27,53
CDM,36100756,HC TRNSCATH STNT VEN INI RT,27812.84,16687.7,5114.71,35373.27,53
CDM,36100757,HC TRNSCATH STNT VEN INI LT,27812.84,16687.7,5114.71,35373.27,53
CDM,36100759,HC ABLTJ 1/+THYROID NODULE 1 LOBE/ISTHMUS PERQ RF,5660.0,3396.0,962.2,7411.0,52
CDM,36100783,HC STANDALONE TRANSCATHETER PLACEMENT&SUBSEQUENT REMOVAL OF CEPD(S),12696.02,7617.61,598.65,9522.01,51
CDM,36100784,HC PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR,13257.14,7954.28,2253.71,21355.56,38
CDM,36100785,HC THROMBIN INJECTION INTO THE ABDOMEN,3034.93,1820.96,235.4,8280.0,51
CDM,36100786,"HC PERCUTANEOUS NEEDLE BIOPSY, BLADDER",3357.27,2014.36,238.44,8280.0,51
CDM,36100787,"HC ABLATION, 1 OR MORE LYMPH NODES, CRYOABLATION, W/WO IMAGING GUIDANCE",9998.97,5999.38,421.02,8280.0,51
CDM,36100788,"HC ABLATION, 1 OR MORE LYMPH NODES, CRYOABLATION, W/WO IMAGING GUIDANCE",12185.54,7311.32,3046.39,17256.34,51
CDM,36100789,HC CRYOABLATION OF CERVICAL LYMPH NODE,12185.54,7311.32,421.02,9139.16,51
CDM,36100791,HC BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX,2187.0,1312.2,371.79,7411.0,37
CDM,36100793,HC ALCOHOL SCLEROTHERPY OF ABDOMINAL WALL,2816.66,1690.0,704.16,8280.0,51
CDM,36100794,HC SIM ANG W/PRS CATH RAD EMB,21668.44,13001.06,3683.63,24933.1,52
CDM,36100795,HC BIOPSY SYNOVIUM ELBOW JOINT,6199.54,3719.72,1088.27,9772.7,53
CDM,36100796,HC BRONCH/NEEDLE BX(S) W/ NAV,4796.84,2878.1,815.46,7411.0,37
CDM,36200001,"HC OR GROUP LEVEL 6, TRANSPLANT",19500.0,11700.0,3315.0,16575.0,36
CDM,36200002,"HC OR GROUP LEVEL 6, TRANSPLANT ROBOTIC",23500.0,14100.0,3995.0,19975.0,36
CDM,36200003,"HC OR TIME LEVEL 6, 15 MIN, TRANSPLANT",306.0,183.6,52.02,7411.0,36
CDM,36200004,"HC OR TIME LEVEL 6, 15 MIN, TRANSPLANT ROBOTIC",353.0,211.8,60.01,7411.0,36
CDM,36700001,"HC OR GROUP LEVEL 6, TRANSPLANT",19500.0,11700.0,3315.0,16575.0,36
CDM,36700002,"HC OR GROUP LEVEL 6, TRANSPLANT ROBOTIC",23500.0,14100.0,3995.0,19975.0,36
CDM,36700003,"HC OR TIME LEVEL 6, 15 MIN, TRANSPLANT",306.0,183.6,52.02,7411.0,36
CDM,36700004,"HC OR TIME LEVEL 6, 15 MIN, TRANSPLANT ROBOTIC",353.0,211.8,60.01,7411.0,36
CDM,37000003,HC ANES LABOR EPIDURAL,1500.0,900.0,255.0,7411.0,39
CDM,37000015,HC MODERATE SEDATION >5YRS,419.55,251.73,71.32,7411.0,39
CDM,37000016,HC MODERATE SEDATION BY PHYS >5YR,222.12,133.27,37.76,7411.0,39
CDM,37000037,"HC MOD CONS SED BY SAME PHYS, <5YRS, 1ST 15 MIN",400.0,240.0,68.0,7411.0,39
CDM,37000038,"HC MOD CONS SED BY SAME PHYS, >5YRS, 1ST 15 MIN",387.37,232.42,38.71,7411.0,39
CDM,37000039,"HC MOD CONS SED BY SAME PHYS, EA ADDL 15 MIN",179.03,107.42,30.44,7411.0,39
CDM,37000040,"HC MOD CONS SED BY DIFF PHYS, <5YRS, 1ST 15 MIN",258.1,154.86,43.88,7411.0,39
CDM,37000041,"HC MOD CONS SED BY DIFF PHYS, >5YRS, 1ST 15 MIN",283.58,170.15,48.21,7411.0,39
CDM,37000042,"HC MOD CONS SED BY DIFF PHYS, EA ADDL 15 MIN",179.03,107.42,30.44,7411.0,39
CDM,37000043,"HC MOD CONS SED BY SAME PHYS, GI, >5YRS, 1ST 15 MIN",625.57,375.34,17.71,7411.0,39
CDM,37000044,HC ANESTHESIA 0-60 MIN,1135.0,681.0,192.95,7411.0,39
CDM,37000045,HC ANESTHESIA ADD'L 15 MIN,284.0,170.4,48.28,7411.0,39
CDM,37000046,HC EPIDURAL ANESTHESIA,1885.25,1131.15,320.49,7411.0,39
CDM,37000047,"HC ANESTHESIA WITH GAS/TIVA, BASE",1387.11,832.27,235.81,7411.0,39
CDM,37000048,"HC ANESTHESIA WITH GAS/TIVA, ADDITIONAL 15 MIN",291.44,174.86,49.54,7411.0,39
CDM,37000049,"HC ANESTHESIA WITHOUT GAS, BASE",579.94,347.96,98.59,7411.0,39
CDM,37000050,"HC ANESTHESIA WITHOUT GAS, ADDITIONAL 15 MIN",212.41,127.45,36.11,7411.0,39
CDM,37000051,"HC DEEP SED BY DIFF PHYS, 1ST 15 MIN",387.33,232.4,65.85,7411.0,39
CDM,37000052,"HC DEEP SED BY DIFF PHYS, EA ADDL 15 MIN",179.03,107.42,30.44,7411.0,39
CDM,39000002,"HC PLATELETS-PHERESIS,EA UNT",2100.6,1260.36,288.6,7411.0,55
CDM,39000003,"HC BLOOD(WHOLE),FOR TRANSFUSION U",813.2,487.92,138.24,7411.0,55
CDM,39000004,"HC CRYOPRECIPITATE,EACH UNIT",241.3,144.78,41.02,7411.0,55
CDM,39000005,HC RBC LEUKOCYTE REDUCED,683.05,409.83,116.12,7411.0,55
CDM,39000006,HC PLASMA 1 DONOR FROZEN-JUMBO,273.6,164.16,46.51,7411.0,55
CDM,39000007,"HC PLATELETS, EACH UNIT",400.41,240.25,49.67,7411.0,55
CDM,39000008,HC RBC AUTOLOGOUS,690.55,414.33,117.39,7411.0,55
CDM,39000009,HC RED CELLS WASHED EACH UNI,972.8,583.68,165.38,7411.0,55
CDM,39000010,HC PLATELET RANDOM EACH UNIT,474.05,284.43,80.59,7411.0,55
CDM,39000011,HC LR-TRR PLT RANDOM,623.2,373.92,105.94,7411.0,55
CDM,39000012,HC PLATELETS APHERESIS,1925.65,1155.39,327.36,7411.0,55
CDM,39000013,HC PLATE PHERES LEUKORED IRRAD,2146.05,1287.63,364.83,7411.0,55
CDM,39000014,HC RED BLOOD CELLS IRRADIATE,863.1,517.86,135.65,7411.0,55
CDM,39000015,"HC RED BLOOD CELLS,DEGLYCEROLIZED",1427.85,856.71,242.73,7411.0,55
CDM,39000016,HC RBC LEUKOREDUCED IRRADIATED,873.05,523.83,148.42,7411.0,55
CDM,39000017,HC APH GRANULOCYTES IRR,6303.25,3781.95,1071.55,7411.0,39
CDM,39000020,HC LR IRR RBC DEGL,1572.25,943.35,267.28,7411.0,55
CDM,39000021,"HC CRYOPRECIPITATE REDUCED PLASMA, EACH UNIT",287.96,172.78,48.95,7411.0,55
CDM,39000022,"HC BLOOD, SPLIT UNIT – LRBC",190.95,114.57,32.46,7411.0,55
CDM,39000027,HC REF RBC RARE BLOOD UNIT,1422.5,853.5,172.72,7411.0,55
CDM,39000029,HC CELLSAVER,1517.83,910.7,258.03,7411.0,55
CDM,39000030,HC PACKED RBC LR CMV NEG EA,836.48,501.89,141.59,7411.0,55
CDM,39000031,HC PLATELET PHER LR CMV NEG IRR,2024.4,1214.64,344.15,7411.0,55
CDM,39000032,HC PLT APHER PHER LR CMV NEG EA,1848.8,1109.28,233.99,7411.0,55
CDM,39000033,HC RBC LR CMV NEG IRRAD EA,962.85,577.71,163.68,7411.0,55
CDM,39000034,HC FFP 8-24 HR EA,270.75,162.45,46.03,7411.0,55
CDM,39000035,"HC COURIER FEE, BLOOD BANK",113.58,68.15,19.31,7411.0,39
CDM,39000036,HC PLATELETS PHERESIS PATH REDU,1371.0,822.6,233.07,7411.0,55
CDM,39000037,HC PLATELETS APHERESIS W/BAC TESTING,2091.65,1254.99,355.58,7411.0,55
CDM,39000038,HC PLATE PHERES LEUKORED IRRAD W/BAC TESTING,2312.05,1387.23,393.05,7411.0,55
CDM,39100001,"HC TRANSFUSION,  BLOOD OR BLOOD COMPONENTS",1831.52,1098.91,30.73,7411.0,55
CDM,39100006,HC PUSH TRANSFUSION BLOOD 2 YR/UNDER,1665.1,999.06,283.07,7411.0,55
CDM,39100007,"HC EXCHANGE TRANSFUSION, NEWBORN",809.42,485.65,164.3,7411.0,55
CDM,39100008,HC BL EXCHANGE/TRANSFUSE OTHER THAN NEWBORN,1437.92,862.75,164.3,7411.0,55
CDM,39100010,"HC CONVALESCENT PLASMA, MAYO PROTOCOL",0.01,0.01,0.0017,7411.0,55
CDM,40000003,HC L4Z YOUTH HEART SCREEN,91.67,55.0,15.58,7411.0,39
CDM,40100007,HC 3D TOMOSYNTHESIS DX BILATERAL,196.56,117.94,33.42,7411.0,39
CDM,40100008,HC 3D TOMOSYNTHESIS DX UNILATERAL,126.55,75.93,21.51,7411.0,39
CDM,40100009,"HC DIAGNOSTIC MAMMO W/CAD, UNILATERAL",453.6,272.16,77.11,7411.0,39
CDM,40100010,"HC DIAGNOSTIC MAMMO W/CAD, BILATERAL",567.0,340.2,96.39,7411.0,39
CDM,40100011,HC DIGITAL BREAST TOMOSYNTHESIS UNILATERAL,126.55,75.93,21.51,7411.0,39
CDM,40100012,HC DIGITAL BREAST TOMOSYNTHESIS BILATERAL,196.56,117.94,33.42,7411.0,39
CDM,40100013,HC MG DIGITAL DX W CAD LT,453.6,272.16,77.11,7411.0,39
CDM,40100014,HC MG DIGITAL DX W CAD RT,453.6,272.16,77.11,7411.0,39
CDM,40100015,HC MG 3D TOMO DX LT,126.55,75.93,21.51,7411.0,39
CDM,40100016,HC MG 3D TOMO DX RT,126.55,75.93,21.51,7411.0,39
CDM,40100017,"HC DIGITAL BREAST TOMOSYNTHESIS, UNILATERAL - RT",126.55,75.93,21.51,7411.0,39
CDM,40100018,"HC DIGITAL BREAST TOMOSYNTHESIS, UNILATERAL - LT",126.55,75.93,21.51,7411.0,39
CDM,40200004,HC PERC PSEUDOANEURYSM INJ,1690.12,1014.07,223.75,7411.0,55
CDM,40200005,HC ABD PARACENTESIS W/IMAGIN,2711.82,1627.09,334.95,7411.0,55
CDM,40200007,HC US ECHOENCEPHALOGRAPHY,827.27,496.36,99.77,7411.0,55
CDM,40200009,"HC OPHTHALMIC ULTRASOUND,QUANTITA",441.16,264.7,57.14,7411.0,55
CDM,40200010,"HC OPHTHALMIC ULTRASOUND,ECHO,B-S",610.83,366.5,48.11,7411.0,55
CDM,40200014,HC US SOFT TISSUE HEAD OR NECK,1050.92,630.55,99.77,7411.0,55
CDM,40200015,"HC US, CHEST, REAL TIME",945.11,567.07,57.14,7411.0,55
CDM,40200017,HC US ABDOMEN COMPLETE,1438.16,862.9,99.77,7411.0,55
CDM,40200018,"HC US ABDOMEN, FOLLOW UP",1049.03,629.42,87.21,7411.0,55
CDM,40200019,"HC US, RETROPERITONEAL COMPL",1152.88,691.73,99.77,7411.0,55
CDM,40200020,HC US RETROPERITONEAL REAL TIME W/IMAGE LIMITED,864.66,518.8,59.81,7411.0,55
CDM,40200021,"HC US,TRANSPLANTED KIDNEY,DOPPLER",1140.51,684.31,99.77,7411.0,48
CDM,40200022,HC US SPINAL CANAL & CONTENTS,751.0,450.6,99.77,7411.0,55
CDM,40200023,HC US < 14 WKS - TRANSABDOMINAL - FIRST FETUS,1101.64,660.98,99.77,7411.0,55
CDM,40200024,HC US < 14 WKS - TRANSABDOMINAL - EACH ADDL FETUS,604.32,362.59,43.96,7411.0,39
CDM,40200025,HC US > 14 WKS - TRANSABDOMINAL - FIRST FETUS,983.78,590.27,99.77,7411.0,55
CDM,40200026,HC US > 14 WKS - TRANSABDOMINAL - EACH ADDL FETUS,784.49,470.69,86.5,7411.0,39
CDM,40200027,"HC US W/DETAIL FETAL EXAM, TRANSABD - FIRST FETUS",1150.8,690.48,169.38,7411.0,55
CDM,40200028,"HC US W/DETAIL FETAL EXAM, TRANSABD - EACH ADDL FETUS",661.72,397.03,192.13,7411.0,39
CDM,40200031,"HC ULTRASOUND,PREGNANT UTERUS,LIMITED",765.0,459.0,81.2,7411.0,55
CDM,40200032,HC ULTRASOUND PREG UTERUS FOLLOW UP,655.54,393.32,99.77,7411.0,55
CDM,40200033,"HC ULTRASOUND,PREGNANT UTERUS - TRAVAGINAL",848.33,509.0,92.89,7411.0,55
CDM,40200034,HC FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING,902.9,541.74,99.77,7411.0,55
CDM,40200035,HC FETAL BIOPHYS PROF - W/O STRES/N,674.97,404.98,85.88,7411.0,55
CDM,40200036,"HC DOPPLER VELOCIMETRY,FETAL - UMBI",566.9,340.14,44.78,7411.0,55
CDM,40200037,"HC DOPPLER VELOCIMETRY,FETAL - CERE",554.4,332.64,89.21,7411.0,55
CDM,40200038,HC ECHO FETAL CARDIOVASCULAR,1425.64,855.38,262.29,7411.0,55
CDM,40200039,"HC ECHOCARDIOGRAPHY,FETAL,CARDIOV",630.0,378.0,157.04,7411.0,55
CDM,40200040,"HC ECHOCARDIO,DOPPLER,FETAL - COMPLETE",719.01,431.41,70.16,7411.0,55
CDM,40200041,"HC ECHOCARDIO,DOPPLER,FETAL - F/U OR REPEAT",530.57,318.34,48.79,7411.0,55
CDM,40200042,"HC ULTRASOUND, TRANSVAGINAL",1072.02,643.21,99.77,7411.0,55
CDM,40200043,HC HYSTEROSONOGRAPHY W/DOPPLER,682.5,409.5,116.61,7411.0,55
CDM,40200044,HC PELVIC NON-OB COMPLETE,1269.06,761.44,96.28,7411.0,55
CDM,40200046,HC US PELVIC LIMITED,933.75,560.25,50.79,7411.0,55
CDM,40200047,HC TESTICULAR ULTRASOUND,1020.91,612.55,99.77,7411.0,55
CDM,40200048,HC US TRANSRECTAL,908.6,545.16,99.77,7411.0,55
CDM,40200049,HC US PROSTATE VOLUME STUDY FENTR,765.66,459.4,99.77,7411.0,55
CDM,40200050,HC EXTREMITY NONVASCULAR COMPLETE,1039.45,623.67,96.28,7411.0,55
CDM,40200051,HC US EXTREMITY NONVASCULAR,527.09,316.25,30.35,7411.0,55
CDM,40200052,HC INFANT< 365 DAYS HIP PLACEMENT,673.14,403.88,83.05,7411.0,55
CDM,40200053,"HC ULTRASOUND, INFANT< 365 DAYS HIPS, LIMITED",367.5,220.5,83.05,7411.0,55
CDM,40200054,"HC ULT/GUIDE,INTRAUT FETAL TRS/CO",5269.82,3161.89,446.27,7411.0,55
CDM,40200055,HC COMPRESSION OF PSEUDO-ANERUYSM,1145.58,687.35,206.06,7411.0,55
CDM,40200056,HC ULTRASOUND VASCULAR ACCESS GUIDE,1053.25,631.95,39.64,7411.0,39
CDM,40200057,HC US &MNTR PARENCHYMAL TISSUE ABLATION,704.58,422.75,119.78,7411.0,39
CDM,40200058,"HC ULT/GUIDE,INTRAUT FETAL TRS/CO",427.26,256.36,72.63,7411.0,39
CDM,40200059,HC ULTRASONIC GUIDANCE FOR NEEDLE PLACEMENT,1515.29,909.17,50.46,7411.0,39
CDM,40200061,"HC AMNIOCENTESIS,ULTRA.GUID,RAD S",507.49,304.49,26.66,7411.0,39
CDM,40200063,HC ULTRASONIC GUIDE/INTERSTITIAL,1045.34,627.2,50.46,7411.0,39
CDM,40200064,HC ULTRASOUND STUDY FOLLOW-UP(SPE,315.0,189.0,53.55,7411.0,39
CDM,40200065,"HC ULTRASONIC GUIDANCE,INTRAOPERA",1054.83,632.9,130.46,7411.0,39
CDM,40200074,HC UROLOGY BLADDER SCANNER,321.05,192.63,54.58,7411.0,55
CDM,40200075,HC ULTRASOUND VACCULAR ACCESS GUIDE,1053.25,631.95,39.64,7411.0,39
CDM,40200076,HC NEEDLE PLACEMENT FOR ULTRASONIC GUIDANCE,1515.29,909.17,50.46,7411.0,39
CDM,40200077,"HC US,RETROPERITONEAL,LIMITED",864.66,518.8,59.81,7411.0,55
CDM,40200078,"HC ULTRASOUND,PREGNANT UTERUS,LIMITED",765.0,459.0,81.2,7411.0,55
CDM,40200079,"HC ULTRASOUND,PREGNANT UTERUS - TRAVAGINAL",848.33,509.0,92.89,7411.0,55
CDM,40200080,"HC ULTRASOUND, TRANSVAGINAL",1072.02,643.21,99.77,7411.0,55
CDM,40200081,HC US PELVIC LIMITED,933.75,560.25,50.79,7411.0,55
CDM,40200082,HC US GUIDE PERICARDIOCENTESIS,608.31,364.99,103.41,7411.0,39
CDM,40200083,HC ULTRASOUND VACCULAR ACCESS GUIDE,1053.25,631.95,39.64,7411.0,39
CDM,40200087,"HC ULTRASOUND BREAST, COMPLETE",737.1,442.26,99.77,7411.0,55
CDM,40200088,"HC ULTRASOUND BREAST, LIMITED",576.99,346.19,83.05,7411.0,55
CDM,40200089,HC LIVER ELASTOGRAPHY,520.0,312.0,31.93,7411.0,55
CDM,40200090,HC US SCREENING FOR ABD AORTIC ANEURYSM (AAA),717.01,430.21,99.77,7411.0,55
CDM,40200092,"HC US, RETROPERITONEAL COMPL",1152.88,691.73,99.77,7411.0,55
CDM,40200094,HC US BRST 4 QUADS BI,737.1,442.26,102.91,7411.0,40
CDM,40200095,HC US BRST 4 QUADS LT,737.1,442.26,102.91,7411.0,40
CDM,40200096,HC US BRST 4 QUADS RT,737.1,442.26,102.91,7411.0,40
CDM,40200097,HC US BRST LESS 4 QUADS BI,576.99,346.19,85.2,7411.0,40
CDM,40200098,HC US BRST LESS 4 QUADS LT,576.99,346.19,85.2,7411.0,40
CDM,40200099,HC US BRST LESS 4 QUADS RT,576.99,346.19,85.2,7411.0,40
CDM,40200100,HC US COMPL JOINT R-T W/IMAGE DOCUMENTATION - LT,1039.45,623.67,96.28,7411.0,40
CDM,40200101,HC US EXT NONVASCULAR LTD BI,527.09,316.25,30.35,7411.0,40
CDM,40200102,HC US EXT NONVASCULAR LTD LT,527.09,316.25,30.35,7411.0,40
CDM,40200103,HC US EXT NONVASCULAR LTD RT,527.09,316.25,30.35,7411.0,40
CDM,40200104,HC MG US BRST COMP BI,737.1,442.26,102.91,7411.0,40
CDM,40200105,HC MG US BRST COMP LT,737.1,442.26,102.91,7411.0,40
CDM,40200106,HC MG US BRST COMP RT,737.1,442.26,102.91,7411.0,40
CDM,40200107,HC MG US BRST LIMIT BI,576.99,346.19,85.2,7411.0,40
CDM,40200108,HC MG US BRST LIMIT LT,576.99,346.19,85.2,7411.0,40
CDM,40200109,HC MG US BRST LIMIT RT,576.99,346.19,85.2,7411.0,40
CDM,40200110,HC US EXT NONVASCULAR COMPL BI,1039.45,623.67,96.28,7411.0,40
CDM,40200112,HC US COMPL JOINT R-T W/IMAGE DOCUMENTATION - RT,1039.45,623.67,96.28,7411.0,40
CDM,40200113,HC US ELASTOGRAPHY ORGAN,387.17,232.3,99.77,7411.0,55
CDM,40200114,HC US ELASTOGRAPHY FIRST LESION,593.18,355.91,93.56,7411.0,55
CDM,40200116,HC 3D ECHO WO INDEP WKSTN,202.14,121.28,26.66,7411.0,39
CDM,40200117,HC 3D ECHO W INDEP WKSTN,1135.58,681.35,63.42,7411.0,39
CDM,40200123,HC QUAN US TISS CHARAC I&R W/O DX US SAME ANAT,196.28,117.77,33.37,7411.0,55
CDM,40200125,"HC DUPLX DOPPLER ULTRASOUND VESSL MAPPING; UPPR &OR LOWR EXTRMITY, ONE LIMB",843.7,506.22,27.61,7411.0,55
CDM,40200126,"HC DUPLX DPPLR ULTRSOUND VESSL MAPPNG; UPPR /OR LOWR EXTRMITY (IES), TWO LIMBS",1687.4,1012.44,27.61,7411.0,55
CDM,40200127,HC US NRV&ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY,442.68,265.61,71.5,7411.0,55
CDM,40200128,HC  DX INTRAOPERATIVE THORACIC AORTA ULTRASOUND,930.18,558.11,158.13,7411.0,39
CDM,40200129,HC DX NTRAOP EPICAR CAR US CHD PLMT&MNP TRNSDCR I&R,930.18,558.11,158.13,7411.0,39
CDM,40200130,HC DX NTRAOP EPCAR CAR US CHD PLMT MNPJ&IMG ACQUISJ,930.18,558.11,158.13,7411.0,39
CDM,40200132,HC DX INTRAOP EPICAR CARDIAC US CHD I&R ONLY,930.18,558.11,158.13,7411.0,39
CDM,40200134,"HC ULTRASOUND, JOINTS OF HAND; FOUR JOINTS",1859.24,1115.54,83.05,7411.0,55
CDM,40200135,"HC ULTRASOUND, JOINTS OF HAND; SIX JOINTS",2788.86,1673.32,83.05,7411.0,55
CDM,40200136,"HC ULTRASOUND, JOINTS OF HAND; EIGHT JOINTS",3718.48,2231.09,83.05,7411.0,55
CDM,40300004,HC 3D BREAST TOMO SCREEN BILATERAL,158.71,95.23,50.46,7411.0,39
CDM,40300005,"HC SCREENING MAMMO W/CAD, BILATERAL",378.7,227.22,64.38,7411.0,39
CDM,40300006,"HC SCREENING DIGITAL BREAST TOMO, BILATERAL - RT",158.71,95.23,50.46,7411.0,39
CDM,40300007,HC SCREENING MAMMO W W/O CAD BILATERAL - RT,378.7,227.22,64.38,7411.0,39
CDM,40300008,HC SCREENING MAMMO W W/O CAD BILATERAL - LT,378.7,227.22,64.38,7411.0,39
CDM,40300009,"HC SCREENING DIGITAL BREAST TOMO, BILATERAL - LT",158.71,95.23,50.46,7411.0,39
CDM,40400001,HC PET HEART VIABILITY POST SPECT,3576.3,2145.78,607.97,7411.0,55
CDM,40400002,"HC BRAIN IMG,(PET)METABLOIC EVALU",5047.88,3028.73,1364.64,9519.22,55
CDM,40400004,HC PET TUMOR IMAGING/CT LTD,7371.0,4422.6,1364.64,9519.22,55
CDM,40400005,HC PET TUMOR IMAGING/CTSKULL-THIG,6832.94,4099.76,1364.64,9519.22,55
CDM,40400006,HC PET CT WHOLE BODY,8718.43,5231.06,1364.64,9519.22,55
CDM,40400007,"HC MYOCARDIAL IMAGING(PET) - PERFUSION,SINGLE",2640.54,1584.32,448.89,7411.0,55
CDM,40400008,HC PET - LIMITED AREA,3755.12,2253.07,1235.52,8506.69,55
CDM,40400009,HC PET - WHOLE BODY,8580.24,5148.14,1364.64,9519.22,55
CDM,40400010,HC NM PET BRAIN PERF,3682.9,2209.74,249.83,7411.0,39
CDM,40400011,HC MYOCRD IMG PET METAB EVAL SINGLE STDY W CT,2886.0,1731.6,170.82,7411.0,55
CDM,40400012,HC MYOCRD IMG PET PRFUJ SINGLE STDY REST/STRESS W/CT,2886.0,1731.6,162.18,7411.0,55
CDM,40400013,HC MYOCRD IMG PET PRFUJ MLT STD RST&STRS CNCRNT CT,4501.0,2700.6,188.84,7411.0,55
CDM,40400014,HC MYOCRD IMG PET PRFUJ W/METAB DUAL RADIOTRACER,4501.0,2700.6,201.1,7411.0,55
CDM,40400015,HC MYOCRD IMG PET PRFUJ W/METAB 2RTRACER CNCRNT CT,5501.0,3300.6,219.84,7411.0,55
CDM,40400016,HC AQMBF PET REST AND PHARMACOLOGIC STRESS,224.14,134.48,38.1,7411.0,39
CDM,41000002,HC NASOTRACHEAL SUCTIONING,463.83,278.3,78.85,7411.0,55
CDM,41000003,HC ARTERIAL PUNCTURE/WITHDRAWAL/B,212.5,127.5,36.12,7411.0,55
CDM,41000004,HC CARDIO RESUSCITATION,2015.07,1209.04,206.06,7411.0,55
CDM,41000005,HC VENT FIRST DAY,3337.64,2002.58,567.4,7411.0,55
CDM,41000006,HC VENT SUBSEQUENT PER DAY,2620.14,1572.08,445.42,7411.0,55
CDM,41000007,HC SPIROMETRY,676.12,405.67,114.94,7411.0,55
CDM,41000008,"HC AEROSOL INHALATION,PENTAMIDINE",656.83,394.1,111.66,7411.0,55
CDM,41000009,HC CONTINUOUS NEB TREATMENT 1ST HOUR,581.88,349.13,98.92,7411.0,55
CDM,41000010,HC CONTINUOUS NEB TREATMENT EA ADDL HOUR,369.3,221.58,52.01,7411.0,39
CDM,41000011,HC CPAP/SIPAP INITIAL DAY,1546.01,927.61,208.97,7411.0,55
CDM,41000012,HC AEROSOL VAPOR INHALATION EDUCATION/INSTRUCTION,392.99,235.79,66.81,7411.0,55
CDM,41000013,HC FLUTTER THERAPY - INITIAL,377.56,226.54,64.19,7411.0,55
CDM,41000014,HC FLUTTER THERAPY - SUBSEQUENT,287.97,172.78,48.95,7411.0,55
CDM,41000016,"HC INCENTIVE S INSTRUCTN, MD",236.29,141.77,40.17,7411.0,55
CDM,41000017,HC RESPIRATORY THERAPY MUSCLE EA 15MIN,238.94,143.36,27.61,7411.0,55
CDM,41000018,HC RESPIRATORY FUNCTION THERAPY 15MIN,199.31,119.59,27.61,7411.0,55
CDM,41000019,HC RESP FUNCTIONS STRENGTH GROUP,288.71,173.23,35.64,7411.0,55
CDM,41000023,HC MINI-BRONCHOALVEOLAR LAVAGE PRO,4502.39,2701.43,765.41,7411.0,39
CDM,41000027,HC INHALATION TREATMENT PRES/NON,339.15,203.49,57.66,7411.0,55
CDM,41000028,"HC MECHANICAL CHEST WALL OSCILLATION, PER SES",556.5,333.9,94.61,7411.0,55
CDM,41000031,HC CPAP/SIPAP SUBSEQUENT DAYS,1546.01,927.61,208.97,7411.0,55
CDM,41000032,HC BIPAP INITIAL DAY,1546.01,927.61,208.97,7411.0,55
CDM,41000033,HC BIPAP SUBSEQUENT DAY,1546.01,927.61,208.97,7411.0,55
CDM,41000034,HC PRE LVRS PULM REHAB 10-15 DAYS,6513.1,3907.86,206.06,7411.0,55
CDM,41000035,HC PRE LVRS PULM REHAB 1-9 DAYS,3437.1,2062.26,356.12,7411.0,55
CDM,41000036,HC JET VENT INITIAL DAY,3337.64,2002.58,567.4,7411.0,55
CDM,41000037,HC JET VENT SUBSEQUENT DAY,2620.14,1572.08,445.42,7411.0,55
CDM,41000038,HC MECHANICAL VENT INITIAL DAY,3337.64,2002.58,567.4,7411.0,55
CDM,41000039,HC MECHANICAL VENT SUBSEQUENT DAY,2620.14,1572.08,445.42,7411.0,55
CDM,41000041,HC METANEB THERAPY (CHFO (CPT)/CPEP W/ AEROSOL),385.33,231.2,65.51,7411.0,55
CDM,41000043,HC PROVIDE INR TEST MATER/EQUIP,251.9,151.14,42.82,7411.0,55
CDM,41300001,HC HYPERBARIC OXYGEN,1195.19,717.11,131.33,7411.0,55
CDM,42000001,"HC BOOT,UNNA/STRAPPING (29580)",552.9,331.74,33.12,7411.0,55
CDM,42000002,HC APPLY MULTLAYER VENOUS WOUND C (29581),818.93,491.36,51.75,7411.0,55
CDM,42000007,"HC CANALITH REPOSITIONING PROC,PE (95992)",246.95,148.17,41.98,7411.0,40
CDM,42000008,HC HOT/COLD PACKS (97010),71.98,43.19,12.24,7411.0,40
CDM,42000009,HC TRACTION-MECHANICAL (97012),144.9,86.94,24.63,7411.0,40
CDM,42000011,HC SM PARAFFIN (97018),141.6,84.96,18.45,7411.0,40
CDM,42000013,HC PHYSICAL MEDICINE TREATMENT - IN (97026),68.36,41.02,11.62,7411.0,40
CDM,42000015,"HC SM ELECT MUSC STIM-MANUAL,15 MIN (97032)",158.75,95.25,26.99,7411.0,40
CDM,42000016,HC SM IONTOPHORESIS - 15 MIN (97033),257.74,154.64,43.82,7411.0,40
CDM,42000018,HC PT ULTRASOUND 15 MIN (97035),143.21,85.93,24.35,7411.0,40
CDM,42000020,HC SM THERA.PROC.-ROM/STREN 15MIN (97110),208.73,125.24,35.48,7411.0,40
CDM,42000021,HC THERAPEUTIC PROC-NEURO 15 MIN (97112),204.47,122.68,34.76,7411.0,40
CDM,42000022,"HC AQUATIC THERAPY W/THERAPEUTIC, 15 MIN (97113)",150.86,90.52,25.65,7411.0,40
CDM,42000023,"HC PHYSICAL MEDICINE TREATMENT - GAIT, 15 MIN (97116)",193.39,116.03,32.88,7411.0,40
CDM,42000024,HC SM MASSAGE 15 MIN (97124),148.56,89.14,25.26,7411.0,40
CDM,42000025,"HC PHYS.MED.TREAT - UNLISTED,EA 15M (97139)",112.36,67.42,19.1,7411.0,40
CDM,42000026,HC MANUAL THERAPY 15 MIN (97140),227.55,136.53,38.68,7411.0,40
CDM,42000027,"HC THERAPEUTIC ACTIVITY,EA 15 MIN (97530)",204.6,122.76,34.78,7411.0,40
CDM,42000028,"HC SELF CARE/HOME MGMT,ONE ON ONE, 15 MIN (97535)",198.16,118.9,33.69,7411.0,40
CDM,42000029,HC PT COMM/WORK REINT 15 MIN (97537),172.12,103.27,29.26,7411.0,40
CDM,42000030,"HC WHEELCHAIR MANAGE,EA 15 MIN (97542)",158.39,95.03,26.93,7411.0,40
CDM,42000031,HC PT DEB 20 SQ CM OR < (97597),584.97,350.98,75.25,7411.0,55
CDM,42000032,HC PT DEB ADD 20 SQ CM OR < (97598),690.39,414.23,35.4,7411.0,40
CDM,42000033,HC REMOVE DEVIT TISSUE/WND - NON SE (97602),560.49,336.29,95.28,7411.0,55
CDM,42000034,HC NEG PRESSURE WOUND THER SMALL (97605),528.03,316.82,89.77,7411.0,55
CDM,42000035,HC NEG PRESSURE WOUND THER LARGE (97606),826.97,496.18,112.0,7411.0,55
CDM,42000036,"HC PHYS.PERFORM.TEST,W/WRITTEN RE (97750)",186.75,112.05,31.75,7411.0,40
CDM,42000037,HC PT ORTHOTIC FIT/TRAIN 15 MIN (97760),227.07,136.24,38.6,7411.0,40
CDM,42000038,HC PT PROSTHETIC TRAINING 15 MIN (97761),179.5,107.7,30.52,7411.0,40
CDM,42000040,HC PATIENT/FAMILY CONFERENCE (PT) (99366),189.72,113.83,32.25,7411.0,40
CDM,42000043,HC ELEC STIM - ULCERS - ONE OR MORE A (G0281),275.52,165.31,44.27,7411.0,40
CDM,42000044,HC PT ELEC MUSCLE STIM UNATTEND (G0283),145.56,87.34,24.75,7411.0,40
CDM,42000049,HC FL-MOBILITY - WALK/MOVE  CURRENT STATUS (G8978),0.01,0.01,0.0017,7411.0,40
CDM,42000050,HC FL-MOBILITY - WALK/MOVE GOAL STATUS (G8979),0.01,0.01,0.0017,7411.0,40
CDM,42000051,HC FL-MOBILITY - WALK/MOVE DISCHARGE STATUS (G8980),0.01,0.01,0.0017,7411.0,40
CDM,42000052,HC FL-CHANGE/MAINTAIN BODY POSTN - CURRENT STAT (G8981),0.01,0.01,0.0017,7411.0,40
CDM,42000053,HC FL-CHANGE/MAINTAIN BODY POSTN - GOAL STATUS (G8982),0.01,0.01,0.0017,7411.0,40
CDM,42000054,HC FL-CHANGE/MAINTAIN BODY POSTN - DISCHARGE ST (G8983),0.01,0.01,0.0017,7411.0,40
CDM,42000055,HC FL-CARRY/MOVE/HANDLE OBJECTS - CURRENT STAT (G8984),0.01,0.01,0.0017,7411.0,40
CDM,42000056,HC FL-CARRY/MOVE/HANDLE OBJECTS - GOAL STATUS (G8985),0.01,0.01,0.0017,7411.0,40
CDM,42000057,HC FL-CARRY/MOVE/HANDLE OBJECTS - DISCHARGE STA (G8986),0.01,0.01,0.0017,7411.0,40
CDM,42000058,HC FL-SELF CARE - CURRENT STATUS (G8987),0.01,0.01,0.0017,7411.0,40
CDM,42000059,HC FL-SELF CARE - GOAL STATUS (G8988),0.01,0.01,0.0017,7411.0,40
CDM,42000060,HC FL-SELF CARE - DISCHARGE STATUS (G8989),0.01,0.01,0.0017,7411.0,40
CDM,42000061,HC FL-OTHER PT/OT PRIMARY FUNCT - CURRENT STA (G8990),0.01,0.01,0.0017,7411.0,40
CDM,42000062,HC FL-OTHER PT/OT PRIMARY FUNCT - GOAL STATUS (G8991),0.01,0.01,0.0017,7411.0,40
CDM,42000063,HC FL-OTHER PT/OT PRIMARY FUNCT - DISCHARGE STA (G8992),0.01,0.01,0.0017,7411.0,40
CDM,42000064,HC FL-OTHER PT/OT SECNDRY FUNCT - CURRENT STA (G8993),0.01,0.01,0.0017,7411.0,40
CDM,42000065,HC FL-OTHER PT/OT SECNDRY FUNCT - GOAL STATUS (G8994),0.01,0.01,0.0017,7411.0,40
CDM,42000066,HC FL-OTHER PT/OT SECNDRY FUNCT - DISCHARGE STA (G8995),0.01,0.01,0.0017,7411.0,40
CDM,42000072,HC DRY NEEDLING (97799),215.6,129.36,36.65,7411.0,40
CDM,42000077,HC ORTHOTICS/PROSTH MGMT & TRAINING SBSQ ENCTR PER 15 MIN (97763),207.25,124.35,35.23,7411.0,40
CDM,42000079,HC (PT) GRP THERAPY-30 MIN,196.26,117.76,33.36,7411.0,40
CDM,42000080,HC (PT) GRP THERAPY-45 MIN,196.26,117.76,33.36,7411.0,40
CDM,42000081,HC (PT) GRP THERAPY-60 MIN,196.26,117.76,33.36,7411.0,40
CDM,42000082,HC (PT) GRP THERAPY-90 MIN,196.26,117.76,33.36,7411.0,40
CDM,42000083,HC PT E-STIM UNATTENDED,151.0,90.6,25.67,7411.0,40
CDM,42000084,HC WHLCHR/POSITION EVAL EA 15 MIN,160.14,96.08,27.22,7411.0,40
CDM,42000085,"HC BIOFEEDBACK TRAINING, W/EMG AND/OR MANOMETRY 1ST 15MIN",450.62,270.37,76.61,7411.0,40
CDM,42000086,"HC BIOFEEDBACK TRAINING, W/EMG AND/OR MANOMETRY EA ADDL 15MIN",454.92,272.95,77.34,7411.0,40
CDM,42000087,HC NEEDLE INSRT W/O INJECTION 1 OR 2 MUSCLES,215.6,129.36,28.19,7411.0,41
CDM,42000088,HC NEEDLE INSRT W/O INJECTION 3+ MUSCLES,219.91,131.95,28.19,7411.0,41
CDM,42000089,"HC COGNITIVE SKILLS DEVELOPMENT, 1ST 15MIN",191.15,114.69,32.5,7411.0,40
CDM,42000090,"HC COGNITIVE SKILLS DEVELOPMENT,  EA ADD 15MIN",191.98,115.19,32.64,7411.0,40
CDM,42000096,HC MOTR COG VR GAIT TRAIN EA 15,175.92,105.55,29.91,7411.0,40
CDM,42000097,"HC APPL MODALITY 1+ AREAS LLLT PO PAIN REDUCTION, PT",75.0,45.0,12.75,7411.0,55
CDM,42000098,"HC CAREGIVER TRAINING STRATEGIES&TQ 1ST 30 MINUTES, PT",330.63,198.38,56.21,7411.0,40
CDM,42000099,"HC CAREGIVER TRAINING STRATEGIES&TQ EA ADDL 15 MIN, PT",165.32,99.19,28.1,7411.0,40
CDM,42300001,HC (PT) GROUP THERAPEUTIC PROCEDURES,196.26,117.76,33.36,7411.0,40
CDM,42300002,"HC GROUP CAREGIVER TRAINING STRATEGIES & TECHNIQUE, PT",23.13,13.88,3.93,7411.0,40
CDM,42400003,HC PT EVAL LOW COMPLEX (97161),395.47,237.28,67.23,7411.0,40
CDM,42400004,HC PT EVAL MOD COMPLEX (97162),475.16,285.1,80.78,7411.0,40
CDM,42400005,HC PT EVAL HIGH COMPLEX (97163),508.79,305.27,86.49,7411.0,40
CDM,42400006,HC PT RE-EVAL EST PLAN CARE (97164),214.71,128.83,36.5,7411.0,40
CDM,43000001,HC APPLY LONG ARM SPLINT (29105),647.54,388.52,40.14,7411.0,55
CDM,43000002,HC APPLY SHORT ARM SPLINT - STATIC (29125),618.19,370.91,105.09,7411.0,55
CDM,43000003,HC APPLY FOREARM SPLINT - DYNAMIC (29126),668.47,401.08,112.0,7411.0,55
CDM,43000004,HC APPLY FINGER SPLINT - STATIC (29130),532.61,319.57,90.54,7411.0,55
CDM,43000005,HC APPLY FINGER SPLINT - DYNAMIC (29131),332.68,199.61,56.3,7411.0,55
CDM,43000006,HC FOOT SPLINT (29515),687.27,412.36,34.33,7411.0,55
CDM,43000009,HC MOIST/COLD PACK (97010),71.98,43.19,12.24,7411.0,40
CDM,43000010,HC PARAFFIN TREATMENT (97018),141.6,84.96,18.45,7411.0,40
CDM,43000012,"HC ELECTRICAL MUSCLE STIMULATION, 15 MIN (97032)",158.75,95.25,26.99,7411.0,40
CDM,43000014,HC CONTRAST BATH 15 MIN (97034),145.28,87.17,24.7,7411.0,40
CDM,43000015,HC ULTRASOUND 15 MIN (97035),143.21,85.93,24.35,7411.0,40
CDM,43000016,"HC THERAPEUTIC EXERCISE, 15 MIN (97110)",208.73,125.24,35.48,7411.0,40
CDM,43000017,"HC NEUROMUSCULAR RE-EDUCATION, 15 MIN (97112)",204.47,122.68,34.76,7411.0,40
CDM,43000018,HC AQUATIC THERAPY 15 MIN (97113),150.86,90.52,25.65,7411.0,40
CDM,43000019,"HC MASSAGE, 15 MIN (97124)",148.56,89.14,25.26,7411.0,40
CDM,43000020,"HC MANUAL THERAPY, 15 MIN (97140)",227.55,136.53,38.68,7411.0,40
CDM,43000021,HC THERAPUTIC ACTIVITY 15 MIN (97530),204.6,122.76,34.78,7411.0,40
CDM,43000023,HC SENSORY INTEGRATION 15 MIN (97533),191.5,114.9,32.55,7411.0,40
CDM,43000024,HC SELF CARE TRAINING 15 MIN (97535),198.16,118.9,33.69,7411.0,40
CDM,43000025,HC COMMUNITY/WORK RE-INTEGRATION 15 MIN (97537),172.12,103.27,29.26,7411.0,40
CDM,43000026,HC WHEELCHAIR MANAGEMENT TRAINING 15 MIN (97542),158.39,95.03,26.93,7411.0,40
CDM,43000027,HC PHYSICAL PERFORMANCE TEST (97750),186.75,112.05,31.75,7411.0,40
CDM,43000028,HC ORTHOTIC MANAGEMENT/TRAINING 15 MIN (97760),227.07,136.24,38.6,7411.0,40
CDM,43000029,HC PROSTHETIC TRAINING 15 MIN (97761),179.5,107.7,30.52,7411.0,40
CDM,43000031,HC PATIENT/FAMILY CONFERENCE (OT) (99366),189.72,113.83,32.25,7411.0,40
CDM,43000032,HC TEAM CONFERENCE (OT) (99368),236.48,141.89,40.2,7411.0,40
CDM,43000033,HC COGNITIVE TESTING (96125),523.27,313.96,88.96,7411.0,40
CDM,43000034,HC ELECTRICAL STIMULATION - UNATTENDED (G0283),145.56,87.34,24.75,7411.0,40
CDM,43000037,HC FL-MOBILITY - WALK/MOVE  CURRENT STATUS (G8978),0.01,0.01,0.0017,7411.0,40
CDM,43000038,HC FL-MOBILITY - WALK/MOVE GOAL STATUS (G8979),0.01,0.01,0.0017,7411.0,40
CDM,43000039,HC FL-MOBILITY - WALK/MOVE DISCHARGE STATUS (G8980),0.01,0.01,0.0017,7411.0,40
CDM,43000040,HC FL-CHANGE/MAINTAIN BODY POSTN - CURRENT STAT (G8981),0.01,0.01,0.0017,7411.0,40
CDM,43000041,HC FL-CHANGE/MAINTAIN BODY POSTN - GOAL STATUS (G8982),0.01,0.01,0.0017,7411.0,40
CDM,43000042,HC FL-CHANGE/MAINTAIN BODY POSTN - DISCHARGE ST (G8983),0.01,0.01,0.0017,7411.0,40
CDM,43000043,HC FL-CARRY/MOVE/HANDLE OBJECT - CURRENT STATU (G8984),0.01,0.01,0.0017,7411.0,40
CDM,43000044,HC FL-CARRY/MOVE/HANDLE OBJECS - GOAL STATUS (G8985),0.01,0.01,0.0017,7411.0,40
CDM,43000045,HC FL-CARRY/MOVE/HANDLE OBJECTS - DISCHARGE STA (G8986),0.01,0.01,0.0017,7411.0,40
CDM,43000046,HC FL-SELF CARE - CURRENT STATUS (G8987),0.01,0.01,0.0017,7411.0,40
CDM,43000047,HC FL-SELF CARE - GOAL STATUS (G8988),0.01,0.01,0.0017,7411.0,40
CDM,43000048,HC FL-SELF CARE - DISCHARGE STATUS (G8989),0.01,0.01,0.0017,7411.0,40
CDM,43000049,HC FL-OTHER PT/OT PRIMARY FUNCT - CURRENT STA (G8990),0.01,0.01,0.0017,7411.0,40
CDM,43000050,HC FL-OTHER PT/OT PRIMARY FUNCT - GOAL STATUS (G8991),0.01,0.01,0.0017,7411.0,40
CDM,43000051,HC FL-OTHER PT/OT PRIMARY FUNCT - DISCHARGE STA (G8992),0.01,0.01,0.0017,7411.0,40
CDM,43000052,HC FL-OTHER PT/OT SECNDRY FUNCT - CURRENT STA (G8993),0.01,0.01,0.0017,7411.0,40
CDM,43000053,HC FL-OTHER PT/OT SECNDRY FUNCT - GOAL STATUS (G8994),0.01,0.01,0.0017,7411.0,40
CDM,43000054,HC FL-OTHER PT/OT SECNDRY FUNCT - DISCHARGE STA (G8995),0.01,0.01,0.0017,7411.0,40
CDM,43000058,HC OT DEB 20 SQ CM OR < (97597),584.97,350.98,75.25,7411.0,55
CDM,43000059,HC OT DEB ADD 20 SQ CM OR < (97598),690.39,414.23,35.4,7411.0,40
CDM,43000066,HC ORTHOTICS/PROSTH MGMT & TRAINING SBSQ ENCTR PER 15 MIN (97763),207.25,124.35,35.23,7411.0,40
CDM,43000067,HC (OT) GRP THERAPY-120 MIN,196.26,117.76,33.36,7411.0,40
CDM,43000068,HC (OT) GRP THERAPY-30 MIN,196.26,117.76,33.36,7411.0,40
CDM,43000069,HC (OT) GRP THERAPY-45 MIN,196.26,117.76,33.36,7411.0,40
CDM,43000070,HC (OT) GRP THERAPY-60 MIN,196.26,117.76,33.36,7411.0,40
CDM,43000071,HC (OT) GRP THERAPY-90 MIN,196.26,117.76,33.36,7411.0,40
CDM,43000072,"HC COGNITIVE SKILLS DEVELOPMENT, 1ST 15MIN",191.15,114.69,32.5,7411.0,40
CDM,43000073,"HC COGNITIVE SKILLS DEVELOPMENT,  EA ADD 15MIN",191.98,115.19,32.64,7411.0,40
CDM,43000074,"HC APPL MODALITY 1+ AREAS LLLT PO PAIN REDUCTION, OT",75.0,45.0,12.75,7411.0,55
CDM,43000075,"HC CAREGIVER TRAINING STRATEGIES&TQ 1ST 30 MINUTES, OT",330.63,198.38,56.21,7411.0,40
CDM,43000076,"HC CAREGIVER TRAINING STRATEGIES&TQ EA ADDL 15 MIN, OT",165.32,99.19,28.1,7411.0,40
CDM,43300001,"HC OCCUPATIONAL THERAPY, GROUP (97150)",196.26,117.76,33.36,7411.0,40
CDM,43300002,"HC GROUP CAREGIVER TRAINING STRATEGIES & TECHNIQUE, OT",23.13,13.88,3.93,7411.0,40
CDM,43400003,HC OT EVAL LOW COMPLEX (97165),447.07,268.24,76.0,7411.0,40
CDM,43400004,HC OT EVAL MOD COMPLEX (97166),586.75,352.05,99.75,7411.0,40
CDM,43400005,HC OT EVAL HIGH COMPLEX (97167),623.53,374.12,106.0,7411.0,40
CDM,43400006,HC OT RE-EVAL EST PLAN CARE (97168),378.44,227.06,64.33,7411.0,40
CDM,44000001,HC SPEECH/LANGUAGE/HEARING THERAPY 15 MIN (92507),488.51,293.11,83.05,7411.0,40
CDM,44000004,HC DYSPHAGIA TREATMENT 15 MIN (92526),496.28,297.77,84.37,7411.0,40
CDM,44000005,HC EVAL FOR USE/FIT VOICE PROSTHETIC DEVICE,679.57,407.74,112.0,7411.0,40
CDM,44000007,HC STANDARDIZED COGNITIVE TESTING (96125),523.27,313.96,88.96,7411.0,40
CDM,44000008,HC SPEECH THERAPY E-STIM ATTENDED (97032),158.75,95.25,26.99,7411.0,40
CDM,44000009,HC SPEECH THERAPY FUNCTIONAL ACTIVITY 15 MIN (97530),204.6,122.76,34.78,7411.0,40
CDM,44000012,HC SELF CARE/HOME MANAGEMENT (97535),198.16,118.9,33.69,7411.0,40
CDM,44000018,HC FL-SWALLOW FUNCTION - CURRENT STATUS (G8996),0.01,0.01,0.0017,7411.0,40
CDM,44000019,HC FL-SWALLOW FUNCTION - GOAL STATUS (G8997),0.01,0.01,0.0017,7411.0,40
CDM,44000020,HC FL-SWALLOW FUNCTION - DISCHARGE STATUS (G8998),0.01,0.01,0.0017,7411.0,40
CDM,44000021,HC FL-MOTOR SPEECH FUNCT - CURRENT STATUS (G8999),0.01,0.01,0.0017,7411.0,40
CDM,44000022,HC FL-MOTOR SPEECH FUNCT - DISCHARGE STATUS (G9158),0.01,0.01,0.0017,7411.0,40
CDM,44000023,HC FL-SPOKEN LANG COMP - CURRENT STATUS (G9159),0.01,0.01,0.0017,7411.0,40
CDM,44000024,HC FL-SPOKEN LANG COMP - GOAL STATUS (G9160),0.01,0.01,0.0017,7411.0,40
CDM,44000025,HC FL-SPOKEN LANG COMP - DISCHARGE STAT (G9161),0.01,0.01,0.0017,7411.0,40
CDM,44000026,HC FL-SPOKEN LANG EXPRESS - CURRENT STATUS (G9162),0.01,0.01,0.0017,7411.0,40
CDM,44000027,HC FL-SPOKEN LANGU EXPRESS - GOAL STATUS (G9163),0.01,0.01,0.0017,7411.0,40
CDM,44000028,HC FL-SPOKEN LANGEXPRESS - DISCHARGE STATU (G9164),0.01,0.01,0.0017,7411.0,40
CDM,44000029,HC FL-ATTENTION FUNCT - CURRENT STATUS (G9165),0.01,0.01,0.0017,7411.0,40
CDM,44000030,HC FL-ATTENTION FUNCT - GOAL STATUS (G9166),0.01,0.01,0.0017,7411.0,40
CDM,44000031,HC FL-ATTENTION FUNCT - DISCHARGE STATUS (G9167),0.01,0.01,0.0017,7411.0,40
CDM,44000032,HC FL-MEMORY FUNCTION - CURRENT STATUS (G9168),0.01,0.01,0.0017,7411.0,40
CDM,44000033,HC FL-MEMORY FUNCTION - GOAL STATUS (G9169),0.01,0.01,0.0017,7411.0,40
CDM,44000034,HC FL-MEMORY FUNCTION - DISCHARGE STATUS (G9170),0.01,0.01,0.0017,7411.0,40
CDM,44000035,HC FL-VOICE FUNCTION - CURRENT STATUS (G9171),0.01,0.01,0.0017,7411.0,40
CDM,44000036,HC FL-VOICE FUNCTION - GOAL STATUS (G9172),0.01,0.01,0.0017,7411.0,40
CDM,44000037,HC FL-VOICE FUNCTION - DISCHARGE STATUS (G9173),0.01,0.01,0.0017,7411.0,40
CDM,44000038,HC FL-OTHER SPEECH LANG PATH - CURRENT STATUS (G9174),0.01,0.01,0.0017,7411.0,40
CDM,44000039,HC FL-OTHER SPEECH LANG PATH - GOAL STATUS (G9175),0.01,0.01,0.0017,7411.0,40
CDM,44000040,HC FL-OTHER SPEECH LANG PATH - DISCHARGE STATUS (G9176),0.01,0.01,0.0017,7411.0,40
CDM,44000041,HC FL-MOTOR SPEECH FUNCT - GOAL STATUS (G9186),0.01,0.01,0.0017,7411.0,40
CDM,44000044,HC SPEECH/LANGUAGE/HEARING THERAPY 30 MIN (92507),488.51,293.11,83.05,7411.0,40
CDM,44000045,HC SPEECH/LANGUAGE/HEARING THERAPY 45 MIN (92507),488.51,293.11,83.05,7411.0,40
CDM,44000046,HC SPEECH/LANGUAGE/HEARING THERAPY 60 MIN (92507),488.51,293.11,83.05,7411.0,40
CDM,44000047,HC DYSPHAGIA TREATMENT 30 MIN (92526),496.28,297.77,84.37,7411.0,40
CDM,44000048,HC DYSPHAGIA TREATMENT 45 MIN (92526),496.28,297.77,84.37,7411.0,40
CDM,44000049,HC DYSPHAGIA TREATMENT 60 MIN (92526),496.28,297.77,84.37,7411.0,40
CDM,44000050,HC EVAL FOR USE/FIT VOICE PROSTHETIC DEVICE 15 MIN (92597),679.57,407.74,112.0,7411.0,40
CDM,44000051,HC EVAL FOR USE/FIT VOICE PROSTHETIC DEVICE 30 MIN (92597),679.57,407.74,112.0,7411.0,40
CDM,44000052,HC EVAL FOR USE/FIT VOICE PROSTHETIC DEVICE 45 MIN (92597),679.57,407.74,112.0,7411.0,40
CDM,44000053,HC EVAL FOR USE/FIT VOICE PROSTHETIC DEVICE 60 MIN (92597),679.57,407.74,112.0,7411.0,40
CDM,44000054,HC EVAL FOR USE/FIT VOICE PROSTHETIC DEVICE 75 MIN (92597),679.57,407.74,112.0,7411.0,40
CDM,44000055,HC EVAL FOR USE/FIT VOICE PROSTHETIC DEVICE 90 MIN (92597),679.57,407.74,112.0,7411.0,40
CDM,44000057,HC EVAL FOR USE/FIT VOICE PROSTHETIC DEVICE 120 MIN (92597),679.57,407.74,112.0,7411.0,40
CDM,44000058,HC SPEECH DEVICE TRAINING ANY TIME AMT (92609),468.6,281.16,79.66,7411.0,40
CDM,44000083,HC (ST) MANUAL THERAPY EA 15 MIN,227.55,136.53,38.68,7411.0,40
CDM,44000084,HC (ST) TREATMENT-120 MIN,488.51,293.11,83.05,7411.0,40
CDM,44000085,HC (ST) TREATMENT-90 MIN,488.51,293.11,83.05,7411.0,40
CDM,44000086,HC (ST) SWALLOW TREAT-120 MIN,496.28,297.77,84.37,7411.0,40
CDM,44000087,HC (ST) SWALLOW TREAT-90 MIN,496.28,297.77,84.37,7411.0,40
CDM,44000088,"HC COGNITIVE SKILLS DEVELOPMENT, 1ST 15MIN",191.15,114.69,32.5,7411.0,40
CDM,44000089,"HC COGNITIVE SKILLS DEVELOPMENT,  EA ADD 15MIN",191.98,115.19,32.64,7411.0,40
CDM,44000090,"HC CAREGIVER TRAINING STRATEGIES&TQ 1ST 30 MINUTES, SPEECH",330.63,198.38,56.21,7411.0,40
CDM,44000091,"HC CAREGIVER TRAINING STRATEGIES&TQ EA ADDL 15 MIN, SPEECH",165.32,99.19,28.1,7411.0,40
CDM,44300001,"HC SPEECH/LANGUAGE/HEARING THERAPY, GROUP 15 MIN (92508)",127.55,76.53,21.68,7411.0,40
CDM,44300002,"HC SPEECH/LANGUAGE/HEARING THERAPY, GROUP 30 MIN (92508)",127.55,76.53,21.68,7411.0,40
CDM,44300003,"HC SPEECH/LANGUAGE/HEARING THERAPY, GROUP 45 MIN (92508)",127.55,76.53,21.68,7411.0,40
CDM,44300004,"HC SPEECH/LANGUAGE/HEARING THERAPY, GROUP 60 MIN (92508)",127.55,76.53,21.68,7411.0,40
CDM,44300006,HC (ST) GRP TREATMENT-90 MIN,127.55,76.53,21.68,7411.0,40
CDM,44300007,"HC GROUP CAREGIVER TRAINING STRATEGIES & TECHNIQUE, SPEECH",23.13,13.88,3.93,7411.0,40
CDM,44400002,HC EVALUATE RX SPEECH AUGMENTATION - 1ST HR (92607),737.61,442.57,112.0,7411.0,40
CDM,44400003,HC EVALUATE RX SPEECH AUGMENTATION - EA ADD 30 MIN (92608),271.08,162.65,46.08,7411.0,40
CDM,44400004,HC EVALUATE CLINICAL DYSPHAGIA (92610),566.88,340.13,96.37,7411.0,40
CDM,44400014,HC EVALUATE CLINICAL DYSPHAGIA 15 MIN (92610),566.88,340.13,96.37,7411.0,40
CDM,44400015,HC EVALUATE CLINICAL DYSPHAGIA 30 MIN (92610),566.88,340.13,96.37,7411.0,40
CDM,44400016,HC EVALUATE CLINICAL DYSPHAGIA 45 MIN (92610),566.88,340.13,96.37,7411.0,40
CDM,44400017,HC EVALUATE CLINICAL DYSPHAGIA 60 MIN (92610),566.88,340.13,96.37,7411.0,40
CDM,44400022,HC EVALUATE MOTION FLUOROSCOPIC 15 MIN (92611),783.8,470.28,112.0,7411.0,40
CDM,44400023,HC EVALUATE MOTION FLUOROSCOPIC 30 MIN (92611),783.8,470.28,112.0,7411.0,40
CDM,44400024,HC EVALUATE MOTION FLUOROSCOPIC 45 MIN (92611),783.8,470.28,112.0,7411.0,40
CDM,44400025,HC EVALUATE MOTION FLUOROSCOPIC 60 MIN (92611),783.8,470.28,112.0,7411.0,40
CDM,44400029,HC EVALUATE FLEX FIBEROPTIC ENDOSCOPIC 15 MIN (92612),960.27,576.16,112.0,7411.0,40
CDM,44400030,HC EVALUATE FLEX FIBEROPTIC ENDOSCOPIC 30 MIN (92612),960.27,576.16,112.0,7411.0,40
CDM,44400031,HC EVALUATE FLEX FIBEROPTIC ENDOSCOPIC 45 MIN (92612),960.27,576.16,112.0,7411.0,40
CDM,44400032,HC EVALUATE FLEX FIBEROPTIC ENDOSCOPIC 60 MIN (92612),960.27,576.16,112.0,7411.0,40
CDM,44400033,HC EVALUATE FLEX FIBEROPTIC ENDOSCOPIC 75 MIN (92612),960.27,576.16,112.0,7411.0,40
CDM,44400034,HC EVALUATE FLEX FIBEROPTIC ENDOSCOPIC 90 MIN (92612),960.27,576.16,112.0,7411.0,40
CDM,44400036,HC EVALUATE FLEX FIBEROPTIC ENDOSCOPIC 120 MIN (92612),960.27,576.16,112.0,7411.0,40
CDM,44400037,"HC EVALUATE APHASIA, PER HOUR (96105)",603.0,361.8,102.51,7411.0,40
CDM,44400038,HC EVALUATE APHASIA 30 MIN (96105),603.0,361.8,102.51,7411.0,40
CDM,44400039,HC EVALUATE APHASIA 45 MIN (96105),603.0,361.8,102.51,7411.0,40
CDM,44400040,HC EVALUATE APHASIA 60 MIN (96105),603.0,361.8,102.51,7411.0,40
CDM,44400041,HC EVALUATE APHASIA 75 MIN (96105),603.0,361.8,102.51,7411.0,40
CDM,44400042,HC EVALUATE APHASIA 90 MIN (96105),603.0,361.8,102.51,7411.0,40
CDM,44400044,HC EVALUATE APHASIA 120 MIN (96105),603.0,361.8,102.51,7411.0,40
CDM,44400048,HC EVAL AUDITORY REHAB STATUS - FIRST HR 60 MIN (92626),584.98,350.99,99.45,7411.0,55
CDM,44400049,HC EVAL OF SPEECH FLUENCY 15 MIN (92521),679.14,407.48,108.0,7411.0,40
CDM,44400050,HC EVAL OF SPEECH FLUENCY 30 MIN (92521),679.14,407.48,108.0,7411.0,40
CDM,44400051,HC EVAL OF SPEECH FLUENCY 45 MIN (92521),679.14,407.48,108.0,7411.0,40
CDM,44400052,HC EVAL OF SPEECH FLUENCY 60 MIN (92521),679.14,407.48,108.0,7411.0,40
CDM,44400053,HC EVAL OF SPEECH FLUENCY 75 MIN (92521),679.14,407.48,108.0,7411.0,40
CDM,44400054,HC EVAL OF SPEECH FLUENCY 90 MIN (92521),679.14,407.48,108.0,7411.0,40
CDM,44400056,HC EVAL OF SPEECH FLUENCY 120 MIN (92521),679.14,407.48,108.0,7411.0,40
CDM,44400057,HC EVAL OF SPEECH SOUND PRODUCTION 15 MIN (92522),605.95,363.57,103.01,7411.0,40
CDM,44400058,HC EVAL OF SPEECH SOUND PRODUCTION 30 MIN (92522),605.95,363.57,103.01,7411.0,40
CDM,44400059,HC EVAL OF SPEECH SOUND PRODUCTION 45 MIN (92522),605.95,363.57,103.01,7411.0,40
CDM,44400060,HC EVAL OF SPEECH SOUND PRODUCTION 60 MIN (92522),605.95,363.57,103.01,7411.0,40
CDM,44400061,HC EVAL OF SPEECH SOUND PRODUCTION 75 MIN (92522),605.95,363.57,103.01,7411.0,40
CDM,44400062,HC EVAL OF SPEECH SOUND PRODUCTION 90 MIN (92522),605.95,363.57,103.01,7411.0,40
CDM,44400064,HC EVAL OF SPEECH SOUND PRODUCTION 120 MIN (92522),605.95,363.57,103.01,7411.0,40
CDM,44400065,HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 15 MIN (92523),705.66,423.4,112.0,7411.0,40
CDM,44400066,HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 30 MIN (92523),705.66,423.4,112.0,7411.0,40
CDM,44400067,HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 45 MIN (92523),705.66,423.4,112.0,7411.0,40
CDM,44400068,HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 60 MIN (92523),705.66,423.4,112.0,7411.0,40
CDM,44400069,HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 75 MIN (92523),705.66,423.4,112.0,7411.0,40
CDM,44400070,HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 90 MIN (92523),705.66,423.4,112.0,7411.0,40
CDM,44400072,HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 120 MIN (92523),705.66,423.4,112.0,7411.0,40
CDM,44400073,HC BEHAVIORAL/QUALTVE ANALYSIS VOICE & RESONA 15 MIN (92524),637.67,382.6,108.0,7411.0,40
CDM,44400074,HC BEHAVIORAL/QUALTVE ANALYSIS VOICE & RESONA 30 MIN (92524),637.67,382.6,108.0,7411.0,40
CDM,44400075,HC BEHAVIORAL/QUALTVE ANALYSIS VOICE & RESONA 45 MIN (92524),637.67,382.6,108.0,7411.0,40
CDM,44400076,HC BEHAVIORAL/QUALTVE ANALYSIS VOICE & RESONA 60 MIN (92524),637.67,382.6,108.0,7411.0,40
CDM,44400077,HC BEHAVIORAL/QUALTVE ANALYSIS VOICE & RESONA 75 MIN (92524),637.67,382.6,108.0,7411.0,40
CDM,44400078,HC BEHAVIORAL/QUALTVE ANALYSIS VOICE & RESONA 90 MIN (92524),637.67,382.6,108.0,7411.0,40
CDM,44400079,HC BEHAVIORAL/QUALTVE ANALYSIS VOICE & RESONA 105 MIN (92524),637.67,382.6,108.0,7411.0,40
CDM,44400080,HC BEHAVIORAL/QUALTVE ANALYSIS VOICE & RESONA 120 MIN (92524),637.67,382.6,108.0,7411.0,40
CDM,44400081,HC (ST) BEDSIDE SWALLOW EVAL-120,566.88,340.13,96.37,7411.0,40
CDM,44400082,HC (ST) BEDSIDE SWALLOW EVAL-90,566.88,340.13,96.37,7411.0,40
CDM,44400083,HC EVALUATE MOTION FLUOROSCOPIC 120 MIN (92611),783.8,470.28,112.0,7411.0,40
CDM,44400084,HC EVALUATE MOTION FLUOROSCOPIC 90 MIN (92611),783.8,470.28,112.0,7411.0,40
CDM,44400085,HC (ST) APHASIA ASSESSMENT EA HR,603.0,361.8,102.51,7411.0,40
CDM,45000001,HC FNA W/O IMAGE GUIDANCE,912.55,547.53,51.77,7411.0,55
CDM,45000002,HC DRAINAGE OF SKIN ABSCESS - SIMPLE,994.45,596.67,65.06,7411.0,55
CDM,45000003,HC DRAINAGE OF SKIN ABSCESS - COMPLEX,1304.97,782.98,98.28,7411.0,55
CDM,45000004,HC DRAINAGE OF PILONIDAL CYST - SIMPLE,1480.17,888.1,174.14,7411.0,55
CDM,45000005,HC DRAINAGE OF PILONIDAL CYST - COMPLICATED,3652.61,2191.57,209.3,7411.0,55
CDM,45000006,HC REMOVE FOREIGN BODY SIMPLE,1165.03,699.02,86.38,7411.0,55
CDM,45000007,HC REMOVE FOREIGN BODY COMPLICATED,5350.06,3210.04,486.45,7411.0,55
CDM,45000008,HC I&D HEMATOMA/SEROMA/FLUID,5086.48,3051.89,90.81,7411.0,55
CDM,45000009,HC PUNCTURE/DRAIN/ASPERATE ABSCESS/LESION,1075.22,645.13,67.83,7411.0,55
CDM,45000010,HC I&D COMPLEX PO INFECTION,6410.49,3846.29,815.2,7411.0,55
CDM,45000011,HC DEBRIDE INF SKIN UP TO 10%,1004.08,602.45,28.98,7411.0,55
CDM,45000012,HC DEBRIDE FX - SKIN/SUBQ TISSUE,2881.43,1728.86,257.6,7411.0,55
CDM,45000013,HC DEBRIDE SUBCUT TISSUE - 1ST 20 SQ CM OR LESS,1686.27,1011.76,171.51,7411.0,55
CDM,45000014,HC DEBRIDE SUBCUT TISSUE/MUSCLE - 1ST 20 SQ CM OR LESS,2255.2,1353.12,262.63,7411.0,55
CDM,45000015,HC REMOVE SKIN TAGS - 1-15 LESIONS,530.97,318.58,90.26,7411.0,55
CDM,45000016,HC NAIL PLATE AVULSION/SIMPLE/SINGLE,662.97,397.78,112.7,7411.0,55
CDM,45000017,"HC NAIL AVULSION, EA ADD NAIL PLATE",407.83,244.7,69.33,7411.0,34
CDM,45000018,HC DRAIN BLOOD UNDER NAIL,317.21,190.33,53.93,7411.0,55
CDM,45000019,HC REMOVAL OF NAIL BED - COMPLEX,1692.54,1015.52,84.71,7411.0,55
CDM,45000020,HC REPAIR NAIL BAD,1684.74,1010.84,105.2,7411.0,55
CDM,45000021,HC RECONSTRUCT NAIL BED W/GRAF,3443.5,2066.1,148.94,7411.0,55
CDM,45000022,"HC EXCISION OF NAIL FOLD, TOE",8518.44,5111.06,387.95,7411.0,55
CDM,45000023,HC SMPL RPR WND FACE/NCK/TRUNK < 2.5 CM,806.34,483.8,137.08,7411.0,55
CDM,45000024,HC SIMPLE REPAIR WOUND 2.6-7.5 CM,801.4,480.84,136.24,7411.0,55
CDM,45000025,"HC SIMPLE REPAIR WOUND - NON-FACE, 7.6-12.5 CM",948.43,569.06,161.23,7411.0,55
CDM,45000026,"HC SIMPLE REPAIR WOUND - NON-FACE, 12.6-20 CM",1241.15,744.69,143.08,7411.0,55
CDM,45000027,"HC SIMPLE REPAIR WOUND - NON-FACE, 20.1-30 CM",1623.61,974.17,143.08,7411.0,55
CDM,45000028,HC REPAIR SIMPLE SUPERFICIAL WOUND > 30CM,1634.59,980.75,74.34,7411.0,55
CDM,45000029,HC SMPL RPR WND FACE/EARS/EYELIDS/LIPS < 2.5 CM,753.62,452.17,128.12,7411.0,55
CDM,45000030,HC SIMPLE REPAIR WOUND 2.6-5 CM,862.0,517.2,146.54,7411.0,55
CDM,45000031,HC SIMPLE REPAIR WOUND 5.1-7.5 CM,1073.65,644.19,182.52,7411.0,55
CDM,45000032,"HC SIMPLE REPAIR WOUND - FACE, 7.6-12.5 CM",988.78,593.27,74.34,7411.0,55
CDM,45000033,"HC SIMPLE REPAIR WOUND - FACE, 12.6-20 CM",1459.07,875.44,143.08,7411.0,55
CDM,45000034,"HC SIMPLE REPAIR WOUND - FACE, 20.1-30 CM",941.02,564.61,143.08,7411.0,55
CDM,45000035,HC TREAT SUPERFICIAL WOUND,2775.07,1665.04,216.8,7411.0,55
CDM,45000036,HC TREAT WOUND DEHISC W/PACK,1502.27,901.36,143.08,7411.0,55
CDM,45000037,HC REPAIR INTERIOR WOUND < 2.5 CM,1175.96,705.58,143.08,7411.0,55
CDM,45000038,HC REPAIR INTERIOR WOUND 2.6-7.5 CM,1358.12,814.87,143.08,7411.0,55
CDM,45000039,HC REPAIR INTERIOR WOUND 7.6-12.5 CM,1503.07,901.84,143.08,7411.0,55
CDM,45000040,HC REPAIR INTERIOR WOUND 12.6-20CM,1808.09,1084.85,143.08,7411.0,55
CDM,45000041,HC REPAIR INTERIOR WOUND 20.1-30 CM,1992.19,1195.31,216.8,7411.0,55
CDM,45000042,HC REPAIR INTERNAL SCALP > 30 CM,3538.93,2123.36,709.01,7411.0,55
CDM,45000043,HC REPAIR INTERNAL WOUND < 2.5 CM,1069.44,641.66,143.08,7411.0,55
CDM,45000044,HC REPAIR INTERNAL WOUND 2.6-7.5 CM,1257.25,754.35,143.08,7411.0,55
CDM,45000045,HC REPAIR INTERNAL WOUND 7.6-12.5 CM,1199.43,719.66,216.8,7411.0,55
CDM,45000046,"HC REP/LAYER NON-TRUNK, 12.6 - 20.0 CM",1708.57,1025.14,216.8,7411.0,55
CDM,45000047,HC INTERMEDIATE REPAIR NON TRUNK,1428.36,857.02,216.8,7411.0,55
CDM,45000048,"HC REP/LAYER FACE, 2.5 CM OR LESS",1178.77,707.26,143.08,7411.0,55
CDM,45000049,HC REPAIR INTERNAL WOUND 2.6-5 CM,1268.46,761.08,143.08,7411.0,55
CDM,45000050,HC REPAIR INTERNAL WOUND 5.1-7.5 CM,1464.7,878.82,143.08,7411.0,55
CDM,45000051,HC REPAIR INTERNAL WOUND 7.6-12.5CM,1536.17,921.7,143.08,7411.0,55
CDM,45000052,HC LAYER CLOSURE OF WOUND(S),1769.87,1061.92,143.08,7411.0,55
CDM,45000053,HC REPAIR COMPLEX TRUNK 2.6-7.5 CM,1997.58,1198.55,216.8,7411.0,55
CDM,45000054,HC WOUND REPAIR EACH 5 CM TRUNK,1272.35,763.41,216.3,7411.0,34
CDM,45000055,HC WOUND REPAIR OR LESION,1848.38,1109.03,216.8,7411.0,55
CDM,45000056,HC REPAIR WOUND/LESION > 2.6 CM,2141.13,1284.68,216.8,7411.0,55
CDM,45000057,HC REPAIR WOUND/LESION ADD 5 CM,987.81,592.69,167.93,7411.0,34
CDM,45000058,HC REAPAIR FACE/HAND/FOOT 1.1-2.5 CM,1776.63,1065.98,143.08,7411.0,55
CDM,45000059,HC REAPAIR FACE/HAND/FOOT 2.6-7.5 CM,2546.74,1528.04,216.8,7411.0,55
CDM,45000060,HC COMPLEX WOUND REPAIR TRUNK ADDL 5 CM,1494.14,896.48,254.0,7411.0,34
CDM,45000062,HC COMPLEX WOUND REPAIR 1.1-2.5 CM,2130.41,1278.25,216.8,7411.0,55
CDM,45000063,HC COMPLEX WOUND REPAIR 2.6-7.5 CM,2704.25,1622.55,216.8,7411.0,55
CDM,45000064,HC COMPLEX WOUND REPAIR FACE ADDL 5 CM,1134.86,680.92,192.93,7411.0,34
CDM,45000065,HC SKIN TISSUE REARRANGEMENT,4977.24,2986.34,709.01,7411.0,55
CDM,45000066,HC AUTOGRAFT FACE <=100SQCM,2687.96,1612.78,456.95,7411.0,34
CDM,45000067,HC FULL THICK GRFT FACE 20 SQ CM,1672.92,1003.75,585.52,7411.0,55
CDM,45000068,HC LOCAL TREATMENT 1ST DEGREE BURN,551.73,331.04,93.79,7411.0,55
CDM,45000069,HC TREATMENT OF SMALL BURNS W/O ANESTHESIA,788.36,473.02,44.31,7411.0,55
CDM,45000070,HC TREATMENT OF MEDIUM BURNS W/O ANESTHESIA,934.38,560.63,85.42,7411.0,55
CDM,45000071,HC TREATMENT OF LARGE BURNS W/O ANESTHESIA,995.82,597.49,171.51,7411.0,55
CDM,45000072,HC REMOVE PREMALIGNANT LESION,266.3,159.78,45.27,7411.0,55
CDM,45000073,HC CHEMICAL CAUTERIZATION,646.46,387.88,109.9,7411.0,55
CDM,45000074,HC SKIN TISSUE PROCEDUR,1802.51,1081.51,191.47,7411.0,55
CDM,45000075,HC PUNCTURE/ASPIRATE BREAST,1980.0,1188.0,59.25,7411.0,55
CDM,45000076,HC MOSTOTOMY W/ DRAIN ABSCESS,5050.44,3030.26,486.45,7411.0,55
CDM,45000077,HC EXP PENETRAT WND ABD/BACK,4883.07,2929.84,830.12,7411.0,55
CDM,45000078,HC EXP PENTRATE WOUND EXT,2860.06,1716.04,257.6,7411.0,55
CDM,45000079,HC REMOVAL OF FOREIGN BODY,2843.67,1706.2,119.87,7411.0,55
CDM,45000080,HC REMOVE FB MUSCLE TENDON SHEATH,5228.06,3136.84,815.2,7411.0,55
CDM,45000081,HC INJECT TENDON SHEATH TRIGGER,768.23,460.94,23.54,7411.0,55
CDM,45000082,HC TRIGGER POINT INJECTECTION 1 OR 2,1040.94,624.56,23.26,7411.0,55
CDM,45000083,HC TRIGGER POINT INJECTECTION 3 OR MORE,1140.8,684.48,27.13,7411.0,55
CDM,45000084,HC ARTHRO ASPR/INJECT SMJT/BRSA,1004.97,602.98,22.7,7411.0,55
CDM,45000085,HC DRAIN/INJECTECT INTMED JOINT/BURS,980.89,588.53,23.54,7411.0,55
CDM,45000086,HC DRAIN/INJECTECT MAJOR JOINT/BURSA,1192.29,715.37,27.96,7411.0,55
CDM,45000087,HC INSERT/REMOVE BONE PIN,7388.94,4433.36,1088.27,8018.48,55
CDM,45000088,HC REMOVE IMPLANT SUPER,4909.67,2945.8,486.45,7411.0,55
CDM,45000089,"HC FLUID PRESSURE, MUSCLE",1231.45,738.87,257.6,7411.0,55
CDM,45000091,HC CL TREATMENT NOSE FRACTURE W/O MANIP,4721.91,2833.15,420.64,7411.0,55
CDM,45000092,HC TREAT NOSE FRACTURE,6130.29,3678.17,886.62,7975.81,55
CDM,45000093,HC TREAT MOUTH ROOF FRACTURE,7295.4,4377.24,886.62,7975.81,55
CDM,45000094,HC ALVEOLAR RIDGE FRACTURE-CLOSED TR,8019.87,4811.92,468.98,7975.81,55
CDM,45000095,HC RESET DISLOCATED JAW,854.0,512.4,85.32,7411.0,55
CDM,45000096,HC INTERDENTAL WIRING,5402.8,3241.68,420.64,7411.0,55
CDM,45000097,HC VERTEBRAL BODY FX/CLOSED TREATMENT,5163.58,3098.15,1088.27,8018.48,55
CDM,45000098,HC REMOVE FB SHOULDER SUBQ,3788.52,2273.11,257.6,7411.0,55
CDM,45000099,HC CLS TREATMENT STERNOCLAVICULAR DISLOCATION,1203.6,722.16,85.32,7411.0,55
CDM,45000100,HC TREAT CLS AC DSLCT WO/MAN,696.36,417.82,85.32,7411.0,55
CDM,45000101,HC TREATMENT SCAPULAR FRACTURE CLSD W/O,1096.66,658.0,85.32,7411.0,55
CDM,45000102,HC CL TREATMENT PROX HUM FRACTURE W/MANIP,4759.86,2855.92,593.04,7411.0,55
CDM,45000103,HC CL TREATMENT SHOULDER DISCI W/MAN/W/O,1515.14,909.08,85.32,7411.0,55
CDM,45000104,HC CL TREATMENT SHLDR DISCL W/MANI/W/ANE,5104.38,3062.63,593.04,7411.0,55
CDM,45000105,"HC CL TREATMENT/SHLDR DIS,FRACTURE-GRHUM W/MAN",3443.62,2066.17,593.04,7411.0,55
CDM,45000106,HC CL TREATMENT/SHLDR DIS W/NECK FRACTURE W/MA,2996.38,1797.83,593.04,7411.0,55
CDM,45000107,HC DRAINAGE OF ARM/ELBOW BURSA,5259.88,3155.93,486.45,7411.0,55
CDM,45000108,HC CLSD TRMT OF HUMERAL SHAFT FRA,2582.54,1549.52,593.04,7411.0,55
CDM,45000109,HC CL TREATMENT HUM FRACTURE W/O MANIP,4021.94,2413.16,593.04,7411.0,55
CDM,45000110,HC HUMERAL CLOSED TREATMENT TREATMENTMENT,3408.92,2045.35,593.04,7411.0,55
CDM,45000111,HC CLOSED TREATMENT HUMERAL CONDYL FRACTURE,2558.24,1534.94,593.04,7411.0,55
CDM,45000112,HC TREATMENT PERIARTICULAR FRACTURE/DISLOC ELB,23181.35,13908.81,3410.0,32603.53,55
CDM,45000113,HC CL TREATMENT ELBOW DISCL W/O ANES,1146.21,687.73,85.32,7411.0,55
CDM,45000114,HC CL TREATMENT ELBOW DISCL W/ ANES,5795.68,3477.41,593.04,7411.0,55
CDM,45000115,HC CL TREATMENT MONTEGGIA FRACTURE ELBOW W/MAN,4478.5,2687.1,593.04,7411.0,55
CDM,45000116,HC CL TREATMENT RADIAL HEAD SUB ELBOW W/,1045.6,627.36,49.0,7411.0,55
CDM,45000117,HC CL TREATMENT RADIAL HEAD/NECK FRACTURE W/MA,2971.43,1782.86,593.04,7411.0,55
CDM,45000118,HC CLSD TRMT OF ULNAR FRACTURE,2797.58,1678.55,593.04,7411.0,55
CDM,45000119,HC REPAIR TENDON/MUSCLE ARM/WRIST,12037.75,7222.65,1088.27,9028.31,55
CDM,45000120,"HC CLOSED TREATMENT, FRACTURE RADIAL SHAFT",896.21,537.73,85.32,7411.0,55
CDM,45000121,HC CL TREATMENT RAD SHAFT FRACTURE W/O MANI,3527.88,2116.73,593.04,7411.0,55
CDM,45000122,HC TREAT RADIAL/ULNAR SHAFT FX,1192.17,715.3,85.32,7411.0,55
CDM,45000123,HC CL TREATMENT RAD SHAFT FRACTURE W/MANI,3046.19,1827.71,593.04,7411.0,55
CDM,45000124,HC CL TREATMENT DIS RAD FRACTURE W/O MANI,1123.63,674.18,85.32,7411.0,55
CDM,45000125,HC CL TREATMENT RAD/ULN SHAFT FRACTURE W/MANI,3422.6,2053.56,593.04,7411.0,55
CDM,45000126,HC TREATMENT FRACTURE RADIAL 3+ FRA,11442.99,6865.79,3452.56,17722.46,55
CDM,45000127,HC CL TREATMENT CARPAL BONE FRACTURE W/MANIP,2468.85,1481.31,593.04,7411.0,55
CDM,45000128,HC TREATMENT ULNAR STYLOID FRACTURE,1175.92,705.55,85.32,7411.0,55
CDM,45000129,HC DRAIN FINGER ABSCESS SIMPLE,870.42,522.25,74.34,7411.0,55
CDM,45000130,HC I&D FELON,4126.38,2475.83,486.45,7411.0,55
CDM,45000131,HC EXPLORE/TREAT HAND JOINT,2585.08,1551.05,593.04,7411.0,55
CDM,45000132,HC REPAIR FINGER/HAND TENDON,8261.5,4956.9,1088.27,8018.48,55
CDM,45000133,HC REPAIR EXT TENDON HAND,4872.66,2923.6,593.04,7411.0,55
CDM,45000134,"HC REPAIR FINGER TENDON, W/O FREE GRAFT, EA",6010.86,3606.52,593.04,7411.0,55
CDM,45000135,HC REVISE FINGER JOINT,8097.75,4858.65,1088.27,8018.48,55
CDM,45000136,HC REPAIR MUSCLES OF HAND,5163.58,3098.15,1088.27,8018.48,55
CDM,45000137,HC TREAT METACAR FX W/O MAN - EA,865.2,519.12,85.32,7411.0,55
CDM,45000138,HC TREATMENT METACARPAL FRACTURE - SNGL W MANIP,1513.74,908.24,85.32,7411.0,55
CDM,45000139,HC TREAT THUMB DISLOCATION,1197.86,718.72,85.32,7411.0,55
CDM,45000140,HC TREATMENT CLS CMC FRACTURE THMB W/MAN,3010.01,1806.01,593.04,7411.0,55
CDM,45000141,HC CL TREATMENT/CARPOMETACARPAL DIS W/MA,1017.59,610.55,85.32,7411.0,55
CDM,45000142,HC TREAT KNUCKLE DISLOCATION,913.23,547.94,85.32,7411.0,55
CDM,45000143,"HC FRACT,CLOSED PHALANGEAL W/O MA",819.8,491.88,85.32,7411.0,55
CDM,45000144,HC CL TREATMENT PHAL SHAFT FRACTURE W/MANI,1188.57,713.14,85.32,7411.0,55
CDM,45000145,"HC TREATMENT OF FINGER OR THUMB, EACH",8625.81,5175.49,1088.27,8018.48,55
CDM,45000146,HC CL TREATMENT ART FRACTURE JOINT W/MANI,3013.33,1808.0,593.04,7411.0,55
CDM,45000147,HC TREATMENT CLS DST FRACTURE FNG WO/MAN,711.36,426.82,85.32,7411.0,55
CDM,45000148,HC CL TREATMENT DIS PHAL FINGER FRACTURE W/MAN,1176.26,705.76,85.32,7411.0,55
CDM,45000149,HC TREAT FINGER FRACTURE-EACH,9562.74,5737.64,1088.27,8018.48,55
CDM,45000150,HC CL TREATMENT JOINT DISC/W/MANI/W/O AN,1047.01,628.21,85.32,7411.0,55
CDM,45000151,HC AMPUTATE METACARPAL BONE,8747.92,5248.75,1088.27,8018.48,55
CDM,45000152,"HC AMPUTATE FING/THMB,JT/PHAL,1,W CLOS",6443.32,3865.99,1088.27,8018.48,55
CDM,45000153,"HC AMPUTATE FING/THMB,JT,PHAL,1,W,FLAP",7414.49,4448.69,1088.27,8018.48,55
CDM,45000154,HC HAND/FINGER SURGERY,502.4,301.44,125.6,7411.0,53
CDM,45000155,HC RMV FB PELVIS/HIP SUBQ,3490.44,2094.26,815.2,7411.0,55
CDM,45000156,HC TREAT HIP SOCKET FRACTURE,5707.15,3424.29,235.4,7411.0,54
CDM,45000157,HC TREAT INT/PER/SUBTROCH FS,2229.12,1337.47,593.04,7411.0,55
CDM,45000158,HC CL TREATMENT FEMORAL FRACTURE W MANIP,5914.9,3548.94,1005.53,7411.0,54
CDM,45000159,HC TREAT HIP LOCATION,1082.78,649.67,85.32,7411.0,55
CDM,45000160,HC CLOSED TREATMENT HIP DISLOCATION,5742.42,3445.45,593.04,7411.0,55
CDM,45000161,HC TREATMENT HIP DISLOC W/MAN W/ANES,7708.9,4625.34,593.04,7411.0,55
CDM,45000162,HC TREAT POST HIP ARTHROPLASTY DISLOCATION,1483.23,889.94,85.32,7411.0,55
CDM,45000163,HC CL TREATMENT POST HIP DISCL W/ANES,5472.83,3283.7,593.04,7411.0,55
CDM,45000164,HC CLOSED TREATMENT THIGH FRACTURE W/MANIPU,5839.52,3503.71,992.72,7411.0,54
CDM,45000165,HC I&D DEEP ABSCESS THIGH/KN,6011.43,3606.86,815.2,7411.0,55
CDM,45000166,HC REMOVE FB THIGH/KNEE DEEP,6915.0,4149.0,815.2,7411.0,55
CDM,45000167,HC TREATMENT FEMURAL SHAFT FRACTURE,2203.49,1322.09,85.32,7411.0,55
CDM,45000168,HC CL TREATMENT FEMORAL SHAFT FRACTURE,5228.04,3136.82,593.04,7411.0,55
CDM,45000169,HC CL TREATMENT/FEMORAL FRACTURE W/O MAN,837.94,502.76,85.32,7411.0,55
CDM,45000170,HC TREAT THIGH FRACTURE,11218.62,6731.17,2763.0,17722.46,55
CDM,45000171,"HC CL TREATMENT FEM TREATMENT/DIS,MED,LAT,W/O M",4138.74,2483.24,593.04,7411.0,55
CDM,45000172,HC TREAT KNEECAP FRACTURE,1001.0,600.6,85.32,7411.0,55
CDM,45000173,HC TREATMENT KNEE FRACTURE,5678.04,3406.82,1088.27,8018.48,55
CDM,45000174,HC CLOSED TREATMENT KNEE DISLOC W/O ANES,1361.75,817.05,85.32,7411.0,55
CDM,45000175,HC CL TREATMENT KNEE DISLOC REQ ANESTH,4320.14,2592.08,593.04,7411.0,55
CDM,45000176,HC TREAT KNEECAP DISLOCATION,1357.02,814.21,85.32,7411.0,55
CDM,45000177,HC TREATMENT OF PATTELLAR DISLOC,3403.38,2042.03,85.32,7411.0,55
CDM,45000178,HC I&D ABSCESS LEG/ANKLE DEE,7646.92,4588.15,815.2,7411.0,55
CDM,45000179,HC CL TREATMENT TIBIAL SHAFT TREATMENT W/MANI,5101.89,3061.13,593.04,7411.0,55
CDM,45000180,HC CLO TRE OF MEDIAL MALLEOL FRACTURE,5021.28,3012.77,593.04,7411.0,55
CDM,45000181,HC CLS TREATMENT PSTR MALLEOLUS FRACTURE W MAN,4369.68,2621.81,850.02,7411.0,55
CDM,45000182,"HC CL TREATMENT/PRX FIB OR SHFT FRACTURE,W/MAN",5047.8,3028.68,593.04,7411.0,55
CDM,45000183,HC CL TREATMENT DISTAL FIB FRACTURE W/MANI,1618.87,971.32,85.32,7411.0,55
CDM,45000184,HC CL TREATMENT BIMAL ANKLE FRACTURE W/MANI,2759.64,1655.78,593.04,7411.0,55
CDM,45000185,HC CL TREATMENT TRIMAL ANKLE FRACTURE W/MANI,2609.56,1565.74,593.04,7411.0,55
CDM,45000186,HC CLSD TRMT OF DISTAL TIBIA,4620.15,2772.09,593.04,7411.0,55
CDM,45000187,HC TREAT ANKLE DISLOCATION,1613.26,967.96,85.32,7411.0,55
CDM,45000188,HC CLO TRE OF ANKLE DISLOC,5938.65,3563.19,785.98,7411.0,55
CDM,45000189,HC UNLISTED PROCEDURE LEG/ANKLE,3914.76,2348.86,235.4,7411.0,53
CDM,45000190,HC I&D BURSA FOOT,3024.12,1814.47,82.5,7411.0,55
CDM,45000191,HC REMOVAL OF FOOT FOREIGN BODY,2310.13,1386.08,138.98,7411.0,55
CDM,45000192,HC REMOVAL OF FOREIGN BODY FOOT - DEEP,4788.9,2873.34,486.45,7411.0,55
CDM,45000193,HC CL TREATMENT TALUS FRACTURE W/MANI,3073.18,1843.91,593.04,7411.0,55
CDM,45000194,HC TARSAL BONE FRACTURE W/MANIPULATI,1746.45,1047.87,139.26,7411.0,55
CDM,45000195,HC TREAT METATARSAL FRACTURE W MANIP,967.16,580.3,85.32,7411.0,55
CDM,45000196,HC TREATMENT GRTOE FRACTURE CLSD WO MAN,731.69,439.01,79.18,7411.0,55
CDM,45000197,HC TREAT BIG TOE FRACTURE W MANIPULATION,1009.99,605.99,85.32,7411.0,55
CDM,45000198,HC TREATMENT CLSD FRACTURE NOT GRTOE WO,633.46,380.08,62.85,7411.0,55
CDM,45000199,HC TREATMENT OF TOE FRACTURE W/MANIP,1330.6,798.36,85.32,7411.0,55
CDM,45000200,HC TREATMENT CLS TLT JNT DSL WO/AN,1345.15,807.09,85.32,7411.0,55
CDM,45000201,HC TREATMENT CLS TMT JNT DSLCT WO,1222.82,733.69,85.32,7411.0,55
CDM,45000202,HC TREAT TOE DISLOCATION,893.58,536.15,70.6,7411.0,55
CDM,45000203,HC TREATMENT OF TOE DISLOCATION W/ANESTHESIA,3274.27,1964.56,593.04,7411.0,55
CDM,45000204,HC CLO TREAT OF INTERPHALANGEAL JOINT,997.63,598.58,59.25,7411.0,55
CDM,45000205,HC REDUCE IP DISLOCATION W MANIP,5163.58,3098.15,1088.27,8018.48,55
CDM,45000206,HC CAST FIGURE EIGHT APPLY,463.7,278.22,50.66,7411.0,55
CDM,45000207,HC CAST SHLDR SPICA APPLY,463.7,278.22,99.86,7411.0,55
CDM,45000208,HC CAST VELPEAU PLASTER APPL,463.7,278.22,56.75,7411.0,55
CDM,45000209,HC CAST ARM LONG APPLY,669.0,401.4,49.28,7411.0,55
CDM,45000210,HC CAST ARM SHORT APPLY,551.89,331.13,45.13,7411.0,55
CDM,45000211,HC CAST HAND LOW F-ARM APPLY,613.47,368.08,48.73,7411.0,55
CDM,45000212,HC APPLY LONG ARM SPLINT,647.54,388.52,40.14,7411.0,55
CDM,45000213,HC APPLY FOREARM SPLINT - STATIC,618.19,370.91,105.09,7411.0,55
CDM,45000214,HC SPLINT ARM SHORT DYNAMIC,666.32,399.79,113.27,7411.0,55
CDM,45000215,HC APPLICATION OF FINGER SPLINT,532.61,319.57,90.54,7411.0,55
CDM,45000216,HC STRAPPING THORAX,377.25,226.35,15.78,7411.0,55
CDM,45000217,HC STRAPPING SHOULDER,438.18,262.91,74.49,7411.0,55
CDM,45000218,HC STRAPPING ELBOW/WRIST,358.79,215.27,56.3,7411.0,55
CDM,45000219,HC STRAPPING HAND/FINGER,361.0,216.6,56.3,7411.0,55
CDM,45000220,HC CAST HIP SPICA 1 LEG APPL,1492.15,895.29,99.86,7411.0,55
CDM,45000221,HC CAST LEG LONG APPLY,774.18,464.51,63.67,7411.0,55
CDM,45000222,HC CAST LEG LONG W/WALKER AP,645.62,387.37,64.78,7411.0,55
CDM,45000223,HC CAST BRACE LEG LONG APPLY,625.0,375.0,81.94,7411.0,55
CDM,45000224,HC CAST CYLINDER APPLY,718.46,431.08,60.35,7411.0,55
CDM,45000225,HC APPLY SHORT LEG CAST,662.22,397.33,39.03,7411.0,55
CDM,45000226,"HC APPLY SHORT LEG CAST, WALKING",810.65,486.39,35.99,7411.0,55
CDM,45000227,"HC APPLICATION, LONG LEG SPLINT",775.13,465.08,48.45,7411.0,55
CDM,45000228,"HC APPLICATION, LOWER LEG SPLINT",687.27,412.36,34.33,7411.0,55
CDM,45000229,HC STRAPPING HIP,234.56,140.74,39.88,7411.0,55
CDM,45000230,HC STRAPPING KNEE,360.56,216.34,61.3,7411.0,55
CDM,45000231,HC STRAPPING ANKLE/FOOT,431.44,258.86,10.8,7411.0,55
CDM,45000232,HC STRAPPING TOES,407.16,244.3,56.3,7411.0,55
CDM,45000235,"HC REMOVE BOOT/BODY CAST,GAUNTLET",614.72,368.83,31.56,7411.0,55
CDM,45000236,HC CAST RMV/BIVALV ARM/LEG,450.98,270.59,27.13,7411.0,55
CDM,45000238,HC CAST WINDOWING,392.28,235.37,27.69,7411.0,55
CDM,45000239,HC CAST WEDGING,419.97,251.98,42.91,7411.0,55
CDM,45000240,HC CAST WEDGING CLUBFOOT,463.7,278.22,78.83,7411.0,55
CDM,45000241,HC CASTING/STRAPPING PROCEDURE,737.46,442.48,155.08,7411.0,53
CDM,45000242,"HC DRAINAGE ABSS HEMA,NASAL,INTER",1502.46,901.48,87.58,7411.0,55
CDM,45000243,HC REMOVE NASAL FOREIGN BODY,502.04,301.22,85.35,7411.0,55
CDM,45000244,"HC CONTROL NOSEBLEED, ANT, COMPLE",769.49,461.69,126.97,7411.0,55
CDM,45000245,HC CONTROL NOSE BLEED ANT CMPLX,683.43,410.06,46.68,7411.0,55
CDM,45000246,"HC CONTROL NOSEBLEED, POSTERIOR",766.95,460.17,46.68,7411.0,55
CDM,45000247,HC CNTRL NOSEBLEED PST SUBS,751.29,450.77,87.58,7411.0,55
CDM,45000248,HC REMOVAL OF NASAL FB W/O INC,465.36,279.22,116.34,7411.0,53
CDM,45000249,HC NASAL ENDOSCOPY UNI OR BILAT,782.64,469.58,68.14,7411.0,55
CDM,45000250,HC INTUBATION ENDOTRACHEAL,1179.82,707.89,87.58,7411.0,55
CDM,45000251,HC CHANGE OF WINDPIPE AIRWAY,973.2,583.92,87.58,7411.0,55
CDM,45000252,HC DIAGNOSTIC LARYNGOSCOPY DIR EX NB,4134.52,2480.71,525.71,7411.0,55
CDM,45000253,HC TRACHEOSTOMY TRANSTRACHEA,4390.6,2634.36,420.64,7411.0,55
CDM,45000254,HC CHRICOTHYROTOMY,3527.61,2116.57,87.58,7411.0,55
CDM,45000255,HC OPEN CHEST HEART MASSAGE,5766.13,3459.68,980.24,7411.0,39
CDM,45000258,HC INSERTION OF CHEST TUBE,3058.83,1835.3,520.0,7411.0,55
CDM,45000260,HC INCISION OF HEART SAC,2387.92,1432.75,405.95,7411.0,39
CDM,45000261,HC INSERT TEMPORARY TRANSVEN PACEMAKER,12922.92,7753.75,3320.59,21045.99,55
CDM,45000262,HC REPAIR BLOOD VESSEL - UPPER EX,9522.78,5713.67,1618.87,7896.23,55
CDM,45000263,HC REPAIR BLOOD VESSEL HAND/FINGER,7032.8,4219.68,1118.22,7896.23,55
CDM,45000264,HC REPAIR BLOOD VESSEL-LOWER,3057.26,1834.36,519.73,7411.0,55
CDM,45000266,HC VENIPUNCTURE > 3YRS DIAG/THERA,2308.84,1385.3,392.5,7411.0,34
CDM,45000267,HC ALCOHOL BLOOD DRAW,47.75,28.65,8.12,7411.0,50
CDM,45000268,HC CAPILLARY BLOOD DRAW,40.0,24.0,6.8,7411.0,34
CDM,45000269,HC CATH UMB VEIN DIAGNOSTIC/TREATMENT NB,1135.31,681.19,193.0,7411.0,34
CDM,45000270,HC INSERT NONTUNNEL CV CATH,3893.7,2336.22,1118.22,7896.23,55
CDM,45000271,HC INS NONTUNNL CVC 5YR+,4146.65,2487.99,1118.22,7896.23,55
CDM,45000272,HC PICC INSERTION < 5 YEARS,4384.8,2630.88,446.27,7411.0,55
CDM,45000273,HC PICC LINE > 5 YEARS,3465.72,2079.43,446.27,7411.0,55
CDM,45000274,HC REMOVE CENTRAL CATHETER,3463.45,2078.07,223.75,7411.0,55
CDM,45000275,HC COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,337.19,202.31,57.32,7411.0,55
CDM,45000276,HC COLLECT BLOOD FROM CATHETER VENOUS NOS,320.05,192.03,54.41,7411.0,55
CDM,45000277,HC DECLOT VASCULAR DEVICE,1059.88,635.93,26.3,7411.0,55
CDM,45000278,HC ARTERIAL CATH,1160.05,696.03,197.21,7411.0,34
CDM,45000279,HC NDL PLACEMENT INTRAOS INF,769.99,461.99,130.9,7411.0,55
CDM,45000281,HC LIGATION OF ABDOMEN ARTERY,3667.0,2200.2,623.39,12018.16,54
CDM,45000282,HC LIGATION OF EXTREMITY ARTER,19149.66,11489.8,3255.44,16277.21,39
CDM,45000283,HC LIGATION/EXCISE VARICOSE VEINS,5303.35,3182.01,1118.22,7896.23,55
CDM,45000285,HC REPAIR VERMILLION ONLY,2859.3,1715.58,187.22,7411.0,55
CDM,45000286,HC REPAIR VERMILLION UP TO 1/2 HG,2585.65,1551.39,187.22,7411.0,55
CDM,45000287,HC REPAIR LIP - UP TO HALF VERTICAL HEIGHT,3213.45,1928.07,420.64,7411.0,55
CDM,45000288,HC LIP SURGERY PROCEDURE,722.75,433.65,180.69,7411.0,53
CDM,45000289,HC DRAINAGE OF MOUTH LESION - SIMPLE,1444.87,866.92,131.78,7411.0,55
CDM,45000290,HC MOUTH LESION DRAIN,2911.14,1746.68,187.22,7411.0,55
CDM,45000291,HC REMOVE FB EMBED MOUTH SMPLE,1153.33,692.0,196.07,7411.0,55
CDM,45000292,HC CLS LAC MOUTH <2.6,872.0,523.2,87.58,7411.0,55
CDM,45000293,HC CLS LAB VENT MOUTH >2.5,2505.92,1503.55,187.22,7411.0,55
CDM,45000294,HC DRAINAGE OF MOUTH LESION - COMPLICATED,2614.16,1568.5,83.33,7411.0,55
CDM,45000295,HC REPAIR TONGUE LACERATION,976.76,586.06,166.05,7411.0,55
CDM,45000296,HC LACERATION TONGUE POS 2.5CM,840.2,504.12,87.58,7411.0,55
CDM,45000297,HC REPAIR MOUTH/TONGUE >2.5,2043.44,1226.06,87.58,7411.0,55
CDM,45000298,HC TONGUE/MOUTH PROCEDURE UNLISTED,405.74,243.44,101.44,7411.0,53
CDM,45000299,HC DRAINAGE OF GUM LESION,814.34,488.6,126.97,7411.0,55
CDM,45000300,HC DENTAL SURGERY PROCEDURE,737.46,442.48,125.37,7411.0,55
CDM,45000301,HC I&D PALATE OF MOUTH,1069.44,641.66,87.58,7411.0,55
CDM,45000302,HC DRAINAGE OF TONSIL ABSCESS,2423.03,1453.82,87.58,7411.0,55
CDM,45000303,HC REMOVE PHARYNX FOREIGN BODY,766.67,460.0,130.33,7411.0,55
CDM,45000304,HC CNTRL OROPHARYNG HEM SMPL,1137.21,682.33,187.22,7411.0,55
CDM,45000305,HC THROAT SURGERY PROCEDURE,3203.38,1922.03,226.03,7411.0,53
CDM,45000316,HC NASAL/OROGASTRIC W/STENT,706.27,423.76,112.34,7411.0,55
CDM,45000317,HC GASTRIC INTUBAT LAVAGE FOR TRT,842.72,505.63,143.26,7411.0,55
CDM,45000318,HC NG INTUBATION MD DIAGNOST,517.08,310.25,87.9,7411.0,55
CDM,45000320,HC GASTRIC FEED TUBE REPOSITION,2152.7,1291.62,110.15,7411.0,55
CDM,45000322,HC REDUCE PROCIDENTIA W/ANES,2344.37,1406.62,328.5,7411.0,55
CDM,45000323,HC FECAL DISIMPACTION,4308.26,2584.96,429.26,7411.0,55
CDM,45000324,HC INCISION OF RECTAL ABSCESS,5446.16,3267.7,429.26,7411.0,55
CDM,45000325,HC INCISION OF ANAL ABSCESS,2616.36,1569.82,328.5,7411.0,55
CDM,45000326,HC INCISE EXTERNAL HEMORRHOID,1033.37,620.02,110.15,7411.0,55
CDM,45000327,HC REMOVAL OF HEMORRHOID CLOT,4976.65,2985.99,125.69,7411.0,55
CDM,45000332,HC ABD PARACENTESIS W/O IMAGING,2136.21,1281.73,334.95,7411.0,55
CDM,45000333,HC ABD PARACENTESIS WITH IMAGING,2711.82,1627.09,334.95,7411.0,55
CDM,45000334,HC PERITONEOAL LAVAGE W/IMAGING,2664.88,1598.93,334.95,7411.0,55
CDM,45000335,HC REPLACE GI TUBE,1867.74,1120.64,334.95,7411.0,55
CDM,45000336,HC REPLACE DUOD/JEJ TUBE,2257.56,1354.54,334.95,7411.0,55
CDM,45000337,HC REPLACE GJ TUBE,2667.42,1600.45,334.95,7411.0,55
CDM,45000340,HC ASPIRATE BLADDER BY NEEDLE,1557.76,934.66,36.54,7411.0,55
CDM,45000341,HC ASPIRATE BLADDER TROCAR,1796.66,1078.0,98.83,7411.0,55
CDM,45000342,HC DRAIN BL W/CATH INSERTION,6454.45,3872.67,652.8,7411.0,55
CDM,45000343,"HC BLADDER IRRIGATION, SIMPLE",893.09,535.85,44.3,7411.0,55
CDM,45000344,HC STRAIGHT CATH INSERTED,395.21,237.13,67.19,7411.0,55
CDM,45000345,HC INSERT URINARY CATHETER,500.62,300.37,85.11,7411.0,55
CDM,45000346,HC INSERT URETHAL CATHETER-COMPLICATION,681.03,408.62,57.79,7411.0,55
CDM,45000347,HC CHANGE OF BLADDER TUBE,886.6,531.96,51.77,7411.0,55
CDM,45000348,HC CYSTOSCOPY,2785.38,1671.23,238.15,7411.0,55
CDM,45000349,HC CYSTOSCOPY AND TREATMENT,4431.9,2659.14,652.8,7411.0,55
CDM,45000350,HC DILATE FEM URETHRA INITIAL,341.0,204.6,39.59,7411.0,55
CDM,45000351,HC SLITTING OF PREPUCE,4601.68,2761.01,652.8,7411.0,55
CDM,45000352,HC IRRIGATION CORPORA CAVERNOSA,1072.69,643.61,110.15,7411.0,55
CDM,45000353,HC FOESKIN MANIPULATION,1234.52,740.71,110.15,7411.0,55
CDM,45000354,HC I&D SCROTAL ABCESS,3329.81,1997.89,486.45,7411.0,55
CDM,45000355,HC GENITAL SURGERY PROCEDURE,3474.86,2084.92,238.44,7411.0,53
CDM,45000356,HC I&D OF VULVA/PERINEUM,1153.73,692.24,75.58,7411.0,55
CDM,45000357,HC DRAINAGE OF GLAND ABSCESS,849.69,509.81,70.52,7411.0,55
CDM,45000358,HC MANSUP BARTHOLINS CYST,4740.69,2844.41,1063.52,7744.8,55
CDM,45000359,HC BIOPSY OF VAGINAL MUCOSA-SIMPLE,2872.47,1723.48,47.06,7411.0,55
CDM,45000360,HC COLPORRHAPHY INJECTECT VAGINAL,6513.21,3907.93,1063.52,7744.8,55
CDM,45000361,HC REMOVE VAGINAL FOREIGN BODY,8729.42,5237.65,1063.52,7744.8,55
CDM,45000362,HC REMOVAL OF IUD,805.59,483.35,51.22,7411.0,55
CDM,45000364,HC FETAL CONTRACTION STRESS TEST,1038.84,623.3,27.13,7411.0,55
CDM,45000365,HC FETAL NON-STRESS TEST,929.75,557.85,15.78,7411.0,55
CDM,45000366,HC VAGINAL DELIVERY,5237.25,3142.35,890.33,7744.8,55
CDM,45000367,HC EXT CEPHALIC VERSION,5219.63,3131.78,887.34,7744.8,55
CDM,45000368,HC TREATMENT OF MISCARRIAGE,7448.28,4468.97,1063.52,7744.8,55
CDM,45000369,HC MATERNITY CARE PROCE,326.6,195.96,81.65,7411.0,53
CDM,45000370,HC SPINAL FLUID TAP - DIAGNOSTIC,1956.09,1173.65,262.86,7411.0,55
CDM,45000371,HC INJECT EPIDURAL PATCH,2983.9,1790.34,262.86,7411.0,55
CDM,45000373,HC INJECTION TRIGEMINAL NERVE,1313.52,788.11,67.55,7411.0,55
CDM,45000374,HC INJECTION FACIAL NERVE,778.33,467.0,132.32,7411.0,39
CDM,45000375,HC INJECTION OCCIPITAL NERVE,1601.07,960.64,30.18,7411.0,55
CDM,45000376,HC INJECTION SCIATIC NERVE SINGLE,3203.39,1922.03,73.64,7411.0,55
CDM,45000377,HC INJECTION FOR NERVE BLOCK,1898.54,1139.12,39.31,7411.0,55
CDM,45000378,HC INJECTION PLANTAR DIGITAL NERVE,716.39,429.83,17.99,7411.0,55
CDM,45000379,HC REPAIR OF DIGITAL NERVE,9950.27,5970.16,659.94,7462.7,55
CDM,45000380,HC REMOVE FOREIGN BODY EXERNAL - EYE,639.64,383.78,108.74,7411.0,55
CDM,45000381,HC REMOVE EMBEDDED FOREIGN BODY CONJUNCT,698.7,419.22,118.78,7411.0,55
CDM,45000382,HC REMOVE FOREIGN BODY CORNEAL W/O ANESTESIA,725.11,435.07,123.27,7411.0,55
CDM,45000383,HC REMOVE FOREIGN BODY CORNEAL W/ANESTESIA,603.68,362.21,102.63,7411.0,55
CDM,45000384,HC REMOVE FOREIGN BODY INTRAOCULAR,5203.01,3121.81,849.94,7411.0,55
CDM,45000385,HC EYE PROCEDURE UNLISTED,3773.58,2264.15,943.39,7411.0,53
CDM,45000386,HC DRAIN EYELID ABSCESS,2950.71,1770.43,108.29,7411.0,55
CDM,45000387,HC CANTHOTOMY OF THE EYE,5728.42,3437.05,698.3,7411.0,55
CDM,45000388,HC REPAIR EYELID WOUND - FULL THICKNESS,3872.04,2323.22,698.3,7411.0,55
CDM,45000389,HC REMOVE EYELID FOREIGN BODY,894.61,536.77,108.29,7411.0,55
CDM,45000390,HC DRAIN EXTERNAL EAR LESION,1641.15,984.69,107.14,7411.0,55
CDM,45000391,HC DRAIN EXTERNAL EAR-COMPLICATED,5903.29,3541.97,113.23,7411.0,55
CDM,45000392,HC I&D EXTERNAL AUDITORY CANAL,5542.89,3325.73,147.56,7411.0,55
CDM,45000393,HC CLEAR OUTER EAR CANAL W/O ANESTHESIA,467.99,280.79,79.56,7411.0,55
CDM,45000394,HC REMOVE IMPACTED EAR WAX,327.18,196.31,55.62,7411.0,55
CDM,45000395,HC EXTERNAL EAR PROCEDURE,722.75,433.65,180.69,7411.0,53
CDM,45000397,HC ADMINISTER IMM 1 VACCINE,129.54,77.72,22.02,7411.0,55
CDM,45000399,HC NASOPHARYNGOSCOPY,586.12,351.67,99.64,7411.0,55
CDM,45000400,HC CPR,2015.07,1209.04,206.06,7411.0,55
CDM,45000401,HC CARDIOVERSION EXT,3281.49,1968.89,557.85,7411.0,55
CDM,45000402,HC PULSE OXEMETRY CONTINS,657.92,394.75,111.85,7411.0,55
CDM,45000403,"HC IV INFUSION HYDRATION,INITIAL 31MIN - 1HR",814.34,488.6,118.38,7411.0,55
CDM,45000404,HC IV INFUSION HYDRATION EA ADD HR,317.78,190.67,42.03,7411.0,55
CDM,45000405,HC IV INFUSION THER/DIAG/PROPH INITIAL UP TO 1 HR,902.11,541.27,153.36,7411.0,55
CDM,45000406,HC IV INFUSION THER/DIAG/PROPH EA ADD HR,330.56,198.34,44.69,7411.0,55
CDM,45000407,HC IV INFUSION SEQ ADD NEW DRG UP TO 1 HR,468.18,280.91,68.71,7411.0,55
CDM,45000408,HC IV INFUSION CONCURRENT,393.07,235.84,65.27,7411.0,39
CDM,45000409,"HC THERAPEUTIC/DIAGNOSTIC INJ, SUBCUT/IM",321.2,192.72,54.6,7411.0,55
CDM,45000410,"HC THERAPEUTIC/DIAGNOSTIC INJ, INTRA-ARTERIAL",412.22,247.33,58.64,7411.0,55
CDM,45000411,HC THERAPEUTIC INJECTION OF MEDS-IV,524.33,314.6,89.14,7411.0,55
CDM,45000412,HC IV PUSH EA ADD SEQU NEW DRUG,392.06,235.24,44.69,7411.0,55
CDM,45000413,HC IV PUSH EA ADD SEQU SAME DRUG,361.12,216.67,61.39,7411.0,39
CDM,45000414,HC IRRIGATE/FLUSH VAD,344.47,206.68,56.3,7411.0,55
CDM,45000415,"HC DEBRIDESKIN, 20 SQ CM OR<",584.97,350.98,75.25,7411.0,55
CDM,45000417,HC DEBRIDESKIN ADD 20 SQ CM OR <,690.39,414.23,35.4,7411.0,40
CDM,45000424,HC ANOGENITAL EXAM,326.6,195.96,55.52,7411.0,55
CDM,45000426,HC EMERGENCY DEPT LEVEL I,478.23,286.94,80.47,7411.0,49
CDM,45000427,HC EMERGENCY CARE LEVEL II,782.31,469.39,132.99,7411.0,49
CDM,45000428,HC EMERGENCY CARE LEVEL III,1283.4,770.04,218.18,7411.0,49
CDM,45000429,HC EMERGENCY CARE LEVEL IV,2122.8,1273.68,360.88,7411.0,49
CDM,45000430,HC EMERGENCY CARE LEVEL V,3879.67,2327.8,568.33,7411.0,49
CDM,45000431,HC CRITICAL CARE,4233.71,2540.23,719.73,7411.0,52
CDM,45000432,HC CRITICAL CARE EA ADDL 30 MIN,1408.48,845.09,239.44,7411.0,39
CDM,45000433,HC RESUSCITATION NEWBORN,1522.15,913.29,258.77,7411.0,55
CDM,45000435,HC I & D AXILLA,10169.4,6101.64,815.2,7627.05,55
CDM,45000438,HC SUBCUT INFUSION THER/PROP - UP TO 1HR,656.65,393.99,111.63,7411.0,55
CDM,45000439,HC DIAGNOSTIC LARYNGOSCOPY,750.46,450.28,68.14,7411.0,55
CDM,45000440,HC ER ORBIT SURGERY PROCEDURE,558.06,334.84,139.51,7411.0,53
CDM,45000441,HC REPAIR FOOT TENDON,5782.99,3469.79,1088.27,8018.48,55
CDM,45000442,HC EXPLORE WOUND CHEST,3438.99,2063.39,584.63,7411.0,55
CDM,45000443,HC TREAT TIBAL FRACTURE,1262.32,757.39,85.32,7411.0,55
CDM,45000444,"HC NBLOCK INJECTION, AXILLARY",1875.95,1125.57,340.77,7411.0,55
CDM,45000445,HC RECTAL SURGERY,1618.4,971.04,404.6,7411.0,53
CDM,45000446,"HC NBLOCK INJECTION, BRACHIAL",2982.52,1789.51,340.77,7411.0,55
CDM,45000447,HC TREAT OPEN HUMERUS FRACTURE,21088.34,12653.0,3410.0,32603.53,55
CDM,45000448,HC EXPLORATION VAGINA,4647.74,2788.64,1063.52,7744.8,55
CDM,45000449,HC DEBRIDE FX - SKIN/SUBQ MUSCLE & BONE,3624.18,2174.51,815.2,7411.0,55
CDM,45000450,HC BLOOD TRANSFUSION SERVICE,1831.52,1098.91,30.73,7411.0,55
CDM,45000452,HC TRANSCUTANEOUS PACER,1837.83,1102.7,312.43,7411.0,55
CDM,45000453,HC ECG ROUTINE TRACING ONLY,453.2,271.92,56.3,7411.0,55
CDM,45000454,HC ECG RHYTHM 1-3 LEADS W/I&R,242.1,145.26,41.16,7411.0,55
CDM,45000455,HC VENT MANAGEMENT - FIRST DAY,3337.64,2002.58,567.4,7411.0,55
CDM,45000456,HC AEROSOL HHN TREATMENT,392.99,235.79,66.81,7411.0,55
CDM,45000457,HC PULSE OX ED ONLY,186.75,112.05,7.74,7411.0,39
CDM,45000459,HC SUBCUT INFUSION THER/PROP - EA ADD HR,166.63,99.98,28.33,7411.0,55
CDM,45000460,HC SUBCUT INFUSION THER/PROP - ADD PUMP SETUP,209.1,125.46,35.55,7411.0,55
CDM,45000461,HC GASTRIC BAND ADJ SUBCUT PORT IN,487.83,292.7,44.69,7411.0,55
CDM,45000465,HC INFLUENZA VACCINATION,129.54,77.72,22.02,7411.0,55
CDM,45000466,HC PNEUMOCOCCAL VACCINATION,129.54,77.72,22.02,7411.0,55
CDM,45000470,HC PELVIC RING FRACTURE,5152.56,3091.54,875.94,17722.46,55
CDM,45000472,HC SKIN PINCH GRAFT,1891.0,1134.6,262.63,7411.0,55
CDM,45000473,HC TREATMENT OF HEEL FRACTURE,9610.44,5766.26,85.32,7411.0,55
CDM,45000474,HC TREAT WRIST DISLOCATION,4921.06,2952.64,593.04,7411.0,55
CDM,45000475,HC TREAT HUMERUS FRACTURE,1039.88,623.93,85.32,7411.0,55
CDM,45000478,HC DEBRIDE BONE - 1ST 20 SQ CM OR LESS,4918.6,2951.16,566.62,7411.0,55
CDM,45000479,HC SHV 1 LES S/H/F/G  0.5 CM OR LESS,387.0,232.2,65.79,7411.0,55
CDM,45000480,HC SHAVE SKIN LESION >2.0CM,618.2,370.92,105.09,7411.0,55
CDM,45000481,HC EXCISE LESION FACE 1.1-2 CM,2264.0,1358.4,103.82,7411.0,55
CDM,45000482,HC SIMPLE RPR FACE > 30CM,981.96,589.18,74.34,7411.0,55
CDM,45000483,HC INTMD RPR NONTRUNK >30CM,6255.69,3753.41,709.01,7411.0,55
CDM,45000484,HC INTMD RPR FACE 20.1-30CM,2528.38,1517.03,143.08,7411.0,55
CDM,45000485,HC INTMD RPR FACE > 30CM,616.9,370.14,143.08,7411.0,55
CDM,45000486,HC CMPLX RPR TRUNK 1.1-2.5CM,2379.75,1427.85,216.8,7411.0,55
CDM,45000487,HC INCISION BURN SCAB,1156.0,693.6,143.08,7411.0,55
CDM,45000488,HC CAUTERIZATION OF VASCULAR LESIONS,677.36,406.42,143.08,7411.0,55
CDM,45000491,HC EXPLORE WOUND NECK,1975.0,1185.0,335.75,7411.0,55
CDM,45000492,HC ASP/INJECTION GANGLION CYST,721.78,433.07,30.46,7411.0,55
CDM,45000493,HC REPLANTATION OF DIGIT,2585.08,1551.05,593.04,7411.0,55
CDM,45000494,"HC INTERDENTAL FIXATION/NON-FRACTURE,W/REMOVAL",5515.05,3309.03,420.64,7411.0,55
CDM,45000495,HC TREAT RESET DISLOCATED JAW,5742.23,3445.34,420.64,7411.0,55
CDM,45000496,HC TREATMENT CLAVICLE FRACTURE - W/MANIP,4403.86,2642.32,593.04,7411.0,55
CDM,45000499,HC UPPER ARM/ELBOW SURG,737.46,442.48,184.37,7411.0,53
CDM,45000500,HC REMOVE WRIST TENDON,2585.08,1551.05,593.04,7411.0,55
CDM,45000501,HC REMOVE FOREARM FOREIGN BODY,8849.52,5309.71,593.04,7411.0,55
CDM,45000502,HC TREATMENT RADIAL SHAFT FRACTURE,988.82,593.29,85.32,7411.0,55
CDM,45000503,HC TREATMENT FRACTURE OF ULNA W/MANIPULATION,2247.78,1348.67,85.32,7411.0,55
CDM,45000504,HC PERCUT FIXAT DISTAL RAD,6611.8,3967.08,1088.27,8018.48,55
CDM,45000505,HC TREAT WRIST BONE FRACTURE,3546.87,2128.12,593.04,7411.0,55
CDM,45000506,HC PERCUT FIXAT ULNAR STY,5163.58,3098.15,1088.27,8018.48,55
CDM,45000507,HC TREATMENT FINGER FRACTURE,8339.0,5003.4,1088.27,8018.48,55
CDM,45000514,HC REDUCTION ANKLE,1198.92,719.35,85.32,7411.0,55
CDM,45000515,HC PARTIAL REMOVAL TOE,5204.89,3122.93,238.37,8018.48,55
CDM,45000521,HC I&D NASAL SEPTUM,1302.4,781.44,180.23,7411.0,55
CDM,45000524,HC THORACOTOMY,7589.86,4553.92,1290.28,7411.0,39
CDM,45000525,HC MUSCULOSKELETAL SURGERY,182.0,109.2,30.94,7411.0,34
CDM,45000527,HC REPLACE PICC CATH,4363.24,2617.94,446.27,7411.0,55
CDM,45000528,HC REMOVE TUNNELED CATH,4331.88,2599.13,446.27,7411.0,55
CDM,45000529,"HC LIGATION,EXTERNAL JUGULAR VEIN",2260.25,1356.15,384.24,7896.23,55
CDM,45000530,HC BONE MARROW ASPIRATION,2294.27,1376.56,92.74,7411.0,55
CDM,45000531,HC BONE MARROW BIOPSY,2252.63,1351.58,95.79,7411.0,55
CDM,45000534,HC PALATE/UVULA SURGERY,405.74,243.44,101.44,7411.0,53
CDM,45000535,HC SIALOLITHOTOMY/SIMPLE,4061.4,2436.84,121.82,7975.81,55
CDM,45000539,HC STOMACH SURGERY PROC,2498.5,1499.1,624.62,7411.0,53
CDM,45000540,"HC INCISE AND DRAIN ABCESS,RECTUM",3833.16,2299.9,429.26,7411.0,55
CDM,45000545,HC CHANGE BLADDER TUBE,2004.38,1202.63,238.15,7411.0,55
CDM,45000546,HC CYSTOURETHROSCOPY W/CALIBRAT,5663.52,3398.11,652.8,7411.0,55
CDM,45000547,HC UROLOGY SGY PROC UNLISTED,4888.94,2933.36,238.44,7411.0,53
CDM,45000548,HC REPAIR CIRCUMCISION,3424.38,2054.63,652.8,7411.0,55
CDM,45000550,HC ESTABLISH BRAIN CAVITY SHUNT,4042.71,2425.63,687.26,7411.0,39
CDM,45000551,HC REGIONAL NERVE BLOCK,2409.18,1445.51,340.77,7411.0,55
CDM,45000552,HC DRAIN CEREBRO SPINAL,1988.25,1192.95,262.86,7411.0,55
CDM,45000557,HC INHALATION TRTMNT PRES/NONPRES,339.15,203.49,57.66,7411.0,55
CDM,45000559,HC PULSE OXIMETRY/NONIN.EAR OXY,323.88,194.33,13.26,7411.0,39
CDM,45000561,HC SKIN TISSUE REARRANGEMENT,4716.67,2830.0,709.01,7411.0,55
CDM,45000563,HC REMOVAL/REVISE CAST,665.0,399.0,54.26,7411.0,55
CDM,45000564,HC THORACENTESIS W/IMG,2351.37,1410.82,223.75,7411.0,55
CDM,45000565,HC PLEURAL DRAINAGE W/O IMG,4249.78,2549.87,564.97,7411.0,55
CDM,45000566,HC PLEURAL DRAINAGE W/ IMG,3731.7,2239.02,446.27,7411.0,55
CDM,45000567,HC TRIM NONDYSTRIPHIC NAIL,212.81,127.69,36.18,7411.0,55
CDM,45000569,"HC LARYNGOSCOPY, INDIRECT",542.52,325.51,56.2,7411.0,55
CDM,45000570,"HC THORACENTESIS,ASPIRAT PLEURL SPACE W/O IMG",2245.45,1347.27,223.75,7411.0,55
CDM,45000571,HC DRAINAGE OF EYE,3040.03,1824.02,849.94,7411.0,55
CDM,45000572,HC DRAINAGE OF SCROTUM,7130.03,4278.02,652.8,7411.0,55
CDM,45000575,HC BRAIN CANAL SHUNT,1735.95,1041.57,262.86,7411.0,55
CDM,45000577,HC LARYNGOSCOPY W/FB REMOVAL,6357.45,3814.47,525.71,7411.0,55
CDM,45000578,HC INCISION DRAINAGE TEAR GLAND,1589.0,953.4,270.13,7411.0,55
CDM,45000579,HC TREAT NASAL SEPTAL,5901.62,3540.97,886.62,7975.81,55
CDM,45000580,HC TREAT FINGER DISLOCATION,3710.36,2226.22,99.86,7411.0,55
CDM,45000581,HC REPAIR FINGER TENDON,5902.0,3541.2,1088.27,8018.48,55
CDM,45000582,HC TREAT SHOULDER BLADE,3417.15,2050.29,593.04,7411.0,55
CDM,45000583,HC INSERT TUNNELED CATH,8020.11,4812.07,1118.22,7896.23,55
CDM,45000584,"HC SHUNT,EVAL.OF PREV.PLACED PERIT ONEALVENOU",549.15,329.49,93.36,7411.0,34
CDM,45000585,HC CVRX BATTERY CHANGE,56978.46,34187.08,6299.0,76924.35,40
CDM,45000586,HC FEMUR/KNEE UNLISTED PROCEDURE,5593.68,3356.21,235.4,7411.0,53
CDM,45000587,HC REMOVAL IMPLANT DEEP,5083.43,3050.06,815.2,7411.0,55
CDM,45000589,HC REPAIR COLLATERAL LIGAMENT MCP/IP JT,5389.24,3233.54,1088.27,8018.48,55
CDM,45000590,"HC ER INTRO, GASTR TUBE",1726.66,1036.0,334.95,7411.0,55
CDM,45000593,"HC ARTHROTOMY, WITH EXCISION OF SEMILUNAR CARTILAGE KNEE",5163.58,3098.15,1088.27,8018.48,55
CDM,45000594,"HC FASCIOTOMY, PALMAR - PERCUTANEOUS",2585.08,1551.05,593.04,7411.0,55
CDM,45000595,HC PREPARATION FECAL MICROBIOTA,1495.78,897.47,254.28,7411.0,55
CDM,45000598,HC NASAL/SINUS ENDOSCOP,3206.62,1923.97,525.71,7411.0,55
CDM,45000599,HC INSERT PESSARY/OTHER,367.08,220.25,33.5,7411.0,55
CDM,45000600,HC SALIVARY CYST MARSUPIALIZE/RANULA,4391.86,2635.12,886.62,7975.81,55
CDM,45000602,HC ER DELIVER PLACENTA,5225.23,3135.14,1063.52,7744.8,55
CDM,45000603,HC DESTRUCT BENIGN LESION 1-14,351.64,210.98,59.78,7411.0,55
CDM,45000604,HC ER TREAT THIGH FRACTURE,2316.2,1389.72,593.04,7411.0,55
CDM,45000605,HC ER TREAT LOWER LEG FRACTURE,21509.76,12905.86,2763.0,32603.53,55
CDM,45000606,"HC INCISION,FLEXOR TENDON SHEATH,WRIST",5163.58,3098.15,1088.27,8018.48,55
CDM,45000607,"HC TEMPOROMANDIBULAR DISLOCATION, OPEN REDUCT",4391.86,2635.12,886.62,7975.81,55
CDM,45000608,HC SCALENUS ANTICUS RESECTION,5163.58,3098.15,1807.25,17722.46,55
CDM,45000609,"HC BIOPSY,SOFT TISSUE SHOULDER - SUPERFICIAL",2707.42,1624.45,114.62,7411.0,55
CDM,45000610,HC WRIST/ARTHROPLASTY TOTAL,30316.98,18190.19,5384.0,46166.33,55
CDM,45000612,"HC TIBIA/FIBULA/FEMUR,PROX/DISTAL-EPIPHYSIODE",5163.58,3098.15,1088.27,8018.48,55
CDM,45000613,HC MIDTARSAL CAPSULOTOMY (HEYMAN),2585.08,1551.05,593.04,7411.0,55
CDM,45000614,HC TALUS FX/PERCUT SKELETAL FIXAT W/MANIPULAT,11218.62,6731.17,2416.0,17722.46,55
CDM,45000615,"HC OPEN OSTEOCHONDRAL AUTOGRAFT,TALUS",11218.62,6731.17,3122.54,17722.46,55
CDM,45000616,HC TARSAL DISLOCATION/TREAT CLOSED W/ANESTHES,5267.28,3160.37,1088.27,8018.48,55
CDM,45000617,HC VAGINA IRRIGATION/APPLICATION MED,384.0,230.4,56.3,7411.0,55
CDM,45000618,"HC INJECTION,TMJ FOR ARTHROGRAPHY",381.77,229.06,64.9,7411.0,34
CDM,45000619,HC DRAIN MOUTH LESION - SUBLINGUAL/SUPERFICIAL,2627.0,1576.2,87.58,7411.0,55
CDM,45000621,HC DIVISION OF STRICTURE OF RECTUM,1928.54,1157.12,429.26,7411.0,55
CDM,45000622,HC ER TREAT HUMEREUS FRACTURE,11218.62,6731.17,2398.52,17722.46,55
CDM,45000623,"HC NBLOCK INJ, INTERCOSTAL NRVE,SNGL",2053.71,1232.23,262.86,7411.0,55
CDM,45000624,HC ER TREAT LOWER LEG FRACTURE,21088.34,12653.0,3410.0,32603.53,55
CDM,45000625,HC TRANSCATH CLOSURE DUCTUS ARTERIOSUS,47657.04,28594.22,6299.0,43439.01,55
CDM,45000628,HC IMG GUIDE FLUID COLLECT DRAIN BY CATH - SOFT TISSUE,3783.48,2270.09,257.6,7411.0,55
CDM,45000629,"HC BX BRST W/PLCMNT DVC,IMG - FIRST LESION",6237.0,3742.2,486.45,7411.0,55
CDM,45000631,"HC BX BRST W/PLCMNT DVC,IMG&US - FIRST LESION",5153.43,3092.06,486.45,7411.0,55
CDM,45000633,"HC BX BRST W/PLCMNT DVC,IMG&MR GUIDE - FIRST LESION",5386.5,3231.9,486.45,7411.0,55
CDM,45000635,HC PLACE BREAST DEVICE - 1ST LESION,2999.64,1799.78,509.94,7411.0,55
CDM,45000637,HC PLACE BREAST DEVICE - 1ST LESION W/STEREOTAC,3667.77,2200.66,623.52,7411.0,55
CDM,45000639,HC PLACE BREAST DEVICE - 1ST  LESION W/US GUIDE,2869.41,1721.65,487.8,7411.0,55
CDM,45000641,HC PLACE BREAST DEVICE - 1ST  LESION W/MR GUIDE,3802.6,2281.56,646.44,7411.0,55
CDM,45000643,HC SHOULDER REMOVE FB/DEEP,2707.42,1624.45,815.2,7411.0,55
CDM,45000644,HC REMOVE PROSTHESIS - HUMERAL/GLENOID COMPNT,4681.24,2808.74,815.2,15671.95,55
CDM,45000648,HC VASCULAR EMBOLIZATION/OCCLUSION - ARTERIAL/VENOUS,25045.66,15027.4,4257.76,27252.71,55
CDM,45000679,HC IMG-GUIDE FLUID COLLCT DRAIN BY CATH - PERITONEAL,5088.64,3053.18,486.45,7411.0,55
CDM,45000682,"HC NERVE DESTRUC,CHEMODENERVATION/LARYNX",1124.97,674.98,74.47,7411.0,55
CDM,45000688,HC INSERT ANTERIOR AQUEOUS DRAIN DEVICE,7165.2,4299.12,2229.18,10072.14,55
CDM,45000692,HC CYSTO W/URETEROSC &/OR PYELESC - INSRT STNT,7913.7,4748.22,1689.43,12818.21,55
CDM,45000694,HC LARYNGOSCOPY W/BIOPSY,5933.95,3560.37,1062.24,9276.93,55
CDM,45000695,HC LARYNGOSCOPY W/BIOPSY,5394.5,3236.7,1062.24,9276.93,55
CDM,45000696,HC LARYNGOSCOPY W/BIOPSY,5394.5,3236.7,1062.24,9276.93,55
CDM,45000697,HC LARYNGOSCOPY W/BIOPSY,5560.44,3336.26,525.71,7411.0,55
CDM,45000699,"HC TRANSCATHETER THERAPY,VENOUS INFU",7537.94,4522.76,1518.93,7896.23,55
CDM,45000707,"HC ED ONLY - US,RETROPERITONEAL,LIMITED",864.66,518.8,59.81,7411.0,55
CDM,45000708,"HC ED ONLY - ULTRASOUND,PREGNANT UTERUS,LIM",765.0,459.0,81.2,7411.0,55
CDM,45000709,"HC ED ONLY - ULTRASOUND,PREGNANT UTERUS - TRA",848.33,509.0,92.89,7411.0,55
CDM,45000710,"HC ED ONLY - ULTRASOUND, TRANSVAGINAL",1072.02,643.21,99.77,7411.0,55
CDM,45000711,HC ED ONLY - US PELVIC LIMITED,933.75,560.25,50.79,7411.0,55
CDM,45000713,HC ED ONLY - ULTRASOUND VACCULAR ACCESS GUIDE,1053.25,631.95,39.64,7411.0,39
CDM,45000714,"HC ED ONLY - NEEDLE BIOPSY, ULTRA.GUIDE",1515.29,909.17,50.46,7411.0,39
CDM,45000717,"HC ANGIOGRAPHY,SPINAL,SEL.RAD SUPER/INTERP",6824.33,4094.6,250.94,19395.92,55
CDM,45000728,HC ED ONLY NASAL/SINUS DX MAXILLARY SINUSOCOPY,760.76,456.46,155.59,7411.0,55
CDM,45000729,HC ED ONLY RADIUS DISTAL & ULNA EPIPHYSEAL ARREST,5163.58,3098.15,1088.27,8018.48,55
CDM,45000730,HC ED ONLY METATARSAL RADICAL RESECTION,5163.58,3098.15,1088.27,8018.48,55
CDM,45000731,"HC ED ONLY URETHROPLASTY/2ND STAGE HYPOSPAD,REPAIR",5761.0,3456.6,1142.9,8636.11,55
CDM,45000732,HC ED ONLY LAMINECTOMY/SACRAL/CORD DECOMPRESS 1-2 SEG,11218.62,6731.17,1907.17,17722.46,55
CDM,45000733,"HC ED ONLY TMJ,MENISECTOMY,PARTIAL/COMPLETE",8708.3,5224.98,1954.22,14507.25,55
CDM,45000734,HC IMMUNIZATION ADMINISTRATION EACH ADDL,89.04,53.42,15.14,7411.0,39
CDM,45000735,"HC DRAIN/INJECT SMALL JOINT/BURSA, W US GUID",1345.94,807.56,39.86,7411.0,55
CDM,45000736,"HC DRAIN/INJECT INTERMEDIATE JOINT/BURSA, W US GUID",1845.32,1107.19,42.36,7411.0,55
CDM,45000737,"HC DRAIN/INJECT LARGE JOINT/BURSA, W US GUID",1872.6,1123.56,47.34,7411.0,55
CDM,45000738,"HC THORACOTOMY,MAJOR,EXPLOR/BIOPSY",3408.62,2045.17,579.47,7411.0,39
CDM,45000739,HC CORPORA CAVER-SPONGIOSA SHUNT,7228.99,4337.39,1228.93,7411.0,39
CDM,45000740,HC REMOVE IMPACTED EAR WAX UNI,358.89,215.33,56.3,7411.0,55
CDM,45000741,HC REPAIR HEART WOUND,19945.95,11967.57,3390.81,16954.06,39
CDM,45000742,"HC LARYNGOSCOPY, FLEX SCOPE, REMV F.B.",1333.44,800.06,155.59,7411.0,55
CDM,45000756,HC LVL 1 HOSP-TRAUMA ACT LVL 1 W/O PRE-NOTIFICATION,14448.53,8669.12,2456.25,12281.25,39
CDM,45000757,HC LVL 1 HOSP-TRAUMA ACT LVL 2 W/O PRE-NOTIFICATION,11449.77,6869.86,1946.46,9732.3,39
CDM,45000758,HC ED SANE EXAM,350.0,210.0,59.5,7411.0,39
CDM,45000759,HC LVL 2 HOSP-TRAUMA ACT LVL 1 W/O PRE-NOTIFICATION,11558.83,6935.3,1965.0,9825.01,39
CDM,45000760,HC LVL 2 HOSP-TRAUMA ACT LVL 2 W/O PRE-NOTIFICATION,9159.81,5495.89,1557.17,7785.84,39
CDM,45000761,HC LVL 3 HOSP-TRAUMA ACT LVL 1 W/O PRE-NOTIFICATION,9247.06,5548.24,1572.0,7860.0,39
CDM,45000762,HC LVL 3 HOSP-TRAUMA ACT LVL 2 W/O PRE-NOTIFICATION,7327.85,4396.71,1245.73,7411.0,39
CDM,45000763,HC LVL 4 HOSP-TRAUMA ACT FULL W/O PRE-NOTIFICATION,1277.26,766.36,217.13,7411.0,39
CDM,45000764,HC LVL 4 HOSP-TRAUMA ACT PARTIAL W/O PRE-NOTIFICATION,1064.57,638.74,180.98,7411.0,39
CDM,45000776,"HC REMOVE/REPLACE GTUBE, PERC,  NO REVISION TO GASTRONOMY TRACT",1375.24,825.14,110.15,7411.0,55
CDM,45000777,"HC REMOVE/REPLACE GTUBE, PERC,  REVISION TO GASTRONOMY TRACT",1043.22,625.93,110.15,7411.0,55
CDM,45000778,HC LVL 1 HOSP-TRAUMA ACT CONSULT/EVAL W/O PRE-NOTIFICATION,8511.58,5106.95,1446.97,7411.0,39
CDM,45000779,HC LVL 3 HOSP-TRAUMA ACT CONSULT/EVAL W/O PRE-NOTIFICATION,5447.41,3268.45,926.06,7411.0,39
CDM,45000780,HC LVL 2 HOSP-TRAUMA ACT CONSULT/EVAL W/O PRE-NOTIFICATION,6809.26,4085.56,1157.57,7411.0,39
CDM,45000781,HC POST VOID RESIDUAL BLADDER SCAN,321.05,192.63,54.58,7411.0,55
CDM,45000782,"HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,EACH ADD 20 SQ CM",1524.6,914.76,259.18,7411.0,34
CDM,45000783,"HC NBLOCK INJ, SUPRASCA",2310.0,1386.0,38.76,7411.0,55
CDM,45000784,HC TREAT TOE DISLOCATION REQ ANESTH,3106.51,1863.91,99.86,7411.0,55
CDM,45000785,"HC ARTERIAL PUNCTURE, WITHDRAWL OF BLOOD",212.5,127.5,36.12,7411.0,55
CDM,45000786,"HC BLOCK INJ FEM,CONT",2627.8,1576.68,443.63,7411.0,55
CDM,45000787,HC INJ TENDON ORIGIN,718.45,431.07,24.36,7411.0,55
CDM,45000788,HC INCISE RECTAL ABSCES,8598.6,5159.16,939.93,7411.0,55
CDM,45000789,HC SKIN FULL GRAFT EEN,6456.12,3873.67,709.01,7411.0,55
CDM,45000790,HC DIAGNOSTIC LARYNGOSCOPY - W STROBOSCOPY,1142.39,685.43,104.65,7411.0,55
CDM,45000791,HC PERICARDIAL DRAINAGE W/INSERTION OF INDWELLING CATHETER,5379.32,3227.59,914.48,17181.0,39
CDM,45000792,HC PERICARDIOCENTESIS W/IMG GUIDANCE,5269.82,3161.89,446.27,7411.0,55
CDM,45000793,HC PERICARDIAL DRAINAGE 6YR+ W/O COGENIAL CARDIAC ANOMALY,5269.82,3161.89,895.87,17181.0,39
CDM,45000794,"HC PERICARDIAL DRAINAGE, UNDER 6YRS, W/COGENIAL CARDIAC ANOMALY",2949.74,1769.84,501.46,17181.0,39
CDM,45000795,HC TREAT FRACTURE RADIUS,3081.67,1849.0,593.04,7411.0,55
CDM,45000796,HC VISUALIZATION WINDPIPE,3210.7,1926.42,187.22,7411.0,55
CDM,45000797,HC CESAREAN DELIVERY ONLY,9708.18,5824.91,1650.39,8251.95,39
CDM,45000798,HC TREAT CLAVICLE DISLOCATION;W/O MANIP,2876.17,1725.7,593.04,7411.0,55
CDM,45000801,HC REDUCE TESTIS TORSIO,8965.07,5379.04,1142.9,8636.11,55
CDM,45000802,HC EPISIOTOMY VAG REPR,6297.62,3778.57,1070.6,7744.8,55
CDM,45000803,"HC NERVE BLOCK, LUMBAR/THORA",3465.35,2079.21,340.77,7411.0,55
CDM,45000804,HC OB EMERGENCY CARE LEVEL I,478.23,286.94,80.47,7411.0,49
CDM,45000805,HC OB EMERGENCY CARE LEVEL II,782.31,469.39,132.99,7411.0,49
CDM,45000806,HC OB EMERGENCY CARE LEVEL III,1283.4,770.04,218.18,7411.0,49
CDM,45000807,HC OB EMERGENCY CARE LEVEL IV,2122.8,1273.68,360.88,7411.0,49
CDM,45000808,HC OB EMERGENCY CARE LEVEL V,3879.67,2327.8,568.33,7411.0,49
CDM,45000809,HC TREAT WRIST DISLOCATION,1502.69,901.61,85.32,7411.0,55
CDM,45000811,HC TREAT OPEN FINGER DISLOCATION,5793.69,3476.21,1088.27,8018.48,55
CDM,45000813,HC THROMBOLYTIC TREATMENT STR,1699.57,1019.74,288.93,7411.0,55
CDM,45000814,HC VBAC DELIVERY ONLY,6950.12,4170.07,1181.52,7744.8,55
CDM,45000815,HC ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD,598.07,358.84,101.67,7411.0,55
CDM,45000816,HC INSERT PICC CATH >5YO W/ IMAGE,4987.44,2992.46,446.27,7411.0,55
CDM,45000818,HC CLOSED RX PROX TIB/FIB DISLOC,800.0,480.0,85.32,7411.0,55
CDM,45000819,HC TREAT SESAMOID BONE,409.68,245.81,69.65,7411.0,55
CDM,45000821,HC TREAT CARPAL SCAPHOID FX,905.39,543.23,85.32,7411.0,55
CDM,45000822,HC TREAT KNEE FRACTURE,2160.0,1296.0,85.32,7411.0,55
CDM,45000823,HC CLEAR OUTER EAR CANA,3817.04,2290.22,486.45,7411.0,55
CDM,45000824,HC PUNCH BX SKIN SINGLE LESION,841.97,505.18,79.46,7411.0,55
CDM,45000825,HC PUNCH BX SKIN EA SEP/ADDL,378.55,227.13,64.35,7411.0,34
CDM,45000826,HC TREATMENT DISTAL FIBULAR FX,1021.89,613.13,85.32,7411.0,55
CDM,45000827,"HC REMOVAL,FB MOUTH",2926.0,1755.6,150.61,7411.0,55
CDM,45000828,HC TREAT FOOT DISLOCATI,409.68,245.81,85.32,7411.0,55
CDM,45000829,HC TREAT HUMERAL SHAFT FRACTURE,776.83,466.1,85.32,7411.0,55
CDM,45000830,HC CLOSED RX TARSAL DISLOCATION,726.0,435.6,85.32,7411.0,55
CDM,45000831,HC EXC FACE-MM B9+MARG - 2.1 - 3.0 CM,3435.32,2061.19,114.34,7411.0,55
CDM,45000832,"HC NBLOCK INJ, PARACERV",1121.4,672.84,43.19,7411.0,55
CDM,45000833,HC TREATMENT TRIMALLEOLAR ANKLE FX,1188.72,713.23,85.32,7411.0,55
CDM,45000834,HC DILATION OF CERVICAL CANAL,7859.45,4715.67,39.86,7744.8,55
CDM,45000835,HC DEBRIDE SUBCUT TISSUE/MUSCLE - EA ADD 20 SQ CM,1545.61,927.37,262.75,7411.0,34
CDM,45000836,HC DRAIN ABSCESS URETHR,3612.26,2167.36,614.08,7411.0,55
CDM,45000837,HC DRAIN NECK/CHEST LES,4545.12,2727.07,815.2,7411.0,55
CDM,45000838,HC TREAT HUMERUS FRACTURE,812.46,487.48,85.32,7411.0,55
CDM,45000839,"HC CLOSED TREATMENT OF PELIVC RING FRACTURE, W/OUT MANIP",403.14,241.88,85.32,7411.0,55
CDM,45000840,HC TREAT BIG TOE FRACTU,5796.86,3478.12,1088.27,8018.48,55
CDM,45000841,HC INJ FOR BLADDER XRAY,1008.37,605.02,171.42,7411.0,34
CDM,45000842,HC CYSTOSCOPY&TREATMENT - W STENT INSERT,1008.37,605.02,171.42,7411.0,34
CDM,45000843,"HC DILATE URETHRA STRIC - MALE,SOUND, INITIAL",857.98,514.79,34.88,7411.0,55
CDM,45000844,HC DILATE URETHRA STRIC,6241.78,3745.07,1142.9,8636.11,55
CDM,45000845,HC DILATE URETHRA STRIC,2311.48,1386.89,92.46,7411.0,55
CDM,45000846,HC PENILE INJECTION,889.87,533.92,35.16,7411.0,55
CDM,45000847,HC REVISION OF PENIS,6241.78,3745.07,1142.9,8636.11,55
CDM,45000848,HC DESTROY VAG LESIONS,5840.0,3504.0,98.83,7744.8,55
CDM,45000849,HC NASAL/SINUS ENDOSCOP - SURGICAL W HEMORRHAGE CNTRL,4787.65,2872.59,525.71,7411.0,55
CDM,45000850,HC DIAGNOSTIC LARYNGOSCOPY W/OP,3113.1,1867.86,525.71,7411.0,55
CDM,45000851,"HC DEBRIDE NAIL, 1-5",311.47,186.88,52.95,7411.0,55
CDM,45000852,HC REMOVAL OF BREAST LE,8201.62,4920.97,963.66,9442.65,55
CDM,45000853,HC REPAIR SHOULDER CAPS,13450.5,8070.3,3391.14,17722.46,55
CDM,45000856,HC TREAT FOOT DISLOCATI,6414.49,3848.69,1088.27,8018.48,55
CDM,45000858,"HC NBLOCK INJECTION FEMORAL, SINGLE",4363.94,2618.36,39.86,7411.0,55
CDM,45000859,HC THER INJ.CARP TUNNEL,702.21,421.33,36.54,7411.0,55
CDM,45000860,HC INSERT HEART ELECTRO,15896.5,9537.9,5113.52,21045.99,55
CDM,45000861,HC IR CATH RENAL COMP 1ST ORD RT,8132.73,4879.64,1382.56,7896.23,55
CDM,45000862,HC INSERT TUNNELED DEVICE - AGE 5 YRS AND OLDER,9117.57,5470.54,1118.22,7896.23,55
CDM,45000863,"HC REPLACE TUNNELED CV, COMPLETE",7368.3,4420.98,1477.77,7896.23,55
CDM,45000864,HC DRAIN MOUTH LESION,3825.66,2295.4,886.62,7975.81,55
CDM,45000865,HC INJECTION FOR TUBE CHECK,1045.04,627.02,177.66,7411.0,55
CDM,45000866,"HC RPR UMBIL HERN, REDU",9876.59,5925.95,1679.02,8395.1,39
CDM,45000867,HC REVISION OF PENIS,6741.12,4044.67,1142.9,8636.11,55
CDM,45000868,HC BIOPSY OF CERVIX,2114.23,1268.54,91.36,7411.0,55
CDM,45000870,"HC NBLOCK, SPENOPALATIN",1271.52,762.91,70.6,7411.0,55
CDM,45000871,HC CARDIOVERSION INTERNAL,3032.96,1819.78,515.6,7411.0,55
CDM,45000872,HC THERAPEUTIC PNEUMOTHORAX,1353.04,811.82,230.02,7411.0,55
CDM,45000873,HC REPAIR CV ACCESS CATH,2048.74,1229.24,223.75,7411.0,55
CDM,45000874,HC CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ,3277.16,1966.3,557.12,7411.0,54
CDM,45000875,HC DRAIN MOUTH LESION,5036.04,3021.62,420.64,7411.0,55
CDM,45000876,HC ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE,4312.6,2587.56,733.14,7411.0,39
CDM,45000877,"HC DRAINAGE OF HYDROCEL, TUNICA",1220.02,732.01,54.26,7411.0,55
CDM,45000878,HC REMOVAL OF SUTURES OR STAPLES NOT REQUIRING ANESTHESIA (LIST SEPARATELY IN ADDITION TO E/M CODE),1449.5,869.7,246.41,7411.0,39
CDM,45000879,HC REMOVAL OF SUTURES AND STAPLES NOT REQUIRING ANESTHESIA (LIST SEPARATELY IN ADDITION TO E/M CODE),1630.69,978.41,277.22,7411.0,39
CDM,45000880,HC REMOVE DRUG IMPLANT,452.47,271.48,54.42,7411.0,55
CDM,45000881,"HC INTRACRANIAL PRESS, MONITORING",3185.84,1911.5,541.59,7411.0,39
CDM,45000882,HC ERECTOR SPINAE PLANE (ESP) BLOCK,1547.01,928.21,292.93,7411.0,53
CDM,45000883,"HC TREATMENT,OSTEOPATH MANIP,1-2",170.1,102.06,20.61,7411.0,55
CDM,45000884,"HC PARTIAL REMOVAL,FING",3958.11,2374.87,593.04,7411.0,55
CDM,45000885,HC APPLY FINGER SPLINT - DYNAMIC,332.68,199.61,56.3,7411.0,55
CDM,45000886,HC LIGATION OF A-V FIST,10608.57,6365.14,1118.22,7956.43,55
CDM,45000887,"HC NBLOCK INJ, CELIAC",3692.62,2215.57,340.77,7411.0,55
CDM,45000889,HC DRAIN MOUTH LESION,973.04,583.82,187.22,7411.0,55
CDM,45000890,HC INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS,642.15,385.29,90.72,7411.0,55
CDM,45000891,HC DRAIN SALIVARY GLAND,5189.52,3113.71,420.64,7411.0,55
CDM,45000892,HC INJECTION SCLEROSING SOLUTION HEMORRHOIDS,4877.0,2926.2,210.13,7411.0,55
CDM,45000893,HC REPAIR PALATE,1009.58,605.75,187.22,7411.0,55
CDM,45000894,HC DRAIN MOUTH LESION - COMPLICATED,4021.0,2412.6,886.62,7975.81,55
CDM,45000895,HC REMOVAL OF ARM FOREI,3764.62,2258.77,123.47,7411.0,55
CDM,45000896,HC TREAT LOWER JAW FRACTURE,9679.15,5807.49,1954.22,14507.25,55
CDM,45000897,HC EXC HIP/PELVIS LES S,8733.0,5239.8,815.2,7411.0,55
CDM,45000898,HC SKIN TISSUE REARRANG - 30.1 - 60.0 SQ CM,9897.0,5938.2,1457.62,8887.48,55
CDM,45000899,HC SKIN TISSUE REARRANG - EA ADDL 30 SQ CM,5183.5,3110.1,881.2,7411.0,34
CDM,45000904,HC TREAT WRIST DISLOCAT,891.65,534.99,85.32,7411.0,55
CDM,45000905,HC INJECTION EYE DRUG,1375.17,825.1,48.45,7411.0,55
CDM,45000906,"HC INJ PROC, ANTEGRADE NEPHROSTOGRAM/URETEROGRAM, EXISTING ACCESS",2615.39,1569.23,444.62,7411.0,55
CDM,45000907,HC TANGNTL BX SKIN SINGLE LES,448.37,269.02,64.23,7411.0,55
CDM,45000908,"HC MANUAL THERAPY, 15 MIN",227.55,136.53,38.68,7411.0,40
CDM,45000909,HC RMVL SUBQ CAR RHYTHM MNTR,4602.91,2761.75,257.6,7411.0,55
CDM,45000910,HC EXCHANGE OF TRACHEAL TUBE,901.11,540.67,190.49,7411.0,53
CDM,45000912,HC BX OF THROAT,2830.32,1698.19,85.54,7411.0,55
CDM,45000914,HC BILATERAL INTRATHORACIC LAVAGE,2832.25,1699.35,598.65,7411.0,53
CDM,45000915,HC TREATMENT FOOT INFEC,6342.0,3805.2,1088.27,8018.48,55
CDM,45000916,HC EXC H-F-NK-SP B9+MAR - 1.1 - 2.0 CM,2771.94,1663.16,95.79,7411.0,55
CDM,45000917,HC SALIVARY SURG PROC,443.7,266.22,110.92,7411.0,53
CDM,45000919,"HC NBLOCK, STELLATE GAN",2543.49,1526.09,340.77,7411.0,55
CDM,45000920,HC FNA BX W/US GDN 1ST LES,2544.95,1526.97,257.6,7411.0,55
CDM,45000921,HC REPAIR OF EYE WOUND - CONJUCTIVA,3308.74,1985.24,698.3,7411.0,55
CDM,45000922,HC THORACIC FASCIAL PLANE BLOCK UNI INJECTION W/ IM GUID,2714.24,1628.54,461.42,7411.0,39
CDM,45000923,"HC NBLOCK INJ, PUDENDAL",1805.09,1083.05,340.77,7411.0,55
CDM,45000924,HC TREAT THIGH FX GROWT,3230.64,1938.38,593.04,7411.0,55
CDM,45000925,HC BX UTERUS LINING,613.68,368.21,45.96,7411.0,55
CDM,45000926,HC TREAT LOWER JAW FRAC,6413.0,3847.8,420.64,7411.0,55
CDM,45000928,HC INSERT PLEURAL CATH,7541.1,4524.66,1551.5,8570.48,55
CDM,45000929,HC EXPLORE/TREAT FINGER,3246.0,1947.6,593.04,7411.0,55
CDM,45000931,HC EXCHANGE NEPHROSTOMY CATHETER,4380.22,2628.13,652.8,7411.0,55
CDM,45000932,HC IRIDOTOMY/IRRIDECTOMY LASER,2870.42,1722.25,153.38,7411.0,55
CDM,45000933,"HC EXTERNAL VENTRICULOSTOMY, BURR HOLE",9453.26,5671.96,1607.05,8035.27,39
CDM,45000934,HC DRAIN MOUTH LESION,11303.16,6781.9,1804.0,14507.25,55
CDM,45000935,HC CERVICAL MASS MANUAL REMOVAL,2114.23,1268.54,192.94,7411.0,53
CDM,45000936,HC LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION W/ IM GUID,1324.5,794.7,225.16,7411.0,39
CDM,45000937,HC LIGATION NECK ARTERY,6014.0,3608.4,1022.38,7896.23,55
CDM,45000938,"HC BIOPSY OF BREAST, OP",7316.68,4390.01,963.66,9442.65,55
CDM,45000939,HC TAP BLOCK UNILATERAL INJECT,2714.24,1628.54,41.42,7411.0,34
CDM,45000940,"HC BONE BIOPSY,EXCISIO",7042.0,4225.2,815.2,7411.0,55
CDM,45000941,"HC BONE BIOPSY, TROCAR/ SUPERFICIAL",3098.66,1859.2,486.45,7411.0,55
CDM,45000942,"HC IR INJ FOR CHOLANGIOGRAM, INCL IMAG GUIDANCE AND S&I, EXISTING ACCESS",4029.38,2417.63,684.99,8570.48,55
CDM,45000943,HC TANGNTL BX SKIN EA SEP/ADDL,393.56,236.14,66.91,7411.0,34
CDM,45000945,HC ANOSCOPY W/ FOREIGN BODY REMOVAL,3370.23,2022.14,328.5,7411.0,55
CDM,45000946,HC INCISIONAL BX OF UMBILICAL MASS,1076.11,645.67,269.03,7411.0,53
CDM,45000947,HC PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX,2750.5,1650.3,82.5,7411.0,55
CDM,45000948,HC TREAT CLAVICLE DISLOCATION - W/MANIP,1375.95,825.57,85.32,7411.0,55
CDM,46000001,HC PULMONARY FUNCTION BASIC,676.12,405.67,114.94,7411.0,55
CDM,46000002,"HC BRONCHOSPASM RESPONSVNSS,SPIROM",1047.51,628.51,144.93,7411.0,55
CDM,46000003,HC BRONCHOSPSM PROVN EVALUATE W/MLT S,1632.25,979.35,96.24,7411.0,55
CDM,46000004,"HC VITAL CAPACITY, TOTAL",334.99,200.99,56.95,7411.0,55
CDM,46000005,HC FLOW VOLUME LOOP,587.16,352.3,99.82,7411.0,55
CDM,46000006,"HC HAST, W/SUPLMNT OXYGEN TITRATION",763.61,458.17,126.97,7411.0,55
CDM,46000007,"HC INTRAPULMONRY SURFACTNT ADMN,TRACH TB",368.0,220.8,62.56,7411.0,55
CDM,46000008,"HC PULMONARY STRESS TEST,COMPLEX",2532.86,1519.72,285.45,7411.0,55
CDM,46000009,HC CONT INHALTN  W/AEROSOL MED - 1ST HR,581.88,349.13,98.92,7411.0,55
CDM,46000011,HC EXPIRE GAS ANALY REST IND,498.6,299.16,56.3,7411.0,55
CDM,46000012,"HC PLETHYSMOGRAPHY,AIRWAY RESIST",753.16,451.9,128.04,7411.0,55
CDM,46000013,HC DIFFUSION CAPACITY,658.95,395.37,112.02,7411.0,39
CDM,46000014,HC TRANSCUTANEOUS OXIMETRY/SINGLE,186.75,112.05,7.74,7411.0,39
CDM,46000015,HC TRANSCUTANEOUS OX MULTI DETERMINAT,323.88,194.33,13.26,7411.0,39
CDM,46000016,HC PULSE OX OVERNIGHT MONITO,657.92,394.75,111.85,7411.0,55
CDM,46000018,HC NITRIC OXIDE EXPIRED GAS DETER,255.84,153.5,35.64,7411.0,55
CDM,46000025,HC PULMONARY UNLISTED PROCEDURE,539.5,323.7,91.72,7411.0,55
CDM,46000026,HC MAX.VOL.VENTILATION-MVV,358.24,214.94,56.3,7411.0,55
CDM,46000027,"HC OXYGEN UPTAKE,W/CO2 OUTPUT, %O",806.1,483.66,137.04,7411.0,55
CDM,46000028,HC HIGH ALTITUDE SIMULATION TST W,949.53,569.72,126.97,7411.0,55
CDM,46000029,HC GAS DILUTION OR WASHOUT,593.43,356.06,100.88,7411.0,55
CDM,46000030,HC AIRWAY RESISTANCE BY IMPULSE 0,726.9,436.14,122.8,7411.0,55
CDM,46000031,HC NONPRESSURIZED INHALATION TRTMNT FOR ACUTE,339.15,203.49,57.66,7411.0,55
CDM,46000033,HC PULMONARY STRESS TESTING,605.2,363.12,102.88,7411.0,55
CDM,46000034,"HC EXERCISE TEST FOR BRONCHOSPASM, W/SPIROMETRY/PULSE OX",781.92,469.15,126.97,7411.0,55
CDM,46000037,HC EXPIRED GAS ANALYSIS,331.75,199.05,56.4,7411.0,39
CDM,46000038,HC RESP TO HYPOXIA,282.05,169.23,47.95,7411.0,55
CDM,46000039,HC PULMONARY COMPLIANCE STUDY,384.54,230.72,65.37,7411.0,39
CDM,46000040,HC PULSE OXIMETRY TEST-CCHD SCREENING,186.75,112.05,7.74,7411.0,39
CDM,46000041,HC MAX INSPIR/EXPIRE PRESSURES,259.79,155.87,44.16,7411.0,55
CDM,46000044,HC END TIDAL CO2 MNTRNG (CRBN DXDE EXP GAS DTRMNTN BY INFRARED ANALYZER),583.05,349.83,99.12,7411.0,55
CDM,47100009,HC AUDIO SCREEN TEST,136.73,82.04,23.24,7411.0,39
CDM,47100026,HC AUDITORY STEADY STATE RESPONSE (ABR),489.53,293.72,83.22,7411.0,39
CDM,47100027,HC EVOKED AUDITORY TEST LIMITED,390.54,234.32,11.05,7411.0,55
CDM,47100028,HC EVOKED AUDITORY TEST COMP (OAE),624.37,374.62,14.4,7411.0,55
CDM,47100038,HC NASOPHARYNGOSCOPY TECH/NURSE,586.12,351.67,99.64,7411.0,55
CDM,47100057,HC AEP SCR AUDITORY POTENTIAL,599.53,359.72,74.74,7411.0,39
CDM,47100058,HC AEP HEARING STATUS DETER I&R,489.53,293.72,83.22,7411.0,55
CDM,47100059,HC AEP THRSHLD EST MLT FREQ I&R,1184.22,710.53,201.32,7411.0,55
CDM,47100060,HC AEP NEURODIAGNOSTIC I&R,1184.22,710.53,201.32,7411.0,55
CDM,47100061,HC EVAL AND/OR PROGRAM OF BAHA HEARING IMPLANT,573.07,343.84,27.61,7411.0,55
CDM,47100062,HC EVAL AND/OR PROGRAM OF BAHA HEARING IMPLANT,573.07,343.84,27.61,7411.0,55
CDM,48000001,HC INSERTION PULSE GEN - SINGEL LEAD,17812.91,10687.75,2763.0,21045.99,55
CDM,48000002,HC INSERTION PULSE GEN - DUAL LEADS,19894.6,11936.76,2763.0,26452.82,55
CDM,48000003,HC REPOS PACING-LEAD,9511.19,5706.71,1118.22,7896.23,55
CDM,48000004,HC INSERT LEAD PACE-DEFI - SINGLE,17999.25,10799.55,4538.3,21045.99,55
CDM,48000005,HC INSERT LEAD PACE-DEFI - 2 ELECTRODES,19315.96,11589.58,5845.58,21045.99,55
CDM,48000006,HC REPAIR LEAD PACE-DEF,6421.81,3853.09,1904.58,9728.21,55
CDM,48000007,"HC REVISE POCKET, PACEMAKER",6691.74,4015.04,709.01,7411.0,55
CDM,48000008,"HC REVISE POCKET,PACING",7643.76,4586.26,709.01,7411.0,55
CDM,48000009,HC INSERT PACING LEAD,34227.6,20536.56,6252.51,26452.82,55
CDM,48000010,HC LVENTRIC PACING LEAD,30799.72,18479.83,5235.95,26179.76,34
CDM,48000011,HC REMOVE&REPLACE PM G,30368.24,18220.94,5259.03,22776.18,55
CDM,48000012,HC REMOVE&REPLACE PM GEN D,31179.6,18707.76,6289.66,26452.82,55
CDM,48000013,HC REMOVE&REPLACE PM GEN M,33039.51,19823.71,6299.0,48269.91,55
CDM,48000014,HC REMOVE PACEMAKER,11714.19,7028.51,2416.0,21045.99,55
CDM,48000015,HC REMOVE PACEMAKER ELE,9435.8,5661.48,1870.58,9728.21,55
CDM,48000016,HC HEART/LUNG RESUSCITATION CPR,2015.07,1209.04,206.06,7411.0,55
CDM,48000017,HC TEMPORARY PACING,1837.83,1102.7,312.43,7411.0,55
CDM,48000018,HC CARDIOVERSION EXTERNAL,3281.49,1968.89,557.85,7411.0,55
CDM,48000019,HC CARDIOVERSION INTERNAL,3032.96,1819.78,515.6,7411.0,55
CDM,48000020,HC CRNRY VSL IMAG (IVUS/OCT) DURING DX/THERAP 1ST VSL,8886.78,5332.07,308.69,7553.76,39
CDM,48000021,HC CRNRY VSL IMAG (IVUS/OCT) DURING DX/THERAP EA ADDL VSL,6232.5,3739.5,245.63,7411.0,39
CDM,48000022,HC PROGRAM DVCE EVAL - DUAL LEAD PACEMAKER,420.12,252.07,35.62,7411.0,55
CDM,48000023,HC PROGRAM DVCE EVAL - MLTPLE LEAD PACEMAKER,376.0,225.6,35.62,7411.0,55
CDM,48000024,HC PROGRAM DVCE EVAL - SNGLE LEAD CARD-DEFB,336.89,202.13,35.62,7411.0,55
CDM,48000025,HC PROGRAM DVCE EVAL - DUAL LEAD CARD TECH/NRS,364.65,218.79,35.62,7411.0,55
CDM,48000026,HC PROGRAM DVCE EVAL - MLTPLE LEAD CARD-DEFB,412.77,247.66,35.62,7411.0,55
CDM,48000027,HC PROGRAM DVCE EVAL - IMPL LOOP RECORDER,300.55,180.33,35.62,7411.0,55
CDM,48000028,HC PERI-PROC DVCE EVALUATE - PACEMAKER,438.55,263.13,61.95,7411.0,39
CDM,48000029,HC PERI-PROC DVCE EVALUATE - CARDIO-DEF,508.19,304.91,61.95,7411.0,39
CDM,48000030,HC INTERROGATE DVCE EVALUATE - LEAD PAC,387.66,232.6,35.62,7411.0,55
CDM,48000031,HC INTERROGATE DVCE EVALUATE - CARDIO-D,413.22,247.93,35.62,7411.0,55
CDM,48000032,HC INTERROGATE DVCE EVALUATE - CARDIOVA,270.09,162.05,35.62,7411.0,55
CDM,48000033,HC INTERROGATE DVCE EVALUATE - IMPL LOO,363.23,217.94,27.61,7411.0,55
CDM,48000034,HC INTERROGATE DVCE EVALUATE - UP TO 90 - ICD,213.0,127.8,36.21,7411.0,39
CDM,48000035,HC INTERROGATE DVCE EVALUATE - UP TO 90 - SYSTEM,318.89,191.33,35.62,7411.0,55
CDM,48000036,HC INTERROGATE DVCE EVALUATE - UP TO 30,393.97,236.38,66.97,7411.0,39
CDM,48000040,HC RECORDING HIS BUNDLE,9262.97,5557.78,1574.7,38139.4,55
CDM,48000041,HC RECORDING INTRA ATRIAL,8753.83,5252.3,1488.15,38139.4,55
CDM,48000042,HC RECORDING RT VENTRICULAR,2447.45,1468.47,416.07,7411.0,55
CDM,48000043,HC MAPPING INTRA VENT/ATRIAL,12668.01,7600.81,896.19,10767.81,39
CDM,48000044,HC PACING INTER-ATRIAL,4337.1,2602.26,737.31,38139.4,55
CDM,48000045,HC PACING INTRA-VENTRICULAR,9961.28,5976.77,1693.42,38139.4,55
CDM,48000046,HC MAPPING 3D,13801.41,8280.85,954.83,11731.2,39
CDM,48000047,HC PROGRAM ELECTRICAL STIMULUS,10124.12,6074.47,1161.94,7593.09,55
CDM,48000048,HC COMP EPS W/O ATTEMPT INDUCTION,17963.98,10778.39,3053.88,38139.4,55
CDM,48000049,HC COMP EPS W/ATTEMPT INDUCTION,23133.26,13879.96,3932.65,38139.4,55
CDM,48000050,HC CS OR LA RECORDINGS,14342.85,8605.71,375.06,12191.42,39
CDM,48000051,HC COMP EPS LV PACE W/INDUCT,16556.79,9934.07,555.42,14073.27,39
CDM,48000052,HC PROGRAMMED STIM AFTER DRUGINFU,10781.45,6468.87,510.05,9164.23,39
CDM,48000053,"HC EP STUDY,PACING/RECORDING",14600.78,8760.47,2482.13,38139.4,55
CDM,48000054,"HC MAPPING,PACING - INTRA-OP EPICAR",9840.0,5904.0,1271.26,8364.0,39
CDM,48000055,"HC EP EVAL,CARDIO-DEFIB AT IMPLNT/",5781.83,3469.1,575.32,7411.0,39
CDM,48000056,HC EP EVAL - W/TEST OF CARDI PULSE,6210.65,3726.39,1006.84,7411.0,39
CDM,48000057,"HC EP EVAL,SING/DUAL CARDIO-DEFIB",6406.45,3843.87,1089.1,7411.0,55
CDM,48000058,HC ABLATION AV NODE/CONDUCTION,21907.84,13144.7,3724.33,38139.4,55
CDM,48000061,HC CARDIOVASC FUNC EVAL/W/TILT TBLE/ECG MON,3875.27,2325.16,203.57,7411.0,55
CDM,48000062,HC INTRACARDIAC ECHO DUR THER/DIA,8868.3,5320.98,450.31,7538.06,39
CDM,48000063,"HC PACEMAKER ANALYSIS,ELEC.,ANTIT",1846.9,1108.14,104.01,7411.0,55
CDM,48000064,HC UPGRADE OF PACEMAKER,23234.45,13940.67,6299.0,26452.82,55
CDM,48000065,HC REPAIR LEAD PACE-DEF,11258.36,6755.02,1425.44,9728.21,55
CDM,48000067,HC INSERT PULSE GEN MULT,33144.02,19886.41,6299.0,48269.91,55
CDM,48000068,HC REPOS.L VENTRIC LEAD,10646.92,6388.15,1118.22,7985.19,55
CDM,48000070,"HC REMV TRANSVEN PACER ELECTRODE, 1 LEAD",11310.69,6786.41,1906.8,9728.21,55
CDM,48000071,"HC DISSOLVE CLOT,HEART",4340.79,2604.47,737.93,7411.0,39
CDM,48000072,"HC ECHO,TRANSESOPHAGEAL - PLACEMENT",988.45,593.07,11.03,7411.0,55
CDM,48000073,HC COMPREH ELECTROPH EVAL SOURCE OF ATRIAL R,87788.83,52673.3,6299.0,132420.55,55
CDM,48000074,HC COMPREH ELECTROPH EVAL WITH TREATMENT,77593.53,46556.12,6299.0,132420.55,55
CDM,48000075,HC COMPREH ELECTROPH EVAL WITH TRT ATRIAL FIB,60798.32,36478.99,6299.0,132420.55,55
CDM,48000076,HC PROGRAM DVCE EVAL - SNGLE LEAD PACEMAKER,324.0,194.4,35.62,7411.0,55
CDM,48000080,HC PLACE CATH VEIN,4677.07,2806.24,795.1,7411.0,34
CDM,48000081,"HC INTERROGATION VAD,IN",642.15,385.29,90.72,7411.0,55
CDM,48000082,HC INSERTION HEART PACE - ATRIAL (EP LAB),28728.35,17237.01,6235.66,26452.82,55
CDM,48000083,HC INSERTION HEART PACE - VENTRICULAR (EP LAB),26646.17,15987.7,6299.0,26452.82,55
CDM,48000084,HC INSERTION HEART PACE - ATRIAL AND VENTRICULAR (EP LAB),37795.82,22677.49,6299.0,28346.87,55
CDM,48000085,HC INSERTION HEART ELE (EP LAB),12922.92,7753.75,3320.59,21045.99,55
CDM,48000087,HC INSERTION PULSE GEN - DUAL LEADS (EP LAB),19894.6,11936.76,2763.0,26452.82,55
CDM,48000088,HC UPGRADE OF PACEMAKER (EP LAB),23234.45,13940.67,6299.0,26452.82,55
CDM,48000090,HC INSERT LEAD PACE-DEFI - SINGLE (EP LAB),17999.25,10799.55,4538.3,21045.99,55
CDM,48000094,HC INSERT PACING LEAD (EP LAB),34227.6,20536.56,6252.51,26452.82,55
CDM,48000095,HC LVENTRIC PACING LEAD (EP LAB),30799.72,18479.83,5235.95,26179.76,34
CDM,48000098,HC REMOVE&REPLACE PM GEN D (EP LAB),31179.6,18707.76,6289.66,26452.82,55
CDM,48000099,HC REMOVE&REPLACE PM GEN M (EP LAB),33039.51,19823.71,6299.0,48269.91,55
CDM,48000100,HC REMOVE PACEMAKER (EP LAB),11714.19,7028.51,2416.0,21045.99,55
CDM,48000101,HC REMOVE PACEMAKER (EP LAB),11310.69,6786.41,1906.8,9728.21,55
CDM,48000102,HC REMOVE PACEMAKER ELE (EP LAB),9435.8,5661.48,1870.58,9728.21,55
CDM,48000103,HC INSERT PULSE GENERATO (EP LAB),52770.05,31662.03,6299.0,58392.49,55
CDM,48000104,HC REMOVE PULSE GENERAT (EP LAB),9978.95,5987.37,1425.44,9728.21,55
CDM,48000105,"HC REMOVE ELTRD, TRANSV (EP LAB)",11635.24,6981.14,1977.99,9728.21,55
CDM,48000106,HC INSER/REPOS SINGLE (EP LAB),72208.16,43324.9,6299.0,81499.55,55
CDM,48000107,HC REMOVE&REPLACE CVD GEN S (EP LAB),63445.88,38067.53,6299.0,58392.49,55
CDM,48000108,HC REMOVE&REPLACE CVD GEN D (EP LAB),73210.62,43926.37,6299.0,58392.49,55
CDM,48000109,HC REMOVE&REPLACE CVD GEN M (EP LAB),73984.58,44390.75,6299.0,81499.55,55
CDM,48000115,HC HEART/LUNG RESUSCITATION CPR (EP LAB),2015.07,1209.04,206.06,7411.0,55
CDM,48000116,HC ELECTRICAL CONVERSION OF ARRHY (EP LAB),3281.49,1968.89,557.85,7411.0,55
CDM,48000117,HC BRACHYTHERAPY CATH PLACE (EP LAB),7882.19,4729.31,1339.97,7411.0,34
CDM,48000118,HC CORONARY THROMBOLYSIS (EP LAB),4340.79,2604.47,737.93,7411.0,39
CDM,48000119,"HC THROMBOLYSIS, COR, IV INFUS (EP LAB)",1722.81,1033.69,292.88,7411.0,40
CDM,48000122,HC RECORDING HIS BUNDLE (EP LAB),9262.97,5557.78,1574.7,38139.4,55
CDM,48000123,HC RECORDING INTRA ATRIAL (EP LAB),8753.83,5252.3,1488.15,38139.4,55
CDM,48000124,HC RECORDING RT VENTRICULAR (EP LAB),2447.45,1468.47,416.07,7411.0,55
CDM,48000125,HC MAPPING INTRA VENT/ATRIAL (EP LAB),12668.01,7600.81,896.19,10767.81,39
CDM,48000126,HC PACING INTER-ATRIAL (EP LAB),4337.1,2602.26,737.31,38139.4,55
CDM,48000127,HC PACING INTRA-VENTRICULAR (EP LAB),9961.28,5976.77,1693.42,38139.4,55
CDM,48000128,HC MAPPING 3D (EP LAB),13801.41,8280.85,954.83,11731.2,39
CDM,48000129,HC PROGRAM ELECTRICAL STIMULUS (EP LAB),10124.12,6074.47,1161.94,7593.09,55
CDM,48000130,HC COMP EPS W/O ATTEMPT INDUCTION (EP LAB),17963.98,10778.39,3053.88,38139.4,55
CDM,48000131,HC COMP EPS W/ATTEMPT INDUCTION (EP LAB),23133.26,13879.96,3932.65,38139.4,55
CDM,48000132,HC CS OR LA RECORDINGS (EP LAB),14342.85,8605.71,375.06,12191.42,39
CDM,48000133,HC COMP EPS LV PACE W/INDUCT (EP LAB),16556.79,9934.07,555.42,14073.27,39
CDM,48000134,HC PROGRAMMED STIM AFTER DRUGINFU (EP LAB),10781.45,6468.87,510.05,9164.23,39
CDM,48000135,"HC EP STUDY,PACING/RECORDING (EP LAB)",14600.78,8760.47,2482.13,38139.4,55
CDM,48000137,"HC EP EVAL,CARDIO-DEFIB AT IMPLNT/ (EP LAB)",5781.83,3469.1,575.32,7411.0,39
CDM,48000138,HC EP EVAL - W/TEST OF CARDI PULSE (EP LAB),6210.65,3726.39,1006.84,7411.0,39
CDM,48000139,"HC EP EVAL,SING/DUAL CARDIO-DEFIB (EP LAB)",6406.45,3843.87,1089.1,7411.0,55
CDM,48000140,HC ABLATION AV NODE/CONDUCTION (EP LAB),21907.84,13144.7,3724.33,38139.4,55
CDM,48000141,HC COMPREH ELECTROPH EVAL SOURCE OF ATRIAL R (EP LAB),87788.83,52673.3,6299.0,132420.55,55
CDM,48000142,HC COMPREH ELECTROPH EVAL WITH TREATMENT (EP LAB),77593.53,46556.12,6299.0,132420.55,55
CDM,48000143,HC COMPREH ELECTROPH EVAL WITH TRT ATRIAL FIB (EP LAB),60798.32,36478.99,6299.0,132420.55,55
CDM,48000144,HC CARDIOVASC FUNC EVAL/W/TILT TBLE/ECG MON (EP LAB),3875.27,2325.16,203.57,7411.0,55
CDM,48000145,HC INTRACARDIAC ECHO DUR THER/DIA (EP LAB),8868.3,5320.98,450.31,7538.06,39
CDM,48000147,HC ICAR CATHETER ABLATION ARRHYTHMIA ADD ON,20886.31,12531.79,1371.92,17753.36,39
CDM,48000148,HC ABLATE L/R ATRIAL FIBRIL W/ ISOLATED PULM VEIN,20340.64,12204.38,1369.71,17289.54,39
CDM,48000149,HC REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH,54267.42,32560.45,6299.0,46127.31,39
CDM,48000150,HC INS/REP SUBQ DEFIBRILLLATOR,93099.87,55859.92,6299.0,81499.55,55
CDM,48000151,HC PARAPROSTHETIC VALVE LEAK CLOSURE,28555.52,17133.31,122.8,21416.64,55
CDM,48000152,HC ECHO CONTRAST AGENT DURING STRESS ECHO,461.02,276.61,78.37,7411.0,39
CDM,48000153,"HC TRANSCATH MITRAL VALVE REPAIR, PERC APPROACH, INITIAL PROSTHESIS",45333.07,27199.84,6299.0,38533.11,39
CDM,48000154,"HC TRANSCATH MITRAL VALVE REPAIR, PERC APPROACH, ADDL PROSTHESIS",29949.24,17969.54,5091.37,25456.85,34
CDM,48000155,HC INTERROGATION EVAL F2F IMPLANT SUB LEAD DEFIB,259.21,155.53,35.62,7411.0,55
CDM,48000156,HC PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE,59677.5,35806.5,661.87,44758.12,55
CDM,48000157,HC PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE,54387.64,32632.58,801.09,43439.01,55
CDM,48000159,HC PERQ TRANSCATH CLOSURE PARAVALVULAR LEAK - EA ADDL OCCL DEV,29189.66,17513.8,4962.24,24811.21,34
CDM,48000160,"HC PERIPHERAL ARTERIAL DISEASE REHAB, PER SESSION",236.85,142.11,40.26,7411.0,55
CDM,48000168,HC SET UP CARDIOVERT DEFIBRILL,622.15,373.29,105.77,7411.0,55
CDM,48000173,HC COR FFR DATA PREP AND TRANSMIS,2378.19,1426.91,276.7,7411.0,39
CDM,48000174,HC COR FFR ALYS GNRJ FFR MDL,5939.69,3563.81,1009.75,7411.0,39
CDM,48000175,HC TCAT INSJ/RPL PERM LDLS PM,48879.6,29327.76,6299.0,48269.91,55
CDM,48000177,HC ENDOVASCULAR REPAIR ILIO-ILIAC ENDOGRAFT,14021.41,8412.85,2383.64,11918.2,39
CDM,48000178,"HC STANDALONE FRACTIONAL FLOW RESERVE, INITIAL VESSEL",4082.0,2449.2,122.8,7411.0,55
CDM,48000179,"HC STANDALONE FRACTIONAL FLOW RESERVE, EA ADDL VESSEL",2864.93,1718.96,122.8,7411.0,55
CDM,48000182,HC STANDALONE ICE,6508.57,3905.14,122.8,7411.0,55
CDM,48000183,HC INTERATRIAL SHUNT IDE,24790.0,14874.0,4214.3,45501.3,55
CDM,48000184,HC EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR,3115.22,1869.13,162.65,7411.0,39
CDM,48000185,HC THH ONLY - TRANSCATH CLOSURE DUCTUS ARTERIOSUS ADD ON,0.01,0.01,0.0017,56905.69,53
CDM,48000186,HC BASILICA,22232.4,13339.44,122.8,16674.3,53
CDM,48000187,HC THH ONLY - BASILICA ADD ON,0.01,0.01,0.0017,7411.0,53
CDM,48000188,HC TAVR W/ PROS VALVE TRANSCAROTID APPROACH,42565.82,25539.49,598.65,31924.37,51
CDM,48000189,"HC REVASC INTRAVASC LITHOTRIPSY-STENT-ATHER; LOWER EXTREM ART, EXCEPT TIBIAL/PERONEAL",84763.57,50858.14,6299.0,63572.68,55
CDM,48000190,"HC REVASC INTRAVASC LITHOTRIPSY; LOWER EXTREM ART, EXCEPT TIBIAL/PERONEAL",28124.2,16874.52,4781.11,27252.71,55
CDM,48000191,"HC REVASC INTRAVASC LITHOTRIPSY-STENT; LOWER EXTREM ART, EXCEPT TIBIAL/PERONEAL",43798.86,26279.32,6299.0,43439.01,55
CDM,48000192,"HC REVASC INTRAVASC LITHOTRIPSY-ATHER; LOWER EXTREM ART, EXCEPT TIBIAL/PERONEAL",48004.44,28802.66,6299.0,43439.01,55
CDM,48000193,HC ICE STAND ALONE,6508.57,3905.14,122.8,7411.0,55
CDM,48000194,HC PROGRAMMED STIM AFTER DRUGINFU STAND ALONE,7188.81,4313.29,122.8,7411.0,55
CDM,48000196,HC REVISION OF SKIN POCKET FOR IMPLANTABLE DEFIBRILLATOR; WITHOUT RELOCATION,6066.25,3639.75,598.65,7411.0,53
CDM,48000197,HC PR REMOVAL&RPLCMT WRLS CAR STIMULATOR PG COMPNT,7369.61,4421.77,1252.83,26452.82,55
CDM,48000198,"HC INTRACARDIAC ECHOCARDIOGRAPHY DURING THERAPEUTIC/DIAGNOSTIC INTERVENTION, INCLUDING IMAGING SUPERVISION AND INTERPRETATION; STAND ALONE",7485.35,4491.21,122.8,7411.0,55
CDM,48000199,HC PROGRAMMED STIMULATION AND PACING AFTER INTRAVENOUS DRUG INFUSION STAND ALONE PROCEDURE,8267.35,4960.41,122.8,7411.0,55
CDM,48000200,"HC INTRACARDIAC ECHOCARDIOGRAPHY DURING THERAPEUTIC/DIAGNOSTIC INTERVENTION, INCLUDING IMAGING SUPERVISION AND INTERPRETATION; STAND ALONE PROCEDURE",7485.35,4491.21,122.8,7411.0,55
CDM,48000201,HC REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB,6167.16,3700.3,1425.44,9728.21,55
CDM,48000202,HC REVASC LITHOTRIPSY-STENT TIBIAL/PERONEAL,37203.94,22322.36,6299.0,43439.01,55
CDM,48000203,HC REVASC LITHOTRIPSY-ATHER TIBIAL/PERONEAL,35512.85,21307.71,6299.0,43439.01,55
CDM,48000204,HC REVASC LITHTRIPSY-STENT-ATH TIBIAL/PERONEAL,31316.44,18789.86,6299.0,43439.01,55
CDM,48000205,HC REVASC LITHOTRIPSY TIBIAL/PERONEAL,24422.24,14653.34,4750.24,27252.71,55
CDM,48000206,"HC EXERCISE TEST FOR BRONCHOSPASM, W/ECG/SPIROMETRY/PULSE OX",133.93,80.36,22.77,7411.0,55
CDM,48000207,HC RMVL&RPLCMT SUBSTERNAL IMPLTBL DEFIBRILLATOR PG,44916.34,26949.8,6299.0,58392.49,55
CDM,48000208,HC OPEN POCKET AND TIGHTEN SET SCREWS,7293.0,4375.8,598.65,7411.0,53
CDM,48000209,HC REMOVAL PG COMPNT ONLY WRLS CAR STIMULATOR,5863.1,3517.86,996.73,9728.21,55
CDM,48000210,HC ALCOHOL ABLATION VEIN OF MARSHALL,16321.95,9793.17,122.8,12241.46,55
CDM,48000211,HC 3D MAPPING STANDALONE,11894.45,7136.67,122.8,8920.84,55
CDM,48000212,HC REPLACE AORTIC VALVE TRANSCAVAL APPROACH,40281.88,24169.13,598.65,30211.41,53
CDM,48000213,HC EP STUDY W/ PACING/RECORDING FROM CORONARY SINUS; STANDALONE,12646.55,7587.93,122.8,9484.91,55
CDM,48000214,HC PROCAINAMIDE CHALLENGE,8267.35,4960.41,122.8,7411.0,55
CDM,48000215,"HC ETHANOL ABLATION, MIDDLE CARDIAC VEIN",19675.85,11805.51,122.8,14756.89,55
CDM,48000216,"HC PULMONARY VEIN VENOGRAPHY WITH INTRA-CARDIAC ECHO, TRANSEPTAL APPROACH",22605.91,13563.55,122.8,16954.43,55
CDM,48000225,HC INSRT NW/RPLCMNT PRMNNT PCMKR W TRNSVNS ELCTRD LV LD FR LFT VNTRCL PCNG,37088.01,22252.81,598.65,27816.01,53
CDM,48000226,HC CARDIOMEMS RECALIBRATION,320.31,192.19,54.45,7411.0,55
CDM,48000227,HC LVAD RAMP STUDY WITH RT HEART CATHERIZATION,589.87,353.92,100.28,7411.0,55
CDM,48000228,HC CARDIONEUROABLATION,57903.16,34741.9,122.8,43427.37,55
CDM,48000229,HC PERC TRLUML REVASC TOT/SUBTOT OCCLUS MI CORONRY WIRE ONLY THBMY ONE VSL,26474.0,15884.4,122.8,19855.5,55
CDM,48000230,HC ELECTRONIC ANALYSIS OF ANTITACHYCARDIA DEFIBRILLATOR SYSTEM,12114.95,7268.97,122.8,9086.21,55
CDM,48000231,HC INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE,65590.06,39354.04,6299.0,81499.55,55
CDM,48000232,HC INSJ SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD,15896.5,9537.9,2702.41,21045.99,55
CDM,48000233,HC RMVL SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD,6525.74,3915.44,1109.38,9728.21,55
CDM,48000234,HC REPOS PREV IMPL SS IMPLTBL DFB PACING ELTRD,6525.74,3915.44,1109.38,9728.21,55
CDM,48000235,"HC PERC. TRANSCATHETER CLOSURE OF INTERARTRIAL COMM W/ IMPLANT, NON-CNGNTL",43060.32,25836.19,122.8,32295.24,55
CDM,48000236,HC TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL,35753.9,21452.34,6078.16,48269.91,55
CDM,48000238,HC TCAT RMVL&RPLCMT PERM 1CHMBR LDLS PM R ATRIAL,36439.64,21863.78,6194.74,48269.91,55
CDM,48000241,HC REM INTERROG ICPMS <30 D PHYS/QHP,393.97,236.38,35.62,7411.0,55
CDM,48000242,HC REM INTERROG SCRMS <30 D PHYS/QHP,393.97,236.38,35.62,7411.0,55
CDM,48000243,HC RMVL SUBSTERNAL IMPLTBL DFB PULSE GENERATOR ONLY,7205.76,4323.46,1224.98,9728.21,55
CDM,48000244,HC ELECTROPHYSIOLOGIC EVAL ICDS W/SS ELECTRODE,2183.8,1310.28,371.25,7411.0,55
CDM,48000245,HC PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON,69.2,41.52,11.76,7411.0,55
CDM,48000246,HC INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON,69.2,41.52,11.76,7411.0,55
CDM,48000247,HC RESEARCH BLINDED PROCEDURE ALLAY-HF,25751.18,15450.71,122.8,19313.38,55
CDM,48000248,HC PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM,69.2,41.52,11.76,7411.0,55
CDM,48000249,HC PRGRMG EVL LDLS PM 2CHMBR IP,350.0,210.0,35.62,7411.0,55
CDM,48000250,HC TCAT INSJ PERM 2CHMBR LDLS PM R ATR PM COMPNT,36439.64,21863.78,6194.74,48269.91,55
CDM,48000252,HC TCAT RMVL PERM DUAL CHAMBER LDLS PM COMPL SYS,6014.0,3608.4,1022.38,7896.23,55
CDM,48000255,HC TCAT RMVL&RPLCMT PERM 2CHMBR LDLS PM R ATR CMPNT,36439.64,21863.78,6194.74,48269.91,55
CDM,48000257,HC BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT,325.88,195.53,55.4,7411.0,55
CDM,48000258,HC INSJ PERM CCM-D SYS PG&DUAL TRANSVNS ELTRDS/LDS,61260.7,36756.42,6299.0,67793.59,54
CDM,48000270,HC PROGRAMMING DEVICE EVAL IMPL CCM-D SYS IN PERSON,71.26,42.76,12.11,7411.0,54
CDM,48000271,HC INTERROG DEV EVAL IMPL CCM-D SYSTEM IN PERSON,71.26,42.76,12.11,7411.0,54
CDM,48000272,HC REMOTE INTERROG DEV EVAL CCM-D SYS <90D TECH,71.26,42.76,12.11,7411.0,54
CDM,48000273,HC EPHYS EVAL CCM-D LD 1ST IMPL,2319.6,1391.76,394.33,7411.0,54
CDM,48000274,HC EPHYS EVAL CCM-D LD SEPARATE,2319.6,1391.76,394.33,7411.0,54
CDM,48000277,"HC CT,HEART W/CONTRAS - EVAL CARD S",3127.46,1876.48,175.06,7411.0,55
CDM,48000278,"HC CT,HEART W/CONTRAST - EVAL IN CO",1557.33,934.4,175.06,7411.0,55
CDM,48000279,"HC CTA,HEART,ARTERIES/BYPS GRAFT",3161.35,1896.81,175.06,7411.0,55
CDM,48000280,HC PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY WITHOUT PRIMARY PROCEDURE,20634.8,12380.88,122.8,15476.1,55
CDM,48000290,HC PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS,36830.34,22098.2,6299.0,39592.62,54
CDM,48000291,HC CT CHG QUAN & CHARAC C ATHEROSCLEROTC PLAQ ASSWS SEV S DS,1980.52,1188.31,336.69,7411.0,54
CDM,48100001,HC INSERT PULSE GENERATO,52770.05,31662.03,6299.0,58392.49,54
CDM,48100002,HC REMOVE PULSE GENERAT,9978.95,5987.37,1425.44,9728.21,55
CDM,48100003,HC INSER/REPOS SINGLE,72208.16,43324.9,6299.0,81499.55,55
CDM,48100004,HC REMOVE&REPLACE CVD GEN S,63445.88,38067.53,6299.0,58392.49,54
CDM,48100005,HC REMOVE&REPLACE CVD GEN D,73210.62,43926.37,6299.0,58392.49,54
CDM,48100006,HC REMOVE&REPLACE CVD GEN M,73984.58,44390.75,6299.0,81499.55,54
CDM,48100007,HC INSERT IA PERCUT DVC,9268.2,5560.92,460.46,41767.0,37
CDM,48100008,HC ESTABLISH ACC ARTERY - EXTREMITY,3224.38,1934.63,548.14,7411.0,33
CDM,48100009,HC PLACE CATH AORTA,4329.44,2597.66,736.0,7411.0,33
CDM,48100010,"HC PLACE CATH ART,THORAC/BRACHIO EA 1ST BRANCH",4809.48,2885.69,817.61,7411.0,33
CDM,48100011,"HC PLACE CATH ART,THORAC/BRACHIO INT 2ND ORDER",4446.09,2667.65,755.84,7411.0,33
CDM,48100012,"HC PLACE CATH ART,THOR/BRACH INIT 3RD ORDER",5613.29,3367.97,954.26,7411.0,33
CDM,48100013,"HC PLACE CATH ART,THOR/BRACH INIT ADD ORDER",2470.24,1482.14,419.94,7411.0,33
CDM,48100014,"HC PLACE CATH ART,ABD/PEL/LOW EXT EA 1ST BRANCH",6207.74,3724.64,1055.32,7411.0,33
CDM,48100015,"HC PLACE CATH ART,ABD/PEL/LOW EXT INIT 2ND ORDER",5898.75,3539.25,1002.79,7411.0,34
CDM,48100016,"HC PLACE CATH ART,ABD/PEL/LOW EXT INIT 3RD ORDER",6706.97,4024.18,1140.18,7411.0,33
CDM,48100017,"HC PLACE CATH ART,ABD/PEL/LOW EXT ADD ORDER",2800.81,1680.49,476.14,7411.0,33
CDM,48100018,HC INS CATH REN 1ST UNIL,8132.73,4879.64,1382.56,7896.23,54
CDM,48100019,HC INS CATH REN 1ST BILA,10192.52,6115.51,1732.73,7896.23,54
CDM,48100020,HC INS CATH REN ART 2ND+,9214.9,5528.94,1566.53,13613.39,54
CDM,48100022,HC ILIAC REVASC W/STENT - INITIAL VESSEL,40091.98,24055.19,6299.0,34078.18,39
CDM,48100023,HC ILIAC REVASC W/STENT - EA ADD VESSEL,23985.53,14391.32,4077.54,20387.7,33
CDM,48100024,HC FEM/POPL REVAS W/TLA,28124.2,16874.52,4781.11,23905.57,39
CDM,48100025,HC FEM/POPL REVAS W/ATH,44172.48,26503.49,6299.0,43439.01,39
CDM,48100026,HC FEM/POPL REVAS W/STENT,42046.91,25228.15,6299.0,35739.87,39
CDM,48100027,HC FEM/POPL REVAS W/STENT/ATH,81835.93,49101.56,6299.0,69560.54,38
CDM,48100028,HC TIB/PER REVASC W/TLA,30648.97,18389.38,5210.32,27252.71,39
CDM,48100029,HC TIB/PER REVASC W/ATH,46540.68,27924.41,6299.0,43439.01,39
CDM,48100030,HC TIB/PER REVASC W/STENT PLCMNT,46400.94,27840.56,6299.0,43439.01,39
CDM,48100031,HC TIB/PER REVASC W/STENT PLCMNT&ARTHRECTMY,56284.8,33770.88,6299.0,47842.08,39
CDM,48100032,HC TIB/PER REVASC ADD-O,16946.04,10167.62,2880.83,14404.13,33
CDM,48100033,HC PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY,10011.21,6006.73,1701.91,8509.53,33
CDM,48100034,HC BRACHYTHERAPY CATH PLACE,7882.19,4729.31,1339.97,7411.0,33
CDM,48100035,HC CORONARY THROMBOLYSIS,4340.79,2604.47,737.93,7411.0,38
CDM,48100036,"HC THROMBOLYSIS, COR, IV INFUS",1722.81,1033.69,292.88,7411.0,39
CDM,48100043,HC RIGHT HEART CATHETERIZATION,17333.72,10400.23,2946.73,21149.0,54
CDM,48100044,HC LEFT HEART CATHETER,18668.75,11201.25,3093.86,21149.0,54
CDM,48100045,HC R&L HEART CATH W/VENTRCLGRP,27279.22,16367.53,3093.86,21149.0,54
CDM,48100046,HC CATH PLACMNT CORONRY ARTERY,18599.35,11159.61,3093.86,21149.0,54
CDM,48100047,HC CATH PLACMNT CORONRY ARTERY - BYPASS GRAFT,21304.4,12782.64,3093.86,21149.0,54
CDM,48100048,HC CATH PLACMNT CORONRY ARTERY - RGHT HRT ANGIO,26545.76,15927.46,3093.86,21149.0,54
CDM,48100049,HC CATH PLACMNT CORONRY ARTERY - RT HRT/BYPSS,28163.96,16898.38,3093.86,21149.0,54
CDM,48100050,HC CATH PLACMNT CORONRY ARTERY - LFT HRT,25876.08,15525.65,3093.86,21149.0,54
CDM,48100051,HC CATH PLACMNT CORONRY ARTERY - LFT HRT/BYPSS,28272.09,16963.25,3093.86,21204.07,54
CDM,48100052,HC CATH PLACMNT CORONRY ARTERY - RGHT&LFT,31552.51,18931.51,3093.86,23664.38,54
CDM,48100053,HC CATH PLACMNT CORONRY ARTERY - RGHT&LFT/BYPSS,32039.0,19223.4,3093.86,24029.25,54
CDM,48100054,HC LEFT HEART CATH BY TRANSPTL PUNCTURE,13591.17,8154.7,2310.5,21149.0,33
CDM,48100055,HC DRUG ADMIN&HEMODERATEY,2779.72,1667.83,312.0,19035.0,38
CDM,48100056,"HC CATHETER INSERT/PLACEMENT, SWAN GANZ",5919.65,3551.79,1006.34,17181.0,54
CDM,48100057,HC ENDOMYOCARDIAL BIOPSY,9698.59,5819.15,1648.76,17181.0,54
CDM,48100058,HC RIGHT HEART CATH - FOR CONGENITA,14204.19,8522.51,2414.71,21149.0,38
CDM,48100059,HC RT/RETRO LT HEART CATH - FOR CON,17846.29,10707.77,3033.87,21149.0,38
CDM,48100060,HC RT/TRANSSEPTAL LT HEART CATH - FOR CONGENITA,12578.79,7547.27,2138.39,21149.0,38
CDM,48100061,HC RT/TRANSSEPTAL LT HEART CATH - THRU SEPTAL,11744.15,7046.49,1996.51,21149.0,38
CDM,48100062,HC INJECT PROC - CONGENITAL HEART CATH,4791.01,2874.61,814.47,17181.0,33
CDM,48100063,HC INJECT PROC - AORTOCORONARY/BYPASS,3266.72,1960.03,555.34,17181.0,33
CDM,48100064,HC INJECT PROC - LFT VENTCLE/ARTRIAL ANGIO,3711.55,2226.93,630.96,17181.0,33
CDM,48100065,HC INJECT PROC - RGHT VENTCLE/ARTRIAL ANGIO,3146.0,1887.6,534.82,17181.0,33
CDM,48100066,HC INJECT PROC - SUPRAVALVULAR AORTOGRAPHY,4081.9,2449.14,693.92,17181.0,33
CDM,48100067,HC INJECT PROC - PULMONARY ANGIOGRAPHY,4355.4,2613.24,740.42,17181.0,33
CDM,48100068,HC IV DOP VEL&/PRESS C/FLO RSRV MEAS 1ST VESSEL,5939.34,3563.6,1009.69,7411.0,33
CDM,48100069,HC IV DOP VEL&/PRESS C/FLO RSRV MEAS EA ADDL VSL,3680.08,2208.05,625.61,7411.0,33
CDM,48100070,HC TRANSCATH CLOSURE CONGENTAL IN,45213.34,27128.0,6299.0,43439.01,54
CDM,48100071,HC VENTRIC SEPTAL DEFECT CLOSURE,40359.01,24215.41,6299.0,43439.01,54
CDM,48100072,HC HCCARDIOVASC LAB UNLSTD,759.76,455.86,122.8,7411.0,54
CDM,48100073,"HC ARTHERECTOMY,ILIAC ARTERY,EA VESSEL",31082.55,18649.53,5284.03,43439.01,54
CDM,48100075,HC ILIAC ART ANGIO,3951.51,2370.91,671.76,7411.0,33
CDM,48100083,HC INSRT PULSE GEN W/D,47305.6,28383.36,6299.0,58392.49,54
CDM,48100084,HC INSRT PULSE GEN W/MU,52144.61,31286.77,6299.0,81499.55,54
CDM,48100085,HC REMOVE INTRA-AORTIC,3771.56,2262.94,641.17,41767.0,38
CDM,48100086,HC INS CATH REN ART 2ND+,5542.66,3325.6,942.25,7896.23,54
CDM,48100087,HC TIB/PER REVASC W/ATH,34331.47,20598.88,5836.35,29181.75,33
CDM,48100088,HC TIB/PER REVASC STNT&,18464.5,11078.7,3138.97,15694.83,33
CDM,48100090,HC ELECTRICAL CONVERSION OF ARRHY,3281.49,1968.89,557.85,7411.0,55
CDM,48100091,"HC CARDIOASSIST,INTERNA",7272.6,4363.56,610.75,7411.0,38
CDM,48100092,"HC VALVULOPLASTY, AORTIC VALVE",26717.75,16030.65,4542.02,25859.41,54
CDM,48100093,"HC VALVULOPLASTY, MITRAL VALVE",28626.39,17175.83,4866.49,51722.27,54
CDM,48100094,"HC VALVULOPLASTY, PULMONARY VALVE",21167.77,12700.66,3598.52,51722.27,54
CDM,48100095,HC PUL ARTERY BALLOON ANGIOPLASTY - SING VES,16202.01,9721.21,2754.34,51722.27,54
CDM,48100096,HC PUL ARTERY BALLOON ANGIOPLASTY - EA ADDTL,6187.82,3712.69,1051.93,19035.0,33
CDM,48100099,"HC CATH PLACMNT,THORACIC AORTA NON-SELECT",9163.35,5498.01,1557.77,7896.23,54
CDM,48100100,"HC CATH PLACMNT,CAROTID/INNOMINATE - CERVICOCE",11220.8,6732.48,1907.54,8415.6,54
CDM,48100101,"HC CATH PLACMNT,CAROTID/INNOMINATE - EXTRAC",15302.25,9181.35,2601.38,13613.39,54
CDM,48100102,"HC CATH PLACMNT,INTERNAL CAROTID ARTERY",20885.46,12531.28,3550.53,15664.09,54
CDM,48100103,"HC CATH PLACMNT,SUBCLAVIAN/INNOMINATE ARTERY",11220.8,6732.48,1907.54,8415.6,54
CDM,48100104,"HC CATH PLACMNT,VERTEBRAL ARTERY",17918.04,10750.82,3046.07,13613.39,54
CDM,48100105,HC PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART&/BRANCHES,20949.17,12569.5,3561.36,25859.41,54
CDM,48100106,HC TRANSLUMNL CORONARY ANGIOPL - EA ADDL ARTERY,20309.14,12185.48,3452.55,21149.0,33
CDM,48100107,HC PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART&/BRANCHES,24617.09,14770.25,4184.91,51722.27,54
CDM,48100108,"HC TRANSLUMNL CORNRY ATHERECT,EA",19229.1,11537.46,3268.95,21149.0,33
CDM,48100109,HC PERQ TCAT PLMT NTRAC ST 1 LES 1+C SEGMENTS,27034.24,16220.54,4595.82,51722.27,54
CDM,48100110,HC TRANSCATH PLACEMNT STENT - EA ADD BRNCH,27513.29,16507.97,4677.26,23386.3,33
CDM,48100111,HC PERQ TRLUML C ATHRC ST ANGIOP 1 MAJ C ART&/BRNCH,23826.6,14295.96,4050.52,83206.64,54
CDM,48100112,HC TRANSLUMNL ATHERECTMY W/STENT - EA ADD,18029.93,10817.96,3065.09,21149.0,33
CDM,48100113,HC PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART&/BRNCH,21533.85,12920.31,3660.75,51722.27,54
CDM,48100114,HC TRANSLUMNL REVASC - EA ADD BRNCH,25132.15,15079.29,4272.47,21362.33,33
CDM,48100115,HC PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART,30653.67,18392.2,1726.04,26055.62,38
CDM,48100116,HC PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD,29123.73,17474.24,4951.03,51722.27,54
CDM,48100117,HC TRANSLUMNL REVASCUL CHRONC OCC - EA ADD,34663.21,20797.93,5892.75,29463.73,33
CDM,48100118,HC TRANSCATH PLACEMNT STENT DRUG-ELUT - SNG (C9600),39718.35,23831.01,6299.0,51722.27,54
CDM,48100119,HC TRANSCATH PLACEMNT STENT DRUG-ELUT - EA ADD BRNCH (C9601),0.01,0.01,0.0017,21149.0,33
CDM,48100120,HC TRANSLUMNL ATHERECTMY W/DRG-ELUT STNT - SNG (C9602),44187.45,26512.47,6299.0,83206.64,54
CDM,48100121,HC TRANSLUMNL ATHERECTMY W/DRG-EULT STNT - EA ADD (C9603),0.01,0.01,0.0017,21149.0,33
CDM,48100122,HC TRANSLUMNL REVASC W/DRG-ELUT STNT - SNGL VESSEL (C9604),36317.1,21790.26,6173.91,51722.27,54
CDM,48100123,HC TRANSLUMNL REVASC W/DRG-ELUT STNT - EA ADD BRNCH (C9605),0.01,0.01,0.0017,21149.0,33
CDM,48100124,HC TRANSLUMNL REVASC MYOCRD INFARCT W/DRG-ELUT STNT (C9606),42653.22,25591.93,6299.0,36255.24,38
CDM,48100125,HC PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD,41735.77,25041.46,6299.0,83206.64,54
CDM,48100126,HC TRANSLUMNL REVASC CHRONIC OCC W/DRG-ELUT - EA ADD (C9608),0.01,0.01,0.0017,21149.0,33
CDM,48100127,HC PHYSIOLOGIC EXERCISE STUDY,3808.35,2285.01,502.31,19035.0,38
CDM,48100130,HC INJECTION EXT VENOGRAPHY,3097.26,1858.36,526.53,7411.0,33
CDM,48100131,HC PLACE CATH VEIN,5046.45,3027.87,857.9,7411.0,33
CDM,48100135,HC ILIAC REVASC ADD-ON,17389.59,10433.75,2956.23,14781.15,33
CDM,48100136,HC REVSC OPN/PRG TIB/PE,18491.22,11094.73,3143.51,15717.54,33
CDM,48100137,HC ILIAC REVASC,21276.79,12766.07,3617.05,18085.27,38
CDM,48100138,"HC CATH PLACMNT,EXTERNAL CAROTID ARTERY",5753.82,3452.29,978.15,7411.0,33
CDM,48100139,HC TRANSCATH CLOSURE DUCTUS ARTERIOSUS,47657.04,28594.22,6299.0,83206.64,54
CDM,48100140,HC TRANSCATH CLOSURE REDUCTION THERAPY,37005.16,22203.1,1926.33,31454.39,38
CDM,48100142,HC REMOVE VENT ASST DVICE SEPARTE FROM INSERT,8107.85,4864.71,1378.33,7411.0,38
CDM,48100144,"HC VENTRICULAR ASSIST DEVICE,IMPLANT - 1 VENTRICLE",12110.21,7266.13,2058.74,10293.68,38
CDM,48100151,HC ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ,15894.95,9536.97,2546.0,13510.71,38
CDM,48100152,HC ECMO/ECLS INITIATION VENO-VENOUS,7561.45,4536.87,1285.45,7411.0,38
CDM,48100153,HC RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE,12553.5,7532.1,2134.09,9728.21,54
CDM,48100154,HC INSJ SUBQ IMPLTBL DFB ELCTRD,20222.6,12133.56,6075.14,21045.99,54
CDM,48100156,"HC INTRAVASCULAR ULTRASOUND, NONCORONARY, INITIAL",9175.77,5505.46,1559.88,7799.4,33
CDM,48100157,"HC INTRAVASCULAR ULTRASOUND, NONCORONARY, EA ADDL",7266.67,4360.0,1235.33,7411.0,32
CDM,48100158,HC INTRACORONARY INFUSION REOPRO,1085.1,651.06,122.8,7411.0,54
CDM,48100160,HC BALLOON PERICARDIOTOMY,1280.7,768.42,320.18,7411.0,52
CDM,48100162,"HC CATH/NEEDLE DIALYSIS CIR, W/ANGIO",5324.38,3194.63,446.27,7411.0,54
CDM,48100163,"HC CATH/NEEDLE DIALYSIS CIR, W/ANGIO & BLLN ANGIOPLAST",20527.59,12316.55,1764.89,15395.69,54
CDM,48100164,"HC CATH/NEEDLE DIALYSIS CIR, W/ANGIO/BLLN ANGIOPLAST/STENT",48061.72,28837.03,5270.09,36046.29,54
CDM,48100165,HC THROMBECTOMY DIALYSIS CIR W/ANGIO,15470.4,9282.24,2362.78,14159.18,54
CDM,48100166,HC THROMBECTOMY DIALYSIS CIR W/ANGIO & BLLN ANGIOPLAST,32727.24,19636.34,4535.02,27252.71,54
CDM,48100167,HC THROMBECTOMY DIALYSIS CIR W/ANGIO & BLLN ANGIOPLAST/STENT,51865.7,31119.42,6299.0,43439.01,54
CDM,48100168,"HC BLLN ANGIOPLAST CENTRAL DIALYSIS SGMT, THRU DIALYSIS CIR",12570.49,7542.29,1896.0,10684.92,33
CDM,48100169,"HC BLLN ANGIOPLAST NOT LOW EXTRM,COR,PULM,DIAL CIR, 1ST",21191.89,12715.13,2300.22,15893.92,54
CDM,48100170,"HC BLLN ANGIOPLAST NOT LOW EXTRM,COR,PULM,DIAL CIR, EA ADDL",11978.02,7186.81,1896.0,10181.32,33
CDM,48100171,"HC BLLN ANGIOPLAST NOT DIAL CIR, 1ST",17222.9,10333.74,1764.89,14159.18,54
CDM,48100172,"HC BLLN ANGIOPLAST NOT DIAL CIR, EA ADDL",8109.28,4865.57,1378.58,7411.0,33
CDM,48100179,"HC PERQ TRNSCATH LAA CLOSURE, W/ENDOCARDIAL IMPLANT",34640.97,20784.58,2546.0,29444.82,38
CDM,48100180,HC TRANSCATHETER STENT PLMT CTR DIALYSIS SEG,17993.68,10796.21,1896.0,15294.63,33
CDM,48100184,HC ANGIO CORS FOR FFR/IVUS ONLY,8374.55,5024.73,122.8,7411.0,55
CDM,48100186,HC CARDI REH D/C TEACH 30MIN,448.53,269.12,76.25,7411.0,55
CDM,48100187,HC LT ATRIAL APPENDAGE CLOSURE,415.31,249.19,70.6,7411.0,55
CDM,48100188,HC NON SURG SEPTAL REDUCTION THER,415.31,249.19,70.6,7411.0,55
CDM,48100189,HC NON-SURG SEPTAL REDUCTION THER,415.31,249.19,70.6,7411.0,55
CDM,48100190,HC PERAVALVULAR LEAK REPAIR,14990.93,8994.56,122.8,11243.2,55
CDM,48100191,HC UNLISTED DEVICE REVISION,4373.63,2624.18,122.8,7411.0,55
CDM,48100192,HC TEVAR PROX EXT INITIAL,3052.86,1831.72,518.99,7411.0,38
CDM,48100193,HC TEVAR PROX EXT EACH ADD,3375.25,2025.15,573.79,7411.0,38
CDM,48100195,HC EXPOSE ILIAC FOR STENT GRAFT,8951.35,5370.81,1521.73,7608.65,38
CDM,48100196,HC FENESTRATED AAA 1 VISCERAL,17069.99,10241.99,2546.0,14509.49,38
CDM,48100197,HC FEN AAA 2 VISC LIMBS,22404.36,13442.62,2546.0,19043.71,38
CDM,48100198,HC FEN AAA 3 VISCERAL LIMBS,23277.27,13966.36,2546.0,19785.68,38
CDM,48100199,HC FEN AAA 4 VISCERAL LIMBS,27156.8,16294.08,2546.0,23083.28,38
CDM,48100200,HC VISCER & INFRARENAL ABD 1 PRO,18651.65,11190.99,2546.0,15853.9,38
CDM,48100201,HC FEVAR GRAFT 2 VISC 2 LIMBS,23538.74,14123.24,2546.0,20007.93,38
CDM,48100202,HC FEVAR GRAFT 3 VISC 2 LIMBS,27600.85,16560.51,2546.0,23460.72,38
CDM,48100203,HC FEVAR GRAFT 4 VISC 2 LIMBS,32640.38,19584.23,2546.0,27744.32,38
CDM,48100204,HC IR CELL CONCENTRATION,2382.95,1429.77,405.1,7411.0,54
CDM,48100206,HC ATRIAL SEPTOSTOMY W/PARK BLADE,10910.64,6546.38,1854.81,9274.04,38
CDM,48100207,HC TRNSCTH RNL SYMP DNRV PERC BI,22858.05,13714.83,3885.87,17143.54,54
CDM,48100208,HC STENT TBPRNL RT ADD,18491.22,11094.73,3143.51,15717.54,33
CDM,48100209,HC PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART&/BRANCHES,20949.17,12569.5,3561.36,25859.41,39
CDM,48100210,HC PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART&/BRANCHES,20949.17,12569.5,3561.36,25859.41,39
CDM,48100211,HC PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART&/BRANCHES,20949.17,12569.5,3561.36,25859.41,39
CDM,48100212,HC PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART&/BRANCHES,20949.17,12569.5,3561.36,25859.41,39
CDM,48100213,HC PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART&/BRANCHES,20949.17,12569.5,3561.36,25859.41,39
CDM,48100214,HC PTCA ADD LC,20309.14,12185.48,3452.55,21149.0,33
CDM,48100215,HC PTCA ADD LD,20309.14,12185.48,3452.55,21149.0,33
CDM,48100216,HC PTCA ADD LM,20309.14,12185.48,3452.55,21149.0,33
CDM,48100217,HC PTCA ADD RC,20309.14,12185.48,3452.55,21149.0,33
CDM,48100218,HC PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART&/BRANCHES,24617.09,14770.25,4184.91,51722.27,39
CDM,48100219,HC PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART&/BRANCHES,24617.09,14770.25,4184.91,51722.27,39
CDM,48100220,HC PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART&/BRANCHES,24617.09,14770.25,4184.91,51722.27,39
CDM,48100221,HC PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART&/BRANCHES,24617.09,14770.25,4184.91,51722.27,39
CDM,48100222,HC PERQ TCAT PLMT NTRAC ST 1 LES 1+C SEGMENTS,27034.24,16220.54,4595.82,51722.27,39
CDM,48100223,HC PERQ TCAT PLMT NTRAC ST 1 LES 1+C SEGMENTS,27034.24,16220.54,4595.82,51722.27,39
CDM,48100224,HC PERQ TCAT PLMT NTRAC ST 1 LES 1+C SEGMENTS,27034.24,16220.54,4595.82,51722.27,39
CDM,48100225,HC PERQ TCAT PLMT NTRAC ST 1 LES 1+C SEGMENTS,27034.24,16220.54,4595.82,51722.27,39
CDM,48100226,HC PERQ TCAT PLMT NTRAC ST 1 LES 1+C SEGMENTS,27034.24,16220.54,4595.82,51722.27,39
CDM,48100227,HC STENT BMS ADD LC,27513.29,16507.97,4677.26,23386.3,33
CDM,48100228,HC STENT BMS ADD LD,27513.29,16507.97,4677.26,23386.3,33
CDM,48100229,HC STENT BMS ADD LM,27513.29,16507.97,4677.26,23386.3,33
CDM,48100230,HC STENT BMS ADD RC,27513.29,16507.97,4677.26,23386.3,33
CDM,48100231,HC STENT BMS ADD RI,27513.29,16507.97,4677.26,23386.3,33
CDM,48100232,HC PERQ TRLUML C ATHRC ST ANGIOP 1 MAJ C ART&/BRNCH,23826.6,14295.96,4050.52,83206.64,39
CDM,48100233,HC PERQ TRLUML C ATHRC ST ANGIOP 1 MAJ C ART&/BRNCH,23826.6,14295.96,4050.52,83206.64,39
CDM,48100234,HC PERQ TRLUML C ATHRC ST ANGIOP 1 MAJ C ART&/BRNCH,23826.6,14295.96,4050.52,83206.64,39
CDM,48100235,HC PERQ TRLUML C ATHRC ST ANGIOP 1 MAJ C ART&/BRNCH,23826.6,14295.96,4050.52,83206.64,39
CDM,48100236,HC PERQ TRLUML C ATHRC ST ANGIOP 1 MAJ C ART&/BRNCH,23826.6,14295.96,4050.52,83206.64,39
CDM,48100237,HC STENT BMS W ATHERECTOMY ADD LC,18029.93,10817.96,3065.09,21149.0,33
CDM,48100238,HC STENT BMS W ATHERECTOMY ADD LD,18029.93,10817.96,3065.09,21149.0,33
CDM,48100239,HC STENT BMS W ATHERECTOMY ADD LM,18029.93,10817.96,3065.09,21149.0,33
CDM,48100240,HC STENT BMS W ATHERECTOMY ADD RC,18029.93,10817.96,3065.09,21149.0,33
CDM,48100241,HC STENT BMS W ATHERECTOMY ADD RI,18029.93,10817.96,3065.09,21149.0,33
CDM,48100242,HC PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART&/BRNCH,21533.85,12920.31,3660.75,51722.27,39
CDM,48100243,HC PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART&/BRNCH,21533.85,12920.31,3660.75,51722.27,39
CDM,48100244,HC PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART&/BRNCH,21533.85,12920.31,3660.75,51722.27,39
CDM,48100245,HC PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART&/BRNCH,21533.85,12920.31,3660.75,51722.27,39
CDM,48100246,HC PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART&/BRNCH,21533.85,12920.31,3660.75,51722.27,39
CDM,48100247,HC REVASC BMS BYPASS GRAFT ADD LC,25132.15,15079.29,4272.47,21362.33,33
CDM,48100248,HC REVASC BMS BYPASS GRAFT ADD LD,25132.15,15079.29,4272.47,21362.33,33
CDM,48100249,HC REVASC BMS BYPASS GRAFT ADD LM,25132.15,15079.29,4272.47,21362.33,33
CDM,48100250,HC REVASC BMS BYPASS GRAFT ADD RC,25132.15,15079.29,4272.47,21362.33,33
CDM,48100251,HC REVASC BMS BYPASS GRAFT ADD RI,25132.15,15079.29,4272.47,21362.33,33
CDM,48100252,HC PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART,30653.67,18392.2,1726.04,26055.62,38
CDM,48100253,HC PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART,30653.67,18392.2,1726.04,26055.62,38
CDM,48100254,HC PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART,30653.67,18392.2,1726.04,26055.62,38
CDM,48100255,HC PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART,30653.67,18392.2,1726.04,26055.62,38
CDM,48100256,HC PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART,30653.67,18392.2,1726.04,26055.62,38
CDM,48100257,HC PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD,29123.73,17474.24,4951.03,51722.27,39
CDM,48100258,HC PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD,29123.73,17474.24,4951.03,51722.27,39
CDM,48100259,HC PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD,29123.73,17474.24,4951.03,51722.27,39
CDM,48100260,HC PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD,29123.73,17474.24,4951.03,51722.27,39
CDM,48100261,HC PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD,29123.73,17474.24,4951.03,51722.27,39
CDM,48100262,HC TRANSLUMNL REVASC CHRONIC OCC W/BMS - EA ADD LC,34663.21,20797.93,5892.75,29463.73,33
CDM,48100263,HC TRANSLUMNL REVASC CHRONIC OCC W/BMS - EA ADD LD,34663.21,20797.93,5892.75,29463.73,33
CDM,48100264,HC TRANSLUMNL REVASC CHRONIC OCC W/BMS - EA ADD LM,34663.21,20797.93,5892.75,29463.73,33
CDM,48100265,HC TRANSLUMNL REVASC CHRONIC OCC W/BMS - EA ADD RC,34663.21,20797.93,5892.75,29463.73,33
CDM,48100266,HC TRANSLUMNL REVASC CHRONIC OCC W/BMS - EA ADD RI,34663.21,20797.93,5892.75,29463.73,33
CDM,48100267,HC PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY,10011.21,6006.73,1701.91,8509.53,33
CDM,48100268,HC PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY,10011.21,6006.73,1701.91,8509.53,33
CDM,48100269,HC PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY,10011.21,6006.73,1701.91,8509.53,33
CDM,48100270,HC PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY,10011.21,6006.73,1701.91,8509.53,33
CDM,48100271,HC ANGIO CORS W HRT CATH RT,26545.76,15927.46,4512.78,22563.9,39
CDM,48100272,HC HRT CATH CONGEN ANOML RT,14204.19,8522.51,2414.71,21149.0,38
CDM,48100273,HC STENT DES INI LC,37592.54,22555.52,6299.0,51722.27,39
CDM,48100274,HC STENT DES INI LD,37592.54,22555.52,6299.0,51722.27,39
CDM,48100275,HC STENT DES INI LM,37592.54,22555.52,6299.0,51722.27,39
CDM,48100276,HC STENT DES INI RC,37592.54,22555.52,6299.0,51722.27,39
CDM,48100277,HC STENT DES INI RI,37592.54,22555.52,6299.0,51722.27,39
CDM,48100280,HC STENT DES ADD LM,32001.48,19200.89,5440.25,27201.26,33
CDM,48100282,HC STENT DES ADD RI,32001.48,19200.89,5440.25,27201.26,33
CDM,48100288,HC STENT DES W ATHRECTOMY ADD LC,32701.42,19620.85,5559.24,27796.21,33
CDM,48100289,HC STENT DES W ATHRECTOMY ADD LD,32701.42,19620.85,5559.24,27796.21,33
CDM,48100290,HC STENT DES W ATHRECTOMY ADD LM,32701.42,19620.85,5559.24,27796.21,33
CDM,48100291,HC STENT DES W ATHRECTOMY ADD RC,32701.42,19620.85,5559.24,27796.21,33
CDM,48100292,HC STENT DES W ATHRECTOMY ADD RI,32701.42,19620.85,5559.24,27796.21,33
CDM,48100295,HC REVASC DES BYPASS GRAFT INI LM,36317.1,21790.26,6173.91,51722.27,39
CDM,48100298,HC REVASC DES BYPASS GRAFT ADD LC,36561.77,21937.06,6215.5,31077.5,33
CDM,48100299,HC REVASC DES BYPASS GRAFT ADD LD,36561.77,21937.06,6215.5,31077.5,33
CDM,48100300,HC REVASC DES BYPASS GRAFT ADD LM,36561.77,21937.06,6215.5,31077.5,33
CDM,48100302,HC REVASC DES BYPASS GRAFT ADD RI,36561.77,21937.06,6215.5,31077.5,33
CDM,48100310,HC TRANSLUMNL REVASC CHRONIC OCC W/DES LM,38638.85,23183.31,6299.0,83206.64,39
CDM,48100312,HC TRANSLUMNL REVASC CHRONIC OCC W/DES RI,38638.85,23183.31,6299.0,83206.64,39
CDM,48100314,HC TRANSLUMNL REVASC CHRONIC OCC W/DES - EA ADD LD,31512.01,18907.21,5357.04,26785.21,33
CDM,48100315,HC TRANSLUMNL REVASC CHRONIC OCC W/DES - EA ADD LM,31512.01,18907.21,5357.04,26785.21,33
CDM,48100316,HC TRANSLUMNL REVASC CHRONIC OCC W/DES - EA ADD RC,31512.01,18907.21,5357.04,26785.21,33
CDM,48100317,HC TRANSLUMNL REVASC CHRONIC OCC W/DES - EA ADD RI,31512.01,18907.21,5357.04,26785.21,33
CDM,48100318,HC IVUS ADD W/O CORS,4330.61,2598.37,736.2,7411.0,38
CDM,48100320,HC IVUS CORONARY RC ADD,6232.5,3739.5,245.63,7411.0,38
CDM,48100321,HC IVUS CORONARY LM INI,8886.78,5332.07,308.69,7553.76,38
CDM,48100322,HC IVUS CORONARY RI INI,8886.78,5332.07,308.69,7553.76,38
CDM,48100323,HC IVUS CORONARY LC INI,8886.78,5332.07,308.69,7553.76,38
CDM,48100324,HC IVUS CORONARY LD INI,8886.78,5332.07,308.69,7553.76,38
CDM,48100325,HC IVUS CORONARY RC INI,8886.78,5332.07,308.69,7553.76,38
CDM,48100326,HC IVUS CORONARY LC ADD,6232.5,3739.5,245.63,7411.0,38
CDM,48100327,HC IVUS CORONARY LD ADD,6232.5,3739.5,245.63,7411.0,38
CDM,48100328,HC IVUS CORONARY LM ADD,6232.5,3739.5,245.63,7411.0,38
CDM,48100329,HC IVUS CORONARY RI ADD,6232.5,3739.5,245.63,7411.0,38
CDM,48100330,"HC ATRIAL SEPTOSTOMY, XVENOUS, BALLOON",12807.21,7684.33,2177.23,10886.13,38
CDM,48100332,HC PERQ CLOSURE RUPT SINUS OF VALSALVA PSEUDOANEURYSM,32520.71,19512.43,122.8,24390.53,54
CDM,48100334,HC TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR,38324.97,22994.98,6299.0,72000.42,54
CDM,48100335,"HC TRANSCATH REMOVAL OF LEADLESS PACEMAKER, RV",6879.0,4127.4,1169.43,7896.23,54
CDM,48100336,HC IVUS STANDALONE INITIAL,6714.25,4028.55,122.8,7411.0,54
CDM,48100337,HC IVUS STANDALONE EA ADDL,2049.3,1229.58,122.8,7411.0,54
CDM,48100338,HC TRNSCTH RENAL SYMP DENRV UNL,8459.16,5075.5,1438.06,14159.18,54
CDM,48100339,HC HEART FLOW RSRV MEASURE W/O PRIMARY PROC,4375.0,2625.0,122.8,7411.0,54
CDM,48100340,HC THH ONLY - TRANSCATH CLOSURE CONGENTAL IN ADD ON,45213.34,27128.0,6299.0,56905.69,53
CDM,48100341,HC THH ONLY - VENTRIC SEPTAL DEFECT CLOSURE ADD ON,40359.01,24215.41,6299.0,56905.69,53
CDM,48100342,HC INSERT VAD ARTERY ACCESS UNLISTED,5747.0,3448.2,598.65,7411.0,52
CDM,48100343,HC PR INSERT VAD ARTERY ACCESS UNLISTED,12432.09,7459.25,598.65,9324.07,52
CDM,48100346,HC IFR STANDALONE,5031.25,3018.75,122.8,7411.0,54
CDM,48100347,HC PRQ CORONARY MECH THROMBECT STANDALONE,9829.19,5897.51,122.8,7411.0,54
CDM,48100348,HC INTRAVASCULAR US NONCORONARY RS&I INTIAL STANDALONE,6609.05,3965.43,598.65,7411.0,52
CDM,48100349,HC TAS CONGENITAL CARDIAC ANOMALIES ANY METHOD,12807.21,7684.33,1995.76,10886.13,38
CDM,48100350,HC TIS CRTJ ST CONGENITAL CARDIAC ANOMAL 1ST SHUNT,12807.21,7684.33,2177.23,17181.0,38
CDM,48100351,HC TIS CRTJ ST CONGENITAL CARDIAC ANOMAL EA ADDL,10910.64,6546.38,1104.71,17181.0,38
CDM,48100352,"HC INSERT PERQ VAD W/IMAGING; LEFT HEART, ARTERIAL ACCESS ONLY",14831.5,8898.9,2521.36,12606.77,38
CDM,48100353,"HC REMOVAL PERCUTANEOUS VAD DISTINCT SESSION FROM INSERT; LEFT HEART, ARTERIAL OR ARTERIAL &VENOUS CAN(S)",8107.85,4864.71,1378.33,7411.0,38
CDM,48100354,"HC REPOSITION PERQ VAD, RIGHT OR LEFT HEART, W/IMAGING DISTINCT SESSION FROM INSERT",8098.43,4859.06,310.01,8280.0,37
CDM,48100355,HC INJECT SUPRAVALVULAR AORTOGRAPHY DURING HEART CATH; STAND ALONE,3200.45,1920.27,122.8,7411.0,54
CDM,48100356,HC PERCUTANEOUS CLOSURE OF LAAO LEAK,26393.12,15835.87,598.65,19794.84,52
CDM,48100357,"HC NON-CONGENITAL VSD (VENTRICULAR SEPTAL DEFECT) CLOSURE, POST MI (MYOCARDIAL INFARCTION)",43060.32,25836.19,122.8,32295.24,54
CDM,48100358,HC PERCUTANEOUS CLOSURE OF LEFT ATRIAL APPENDAGE OCCLUSION (LAAO) LEAK VIA RADIOFREQUENCY ABLATION,90209.08,54125.45,598.65,67656.81,52
CDM,48100359,"HC PLACEMENT OF CLOSURE DEVICE, PERI-WATCHMAN LEAK",30547.59,18328.55,598.65,22910.69,52
CDM,48100360,"HC THORACOSCOPY, SURGICAL; LEFT ATRIAL APPENDAGE OCCLUSION",30547.59,18328.55,598.65,22910.69,52
CDM,48100361,"HC TRNSPTL PNCTR  INTACT SPTM OR BY TRNSPCL PUNCTURE, STANDALONE PROCEDURE",15912.15,9547.29,122.8,11934.11,54
CDM,48100362,HC MECHANICAL THROMBECTOMY VIA ANGIOVAC SYSTEM IN HEART CHAMBERS/VALVES (VENOUS),11370.31,6822.19,1932.95,25874.7,54
CDM,48100363,HC INSERTION WRLS CAR STIMULATOR LV PACG COMPL SYS,56028.65,33617.19,6299.0,69548.0,54
CDM,48100364,HC INSERTION WRLS CAR STIMULATOR LV PACG ELTRD ONLY,18881.24,11328.74,3209.81,26452.82,54
CDM,48100365,HC INSERTION WRLS CAR STIMULATOR LV PACG PG COMPNT,17164.76,10298.86,2918.01,26452.82,54
CDM,48100366,HC REMOVAL&RPLCMT WRLS CAR STIMULATOR W/NEW ELTRD,44916.34,26949.8,6299.0,69548.0,54
CDM,48100367,HC RGHT HRT CATH CHD W/IMG CATH TRGT ZONE NORMAL NATIV CONNEC,13809.63,8285.78,2347.64,17181.0,54
CDM,48100368,HC RGHT HRT CATH CHD W/IMG CATH TRGT ZON ABNORML NATIV CONNEC,15190.59,9114.35,2582.4,17181.0,54
CDM,48100369,HC LEFT HRT CATH CONGENITAL NORML & ABNORML NATIVE CONNE,12421.0,7452.6,2111.57,17181.0,54
CDM,48100370,HC RIGHT & LEFT HRT CATH CONGENITAL NORML NAT CONN,14296.55,8577.93,2430.41,17181.0,54
CDM,48100371,HC RIGHT & LEFT HRT CATH CONGENITAL ABNOR NAT CONN,13615.76,8169.46,2314.68,17181.0,54
CDM,48100372,HC CAR OUTP MEAS DRG CAR CATH EVAL CGEN HRT DEFECT,6195.79,3717.47,1053.28,7411.0,38
CDM,48100373,HC BDY SURF ACTIVATION MAPG PM/CVDFB LEADS TM F/UP,76.06,45.64,12.93,7411.0,54
CDM,48100374,HC CARDIOVERSION PERFORMED VIA IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR (ICD),2150.65,1290.39,122.8,7411.0,54
CDM,48100376,HC PERQ TRLUML CORONRY LITHOTRP,21666.54,12999.92,3683.31,18416.56,38
CDM,48100377,"HC PERCUTANEOUS TRANSCATHETER PLCMNT OF STNT, PSEUDOANEURYSM OF CRNRY ARTRY",19299.55,11579.73,122.8,14474.66,54
CDM,48100378,"HC INTRVS DPPLR VEL PRS DRVD COR FLW MSRMT COR ANGRPHY, NO PHRM STRS 1 VESSEL",5656.51,3393.91,122.8,7411.0,54
CDM,48100379,"HC INTRVS DPPLR VEL PRS DRVD COR FLW MSRMT COR ANGRPHY, NO PHRM STRS 2 VESSEL",9336.59,5601.95,122.8,7411.0,54
CDM,48100380,"HC INTRVS DPPLR VEL PRS DRVD COR FLW MSRMT COR ANGRPHY, NO PHRM STRS 3 VESSEL",13016.67,7810.0,122.8,9762.5,54
CDM,48100381,HC PERCUTANEOUS TRANSCATHETER CLOSURE OF PARAVALVULAR LEAK; TRICUSPID VALVE,47088.86,28253.32,122.8,35316.64,54
CDM,48100382,HC TMVR WITH LAMPOON,24784.75,14870.85,598.65,18588.56,52
CDM,48100383,HC NJX CTH SLCT P-ART ANGRP UNI,4655.11,2793.07,791.37,7411.0,38
CDM,48100384,HC NJX CATH SLCT P-ART ANGRP BI,4887.87,2932.72,830.94,7411.0,38
CDM,48100385,HC NJX CATH SLCT PULM VN ANGRPH,4655.11,2793.07,791.37,7411.0,38
CDM,48100386,HC NJX CATH SLCT P ANGRPH MAPCA,4655.11,2793.07,791.37,7411.0,38
CDM,48100387,HC PERQ P-ART REVSC 1 NM NT UNI,20672.68,12403.61,5338.09,27252.71,54
CDM,48100388,HC PERQ P-ART REVSC 1 NM NT BI,20672.68,12403.61,5338.09,27252.71,54
CDM,48100389,HC PERQ P-ART REVSC 1 ABNOR UNI,33452.34,20071.4,5338.09,43439.01,54
CDM,48100390,HC PERQ P-ART REVSC 1 ABNOR BI,20672.68,12403.61,5338.09,27252.71,54
CDM,48100391,HC PERQ P-ART REVSC EACH ADDL,15736.7,9442.02,1896.0,13376.19,38
CDM,48100392,HC PRQ AV FSTL CRTJ UXTR 1 ACS,28350.0,17010.0,1939.15,43439.01,54
CDM,48100393,HC PRQ AV FSTL CRT UXTR SEP ACS,26892.5,16135.5,1939.15,43439.01,54
CDM,48100423,HC RELOCATION OF SUBCUTANEOUS CARDIAC RHYTHM MONITOR,14125.56,8475.34,598.65,10594.17,52
CDM,48100425,"HC THROMBOENDARTERECTOMY, INCLUDING PATH GRAFT, IF PERFORMED; RADIAL",9990.19,5994.11,598.65,7492.64,52
CDM,48100426,"HC LEFT HEART CATHETERIZATION WITH STENTING OF LVAD & CEREBRAL PROTECTION, INCLUDING ANGIOPLASTY WHEN PERFORMED",47351.91,28411.15,598.65,35513.93,52
CDM,48100427,"HC VENOPLASTY, BALLOON, RELEASE OF FIBRIN SHEATH",6152.83,3691.7,598.65,7411.0,52
CDM,48100429,HC LFT HRT CATHTRZTN WTH STENTNG LVAD&CERBRL PRTCTN (+ ANGIOPLSTY IF PRFMD),47351.29,28410.77,598.65,35513.47,52
CDM,48100430,HC OPEN BRACHIAL ARTERY EXPOSURE FOR HEART CATHETERIZATION ACCESS,14563.89,8738.33,598.65,10922.92,52
CDM,48100431,"HC INSERT AZYGOUS VEIN COIL, CARDIAC VENOUS SYSTEM (HIGH DEFIB THRESHOLD)",29333.07,17599.84,598.65,21999.8,52
CDM,48100432,HC STANDALONE ENDOLUMINAL IMGNG OF CORONRY VSSL/GRFT USNG INTRVSCLR ULTRSND,5656.51,3393.91,122.8,7411.0,54
CDM,48100433,HC SHORTCUT PROCEDURE (SPLIT CARDIAC VALVE LEAFLETS),23132.25,13879.35,122.8,17349.19,54
CDM,48100434,HC RMVL OF INTRA-AORTIC BLLN ASST DVCE NCLDNG RPAIR OF AXIL. ARTR W/WO GRFT,10838.41,6503.05,598.65,8128.81,52
CDM,48100435,HC BYP OTH/THN VEIN FEMORAL-POPLITEAL,5904.0,3542.4,1003.68,7411.0,38
CDM,48100436,HC INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING,10547.48,6328.49,1793.07,8965.36,33
CDM,48100445,HC PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY,20634.8,12380.88,3507.92,17539.58,38
CDM,48100446,HC REMOVAL OF SHEATH/CATHETER FROM ARTERY W/WO CLOSURE,3126.08,1875.65,598.65,7411.0,52
CDM,48100447,HC TRANSCATHETER L VENTR RESTORATION DEVICE IMPLTJ,72615.83,43569.5,2546.0,61723.46,38
CDM,48100448,HC INTRACARDIAC CATHETHER ABLATION OF WATCHMAN LEAK,19891.72,11935.03,598.65,14918.79,52
CDM,48100449,HC PROVOCATIVE CORONARY REACTIVITY TESTING,10268.05,6160.83,122.8,7701.04,54
CDM,48100450,"HC VENOUS LASER ATHERECTOMY, COMMON ILIACT VEIN",29602.43,17761.46,598.65,22201.82,52
CDM,48100451,HC TCAT INS 2CHMBR LDLS PM CMPL,35753.9,21452.34,2546.0,48269.91,54
CDM,48100452,HC TCAT RMV&RPL 2CHMBR LDLS PM,35753.9,21452.34,2546.0,48269.91,54
CDM,48100453,HC TRANSCATHETER LACERATION REPAIR OF SUBAORTIC MEMBRANE,46339.54,27803.72,122.8,34754.65,54
CDM,48100454,HC PERQ TCAT THER RX DLVR NTRAC RX BALO 1 MAJ C ART,10894.0,6536.4,1851.98,24933.1,53
CDM,48100455,HC PERQ TCAT THER RX DLVR NTRAC RX BALO SEPARATE,29195.92,17517.55,4963.31,24816.53,38
CDM,48100457,HC STENTING IF LVAD OUTFLOW GRAFT,28152.15,16891.29,598.65,21114.11,52
CDM,48100458,"HC CEREBRAL EMBOLIC PROJECTION DEVICE, FOR PROCEDURES OTHER THAN TAVR",12696.02,7617.61,598.65,9522.01,52
CDM,48100459,HC REPOSITIONING OF EXTRAVASCULAR ICD GENERATOR,7643.76,4586.26,598.65,7411.0,52
CDM,48100460,HC PERCUTANEOUS SEPTAL MYOMOTOMY (SESAME PROCEDURE),37005.16,22203.1,598.65,27753.87,52
CDM,48100600,HC PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD&RTRGR,38597.77,23158.66,5950.65,28948.33,53
CDM,48100601,HC REVSC EVASC IVT ANGIOP UNI SF LES 1ST VSL,21276.79,12766.07,2869.66,15957.59,53
CDM,48100602,HC REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL,17389.59,10433.75,2956.23,14781.15,38
CDM,48100603,HC REVSC EVASC IVT ANGIOP UNI CPLX LES 1ST VSL,31915.18,19149.11,2869.66,23936.38,53
CDM,48100604,HC REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL,26084.38,15650.63,4434.34,22171.72,38
CDM,48100605,HC REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL,40091.98,24055.19,6132.14,30068.99,53
CDM,48100606,HC REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL,34331.47,20598.88,5836.35,29181.75,38
CDM,48100607,HC REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL,60137.97,36082.78,6132.14,45103.48,53
CDM,48100608,HC REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL,51497.2,30898.32,6299.0,43772.62,38
CDM,48100609,HC INTRAVASCULAR LITHOTRIPSY IVT WITHIN SAME ARTERY,20634.8,12380.88,3507.92,17539.58,38
CDM,48100610,HC REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL,28124.2,16874.52,3036.54,21093.15,53
CDM,48100611,HC REVSC EVASC FPVT ANGIOP UNI SF LES EA ADDL VSL,42186.3,25311.78,6299.0,35858.36,38
CDM,48100612,HC REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL,42186.3,25311.78,3036.54,31639.72,53
CDM,48100613,HC REVSC EVASC FPVT ANGIOP UNI CPLX LES EA ADDL VSL,42186.3,25311.78,6299.0,35858.36,38
CDM,48100614,HC REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL,42046.91,25228.15,6299.0,31535.18,53
CDM,48100615,HC REVSC EVASC FPVT ST PLMT UNI SF LES EA ADDL VSL,63070.36,37842.22,6299.0,53609.81,38
CDM,48100616,HC REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL,63070.36,37842.22,6299.0,47302.77,53
CDM,48100617,HC REVSC EVASC FPVT ST PLMT UNI CPLX LES EA ADD VSL,63070.36,37842.22,6299.0,53609.81,38
CDM,48100618,HC REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL,44172.48,26503.49,6299.0,39592.62,53
CDM,48100619,HC REVSC EVASC FPVT ATHRC UNI SF LES EA ADDL VSL,66258.72,39755.23,6299.0,56319.91,38
CDM,48100620,HC REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL,66258.72,39755.23,6299.0,49694.04,53
CDM,48100621,HC REVSC EVASC FPVT ATHRC UNI CPLX LES EA ADDL VSL,66258.72,39755.23,6299.0,56319.91,38
CDM,48100622,HC REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL,81835.93,49101.56,6299.0,61376.95,53
CDM,48100623,HC REVSC EVASC FPVT ST ATHRC UNI SF LES EA ADDL VSL,122753.89,73652.33,6299.0,104340.81,38
CDM,48100624,HC REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL,122753.89,73652.33,6299.0,92065.42,53
CDM,48100625,HC REVSC EVSC FPVT ST ATHRC UNI CPLX LES EA ADD VSL,122753.89,73652.33,6299.0,104340.81,38
CDM,48100626,HC INTRAVASCULAR LITHOTRIPSY FPVT W/IN SAME ARTERY,20634.8,12380.88,3507.92,17539.58,38
CDM,48100627,HC REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL,30648.97,18389.38,5662.36,24933.1,53
CDM,48100628,HC REVSC EVASC TPVT ANGIOP UNI SF LES EA ADDL VSL,16946.04,10167.62,2880.83,14404.13,38
CDM,48100629,HC REVSC EVASC TPVT ANGIOP UNI CPLX LES 1ST VSL,45973.45,27584.07,5662.36,34480.09,53
CDM,48100630,HC REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADDL VSL,25419.06,15251.44,4321.24,21606.2,38
CDM,48100631,HC REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL,46400.94,27840.56,6299.0,39592.62,53
CDM,48100632,HC REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL,18491.22,11094.73,3143.51,15717.54,38
CDM,48100633,HC REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL,69601.41,41760.85,6299.0,52201.06,53
CDM,48100634,HC REVSC EVASC TPVT ST PLMT UNI CPLX LES EA ADD VSL,27736.83,16642.1,4715.26,23576.31,38
CDM,48100635,HC REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL,46540.68,27924.41,6299.0,39592.62,53
CDM,48100636,HC REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL,51497.2,30898.32,6299.0,43772.62,38
CDM,48100637,HC REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL,69811.02,41886.61,6299.0,52358.26,53
CDM,48100638,HC REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL,51497.2,30898.32,6299.0,43772.62,38
CDM,48100639,HC REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL,56284.8,33770.88,6299.0,42213.6,53
CDM,48100640,HC REVSC EVASC TPVT ST ATHRC UNI SF LES EA ADDL VSL,18464.5,11078.7,3138.97,15694.83,38
CDM,48100641,HC REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL,84427.2,50656.32,6299.0,63320.4,53
CDM,48100642,HC REVSC EVSC TPVT ST ATHRC UNI CPLX LES EA ADD VSL,27696.75,16618.05,4708.45,23542.24,38
CDM,48100643,HC REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL,17389.59,10433.75,5662.36,24933.1,53
CDM,48100644,HC REVSC EVASC IMVT ANGIOP UNI SF LES EA ADDL VSL,17389.59,10433.75,2956.23,14781.15,38
CDM,48100645,HC REVSC EVASC IMVT ANGIOP UNI CPLX LES 1ST VSL,31915.18,19149.11,5662.36,24933.1,53
CDM,48100646,HC REVSC EVASC IMVT ANGIOP UNI CPLX LES EA ADDL VSL,31915.18,19149.11,5425.58,27127.9,38
CDM,48200001,HC CARDIOVASCULAR STRESS TEST,2086.47,1251.88,206.06,7411.0,55
CDM,48300001,HC TTE FOR CONGENITAL ANOMALIES W/O CONTRAST,4410.0,2646.0,215.51,7411.0,55
CDM,48300002,HC TTE FOR CONGENITAL ANOMALIES F/UP OR LIMITED W/O CONTRAST,2356.05,1413.63,151.7,7411.0,55
CDM,48300003,HC TTE COMPLETE W/DOPPLER & COLOR FLOW W/O CONTRAST,4315.93,2589.56,416.02,7411.0,55
CDM,48300004,HC TTE W/O DOPPLER & COLOR FLOW W/O CONTRAST,3010.92,1806.55,135.33,7411.0,55
CDM,48300005,HC TTE F/UP OR LIMITED W/O CONTRAST,1397.4,838.44,97.56,7411.0,55
CDM,48300006,HC TEE W/O CONTRAST,4664.12,2798.47,232.89,7411.0,55
CDM,48300007,"HC DOPPLER ECHO,PULSD WAVE &/OR CONT.WAVE,C",1564.66,938.8,109.54,7411.0,39
CDM,48300008,"HC DOPPLER ECHO,PULSD WAVE &/OR CONT WAVE,LIMI",953.82,572.29,60.85,7411.0,39
CDM,48300009,HC DOPPLER COLOR FLOW VELOCITY MAPPING,1170.98,702.59,68.58,7411.0,39
CDM,48300010,"HC TTE 2D REST/STRESS, W/O CONTRAST",3574.37,2144.62,182.78,7411.0,55
CDM,48300011,HC TTE REST/STRESS - ELECARD MNT W/O CONTR,4535.55,2721.33,459.15,7411.0,55
CDM,48300012,HC TTE FOR CONGENITAL ANOMALIES W/CONTRAST,4410.0,2646.0,215.51,7411.0,55
CDM,48300013,HC TTE FOR CONGENITAL ANOMALIES F/UP OR LIMITED W/CONTRAST,2356.05,1413.63,151.7,7411.0,55
CDM,48300014,HC TTE W/O DOPPLER& COLOR FLOW W/CONTRAST,3010.92,1806.55,135.33,7411.0,55
CDM,48300015,HC TTE F/UP OR LIMITED W/CONTRAST,1397.4,838.44,97.56,7411.0,55
CDM,48300016,HC TEE W/CONTRAST,4664.12,2798.47,232.89,7411.0,55
CDM,48300017,HC TEE FOR CONGENITAL ANOMALIES W/PROBE PLCMT W/CONTRAST,3802.8,2281.68,359.51,7411.0,55
CDM,48300018,"HC TTE 2D REST/STRESS, W/CONTRAST",3574.37,2144.62,182.78,7411.0,55
CDM,48300019,HC TTE COMPLETE W/DOPPLER & COLOR FLOW W/CONTRAST,4315.93,2589.56,416.02,7411.0,55
CDM,48300020,HC TEE FOR CONGENITAL ANOMALIES W/PROBE PLCMT W/O CONTRAST,2890.16,1734.1,359.51,7411.0,55
CDM,48300022,HC TTE F/UP OR LIMITED W/O CONTRAST,1397.4,838.44,97.56,7411.0,55
CDM,48300023,HC TTE F/UP OR LIMITED W/CONTRAST,1397.4,838.44,97.56,7411.0,55
CDM,48300024,"HC TTE W OR W/O CONTR,CONT ECG",3663.9,2198.34,622.86,7411.0,55
CDM,48300025,"HC ECHO TRANSESOPHAGEAL (TEE) PROCEDURAL (TAVR, ASD CLOSURES)",5351.13,3210.68,219.86,7411.0,39
CDM,48300027,HC MYOCARDIAL STRAIN IMAGING SPECKL TRCKING,940.8,564.48,24.5,7411.0,39
CDM,48300034,HC TEE TRANSESOPHAGEAL ECHO,4557.07,2734.24,257.31,7411.0,55
CDM,48300035,HC MYOCRD CONTRAST PRFUJ ECHO,3970.94,2382.56,297.64,7411.0,39
CDM,48300036,HC MYOCARDIAL STRAIN IMAGING SPCKL TRCKING,940.8,564.48,24.5,7411.0,39
CDM,48300038,HC 3D ECHO IMAG CONGENITAL CAR ANOMAL,1159.49,695.69,24.21,7411.0,39
CDM,48300039,HC FOCUSED TRANSESOPHAGEAL CARDIAC ULTRASOUND (POCUS USE ONLY),4664.12,2798.47,232.89,7411.0,55
CDM,48900001,HC PERIPHERAL VASCULAR REHAB,236.85,142.11,40.26,7411.0,55
CDM,51000001,"HC DESTROY BENIGN LESION, FIRST",266.3,159.78,45.27,7411.0,41
CDM,51000002,"HC DESTROY BENIGN LESION, 2 -14",87.86,52.72,14.94,7411.0,29
CDM,51000019,HC RAPID DESENSITIZATION PROCEDUR,552.0,331.2,93.84,7411.0,41
CDM,51000020,HC IM OR SQ INJECTECTION,321.2,192.72,54.6,7411.0,41
CDM,51000021,"HC SCREENING,VISUAL ACUITY,QUANTI",97.35,58.41,16.55,7411.0,29
CDM,51000027,HC OFFICE/OUTPATIENT VISIT LVL1,325.0,195.0,55.25,7411.0,40
CDM,51000028,HC OFFICE/OUTPATIENT VISIT LVL2,325.0,195.0,55.25,7411.0,40
CDM,51000029,HC OFFICE/OUTPATIENT VISIT LVL3,325.0,195.0,55.25,7411.0,40
CDM,51000030,HC OFFICE/OUTPATIENT VISIT LVL4,325.0,195.0,55.25,7411.0,40
CDM,51000031,HC OFFICE/OUTPATIENT VISIT LVL5,325.0,195.0,55.25,7411.0,40
CDM,51000034,HC INITIAL PREVENTION EXAM,297.62,178.57,50.6,7411.0,41
CDM,51000050,"HC TRANSCUTANEOUS PACING, TEMPORA",1837.83,1102.7,312.43,7411.0,41
CDM,51000052,HC LEVEL 1 TECH/NURSE,325.0,195.0,55.25,7411.0,40
CDM,51000053,HC LEVEL 2 TECH/NURSE,206.58,123.95,35.12,7411.0,40
CDM,51000054,HC LEVEL 3 TECH/NURSE,325.0,195.0,55.25,7411.0,40
CDM,51000055,HC LEVEL 4 TECH/NURSE,249.98,149.99,42.5,7411.0,40
CDM,51000059,HC TRANSITIONAL CARE MANAGEMENT WITHIN 14 DAYS,107.4,64.44,18.26,7411.0,41
CDM,51000060,HC TRANSITIONAL CARE MANAGEMENT WITHIN 7 DAYS,141.32,84.79,24.02,7411.0,41
CDM,51000063,HC REMOTE IMAGING DETECT RETINAL DISEASE,85.28,51.17,14.5,7411.0,41
CDM,51000064,HC POST-OP VISIT,325.0,195.0,55.25,7411.0,40
CDM,51000093,HC SANE ADDITIONAL EVALUATION & MANAGEMENT,106.0,63.6,18.02,7411.0,29
CDM,51000094,HC SANE AFTER HOURS,39.0,23.4,6.63,7411.0,29
CDM,51000095,HC PEG TUBE REMOVAL IF ORIGINAL WAS NOT PLACED BY BSWH,302.5,181.5,51.42,7411.0,40
CDM,51000096,HC EPID AUTOG TRK/ARM/L EA ADD'L,1856.39,1113.83,315.59,7411.0,29
CDM,51000097,HC EPID AUTOG F/S/F/D EA ADD'L,1024.54,614.72,174.17,7411.0,29
CDM,51000098,HC PALATAL AUGMENTATION PROSTH,5191.68,3115.01,519.92,7975.81,41
CDM,51000099,HC PALATAL LIFT PROSTH,4049.51,2429.71,688.42,7975.81,41
CDM,51000100,HC AUGMENTATION LOWER JAW,5191.68,3115.01,1869.0,14507.25,41
CDM,51000101,HC GENETIC COUNSELING FOLLOW-UP,166.67,100.0,28.33,7411.0,29
CDM,51000102,HC GENETIC COUNSELING INITIAL,166.67,100.0,28.33,7411.0,29
CDM,51000103,HC ACUPUNCT W/O STIMUL 15 MIN,64.9,38.94,11.03,7411.0,41
CDM,51000104,HC ACUPUNCT W STIMUL 15 MINS,64.9,38.94,11.03,7411.0,41
CDM,51000105,HC OCULAR FUNCTION SCREEN,27.04,16.22,4.6,7411.0,29
CDM,51000106,HC MILD LUMBAR,13257.14,7954.28,2253.71,17722.46,32
CDM,51000107,HC ACCESS REVIEW,4871.04,2922.62,828.08,7411.0,29
CDM,51000108,HC BAND ADJUSTMENT,345.85,207.51,58.79,7411.0,29
CDM,51000109,HC APPLICATION OF UNNA BOOT BILAT,552.9,331.74,33.12,7411.0,30
CDM,51000110,HC MULTILAYER COMPRESSION BILAT,818.93,491.36,51.75,7411.0,30
CDM,51000113,HC SNRB TRANS CRV/THOR EA ADD BI,2137.65,1282.59,363.4,7411.0,29
CDM,51000115,HC FACET CRV/THOR LEVEL 1 BI,3659.91,2195.95,340.77,7411.0,30
CDM,51000116,HC FACET CRV/THOR LEVEL 2 BI,1885.68,1131.41,320.57,7411.0,29
CDM,51000117,HC FACET CRV/THOR LEVEL 3 BI,2017.63,1210.58,343.0,7411.0,29
CDM,51000118,HC FACET LUMB/SAC LEVEL 1,3609.74,2165.84,340.77,7411.0,30
CDM,51000119,HC FACET LUMB/SAC LEVEL 2 BI,1610.54,966.32,273.79,7411.0,29
CDM,51000120,HC FACET LUMB/SAC LEVEL 3 BI,1405.38,843.23,238.91,7411.0,29
CDM,51000122,HC APPLY LEG CAST RIGID BILATERAL,975.52,585.31,49.94,7411.0,30
CDM,51000123,HC MULTILAYER COMPRESSION BILAT,818.93,491.36,51.75,7411.0,30
CDM,51000124,HC SLT LASER TRABECULOPLASTY BI,2312.3,1387.38,109.35,7411.0,30
CDM,51000125,HC OCCIPITAL NERVE BLOCK BI EXAM,1601.07,960.64,30.18,7411.0,30
CDM,51000129,HC OCCIPITAL NERVE BLOCK BI OR,1601.07,960.64,30.18,7411.0,30
CDM,51000130,HC INTERCOSTAL BLOCK SINGLE BI,2053.71,1232.23,262.86,7411.0,30
CDM,51000131,HC INTERCOSTAL BLOCK MULTIPLE BI,2409.18,1445.51,340.77,7411.0,30
CDM,51000133,HC SACROILIAC JOINT INJECTION BI,2636.87,1582.12,448.27,7411.0,30
CDM,51000134,HC NEUROLYTIC OTHER PERIPH BI-LA,3287.82,1972.69,145.34,7411.0,30
CDM,51000135,HC SCIATIC NERVE BLOCK BI,3203.39,1922.03,73.64,7411.0,30
CDM,51000136,HC SPHENOPALATINE GANGLION BLK BI,1271.52,762.91,70.6,7411.0,30
CDM,51000137,HC LUMBAR SYMPATHETIC BLOCK BI,3465.35,2079.21,340.77,7411.0,30
CDM,51000138,HC NASOPHARYNGOSCOPY,586.12,351.67,99.64,7411.0,41
CDM,51000139,HC EXERCISE TST BRNCSPSM (NO ECG),781.92,469.15,129.64,7411.0,41
CDM,51000140,HC IMPRESS/PREP SPEECH AID PROSTH,4515.2,2709.12,767.58,7975.81,41
CDM,51000162,HC INITIAL PREVENTIVE EXAM,297.62,178.57,50.6,7411.0,41
CDM,51000169,HC MULTILAYER COMPRESSION,818.93,491.36,51.75,7411.0,41
CDM,51000170,HC MULTILAYER COMPRESSION BILATERAL,818.93,491.36,51.75,7411.0,30
CDM,51000171,HC PUNCH BIOPSY OF SKIN,841.97,505.18,79.46,7411.0,41
CDM,51000172,HC PUNCH BIOPSY OF SKIN EACH ADD,378.55,227.13,64.35,7411.0,29
CDM,51000173,HC TANGENTIAL BIOPSY SKIN SINGLE LESION,448.37,269.02,64.23,7411.0,41
CDM,51000174,HC TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,393.56,236.14,66.91,7411.0,29
CDM,51000175,HC INCISIONAL BIOPSY SKIN SINGLE LESION,1076.11,645.67,98.83,7411.0,41
CDM,51000176,HC INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,333.23,199.94,56.65,7411.0,29
CDM,51000177,HC EXCISION OF NAIL AND NAIL MATRIX,1692.54,1015.52,84.71,7411.0,41
CDM,51000180,HC LACTATION CONSULT,325.0,195.0,55.25,7411.0,40
CDM,51000196,HC REMOTE MONITOR PHYSIOL PARAM SETUP,227.78,136.67,38.72,7411.0,41
CDM,51000197,HC REMOTE MONITOR PHYSIOL PARAM DEV,71.22,42.73,12.11,7411.0,41
CDM,51000198,HC CHRON CARE MGMT SRVC 20 MIN,119.9,71.94,20.38,7411.0,41
CDM,51000200,HC REMOTE MONITOR PHYSIOL PARAM SETUP,2310.13,1386.08,138.98,7411.0,41
CDM,51000201,HC IMG RTA DETC/MNTR DS POC ALY,111.32,66.79,18.92,7411.0,41
CDM,51000202,HC UTERUS EVAL,13429.0,8057.4,2282.93,11414.65,29
CDM,51000203,"HC EYE EXAM, NEW PATIENT,INTERMED",238.0,142.8,40.46,7411.0,41
CDM,51000204,HC CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM,107.33,64.4,18.25,7411.0,41
CDM,51000205,HC PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM,107.33,64.4,18.25,7411.0,41
CDM,51000207,HC PRINCIPAL CARE MGMT SVC 1ST 30 STAFF CAL MO,152.84,91.7,25.98,7411.0,41
CDM,51000208,HC REM THER MNTR OL DIG COG BHV THER PRGRM SPLY TCH,76.06,45.64,12.93,7411.0,29
CDM,51000213,HC VISIT ESKETAMINE 56M OR LESS,1301.0,780.6,221.17,7411.0,41
CDM,51000214,"HC VISIT ESKETAMINE, > 56M",1849.9,1109.94,314.48,7411.0,41
CDM,51000215,HC HOSPITAL OUTPT CLINIC VISIT,325.0,195.0,55.25,7411.0,40
CDM,51000216,HC HOSPITAL OUTPT CLINIC VISIT TECH/NURSE,325.0,195.0,55.25,7411.0,40
CDM,51000217,HC RMVL OF INTRA-AORTIC BLLN ASST DVCE NCLDNG RPAIR OF AXIL. ARTR W/WO GRFT,10838.41,6503.05,611.26,8128.81,39
CDM,51000218,HC FECAL DISIMPACTION,4308.26,2584.96,429.26,7411.0,41
CDM,51000219,"HC RFA, NERVE, SYMPATHETIC NERVE, OTHER UNSPECIFIED",4875.5,2925.3,299.1,7411.0,39
CDM,51000220,HC COLLJ & INTERPJ PHYSIOL DATA MIN 30,290.34,174.2,49.36,7411.0,29
CDM,51000221,HC APP OF TPCL TRNSCTNS CAPSCN OR OTHER DRUG NRV PTCH + MONITORING QUTENZA,325.0,195.0,81.25,7411.0,39
CDM,51000223,HC ADM OF SOC DTR ASSESS 5-15 M,54.68,32.81,9.3,7411.0,41
CDM,51000224,HC VISIT TO DETERM LDCT ELIG,163.56,98.14,27.81,7411.0,41
CDM,51000225,HC GENETIC COUNSELING INITIAL,166.67,100.0,28.33,7411.0,29
CDM,51000226,HC GENETIC COUNSELING FOLLOW-UP,166.67,100.0,28.33,7411.0,29
CDM,51000228,HC REMOTE MONITOR PHYSIOL PARAM DEV SPLY W/REC 2-15 DAYS,74.98,44.99,12.75,7411.0,40
CDM,51200001,HC END THXPY ANTERIOR TOOTH,579.6,347.76,98.53,7411.0,38
CDM,51200002,"HC END THXPY, BICUSPID TOOTH",627.9,376.74,106.74,7411.0,38
CDM,51200003,HC ENDODONTIC THERAPY MOLAR,753.48,452.09,128.09,7411.0,38
CDM,51200004,HC FULL MOUTH DEBRIDEMENT,542.1,325.26,92.16,7411.0,38
CDM,51200005,HC LOCALIZED DELIVERY ANTIMICRO,850.38,510.23,144.56,7411.0,37
CDM,51200006,HC EXTRACTION ERUPTED TOOTH/EXR,757.9,454.74,128.84,7411.0,38
CDM,51200007,HC REM IMP TOOTH W MUCOPER FLP,751.84,451.1,127.81,7411.0,38
CDM,51200008,HC IMPACT TOOTH REMOV SOFT TISS,767.24,460.34,130.43,7411.0,38
CDM,51200009,HC IMPACT TOOTH REMOV PART BONY,1094.27,656.56,186.03,7411.0,38
CDM,51200010,HC IMPACT TOOTH REMOV COMP BONY,1234.83,740.9,209.92,7411.0,38
CDM,51200011,HC TOOTH ROOT REMOVAL,754.32,452.59,128.23,7411.0,38
CDM,51200013,HC LIMITED OCCLUSAL ADJUSTMENT,501.21,300.73,85.21,7411.0,38
CDM,51200014,HC COMPLETE OCCLUSAL ADJUSTMENT,850.38,510.23,144.56,7411.0,38
CDM,54200004,HC EMERGENCY TRANSPORT,762.48,457.49,129.62,7411.0,40
CDM,54700028,HC NORMAL SALINE 1000CC IV,31.44,18.86,2.4,7411.0,41
CDM,61000015,HC MRI CHEST W/O CONTRAST,2656.25,1593.75,227.71,7411.0,55
CDM,61000016,HC MRI CHEST W/ CONTRAST,2635.13,1581.08,385.25,7411.0,55
CDM,61000017,HC MRI CHEST W/O W/C W/SEQ,3783.56,2270.14,332.94,7411.0,55
CDM,61000031,HC MRI EXT UPPER W/O CONTRAS,3456.83,2074.1,227.71,7411.0,55
CDM,61000032,HC MRI EXT UPPER W/CONTRAST,2413.16,1447.9,332.94,7411.0,55
CDM,61000033,HC MRI EXT UPPER W/O&W CONTR,5670.0,3402.0,332.94,7411.0,55
CDM,61000034,HC MRI EXT UPPER JNT W/O CON,2980.61,1788.37,209.16,7411.0,55
CDM,61000035,HC MRI EXT UPPER JNT W/CONTR,4762.8,2857.68,323.1,7411.0,55
CDM,61000036,HC MRI EXT UPPER JNT W/O&W C,3923.33,2354.0,332.94,7411.0,55
CDM,61000037,HC MRI EXT LOWER W/O CONTRAS,3525.77,2115.46,227.71,7411.0,55
CDM,61000038,HC MRI EXT LOWER W/CONTRAST,2569.4,1541.64,271.31,7411.0,55
CDM,61000039,HC MRI EXT LOWER W/O&W CONTR,6384.76,3830.86,332.94,7411.0,55
CDM,61000040,HC MRI EXT LOWER JNT W/O CON,3682.04,2209.22,208.84,7411.0,55
CDM,61000041,HC MRI EXT LOWER JNT W/CONTR,3990.96,2394.58,323.44,7411.0,55
CDM,61000042,HC MRI EXT LOWER JNT W/O&W C,6150.76,3690.46,332.94,7411.0,55
CDM,61000044,HC MRI ABDOMEN W/O CONTRAST,3663.25,2197.95,201.81,7411.0,55
CDM,61000045,HC MRI ABDOMEN W/CONTRAST,3039.12,1823.47,311.75,7411.0,55
CDM,61000046,HC MRI ABDOMEN W/O&W CONTRAS,6350.4,3810.24,332.94,7411.0,55
CDM,61000048,"HC MRI,CARDIAC - MORPHOLGY & FUNCTN W/O CONTRAST",4075.12,2445.07,227.71,7411.0,55
CDM,61000049,"HC MRI,CARDIAC - MORPHOLGY & FUNCTN WO/W CONTRAST",4931.66,2959.0,332.94,7411.0,55
CDM,61000052,HC MAGNETIC RESONANCE SPECTROSCOPY,2203.93,1322.36,83.05,7411.0,55
CDM,61000054,HC MRI GUIDE FOR NEEDLE PLACEMENT,1729.95,1037.97,294.09,7411.0,39
CDM,61000066,HC MRI CARDIAC MORPH & FUNCTION WO CONTRAST W STRESS,2511.37,1506.82,385.59,7411.0,55
CDM,61000067,HC MRI CARDIAC MORPH & FUNCTION W WO CONTRAST W STRESS,6048.0,3628.8,436.71,7411.0,55
CDM,61000068,HC MRI CARDIAC VELOCITY FLOW MAPPING,1192.8,715.68,83.62,7411.0,39
CDM,61000069,HC MRI BONE MARROW BLOOD SUPPLY,2249.77,1349.86,227.71,7411.0,55
CDM,61000070,HC MRI FETAL SNGL/1ST GESTATION,1893.77,1136.26,227.71,7411.0,55
CDM,61000071,HC MRI FETAL EA ADDL GESTATION,796.55,477.93,204.49,7411.0,39
CDM,61000072,HC MRI WHOLE BODY W/OUT CONTRAST,444.6,266.76,83.05,7411.0,55
CDM,61000074,"HC MRI W/O CONTRAST FOLLOWED BY W/ CONTRAST, BREAST - UNILATERAL",3231.0,1938.6,332.94,7411.0,55
CDM,61000075,"HC MRI W/ CONTRAST, BREAST - UNILATERAL",3398.51,2039.11,167.39,7411.0,55
CDM,61000076,"HC MRI W/O CONTRAST FOLLOWED BY W/ CONTRAST, BREAST - BILATERAL",3427.81,2056.69,332.94,7411.0,55
CDM,61000077,"HC MRI W/ CONTRAST, BREAST - BILATERAL",3324.03,1994.42,332.94,7411.0,55
CDM,61000079,HC THORACOLUMBAR W CM,2880.0,1728.0,83.05,7411.0,55
CDM,61000080,HC THORACOLUMBAR WO CM,2880.0,1728.0,83.05,7411.0,55
CDM,61000081,HC THORACOLUMBAR WWO CM,2880.0,1728.0,83.05,7411.0,55
CDM,61000082,HC UNLIST PROC,2880.0,1728.0,83.05,7411.0,55
CDM,61000083,HC UNLIST PROC,2880.0,1728.0,83.05,7411.0,55
CDM,61000084,HC MR HEAD INTRAOP WO CM,3342.42,2005.45,521.46,7411.0,55
CDM,61000085,HC MR HEAD INTRAOP W CM,4176.11,2505.67,167.39,7411.0,55
CDM,61000086,HC MR HEAD INTRAOP WWO CM,4688.49,2813.09,167.39,7411.0,55
CDM,61000088,HC MR LWR EXT WO CM LT,3525.77,2115.46,230.21,7411.0,40
CDM,61000089,HC MR LWR EXT WO CM RT,3525.77,2115.46,230.21,7411.0,40
CDM,61000090,HC MR LWR EXT W CM LT,2569.4,1541.64,271.31,7411.0,40
CDM,61000091,HC MR LWR EXT WWO CM LT,6384.76,3830.86,347.5,7411.0,40
CDM,61000092,HC MR LWR EXT WWO CM RT,6384.76,3830.86,347.5,7411.0,40
CDM,61000093,HC MR UPR EXT WWO CM LT,5670.0,3402.0,366.42,7411.0,40
CDM,61000094,HC MR UPR EXT WWO CM RT,5670.0,3402.0,366.42,7411.0,40
CDM,61000095,HC MR UPR EXT JT WO CM LT,2980.61,1788.37,209.16,7411.0,40
CDM,61000096,HC MR UPR EXT JT WO CM RT,2980.61,1788.37,209.16,7411.0,40
CDM,61000097,HC MR UPR EXT JT W CM LT,4762.8,2857.68,323.1,7411.0,40
CDM,61000098,HC MR UPR EXT JT W CM RT,4762.8,2857.68,323.1,7411.0,40
CDM,61000099,HC MR UPR EXT JT WWO CM LT,3923.33,2354.0,366.42,7411.0,40
CDM,61000100,HC MR LWR EXT JT WO CM LT,3682.04,2209.22,208.84,7411.0,40
CDM,61000101,HC MR LWR EXT JT WO CM RT,3682.04,2209.22,208.84,7411.0,40
CDM,61000102,HC MR UPR EXT JT WWO CM RT,3923.33,2354.0,366.42,7411.0,40
CDM,61000103,HC MR LWR EXT W CM RT,2569.4,1541.64,271.31,7411.0,40
CDM,61000104,HC MR LWR EXT JT W CM BI,3990.96,2394.58,323.44,7411.0,40
CDM,61000105,HC MR LWR EXT JT WO CM BI,3682.04,2209.22,208.84,7411.0,40
CDM,61000106,HC MR LWR EXT JT WWO CM BI,6150.76,3690.46,366.42,7411.0,40
CDM,61000107,HC MR LWR EXT W CM BI,2569.4,1541.64,271.31,7411.0,40
CDM,61000108,HC MR LWR EXT WO CM BI,3525.77,2115.46,230.21,7411.0,40
CDM,61000109,HC MR LWR EXT WWO CM BI,6384.76,3830.86,347.5,7411.0,40
CDM,61000110,HC MR UPR EXT JT WO CM BI,2980.61,1788.37,209.16,7411.0,40
CDM,61000111,HC MR UPR EXT JT WWO CM BI,3923.33,2354.0,366.42,7411.0,40
CDM,61000112,HC MR UPR EXT WO CM BI,3456.83,2074.1,233.47,7411.0,40
CDM,61000113,HC MR UPR EXT WWO CM BI,5670.0,3402.0,366.42,7411.0,40
CDM,61000114,HC MR LWR EXT JT W CM LT,3990.96,2394.58,323.44,7411.0,40
CDM,61000115,HC MR LWR EXT JT W CM RT,3990.96,2394.58,323.44,7411.0,40
CDM,61000116,HC MR LWR EXT JT WWO CM LT,6150.76,3690.46,366.42,7411.0,40
CDM,61000117,HC MR LWR EXT JT WWO CM RT,6150.76,3690.46,366.42,7411.0,40
CDM,61000118,HC MR UPR EXT WO CM LT,3456.83,2074.1,233.47,7411.0,40
CDM,61000119,HC MR UPR EXT WO CM RT,3456.83,2074.1,233.47,7411.0,40
CDM,61000120,HC MR UPR EXT W CM LT,2413.16,1447.9,341.81,7411.0,40
CDM,61000121,HC MR UPR EXT W CM RT,2413.16,1447.9,341.81,7411.0,40
CDM,61000122,HC MR ANGIO UPR EXT W OR WO CM RT,2040.71,1224.43,346.92,7411.0,39
CDM,61000123,HC MR ANGIO UPR EXT W OR WO CM LT,2040.71,1224.43,346.92,7411.0,39
CDM,61000128,HC MRI UPR EXT JNT W/CONTRAST BI,4762.8,2857.68,323.1,7411.0,40
CDM,61000129,HC MRI UPR EXT JNT W/O CONTRAST BI,2980.61,1788.37,209.16,7411.0,40
CDM,61000130,HC MR ANGIO UPR EXT W OR WO CM BI,2040.71,1224.43,346.92,7411.0,39
CDM,61000131,HC MRI BREAST C- UNILATERAL,2967.78,1780.67,227.71,7411.0,55
CDM,61000132,HC MRI BREAST C- BILATERAL,3471.99,2083.19,227.71,7411.0,55
CDM,61000133,HC MRI BREAST C-+ W/CAD UNI,3339.24,2003.54,567.67,7411.0,39
CDM,61000134,HC MRI BREAST C-+ W/CAD BI,3126.87,1876.12,531.57,7411.0,39
CDM,61000135,HC MAGNETIC RESONANCE ELASTOGRAPHY,2894.81,1736.89,207.16,7411.0,55
CDM,61000136,HC CAD BREAST MRI,226.8,136.08,37.48,7411.0,39
CDM,61000137,HC MR LWR EXT W CM,6384.76,3830.86,332.94,7411.0,55
CDM,61000138,HC MR LWR EXT W CM LT,6384.76,3830.86,332.94,7411.0,55
CDM,61000139,HC MR EXT UPPER JNT W WO CM,3923.33,2354.0,332.94,7411.0,55
CDM,61000140,HC MR EXT UPPER JNT WO CM,2980.61,1788.37,209.16,7411.0,55
CDM,61000141,HC MRI TOUCHSTONE RESEARCH STUDY (UNLISTED),2880.0,1728.0,83.05,7411.0,55
CDM,61000142,HC QUAN MR ALYS TIS COMPJ WO MRI SAME SESS MLT ORGN,470.0,282.0,79.9,7411.0,55
CDM,61000143,HC QUAN MR ALYS TISS COMPOSITION W/MRI MLT ORGANS,1816.14,1089.68,308.74,7411.0,55
CDM,61000144,HC QUAN MR ALYS TISS COMPOSITION W/MRI SINGLE ORGAN,2053.08,1231.85,349.02,7411.0,55
CDM,61000145,HC QUAN MR ALYS TIS COMPJ WO MRI SAME SESS MULTIPLE ORGANS,2203.93,1322.36,374.67,7411.0,55
CDM,61100002,HC MRI ORBIT/FC/NCK W/O CONT,4252.5,2551.5,227.71,7411.0,55
CDM,61100003,HC MRI ORBIT/FC/NK W/CONTRAS,2867.9,1720.74,276.66,7411.0,55
CDM,61100004,HC MRI ORBIT/FC/NK W/O&W CON,6152.52,3691.51,332.94,7411.0,55
CDM,61100005,"HC BRAIN W/O DYE, MRI",3649.76,2189.86,202.15,7411.0,55
CDM,61100006,"HC BRAIN W/DYE, MRI",3708.26,2224.96,278.66,7411.0,55
CDM,61100007,"HC BRAIN W/O&W DYE, MRI",5248.52,3149.11,328.11,7411.0,55
CDM,61100009,HC MRI BRAIN FUNCTIONAL,1645.86,987.52,227.71,7411.0,55
CDM,61200001,HC MRI SPINE CERVICAL W/O CONTRAST,3776.81,2266.09,196.48,7411.0,55
CDM,61200002,HC MRI SPINE CERVICAL W/CONTRAST,3718.6,2231.16,284.01,7411.0,55
CDM,61200003,HC MRI SPINE THORACIC W/O CONTRA,3390.69,2034.41,196.14,7411.0,55
CDM,61200004,HC MRI SPINE THORACIC W/CONTRAST,3089.11,1853.47,281.34,7411.0,55
CDM,61200005,HC MRI SPINE LUMBAR W/O CONTRA,3650.03,2190.02,197.14,7411.0,55
CDM,61200006,HC MRI SPINE LUMB W/CONTRAST,3635.96,2181.58,279.0,7411.0,55
CDM,61200007,HC MRI SPINE CERV W/O&W CONT,6577.2,3946.32,329.79,7411.0,55
CDM,61200008,HC MRI SPINE THOR W/O&W CONT,6596.21,3957.73,330.45,7411.0,55
CDM,61200009,HC MRI SPINE LUMB W/O&W CONT,5327.21,3196.33,329.13,7411.0,55
CDM,61400001,"HC MRI,PELVIS - WITHOUT CONTRAST MA",4536.0,2721.6,227.71,7411.0,55
CDM,61400002,"HC MRI, PELVIS,WITH CONTRAST",2908.58,1745.15,276.66,7411.0,55
CDM,61400003,"HC MRI,PELVIS - W/WO CONTRAST MATER",6237.0,3742.2,332.94,7411.0,55
CDM,61400004,HC MRI TMJ,2764.61,1658.77,227.71,7411.0,55
CDM,61400005,HC MRI-TRANSRECTAL ULTRASOUND FUSION-GUIDANCE FOR PROSTATE BIOPSY,2880.0,1728.0,83.05,7411.0,55
CDM,61400011,HC MR SAFETY IMPLANT&/FB ASSMT CLIN STAF 1ST 15 MIN,84.0,50.4,24.49,7411.0,54
CDM,61400012,HC MR SAFETY IMPLANT&/FB ASSMT CLIN STAFF EA ADD 30,75.0,45.0,26.25,7411.0,39
CDM,61400013,HC MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP,310.0,186.0,52.7,7411.0,54
CDM,61400014,HC MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG&MNTR,856.0,513.6,145.52,7411.0,54
CDM,61400015,HC MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP,341.22,204.73,58.01,7411.0,54
CDM,61400016,HC MR SAFETY IMPLANT POS&/IMMOBLJ SUPVJ PHYS/QHP,228.75,137.25,38.89,7411.0,54
CDM,61500001,HC MRA HEAD W/O CONTRAST,4458.1,2674.86,222.2,7411.0,55
CDM,61500002,HC MRA HEAD W/CONTRAST,2923.24,1753.94,234.23,7411.0,55
CDM,61500003,HC MRA HEAD W/O&W/CONTRAST,5103.0,3061.8,332.94,7411.0,55
CDM,61500004,HC MRA NECK W/O CONTRAST,4184.28,2510.57,222.54,7411.0,55
CDM,61500005,HC MRA NECK W/CONTRAST,4919.42,2951.65,253.6,7411.0,55
CDM,61500006,HC MRA NECK W/O&W CONTRAST,5569.31,3341.59,332.94,7411.0,55
CDM,61600001,HC MRA EXT LOWER W/O&W CONT,3303.36,1982.02,561.57,7411.0,39
CDM,61600002,"HC MRA,LOWER EXTREMITY,WITH CONTR",3303.36,1982.02,561.57,7411.0,39
CDM,61600003,"HC MRA,LOWER EXTREMITY,W/O CONTRA",3303.36,1982.02,561.57,7411.0,39
CDM,61600004,HC MR ANGIO LWR EXT W CM BI,2819.92,1691.95,479.39,7411.0,40
CDM,61600005,HC MR ANGIO LWR EXT W CM BI,3303.36,1982.02,561.57,7411.0,39
CDM,61600006,HC MR ANGIO LWR EXT W CM LT,3303.36,1982.02,561.57,7411.0,39
CDM,61600007,HC MR ANGIO LWR EXT W CM RT,3303.36,1982.02,561.57,7411.0,39
CDM,61600008,HC MR ANGIO LWR EXT WO CM BI,2819.92,1691.95,466.08,7411.0,40
CDM,61600009,HC MR ANGIO LWR EXT WO CM BI,3303.36,1982.02,561.57,7411.0,39
CDM,61600010,HC MR ANGIO LWR EXT WO CM LT,3303.36,1982.02,561.57,7411.0,39
CDM,61600011,HC MR ANGIO LWR EXT WO CM RT,3303.36,1982.02,561.57,7411.0,39
CDM,61600012,HC MR ANGIO LWR EXT WWO CM BI,3276.37,1965.82,556.98,7411.0,40
CDM,61600013,HC MR ANGIO LWR EXT WWO CM BI,3303.36,1982.02,561.57,7411.0,39
CDM,61600014,HC MR ANGIO LWR EXT WWO CM LT,3303.36,1982.02,561.57,7411.0,39
CDM,61600015,HC MR ANGIO LWR EXT WWO CM RT,3303.36,1982.02,561.57,7411.0,39
CDM,61600017,HC MR ANGIO LWR EXT WO CM RT,3303.36,1982.02,561.57,7411.0,39
CDM,61800001,HC MRA CHEST W & W/O CONTRAST,4254.6,2552.76,723.28,7411.0,39
CDM,61800003,HC MRA EXT UPPER JNT W/O&W C,2040.71,1224.43,346.92,7411.0,39
CDM,61800004,HC MRA ABDOMEN W/O&W CONTRAS,3247.04,1948.22,552.0,7411.0,39
CDM,61800005,"HC MRA, ABDOMEN, WITH CONTRAST",3247.04,1948.22,552.0,7411.0,39
CDM,61800006,"HC MRA, W/O CONTRAST ABDOMEN",3247.04,1948.22,552.0,7411.0,39
CDM,61800007,"HC MRA,CHEST,EXCLUDING MYOCARDIUM",4254.6,2552.76,723.28,7411.0,39
CDM,61800008,HC MAGNTIC RESNANC ANGIOGPHY W/CO,3940.8,2364.48,669.94,7411.0,39
CDM,61800009,"HC MRA,PELVIS W/O CONTRAST",3940.8,2364.48,669.94,7411.0,39
CDM,61800010,HC MRA PELVIS W & W/O CONTRAST,3940.8,2364.48,669.94,7411.0,39
CDM,61800011,"HC MRA,UPPER EXTREMITY,W/O&W CONT",2040.71,1224.43,346.92,7411.0,39
CDM,61800012,HC MRA UP EXT W/ CONTRAST,2040.71,1224.43,346.92,7411.0,39
CDM,61800013,HC MRA SPINE W/O&W CONTRAST,3006.56,1803.94,511.12,7411.0,39
CDM,61800014,HC MRA CHEST W/O CONTRAST,4254.6,2552.76,723.28,7411.0,39
CDM,61800015,HC MRA SPINE W/CONTRAST,3006.56,1803.94,511.12,7411.0,39
CDM,61800016,HC MRA SPINE W/O CONTRAST,3006.56,1803.94,511.12,7411.0,39
CDM,61800017,"HC MRA, W/DYE, SPINAL CANAL",1722.32,1033.39,292.79,7411.0,55
CDM,61800018,"HC MRA, W/O DYE, SPINAL CANAL",1722.32,1033.39,227.71,7411.0,55
CDM,61800019,"HC MRA, W/O&W/DYE, SPINAL CANAL",2651.26,1590.76,332.94,7411.0,55
CDM,62400004,HC EVAHEART CONTROLLER REPLACE,10782.02,6469.21,1832.94,8625.62,58
CDM,62400005,HC HM3 MOBILE UNIT / AC  CABLE,16800.0,10080.0,2856.0,14280.0,36
CDM,62400006,HC EVAHEART BATTERY CHARGER REPLACE,9895.42,5937.25,1682.22,7916.34,58
CDM,62400007,HC EVAHEART PT PACK CARRY CASE RPL,1404.0,842.4,238.68,1123.2,58
CDM,62400008,HC EVAHEART SHOWER COVER REPLACE,1395.99,837.59,237.32,1116.79,58
CDM,62400009,HC EVAHEART LITHIUM ION BATTERY RPL,2250.0,1350.0,382.5,1800.0,58
CDM,62400011,HC CLINICAL TRIAL IDE#G170152 SAPIEN 3 TRANSCATHETER HEART VALVE,84975.0,50985.0,6299.0,72228.75,36
CDM,62400012,"Shell, 624 Rev Code, Fda Investigational Devices",19034.4,11420.64,0.0017,72228.75,180
CDM,62400014,HC CLINICAL TRIAL SHOCKWAVE 2.5MM X 12MM X 138CM,0.01,0.01,0.0017,7411.0,36
CDM,62400015,"Shell C2621, Fda Investigational Device, Pacemaker, Other Than Single or Dual Chamber (Implantable)",35689.5,21413.7,4333.73,72228.75,108
CDM,62400016,"Shell C1887, Fda Investigational Device, Catheter, Guiding",6798.0,4078.8,1155.66,7411.0,36
CDM,62400017,"Shell C1876, Fda Investigational Device, Stent, Noncoated/Noncovered, W/ Delivery System",0.01,0.01,0.0017,7411.0,36
CDM,62400022,HC BRIOVAD PATIENT SUPPORT KIT,68479.65,41087.79,6299.0,58207.7,36
CDM,62400023,HC BRIOVAD MONITOR KIT,18001.1,10800.66,3060.19,15300.93,36
CDM,62400024,HC BRIOVAD CONTROLLER WITH BATTERY,19894.35,11936.61,3382.04,16910.2,36
CDM,62400025,HC BRIOVAD SYSTEM BATTERY (1) REPLACEMENT ONLY,2850.16,1710.1,484.53,7411.0,36
CDM,62400026,HC BRIOVAD BATTERY CHARGER (1) REPLACEMENT ONLY,26321.86,15793.12,4474.72,22373.58,36
CDM,62400027,HC BRIOVAD CARRY BAG (1) REPLACEMENT ONLY,1067.19,640.31,181.42,7411.0,36
CDM,62400028,HC BRIOVAD CONTROLLER AC MODULE (1) W/ IMP VENTRICULAR ASSIST DEV,29194.01,17516.41,4962.98,24814.91,36
CDM,62400029,HC BRIOVAD CONTROLLER BATTERY (1) REPLACEMENT ONLY,2693.46,1616.08,457.89,7411.0,36
CDM,62400030,HC BRIOVAD SHOWER BAG (1) REPLACEMENT ONLY,701.71,421.03,119.29,7411.0,36
CDM,63600001,ALfentanil 500 mcg/mL injection solution,27.72,16.63,4.71,7411.0,41
CDM,63600001,BUPivacaine (PF) 0.25 % (2.5 mg/mL) injection solution,18.21,10.925,0.011,7411.0,250
CDM,63600001,BUPivacaine (PF) 0.5 % (5 mg/mL) injection solution,21.96,13.174999999999999,0.011,7411.0,252
CDM,63600001,BUPivacaine (PF) 0.75 % (7.5 mg/mL) in 8.25 % dextrose injection,28.295,16.975,0.011,7411.0,291
CDM,63600001,BUPivacaine (PF) 0.75 % (7.5 mg/mL) injection solution,39.239999999999995,23.545,0.011,7411.0,84
CDM,63600001,BUPivacaine HCl 0.25 % (2.5 mg/mL) injection solution,1.03,0.62,0.011,7411.0,209
CDM,63600001,BUPivacaine HCl 0.5 % (5 mg/mL) injection solution,0.74,0.44,0.011,7411.0,42
CDM,63600001,BUPivacaine liposome(PF) 1.3 %(13.3 mg/mL) suspension for infiltration,846.27,507.76,1.32,7411.0,57
CDM,63600001,"DOBUTamine 1,000 mg/250 mL(4,000 mcg/mL) in 5 % dextrose IV",152.5,91.5,8.67,7411.0,84
CDM,63600001,DOBUTamine 250 mg/20 mL (12.5 mg/mL) intravenous solution,45.64,27.38,7.76,7411.0,42
CDM,63600001,DOBUTamine 250 mg/250 mL (1 mg/mL) in 5 % dextrose intravenous,139.0,83.4,8.67,7411.0,42
CDM,63600001,"DOBUTamine 500 mg/250 mL (2,000 mcg/mL) in 5 % dextrose IV",170.5,102.30000000000001,8.67,7411.0,125
CDM,63600001,DOBUTamine 500 mg/40 mL (12.5 mg/mL) intravenous solution,74.8,44.88,8.67,7411.0,42
CDM,63600001,DOPamine 200 mg/5 mL (40 mg/mL) intravenous solution,28.03,16.82,0.8811,7411.0,42
CDM,63600001,DOPamine 400 mg/10 mL (40 mg/mL) intravenous solution,23.38,14.03,0.8811,7411.0,42
CDM,63600001,"DOPamine 400 mg/250 mL (1,600 mcg/mL) in 5 % dextrose intravenous soln",86.5,51.9,0.8811,7411.0,42
CDM,63600001,DOPamine 400 mg/500 mL (800 mcg/mL) in 5 % dextrose intravenous soln,112.0,67.2,0.8811,7411.0,42
CDM,63600001,"DOPamine 800 mg/250 mL (3,200 mcg/mL) in 5 % dextrose intravenous soln",124.75,74.85,0.8811,7411.0,125
CDM,63600001,EPINEPHrine 0.1 mg/mL injection syringe,59.68,35.81,0.3454,7411.0,126
CDM,63600001,EPINEPHrine 1 mg/mL (1 mL) injection solution,55.18000000000001,33.11,0.3454,7411.0,125
CDM,63600001,"EPINEPHrine 1 mg/mL (1:1,000) injection solution",1131.52,678.91,0.9559,7411.0,42
CDM,63600001,EPINEPHrine 1 mg/mL injection solution,1131.52,678.91,0.9559,7411.0,42
CDM,63600001,EPINEPHrine 4 mg/250 mL (16 mcg/mL) in 0.9 % sodium chloride IV soln,274.0,164.4,0.33,7411.0,83
CDM,63600001,EPINEPHrine HCl (PF) 1 mg/mL (1 mL) injection solution,70.0,42.0,0.3454,7411.0,84
CDM,63600001,"FENTANYL (PF) 1,500 MCG/30 ML (50 MCG/ML) IN 0.9 % NACL PCA INJ SOLN,FENTANYL (PF) 1,500 MCG/30 ML (50 MCG/ML) INTRAVENOUS PCA SYRINGE,FENTANYL (PF) 1,500 MCG/30 ML (50 MCG/ML) PCA INTRAVENOUS SOLUTIO",208.14,124.88,1.28,7411.0,42
CDM,63600001,HYDROXYprogesterone (PF)(pregnancy preserving) 250 mg/mL (1 mL) IM oil,2047.65,1228.59,14.24,7411.0,42
CDM,63600001,HYDROXYprogesterone caproate (pregnancy preserving) 250 mg/mL IM oil,2409.0,1445.4,18.68,7411.0,42
CDM,63600001,HYDROmorphone (PF) 0.5 mg/0.5 mL injection syringe,30.9,18.54,0.1111,7411.0,83
CDM,63600001,HYDROmorphone (PF) 1 mg/mL injection solution,31.92,19.15,0.1111,7411.0,83
CDM,63600001,HYDROmorphone (PF) 1 mg/mL injection syringe,30.9,18.54,0.1111,7411.0,83
CDM,63600001,"HYDROmorphone (PF) 1 mg/mL injection syringe,HYDROmorphone (PF) 1 mg/mL injection solution",24.9,14.94,0.1111,7411.0,249
CDM,63600001,HYDROmorphone (PF) 10 mg/mL injection solution,71.34,42.8,0.1111,7411.0,126
CDM,63600001,HYDROmorphone (PF) 2 mg/mL injection solution,7.745,4.645,0.1111,7411.0,166
CDM,63600001,"HYDROmorphone (PF) 2 mg/mL injection solution,HYDROmorphone (PF) 2 mg/mL injection syringe",8.16,4.9,0.1111,7411.0,208
CDM,63600001,HYDROmorphone (PF) 2 mg/mL injection syringe,27.6,16.56,0.1111,7411.0,83
CDM,63600001,"HYDROmorphone 0.2 mg/mL in 0.9 % sodium chloride intravenous,HYDROmorphone 10 mg/50 mL (0.2 mg/mL) in 0.9 % NaCl IV PCA syringe,HYDROMORPHONE(PF) 10 MG/50 ML (0.2 MG/ML)-0.9 % NACL IV PUMP RESERVOIR",253.65,152.19,0.1111,7411.0,84
CDM,63600001,HYDROmorphone 0.5 mg/0.5 mL injection syringe,25.08,15.05,0.1111,7411.0,83
CDM,63600001,HYDROmorphone 1 mg/mL injection solution,22.24,13.34,0.1111,7411.0,83
CDM,63600001,HYDROmorphone 1 mg/mL injection syringe,9.12,5.47,0.1111,7411.0,83
CDM,63600001,"HYDROmorphone 1 mg/mL injection syringe,HYDROmorphone 1 mg/mL injection solution",9.25,5.55,0.1111,7411.0,249
CDM,63600001,"HYDROmorphone 15 mg/30 mL (0.5 mg/mL) in 0.9 % NaCl IV PCA syringe,1. HYDROmorphone 25 mg/50 mL (0.5 mg/mL) in 0.9 % NaCl IV PCA syringe,1. HYDROmorphone 15 mg/30 mL (0.5 mg/mL) in 0.9% sod.chloride P",142.98,85.79,0.1111,7411.0,83
CDM,63600001,HYDROmorphone 2 mg/mL injection solution,15.41,9.25,0.1111,7411.0,333
CDM,63600001,"HYDROmorphone 2 mg/mL injection solution,HYDROmorphone 2 mg/mL injection syringe",18.925,11.355,0.1111,7411.0,250
CDM,63600001,HYDROmorphone 2 mg/mL injection syringe,8.02,4.81,0.1111,7411.0,208
CDM,63600001,HYDROmorphone 30 mg/30 mL in 0.9 % sod. chloride PCA intravenous soln,157.92,94.75,0.1111,7411.0,42
CDM,63600001,"Hydromorphone 1 mg/mL PCA 2015,HYDROmorphone 30 mg/30 mL (1 mg/mL) in 0.9 % NaCl IV PCA syringe,HYDROmorphone 50 mg/50 mL (1 mg/mL) in 0.9 % sod.chloride IV pump resv,HYDROmorphone (PF) 5.5 mg/55 mL(0",157.92,94.75,0.1111,7411.0,42
CDM,63600001,LORazepam 2 mg/mL injection solution,7.445,4.47,1.08,7411.0,166
CDM,63600001,"LORazepam 2 mg/mL injection solution,LORazepam 2 mg/mL injection syringe",6.515,3.91,0.1921,7411.0,418
CDM,63600001,LORazepam 2 mg/mL injection syringe,21.53,12.92,1.83,7411.0,42
CDM,63600001,LORazepam 4 mg/mL injection solution,18.64,11.18,1.83,7411.0,83
CDM,63600001,"MORPHINE 150 MG/30 ML (5 MG/ML) IN 0.9 % SOD. CHLORIDE IV PCA SYRINGE,morphine 150 mg/30 mL (5 mg/mL) in 0.9 % sod. chloride IV PCA syringe,morphine 275 mg/55 mL (5 mg/mL) in 0.9% sodium chloride IV P",65.58,39.35,4.89,7411.0,42
CDM,63600001,OLANZapine 10 mg intramuscular solution,197.295,118.375,0.7821,7411.0,84
CDM,63600001,PENTobarbital sodium 50 mg/mL injection solution,5200.83,3120.5,35.0,7411.0,112
CDM,63600001,PHENobarbital sodium 130 mg/mL injection solution,307.79,184.67,26.01,7411.0,42
CDM,63600001,PHENobarbital sodium 65 mg/mL injection solution,158.12,94.87,26.01,7411.0,42
CDM,63600001,ROPivacaine (PF) 0.2 % in 0.9 % sodium chloride epidural solution,935.55,561.33,0.0506,7411.0,42
CDM,63600001,ROPivacaine (PF) 10 mg/mL (1 %) injection solution,102.15,61.29,0.0506,7411.0,42
CDM,63600001,ROPivacaine (PF) 2 mg/mL (0.2 %) injection solution,257.1,154.26,0.0506,7411.0,334
CDM,63600001,ROPivacaine (PF) 5 mg/mL (0.5 %) injection solution,4.27,2.56,0.0506,7411.0,125
CDM,63600001,ROPivacaine (PF) 7.5 mg/mL (0.75 %) injection solution,78.87,47.325,0.0506,7411.0,84
CDM,63600001,SUMAtriptan 6 mg/0.5 mL subcutaneous pen injector,396.16,237.7,67.35,7411.0,82
CDM,63600001,acetaZOLAMIDE 500 mg solution for injection,189.0,113.4,26.8,7411.0,42
CDM,63600001,"acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution",61.5,36.900000000000006,0.0561,7411.0,125
CDM,63600001,agalsidase beta 35 mg intravenous solution,22364.19,13418.51,212.8,16773.14,57
CDM,63600001,alglucosidase alfa 50 mg intravenous solution,2707.605,1624.56,187.25,7411.0,114
CDM,63600001,"alpha-1-proteinase inhibitor (human) 1,000 mg (+/-)/20 mL IV solution",3.42,2.05,0.5814,7411.0,98
CDM,63600001,"alpha-1-proteinase inhibitor (human) 1,000 mg intravenous solution",31.2,18.72,4.88,7411.0,57
CDM,63600001,aminophylline 250 mg/10 mL intravenous solution,99.12,59.47,12.46,7411.0,42
CDM,63600001,aminophylline 500 mg/20 mL intravenous solution,4.32,2.59,0.7344,7411.0,42
CDM,63600001,amisulpride 5 mg/2 mL (2.5 mg/mL) intravenous solution,540.0,324.0,91.8,7411.0,82
CDM,63600001,"amisulpride 5 mg/2 ml (2.5 mg/ml) intervenous solution,amisulpride 10 mg/4 ml (2.5 mg/ml) intervenous solution",472.5,283.5,68.85,7411.0,164
CDM,63600001,amobarbital 500 mg solution for injection,2199.15,1319.49,297.02,7411.0,42
CDM,63600001,aprepitant 125 mg capsule,683.66,410.2,2.63,7411.0,42
CDM,63600001,aprepitant 130 mg/18 mL (7.2 mg/mL) intravenous emulsion,1966.19,1179.71,1.61,7411.0,57
CDM,63600001,aprepitant 80 mg capsule,437.54,262.52,2.63,7411.0,83
CDM,63600001,atezolizumab 840 mg/14 mL (60 mg/mL) intravenous solution,22990.57,13794.34,89.3,17242.93,57
CDM,63600001,atropine 0.1 mg/mL injection syringe,65.62,39.37,0.1122,7411.0,167
CDM,63600001,atropine 0.4 mg/mL injection solution,133.3,79.97999999999999,0.1122,7411.0,84
CDM,63600001,"atropine 0.4 mg/mL injection solution,atropine 0.4 mg/mL intravenous solution",71.38,42.83,0.1122,7411.0,167
CDM,63600001,atropine 0.4 mg/mL intravenous solution,71.38,42.83,0.1133,7411.0,83
CDM,63600001,benztropine 1 mg/mL injection solution,467.21,280.325,14.87,7411.0,84
CDM,63600001,betamethasone acetate and sodium phos 6 mg/mL suspension for injection,247.64,148.58,7.67,7411.0,42
CDM,63600001,buprenorphine HCl 0.3 mg/mL injection solution,91.02,54.61,4.58,7411.0,42
CDM,63600001,butorphanol 2 mg/mL injection solution,54.44,32.66,1.63,7411.0,167
CDM,63600001,caffeine citrate 60 mg/3 mL (20 mg/mL) intravenous solution,153.4,92.03999999999999,20.4,7411.0,82
CDM,63600001,"caffeine citrated 60 mg/3 mL (20 mg/mL) intravenous solution,caffeine citrate 60 mg/3 mL oral solution,caffeine citrate 60 mg/3 mL (20 mg/mL) oral solution",62.26,37.36,10.58,7411.0,41
CDM,63600001,calcitonin (salmon) 200 unit/mL injection solution,9396.3,5637.78,1597.37,7986.85,42
CDM,63600001,calcitriol 1 mcg/mL intravenous solution,52.355000000000004,31.415,7.65,7411.0,123
CDM,63600001,"calcium gluconate 1 gram/50 mL in sodium chloride, iso-osm IV solution",130.5,78.3,0.077,7411.0,83
CDM,63600001,calcium gluconate 100 mg/mL (10 %) intravenous solution,85.56,51.335,0.0308,7411.0,168
CDM,63600001,"calcium gluconate 2 gram/100 mL in sodium chloride,iso-osm IV solution",249.0,149.4,0.077,7411.0,83
CDM,63600001,cangrelor 50 mg intravenous solution,2891.29,1734.77,19.02,7411.0,98
CDM,63600001,carboprost tromethamine 250 mcg/mL intramuscular solution,630.0,378.0,14.78,7411.0,56
CDM,63600001,chloroprocaine (PF) 20 mg/mL (2 %) injection solution,127.92,76.75,0.0418,7411.0,42
CDM,63600001,chloroprocaine (PF) 30 mg/mL (3 %) injection solution,134.28,80.57,0.0418,7411.0,83
CDM,63600001,chlorproMAZINE 25 mg/mL injection solution,185.97000000000003,111.58500000000001,23.05,7411.0,84
CDM,63600001,conivaptan 20 mg/100 mL in 5 % dextrose IV,2685.9,1611.54,122.82,7411.0,42
CDM,63600001,conjugated estrogens 25 mg solution for injection,1656.23,993.74,281.56,7411.0,57
CDM,63600001,copper 380 square mm intrauterine device,3255.0,1953.0,553.35,7411.0,41
CDM,63600001,"cyanocobalamin (vit B-12) 1,000 mcg/mL injection solution",41.7,25.02,0.7337,7411.0,125
CDM,63600001,deferoxamine 500 mg solution for injection,56.75,34.05,9.43,7411.0,42
CDM,63600001,dexAMETHasone 1 mg/mL drops (concentrate),143.1,85.86,0.0297,7411.0,42
CDM,63600001,dexAMETHasone sodium phosphate (PF) 10 mg/mL injection solution,45.0,27.0,0.121,7411.0,42
CDM,63600001,dexAMETHasone sodium phosphate 4 mg/mL injection solution,17.28,10.37,0.121,7411.0,167
CDM,63600001,dextrose 5 % and lactated ringers intravenous solution,45.0,27.0,7.14,7411.0,82
CDM,63600001,diazePAM 5 mg/mL injection solution,225.5,135.3,9.36,7411.0,42
CDM,63600001,diazePAM 5 mg/mL injection syringe,174.825,104.89500000000001,9.36,7411.0,84
CDM,63600001,dicyclomine 10 mg/mL intramuscular solution,266.93,160.16,10.3,7411.0,125
CDM,63600001,dicyclomine 20 mg tablet,1.36,0.8049999999999999,0.204,7411.0,210
CDM,63600001,dihydroergotamine 1 mg/mL injection solution,474.235,284.54,58.66,7411.0,209
CDM,63600001,dimercaprol 100 mg/mL intramuscular solution,761.72,457.03,129.49,7411.0,42
CDM,63600001,dimethyl sulfoxide 50 % intravesical solution,2097.0,1258.2,356.49,7411.0,57
CDM,63600001,diphenhydrAMINE 50 mg/mL injection solution,9.6,5.76,0.7557,7411.0,167
CDM,63600001,dornase alfa 1 mg/mL solution for inhalation,584.45,350.67,50.93,7411.0,83
CDM,63600001,droPERidol 2.5 mg/mL injection solution,43.56,26.135,4.94,7411.0,166
CDM,63600001,eculizumab 300 mg/30 mL intravenous solution,19568.97,11741.38,42.47,14676.73,57
CDM,63600001,eptinezumab-jjmr 100 mg/mL intravenous solution,5483.49,3290.09,19.52,7411.0,57
CDM,63600001,etonogestrel 68 mg subdermal implant,3280.38,1968.2250000000001,525.63,7411.0,82
CDM,63600001,famotidine (PF) 20 mg/2 mL intravenous solution,2.7,1.62,0.0099,7411.0,167
CDM,63600001,famotidine (PF) 20 mg/50 mL in 0.9 % NaCl (iso) intravenous piggyback,33.6,20.16,0.0099,7411.0,42
CDM,63600001,famotidine 10 mg/mL intravenous solution,3.205,1.925,0.0099,7411.0,84
CDM,63600001,famotidine 20 mg/10 mL in 0.9 % sodium chloride intravenous syringe,10.5,6.3,0.0099,7411.0,42
CDM,63600001,"fentaNYL (PF) 1,500 mcg/30 mL (50 mcg/mL) PCA intravenous solution",208.14,124.88,1.28,7411.0,42
CDM,63600001,fentaNYL (PF) 10 mcg/mL in 0.9 % sodium chloride intravenous,142.5,85.5,1.28,7411.0,84
CDM,63600001,"fentaNYL (PF) 2,500 mcg/50 mL (50 mcg/mL) intravenous PCA syringe",103.8,62.28,1.28,7411.0,42
CDM,63600001,fentaNYL (PF) 50 mcg/mL Injection,136.5,81.9,1.28,7411.0,42
CDM,63600001,fentaNYL (PF) 50 mcg/mL injection solution,19.5,11.7,1.28,7411.0,584
CDM,63600001,"fentaNYL (PF) 50 mcg/mL injection solution,fentaNYL (PF) 50 mcg/mL injection syringe",19.5,11.7,1.28,7411.0,584
CDM,63600001,filgrastim-aafi 300 mcg/0.5 mL subcutaneous syringe,1013.5,608.1,0.266,7411.0,98
CDM,63600001,filgrastim-aafi 480 mcg/0.8 mL subcutaneous syringe,1604.8,962.88,0.266,7411.0,98
CDM,63600001,fluPHENAZine 2.5 mg/mL injection solution,43.22,25.93,7.35,7411.0,41
CDM,63600001,fluPHENAZine decanoate 25 mg/mL injection solution,69.74,41.84,6.14,7411.0,42
CDM,63600001,folic acid 5 mg/mL injection solution,206.26,123.755,0.0594,7411.0,84
CDM,63600001,fosaprepitant 150 mg intravenous powder for solution,237.0,142.2,0.1166,7411.0,126
CDM,63600001,fosphenytoin 100 mg PE/2 mL injection solution,144.0,86.4,1.26,7411.0,57
CDM,63600001,fosphenytoin 500 mg PE/10 mL injection solution,135.0,81.0,1.26,7411.0,57
CDM,63600001,furosemide 10 mg/mL injection solution,25.2,15.12,0.0187,7411.0,997
CDM,63600001,glucagon 1 mg/mL solution for injection,772.2,463.32,131.27,7411.0,98
CDM,63600001,glucagon HCl 1 mg/mL solution for injection,1137.06,682.24,139.01,7411.0,98
CDM,63600001,glycopyrrolate 0.2 mg/mL injection solution,20.8,12.48,0.4015,7411.0,458
CDM,63600001,golimumab 12.5 mg/mL intravenous solution,5997.58,3598.55,10.73,7411.0,57
CDM,63600001,haloperidol decanoate 100 mg/mL intramuscular solution,136.07999999999998,81.65,6.68,7411.0,84
CDM,63600001,haloperidol lactate 5 mg/mL injection solution,36.39,21.83,0.8679,7411.0,250
CDM,63600001,haloperidol lactate 5 mg/mL intramuscular syringe,24.0,14.4,4.08,7411.0,83
CDM,63600001,hyaluronidase (ovine) 200 unit/mL injection solution,543.72,326.23,92.43,7411.0,41
CDM,63600001,hyaluronidase 150 unit/mL injection solution,64.5,38.7,5.61,7411.0,84
CDM,63600001,"hyaluronidase, human recombinant 150 unit/mL injection solution",251.1,150.66,0.3993,7411.0,42
CDM,63600001,hydrOXYzine HCl 25 mg/mL intramuscular solution,168.0,100.8,16.68,7411.0,42
CDM,63600001,hydrOXYzine HCl 50 mg/mL intramuscular solution,93.96,56.375,0.459,7411.0,84
CDM,63600001,"hydrocortisone sod succinate (PF) 1,000 mg/8 mL solution for injection",713.57,428.14,24.36,7411.0,42
CDM,63600001,hydrocortisone sod succinate (PF) 100 mg/2 mL solution for injection,128.52,77.11,21.85,7411.0,42
CDM,63600001,"hydrocortisone sod succinate (PF) 100 mg/2 mL solution for injection,hydrocortisone sodium succinate 100 mg solution for injection",128.54500000000002,77.125,21.85,7411.0,84
CDM,63600001,hydrocortisone sod succinate (PF) 250 mg/2 mL solution for injection,237.82999999999998,142.695,24.36,7411.0,84
CDM,63600001,hydrocortisone sod succinate (PF) 500 mg/4 mL solution for injection,356.9,214.14,24.36,7411.0,42
CDM,63600001,hydrocortisone sodium succinate 100 mg solution for injection,95.16,57.1,16.18,7411.0,42
CDM,63600001,hydrocortisone sodium succinate 250 mg/2 mL solution for injection,42.9,25.74,7.29,7411.0,42
CDM,63600001,hydromorphone (PF) 10 mg/mL Injection,21.0,12.6,0.1111,7411.0,42
CDM,63600001,hylan g-f 20 16 mg/2 mL intra-articular syringe,2054.43,1232.66,6.61,7411.0,98
CDM,63600001,"insulin regular 100 units/100 mL in NS,insulin regular 100 unit/100 mL (1 unit/mL) in 0.9 % NaCl IV solution",140.0,84.0,11.9,7411.0,82
CDM,63600001,"ketamine 10 mg/mL injection solution,ketamine 50 mg/5 mL (10 mg/mL) in 0.9 % sodium chloride IV syringe,ketamine 20 mg/2 mL (10 mg/mL) in 0.9% sodium chloride IV syringe,ketamine 50 mg/5 mL (10 mg/mL)",72.0,43.2,4.79,7411.0,82
CDM,63600001,ketamine 50 mg/5 mL (10 mg/mL) in 0.9 % sodium chloride IV syringe,28.2,16.92,4.79,7411.0,41
CDM,63600001,ketorolac 15 mg/mL injection solution,14.28,8.57,0.323,7411.0,196
CDM,63600001,ketorolac 30 mg/mL (1 mL) injection solution,34.2,20.52,0.323,7411.0,212
CDM,63600001,ketorolac 60 mg/2 mL intramuscular solution,15.81,9.485,0.323,7411.0,351
CDM,63600001,lacosamide 200 mg/20 mL intravenous solution,247.485,148.49,10.2,7411.0,123
CDM,63600001,lactated Ringers intravenous solution,40.5,24.299999999999997,2.86,7411.0,250
CDM,63600001,lanreotide 120 mg/0.5 mL subcutaneous syringe,26268.0,15760.8,33.93,19701.0,57
CDM,63600001,lanreotide 60 mg/0.2 mL subcutaneous syringe,16725.0,10035.0,33.93,12543.75,57
CDM,63600001,lanreotide 90 mg/0.3 mL subcutaneous syringe,22275.0,13365.0,33.93,16706.25,57
CDM,63600001,laronidase 2.9 mg/5 mL intravenous solution,3211.68,1927.01,36.89,7411.0,57
CDM,63600001,"levETIRAcetam 1,000 mg/100 mL in sodium chloride(iso-osm) IV piggyback",48.9,29.340000000000003,0.0374,7411.0,166
CDM,63600001,"levETIRAcetam 1,500 mg/100 mL in sodium chloride(iso-osm) IV piggyback",27.6,16.56,0.0374,7411.0,373
CDM,63600001,levETIRAcetam 500 mg/5 mL intravenous solution,48.0,28.8,0.0374,7411.0,251
CDM,63600001,levonorgestrel 21 mcg/24 hr (up to 8 years) 52 mg intrauterine device,3470.37,2082.22,589.96,7411.0,41
CDM,63600001,levothyroxine 100 mcg intravenous powder for solution,475.11,285.07,6.61,7411.0,57
CDM,63600001,levothyroxine 20 mcg/mL intravenous solution,399.11,239.47,6.61,7411.0,57
CDM,63600001,levothyroxine 200 mcg intravenous powder for solution,950.22,570.13,6.61,7411.0,57
CDM,63600001,"lidocaine 1 %-epinephrine 1:100,000 injection solution",7.88,4.73,0.0816,7411.0,328
CDM,63600001,"lidocaine 20 mg/mL (2 %)-epinephrine 1:100,000 injection solution",0.625,0.375,0.085,7411.0,82
CDM,63600001,"lidocaine-epinephrine (PF) 1 %-1:100,000 injection solution",47.16,28.3,8.02,7411.0,41
CDM,63600001,"lidocaine-epinephrine (PF) 1 %-1:200,000 injection solution",69.53999999999999,41.725,9.87,7411.0,123
CDM,63600001,"lidocaine-epinephrine (PF) 1.5 %-1:200,000 injection solution",45.015,27.01,5.53,7411.0,82
CDM,63600001,"lidocaine-epinephrine (PF) 2 %-1:200,000 injection solution",45.93,27.555,5.14,7411.0,82
CDM,63600001,"lidocaine-epinephrine 0.5 %-1:200,000 injection solution",0.71,0.43,0.0782,7411.0,82
CDM,63600001,liothyronine 10 mcg/mL intravenous solution,5416.88,3250.13,37.33,7411.0,56
CDM,63600001,magnesium sulfate 1 gram/100 mL in dextrose 5 % intravenous piggyback,48.900000000000006,29.34,0.4741,7411.0,125
CDM,63600001,magnesium sulfate 2 gram/50 mL (4 %) in water intravenous piggyback,69.0,41.4,0.4741,7411.0,125
CDM,63600001,magnesium sulfate 4 gram/50 mL (8 %) IV Piggy Back,45.0,27.0,0.4741,7411.0,42
CDM,63600001,magnesium sulfate 4 gram/50 mL (8 %) in water intravenous piggyback,32.4,19.44,0.4741,7411.0,292
CDM,63600001,magnesium sulfate 4 gram/50 mL (8 %) intravenous pig,45.0,27.0,0.4741,7411.0,42
CDM,63600001,magnesium sulfate 4 gram/50 mL in dextrose 5 % intravenous piggyback,30.150000000000002,18.09,0.4741,7411.0,84
CDM,63600001,"magnesium sulfate 40 gram/1,000 mL (4 %) in water intravenous solution",48.0,28.8,0.4741,7411.0,42
CDM,63600001,magnesium sulfate 500 mg/mL (50 %) injection solution,10.38,6.23,0.4741,7411.0,126
CDM,63600001,mannitol 25 % intravenous solution,29.7,17.82,5.05,7411.0,41
CDM,63600001,medroxyPROGESTERone 150 mg/mL intramuscular suspension,275.22,165.13,46.79,7411.0,41
CDM,63600001,meperidine (PF) 100 mg/mL injection solution,23.38,14.03,3.97,7411.0,42
CDM,63600001,meperidine (PF) 25 mg/mL injection solution,21.22,12.73,3.61,7411.0,42
CDM,63600001,meperidine (PF) 25 mg/mL injection syringe,42.24,25.34,7.18,7411.0,42
CDM,63600001,meperidine (PF) 50 mg/mL injection solution,21.85,13.11,3.71,7411.0,42
CDM,63600001,meperidine (PF) 50 mg/mL injection syringe,51.32,30.79,8.72,7411.0,42
CDM,63600001,mepivacaine (PF) 10 mg/mL (1 %) injection solution,45.54,27.325000000000003,4.1,7411.0,84
CDM,63600001,mepivacaine (PF) 15 mg/mL (1.5 %) injection solution,1.5,0.9,0.255,7411.0,42
CDM,63600001,mepivacaine (PF) 20 mg/mL (2 %) injection solution,30.36,18.22,4.1,7411.0,42
CDM,63600001,methadone 10 mg/mL injection solution,1929.75,1157.85,16.18,7411.0,42
CDM,63600001,methocarbamol 100 mg/mL injection solution,115.0,69.0,4.62,7411.0,125
CDM,63600001,methylPREDNISolone 4 mg tablet,1.72,1.03,0.1088,7411.0,167
CDM,63600001,methylPREDNISolone acetate 40 mg/mL suspension for injection,63.0,37.8,0.1232,7411.0,293
CDM,63600001,"methylPREDNISolone sod succ (PF) 1,000 mg/8 mL intravenous solution",310.14,186.08,0.2651,7411.0,42
CDM,63600001,methylPREDNISolone sod succ (PF) 125 mg/2 mL solution for injection,62.51,37.51,0.2651,7411.0,42
CDM,63600001,methylPREDNISolone sod succ (PF) 40 mg/mL solution for injection,38.81,23.29,0.2651,7411.0,42
CDM,63600001,methylPREDNISolone sod succ (PF) 500 mg/4 mL intravenous solution,284.28,170.57,0.2651,7411.0,42
CDM,63600001,"methylPREDNISolone sodium succinate 1,000 mg intravenous solution",257.61,154.565,0.2651,7411.0,84
CDM,63600001,methylPREDNISolone sodium succinate 125 mg solution for injection,69.9,41.94,0.2651,7411.0,42
CDM,63600001,"methylPREDNISolone sodium succinate 125 mg solution for injection,methylPREDNISolone sodium succinate 125/2 mL solution for injection",38.76,23.26,0.2651,7411.0,83
CDM,63600001,methylPREDNISolone sodium succinate 2 gram intravenous solution,374.0,224.4,0.2651,7411.0,42
CDM,63600001,methylPREDNISolone sodium succinate 40 mg solution for injection,30.479999999999997,18.29,0.2651,7411.0,125
CDM,63600001,methylPREDNISolone sodium succinate 500 mg intravenous solution,145.68,87.41,0.2651,7411.0,42
CDM,63600001,methylene blue (antidote) 1 % (10 mg/mL) intravenous solution,875.2049999999999,525.125,9.78,7411.0,269
CDM,63600001,methylergonovine 0.2 mg/mL (1 mL) injection solution,150.39,90.235,20.16,7411.0,166
CDM,63600001,methylnaltrexone 12 mg/0.6 mL subcutaneous syringe,721.39,432.83,3.07,7411.0,42
CDM,63600001,metoclopramide 5 mg/mL injection solution,8.4,5.04,1.05,7411.0,331
CDM,63600001,"metoclopramide 5 mg/mL injection solution,metoclopramide 5 mg/ml injection syringe",7.925000000000001,4.755,1.05,7411.0,166
CDM,63600001,midazolam (PF) 1 mg/mL in 0.9 % sodium chloride intravenous solution,156.0,93.6,0.1749,7411.0,248
CDM,63600001,midazolam (PF) 1 mg/mL injection solution,1.485,0.895,0.1156,7411.0,168
CDM,63600001,"midazolam (PF) 1 mg/mL injection solution,midazolam (PF) 2 mg/2mL (1 mg/mL) injection syringe",1.36,0.82,0.1003,7411.0,419
CDM,63600001,midazolam (PF) 5 mg/mL injection solution,6.97,4.18,0.1815,7411.0,42
CDM,63600001,midazolam 1 mg/mL injection solution,5.85,3.51,0.1815,7411.0,332
CDM,63600001,midazolam 5 mg/mL injection solution,30.0,18.0,0.1815,7411.0,333
CDM,63600001,morphine (PF) 0.5 mg/mL injection solution,179.76,107.86,13.36,7411.0,83
CDM,63600001,morphine (PF) 1 mg/mL injection solution,17.415,10.45,1.95,7411.0,84
CDM,63600001,morphine (PF) 10 mg/mL injection solution,942.0,565.2,13.36,7411.0,42
CDM,63600001,morphine (PF) 150 mg/30 mL PCA intravenous solution,65.58,39.35,4.89,7411.0,42
CDM,63600001,morphine (PF) 25 mg/mL injection solution,1597.47,958.48,13.36,7411.0,42
CDM,63600001,morphine (PF) 50 mg/50 mL(1 mg/mL) in 0.9% NaCl IV pump reservoir,261.38,156.83,4.89,7411.0,42
CDM,63600001,morphine 10 mg/mL injection solution,24.3,14.58,4.13,7411.0,83
CDM,63600001,morphine 10 mg/mL injection syringe,21.78,13.07,3.7,7411.0,42
CDM,63600001,"morphine 10 mg/mL injection syringe,morphine 10 mg/mL injection solution,morphine 10 mg/ml intravenous solution,morphine 10 mg/ml intravenous syringe",22.795,13.675,3.62,7411.0,166
CDM,63600001,morphine 10 mg/mL intravenous solution,13.64,8.18,2.32,7411.0,42
CDM,63600001,morphine 10 mg/mL intravenous syringe,19.85,11.91,2.15,7411.0,167
CDM,63600001,"morphine 2 mg/mL injection syringe,morphine 2 mg/ml injection solution,morphine 2 mg/ml intravenous syringe",19.32,11.59,3.28,7411.0,83
CDM,63600001,morphine 2 mg/mL intravenous syringe,19.32,11.59,3.28,7411.0,83
CDM,63600001,morphine 4 mg/mL injection solution,23.22,13.93,3.95,7411.0,83
CDM,63600001,morphine 4 mg/mL injection syringe,23.22,13.93,3.95,7411.0,124
CDM,63600001,morphine 4 mg/mL intravenous solution,12.76,7.654999999999999,2.05,7411.0,166
CDM,63600001,"morphine 4 mg/mL intravenous solution,morphine 4 mg/mL injection syringe,morphine 4 mg/mL intravenous syringe,morphine 4 mg/ml injection solution",15.585,9.35,2.01,7411.0,250
CDM,63600001,morphine 4 mg/mL intravenous syringe,19.32,11.59,3.28,7411.0,83
CDM,63600001,morphine 5 mg/mL injection solution,23.22,13.93,3.95,7411.0,83
CDM,63600001,"morphine 5 mg/mL injection solution,morphine 5 mg/mL injection syringe",23.22,13.93,3.95,7411.0,124
CDM,63600001,"morphine 50 mg/50 mL (1 mg/mL) in 0.9 % sodium chloride IV PCA syringe,morphine 30 mg/30 mL (1 mg/mL) intravenous PCA syringe,morphine (PF) 30 mg/30 mL PCA intravenous solution,morphine (PF) 55 mg/55 ",261.38,156.83,4.89,7411.0,42
CDM,63600001,morphine 50 mg/mL intravenous solution,99.48,59.69,4.89,7411.0,42
CDM,63600001,morphine 8 mg/mL injection solution,23.64,14.18,4.02,7411.0,42
CDM,63600001,mycophenolate 500 mg intravenous solution,406.075,243.645,0.4411,7411.0,166
CDM,63600001,nalbuphine 10 mg/mL injection solution,131.065,78.64,3.76,7411.0,84
CDM,63600001,naloxone 0.4 mg/mL injection solution,78.57,47.14,0.0715,7411.0,167
CDM,63600001,naloxone 1 mg/mL injection syringe,198.0,118.8,0.0715,7411.0,42
CDM,63600001,neostigmine methylsulfate 1 mg/mL intravenous solution,114.16,68.5,19.41,7411.0,82
CDM,63600001,ondansetron HCl (PF) 4 mg/2 mL injection solution,7.7,4.62,0.0968,7411.0,335
CDM,63600001,ondansetron HCl 2 mg/mL intravenous solution,47.16,28.3,0.0968,7411.0,42
CDM,63600001,oxytocin 10 unit/mL injection solution,8.94,5.36,0.4284,7411.0,164
CDM,63600001,oxytocin 20 unit/1000 mL in 0.9 % sodium chloride intravenous,60.0,36.0,9.18,7411.0,82
CDM,63600001,oxytocin 30 unit/500 mL in 0.9 % sodium chloride intravenous,75.0,45.0,12.75,7411.0,41
CDM,63600001,oxytocin 40 unit/1000 mL in 0.9 % sodium chloride intravenous,84.0,50.4,14.28,7411.0,41
CDM,63600001,palonosetron 0.25 mg/5 mL intravenous solution,240.0,144.0,0.7139,7411.0,126
CDM,63600001,pantoprazole 40 mg intravenous solution,30.45,18.27,5.18,7411.0,82
CDM,63600001,pegfilgrastim-bmez 6 mg/0.6 mL subcutaneous syringe,11804.59,7082.75,113.66,8853.44,57
CDM,63600001,perphenazine 4 mg tablet,3.03,1.8199999999999998,0.1581,7411.0,164
CDM,63600001,phentolamine 5 mg injection solution,2050.965,1230.58,244.58,7411.0,269
CDM,63600001,phenylephrine 0.1 mg/mL intravenous solution,64.0,38.4,0.1419,7411.0,83
CDM,63600001,"phenylephrine 0.1 mg/mL intravenous solution,phenylephrine 1 mg/10 ml (100 mcg/ml) in 0.9 % sod chloride iv syringe",34.0,20.4,0.1672,7411.0,42
CDM,63600001,phenylephrine 0.8 mg/10 mL (80 mcg/mL) in 0.9 %sod.chloride IV syringe,32.56,19.54,0.0022,7411.0,42
CDM,63600001,phenylephrine 10 mg/mL injection solution,136.51,81.91,0.0022,7411.0,458
CDM,63600001,phenytoin sodium 50 mg/mL intravenous solution,11.97,7.18,0.4631,7411.0,126
CDM,63600001,phytonadione (vitamin K1) 1 mg/0.5 mL injection solution,36.0,21.6,3.47,7411.0,42
CDM,63600001,phytonadione (vitamin K1) 1 mg/0.5 mL injection syringe,148.38,89.03,3.47,7411.0,42
CDM,63600001,phytonadione (vitamin K1) 10 mg/mL injection solution,275.20000000000005,165.12,3.47,7411.0,207
CDM,63600001,potassium chloride 10 mEq/100mL in sterile water intravenous piggyback,38.4,23.04,0.1397,7411.0,84
CDM,63600001,potassium chloride 10 mEq/50 mL in sterile water intravenous piggyback,38.55,23.13,0.1397,7411.0,250
CDM,63600001,potassium chloride 2 mEq/mL intravenous solution,32.7,19.62,0.1397,7411.0,417
CDM,63600001,potassium chloride 20 mEq/L in 0.45 % sodium chloride intravenous soln,42.0,25.2,0.1397,7411.0,125
CDM,63600001,potassium chloride 20 mEq/L in 0.9 % sodium chloride intravenous,78.0,46.8,0.1397,7411.0,42
CDM,63600001,potassium chloride 40 mEq/100mL in sterile water intravenous piggyback,31.2,18.72,0.1397,7411.0,42
CDM,63600001,potassium chloride 40 mEq/L in 0.9 % sodium chloride intravenous,78.0,46.8,0.1397,7411.0,42
CDM,63600001,predniSONE 1 mg tablet,0.41,0.25,0.0044,7411.0,126
CDM,63600001,predniSONE 10 mg tablet,0.35,0.21,0.0044,7411.0,167
CDM,63600001,predniSONE 2.5 mg tablet,0.275,0.165,0.0044,7411.0,125
CDM,63600001,predniSONE 20 mg tablet,0.39,0.235,0.0044,7411.0,168
CDM,63600001,predniSONE 5 mg tablet,0.36,0.22,0.0044,7411.0,126
CDM,63600001,predniSONE 50 mg tablet,0.66,0.395,0.0044,7411.0,84
CDM,63600001,prednisoLONE 15 mg/5 mL oral solution,106.08,63.65,0.814,7411.0,42
CDM,63600001,prednisoLONE sodium phosphate 15 mg/5 mL (3 mg/mL) oral solution,82.005,49.205,0.814,7411.0,84
CDM,63600001,prochlorperazine edisylate 10 mg/2 mL (5 mg/mL) injection solution,27.6,16.56,3.67,7411.0,208
CDM,63600001,prochlorperazine maleate 10 mg tablet,1.05,0.63,0.0969,7411.0,123
CDM,63600001,prochlorperazine maleate 5 mg tablet,0.755,0.45499999999999996,0.119,7411.0,82
CDM,63600001,progesterone 50 mg/mL intramuscular oil,17.94,10.76,0.7205,7411.0,42
CDM,63600001,promethazine 50 mg/mL injection solution,21.6,12.96,3.67,7411.0,83
CDM,63600001,propofol 10 mg/mL IV,90.0,54.0,0.1012,7411.0,210
CDM,63600001,propofol 10 mg/mL intravenous emulsion,35.85,21.51,0.1012,7411.0,664
CDM,63600001,pyridoxine (vitamin B6) 100 mg/mL injection solution,130.38,78.23,16.38,7411.0,83
CDM,63600001,ropivacaine (PF) 2 mg/mL (0.2 %) Injection,976.8,586.08,0.0506,7411.0,42
CDM,63600001,"ropivacaine (PF) 2 mg/mL (0.2 %) Injection,ropivacaine (PF) 0.2 % in 0.9% sodium chloride epidural solution",344.59,206.755,0.0506,7411.0,334
CDM,63600001,ropivacaine (PF) 5 mg/mL (0.5 %) Injection,1520.4,912.24,0.0506,7411.0,83
CDM,63600001,sipuleucel-T in lactated ringers 50 million cell/250 mL IV suspension,187807.5,112684.5,6299.0,140855.62,57
CDM,63600001,sodium chloride 3 % HYPERTONIC intravenous injection solution,50.0,30.0,8.5,7411.0,82
CDM,63600001,sodium chloride 4 mEq/mL intravenous solution,33.09,19.855,3.06,7411.0,205
CDM,63600001,succinylcholine chloride 20 mg/mL injection solution,120.22,72.13,20.44,7411.0,41
CDM,63600001,"succinylcholine chloride 20 mg/mL injection solution,succinylcholine chloride 200 mg/10 mL (20 mg/mL) intravenous solution,succinylcholine(PF)200 mg/10 mL(20 mg/mL)-NaCl,iso intravenous syringe,succin",73.0,43.8,6.8,7411.0,451
CDM,63600001,terbutaline 1 mg/mL subcutaneous solution,122.2,73.32,3.26,7411.0,42
CDM,63600001,testosterone cypionate 200 mg/mL intramuscular oil,126.99000000000001,76.19,0.0264,7411.0,84
CDM,63600001,theophylline 400 mg/500 mL in dextrose 5 % intravenous,24.0,14.4,4.08,7411.0,41
CDM,63600001,thiamine HCl (vitamin B1) 100 mg/mL injection solution,51.22,30.73,1.71,7411.0,331
CDM,63600001,tocilizumab-aazg 200 mg/10 mL (20 mg/mL) intravenous solution,2937.6,1762.56,4.22,7411.0,57
CDM,63600001,tocilizumab-aazg 400 mg/20 mL (20 mg/mL) intravenous solution,5875.2,3525.12,4.22,7411.0,57
CDM,63600001,triamcinolone acetonide 10 mg/mL suspension for injection,3.63,2.18,0.6171,7411.0,42
CDM,63600001,triamcinolone acetonide 40 mg/mL suspension for injection,170.61,102.37,0.9845,7411.0,84
CDM,63600001,triamcinolone hexacetonide 20 mg/mL suspension for injection,205.38,123.23,34.91,7411.0,41
CDM,63600001,valproate sodium 500 mg/5 mL (100 mg/mL) intravenous solution,40.2,24.12,0.044,7411.0,83
CDM,63600001,vasopressin 0.2 unit/mL intravenous solution,955.8,573.48,0.462,7411.0,83
CDM,63600001,vasopressin 20 unit/100 mL (0.2 unit/mL) in 0.9 % sodium chloride IV,315.0,189.0,1.3,7411.0,140
CDM,63600001,vasopressin 20 unit/mL intravenous solution,711.22,426.73,0.462,7411.0,208
CDM,63600001,vedolizumab 300 mg intravenous solution,25999.74,15599.84,19.93,19499.81,57
CDM,63600001,verteporfin 15 mg intravenous solution,5129.13,3077.48,10.53,7411.0,57
CDM,63600001,ziconotide 25 mcg/mL intrathecal solution,12026.7,7216.02,9.94,9020.02,57
CDM,63600001,ziprasidone 20 mg/mL (final concentration) intramuscular solution,289.93,173.96,6.46,7411.0,83
CDM,63600001,zoledronic acid 4 mg/100 mL-mannitol-0.9 % NaCl intravenous piggyback,810.0,486.0,8.49,7411.0,43
CDM,63600003,HC Dermagraft per Sq Cm,113.3,67.98,19.26,7411.0,41
CDM,63600008,HC Alloderm per Sq Cm,3375.27,2025.16,573.8,7411.0,41
CDM,63600014,HC INTEGRA FLOWABLE WOUND MATRIX,14382.87,8629.72,2445.09,12225.44,41
CDM,63600014,HC Integra Flowable Wound Matrix,9634.56,5780.74,1637.88,8189.38,41
CDM,63600021,"HC Oasis Matrix,Ultra Tri-Layer Wound Dressing per Sq Cm",763.725,458.235,102.0,7411.0,82
CDM,63600031,BCG live 50 mg intravesical suspension,814.46,488.68,138.46,7411.0,41
CDM,63600031,DAUNOrubicin 44 mg and cytarabine 100 mg in liposome IV solution,29270.0,17562.0,240.67,26702.75,155
CDM,63600031,DOCEtaxel 20 mg/mL intravenous solution,2150.0,1290.0,0.6116,7411.0,42
CDM,63600031,"DOXOrubicin, pegylated liposomal 2 mg/mL intravenous suspension",2935.94,1761.565,68.27,7411.0,114
CDM,63600031,DP(a)T-polio-hib conj-tet (PF) 15 Lf unit-20 mcg-5 Lf /0.5 mL IM kit,466.92,280.15,79.38,7411.0,41
CDM,63600031,HYDROmorphone 0.25 mg/0.5 mL injection syringe,25.08,15.05,0.1111,7411.0,83
CDM,63600031,acetylcysteine 200 mg/mL (20 %) intravenous solution,713.275,427.965,0.5621,7411.0,125
CDM,63600031,acyclovir sodium 50 mg/mL intravenous solution,117.8,70.68,0.0187,7411.0,208
CDM,63600031,allopurinol 500 mg intravenous solution,11830.59,7098.355,3.62,8970.89,114
CDM,63600031,alprostadil 10 mcg intracavernosal kit,767.34,460.4,130.45,7411.0,41
CDM,63600031,alprostadil 500 mcg/mL injection solution,691.2,414.72,117.5,7411.0,82
CDM,63600031,"amikacin 1,000 mg/4 mL injection solution",73.4,44.04,0.671,7411.0,84
CDM,63600031,aminocaproic acid 250 mg/mL intravenous solution,71.68,43.01,1.72,7411.0,42
CDM,63600031,amphotericin B 50 mg solution for injection,293.0,175.8,48.76,7411.0,42
CDM,63600031,ampicillin 1 gram intravenous solution,90.98,54.59,0.7062,7411.0,83
CDM,63600031,ampicillin 1 gram solution for injection,34.535,20.72,0.7062,7411.0,84
CDM,63600031,ampicillin 2 gram solution for injection,47.63,28.58,0.7062,7411.0,167
CDM,63600031,ampicillin 250 mg solution for injection,15.85,9.51,0.7062,7411.0,83
CDM,63600031,ampicillin 500 mg solution for injection,19.22,11.53,0.7062,7411.0,124
CDM,63600031,ampicillin-sulbactam 1.5 gram solution for injection,25.67,15.4,1.49,7411.0,209
CDM,63600031,ampicillin-sulbactam 3 gram solution for injection,44.195,26.520000000000003,1.49,7411.0,84
CDM,63600031,anidulafungin 50 mg intravenous solution,434.53,260.72,0.5357,7411.0,42
CDM,63600031,"anti-inhibitor coagulant complex 700 unit-1,300 unit intravenous soln",43.72,26.23,2.3,7411.0,58
CDM,63600031,"atezolizumab 1,200 mg/20 mL (60 mg/mL) intravenous solution",32822.3,19693.38,89.3,24616.72,57
CDM,63600031,azaTHIOprine 50 mg tablet,0.915,0.55,0.1156,7411.0,168
CDM,63600031,azithromycin 500 mg intravenous solution,45.56,27.335,2.14,7411.0,125
CDM,63600031,aztreonam 1 gram solution for injection,202.415,121.44999999999999,2.52,7411.0,84
CDM,63600031,aztreonam 2 gram solution for injection,316.2,189.72,2.52,7411.0,125
CDM,63600031,bamlanivimab 700 mg/20 mL (35 mg/mL) intravenous soln (1 of 2) (EUA),0.02,0.01,0.0034,7411.0,41
CDM,63600031,baricitinib 1 mg tablet,182.67,109.6,31.05,7411.0,41
CDM,63600031,baricitinib 2 mg tablet,182.67,109.6,31.05,7411.0,41
CDM,63600031,bendamustine 100 mg intravenous powder for solution,8965.4,5379.24,2.05,7411.0,57
CDM,63600031,bendamustine 25 mg intravenous powder for solution,2278.85,1367.31,2.05,7411.0,57
CDM,63600031,bendamustine 25 mg/mL intravenous solution,7471.4,4482.84,12.26,7411.0,57
CDM,63600031,bevacizumab-maly 25 mg/mL intravenous solution,1127.9,676.74,49.01,7411.0,98
CDM,63600031,bumetanide 0.25 mg/mL injection solution,31.68,19.01,4.21,7411.0,369
CDM,63600031,capecitabine 150 mg tablet,131.35,78.81,0.0285,7411.0,57
CDM,63600031,capecitabine 500 mg tablet,188.615,113.16999999999999,0.0285,7411.0,114
CDM,63600031,casirivimab (REGN10933) 120 mg/mL intravenous solution (1 of 2) (EUA),0.04,0.02,0.0068,7411.0,41
CDM,63600031,ceFAZolin 1 gram solution for injection,13.575,8.145,0.9295,7411.0,334
CDM,63600031,ceFAZolin 2 gram solution for injection,40.1,24.06,0.9295,7411.0,83
CDM,63600031,ceFAZolin 3 gram intravenous solution,49.025,29.415,0.8096,7411.0,166
CDM,63600031,ceFAZolin 500 mg solution for injection,17.01,10.21,0.9295,7411.0,42
CDM,63600031,cefOXitin 1 gram intravenous solution,55.67,33.4,3.91,7411.0,125
CDM,63600031,cefOXitin 2 gram intravenous solution,124.7,74.82,3.91,7411.0,42
CDM,63600031,cefTAZidime 1 gram intravenous solution,40.71,24.43,1.55,7411.0,83
CDM,63600031,cefTAZidime 1 gram solution for injection,33.39,20.035,1.55,7411.0,84
CDM,63600031,cefTAZidime 2 gram intravenous solution,77.56,46.54,1.55,7411.0,42
CDM,63600031,cefTAZidime 2 gram solution for injection,66.655,39.995000000000005,1.55,7411.0,125
CDM,63600031,cefTAZidime 500 mg solution for injection,44.6,26.76,1.55,7411.0,83
CDM,63600031,cefTAZidime 6 gram solution for injection,135.13,81.08,1.55,7411.0,42
CDM,63600031,cefTAZidime-avibactam 2.5 gram intravenous solution,1785.14,1071.08,99.51,7411.0,98
CDM,63600031,cefTRIAXone 1 gram solution for injection,22.7,13.620000000000001,0.473,7411.0,334
CDM,63600031,cefTRIAXone 10 gram solution for injection,173.0,103.8,0.473,7411.0,42
CDM,63600031,cefTRIAXone 2 gram solution for injection,43.075,25.845,0.473,7411.0,250
CDM,63600031,cefTRIAXone 250 mg solution for injection,13.04,7.82,0.473,7411.0,167
CDM,63600031,cefTRIAXone 500 mg solution for injection,10.79,6.47,0.473,7411.0,83
CDM,63600031,cefepime 1 gram intravenous solution,39.74,23.84,1.39,7411.0,83
CDM,63600031,cefepime 1 gram solution for injection,39.5,23.7,1.39,7411.0,333
CDM,63600031,cefepime 1 gram/50 mL in dextrose (iso-osmotic) intravenous piggyback,167.0,100.2,1.39,7411.0,42
CDM,63600031,cefepime 2 gram intravenous solution,63.74,38.24,1.39,7411.0,83
CDM,63600031,cefepime 2 gram solution for injection,63.8,38.28,1.39,7411.0,167
CDM,63600031,cefiderocol 1 gram intravenous solution,993.47,596.08,2.28,7411.0,98
CDM,63600031,ceftaroline fosamil 400 mg intravenous solution,1108.4,665.04,4.04,7411.0,57
CDM,63600031,ceftaroline fosamil 600 mg intravenous solution,1108.4,665.04,4.04,7411.0,57
CDM,63600031,ceftazidime 500 mg Solution for Injection,44.6,26.76,1.55,7411.0,83
CDM,63600031,ceftolozane-tazobactam 1.5 gram intravenous solution,718.93,431.36,8.4,7411.0,57
CDM,63600031,cefuroxime sodium 1.5 gram intravenous solution,38.44,23.064999999999998,2.19,7411.0,125
CDM,63600031,cefuroxime sodium 750 mg solution for injection,22.54,13.52,2.19,7411.0,42
CDM,63600031,cemiplimab-rwlc 50 mg/mL intravenous solution,31870.27,19122.16,28.27,23902.7,57
CDM,63600031,certolizumab pegol 400 mg/2 mL (200 mg/mL x2) subcutaneous syringe kit,8578.79,5147.27,3.6,7411.0,57
CDM,63600031,cidofovir 75 mg/mL intravenous solution,2598.08,1558.85,378.25,7411.0,114
CDM,63600031,ciprofloxacin 200 mg/100 mL in 5 % dextrose intravenous piggyback,22.4,13.44,0.8305,7411.0,167
CDM,63600031,ciprofloxacin 400 mg/200 mL in 5 % dextrose intravenous piggyback,25.4,15.24,0.8305,7411.0,42
CDM,63600031,clevidipine 25 mg/50 mL intravenous emulsion,384.98,230.99,2.7,7411.0,98
CDM,63600031,clindamycin 150 mg/mL injection solution,28.875,17.325,0.7546,7411.0,250
CDM,63600031,clindamycin 300 mg/50 mL in 5 % dextrose intravenous piggyback,52.1,31.26,0.7546,7411.0,83
CDM,63600031,clindamycin 600 mg/50 mL in 5 % dextrose intravenous piggyback,52.55,31.529999999999998,0.7546,7411.0,125
CDM,63600031,clindamycin 900 mg/50 mL in 5 % dextrose intravenous piggyback,92.0,55.2,0.7546,7411.0,42
CDM,63600031,"cloNIDine (PF) 1,000 mcg/10 mL (100 mcg/mL) epidural solution",188.04,112.82,19.71,7411.0,42
CDM,63600031,"cloNIDine (PF) 5,000 mcg/10 mL epidural solution",731.25,438.75,19.71,7411.0,42
CDM,63600031,colistin (colistimethate sodium) 150 mg solution for injection,172.94,103.76,15.69,7411.0,42
CDM,63600031,cycloPHOSphamide 1 gram intravenous powder for solution,1946.87,1168.125,0.7315,7411.0,155
CDM,63600031,cycloPHOSphamide 200 mg/mL intravenous solution,2247.5,1348.5,0.7315,7411.0,57
CDM,63600031,cycloPHOSphamide 500 mg intravenous powder for solution,1504.495,902.7,0.7315,7411.0,155
CDM,63600031,"daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 mL subcut soln",30117.88,18070.73,52.28,22588.41,57
CDM,63600031,dasatinib 50 mg tablet,679.92,407.95,115.59,7411.0,41
CDM,63600031,dasatinib 70 mg tablet,679.92,407.95,115.59,7411.0,41
CDM,63600031,denosumab 120 mg/1.7 mL (70 mg/mL) subcutaneous solution,9856.41,5913.85,28.03,7411.0,57
CDM,63600031,denosumab 60 mg/mL subcutaneous syringe,5358.36,3215.02,28.03,7411.0,57
CDM,63600031,desmopressin 4 mcg/mL injection solution,923.64,554.185,3.75,7411.0,125
CDM,63600031,dextran 40 10 % in 0.9 % sodium chloride intravenous solution,252.0,151.2,42.84,7411.0,41
CDM,63600031,digoxin 100 mcg/mL (0.1 mg/mL) injection solution,619.79,371.87,11.41,7411.0,42
CDM,63600031,digoxin 250 mcg/mL (0.25 mg/mL) injection solution,33.0,19.8,5.61,7411.0,42
CDM,63600031,"diph,pertus(acel),tet ped(PF) 25 Lf unit-58 mcg-10 Lf/0.5mL IM syringe",165.27,99.16,28.1,7411.0,41
CDM,63600031,"diph,pertus(acel),tet pedi (PF) 15 Lf unit-10 mcg-5 Lf/0.5 mL IM susp",168.37,101.02,28.62,7411.0,41
CDM,63600031,"diph,pertus(acel),tet pedi (PF) 25 Lf unit-58 mcg-10 Lf/0.5mL IM susp",150.35,90.21,25.56,7411.0,82
CDM,63600031,"diphth,pertus(acel)tetanus(PF)2Lf-(2.5-5-3-5mcg)-5 Lf/0.5 mL IM susp",279.48,167.69,43.43,7411.0,42
CDM,63600031,"diphth,pertussis(acel),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5mL IM syringe",276.85,166.11,43.43,7411.0,83
CDM,63600031,"diphth,pertussis(acell),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5 mL IM susp",276.85,166.11,43.43,7411.0,83
CDM,63600031,dostarlimab-gxly 50 mg/mL intravenous solution,34739.36,20843.62,226.76,26054.52,57
CDM,63600031,doxycycline hyclate 100 mg intravenous powder for solution,162.98,97.79,0.0968,7411.0,42
CDM,63600031,ecallantide 10 mg/mL (1 mL) subcutaneous solution,49863.3,29917.98,540.47,37397.47,57
CDM,63600031,epcoritamab-bysp 4 mg/0.8 mL subcutaneous solution,208.4,125.04,35.43,7411.0,57
CDM,63600031,epcoritamab-bysp 48 mg/0.8 mL subcutaneous solution,47571.08,28542.65,54.07,35678.31,57
CDM,63600031,eravacycline 100 mg intravenous solution,500.0,300.0,1.23,7411.0,57
CDM,63600031,eravacycline 50 mg intravenous solution,281.75,169.05,1.23,7411.0,98
CDM,63600031,ertapenem 1 gram solution for injection,583.97,350.38,7.94,7411.0,42
CDM,63600031,erythromycin lactobionate 500 mg intravenous solution,413.98,248.39,70.38,7411.0,42
CDM,63600031,esmolol 100 mg/10 mL (10 mg/mL) intravenous solution,68.25,40.95,0.2596,7411.0,84
CDM,63600031,"esmolol 2,000 mg/100 mL (20 mg/mL) in sodium chloride (iso-osmotic) IV",1025.85,615.51,0.2596,7411.0,125
CDM,63600031,"esmolol 2,000 mg/100 mL (20 mg/mL) in sterile water intravenous soln",582.75,349.65,0.2156,7411.0,42
CDM,63600031,"esmolol 2,500 mg/250 mL (10 mg/mL) in sodium chloride (iso-osmotic) IV",582.75,349.65,0.2596,7411.0,42
CDM,63600031,everolimus (immunosuppressive) 0.5 mg tablet,42.2,25.32,1.37,7411.0,84
CDM,63600031,ferric carboxymaltose 50 mg iron/mL intravenous solution,4317.09,2590.25,1.04,7411.0,57
CDM,63600031,ferumoxytol 510 mg/17 mL (30 mg/mL) intravenous solution,3504.57,2102.74,0.2185,7411.0,57
CDM,63600031,fluconazole 100 mg/50 mL in sodium chloride(iso) intravenous piggyback,35.0,21.0,4.26,7411.0,42
CDM,63600031,fluconazole 200 mg/100 mL in sod. chloride (iso) intravenous piggyback,90.2,54.12,4.26,7411.0,84
CDM,63600031,fluconazole 400 mg/200 mL in sod. chloride(iso) intravenous piggyback,47.0,28.2,4.26,7411.0,42
CDM,63600031,foscarnet 24 mg/mL intravenous solution,2165.0,1299.0,9.19,7411.0,165
CDM,63600031,ganciclovir sodium 500 mg intravenous solution,329.0,197.4,37.45,7411.0,42
CDM,63600031,gemtuzumab ozogamicin 4.5 mg (1 mg/mL initial concentration) IV soln,29739.68,17843.81,215.63,22304.76,57
CDM,63600031,gentamicin 100 mg/50 mL in sodium chloride(iso) intravenous piggyback,29.9,17.94,2.12,7411.0,42
CDM,63600031,gentamicin 120 mg/100 mL in sodium chloride(iso) intravenous piggyback,30.2,18.12,2.12,7411.0,42
CDM,63600031,gentamicin 20 mg/2 mL injection solution,29.0,17.4,2.12,7411.0,42
CDM,63600031,gentamicin 40 mg/mL injection solution,118.88,71.325,2.12,7411.0,125
CDM,63600031,gentamicin 80 mg/50 mL in sodium chloride(iso) intravenous piggyback,29.3,17.58,2.12,7411.0,42
CDM,63600031,gentamicin sulfate (pediatric) (PF) 20 mg/2 mL injection solution,42.02,25.21,2.12,7411.0,42
CDM,63600031,givosiran 189 mg/mL subcutaneous solution,127848.0,76708.8,107.3,95886.0,57
CDM,63600031,"glucarpidase 1,000 unit intravenous solution",123522.0,74113.2,426.64,92641.5,56
CDM,63600031,haemophilus B polysaccharid conj-tetanus tox(PF) 10 mcg/0.5 mL IM soln,78.32,46.99,13.31,7411.0,123
CDM,63600031,hemin 350 mg intravenous powder for solution,32083.56,19250.14,33.54,27271.03,98
CDM,63600031,"heparin (porcine) (PF) 1,000 unit/500 mL in 0.9 % sodium chloride IV",61.0,36.6,1.26,7411.0,42
CDM,63600031,"heparin (porcine) (PF) 2,000 unit/1,000 mL in 0.9 % sodium chloride IV",64.0,38.4,0.2431,7411.0,42
CDM,63600031,"heparin (porcine) 1,000 unit/mL injection solution",31.369999999999997,18.825000000000003,0.2431,7411.0,375
CDM,63600031,"heparin (porcine) 20,000 unit/mL injection solution",108.28,64.97,0.2431,7411.0,167
CDM,63600031,"heparin (porcine) 25,000 unit/250 mL (100 unit/mL) in dextrose 5 % IV",103.75,62.25,0.2431,7411.0,84
CDM,63600031,"heparin (porcine) 25,000 unit/250 mL in 0.45 % sodium chloride IV soln",99.25,59.55,0.2431,7411.0,166
CDM,63600031,"heparin (porcine) 25,000 unit/500 mL in 0.45 % sodium chloride IV soln",82.0,49.2,0.2431,7411.0,83
CDM,63600031,"heparin (porcine) 5,000 unit/mL injection solution",40.12,24.07,0.2431,7411.0,335
CDM,63600031,heparin lock flush (porcine) 100 unit/mL intravenous solution,58.12,34.870000000000005,0.0198,7411.0,84
CDM,63600031,"heparin, porcine (PF) 1,000 unit/mL injection solution",63.385,38.03,0.2431,7411.0,291
CDM,63600031,"heparin, porcine (PF) 10 unit/mL intravenous solution",72.58,43.55,0.0198,7411.0,42
CDM,63600031,"heparin, porcine (PF) 10 unit/mL intravenous syringe",29.42,17.655,0.0198,7411.0,84
CDM,63600031,"heparin, porcine (PF) 100 unit/mL intravenous syringe",31.39,18.835,0.0198,7411.0,84
CDM,63600031,"heparin, porcine (PF) 5,000 unit/0.5 mL injection syringe",46.6,27.96,0.2431,7411.0,83
CDM,63600031,"hepatitis A vaccine (PF) 1,440 ELISA unit/mL intramuscular syringe",375.52,225.31,63.84,7411.0,83
CDM,63600031,hepatitis B immune globulin 110 unit/0.5 mL intramuscular syringe,404.03,242.42,68.69,7411.0,98
CDM,63600031,hepatitis B immune globulin 220 unit/mL intramuscular solution,756.56,453.94,128.62,7411.0,98
CDM,63600031,hepatitis B immune globulin 220 unit/mL intramuscular syringe,756.56,453.94,128.62,7411.0,57
CDM,63600031,hydrALAZINE 20 mg/mL injection solution,85.92,51.55,3.93,7411.0,249
CDM,63600031,hydroxocobalamin 5 gram intravenous solution,2463.96,1478.38,5.17,7411.0,57
CDM,63600031,ibandronate 3 mg/3 mL intravenous syringe,1582.2,949.32,9.96,7411.0,42
CDM,63600031,ibutilide fumarate 0.1 mg/mL intravenous solution,1494.4499999999998,896.67,208.26,7411.0,114
CDM,63600031,icatibant 30 mg/3 mL subcutaneous syringe,33442.479999999996,20065.485,326.17,28426.12,84
CDM,63600031,idaruCIZUmab 2.5 gram/50 mL intravenous solution,14746.6,8847.96,2506.92,12534.61,41
CDM,63600031,inFLIXimab-abda 100 mg intravenous solution,2260.17,1356.1,25.46,7411.0,180
CDM,63600031,iron dextran 50 mg/mL injection solution,241.05,144.63,17.2,7411.0,98
CDM,63600031,iron sucrose 100 mg iron/5 mL intravenous solution,311.77,187.06,0.2453,7411.0,124
CDM,63600031,"iron sucrose 100 mg iron/5 mL intravenous solution,iron sucrose 200 mg iron/10 mL intravenous solution",169.86,101.92,0.2453,7411.0,208
CDM,63600031,iron sucrose 200 mg iron/10 mL intravenous solution,307.6,184.56,0.2453,7411.0,84
CDM,63600031,isavuconazonium sulfate 372 mg intravenous solution,1645.97,987.58,0.9595,7411.0,57
CDM,63600031,labetalol 5 mg/mL intravenous solution,54.72,32.835,0.154,7411.0,209
CDM,63600031,"labetalol 5 mg/mL intravenous solution,labetalol 20 mg/4 mL (5 mg/mL) intravenous syringe,labetalol 25 mg/5 mL (5 mg/mL) intravenous syringe,labetalol 10 mg/2 mL (5 mg/mL) intravenous syringe",1.37,0.93,0.154,7411.0,209
CDM,63600031,letrozole 2.5 mg tablet,5.5,3.3,0.935,7411.0,82
CDM,63600031,leucovorin calcium 10 mg/mL injection solution,382.5,229.5,3.95,7411.0,42
CDM,63600031,leucovorin calcium 100 mg solution for injection,86.4,51.84,3.95,7411.0,125
CDM,63600031,leucovorin calcium 200 mg solution for injection,240.0,144.0,3.95,7411.0,42
CDM,63600031,leucovorin calcium 350 mg solution for injection,113.7,68.22,3.95,7411.0,42
CDM,63600031,leucovorin calcium 50 mg solution for injection,60.0,36.0,3.95,7411.0,42
CDM,63600031,levOCARNitine 200 mg/mL intravenous solution,227.7,136.62,25.4,7411.0,42
CDM,63600031,lidocaine (PF) 10 mg/mL (1 %) injection solution,19.62,11.77,2.26,7411.0,287
CDM,63600031,lidocaine (PF) 100 mg/5 mL (2 %) intravenous syringe,43.26,25.955,6.4,7411.0,82
CDM,63600031,lidocaine (PF) 20 mg/mL (2 %) injection solution,16.994999999999997,10.2,2.25,7411.0,369
CDM,63600031,lidocaine (PF) 20 mg/mL (2 %) intravenous solution,20.64,12.38,3.51,7411.0,41
CDM,63600031,lidocaine (PF) 4 mg/mL (0.4 %) in 5 % dextrose intravenous solution,45.0,27.0,0.0033,7411.0,84
CDM,63600031,lidocaine (PF) 40 mg/mL (4 %) injection solution,29.01,17.41,4.93,7411.0,41
CDM,63600031,lidocaine HCl 10 mg/mL (1 %) injection solution,15.120000000000001,9.07,1.61,7411.0,164
CDM,63600031,lidocaine HCl 20 mg/mL (2 %) injection solution,20.7,12.42,2.39,7411.0,246
CDM,63600031,luspatercept-aamt 25 mg subcutaneous solution,11888.26,7132.96,38.76,8916.19,57
CDM,63600031,luspatercept-aamt 75 mg subcutaneous solution,35608.66,21365.2,38.76,26706.49,57
CDM,63600031,"measles,mumps,rubella vacc live(PF)10exp3.4-4.2-3.3CCID50/0.5mL subcut",412.1,247.26,70.06,7411.0,82
CDM,63600031,"measles,mumps,rubella vaccine live(PF)1,000-12,500TCID50/0.5 mL subcut",424.28,254.57,72.13,7411.0,82
CDM,63600031,"meningoc vac A,C,Y,W-135 dip(PF) 10 mcg-5 mcg/0.5 mL IM kit (2 vials)",710.71,426.43,120.82,7411.0,41
CDM,63600031,"meningoco C,Y,W-135 vacc 1 of 2(PF) 5 mcg x3/0.5 mL(final) IM solution",591.0,354.6,100.47,7411.0,41
CDM,63600031,meningococcal A conj vacc 2 of 2(PF) 10 mcg/0.5 mL (final) IM solution,710.71,426.43,120.82,7411.0,41
CDM,63600031,"meningococcal B vac,4-cmp 50 mcg-50 mcg-50 mcg-25 mcg/0.5mL IM syringe",1009.48,605.69,171.61,7411.0,41
CDM,63600031,"meningococcal vac A,C,Y,W-135 dip(PF) 10 mcg-5 mcg/0.5 mL IM solution",710.7,426.42,120.82,7411.0,82
CDM,63600031,meropenem-vaborbactam 2 gram intravenous solution,977.0,586.2,2.06,7411.0,98
CDM,63600031,methyldopate 250 mg/5 mL intravenous solution,240.0,144.0,40.8,7411.0,41
CDM,63600031,methylene blue (antidote) 5 mg/mL intravenous solution,1054.76,632.86,9.78,7411.0,98
CDM,63600031,metoprolol tartrate 5 mg/5 mL intravenous solution,13.870000000000001,8.32,0.1375,7411.0,209
CDM,63600031,metroNIDAZOLE 500 mg/100 mL in sodium chlor(iso) intravenous piggyback,21.5,12.899999999999999,0.0231,7411.0,84
CDM,63600031,micafungin 100 mg intravenous solution,846.5,507.9,0.2805,7411.0,42
CDM,63600031,micafungin 50 mg intravenous solution,425.75,255.45,0.2805,7411.0,42
CDM,63600031,milrinone 1 mg/mL intravenous solution,55.08,33.05,1.3,7411.0,126
CDM,63600031,milrinone 20 mg/100 mL(200 mcg/mL) in 5 % dextrose intravenous piggybk,91.2,54.72,1.3,7411.0,126
CDM,63600031,milrinone 40 mg/200 mL(200 mcg/mL) in 5 % dextrose intravenous piggybk,192.0,115.2,1.3,7411.0,42
CDM,63600031,minocycline 100 mg intravenous solution,1080.5,648.3,2.53,7411.0,57
CDM,63600031,mitoMYcin 40 mg x 2 intra-pyelocalyceal kit,72125.0,43275.0,293.89,61306.25,98
CDM,63600031,mogamulizumab-kpkc 4 mg/mL intravenous solution,13840.07,8304.04,225.36,10380.05,57
CDM,63600031,"moxifloxacin 400 mg/250 mL-sodium acet,sul-water intravenous piggyback",276.0,165.6,9.62,7411.0,42
CDM,63600031,mycophenolate mofetil 250 mg capsule,0.72,0.43,0.068,7411.0,167
CDM,63600031,"mycophenolate sodium 180 mg tablet,delayed release",4.39,2.63,0.0629,7411.0,126
CDM,63600031,"mycophenolate sodium 360 mg tablet,delayed release",8.77,7.015,0.1241,7411.0,251
CDM,63600031,nafcillin 1 gram solution for injection,75.07,45.04,0.0528,7411.0,42
CDM,63600031,nafcillin 2 gram solution for injection,110.0,66.0,0.0528,7411.0,84
CDM,63600031,niCARdipine 2.5 mg/mL intravenous syringe,18.44,11.06,0.0726,7411.0,42
CDM,63600031,niCARdipine 25 mg/10 mL intravenous solution,151.32,90.78999999999999,20.09,7411.0,123
CDM,63600031,nitroglycerin 100 mg/250 mL (400 mcg/mL) in 5 % dextrose intravenous,101.25,60.75,1.56,7411.0,84
CDM,63600031,nitroglycerin 25 mg/250 mL (100 mcg/mL) in 5 % dextrose  intravenous,40.5,24.3,1.56,7411.0,42
CDM,63600031,nitroglycerin 50 mg/250 mL (200 mcg/mL) in 5 % dextrose intravenous,135.0,81.0,1.56,7411.0,84
CDM,63600031,ocrelizumab 30 mg/mL intravenous solution,59143.14,35485.88,56.62,44357.36,57
CDM,63600031,panitumumab 100 mg/5 mL (20 mg/mL) intravenous solution,5226.14,3135.68,165.67,7411.0,57
CDM,63600031,panitumumab 400 mg/20 mL (20 mg/mL) intravenous solution,20754.56,12452.74,165.67,15565.92,57
CDM,63600031,papaverine 30 mg/mL injection solution,184.23000000000002,110.54,20.4,7411.0,82
CDM,63600031,patisiran (lipid complex) 2 mg/mL intravenous solution,29355.0,17613.0,90.41,22016.25,57
CDM,63600031,pegfilgrastim-cbqv 6 mg/0.6 mL subcutaneous syringe,12553.0,7531.8,129.1,9414.75,57
CDM,63600031,pegfilgrastim-jmdb 6 mg/0.6 mL subcutaneous syringe,6290.5,3774.3,75.53,7411.0,57
CDM,63600031,"penicillin G benzathine 1,200,000 unit/2 mL intramuscular syringe",1377.45,826.47,29.9,7411.0,57
CDM,63600031,"penicillin G benzathine 2,400,000 unit/4 mL intramuscular syringe",942.46,565.48,29.9,7411.0,98
CDM,63600031,"penicillin G benzathine 600,000 unit/mL intramuscular syringe",797.43,478.46,29.9,7411.0,57
CDM,63600031,penicillin G pot 3 million unit/50 mL-dextrose intravenous piggyback,69.5,41.7,0.7513,7411.0,42
CDM,63600031,penicillin G potassium 20 million unit solution for injection,268.73,161.24,0.7513,7411.0,84
CDM,63600031,penicillin G potassium 5 million unit solution for injection,81.33,48.8,0.7513,7411.0,83
CDM,63600031,pentamidine 300 mg solution for injection,756.01,453.61,0.176,7411.0,42
CDM,63600031,peramivir (PF) 200 mg/20 mL (10 mg/mL) intravenous solution,1429.97,857.98,1.46,7411.0,98
CDM,63600031,piperacillin-tazobactam 2.25 gram intravenous solution,46.6,27.96,1.19,7411.0,84
CDM,63600031,piperacillin-tazobactam 3.375 gram intravenous solution,63.68,38.21,1.19,7411.0,417
CDM,63600031,piperacillin-tazobactam 4.5 gram intravenous solution,70.78,42.47,1.19,7411.0,208
CDM,63600031,piperacillin-tazobactam 40.5 gram intravenous solution,665.47,399.28,1.19,7411.0,42
CDM,63600031,plerixafor 24 mg/1.2 mL (20 mg/mL) subcutaneous solution,29932.21,17959.33,19.25,22449.16,57
CDM,63600031,polidocanol 1 % (20 mg/2 mL) intravenous solution,120.0,72.0,20.4,7411.0,41
CDM,63600031,poliovirus vaccine 40 unit-8 unit-32 unit/0.5 mL injection suspension,1890.96,1134.58,321.46,7411.0,41
CDM,63600031,pralidoxime 1 gram solution for injection,390.15,234.09,66.33,7411.0,41
CDM,63600031,procainamide 100 mg/mL injection solution,414.27,248.56,70.43,7411.0,57
CDM,63600031,procainamide 100 mg/mL intravenous syringe,382.5,229.5,65.03,7411.0,57
CDM,63600031,procainamide 500 mg/mL injection solution,327.43,196.46,55.66,7411.0,98
CDM,63600031,propranolol 1 mg/mL intravenous solution,48.0,28.8,8.16,7411.0,41
CDM,63600031,protamine 10 mg/mL intravenous solution,193.465,116.08,1.84,7411.0,84
CDM,63600031,quinupristin-dalfopristin 500 mg intravenous solution,2102.04,1261.22,16.2,7411.0,42
CDM,63600031,rabies immune globulin (PF) 150 unit/mL intramuscular solution,6229.29,3737.5750000000003,230.07,7661.79,155
CDM,63600031,"rabies vaccine, purified chicken embryo cell (PF) 2.5 unit IM susp",1711.68,1027.01,290.99,7411.0,57
CDM,63600031,"rabies vaccine,human diploid (PF) 2.5 unit intramuscular solution",1958.15,1174.89,299.46,7411.0,57
CDM,63600031,ramucirumab 10 mg/mL intravenous solution,4420.37,2652.22,70.38,7411.0,57
CDM,63600031,remdesivir 100 mg intravenous powder for solution,1565.0,939.0,6.55,7411.0,57
CDM,63600031,"rho(D) immune globulin 1,500 unit (300 mcg)/2 mL injection syringe",749.36,449.62,5.33,7411.0,83
CDM,63600031,rifAMPin 600 mg intravenous solution,808.52,485.11,0.1881,7411.0,42
CDM,63600031,romiPLOStim 125 mcg subcutaneous solution,3960.94,2376.56,10.55,7411.0,57
CDM,63600031,romiPLOStim 250 mcg subcutaneous solution,7893.76,4736.26,10.55,7411.0,57
CDM,63600031,siltuximab 100 mg intravenous solution,3569.78,2141.87,151.74,7411.0,57
CDM,63600031,siltuximab 400 mg intravenous solution,14129.09,8477.45,151.74,10596.82,57
CDM,63600031,sirolimus 0.5 mg tablet,11.05,6.63,1.39,7411.0,167
CDM,63600031,sirolimus 1 mg tablet,21.83,13.1,1.39,7411.0,126
CDM,63600031,sirolimus 1 mg/mL oral solution,64.255,38.555,1.39,7411.0,125
CDM,63600031,sodium ferric gluconate complex in sucrose 62.5 mg/5 mL intravenous,218.8,131.28,2.63,7411.0,165
CDM,63600031,sodium thiosulfate 12.5 gram/50 mL (250 mg/mL) intravenous solution,261.0,156.6,0.836,7411.0,56
CDM,63600031,sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution,717.5,430.5,121.97,7411.0,41
CDM,63600031,sulfamethoxazole 400 mg-trimethoprim 80 mg/5 mL intravenous solution,155.48,93.285,0.0407,7411.0,125
CDM,63600031,"tacrolimus XR 0.75 mg tablet,extended release 24 hr",10.25,6.15,1.74,7411.0,42
CDM,63600031,"tacrolimus XR 1 mg tablet,extended release 24 hr",13.67,8.2,2.05,7411.0,42
CDM,63600031,"tacrolimus XR 4 mg tablet,extended release 24 hr",54.66,32.8,2.05,7411.0,42
CDM,63600031,tafasitamab-cxix 200 mg intravenous solution,4094.6,2456.76,13.16,7411.0,57
CDM,63600031,tarlatamab-dlle 10 mg intravenous solution,45050.0,27030.0,1489.33,38292.5,98
CDM,63600031,teclistamab-cqyv 10 mg/mL subcutaneous solution,5764.88,3458.93,32.72,7411.0,57
CDM,63600031,teclistamab-cqyv 90 mg/mL subcutaneous solution,29195.93,17517.56,32.72,21896.95,57
CDM,63600031,tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM susp,219.60500000000002,131.765,37.33,7411.0,84
CDM,63600031,tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM syringe,219.60500000000002,131.765,37.33,7411.0,84
CDM,63600031,tetanus immune globulin (PF) 250 unit/mL intramuscular syringe,1953.51,1172.11,332.1,7411.0,57
CDM,63600031,tisotumab vedotin-tftv 40 mg intravenous solution,21419.0,12851.4,186.31,16064.25,57
CDM,63600031,tobramycin 1.2 gram solution for injection,372.875,223.725,2.22,7411.0,84
CDM,63600031,tobramycin 300 mg/5 mL in 0.225 % sodium chloride for nebulization,62.55500000000001,37.535,2.51,7411.0,293
CDM,63600031,tobramycin 40 mg/mL injection solution,25.34,15.2,2.22,7411.0,208
CDM,63600031,tocilizumab 200 mg/10 mL (20 mg/mL) intravenous solution,3983.73,2390.24,5.25,7411.0,57
CDM,63600031,tocilizumab 400 mg/20 mL (20 mg/mL) intravenous solution,3226.82,1936.09,5.25,7411.0,57
CDM,63600031,tocilizumab 80 mg/4 mL (20 mg/mL) intravenous solution,1593.48,956.09,5.25,7411.0,57
CDM,63600031,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution",73.0,43.8,8.33,7411.0,369
CDM,63600031,trastuzumab-dttb 420 mg intravenous solution,11177.12,6706.27,28.32,9500.55,98
CDM,63600031,trastuzumab-pkrb 150 mg intravenous solution,4257.5,2554.5,53.22,7411.0,57
CDM,63600031,"vancomycin 1,000 mg intravenous injection",50.0,30.0,0.033,7411.0,333
CDM,63600031,vancomycin 1.25 gram intravenous solution,125.6,75.36,0.1078,7411.0,84
CDM,63600031,vancomycin 1.25 gram/250 mL in 0.9 % sodium chloride intravenous,114.5,68.7,0.033,7411.0,42
CDM,63600031,vancomycin 1.5 gram intravenous solution,149.72,89.83,0.033,7411.0,209
CDM,63600031,vancomycin 1.5 gram/250 mL in 0.9 % sodium chloride intravenous,114.5,68.7,0.033,7411.0,42
CDM,63600031,vancomycin 10 gram intravenous solution,982.54,589.52,167.03,7411.0,82
CDM,63600031,vancomycin 5 gram intravenous solution,333.845,200.305,0.033,7411.0,168
CDM,63600031,vancomycin 500 mg intravenous solution,38.485,23.090000000000003,0.033,7411.0,290
CDM,63600031,vancomycin 750 mg intravenous solution,63.14,37.88,0.033,7411.0,167
CDM,63600031,"varicella virus vaccine live (PF) 1,350 unit/0.5 mL subcutaneous susp",826.13,495.68,140.44,7411.0,41
CDM,63600034,CARBOplatin 10 mg/mL intravenous solution,189.41,113.65,3.23,7411.0,126
CDM,63600034,CISplatin 1 mg/mL intravenous solution,291.8,175.08,2.38,7411.0,42
CDM,63600034,DACTINomycin 0.5 mg intravenous solution,8175.62,4905.37,320.79,7411.0,57
CDM,63600034,DAUNOrubicin 5 mg/mL intravenous solution,653.63,392.18,27.22,7411.0,167
CDM,63600034,DOCEtaxel 160 mg/16 mL (10 mg/mL) intravenous solution,1705.1599999999999,1023.095,0.6116,7411.0,84
CDM,63600034,DOCEtaxel 20 mg/2 mL (10 mg/mL) intravenous solution,364.01,218.41,0.6116,7411.0,42
CDM,63600034,DOCEtaxel 80 mg/4 mL (20 mg/mL) intravenous solution,1220.0,732.0,0.6116,7411.0,42
CDM,63600034,DOXOrubicin 2 mg/mL intravenous solution,512.15,307.29,3.0,7411.0,84
CDM,63600034,DOXOrubicin 50 mg intravenous solution,1233.64,740.18,3.0,7411.0,42
CDM,63600034,IDArubicin 1 mg/mL intravenous solution,535.01,321.01,43.73,7411.0,126
CDM,63600034,"PACLitaxel 6 mg/mL concentrate,intravenous",370.85,222.51,0.1617,7411.0,42
CDM,63600034,PACLitaxel protein-bound 100 mg intravenous suspension,4790.18,2874.11,5.72,7411.0,57
CDM,63600034,PEMEtrexed disodium 100 mg intravenous powder for solution,1352.9,811.74,3.84,7411.0,114
CDM,63600034,"PEMEtrexed disodium 100 mg intravenous powder for solution,PEMETREXED 100 MG INTRAVENOUS POWDER FOR SOLUTION",1352.9,811.74,3.84,7411.0,114
CDM,63600034,PEMEtrexed disodium 500 mg intravenous powder for solution,2300.0,1380.0,3.84,9134.25,171
CDM,63600034,"PEMEtrexed disodium 500 mg intravenous powder for solution,PEMETREXED 500 MG INTRAVENOUS POWDER FOR SOLUTION",2300.0,1380.0,3.84,9134.25,171
CDM,63600034,PRALAtrexate 40 mg/2 mL (20 mg/mL) intravenous solution,40775.12,24465.07,325.97,30581.34,57
CDM,63600034,abciximab 10 mg/5 mL intravenous solution,4072.54,2443.52,692.33,7411.0,41
CDM,63600034,ado-trastuzumab emtansine 100 mg intravenous solution,11842.01,7105.21,38.34,8881.51,57
CDM,63600034,ado-trastuzumab emtansine 160 mg intravenous solution,18917.18,11350.31,38.34,14187.89,57
CDM,63600034,aldesleukin 22 million unit intravenous solution,14100.8,8460.48,2397.14,10575.6,57
CDM,63600034,alteplase 100 mg intravenous solution,26429.08,15857.45,90.34,22464.72,98
CDM,63600034,alteplase 2 mg intra-catheter solution,821.56,492.935,90.34,7411.0,114
CDM,63600034,alteplase 50 mg intravenous solution,13228.54,7937.12,90.34,11244.26,98
CDM,63600034,arsenic trioxide 1 mg/mL intravenous solution,1755.73,1053.44,7.09,7411.0,83
CDM,63600034,arsenic trioxide 2 mg/mL intravenous solution,2158.805,1295.28,7.09,7411.0,166
CDM,63600034,azaCITIDine 100 mg solution for injection,1332.8600000000001,799.715,0.451,7411.0,84
CDM,63600034,basiliximab 20 mg intravenous solution,13409.31,8045.59,2279.58,10346.47,57
CDM,63600034,belatacept 250 mg intravenous solution,2909.64,1745.78,3.59,7411.0,57
CDM,63600034,belinostat 500 mg intravenous solution,6052.97,3631.78,47.46,7411.0,57
CDM,63600034,bevacizumab 25 mg/mL intravenous solution,6027.05,3616.23,70.64,7411.0,114
CDM,63600034,bevacizumab-bvzr 25 mg/mL intravenous solution,970.1,582.06,24.56,7411.0,98
CDM,63600034,bleomycin 15 unit solution for injection,262.895,157.735,18.26,7411.0,84
CDM,63600034,bleomycin 30 unit solution for injection,379.54,227.72,18.26,7411.0,42
CDM,63600034,blinatumomab 35 mcg intravenous kit,15485.48,9291.29,155.76,11614.11,57
CDM,63600034,bortezomib 3.5 mg IV Solution,4859.0,2915.4,1.98,7411.0,42
CDM,63600034,bortezomib 3.5 mg injection powder for solution,4859.0,2915.4,1.98,7411.0,42
CDM,63600034,brentuximab vedotin 50 mg intravenous solution,35276.0,21165.6,243.38,26457.0,57
CDM,63600034,cabazitaxel 10 mg/mL (first dilution) intravenous solution,169808.36,101885.02,219.5,127356.27,57
CDM,63600034,carfilzomib 10 mg intravenous solution,1687.58,1012.55,53.43,7411.0,57
CDM,63600034,carfilzomib 60 mg intravenous solution,9875.54,5925.32,53.43,7411.0,57
CDM,63600034,carmustine 100 mg intravenous powder for solution,1245.675,747.405,139.63,7411.0,114
CDM,63600034,cetuximab 100 mg/50 mL intravenous solution,2462.3,1477.38,76.44,7411.0,57
CDM,63600034,cetuximab 200 mg/100 mL intravenous solution,4874.6,2924.76,76.44,7411.0,57
CDM,63600034,cladribine 10 mg/10 mL intravenous solution,2007.5,1204.5,8.29,7411.0,57
CDM,63600034,cycloPHOSphamide 50 mg capsule,21.675,13.004999999999999,1.81,7411.0,84
CDM,63600034,cytarabine (PF) 100 mg/5 mL (20 mg/mL) injection solution,88.07,52.84,0.8789,7411.0,42
CDM,63600034,cytarabine (PF) 2 gram/20 mL (100 mg/mL) injection solution,171.92,103.15,0.8789,7411.0,42
CDM,63600034,cytarabine (PF) 20 mg/mL injection solution,220.1,132.06,0.8789,7411.0,42
CDM,63600034,cytarabine 20 mg/mL injection solution,146.3,87.78,0.8789,7411.0,42
CDM,63600034,dacarbazine 200 mg intravenous solution,122.0,73.2,4.24,7411.0,42
CDM,63600034,daratumumab 20 mg/mL intravenous solution,5564.945,3338.965,67.23,7411.0,114
CDM,63600034,darbepoetin alfa 100 mcg/mL in polysorbate injection,2350.0,1410.0,2.92,7411.0,98
CDM,63600034,darbepoetin alfa 200 mcg/mL in polysorbate injection,1421.2,852.72,2.92,7411.0,57
CDM,63600034,darbepoetin alfa 25 mcg/mL in polysorbate injection,898.75,539.25,2.92,7411.0,98
CDM,63600034,darbepoetin alfa 40 mcg/mL in polysorbate injection,1421.2,852.72,2.92,7411.0,98
CDM,63600034,darbepoetin alfa 60 mcg/mL in polysorbate injection,2117.8,1270.68,2.92,7411.0,98
CDM,63600034,decitabine 50 mg intravenous solution,5183.0,3109.8,1.1,7411.0,42
CDM,63600034,degarelix 80 mg subcutaneous solution,2198.03,1318.82,4.24,7411.0,57
CDM,63600034,dexrazoxane HCl 250 mg intravenous solution,1056.96,634.18,47.25,7411.0,58
CDM,63600034,dexrazoxane HCl 500 mg intravenous solution,2113.97,1268.38,47.25,7411.0,58
CDM,63600034,elotuzumab 300 mg intravenous solution,6743.12,4045.87,7.29,7411.0,57
CDM,63600034,elotuzumab 400 mg intravenous solution,8974.07,5384.44,7.29,7411.0,57
CDM,63600034,enfortumab vedotin-ejfv 20 mg intravenous solution,8477.0,5086.2,32.44,7411.0,57
CDM,63600034,enfortumab vedotin-ejfv 30 mg intravenous solution,12690.5,7614.3,32.44,9517.88,57
CDM,63600034,epiRUBicin 50 mg/25 mL intravenous solution,334.4,200.64,1.94,7411.0,84
CDM,63600034,"epoetin alfa 10,000 unit/mL injection solution",1230.63,738.38,6.94,7411.0,57
CDM,63600034,"epoetin alfa 2,000 unit/mL injection solution",268.57,161.14,6.94,7411.0,57
CDM,63600034,"epoetin alfa 20,000 unit/mL injection solution",1631.5,978.9,6.94,7411.0,57
CDM,63600034,"epoetin alfa 40,000 unit/mL injection solution",3235.0,1941.0,6.94,7411.0,98
CDM,63600034,eriBULin 1 mg/2 mL (0.5 mg/mL) intravenous solution,4280.0,2568.0,72.92,7411.0,57
CDM,63600034,etoposide 20 mg/mL intravenous solution,251.9,151.14,0.8778,7411.0,84
CDM,63600034,fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution,8475.11,5085.07,29.7,7411.0,57
CDM,63600034,filgrastim 300 mcg/0.5 mL injection syringe,1529.66,917.795,0.9625,7411.0,114
CDM,63600034,filgrastim 300 mcg/mL injection solution,1444.74,866.84,0.9625,7411.0,57
CDM,63600034,filgrastim 480 mcg/1.6 mL injection solution,1531.99,919.19,0.9625,7411.0,57
CDM,63600034,filgrastim-sndz 300 mcg/0.5 mL injection syringe,1262.62,757.57,0.3325,7411.0,57
CDM,63600034,filgrastim-sndz 480 mcg/0.8 mL injection syringe,2003.41,1202.05,0.3325,7411.0,57
CDM,63600034,fludarabine 50 mg/2 mL intravenous solution,1273.46,764.08,216.49,7411.0,42
CDM,63600034,fluorouracil 1 gram/20 mL intravenous solution,144.86,86.91499999999999,2.26,7411.0,84
CDM,63600034,fluorouracil 2.5 gram/50 mL intravenous solution,166.4,99.84,2.26,7411.0,126
CDM,63600034,fluorouracil 500 mg/10 mL intravenous solution,107.96000000000001,64.77499999999999,2.26,7411.0,84
CDM,63600034,fulvestrant 250 mg/5 mL intramuscular syringe,4213.63,2528.18,5.43,7411.0,208
CDM,63600034,gemcitabine 1 gram intravenous solution,278.51,167.11,3.56,7411.0,42
CDM,63600034,gemcitabine 1 gram/26.3 mL (38 mg/mL) intravenous solution,281.18,168.71,3.56,7411.0,42
CDM,63600034,gemcitabine 2 gram intravenous solution,560.66,336.4,3.56,7411.0,42
CDM,63600034,gemcitabine 2 gram/52.6 mL (38 mg/mL) intravenous solution,396.53,237.92,3.56,7411.0,42
CDM,63600034,gemcitabine 200 mg intravenous solution,116.72,70.03,3.56,7411.0,42
CDM,63600034,goserelin 10.8 mg subcutaneous implant,8350.89,5010.53,1089.41,7411.0,42
CDM,63600034,goserelin 3.6 mg subcutaneous implant,2978.46,1787.08,506.34,7411.0,42
CDM,63600034,"hydroxyurea (sickle cell) 1,000 mg tablet",323.02,193.81,54.91,7411.0,41
CDM,63600034,ifosfamide 1 gram intravenous solution,270.44,162.26,27.15,7411.0,83
CDM,63600034,ifosfamide 3 gram intravenous solution,527.385,316.43,27.15,7411.0,84
CDM,63600034,inFLIXimab 100 mg intravenous solution,3503.46,2102.08,29.49,7411.0,57
CDM,63600034,interferon alfa-2b 50 million unit (1 mL) solution for injection,4659.5,2795.7,74.52,7411.0,42
CDM,63600034,interferon alfa-2b 6 million unit/mL injection solution,2186.23,1311.74,74.52,7411.0,42
CDM,63600034,ipilimumab 200 mg/40 mL (5 mg/mL) intravenous solution,104487.44,62692.46,170.68,78365.58,57
CDM,63600034,ipilimumab 50 mg/10 mL (5 mg/mL) intravenous solution,26159.42,15695.65,170.68,19619.56,57
CDM,63600034,irinotecan 100 mg/5 mL intravenous solution,254.0,152.4,1.69,7411.0,83
CDM,63600034,irinotecan 40 mg/2 mL intravenous solution,215.84,129.5,1.69,7411.0,42
CDM,63600034,ixabepilone 15 mg intravenous solution,5975.18,3585.11,124.09,7411.0,98
CDM,63600034,ixabepilone 45 mg intravenous solution,17825.54,10695.32,124.09,13369.16,57
CDM,63600034,leuprolide 30 mg (4 month) intramuscular syringe kit,24529.14,14717.48,167.39,18396.85,57
CDM,63600034,leuprolide 7.5 mg intramuscular syringe kit,6132.3,3679.38,167.39,7411.0,57
CDM,63600034,leuprolide acetate (6 month) 45 mg intramuscular syringe kit,36844.25,22106.55,167.39,27633.19,57
CDM,63600034,leuprolide acetate 22.5 mg (3 month) intramuscular syringe kit,18396.81,11038.09,167.39,13797.61,57
CDM,63600034,melphalan 2 mg tablet,27.64,16.58,4.7,7411.0,41
CDM,63600034,melphalan 50 mg-betadex sulfobutyl ether sodium intravenous solution,6050.0,3630.0,18.46,7411.0,57
CDM,63600034,melphalan HCl 50 mg intravenous powder for solution,2300.0,1380.0,114.64,7411.0,57
CDM,63600034,mesna 100 mg/mL intravenous solution,143.505,86.10499999999999,1.47,7411.0,84
CDM,63600034,methotrexate sodium (PF) 25 mg/mL injection solution,191.20999999999998,114.725,2.94,7411.0,84
CDM,63600034,methotrexate sodium 2.5 mg tablet,6.11,3.67,0.154,7411.0,126
CDM,63600034,methotrexate sodium 25 mg/mL injection solution,161.67,97.0,2.94,7411.0,84
CDM,63600034,mitoMYcin 20 mg intravenous solution,1945.94,1167.56,27.04,7411.0,57
CDM,63600034,mitoMYcin 40 mg intravenous solution,3841.88,2305.13,27.04,7411.0,57
CDM,63600034,mitoMYcin 5 mg intravenous solution,1144.72,686.83,27.04,7411.0,57
CDM,63600034,"mitoXANTRONE 2 mg/mL concentrate,intravenous",1355.495,813.2950000000001,36.68,7411.0,114
CDM,63600034,mitomycin 5 mg IV Solution,302.0,181.2,27.04,7411.0,57
CDM,63600034,natalizumab 300 mg/15 mL intravenous solution,25613.15,15367.89,23.1,19209.86,57
CDM,63600034,nelarabine 5 mg/mL intravenous solution,1625.0,975.0,50.07,7411.0,98
CDM,63600034,nivolumab 100 mg/10 mL intravenous solution,9593.27,5755.96,31.19,7411.0,57
CDM,63600034,nivolumab 40 mg/4 mL intravenous solution,3867.32,2320.39,31.19,7411.0,57
CDM,63600034,"obinutuzumab 1,000 mg/40 mL intravenous solution",24775.52,14865.31,77.72,18581.64,57
CDM,63600034,oxaliplatin 100 mg/20 mL intravenous solution,482.0,289.2,0.0858,7411.0,42
CDM,63600034,oxaliplatin 50 mg/10 mL (5 mg/mL) intravenous solution,338.0,202.8,0.0858,7411.0,42
CDM,63600034,palivizumab 100 mg/mL intramuscular solution,10318.76,6191.26,414.91,7739.07,57
CDM,63600034,palivizumab 50 mg/0.5 mL intramuscular solution,5466.98,3280.19,414.91,7411.0,57
CDM,63600034,pamidronate 30 mg/10 mL (3 mg/mL) intravenous solution,84.12,50.47,13.67,7411.0,42
CDM,63600034,pegaspargase 750 unit/mL injection solution,55854.14,33512.48,6299.0,61111.73,57
CDM,63600034,pegfilgrastim 6 mg/0.6 mL (deliverable) wearable subcutaneous injector,19281.97,11569.18,121.01,14461.48,57
CDM,63600034,pegfilgrastim 6 mg/0.6 mL subcutaneous syringe,19281.97,11569.18,121.01,14461.48,57
CDM,63600034,pembrolizumab 25 mg/mL intravenous solution,17396.24,10437.74,55.59,14786.8,98
CDM,63600034,pertuzumab 420 mg/14 mL (30 mg/mL) intravenous solution,19630.36,11778.22,15.15,14722.77,57
CDM,63600034,polatuzumab vedotin-piiq 140 mg intravenous solution,54257.99,32554.79,130.21,40693.49,57
CDM,63600034,ravulizumab-cwvz 10 mg/mL intravenous solution,19262.03,11557.22,206.22,14446.52,57
CDM,63600034,ravulizumab-cwvz 100 mg/mL intravenous solution,44877.99,26926.795,206.22,52870.49,114
CDM,63600034,"riTUXimab 10 mg/mL concentrate,intravenous",8505.68,5103.41,70.45,10607.1,114
CDM,63600034,riTUXimab-abbs 10 mg/mL intravenous solution,2586.65,1551.99,29.72,7411.0,57
CDM,63600034,romiDEPsin 10 mg/2 mL intravenous powder for solution,9645.95,5787.57,29.26,8199.06,98
CDM,63600034,temozolomide 100 mg capsule,54.97,32.98,0.4345,7411.0,83
CDM,63600034,temozolomide 20 mg capsule,17.26,10.36,0.4345,7411.0,42
CDM,63600034,temozolomide 250 mg capsule,107.28,64.37,0.4345,7411.0,42
CDM,63600034,temsirolimus 30 mg/3 mL (10 mg/mL) (first dilution) intravenous soln,15052.4,9031.44,28.58,12794.54,98
CDM,63600034,topotecan 4 mg intravenous solution,1107.5,664.5,2.32,7411.0,42
CDM,63600034,trastuzumab 150 mg intravenous solution,4725.26,2835.16,69.76,7411.0,57
CDM,63600034,trastuzumab 440 mg intravenous solution,13764.11,8258.47,69.76,10323.08,57
CDM,63600034,ustekinumab 130 mg/26 mL intravenous solution,6073.55,3644.13,11.04,7411.0,57
CDM,63600034,vinBLAStine 1 mg/mL intravenous solution,291.92,175.15,5.67,7411.0,42
CDM,63600034,vinCRIStine 1 mg/mL intravenous solution,156.5,93.9,8.92,7411.0,42
CDM,63600034,vinCRIStine 2 mg/2 mL intravenous solution,142.4,85.44,8.92,7411.0,42
CDM,63600034,vinorelbine 10 mg/mL intravenous solution,230.0,138.0,5.47,7411.0,42
CDM,63600034,vinorelbine 50 mg/5 mL intravenous solution,432.5,259.5,5.47,7411.0,42
CDM,63600034,zidovudine 10 mg/mL intravenous solution,180.2,108.12,1.43,7411.0,57
CDM,63600034,ziv-aflibercept 100 mg/4 mL (25 mg/mL) intravenous solution,4850.0,2910.0,8.18,7411.0,57
CDM,63600034,ziv-aflibercept 200 mg/8 mL (25 mg/mL) intravenous solution,9650.0,5790.0,8.18,7411.0,57
CDM,63600036,C1 esterase inhibitor 500 unit (10 mL) intravenous kit,12204.6,7322.76,72.25,9153.45,58
CDM,63600036,C1 esterase inhibitor 500 unit (10 mL) intravenous solution,12204.6,7322.76,72.25,9153.45,58
CDM,63600036,DAPTOmycin 350 mg intravenous solution,226.25,135.75,0.0374,7411.0,86
CDM,63600036,DAPTOmycin 500 mg intravenous solution,2009.66,1205.8,0.0374,7411.0,43
CDM,63600036,adenosine (diagnostic) 3 mg/mL intravenous solution,881.96,529.18,0.48,7411.0,43
CDM,63600036,adenosine 3 mg/mL intravenous solution,35.7,21.42,0.48,7411.0,170
CDM,63600036,"albumin, human 25 % intravenous solution",541.6,324.96,50.43,7411.0,215
CDM,63600036,"albumin, human 5 % intravenous solution",336.63,201.98,48.43,7411.0,297
CDM,63600036,"amiodarone 150 mg/100 mL (1.5 mg/mL) in dextrose, iso-osmotic IV",208.2,124.92,0.4279,7411.0,43
CDM,63600036,"amiodarone 360 mg/200 mL (1.8 mg/mL) in dextrose, iso-osmotic IV",277.2,166.32,0.4279,7411.0,43
CDM,63600036,amiodarone 50 mg/mL intravenous solution,15.22,9.135,0.4279,7411.0,340
CDM,63600036,amphotericin B liposome 50 mg intravenous suspension,1273.5300000000002,764.12,21.67,7411.0,116
CDM,63600036,anti-thymocyte globulin (rabbit) 25 mg intravenous solution,3198.48,1919.09,543.74,7411.0,58
CDM,63600036,antithrombin III (human) 500 (+/-) unit intravenous solution,53.98,32.39,3.9,7411.0,99
CDM,63600036,argatroban 1 mg/mL in 0.9 % sodium chloride intravenous solution,815.5,489.3,1.11,7411.0,43
CDM,63600036,argatroban 100 mg/mL intravenous solution,1220.5,732.3,1.11,7411.0,86
CDM,63600036,bivalirudin 250 mg intravenous powder for solution,2953.0,1771.8,0.1364,7411.0,43
CDM,63600036,caspofungin 70 mg intravenous solution,1583.96,950.38,3.93,7411.0,43
CDM,63600036,chlorothiazide sodium 500 mg intravenous solution,1351.65,810.99,51.61,7411.0,43
CDM,63600036,crotalidae polyval immune fab 1 gram solution for injection,9600.0,5760.0,1632.0,7411.0,58
CDM,63600036,cycloSPORINE 100 mg capsule,35.1,21.06,1.57,7411.0,129
CDM,63600036,cycloSPORINE 100 mg/mL oral solution,1671.0,1002.6,1.57,7411.0,43
CDM,63600036,cycloSPORINE 25 mg capsule,7.53,4.52,0.6886,7411.0,86
CDM,63600036,cycloSPORINE modified 100 mg capsule,15.115,9.065,1.49,7411.0,250
CDM,63600036,cycloSPORINE modified 100 mg/mL oral solution,1166.4,699.84,1.57,7411.0,43
CDM,63600036,cycloSPORINE modified 25 mg capsule,5.36,3.22,0.2618,7411.0,170
CDM,63600036,cytomegalovirus immune globulin 50 mg/mL intravenous solution,4450.2,2670.12,756.53,7411.0,58
CDM,63600036,digoxin immune fab 40 mg intravenous solution,14355.0,8613.0,2440.35,11109.03,58
CDM,63600036,enoxaparin 100 mg/mL subcutaneous syringe,156.22,93.73,0.5962,7411.0,297
CDM,63600036,enoxaparin 120 mg/0.8 mL subcutaneous syringe,206.88,124.13,0.5962,7411.0,43
CDM,63600036,enoxaparin 150 mg/mL subcutaneous syringe,288.3,172.98000000000002,0.5962,7411.0,86
CDM,63600036,enoxaparin 30 mg/0.3 mL subcutaneous syringe,66.49,39.89,0.5962,7411.0,256
CDM,63600036,enoxaparin 40 mg/0.4 mL subcutaneous syringe,81.59,48.95,0.5962,7411.0,377
CDM,63600036,enoxaparin 60 mg/0.6 mL subcutaneous syringe,117.41,70.45,0.5962,7411.0,170
CDM,63600036,enoxaparin 80 mg/0.8 mL subcutaneous syringe,130.56,78.34,0.5962,7411.0,256
CDM,63600036,epoprostenol 0.5 mg intravenous solution,156.42,93.85,16.36,7411.0,43
CDM,63600036,epoprostenol 1.5 mg intravenous solution,250.79500000000002,150.475,16.36,7411.0,86
CDM,63600036,eptifibatide 2 mg/mL IV,810.28,486.17,3.1,7411.0,58
CDM,63600036,eptifibatide 2 mg/mL intravenous solution,2674.99,1604.9950000000001,3.1,7411.0,116
CDM,63600036,fomepizole 1 gram/mL intravenous solution,3086.115,1851.67,6.21,7411.0,116
CDM,63600036,fondaparinux 10 mg/0.8 mL subcutaneous solution syringe,274.645,164.78500000000003,0.8767,7411.0,127
CDM,63600036,fondaparinux 2.5 mg/0.5 mL subcutaneous solution syringe,166.48,99.89,0.8767,7411.0,43
CDM,63600036,fondaparinux 5 mg/0.4 mL subcutaneous solution syringe,281.84000000000003,169.10000000000002,0.8767,7411.0,168
CDM,63600036,fondaparinux 7.5 mg/0.6 mL subcutaneous solution syringe,274.645,164.78500000000003,0.8767,7411.0,127
CDM,63600036,imipenem-cilastatin 500 mg intravenous solution,192.89499999999998,115.74000000000001,6.96,7411.0,86
CDM,63600036,"immune glob,gamma (IgG) 10 %-gly-IgA over 50 mcg/mL injection solution",3820.2000000000003,2292.12,46.63,8650.62,396
CDM,63600036,"immune glob,gamma(IgG) 10 gram-gly-gluc-IgA 0 to 50 mcg/mL IV solution",6733.8,4040.28,76.38,7411.0,58
CDM,63600036,"immune glob,gamma(IgG) 5 gram-gly-gluc-IgA 0 to 50 mcg/mL IV solution",3369.9,2021.94,76.38,7411.0,58
CDM,63600036,levoFLOXacin 250 mg/50 mL in 5 % dextrose intravenous piggyback,41.0,24.6,2.38,7411.0,43
CDM,63600036,levoFLOXacin 500 mg/100 mL in 5 % dextrose intravenous piggyback,71.0,42.6,2.38,7411.0,43
CDM,63600036,levoFLOXacin 750 mg/150 mL in 5 % dextrose intravenous piggyback,70.7,42.42,2.38,7411.0,129
CDM,63600036,linezolid in 5% dextrose in water 600 mg/300 mL intravenous piggyback,285.8,171.48,2.73,7411.0,129
CDM,63600036,"lymphocyte,anti-thymo immune globulin 50 mg/mL intravenous solution",12574.68,7544.81,2137.7,11378.72,99
CDM,63600036,meropenem 1 gram intravenous solution,71.0,42.6,0.4081,7411.0,211
CDM,63600036,meropenem 500 mg intravenous solution,31.4,18.84,0.4081,7411.0,86
CDM,63600036,onabotulinumtoxinA 100 unit solution for injection,1938.0,1162.8,6.01,7411.0,58
CDM,63600036,"tacrolimus 0.5 mg capsule, immediate-release",0.74,0.44,0.1139,7411.0,129
CDM,63600036,"tacrolimus 1 mg capsule, immediate-release",1.6400000000000001,0.9850000000000001,0.17,7411.0,299
CDM,63600036,"tacrolimus 5 mg capsule, immediate-release",60.32,36.19,0.253,7411.0,129
CDM,63600036,tacrolimus 5 mg/mL intravenous solution,1114.2,668.52,189.41,7411.0,58
CDM,63600036,tenecteplase 25 mg intravenous solution,24919.78,14951.87,187.57,18689.83,58
CDM,63600036,"tenecteplase 50 mg intravenous kit,tenecteplase 50 mg intravenous solution",21097.690000000002,12658.615,187.57,17633.1,116
CDM,63600036,tenecteplase 50 mg intravenous solution,21097.690000000002,12658.615,187.57,17633.1,116
CDM,63600036,treprostinil sodium 1 mg/mL injection solution,3819.96,2291.98,52.43,7411.0,58
CDM,63600036,treprostinil sodium 10 mg/mL injection solution,38199.6,22919.76,52.43,28649.7,58
CDM,63600036,voriconazole 200 mg IV,276.35,165.81,0.7172,7411.0,86
CDM,63600036,voriconazole 200 mg intravenous powder for solution,276.35,165.81,0.7172,7411.0,43
CDM,63600036,voriconazole 200 mg-HPBCD intravenous solution,245.0,147.0,41.65,7411.0,41
CDM,63600036,zoledronic acid 4 mg/100 mL in mannitol 5 %-water intravenous piggybck,285.0,171.0,8.49,7411.0,43
CDM,63600036,zoledronic acid 4 mg/5 mL intravenous solution,810.0,486.0,8.49,7411.0,43
CDM,63600036,zoledronic acid 5 mg/100 mL in mannitol 5 %-water intravenous piggybck,3927.3,2356.38,8.49,7411.0,43
CDM,63600038,"hum prothrombin cplx, 4-factor 1,000 unit (800-1,240 unit) IV solution",45.88,27.53,1.95,7411.0,57
CDM,63600038,"human prothrombin complex,4-factor 500 unit (400-620 unit) IV solution",45.88,27.53,1.95,7411.0,57
CDM,63600039,"HC Shell Q4166, Cytal Wound Matrix/ Burn Matrix, per Sq Cm",132.5,79.5,4.13,8152.5,952
CDM,63600040,"HC Shell Q4150, Allowrap Ds or Dry, per Sq Cm",569.255,341.555,41.53,7411.0,448
CDM,63600044,dexAMETHasone 0.5 mg tablet,0.34,0.2,0.0297,7411.0,42
CDM,63600044,dexAMETHasone 0.5 mg/5 mL oral solution,66.88,40.13,0.0297,7411.0,84
CDM,63600044,dexAMETHasone 1 mg tablet,0.56,0.33499999999999996,0.0297,7411.0,84
CDM,63600044,dexAMETHasone 2 mg tablet,1.115,0.665,0.0297,7411.0,84
CDM,63600044,dexAMETHasone 4 mg tablet,1.9949999999999999,1.2,0.0297,7411.0,84
CDM,63600044,dexAMETHasone 6 mg tablet,3.0650000000000004,1.8399999999999999,0.0297,7411.0,125
CDM,63600046,"baclofen 2,000 mcg/mL intrathecal solution",3548.275,2128.965,81.77,7411.0,116
CDM,63600046,"baclofen 40,000 mcg/20 mL (2,000 mcg/mL) intrathecal solution",2839.42,1703.65,81.77,7411.0,58
CDM,63600046,"baclofen 40,000 mcg/20 mL (2,000 mcg/mL) intrathecal syringe",3053.74,1832.24,81.77,7411.0,58
CDM,63600046,baclofen 50 mcg/mL intrathecal solution,201.82,121.09,30.46,7411.0,84
CDM,63600046,baclofen 500 mcg/mL intrathecal solution,1067.35,640.41,81.77,7411.0,58
CDM,63600046,cycloSPORINE 250 mg/5 mL intravenous solution,234.63,140.78,39.89,7411.0,43
CDM,63600046,"octreotide acetate 1,000 mcg/mL injection solution",2235.96,1341.58,0.6864,7411.0,43
CDM,63600046,octreotide acetate 100 mcg/mL (1 mL) injection syringe,40.24,24.14,0.6864,7411.0,84
CDM,63600046,octreotide acetate 100 mcg/mL injection solution,49.32,29.59,0.6864,7411.0,168
CDM,63600046,"octreotide acetate 100 mcg/mL injection solution,octreotide acetate 100 mcg/mL injection syringe",13.41,8.05,0.6864,7411.0,211
CDM,63600046,octreotide acetate 200 mcg/mL injection solution,306.0,183.6,0.6864,7411.0,43
CDM,63600046,octreotide acetate 50 mcg/mL injection solution,55.85,33.51,0.6864,7411.0,213
CDM,63600046,"octreotide acetate 50 mcg/mL injection solution,octreotide acetate 50 mcg/mL (1 mL) injection syringe",28.235,16.94,0.6864,7411.0,86
CDM,63600046,octreotide acetate 500 mcg/mL injection solution,278.42499999999995,167.055,0.6864,7411.0,86
CDM,63600046,"octreotide acetate 500 mcg/mL injection solution,octreotide acetate 500 mcg/mL (1 mL) injection syringe",107.18,64.31,0.6864,7411.0,86
CDM,63600046,rasburicase 1.5 mg intravenous solution,3223.55,1934.13,363.08,7411.0,58
CDM,63600046,"risperiDONE microspheres ER 25 mg/2 mL intramuscular susp,ext release",1843.68,1106.21,10.26,7411.0,58
CDM,63600046,"risperiDONE microspheres ER 37.5 mg/2 mL intramuscular susp,ext releas",2765.64,1659.38,10.26,7411.0,58
CDM,63600048,sodium benzoate 10 %-sodium phenylacetate 10 % intravenous solution,109512.0,65707.2,6299.0,93085.2,41
CDM,63600049,"Shell Q4142, Xcm Biologic Tissue Matrix, per Sq Cm",173.285,103.97,17.03,24110.04,448
CDM,63600058,regadenoson 0.4 mg/5 mL intravenous syringe,1159.92,695.95,3.19,7411.0,42
CDM,63600059,"HC Shell Primatrix, per Sq Cm",307.66,184.6,31.36,7411.0,287
CDM,63600061,"HC Shell Q4104, Integra Bilayer Matrix Wound Dressing, per Sq Cm",181.07,108.64,10.68,7411.0,504
CDM,63600062,"HC Shell Q4118, Matristem Micromatrix, per Mg",15.49,9.29,2.41,7411.0,123
CDM,63600064,HC OPENBIOME STOOL FOR FMT,5761.31,3456.79,979.42,7411.0,41
CDM,63600065,"HC Shell Q4152, Dermapure per Sqcm",193.53,116.12,32.89,7411.0,168
CDM,63600070,"Shell A2004, Xcellistem, per 1 Mg",12.21,7.33,2.07,7411.0,123
CDM,63600072,"Shell A2006, Novosorb Synpath Dermal Matrix, per Square Centimeter",99.1,59.46,5.01,7411.0,280
CDM,63600077,"Shell Q4199, Cygnus Matrix, per Square Centimeter",446.89,268.13,15.96,7411.0,168
CDM,63600078,"Shell Q4171, Interfyl, 1 Mg",13.615,8.17,2.06,7411.0,82
CDM,63600079,"HC GRAFIX/PL PRIME, STRAVIX/PM, PER SQCM (LAW268868)",1030.18,618.11,118.76,7411.0,56
CDM,63600080,HC GRAFT HUMAN TISSUE GRAFIX DISC DIA16MM PER SQ CM (MANF# PS13016),1030.18,618.11,118.76,7411.0,56
CDM,63600081,HC GRAFT HUMAN TISSUE GRAFIX W2XL3CM PER SQ CM (MANF# PS13023),808.09,484.85,118.76,7411.0,56
CDM,63600082,HC GRAFT HUMAN TISSUE GRAFIX W3XL3CM PER SQ CM (MANF# PS13033),609.13,365.48,103.55,7411.0,56
CDM,63600083,HC GRAFT HUMAN TISSUE GRAFIX W3XL4CM PER SQ CM (MANF# PS13034),534.6,320.76,90.88,7411.0,56
CDM,63600084,HC GRAFT HUMAN TISSUE GRAFIX W5XL5CM PER SQ CM (MANF# PS13055),523.91,314.35,89.06,7411.0,56
CDM,63600085,"Shell, Q4137, Amnioexcel, Amnioexcel Plus, Biodexcel per Sq Cm",778.09,466.85,43.4,7411.0,697
CDM,63600093,"Shell Q4258, Enverse, per Sq Cm",617.25,370.35,104.93,7411.0,56
CDM,63600095,"Shell, Q4173, Palingen or Palingen Xplus, per Sq Cm",486.7,292.02,82.74,7411.0,41
CDM,63600096,HC GRAFIX PL 1.5CM X 2CM PER SQ CM (MANF# PS13015),1275.1,765.06,118.76,7411.0,56
CDM,63600097,"Shell, Q4174, Palingen or Promatrx, 0.36 Mg per 0.25 Cc",2176.06,1305.635,330.83,7411.0,82
CDM,63600098,"HC XCELLISTEM, PER MG (250 MG) MANF# XSWP0250",12.58,7.55,2.14,7411.0,41
CDM,63600099,"HC XCELLISTEM, PER MG (500 MG) MANF# XSWP0500",12.21,7.33,2.08,7411.0,41
CDM,63600106,"Shell Q4105, Integra Dermal Regeneration Template (Drt) or Integra Omnigraft Dermal Regeneration Matrix, per Sq Cm",152.175,91.305,20.04,7411.0,224
CDM,63600107,"HC PURAPLYAM 3CM X 4CM, PER SQ CM (MANF# 515065)",507.6,304.56,86.29,7411.0,56
CDM,63600134,"HC MYRIAD MORCELLS, PER 4 MG (CHG QTY: 250) LAW844638",42.04,25.22,7.15,7411.0,41
CDM,63600135,"HC MYRIAD MORCELLS, PER 4 MG (CHG QTY: 125) LAW844637",46.04,27.62,7.83,7411.0,41
CDM,63600136,"HC MYRIAD MORCELLS, PER 4 MG (CHG QTY: 500) LAW844639",42.04,25.22,7.15,7411.0,41
CDM,63600137,"HC MYRIAD MATRIX, 20CM X 20CM, PER SQ CM (CHG QTY: 400) LAW844643",56.94,34.16,9.68,7411.0,41
CDM,63600175,"HC Shell Q4432, 510(K) Skin Substitute Product, Not Otherwise Specified",3984.84,2390.9049999999997,7.02,29709.04,1232
CDM,63600176,"HC Shell Q4433, 361 Hct/P Skin Substitute Product, Not Otherwise Specified",6333.25,3799.95,36.11,42431.25,3864
CDM,63601006,"HC ENVERSE 2CM X 3CM, PER SQ CM (MANF# EN2030)",649.73,389.84,110.45,7411.0,56
CDM,63601007,"HC ENVERSE 4CM X 4CM, PER SQ CM (MANF# EN4040)",459.42,275.65,78.1,7411.0,56
CDM,63601008,"HC ENVERSE 4CM X 6CM, PER SQ CM (MANF# EN4060)",395.38,237.23,67.21,7411.0,56
CDM,63601009,"HC ENVERSE 6CM X 8CM, PER SQ CM (MANF# EN6080)",320.76,192.46,54.53,7411.0,56
CDM,63601010,"HC ENVERSE 15MM DISK, PER SQ CM (MANF# EN0015)",852.78,511.67,118.76,7411.0,56
CDM,63601011,"antihemophilic FVIII, B-dom truncated 250 (+/-) unit intravenous soln",40.96,24.58,1.34,7411.0,57
CDM,63601011,"antihemophilic FVIII,rec B-domain deleted 1,000 (+/-) unit IV syringe",38.92,23.35,1.42,7411.0,57
CDM,63601011,"antihemophilic FVIII,rec B-domain deleted 2,000 (+/-) unit IV syringe",38.92,23.35,1.42,7411.0,57
CDM,63601011,"antihemophilic FVIII,rec B-domain deleted 250 (+/-) unit IV syringe",38.92,23.35,1.42,7411.0,57
CDM,63601011,"antihemophilic factor VIII,rec B-domain delet 1,000 (+/-) unit IV soln",38.92,23.35,1.42,7411.0,57
CDM,63601011,"antihemophilic factor VIII,rec B-domain deleted 250 (+/-) unit IV soln",38.92,23.35,1.42,7411.0,57
CDM,63601011,flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe,135.0,81.0,22.95,7411.0,83
CDM,63601011,flu vaccine ts 2025-26(6mos up)(PF) 45 mcg(15mcg x3)/0.5 mL IM syringe,45.0,27.0,7.65,7411.0,83
CDM,63601011,flu vaccine ts2025-26(65yr up)(PF)180 mcg/0.5 mL intramuscular syringe,135.0,81.0,22.95,7411.0,83
CDM,63601011,hepatitis B vaccine 20 mcg/0.5 mL-adjuvant CpG 1018 (PF) IM syringe,670.34,402.2,113.96,7411.0,83
CDM,63601011,hepatitis B virus vaccine recomb (PF) 10 mcg/0.5 mL IM syringe,172.03,103.22,29.25,7411.0,83
CDM,63601011,hepatitis B virus vaccine recomb (PF) 10 mcg/mL intramuscular susp,299.81,179.89,50.97,7411.0,42
CDM,63601011,hepatitis B virus vaccine recomb (PF) 5 mcg/0.5 mL intramuscular susp,168.94,101.36,28.72,7411.0,42
CDM,63601011,"immune glob,gamma(IgG) 15 %-18 % range-glycine intramuscular solution",2072.63,1243.58,46.5,7411.0,57
CDM,63601011,pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe,1216.55,729.93,206.81,7411.0,83
CDM,63601016,"anti-inhibitor coagulant complx 1,750 unit-3,250 unit intravenous soln",43.72,26.23,2.3,7411.0,58
CDM,63601016,"antihemophilic FVIII,B-dom truncated 1,000 (+/-) unit intravenous soln",40.96,24.58,1.34,7411.0,57
CDM,63601016,"antihemophilic FVIII,B-dom truncated 500 (+/-) unit intravenous soln",40.96,24.58,1.34,7411.0,57
CDM,63601016,"antihemophilic factor (recomb) 1,000 (+/-) unit intravenous solution",39.4,23.64,1.49,7411.0,58
CDM,63601016,"antihemophilic factor (recomb) 2,000 (+/-) unit intravenous solution",39.4,23.64,1.49,7411.0,58
CDM,63601016,antihemophilic factor (recomb) 250 (+/-) unit intravenous solution,39.4,23.64,1.49,7411.0,58
CDM,63601016,antihemophilic factor (recomb) 500 (+/-) unit intravenous solution,39.4,23.64,1.49,7411.0,58
CDM,63601016,"antihemophilic factor 1,000 (+/-) unit intravenous powder for solution",36.64,21.98,1.32,7411.0,58
CDM,63601016,antihemophilic factor 250 (+/-) unit intravenous powder for solution,36.64,21.98,1.32,7411.0,99
CDM,63601016,antihemophilic factor 500 (+/-) unit intravenous powder for solution,36.64,21.98,1.32,7411.0,99
CDM,63601016,"antihemophilic factor VIII, full length 1,000 (+/-) unit IV solution",36.82,22.09,1.49,7411.0,58
CDM,63601016,"antihemophilic factor VIII, full length 2,000 (+/-) unit IV solution",39.4,23.64,1.49,7411.0,58
CDM,63601016,"antihemophilic factor VIII, full length 250 (+/-) unit IV solution",41.2,24.72,1.48,7411.0,57
CDM,63601016,"antihemophilic factor VIII, full length 3,000 (+/-) unit IV solution",36.82,22.09,1.49,7411.0,58
CDM,63601016,"antihemophilic factor VIII, full length 500 (+/-) unit IV solution",36.82,22.09,1.49,7411.0,58
CDM,63601016,"antihemophilic factor-vWF 1,000 unit-2,400 unit intravenous solution",37.6,22.56,1.42,7411.0,58
CDM,63601016,"antihemophilic factor-vWF 1,000(vWF 1,000) unit/10 mL intravenous soln",38.02,22.81,1.25,7411.0,57
CDM,63601016,antihemophilic factor-vWF 250 unit-600 unit intravenous solution,37.6,22.56,1.42,7411.0,58
CDM,63601016,antihemophilic factor-vWF 500 (500 vWF) unit/5 mL intravenous solution,38.02,22.81,1.25,7411.0,57
CDM,63601016,"antihemophilic factor-vWF 500 unit-1,200 unit intravenous solution",37.6,22.56,1.42,7411.0,58
CDM,63601016,"coagulation factor IX (recomb) 1,000 unit intravenous solution",38.2,22.92,1.65,7411.0,58
CDM,63601016,"coagulation factor IX (recomb) 2,000 unit intravenous solution",38.2,22.92,1.65,7411.0,58
CDM,63601016,coagulation factor IX (recomb) 250 unit intravenous solution,38.2,22.92,1.65,7411.0,58
CDM,63601016,"coagulation factor IX (recomb) 3,000 unit intravenous solution",38.2,22.92,1.65,7411.0,58
CDM,63601016,coagulation factor IX (recomb) 500 unit intravenous solution,38.2,22.92,1.65,7411.0,58
CDM,63601016,"coagulation factor VIIa recomb 1 mg (1,000 mcg) intravenous solution",44.08,26.45,2.51,7411.0,58
CDM,63601016,"coagulation factor VIIa recomb 2 mg (2,000 mcg) intravenous solution",44.08,26.45,2.51,7411.0,58
CDM,63601016,"coagulation factor VIIa recomb 5 mg (5,000 mcg) intravenous solution",44.08,26.45,2.51,7411.0,58
CDM,63601016,"coagulation factor VIIa recomb 8 mg (8,000 mcg) intravenous solution",44.08,26.45,2.51,7411.0,58
CDM,63601016,"factor IX complex no.4, 3-factor 1,000 (+/-) unit intravenous solution",36.1,21.66,1.44,7411.0,58
CDM,63601016,"factor IX complex no.4, 3-factor 1,500 (+/-) unit intravenous solution",36.49,21.895,1.44,7411.0,116
CDM,63601016,"factor IX complex no.4, 3-factor 500 (+/-) unit intravenous solution",36.1,21.66,1.44,7411.0,58
CDM,63601051,cosyntropin 0.25 mg solution for injection,420.255,252.15499999999997,17.88,7411.0,84
CDM,63601051,gadopiclenol 0.5 mmol/mL intravenous solution,1507.01,904.21,3.54,7411.0,42
CDM,63601051,gadopiclenol 5 mmol/10 mL (0.5 mmol/mL) intravenous syringe,596.25,357.75,3.54,7411.0,83
CDM,63601051,indigotindisulfonate sodium 8 mg/mL (0.8 %) injection solution,43.2,25.92,7.34,7411.0,56
CDM,63601051,indigotindisulfonate sodium 8 mg/mL (0.8 %) intravenous solution,1800.0,1080.0,8.84,7411.0,97
CDM,63601051,iopromide 300 mg iodine/mL injection solution,2.4,1.44,0.1694,7411.0,42
CDM,63601051,iopromide 300 mg iodine/mL intravenous solution,1.8,1.08,0.1694,7411.0,42
CDM,63601051,iopromide 370 mg iodine/mL injection solution,2.82,1.69,0.1694,7411.0,42
CDM,63601051,iopromide 370 mg iodine/mL intravenous solution,2.16,1.3,0.1694,7411.0,42
CDM,63601051,isosulfan blue 1 % subcutaneous solution,3642.57,2185.54,9.78,7411.0,57
CDM,63601051,methacholine chloride 100 mg solution for inhalation,373.5,224.1,63.49,7411.0,82
CDM,63601061,"HC Shell Q4126, Memoderm, Dermaspan, Tranzgraft or Integuply, per Sq Cm",307.595,184.555,39.3,7411.0,784
CDM,63601064,"Shell Q4125, Arthroflex, per Sq Cm",863.01,517.81,58.38,7411.0,1064
CDM,63601067,"Shell Nushield (Q4160), per Sq Cm",476.13,285.68,56.17,7411.0,280
CDM,63601069,"HC Shell C9358, Surgimend, Native, Fetal Bovine, per 0.5 Sq Cm",68.32499999999999,40.995000000000005,7.32,7411.0,410
CDM,63601070,"HC Shell C9360, Surgimend, Native, Neonatal Bovine, per 0.5 Sq Cm",51.66,31.0,4.62,7411.0,369
CDM,63601071,"Shell Q4130, Strattice per Sq Cm",136.93,83.37,5.16,7411.0,840
CDM,63601072,"HC Shell Q4118, Micromatrix, per Mg",16.82,10.09,2.86,7411.0,41
CDM,63601075,"HC Shell Q4116, Alloderm per Sqcm",198.5,119.1,15.52,34504.1,3640
CDM,63601083,HC KERECIS OMEGA3 MARIGEN 8CM (REF# 50200P01B0D) PER SQ CM,418.99,251.39,71.23,7411.0,56
CDM,63601091,"HC PURAPLY AM 2CM X 2CM, PER SQCM (LAW259434)",913.69,548.21,118.76,7411.0,56
CDM,63601092,"HC PURAPLY AM 5CM X 5CM, PER SQCM (LAW520389)",506.79,304.07,86.15,7411.0,56
CDM,63601093,"HC PURAPLY AM 6CM X 9CM, PER SQCM (LAW520390)",507.87,304.72,86.34,7411.0,56
CDM,63601094,"HC PURAPLY AM 2CM X 4CM, PER SQCM (LAW261212)",548.21,328.93,93.2,7411.0,56
CDM,63601099,"Shell Q4315, Regenelink Amniotic Membrane Allograft, per Sq Cm",493.455,296.075,64.22,7411.0,112
CDM,63601118,HC DRSG WND BIL MATRX 2 IN X 2 IN (25 SQ CM) PER SQ CM (LAW223678),480.54,288.32,81.69,7411.0,56
CDM,63602053,"HC Shell Q4177, Floweramnioflo, 0.1 Cc",573.5799999999999,344.15,79.45,7411.0,82
CDM,63602056,"HC Shell Q4180, Revita, per Sqcm",459.42,275.65,67.21,7411.0,168
CDM,63602059,HC RHOGAM INJ,256.75,154.05,43.65,7411.0,42
CDM,63602061,"HC Shell Q4101, Apligraf per Sq Cm",244.54,146.72,29.34,7411.0,168
CDM,63602063,HC PURAPLY AM PER SQ CM,794.06,476.44,118.76,7411.0,56
CDM,63602065,HC EPIFIX PER SQCM,394.85,236.91,67.12,7411.0,56
CDM,63602067,"HC Shell Q4186, Epifix per Sq Cm",728.51,437.11,44.89,16562.29,728
CDM,63602068,"HC Shell Q4196, Puraply Am per Sq Cm",724.86,434.915,90.88,7411.0,224
CDM,63602070,"HC Shell Q4187, Epicord per Sq Cm",706.99,424.19,118.76,7411.0,56
CDM,63602071,"HC Shell Q4195, Puraply per Sq Cm",528.04,316.82500000000005,49.5,7411.0,224
CDM,63602085,"HC Shell Q4201, Matrion per Sq Cm",601.66,361.0,11.17,7411.0,56
CDM,63602089,"Q4122, Dermacell per Sq Cm",366.66999999999996,220.02,27.48,7411.0,784
CDM,63602090,"HC Shell Q4121, Theraskin per Sqcm",491.68,295.01,27.69,8777.07,560
CDM,63602095,"HC Shell Q4170, Cygnus per Sqcm",389.47,233.68,50.38,7411.0,168
CDM,63602096,"HC Shell Q4151, Amnioband per Sq Cm",716.41,429.85,86.91,7411.0,616
CDM,63602097,"HC Shell Q4133, Grafix Stravix Prime Pl Sqcm",767.5,460.5,53.21,7411.0,1008
CDM,63602098,"HC Shell Q4132, Grafix Core, Grafixpl Core",613.0,367.8,66.57,7411.0,224
CDM,63602099,"HC Shell Q4108, Integra Matrix, per Sqcm",448.25,268.95,27.87,7411.0,280
CDM,63602100,"HC Shell Q4114, Integra Flowable Wound Matrix",5386.86,3232.12,915.77,7411.0,41
CDM,63602101,"HC Shell Q4130, Strattice Tm, per Sqcm",141.34,84.685,11.71,7411.0,896
CDM,63602103,"HC Shell Q4107, Graftjacket, per Sqcm",555.7,333.42,47.48,7411.0,1064
CDM,63602104,"HC Shell Q4128, Flex Hd, Allopatch Hd, or Matrix Hd, per Sqcm",293.71500000000003,176.225,10.05,22010.61,2352
CDM,63602111,"HC Shell Q4212, Allogen, per Cc",3221.255,1932.755,501.27,7411.0,82
CDM,63602129,"HC Shell Q4145, Epifix, Injectable, per 1 Mg",58.44,35.06,9.93,7411.0,41
CDM,63602130,"Shell Amnioamp-Mp, per Sq Cm",577.15,346.29,82.74,7411.0,123
CDM,63602132,"HC XCELLISTEM, PER MG (1000MG) MANF# XSWP1000",12.18,7.31,2.07,7411.0,41
CDM,63602133,HC FLUID GF PER CC (MANF GF0200),8157.6,4894.56,1386.79,7411.0,41
CDM,63602140,HC AFFINITY PER SQ CM 1.5CM X 1.5CM (MANF# AF1150),2541.0,1524.6,118.76,7411.0,56
CDM,63602141,HC AFFINITY PER SQ CM 2.5CM X 2.5CM (MANF# AF1250),1910.22,1146.13,118.76,7411.0,56
CDM,63602151,HC KERECIS OMEGA3 MARIGEN 11CM (REF# 50200S01B0D) PER SQ CM,433.03,259.82,73.62,7411.0,56
CDM,63602152,HC KERECIS OMEGA3 MARIGEN 19CM (REF# 50200P02D0D) PER SQ CM,363.25,217.95,61.75,7411.0,56
CDM,63602155,HC KERECIS OMEGA3 MARIGEN 21CM (REF# 50200S02B0D) PER SQ CM,249.88,149.93,42.48,7411.0,56
CDM,63602156,HC KERECIS OMEGA3 MARIGEN 35CM (REF# 50200S05B0D) PER SQ CM,263.84,158.3,44.85,7411.0,56
CDM,63602157,HC KERECIS OMEGA3 MARIGEN 49CM (REF# 50200S04B0D) PER SQ CM,262.64,157.58,44.65,7411.0,56
CDM,63602158,HC KERECIS OMEGA3 MARIGEN 70CM (REF# 50200S03B0D) PER SQ CM,250.85,150.51,42.64,7411.0,56
CDM,63602159,HC KERECIS OMEGA3 MARIGEN EXPANSE 56CM (REF# 50200N11B0D) PER SQ CM,278.49,167.09,47.34,7411.0,56
CDM,63602161,HC KERECIS OMEGA3 MARIGEN MICRO 4CM (REF# 50200P00B0D) PER SQ CM,646.89,388.13,109.97,7411.0,56
CDM,63602162,HC KERECIS OMEGA3 MARIGEN MICRO 38CM (REF# 50200P04D0D) PER SQ CM,280.81,168.49,47.74,7411.0,56
CDM,63602175,"Shell J1440, Fecal Microbiota Live, per Ml",5421.41,3252.85,57.97,7411.0,57
CDM,63602176,"HC ALLOGRAFT 4CM X 4CM NUSHIELD, PER SQ CM (LAW261335)",426.01,255.61,72.42,7411.0,56
CDM,63602177,"HC ALLOGRAFT 6CM X 6CM NUSHIELD, PER SQ CM (LAW508133)",330.41,198.25,56.17,7411.0,56
CDM,63602178,"HC APLIGRAF 3IN DISC, PER SQ CM",776.63,465.98,118.76,7411.0,56
CDM,63602179,"HC APLIGRAF 44SQ CM, PER SQ CM",169.89,101.93,28.88,7411.0,56
CDM,63602182,"HC PURAPLY 5CM X 5CM, PER SQ CM (MANF# 515008)",506.79,304.07,86.15,7411.0,56
CDM,63602183,"Shell Biodfence, per Sq Cm",534.6,320.76,82.8,13380.05,369
CDM,63602218,"Shell A2032, Myriad Matrix, per Sq Cm",68.885,41.335,9.68,7411.0,164
CDM,63602219,"Shell A2033, Myriad Morcells, 4 Miligrams",45.97,27.58,7.15,7411.0,123
CDM,63602228,"HC COGENEX AMNIOTIC MEMBRANE, PER SQ CM (DONATION ONLY)",0.01,0.01,0.0017,7411.0,56
CDM,63700001,ALPRAZolam 0.25 mg tablet,0.07500000000000001,0.045,0.0085,7411.0,234
CDM,63700001,ALPRAZolam 0.5 mg tablet,0.1,0.065,0.0136,7411.0,234
CDM,63700001,ALPRAZolam 1 mg tablet,0.13,0.08,0.0153,7411.0,117
CDM,63700001,ARIPiprazole 15 mg tablet,0.61,0.37,0.1037,7411.0,39
CDM,63700001,ARIPiprazole 2 mg tablet,19.765,11.860000000000001,0.1037,7411.0,78
CDM,63700001,ARIPiprazole 20 mg tablet,0.81,0.49,0.1377,7411.0,39
CDM,63700001,ARIPiprazole 5 mg tablet,0.54,0.325,0.0799,7411.0,117
CDM,63700001,B complex 11-folic acid 1 mg-C 100 mg-biotin 300 mcg-zinc 50 mg tablet,0.39,0.23,0.0663,7411.0,39
CDM,63700001,B-complex with vitamin C tablet,0.08,0.05,0.0085,7411.0,195
CDM,63700001,"DULoxetine 20 mg capsule,delayed release",3.53,2.12,0.102,7411.0,117
CDM,63700001,"DULoxetine 30 mg capsule,delayed release",0.645,0.385,0.102,7411.0,273
CDM,63700001,"DULoxetine 60 mg capsule,delayed release",0.825,0.495,0.102,7411.0,273
CDM,63700001,FLUoxetine 10 mg capsule,0.12,0.085,0.0187,7411.0,117
CDM,63700001,FLUoxetine 20 mg capsule,0.16,0.095,0.0204,7411.0,156
CDM,63700001,FLUoxetine 20 mg/5 mL (4 mg/mL) oral solution,119.16,71.495,17.05,7411.0,78
CDM,63700001,HYDROcodone 10 mg-chlorpheniramine 8 mg/5 mL oral susp extend.rel 12hr,4.91,2.95,0.8347,7411.0,39
CDM,63700001,HYDROcodone 7.5 mg-ibuprofen 200 mg tablet,3.82,2.29,0.6494,7411.0,39
CDM,63700001,HYDROmorphone 1 mg/mL oral liquid,5.32,3.1900000000000004,0.6188,7411.0,78
CDM,63700001,HYDROmorphone 2 mg tablet,3.33,2.0,0.5576,7411.0,195
CDM,63700001,HYDROmorphone 3 mg rectal suppository,22.63,13.58,3.85,7411.0,39
CDM,63700001,HYDROmorphone 4 mg tablet,3.435,2.06,0.5678,7411.0,156
CDM,63700001,HYDROmorphone 8 mg tablet,4.52,2.71,0.7684,7411.0,39
CDM,63700001,LORazepam 0.5 mg tablet,0.12,0.07,0.0153,7411.0,78
CDM,63700001,LORazepam 1 mg tablet,0.12,0.07,0.017,7411.0,156
CDM,63700001,LORazepam 2 mg tablet,0.24,0.14,0.0272,7411.0,117
CDM,63700001,"Lactobacillus acidophilus, bulgaricus 100 million cell granules packet",2.16,1.295,0.2924,7411.0,78
CDM,63700001,Lactobacillus rhamnosus GG 15 billion cell sprinkle capsule,1.09,0.65,0.1853,7411.0,78
CDM,63700001,OLANZapine 10 mg tablet,0.96,0.58,0.1632,7411.0,39
CDM,63700001,OLANZapine 2.5 mg tablet,0.88,0.53,0.1496,7411.0,78
CDM,63700001,OLANZapine 5 mg disintegrating tablet,3.57,2.14,0.2907,7411.0,195
CDM,63700001,OLANZapine 5 mg tablet,0.46,0.28,0.0561,7411.0,195
CDM,63700001,OLANZapine 7.5 mg tablet,0.56,0.34,0.0952,7411.0,39
CDM,63700001,OXcarbazepine 150 mg tablet,0.8400000000000001,0.505,0.102,7411.0,117
CDM,63700001,OXcarbazepine 300 mg tablet,1.435,0.8600000000000001,0.187,7411.0,156
CDM,63700001,OXcarbazepine 300 mg/5 mL (60 mg/mL) oral suspension,643.25,385.95,56.27,7411.0,78
CDM,63700001,PARoxetine 20 mg tablet,0.57,0.34,0.0476,7411.0,117
CDM,63700001,PARoxetine 30 mg tablet,1.48,0.89,0.2516,7411.0,39
CDM,63700001,"PARoxetine ER 25 mg tablet,extended release 24 hr",3.265,1.96,0.3961,7411.0,78
CDM,63700001,PHENobarbital 16.2 mg tablet,0.86,0.52,0.1445,7411.0,156
CDM,63700001,PHENobarbital 20 mg/5 mL (4 mg/mL) oral elixir,156.09,93.65,24.28,7411.0,117
CDM,63700001,PHENobarbital 32.4 mg tablet,1.41,0.85,0.2397,7411.0,78
CDM,63700001,PHENobarbital 64.8 mg tablet,1.35,0.81,0.2295,7411.0,39
CDM,63700001,PHENobarbital 97.2 mg tablet,1.9,1.14,0.323,7411.0,39
CDM,63700001,QUEtiapine 100 mg tablet,0.14,0.08,0.0238,7411.0,39
CDM,63700001,QUEtiapine 25 mg tablet,0.1,0.06,0.0119,7411.0,117
CDM,63700001,QUEtiapine 300 mg tablet,0.5,0.3,0.085,7411.0,39
CDM,63700001,"QUEtiapine ER 200 mg tablet,extended release 24 hr",0.93,0.56,0.1581,7411.0,39
CDM,63700001,"QUEtiapine ER 50 mg tablet,extended release 24 hr",1.51,0.91,0.2567,7411.0,39
CDM,63700001,SITagliptin phosphate 100 mg tablet,38.2,22.92,6.49,7411.0,78
CDM,63700001,SITagliptin phosphate 25 mg tablet,38.2,22.92,6.49,7411.0,39
CDM,63700001,SITagliptin phosphate 50 mg tablet,38.2,22.92,6.49,7411.0,117
CDM,63700001,SUMAtriptan 100 mg tablet,3.54,2.12,0.6018,7411.0,39
CDM,63700001,SUMAtriptan 25 mg tablet,3.54,2.12,0.6018,7411.0,78
CDM,63700001,SUMAtriptan 50 mg tablet,151.44,90.86,25.74,7411.0,39
CDM,63700001,aMILoride 5 mg tablet,1.1300000000000001,0.68,0.0765,7411.0,78
CDM,63700001,"acamprosate 333 mg tablet,delayed release",2.2,1.32,0.2788,7411.0,156
CDM,63700001,acarbose 50 mg tablet,0.8400000000000001,0.505,0.1122,7411.0,78
CDM,63700001,acetaZOLAMIDE 250 mg tablet,0.615,0.37,0.0901,7411.0,117
CDM,63700001,"acetaZOLAMIDE ER 500 mg capsule,extended release",2.0,1.2,0.17,7411.0,195
CDM,63700001,acetaminophen 120 mg rectal suppository,0.62,0.37,0.1054,7411.0,39
CDM,63700001,"acetaminophen 120 mg-codeine 12 mg/5 mL (5 mL) oral solution,acetaminophen 120 mg-codeine 12 mg/5 mL oral solution",3.17,1.9,0.5389,7411.0,39
CDM,63700001,acetaminophen 120 mg-codeine 12 mg/5 mL oral solution,3.1,1.86,0.527,7411.0,39
CDM,63700001,acetaminophen 160 mg/5 mL (5 mL) oral solution,3.24,1.94,0.5508,7411.0,39
CDM,63700001,acetaminophen 160 mg/5 mL oral liquid,8.51,5.11,1.13,7411.0,156
CDM,63700001,acetaminophen 300 mg-codeine 30 mg tablet,3.45,2.07,0.5542,7411.0,195
CDM,63700001,acetaminophen 300 mg-codeine 60 mg tablet,4.16,2.5,0.6086,7411.0,117
CDM,63700001,acetaminophen 325 mg rectal suppository,1.5,0.8999999999999999,0.1649,7411.0,117
CDM,63700001,acetaminophen 325 mg tablet,0.04,0.025,0.0034,7411.0,390
CDM,63700001,acetaminophen 325 mg/10.15 mL oral suspension,1.96,1.1749999999999998,0.3315,7411.0,78
CDM,63700001,acetaminophen 500 mg tablet,0.06,0.04,0.0034,7411.0,585
CDM,63700001,acetaminophen 650 mg rectal suppository,0.56,0.34,0.0952,7411.0,39
CDM,63700001,acetaminophen 80 mg chewable tablet,0.13,0.08,0.0221,7411.0,39
CDM,63700001,"activated charcoaL 25 gram/120 mL oral suspension,activated charcol 15 g/72 ml oral suspension,activated charcoal 50 gram/240 ml oral suspension",32.28,19.365000000000002,4.53,7411.0,78
CDM,63700001,activated charcoal 25 gram oral suspension,28.24,16.94,4.8,7411.0,39
CDM,63700001,"activated charcoal-sorbitoL 50 gram/240 mL oral suspension,activated charcoal-sorbitoL 25 gram/120 mL oral suspension",65.76,39.46,11.18,7411.0,39
CDM,63700001,activated charcoal-sorbitol 50 gram/240 mL oral suspension,65.76,39.46,11.18,7411.0,39
CDM,63700001,albuterol sulfate 2 mg tablet,6.0,3.6,0.5066,7411.0,117
CDM,63700001,albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization,1.505,0.905,0.0836,7411.0,435
CDM,63700001,albuterol sulfate 90 mcg/actuation breath activated powder inhaler,137.4,82.44,23.36,7411.0,39
CDM,63700001,albuterol sulfate HFA 90 mcg/actuation aerosol inhaler,46.44,27.86,7.89,7411.0,39
CDM,63700001,"albuterol sulfate HFA 90 mcg/actuation aerosol inhaler,albuterol sulfate 90 mcg/actuation breath activated power inhaler",160.46,96.28,27.28,7411.0,39
CDM,63700001,albuterol sulfate concentrate 5 mg/mL(0.5 %) solution for nebulization,61.3,36.78,4.25,7411.0,78
CDM,63700001,"alfuzosin ER 10 mg tablet,extended release 24 hr",1.63,0.98,0.2652,7411.0,117
CDM,63700001,aluminum hydroxide gel 320 mg/5 mL oral suspension,13.24,7.94,2.25,7411.0,39
CDM,63700001,aluminum-mag hydroxide-simethicone 200 mg-200 mg-20 mg/5 mL oral susp,6.345,3.8049999999999997,1.07,7411.0,78
CDM,63700001,aluminum-magnesium hydroxide 200 mg-200 mg/5 mL oral suspension,9.42,5.65,1.6,7411.0,39
CDM,63700001,alvimopan 12 mg capsule,363.68,218.21,61.83,7411.0,39
CDM,63700001,amantadine HCl 100 mg capsule,1.61,0.97,0.2737,7411.0,39
CDM,63700001,amantadine HCl 50 mg/5 mL oral solution,44.935,26.96,6.11,7411.0,78
CDM,63700001,ambrisentan 10 mg tablet,471.085,282.65000000000003,13.06,7411.0,78
CDM,63700001,amitriptyline 10 mg tablet,0.21999999999999997,0.13,0.0221,7411.0,234
CDM,63700001,amitriptyline 100 mg tablet,1.43,0.86,0.102,7411.0,234
CDM,63700001,amitriptyline 25 mg tablet,0.37,0.22000000000000003,0.0289,7411.0,234
CDM,63700001,amitriptyline 50 mg tablet,1.14,0.68,0.1938,7411.0,117
CDM,63700001,ammonium lactate 12 % lotion,31.2,18.72,5.3,7411.0,39
CDM,63700001,ammonium lactate 12 % topical cream,28.28,16.97,3.57,7411.0,117
CDM,63700001,angiotensin II 2.5 mg/mL intravenous solution,4860.0,2916.0,826.2,7411.0,39
CDM,63700001,apraclonidine 1 % eye drops in a dropperette,55.46,33.28,9.43,7411.0,78
CDM,63700001,aprepitant 40 mg capsule,236.08,141.65,2.63,7411.0,40
CDM,63700001,arformoterol 15 mcg/2 mL solution for nebulization,13.83,8.3,0.7997,7411.0,276
CDM,63700001,arginine 7 gram-glutamine 7 gram-calcium HMB 1.5 gram oral powder pack,3.8,2.28,0.646,7411.0,39
CDM,63700001,"arginine HCl (L-arginine) 1,000 mg tablet",0.26,0.16,0.0442,7411.0,39
CDM,63700001,artificial tears(dextran-hypromel-glycern) 0.1 %-0.3 %-0.2 % eye drops,13.23,7.94,2.25,7411.0,39
CDM,63700001,ascorbic acid (vitamin C) 250 mg tablet,0.035,0.02,0.0051,7411.0,117
CDM,63700001,ascorbic acid (vitamin C) 500 mg tablet,0.07,0.04,0.0085,7411.0,195
CDM,63700001,aspirin 300 mg rectal suppository,2.33,1.4,0.3961,7411.0,39
CDM,63700001,aspirin 325 mg tablet,0.03,0.02,0.0034,7411.0,117
CDM,63700001,"aspirin 325 mg tablet,delayed release",0.07,0.04,0.0068,7411.0,195
CDM,63700001,aspirin 81 mg chewable tablet,0.05,0.04,0.0034,7411.0,351
CDM,63700001,"aspirin 81 mg tablet,delayed release",0.04,0.02,0.0034,7411.0,429
CDM,63700001,aspirin-acetaminophen-caffeine 250 mg-250 mg-65 mg tablet,0.05,0.03,0.0085,7411.0,78
CDM,63700001,atomoxetine 10 mg capsule,3.26,1.96,0.5542,7411.0,39
CDM,63700001,atomoxetine 40 mg capsule,3.505,2.1,0.5899,7411.0,78
CDM,63700001,atropine 1 % eye drops,88.74,53.24,12.21,7411.0,117
CDM,63700001,atropine 1 % eye ointment,35.02,21.01,5.95,7411.0,39
CDM,63700001,azelastine 137 mcg (0.1 %) nasal spray,39.75,23.85,6.12,7411.0,78
CDM,63700001,baclofen 10 mg tablet,1.36,0.82,0.187,7411.0,117
CDM,63700001,baclofen 20 mg tablet,2.43,1.46,0.2924,7411.0,195
CDM,63700001,balanced salt solution non-surgical no.3 eye wash,51.15,30.689999999999998,6.78,7411.0,78
CDM,63700001,balsalazide 750 mg capsule,1.43,0.86,0.1921,7411.0,117
CDM,63700001,balsam peru-zinc oxide topical ointment,12.43,7.46,2.11,7411.0,39
CDM,63700001,beclomethasone diprop 80 mcg/actuation HFA breath activated aerosol,572.23,343.34,97.28,7411.0,39
CDM,63700001,belladonna alkaloids-opium 16.2 mg-30 mg rectal suppository,47.03,28.22,8.0,7411.0,78
CDM,63700001,belladonna alkaloids-opium 16.2 mg-60 mg rectal suppository,56.52,33.91,9.61,7411.0,39
CDM,63700001,benzocaine 10 % mucosal gel,9.344999999999999,5.605,1.36,7411.0,78
CDM,63700001,benzocaine 20 % mucosal aerosol spray,1.03,0.62,0.1751,7411.0,39
CDM,63700001,benzocaine 20 % mucosal spray,20.935000000000002,12.565000000000001,3.44,7411.0,78
CDM,63700001,benzocaine 20 % topical aerosol,7.75,4.65,1.32,7411.0,39
CDM,63700001,benzocaine 20 %-menthol 0.5 % topical aerosol,9.07,5.44,1.54,7411.0,39
CDM,63700001,benzocaine 6 mg-menthol 10 mg lozenges,0.29,0.17,0.0493,7411.0,78
CDM,63700001,benzonatate 100 mg capsule,0.34,0.2,0.0493,7411.0,195
CDM,63700001,benztropine 0.5 mg tablet,0.98,0.59,0.1666,7411.0,78
CDM,63700001,benztropine 1 mg tablet,0.27,0.16,0.0374,7411.0,78
CDM,63700001,"betaxolol 0.25 % eye drops,suspension",652.12,391.27,110.86,7411.0,39
CDM,63700001,bethanechol chloride 10 mg tablet,2.36,1.42,0.4012,7411.0,78
CDM,63700001,bethanechol chloride 25 mg tablet,1.91,1.15,0.3247,7411.0,39
CDM,63700001,bethanechol chloride 5 mg tablet,1.505,0.905,0.2516,7411.0,78
CDM,63700001,bisacodyl 10 mg rectal suppository,1.31,0.79,0.0782,7411.0,195
CDM,63700001,"bisacodyl 5 mg tablet,delayed release",0.15,0.09,0.0051,7411.0,273
CDM,63700001,bismuth subsalicylate 262 mg chewable tablet,0.13,0.08,0.0187,7411.0,117
CDM,63700001,bismuth subsalicylate 262 mg/15 mL oral suspension,1.26,0.755,0.153,7411.0,156
CDM,63700001,brexpiprazole 0.5 mg tablet,98.1,58.86,16.68,7411.0,39
CDM,63700001,brimonidine 0.2 % eye drops,22.0,13.2,3.4,7411.0,78
CDM,63700001,brivaracetam 25 mg tablet,143.71,86.23,24.43,7411.0,39
CDM,63700001,bromocriptine 2.5 mg tablet,8.325,4.995,1.13,7411.0,78
CDM,63700001,brompheniramine-pseudoephedrine-DM 2 mg-30 mg-10 mg/5 mL oral syrup,1.83,1.0950000000000002,0.2601,7411.0,156
CDM,63700001,budesonide 0.25 mg/2 mL suspension for nebulization,15.06,9.04,0.9639,7411.0,312
CDM,63700001,budesonide 0.5 mg/2 mL suspension for nebulization,10.0,6.0,0.34,7411.0,468
CDM,63700001,"budesonide DR - ER 3 mg capsule,delayed,extended release",4.45,2.67,0.7565,7411.0,39
CDM,63700001,bumetanide 0.5 mg tablet,0.9,0.54,0.1156,7411.0,156
CDM,63700001,bumetanide 1 mg tablet,0.795,0.48,0.1156,7411.0,78
CDM,63700001,bumetanide 2 mg tablet,1.52,0.915,0.2312,7411.0,78
CDM,63700001,buprenorphine 10 mcg/hour weekly transdermal patch,154.09,92.45,26.2,7411.0,39
CDM,63700001,buprenorphine 15 mcg/hour weekly transdermal patch,260.92,156.55,44.36,7411.0,39
CDM,63700001,buprenorphine 2 mg-naloxone 0.5 mg sublingual film,10.02,6.01,1.7,7411.0,78
CDM,63700001,buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet,1.85,1.11,0.3145,7411.0,39
CDM,63700001,buprenorphine 5 mcg/hour weekly transdermal patch,104.095,62.459999999999994,17.39,7411.0,117
CDM,63700001,buprenorphine 7.5 mcg/hour weekly transdermal patch,150.33,90.2,25.56,7411.0,78
CDM,63700001,buprenorphine 8 mg-naloxone 2 mg sublingual tablet,2.685,1.61,0.3179,7411.0,156
CDM,63700001,buprenorphine HCl 2 mg sublingual tablet,2.035,1.22,0.1819,7411.0,78
CDM,63700001,buprenorphine HCl 300 mcg buccal film,22.405,13.445,3.81,7411.0,78
CDM,63700001,buprenorphine HCl 450 mcg buccal film,30.445,18.265,5.17,7411.0,78
CDM,63700001,buprenorphine HCl 8 mg sublingual tablet,3.48,2.09,0.5661,7411.0,78
CDM,63700001,bupropion HCl 100 mg tablet,3.27,1.96,0.2431,7411.0,117
CDM,63700001,bupropion HCl 75 mg tablet,2.46,1.48,0.4182,7411.0,39
CDM,63700001,"bupropion HCl SR 100 mg tablet,12 hr sustained-release",0.47,0.28,0.0765,7411.0,117
CDM,63700001,"bupropion HCl SR 150 mg tablet,12 hr sustained-release",0.9,0.54,0.085,7411.0,273
CDM,63700001,"bupropion HCl XL 150 mg 24 hr tablet, extended release",0.37,0.315,0.0374,7411.0,429
CDM,63700001,buspirone 10 mg tablet,0.15,0.09,0.0153,7411.0,234
CDM,63700001,buspirone 5 mg tablet,0.1,0.06,0.0102,7411.0,312
CDM,63700001,buspirone 7.5 mg tablet,0.76,0.46,0.0595,7411.0,234
CDM,63700001,butalbital-acetaminophen-caffeine 50 mg-325 mg-40 mg tablet,1.795,1.0750000000000002,0.0629,7411.0,195
CDM,63700001,butorphanol 10 mg/mL nasal spray,112.8,67.68,19.18,7411.0,39
CDM,63700001,cabergoline 0.5 mg tablet,19.375,11.625,1.06,7411.0,117
CDM,63700001,caffeine 200 mg tablet,0.39,0.23,0.0663,7411.0,39
CDM,63700001,calamine 8 %-zinc oxide 8 % lotion,7.08,4.25,1.2,7411.0,39
CDM,63700001,calcitonin (salmon) 200 unit/actuation nasal spray,80.0,48.0,13.6,7411.0,39
CDM,63700001,calcitriol 0.25 mcg capsule,1.295,0.775,0.0918,7411.0,117
CDM,63700001,calcitriol 0.5 mcg capsule,3.06,1.84,0.1445,7411.0,156
CDM,63700001,calcitriol 1 mcg/mL oral solution,286.41,171.85,48.69,7411.0,39
CDM,63700001,calcium 200 mg (as calcium carbonate 500 mg) chewable tablet,0.045,0.03,0.0051,7411.0,234
CDM,63700001,calcium 200 mg (as calcium citrate 950 mg) tablet,0.07,0.04,0.0085,7411.0,117
CDM,63700001,"calcium 250 mg (as carbonate)-vitamin D3 3.125 mcg (125 unit) tablet,calcium 250 mg (as carbonate)-vitamin D3 3 mcg(120 unit) tablet",0.06,0.04,0.0102,7411.0,39
CDM,63700001,calcium 315 mg (as citrate)-vitamin D3 6.25 mcg (250 unit) tablet,0.31,0.185,0.0323,7411.0,117
CDM,63700001,"calcium 500 mg (as calcium carbonate 1,250 mg) tablet",0.07,0.035,0.0051,7411.0,234
CDM,63700001,calcium 500 mg (as carbonate)-vitamin D3 5 mcg (200 unit) tablet,0.075,0.045,0.0068,7411.0,195
CDM,63700001,"calcium 500 mg/5 mL (as calcium carb 1,250 mg/5 mL) oral suspension",18.0,10.8,0.8704,7411.0,117
CDM,63700001,calcium 600 mg (as carbonate)-vitamin D3 10 mcg (400 unit) tablet,0.3,0.18,0.051,7411.0,39
CDM,63700001,calcium acetate 667 mg tablet,0.265,0.16,0.0442,7411.0,78
CDM,63700001,"calcium acetate 952 mg-aluminum sulfate 1,347 mg topical powder packet",1.24,0.74,0.2108,7411.0,39
CDM,63700001,calcium polycarbophil 500 mg chewable tablet,0.27,0.16,0.0459,7411.0,39
CDM,63700001,cannabidiol 100 mg/mL oral solution,2943.0,1765.8,500.31,7411.0,78
CDM,63700001,capsaicin 0.025 % topical cream,13.92,8.35,2.37,7411.0,39
CDM,63700001,capsaicin 0.075 % topical cream,9.35,5.61,1.59,7411.0,39
CDM,63700001,capsaicin 0.1 % topical cream,22.95,13.77,3.9,7411.0,39
CDM,63700001,carBAMazepine 100 mg chewable tablet,1.02,0.61,0.1734,7411.0,39
CDM,63700001,"carBAMazepine 100 mg/5 mL (5 mL) oral suspension,carBAMazepine 100 mg/5 mL oral suspension",196.975,118.185,1.03,7411.0,78
CDM,63700001,carBAMazepine 100 mg/5 mL oral suspension,264.6,158.76,24.02,7411.0,78
CDM,63700001,carBAMazepine 200 mg tablet,1.305,0.78,0.051,7411.0,156
CDM,63700001,"carBAMazepine ER 100 mg tablet,extended release,12 hr",2.06,1.2349999999999999,0.153,7411.0,78
CDM,63700001,"carBAMazepine ER 200 mg tablet,extended release,12 hr",1.7000000000000002,1.02,0.272,7411.0,78
CDM,63700001,"carBAMazepine ER 400 mg tablet,extended release,12 hr",3.2,1.92,0.544,7411.0,39
CDM,63700001,carbidopa 10 mg-levodopa 100 mg tablet,0.48,0.28500000000000003,0.0748,7411.0,117
CDM,63700001,carbidopa 25 mg-levodopa 100 mg tablet,0.56,0.34,0.0646,7411.0,273
CDM,63700001,carbidopa 25 mg-levodopa 250 mg tablet,0.55,0.33,0.0833,7411.0,117
CDM,63700001,"carbidopa ER 36.25 mg-levodopa 145 mg capsule,extended release",8.31,4.99,1.41,7411.0,39
CDM,63700001,"carbidopa ER 48.75 mg-levodopa 195 mg capsule,extended release",8.31,4.99,1.41,7411.0,39
CDM,63700001,"carbidopa ER 50 mg-levodopa 200 mg tablet,extended release",1.62,0.9750000000000001,0.238,7411.0,156
CDM,63700001,carboxymethylcellulose sodium 0.5 % eye drops in a dropperette,0.5700000000000001,0.33999999999999997,0.0935,7411.0,78
CDM,63700001,carisoprodol 350 mg tablet,1.28,0.77,0.1938,7411.0,234
CDM,63700001,celecoxib 100 mg capsule,0.6,0.36,0.051,7411.0,117
CDM,63700001,celecoxib 200 mg capsule,1.2,0.72,0.0306,7411.0,390
CDM,63700001,cenobamate 100 mg tablet,78.67,47.2,13.37,7411.0,39
CDM,63700001,cetirizine 1 mg/mL oral solution,17.94,10.76,1.39,7411.0,117
CDM,63700001,cetirizine 10 mg disintegrating tablet,1.78,1.07,0.3026,7411.0,39
CDM,63700001,cetirizine 10 mg tablet,0.2,0.12,0.0153,7411.0,234
CDM,63700001,cetirizine 5 mg tablet,0.15,0.09,0.0238,7411.0,117
CDM,63700001,"cetirizine 5 mg-pseudoephedrine ER 120 mg tablet,extended release,12hr",1.55,0.93,0.2465,7411.0,156
CDM,63700001,cevimeline 30 mg capsule,5.73,3.435,0.8993,7411.0,117
CDM,63700001,chlordiazePOXIDE 25 mg capsule,0.6950000000000001,0.42000000000000004,0.0561,7411.0,117
CDM,63700001,chlordiazePOXIDE 5 mg capsule,1.29,0.77,0.2193,7411.0,39
CDM,63700001,chlordiazepoxide-clidinium 5 mg-2.5 mg capsule,3.98,2.39,0.442,7411.0,117
CDM,63700001,chlorpheniramine 4 mg tablet,0.045000000000000005,0.025,0.0034,7411.0,78
CDM,63700001,chlorproMAZINE 10 mg tablet,3.245,1.9449999999999998,0.204,7411.0,78
CDM,63700001,chlorproMAZINE 100 mg tablet,9.955,5.970000000000001,0.7684,7411.0,78
CDM,63700001,chlorproMAZINE 25 mg tablet,7.56,4.54,0.289,7411.0,117
CDM,63700001,chlorthalidone 25 mg tablet,3.83,2.3,0.6511,7411.0,39
CDM,63700001,chlorzoxazone 500 mg tablet,1.56,0.94,0.2652,7411.0,39
CDM,63700001,cholecalciferol (vitamin D3) 10 mcg (400 unit) tablet,0.05,0.03,0.0051,7411.0,117
CDM,63700001,cholecalciferol (vitamin D3) 10 mcg/mL (400 unit/mL) oral drops,0.115,0.07,0.0119,7411.0,78
CDM,63700001,"cholecalciferol (vitamin D3) 125 mcg (5,000 unit) tablet",0.155,0.09,0.0204,7411.0,117
CDM,63700001,"cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet",0.05500000000000001,0.03,0.0034,7411.0,351
CDM,63700001,cinacalcet 30 mg tablet,27.39,16.435000000000002,0.17,7411.0,195
CDM,63700001,citalopram 10 mg tablet,0.13,0.08,0.0187,7411.0,78
CDM,63700001,citalopram 20 mg tablet,0.14,0.085,0.0204,7411.0,78
CDM,63700001,cloBAZam 10 mg tablet,1.46,0.88,0.204,7411.0,117
CDM,63700001,cloZAPine 100 mg disintegrating tablet,13.08,7.85,2.22,7411.0,39
CDM,63700001,cloZAPine 100 mg tablet,3.3049999999999997,1.98,0.3927,7411.0,195
CDM,63700001,cloZAPine 25 mg disintegrating tablet,4.8,2.88,0.816,7411.0,39
CDM,63700001,cloZAPine 25 mg tablet,1.3,0.78,0.221,7411.0,39
CDM,63700001,clobetasol 0.05 % topical cream,78.48,47.09,10.21,7411.0,78
CDM,63700001,clobetasol 0.05 % topical ointment,29.97,17.98,5.09,7411.0,39
CDM,63700001,clomiPRAMINE 25 mg capsule,1.0,0.6,0.1139,7411.0,117
CDM,63700001,clonazePAM 0.5 mg tablet,0.14,0.08,0.0102,7411.0,312
CDM,63700001,clonazePAM 1 mg disintegrating tablet,2.11,1.27,0.3587,7411.0,78
CDM,63700001,clonazePAM 1 mg tablet,0.14,0.11,0.0136,7411.0,234
CDM,63700001,clorazepate dipotassium 3.75 mg tablet,1.99,1.19,0.3383,7411.0,78
CDM,63700001,clorazepate dipotassium 7.5 mg tablet,2.79,1.67,0.4743,7411.0,39
CDM,63700001,codeine 10 mg-guaifenesin 100 mg/5 mL oral liquid,43.58,26.15,1.15,7411.0,78
CDM,63700001,codeine sulfate 30 mg tablet,4.72,2.83,0.7735,7411.0,117
CDM,63700001,collagenase clostridium histolyticum 250 unit/gram topical ointment,604.68,362.81,102.8,7411.0,39
CDM,63700001,compounding vehicle suspension sugar-free no.20 oral,35.0,21.0,5.95,7411.0,39
CDM,63700001,compounding vehicle suspension sugar-free no.3 oral,30.0,18.0,5.1,7411.0,39
CDM,63700001,compounding vehicle syrup no.23,35.0,21.0,5.95,7411.0,39
CDM,63700001,conjugated estrogens 0.3 mg tablet,13.81,8.29,2.35,7411.0,39
CDM,63700001,conjugated estrogens 0.625 mg tablet,13.81,8.29,2.35,7411.0,39
CDM,63700001,conjugated estrogens 0.625 mg/gram vaginal cream,900.12,540.07,153.02,7411.0,39
CDM,63700001,cromolyn 4 % eye drops,45.0,27.0,7.65,7411.0,39
CDM,63700001,"cyanocobalamin (vit B-12) 1,000 mcg tablet",0.09,0.05,0.0102,7411.0,117
CDM,63700001,cyanocobalamin (vit B-12) 100 mcg tablet,0.03,0.02,0.0051,7411.0,78
CDM,63700001,cycloSPORINE 0.05 % eye drops in a dropperette,8.5,5.1,1.09,7411.0,156
CDM,63700001,cyclobenzaprine 10 mg tablet,1.1,0.66,0.1785,7411.0,156
CDM,63700001,cyclopentolate 1 % eye drops,56.355000000000004,33.815,4.11,7411.0,156
CDM,63700001,cyclopentolate-phenylephrine 0.2 %-1 % eye drops,70.52,42.31,11.99,7411.0,39
CDM,63700001,cyproheptadine 4 mg tablet,0.77,0.46,0.0374,7411.0,78
CDM,63700001,d-mannose oral powder,150.0,90.0,25.5,7411.0,39
CDM,63700001,danazol 100 mg capsule,7.62,4.57,1.3,7411.0,78
CDM,63700001,danazol 200 mg capsule,12.69,7.61,2.16,7411.0,39
CDM,63700001,danazol 50 mg capsule,5.08,3.05,0.8636,7411.0,39
CDM,63700001,dantrolene 100 mg capsule,4.28,2.57,0.7276,7411.0,39
CDM,63700001,dantrolene 25 mg capsule,2.88,1.725,0.4454,7411.0,78
CDM,63700001,dapagliflozin propanediol 10 mg tablet,32.025,19.215,4.29,7411.0,78
CDM,63700001,dapagliflozin propanediol 5 mg tablet,38.82,23.29,6.6,7411.0,39
CDM,63700001,desipramine 10 mg tablet,1.815,1.09,0.2992,7411.0,78
CDM,63700001,desipramine 100 mg tablet,9.18,5.51,1.56,7411.0,39
CDM,63700001,desipramine 25 mg tablet,2.18,1.3050000000000002,0.3604,7411.0,78
CDM,63700001,desipramine 50 mg tablet,4.1,2.46,0.6766,7411.0,78
CDM,63700001,desmopressin 0.1 mg tablet,2.95,1.77,0.1513,7411.0,234
CDM,63700001,desmopressin 10 mcg/spray (0.1 mL) nasal spray (non-refrigerated),320.13,192.07999999999998,41.86,7411.0,78
CDM,63700001,desogestrel 0.15 mg-ethinyl estradiol 0.03 mg tablet,1.47,0.88,0.2499,7411.0,39
CDM,63700001,"desvenlafaxine succinate ER 25 mg tablet,extended release 24 hr",1.95,1.17,0.3315,7411.0,39
CDM,63700001,"desvenlafaxine succinate ER 50 mg tablet,extended release 24 hr",12.38,7.43,0.2567,7411.0,78
CDM,63700001,dexAMETHasone 1.5 mg tablet,0.8,0.48,0.136,7411.0,39
CDM,63700001,dexAMETHasone sodium phosphate 0.1 % eye drops,107.8,64.68,18.33,7411.0,39
CDM,63700001,dextroamphetamine sulfate 10 mg tablet,3.4,2.04,0.578,7411.0,39
CDM,63700001,dextroamphetamine sulfate 5 mg tablet,2.76,1.66,0.1632,7411.0,117
CDM,63700001,dextroamphetamine-amphetamine 10 mg tablet,1.24,0.745,0.1275,7411.0,78
CDM,63700001,dextroamphetamine-amphetamine 20 mg tablet,0.22,0.13,0.0374,7411.0,39
CDM,63700001,dextroamphetamine-amphetamine 30 mg tablet,1.73,1.04,0.2941,7411.0,39
CDM,63700001,dextroamphetamine-amphetamine 5 mg tablet,1.73,1.04,0.2941,7411.0,39
CDM,63700001,"dextroamphetamine-amphetamine ER 20 mg 24hr capsule,extend release",6.005000000000001,3.605,0.374,7411.0,78
CDM,63700001,"dextroamphetamine-amphetamine ER 30 mg 24hr capsule,extend release",2.265,1.3599999999999999,0.204,7411.0,195
CDM,63700001,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral syrup,4.16,2.5,0.4879,7411.0,195
CDM,63700001,"dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral syrup,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral liquid",3.515,2.11,0.4879,7411.0,156
CDM,63700001,dextromethorphan-guaifenesin 30 mg-600 mg tablet extended release12 hr,0.995,0.595,0.1309,7411.0,156
CDM,63700001,dextrose 1.2 gram/3 mL (40 %) oral gel in syringe (ORAL USE ONLY),1.74,1.04,0.2958,7411.0,39
CDM,63700001,dextrose 40 % oral gel,6.3,3.78,1.07,7411.0,117
CDM,63700001,diazePAM 10 mg tablet,0.16999999999999998,0.1,0.0255,7411.0,78
CDM,63700001,diazePAM 2 mg tablet,0.095,0.06,0.0102,7411.0,78
CDM,63700001,diazePAM 5 mg tablet,0.125,0.07500000000000001,0.017,7411.0,156
CDM,63700001,dibucaine 1 % rectal ointment,12.02,7.21,2.04,7411.0,39
CDM,63700001,dibucaine 1 % topical ointment,10.02,6.01,1.7,7411.0,39
CDM,63700001,diclofenac 1 % topical gel,25.4,15.239999999999998,4.08,7411.0,234
CDM,63700001,"diclofenac sodium 50 mg tablet,delayed release",0.55,0.33,0.0833,7411.0,117
CDM,63700001,"diclofenac sodium 75 mg tablet,delayed release",0.675,0.405,0.0969,7411.0,78
CDM,63700001,dicyclomine 10 mg capsule,1.7,1.02,0.1972,7411.0,234
CDM,63700001,dicyclomine 10 mg/5 mL oral solution,228.04,136.82,38.77,7411.0,39
CDM,63700001,diphenhydrAMINE 12.5 mg/5 mL oral elixir,8.33,5.0,1.42,7411.0,39
CDM,63700001,diphenhydrAMINE 12.5 mg/5 mL oral liquid,4.26,2.56,0.697,7411.0,195
CDM,63700001,diphenhydrAMINE 25 mg capsule,0.07,0.04,0.0119,7411.0,39
CDM,63700001,diphenhydrAMINE 25 mg tablet,0.05500000000000001,0.03,0.0068,7411.0,78
CDM,63700001,diphenhydramine-zinc acetate 2 %-0.1 % topical cream,6.364999999999999,3.82,0.6001,7411.0,117
CDM,63700001,diphenoxylate-atropine 2.5 mg-0.025 mg tablet,0.93,0.56,0.0646,7411.0,195
CDM,63700001,"divalproex 125 mg capsule,delayed release sprinkle",1.4049999999999998,0.845,0.1921,7411.0,78
CDM,63700001,"divalproex 250 mg tablet,delayed release",0.25,0.15,0.0425,7411.0,78
CDM,63700001,"divalproex 500 mg tablet,delayed release",0.5,0.3,0.0663,7411.0,117
CDM,63700001,"divalproex ER 250 mg tablet,extended release 24 hr",3.04,1.82,0.2091,7411.0,195
CDM,63700001,docusate sodium 100 mg capsule,0.07,0.04,0.0119,7411.0,39
CDM,63700001,docusate sodium 283 mg/5 mL enema,2.24,1.3450000000000002,0.1275,7411.0,117
CDM,63700001,docusate sodium 50 mg/5 mL oral liquid,2.96,1.7750000000000001,0.1836,7411.0,273
CDM,63700001,donepezil 10 mg tablet,1.225,0.7350000000000001,0.1904,7411.0,78
CDM,63700001,donepezil 5 mg tablet,1.33,0.8,0.2159,7411.0,117
CDM,63700001,dorzolamide 2 % eye drops,58.99,35.394999999999996,8.5,7411.0,78
CDM,63700001,dorzolamide 22.3 mg-timolol 6.8 mg/mL eye drops,40.0,24.0,6.8,7411.0,39
CDM,63700001,doxepin 10 mg capsule,1.07,0.64,0.1819,7411.0,39
CDM,63700001,doxepin 25 mg capsule,1.315,0.79,0.2091,7411.0,78
CDM,63700001,doxepin 50 mg capsule,1.8599999999999999,1.115,0.3009,7411.0,78
CDM,63700001,doxepin 75 mg capsule,2.72,1.63,0.4624,7411.0,39
CDM,63700001,doxylamine succinate 25 mg tablet,0.47,0.28,0.0646,7411.0,156
CDM,63700001,droNABinol 2.5 mg capsule,3.925,2.3550000000000004,0.5729,7411.0,195
CDM,63700001,droNABinol 5 mg capsule,19.805,11.885,3.28,7411.0,156
CDM,63700001,droxidopa 100 mg capsule,4.11,2.47,0.6987,7411.0,39
CDM,63700001,empagliflozin 10 mg tablet,40.74,24.44,6.93,7411.0,39
CDM,63700001,empagliflozin 25 mg tablet,40.74,24.44,6.93,7411.0,39
CDM,63700001,entacapone 200 mg tablet,8.33,4.995,0.2108,7411.0,117
CDM,63700001,"ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule",0.45,0.27,0.0765,7411.0,39
CDM,63700001,"ergocalciferol (vitamin D2) 200 mcg/mL (8,000 unit/mL) oral drops",199.56,119.74,33.93,7411.0,39
CDM,63700001,escitalopram 10 mg tablet,0.4,0.24,0.0544,7411.0,195
CDM,63700001,escitalopram 20 mg tablet,0.365,0.21500000000000002,0.051,7411.0,195
CDM,63700001,esketamine 56 mg (28 mg x 2) nasal spray,772.41,463.45,131.31,7411.0,39
CDM,63700001,esomeprazole magnesium DR 40 mg granules delayed release for susp,17.38,10.43,2.65,7411.0,78
CDM,63700001,esterified estrogens-methyltestosterone 1.25 mg-2.5 mg tablet,6.0,3.6,1.02,7411.0,39
CDM,63700001,estradiol 0.0375 mg/24 hr semiweekly transdermal patch,32.62,19.57,5.55,7411.0,78
CDM,63700001,estradiol 0.05 mg/24 hr weekly transdermal patch,37.13,22.28,6.31,7411.0,39
CDM,63700001,estradiol 1 mg tablet,0.39,0.235,0.0289,7411.0,78
CDM,63700001,estradiol 10 mcg vaginal tablet,40.67,24.4,6.6,7411.0,117
CDM,63700001,ethacrynic acid 25 mg tablet,16.95,10.17,0.663,7411.0,78
CDM,63700001,ethosuximide 250 mg capsule,1.6199999999999999,0.97,0.1428,7411.0,117
CDM,63700001,ethyl alcohol (bulk) 95 % liquid,31.6,18.96,5.37,7411.0,39
CDM,63700001,ethyl alcohol 70 % topical solution,6.15,3.69,0.8041,7411.0,78
CDM,63700001,etodolac 300 mg capsule,2.59,1.55,0.4403,7411.0,39
CDM,63700001,etodolac 400 mg tablet,2.12,1.27,0.3604,7411.0,78
CDM,63700001,famotidine 20 mg tablet,0.245,0.15000000000000002,0.0238,7411.0,546
CDM,63700001,famotidine 40 mg/5 mL (8 mg/mL) oral suspension,60.0,36.0,10.2,7411.0,39
CDM,63700001,felbamate 600 mg/5 mL oral suspension,3613.3,2167.98,614.26,7411.0,39
CDM,63700001,fentaNYL 100 mcg/hr transdermal patch,21.5,12.9,3.65,7411.0,39
CDM,63700001,fentaNYL 12 mcg/hr transdermal patch,35.48,21.29,6.03,7411.0,39
CDM,63700001,fentaNYL 200 mcg lozenge on a handle,27.37,16.42,4.65,7411.0,39
CDM,63700001,fentaNYL 25 mcg/hr transdermal patch,17.26,10.36,2.93,7411.0,117
CDM,63700001,fentaNYL 50 mcg/hr transdermal patch,28.33,17.0,4.82,7411.0,39
CDM,63700001,fentaNYL 75 mcg/hr transdermal patch,43.04,25.82,7.32,7411.0,78
CDM,63700001,fluPHENAZine 1 mg tablet,1.98,1.19,0.1632,7411.0,78
CDM,63700001,fluPHENAZine 5 mg tablet,2.9,1.74,0.2261,7411.0,117
CDM,63700001,fludrocortisone 0.1 mg tablet,1.11,0.665,0.1615,7411.0,156
CDM,63700001,fluocinolone 0.025 % topical cream,172.77,103.66,9.95,7411.0,78
CDM,63700001,fluocinolone 0.025 % topical ointment,112.83000000000001,67.7,9.62,7411.0,78
CDM,63700001,fluorescein 0.25 %-benoxinate 0.4 % eye drops,0.75,0.45,0.1275,7411.0,39
CDM,63700001,fluorescein 0.25 %-proparacaine 0.5 % eye drops,18.3,10.98,3.11,7411.0,39
CDM,63700001,"fluorometholone 0.1 % eye drops,suspension",154.88,92.93,26.33,7411.0,39
CDM,63700001,flurbiprofen 0.03 % eye drops,72.0,43.2,12.24,7411.0,39
CDM,63700001,fluticasone furoate 100 mcg-vilanterol 25 mcg/dose inhalation powder,12.21,7.33,2.08,7411.0,39
CDM,63700001,fluticasone furoate 100 mcg/actuation blister powder for inhalation,13.9,8.34,2.36,7411.0,78
CDM,63700001,fluticasone furoate 200 mcg-vilanterol 25 mcg/dose inhalation powder,13.39,8.035,2.08,7411.0,78
CDM,63700001,fluticasone furoate 200 mcg/actuation blister powder for inhalation,18.61,11.17,3.16,7411.0,78
CDM,63700001,"fluticasone propionate 50 mcg/actuation nasal spray,suspension",27.3,16.38,2.65,7411.0,117
CDM,63700001,fluvoxaMINE 50 mg tablet,1.1,0.6599999999999999,0.17,7411.0,78
CDM,63700001,folic acid 1 mg tablet,0.125,0.07500000000000001,0.0153,7411.0,273
CDM,63700001,folic acid 400 mcg tablet,0.035,0.02,0.0051,7411.0,78
CDM,63700001,folic acid-vit B6-vit B12 2.5 mg-25 mg-2 mg tablet,1.04,0.62,0.0408,7411.0,117
CDM,63700001,formaldehyde 10 % topical solution,45.12,27.07,7.67,7411.0,39
CDM,63700001,furosemide 20 mg tablet,0.1,0.07,0.0136,7411.0,156
CDM,63700001,furosemide 40 mg tablet,0.12000000000000001,0.07,0.017,7411.0,117
CDM,63700001,furosemide 40 mg/5 mL (8 mg/mL) oral solution,40.55,24.330000000000002,0.697,7411.0,117
CDM,63700001,furosemide 80 mg tablet,0.24,0.14,0.0408,7411.0,39
CDM,63700001,gabapentin 100 mg capsule,0.20500000000000002,0.125,0.0119,7411.0,429
CDM,63700001,gabapentin 250 mg/5 mL oral solution,204.215,122.53,23.81,7411.0,195
CDM,63700001,"gabapentin 250 mg/5 mL oral solution,gabapentin 250 mg/5 mL (5 mL) oral solution",222.31,133.39,23.81,7411.0,117
CDM,63700001,gabapentin 300 mg capsule,0.18,0.11,0.0187,7411.0,234
CDM,63700001,gabapentin 400 mg capsule,0.21,0.13,0.017,7411.0,195
CDM,63700001,galantamine 4 mg tablet,3.17,1.9,0.3927,7411.0,117
CDM,63700001,glimepiride 1 mg tablet,0.18,0.11,0.0136,7411.0,117
CDM,63700001,glimepiride 2 mg tablet,0.58,0.34500000000000003,0.0493,7411.0,117
CDM,63700001,glimepiride 4 mg tablet,0.64,0.38,0.0272,7411.0,117
CDM,63700001,glipiZIDE 10 mg tablet,0.71,0.43,0.0272,7411.0,78
CDM,63700001,glipiZIDE 5 mg tablet,0.1,0.06,0.0153,7411.0,156
CDM,63700001,"glipiZIDE ER 10 mg tablet, extended release 24 hr",1.1400000000000001,0.685,0.0867,7411.0,117
CDM,63700001,"glipiZIDE ER 2.5 mg tablet, extended release 24 hr",1.35,0.81,0.0731,7411.0,156
CDM,63700001,"glipiZIDE ER 5 mg tablet, extended release 24 hr",1.2,0.72,0.204,7411.0,39
CDM,63700001,glucose 2 gram chewable tablet,0.16,0.1,0.0272,7411.0,39
CDM,63700001,glucose 3.75 gram chewable tablet,0.47,0.28,0.0799,7411.0,39
CDM,63700001,glucose 4 gram chewable tablet,1.54,0.92,0.2618,7411.0,39
CDM,63700001,glyBURIDE 2.5 mg tablet,0.455,0.275,0.068,7411.0,78
CDM,63700001,glyBURIDE 5 mg tablet,0.64,0.38,0.068,7411.0,117
CDM,63700001,glyBURIDE micronized 3 mg tablet,0.42,0.25,0.0714,7411.0,39
CDM,63700001,glycerin (adult) rectal suppository,0.2,0.12,0.0306,7411.0,117
CDM,63700001,glycerin (laxative) 2.8 gram/2.7 mL rectal solution,1.67,1.0,0.2839,7411.0,39
CDM,63700001,glycerin 99.5 % topical solution,42.57,25.54,2.71,7411.0,117
CDM,63700001,glycopyrrolate 1 mg tablet,1.5550000000000002,0.93,0.2108,7411.0,117
CDM,63700001,glycopyrrolate 1 mg/5 mL (0.2 mg/mL) oral solution,877.9449999999999,526.77,128.5,7411.0,78
CDM,63700001,guaiFENesin 100 mg/5 mL oral liquid,1.73,1.04,0.1598,7411.0,156
CDM,63700001,"guaiFENesin ER 600 mg tablet, extended release 12 hr",0.74,0.44,0.0901,7411.0,117
CDM,63700001,haloperidol 0.5 mg tablet,0.55,0.32999999999999996,0.0884,7411.0,78
CDM,63700001,haloperidol 1 mg tablet,0.78,0.46499999999999997,0.1258,7411.0,78
CDM,63700001,haloperidol 2 mg tablet,1.12,0.67,0.1904,7411.0,39
CDM,63700001,haloperidol 5 mg tablet,1.4449999999999998,0.865,0.1003,7411.0,195
CDM,63700001,hydrOXYzine HCl 10 mg tablet,0.315,0.185,0.0153,7411.0,78
CDM,63700001,hydrOXYzine HCl 10 mg/5 mL oral solution,192.98,115.79,32.81,7411.0,39
CDM,63700001,hydrOXYzine HCl 25 mg tablet,0.11,0.07,0.0187,7411.0,39
CDM,63700001,hydrOXYzine HCl 50 mg tablet,0.72,0.435,0.1156,7411.0,156
CDM,63700001,hydroCHLOROthiazide 12.5 mg capsule,0.26,0.155,0.0272,7411.0,195
CDM,63700001,hydroCHLOROthiazide 25 mg tablet,0.06,0.05,0.0051,7411.0,195
CDM,63700001,hydrocodone 10 mg-acetaminophen 325 mg tablet,3.83,2.1799999999999997,0.578,7411.0,234
CDM,63700001,hydrocodone 5 mg-acetaminophen 325 mg tablet,3.38,2.0300000000000002,0.544,7411.0,234
CDM,63700001,hydrocodone 7.5 mg-acetaminophen 325 mg tablet,3.97,2.38,0.6749,7411.0,78
CDM,63700001,hydrocodone 7.5 mg-acetaminophen 325 mg/15 mL oral solution,11.49,6.89,1.95,7411.0,39
CDM,63700001,hydrocortisone 1 % lotion,12.04,7.22,2.05,7411.0,39
CDM,63700001,hydrocortisone 1 % topical ointment,4.2,2.52,0.4471,7411.0,117
CDM,63700001,hydrocortisone 1 %-pramoxine 1 % rectal foam,370.24,222.14,62.94,7411.0,39
CDM,63700001,hydrocortisone 10 mg tablet,0.96,0.58,0.0969,7411.0,156
CDM,63700001,hydrocortisone 100 mg/60 mL enema,42.84,25.7,7.28,7411.0,78
CDM,63700001,hydrocortisone 2.5 % lotion,59.94,35.96,10.19,7411.0,39
CDM,63700001,hydrocortisone 2.5 % topical cream,5.78,3.47,0.9826,7411.0,39
CDM,63700001,hydrocortisone 2.5 % topical cream with perineal applicator,89.89,53.935,6.76,7411.0,78
CDM,63700001,hydrocortisone 2.5 % topical ointment,69.92,41.95,1.12,7411.0,117
CDM,63700001,hydrocortisone 20 mg tablet,1.42,0.855,0.1751,7411.0,78
CDM,63700001,hydrocortisone 5 mg tablet,0.57,0.34,0.0578,7411.0,117
CDM,63700001,hydrocortisone acetate 10 % (80 mg) rectal foam,877.2,526.32,149.12,7411.0,39
CDM,63700001,hydrocortisone acetate 25 mg rectal suppository,23.0,13.8,3.91,7411.0,39
CDM,63700001,hydrocortisone-aloe vera 1 % topical cream,2.86,1.72,0.4862,7411.0,78
CDM,63700001,hydrocortisone-pramoxine 1 %-1 % topical foam,190.7,114.42,32.42,7411.0,39
CDM,63700001,hydrogen peroxide 3 % solution,2.01,1.205,0.1207,7411.0,156
CDM,63700001,hyoscyamine 0.125 mg disintegrating tablet,2.35,1.41,0.3995,7411.0,117
CDM,63700001,"hyoscyamine ER 0.375 mg tablet,extended release,12 hr",6.6,3.96,0.4386,7411.0,78
CDM,63700001,ibuprofen 100 mg/5 mL oral suspension,26.38,15.825,0.4454,7411.0,78
CDM,63700001,ibuprofen 200 mg tablet,0.08,0.05,0.0068,7411.0,234
CDM,63700001,ibuprofen 400 mg tablet,0.14,0.08,0.0238,7411.0,78
CDM,63700001,ibuprofen 600 mg tablet,0.185,0.11,0.0238,7411.0,234
CDM,63700001,ibuprofen 800 mg tablet,0.225,0.135,0.0255,7411.0,156
CDM,63700001,ibuprofen lysine (PF) 20 mg/2 mL intravenous solution,3231.09,1938.65,549.29,7411.0,39
CDM,63700001,imipramine 10 mg tablet,0.36,0.22,0.0612,7411.0,39
CDM,63700001,imipramine 25 mg tablet,0.69,0.41500000000000004,0.0816,7411.0,117
CDM,63700001,indacaterol 75 mcg capsule with inhalation device,18.18,10.91,3.09,7411.0,78
CDM,63700001,indapamide 2.5 mg tablet,0.57,0.34,0.068,7411.0,117
CDM,63700001,indomethacin 25 mg capsule,0.41000000000000003,0.245,0.0646,7411.0,78
CDM,63700001,indomethacin 50 mg capsule,0.495,0.29500000000000004,0.0765,7411.0,78
CDM,63700001,indomethacin 50 mg rectal suppository,690.0,414.0,117.3,7411.0,39
CDM,63700001,infant formula-iron-dha-ara 2.3 gram-5.3 gram/100 kcal oral liquid,4.27,2.56,0.7259,7411.0,39
CDM,63700001,insulin NPH isophane U-100 human 100 unit/mL subcutaneous suspension,89.22,53.53,15.17,7411.0,39
CDM,63700001,insulin U-100 regular human 100 unit/mL injection solution,92.81,55.685,15.17,7411.0,156
CDM,63700001,insulin aspart U-100  100 unit/mL subcutaneous solution,144.68,86.81,24.6,7411.0,78
CDM,63700001,insulin glargine (U-100) 100 unit/mL subcutaneous solution,128.52,77.11,21.85,7411.0,39
CDM,63700001,insulin glargine-yfgn (U-100) 100 unit/mL subcutaneous solution,332.35,199.41,21.41,7411.0,117
CDM,63700001,insulin human U-100 NPH-regulr 70-30 mix 100 unit/mL subcutaneous susp,89.22,53.53,15.17,7411.0,39
CDM,63700001,insulin lispro (U-100) 100 unit/mL subcutaneous solution,164.47,98.68,22.58,7411.0,78
CDM,63700001,insulin lispro protamine-lispro 100 unit/mL (75-25) subcutaneous susp,170.82,102.49,29.04,7411.0,39
CDM,63700001,insulin regular 100 unit/100 mL (1 unit/mL) in 0.9 % NaCl IV solution,210.0,126.0,35.7,7411.0,39
CDM,63700001,"insulin regular 100 units/100 mL in NS,insulin regular 100 unit/100 mL (1 unit/mL) in 0.9 % NaCl IV solution",70.0,42.0,11.9,7411.0,39
CDM,63700001,insulin regular human U-500(concentrate) 500 unit/mL subcutaneous soln,2974.0,1784.4,505.58,7411.0,39
CDM,63700001,iodine strong (Lugols) 5 % oral solution,64.51,38.71,10.97,7411.0,39
CDM,63700001,iodine-potassium iodide 5 %-10 % topical solution,17.36,10.42,2.95,7411.0,39
CDM,63700001,ipratropium 0.5 mg-albuterol 3 mg (2.5 mg base)/3 mL nebulization soln,1.9,1.1400000000000001,0.272,7411.0,390
CDM,63700001,ipratropium 20 mcg-albuterol 100 mcg/actuation mist for inhalation,2206.03,1323.62,375.03,7411.0,39
CDM,63700001,ipratropium bromide 17 mcg/actuation HFA aerosol inhaler,945.13,567.08,160.67,7411.0,39
CDM,63700001,ipratropium bromide 21 mcg (0.03 %) nasal spray,72.0,43.2,12.24,7411.0,78
CDM,63700001,ipratropium bromide 42 mcg (0.06 %) nasal spray,72.495,43.495000000000005,12.24,7411.0,78
CDM,63700001,ketorolac 0.5 % eye drops,64.04,38.42,10.89,7411.0,39
CDM,63700001,ketorolac 10 mg tablet,2.16,1.3,0.3672,7411.0,39
CDM,63700001,ketotifen 0.025 % (0.035 %) eye drops,21.2,12.72,3.11,7411.0,117
CDM,63700001,lacosamide 10 mg/mL oral solution,138.23000000000002,82.94,16.67,7411.0,117
CDM,63700001,lacosamide 200 mg tablet,40.965,24.58,6.63,7411.0,78
CDM,63700001,lacosamide 50 mg tablet,23.56,14.14,0.102,7411.0,117
CDM,63700001,"lactase 3,000 unit tablet",0.16,0.1,0.0272,7411.0,39
CDM,63700001,"lactase 9,000 unit tablet",0.32,0.195,0.0527,7411.0,78
CDM,63700001,lactulose 10 gram/15 mL oral solution,9.0,5.4,0.2652,7411.0,273
CDM,63700001,lamoTRIgine 100 mg tablet,0.23,0.19,0.0221,7411.0,195
CDM,63700001,lamoTRIgine 25 mg tablet,0.37,0.22,0.0629,7411.0,39
CDM,63700001,lanolin alcohols-mineral oil-w.petrolatum-ceresin topical cream,8.17,4.9,1.39,7411.0,39
CDM,63700001,lanolin topical cream,10.03,6.02,1.71,7411.0,39
CDM,63700001,lanolin-mineral oil lotion,3.78,2.27,0.6426,7411.0,39
CDM,63700001,"lanthanum 1,000 mg chewable tablet",22.8,13.68,3.67,7411.0,78
CDM,63700001,lanthanum 500 mg chewable tablet,21.59,12.95,1.89,7411.0,156
CDM,63700001,latanoprost 0.005 % eye drops,31.1,18.66,3.64,7411.0,117
CDM,63700001,levETIRAcetam 100 mg/mL oral solution,59.6,35.76,10.13,7411.0,39
CDM,63700001,levETIRAcetam 250 mg tablet,0.46,0.275,0.0255,7411.0,78
CDM,63700001,levETIRAcetam 500 mg tablet,0.325,0.195,0.0238,7411.0,195
CDM,63700001,levalbuterol 0.31 mg/3 mL solution for nebulization,7.75,4.65,0.714,7411.0,78
CDM,63700001,levalbuterol 0.63 mg/3 mL solution for nebulization,4.2,2.52,0.578,7411.0,195
CDM,63700001,levalbuterol 1.25 mg/3 mL solution for nebulization,6.59,3.95,0.578,7411.0,468
CDM,63700001,levobunolol 0.5 % eye drops,35.82,21.49,6.09,7411.0,39
CDM,63700001,levothyroxine 100 mcg tablet,0.94,0.56,0.0527,7411.0,195
CDM,63700001,levothyroxine 112 mcg tablet,1.08,0.65,0.0391,7411.0,312
CDM,63700001,levothyroxine 125 mcg tablet,0.99,0.59,0.1139,7411.0,117
CDM,63700001,levothyroxine 150 mcg tablet,1.02,0.61,0.0527,7411.0,195
CDM,63700001,levothyroxine 175 mcg tablet,2.245,1.345,0.2278,7411.0,78
CDM,63700001,levothyroxine 200 mcg tablet,1.22,0.73,0.0697,7411.0,117
CDM,63700001,levothyroxine 25 mcg tablet,0.77,0.465,0.1122,7411.0,78
CDM,63700001,levothyroxine 50 mcg tablet,0.83,0.5,0.0493,7411.0,195
CDM,63700001,levothyroxine 75 mcg tablet,0.9650000000000001,0.5800000000000001,0.051,7411.0,156
CDM,63700001,levothyroxine 88 mcg tablet,0.93,0.56,0.1428,7411.0,156
CDM,63700001,lidocaine 4 % topical cream,10.5,6.300000000000001,1.19,7411.0,117
CDM,63700001,lidocaine 4 % topical patch,2.18,1.31,0.3706,7411.0,39
CDM,63700001,lidocaine 4 %-racepinephrine 0.05 %-tetracaine 0.5 % topical gel,15.69,9.41,2.67,7411.0,39
CDM,63700001,lidocaine 5 % topical ointment,480.0,288.0,81.6,7411.0,39
CDM,63700001,lidocaine 5 % topical patch,5.99,3.59,0.7361,7411.0,156
CDM,63700001,"lidocaine 70 mg-tetracaine 70 mg patch, medicated self-heating",33.9,20.34,5.76,7411.0,39
CDM,63700001,lidocaine HCl 2 % mucosal solution,7.47,4.48,0.306,7411.0,195
CDM,63700001,lidocaine HCl 4 % (40 mg/mL) mucosal solution,80.0,48.0,13.6,7411.0,39
CDM,63700001,lidocaine-prilocaine 2.5 %-2.5 % topical cream,14.17,8.5,2.41,7411.0,39
CDM,63700001,lidocaine-transparent dressing 4 % topical kit,60.06,36.035,6.8,7411.0,78
CDM,63700001,linaCLOtide 145 mcg capsule,36.06,21.64,6.13,7411.0,39
CDM,63700001,linaCLOtide 290 mcg capsule,36.06,21.64,6.13,7411.0,39
CDM,63700001,linaCLOtide 72 mcg capsule,36.06,21.64,6.13,7411.0,39
CDM,63700001,liothyronine 25 mcg tablet,1.67,1.0,0.1802,7411.0,117
CDM,63700001,liothyronine 5 mcg tablet,1.315,0.79,0.1309,7411.0,156
CDM,63700001,"lipase-protease-amylas(pork)24,000-76,000-120,000 unit capsule,del rel",16.47,9.88,2.8,7411.0,39
CDM,63700001,"lipase-protease-amylase (pork) 15,000-47,000-63k unit capsule,del rel",11.335,6.8,1.85,7411.0,78
CDM,63700001,"lipase-protease-amylase (pork) 20,000-63,000-84k unit capsule, del rel",15.4,9.239999999999998,2.51,7411.0,78
CDM,63700001,"lipase-protease-amylase (pork) 3,000-10,000-14k unit capsule,del rel",4.16,2.495,0.6783,7411.0,78
CDM,63700001,"lipase-protease-amylase (pork)6,000-19,000-30,000 unit capsule,del rel",4.0600000000000005,2.44,0.6732,7411.0,78
CDM,63700001,"lipase-protease-amylase(pork)10,000-32,000-42,000 unit capsule,del rel",7.85,4.71,1.28,7411.0,78
CDM,63700001,"lipase-protease-amylase(pork)12,000-38,000-60,000 unit capsule,del rel",8.31,4.99,1.41,7411.0,78
CDM,63700001,"lipase-protease-amylase(pork)5,000-17,000-24,000 unit capsule, del rel",3.9699999999999998,2.385,0.6477,7411.0,78
CDM,63700001,lithium carbonate 150 mg capsule,0.3,0.18,0.051,7411.0,39
CDM,63700001,lithium carbonate 300 mg capsule,0.59,0.35,0.1003,7411.0,39
CDM,63700001,"lithium carbonate ER 300 mg tablet,extended release",0.67,0.4,0.1139,7411.0,78
CDM,63700001,"lithium carbonate ER 450 mg tablet,extended release",0.815,0.49,0.1309,7411.0,78
CDM,63700001,loperamide 1 mg/7.5 mL oral liquid,0.6699999999999999,0.405,0.1071,7411.0,117
CDM,63700001,loperamide 2 mg capsule,0.73,0.44,0.1054,7411.0,117
CDM,63700001,loratadine 10 mg tablet,0.12,0.07,0.017,7411.0,117
CDM,63700001,"loratadine 5 mg-pseudoephedrine ER 120 mg tablet,extended release,12hr",1.255,0.755,0.1666,7411.0,78
CDM,63700001,loratadine 5 mg/5 mL oral solution,15.84,9.5,2.69,7411.0,117
CDM,63700001,"loratadine-pseudoephedrine ER 10 mg-240 mg tablet,extended release24hr",0.92,0.55,0.1564,7411.0,39
CDM,63700001,loxapine succinate 10 mg capsule,1.37,0.8200000000000001,0.221,7411.0,117
CDM,63700001,lubiprostone 24 mcg capsule,7.949999999999999,4.77,0.6001,7411.0,78
CDM,63700001,lubiprostone 8 mcg capsule,7.185,4.31,0.34,7411.0,78
CDM,63700001,lubricants topical gel,5.88,3.53,0.9996,7411.0,39
CDM,63700001,lurasidone 20 mg tablet,94.58,56.75,16.08,7411.0,39
CDM,63700001,lurasidone 40 mg tablet,1.85,1.11,0.2261,7411.0,117
CDM,63700001,lurasidone 60 mg tablet,94.58,56.75,16.08,7411.0,39
CDM,63700001,macitentan 10 mg tablet,842.35,505.41,143.2,7411.0,78
CDM,63700001,"magnesium L-lactate ER 84 mg tablet,extended release",0.62,0.37,0.0714,7411.0,156
CDM,63700001,magnesium carbonate 54 mg/5 mL oral liquid,16.33,9.8,2.78,7411.0,39
CDM,63700001,magnesium citrate oral solution,5.92,3.55,1.01,7411.0,78
CDM,63700001,magnesium hydroxide 400 mg/5 mL oral suspension,3.96,2.375,0.6035,7411.0,234
CDM,63700001,magnesium oxide 400 mg (241.3 mg magnesium) tablet,0.15,0.09,0.0085,7411.0,351
CDM,63700001,maprotiline 50 mg tablet,2.73,1.64,0.4641,7411.0,39
CDM,63700001,meclizine 12.5 mg tablet,0.34,0.2,0.0102,7411.0,156
CDM,63700001,meclizine 25 mg tablet,0.7849999999999999,0.47,0.0646,7411.0,78
CDM,63700001,medroxyPROGESTERone 10 mg tablet,0.53,0.32,0.0901,7411.0,78
CDM,63700001,medroxyPROGESTERone 2.5 mg tablet,0.28,0.17,0.0476,7411.0,39
CDM,63700001,megestrol 40 mg tablet,0.64,0.38,0.0799,7411.0,117
CDM,63700001,megestrol 400 mg/10 mL (40 mg/mL) oral suspension,178.56,107.135,24.48,7411.0,78
CDM,63700001,meloxicam 15 mg tablet,0.1,0.06,0.017,7411.0,39
CDM,63700001,meloxicam 7.5 mg tablet,0.08,0.05,0.0136,7411.0,39
CDM,63700001,memantine 5 mg tablet,0.83,0.5,0.085,7411.0,156
CDM,63700001,menthol 0.44 %-zinc oxide 20.6 % topical ointment,7.81,4.69,1.33,7411.0,39
CDM,63700001,"mesalamine 1,000 mg rectal suppository",13.975000000000001,8.385,1.13,7411.0,195
CDM,63700001,mesalamine 4 gram/60 mL enema,26.16,15.7,4.45,7411.0,39
CDM,63700001,mesalamine 400 mg capsule (with delayed release tablets inside),6.7,4.02,0.7922,7411.0,117
CDM,63700001,"metFORMIN 1,000 mg tablet",0.29000000000000004,0.17,0.0238,7411.0,78
CDM,63700001,metFORMIN 500 mg tablet,0.08,0.05,0.0085,7411.0,117
CDM,63700001,metFORMIN 850 mg tablet,0.12,0.07,0.0119,7411.0,117
CDM,63700001,metOLazone 2.5 mg tablet,3.325,1.995,0.1989,7411.0,78
CDM,63700001,metOLazone 5 mg tablet,6.22,3.73,0.2295,7411.0,117
CDM,63700001,metaxalone 800 mg tablet,4.0,2.4,0.68,7411.0,78
CDM,63700001,methIMAzole 10 mg tablet,0.675,0.405,0.0884,7411.0,78
CDM,63700001,methIMAzole 5 mg tablet,0.39,0.235,0.051,7411.0,78
CDM,63700001,methadone 10 mg tablet,3.435,2.065,0.5457,7411.0,78
CDM,63700001,methadone 10 mg/mL oral concentrate,101.28,60.77,7.41,7411.0,117
CDM,63700001,methadone 5 mg tablet,3.58,2.15,0.6086,7411.0,39
CDM,63700001,methadone 5 mg/5 mL oral solution,37.01,22.205000000000002,1.19,7411.0,78
CDM,63700001,methocarbamol 500 mg tablet,1.125,0.675,0.187,7411.0,117
CDM,63700001,methocarbamol 750 mg tablet,1.1549999999999998,0.6950000000000001,0.1921,7411.0,78
CDM,63700001,methyl salicylate 30 %-menthol 10 % topical cream,7.414999999999999,4.45,0.9027,7411.0,78
CDM,63700001,methyl salicylate-menthol 29 %-7.6 % topical ointment,10.52,6.31,1.79,7411.0,39
CDM,63700001,methylcellulose (bulk) 1 % gel,22.1,13.26,2.07,7411.0,78
CDM,63700001,methylcellulose (with sugar) 2 gram/19 gram oral powder,12.71,7.63,2.16,7411.0,39
CDM,63700001,methylergonovine 0.2 mg tablet,107.51,64.51,5.64,7411.0,117
CDM,63700001,methylphenidate 10 mg tablet,0.5,0.30000000000000004,0.0748,7411.0,78
CDM,63700001,methylphenidate 5 mg tablet,0.7849999999999999,0.47,0.034,7411.0,195
CDM,63700001,"methylphenidate ER 18 mg tablet,extended release 24 hr",13.625,8.175,0.2465,7411.0,78
CDM,63700001,"methylphenidate ER 20 mg tablet,extended release",3.61,2.17,0.6137,7411.0,39
CDM,63700001,"methylphenidate ER 27 mg tablet,extended release 24 hr",8.0,4.8,1.36,7411.0,39
CDM,63700001,metoclopramide 10 mg tablet,1.2,0.72,0.0255,7411.0,156
CDM,63700001,metoclopramide 5 mg tablet,0.14,0.08,0.0238,7411.0,39
CDM,63700001,metoclopramide 5 mg/5 mL oral solution,10.8,6.48,1.38,7411.0,156
CDM,63700001,miSOPROStol 100 mcg tablet,4.13,2.48,0.2261,7411.0,156
CDM,63700001,miSOPROStol 200 mcg tablet,1.93,1.16,0.3281,7411.0,195
CDM,63700001,"midazolam 10 mg/5 mL (2 mg/mL) oral syrup,midazolam 2 mg/mL oral syrup",2.58,1.545,0.374,7411.0,156
CDM,63700001,midazolam 2 mg/mL oral syrup,7.470000000000001,4.48,0.4148,7411.0,156
CDM,63700001,midodrine 2.5 mg tablet,2.05,1.23,0.2516,7411.0,78
CDM,63700001,midodrine 5 mg tablet,1.72,1.03,0.221,7411.0,195
CDM,63700001,mineral oil,11.64,6.985,0.0476,7411.0,78
CDM,63700001,mineral oil enema,2.66,1.6,0.4522,7411.0,39
CDM,63700001,"mineral oil oral,mineral oil topical",5.68,3.41,0.9656,7411.0,39
CDM,63700001,mineral oil topical,6.61,3.97,1.12,7411.0,39
CDM,63700001,"mirabegron ER 25 mg tablet,extended release 24 hr",28.6,17.16,4.51,7411.0,78
CDM,63700001,mirtazapine 15 mg disintegrating tablet,8.5,5.1,1.45,7411.0,39
CDM,63700001,mirtazapine 15 mg tablet,0.59,0.35,0.0901,7411.0,156
CDM,63700001,modafinil 100 mg tablet,9.18,5.51,0.136,7411.0,351
CDM,63700001,mometasone-formoterol HFA 100 mcg-5 mcg/actuation aerosol inhaler,622.7,373.62,105.86,7411.0,39
CDM,63700001,montelukast 10 mg tablet,0.32,0.19,0.0272,7411.0,117
CDM,63700001,morphine 10 mg/5 mL oral solution,5.72,3.43,0.9724,7411.0,78
CDM,63700001,morphine 15 mg immediate release tablet,4.1899999999999995,2.5149999999999997,0.6562,7411.0,78
CDM,63700001,morphine 30 mg immediate release tablet,5.02,3.01,0.7599,7411.0,78
CDM,63700001,"morphine ER 100 mg tablet,extended release",8.53,5.12,0.8262,7411.0,117
CDM,63700001,"morphine ER 15 mg tablet,extended release",4.305,2.585,0.612,7411.0,156
CDM,63700001,"morphine ER 30 mg tablet,extended release",5.119999999999999,3.075,0.6902,7411.0,78
CDM,63700001,"morphine ER 60 mg tablet,extended release",6.975,4.185,0.8075,7411.0,78
CDM,63700001,morphine concentrate 100 mg/5 mL (20 mg/mL) oral solution,4.15,2.49,0.7055,7411.0,39
CDM,63700001,multivit and minerals-ferrous gluconate 9 mg iron/15 mL oral liquid,0.69,0.41500000000000004,0.0969,7411.0,78
CDM,63700001,"multivit-mins no.56-FA 200 mcg-vit K 1,000 mcg-coQ10 10 mg chew tablet",1.0,0.6,0.17,7411.0,39
CDM,63700001,multivitamin with folic acid 400 mcg tablet,0.07,0.045,0.0102,7411.0,78
CDM,63700001,multivitamin with minerals-ferrous sulfate 4.5 mg iron tablet,0.04,0.02,0.0068,7411.0,39
CDM,63700001,multivitamin-iron 9 mg-folic acid 400 mcg-calcium and minerals tablet,0.07500000000000001,0.05,0.0102,7411.0,156
CDM,63700001,multivitamin-min no.51-FA 100 mcg-vit K 350 mcg-coQ10 5 mg chew tablet,1.0,0.6,0.17,7411.0,39
CDM,63700001,mycophenolate mofetil 200 mg/mL oral powder for suspension,36.25,21.75,0.3421,7411.0,120
CDM,63700001,naloxegol 12.5 mg tablet,26.39,15.83,4.03,7411.0,117
CDM,63700001,naltrexone 50 mg tablet,3.0,1.8,0.2941,7411.0,117
CDM,63700001,naphazoline 0.025 %-pheniramine 0.3 % eye drops,9.69,5.81,1.65,7411.0,39
CDM,63700001,naproxen 250 mg tablet,0.13,0.07500000000000001,0.0136,7411.0,234
CDM,63700001,nateglinide 120 mg tablet,2.46,1.48,0.4182,7411.0,39
CDM,63700001,nicotine (polacrilex) 2 mg gum,1.77,1.06,0.2788,7411.0,78
CDM,63700001,nicotine 14 mg/24 hr daily transdermal patch,4.635,2.785,0.7531,7411.0,273
CDM,63700001,nicotine 21 mg/24 hr daily transdermal patch,4.88,2.93,0.7752,7411.0,78
CDM,63700001,nicotine 7 mg/24 hr daily transdermal patch,4.88,2.93,0.7752,7411.0,117
CDM,63700001,norethindrone 1 mg-ethinyl estradiol 20 mcg (21)-iron 75 mg (7) tablet,1.54,0.92,0.2618,7411.0,39
CDM,63700001,norethindrone acetate 1 mg-ethinyl estradiol 20 mcg tablet,1.01,0.61,0.1717,7411.0,78
CDM,63700001,norethindrone acetate 5 mg tablet,1.2,0.72,0.204,7411.0,39
CDM,63700001,norflurane-pentafluoropropane topical spray,0.45499999999999996,0.27,0.0544,7411.0,78
CDM,63700001,nortriptyline 10 mg capsule,0.39,0.45,0.0646,7411.0,156
CDM,63700001,nortriptyline 25 mg capsule,0.685,0.41000000000000003,0.0901,7411.0,156
CDM,63700001,nortriptyline 50 mg capsule,0.495,0.29500000000000004,0.0578,7411.0,78
CDM,63700001,omeprazole 2 mg-sodium bicarbonate 84 mg/mL oral suspension,600.1500000000001,360.09000000000003,85.02,7411.0,78
CDM,63700001,ondansetron 4 mg disintegrating tablet,0.7050000000000001,0.42000000000000004,0.0833,7411.0,78
CDM,63700001,ondansetron 8 mg disintegrating tablet,1.48,0.885,0.2074,7411.0,273
CDM,63700001,ondansetron HCl 4 mg tablet,1.05,0.63,0.1785,7411.0,39
CDM,63700001,ondansetron HCl 8 mg tablet,1.22,0.73,0.2074,7411.0,78
CDM,63700001,opium tincture 10 mg/mL (morphine) oral,6.955,4.175,1.07,7411.0,78
CDM,63700001,oxandrolone 10 mg tablet,29.33,17.6,4.99,7411.0,39
CDM,63700001,oxyBUTYnin chloride 5 mg tablet,0.91,0.55,0.0408,7411.0,117
CDM,63700001,oxyBUTYnin chloride 5 mg/5 mL oral syrup,39.73,23.84,6.75,7411.0,39
CDM,63700001,"oxyBUTYnin chloride ER 10 mg tablet,extended release 24 hr",0.5,0.3,0.0612,7411.0,117
CDM,63700001,"oxyBUTYnin chloride ER 5 mg tablet,extended release 24 hr",5.14,3.08,0.085,7411.0,195
CDM,63700001,oxyCODONE 10 mg tablet,4.15,2.49,0.5882,7411.0,195
CDM,63700001,oxyCODONE 15 mg tablet,4.16,2.495,0.5746,7411.0,156
CDM,63700001,oxyCODONE 5 mg tablet,3.4450000000000003,2.065,0.544,7411.0,468
CDM,63700001,oxyCODONE 5 mg/5 mL oral solution,14.965,8.975000000000001,2.47,7411.0,117
CDM,63700001,"oxyCODONE ER 10 mg tablet,crush resistant,extended release 12 hr",13.66,8.2,1.33,7411.0,117
CDM,63700001,"oxyCODONE ER 20 mg tablet,crush resistant,extended release 12 hr",23.145,13.885,3.89,7411.0,78
CDM,63700001,"oxyCODONE ER 40 mg tablet,crush resistant,extended release 12 hr",37.92,22.75,6.45,7411.0,39
CDM,63700001,"oxyCODONE ER 80 mg tablet,crush resistant,extended release 12 hr",63.2,37.92,10.61,7411.0,78
CDM,63700001,oxyCODONE-acetaminophen 10 mg-325 mg tablet,6.785,4.07,1.15,7411.0,78
CDM,63700001,oxyCODONE-acetaminophen 5 mg-325 mg tablet,3.77,2.26,0.5678,7411.0,234
CDM,63700001,oxymetazoline 0.05 % nasal spray,4.5,2.7,0.6783,7411.0,156
CDM,63700001,"oxymetazoline 0.05 % nasal spray,oxymetazoline 0.05 % masal mist",11.49,6.895,0.765,7411.0,78
CDM,63700001,"paliperidone ER 3 mg tablet,extended release 24 hr",24.52,14.71,4.17,7411.0,39
CDM,63700001,"paliperidone ER 6 mg tablet,extended release 24 hr",23.27,13.96,3.74,7411.0,78
CDM,63700001,"pantoprazole 40 mg tablet,delayed release",0.365,0.22000000000000003,0.0204,7411.0,195
CDM,63700001,paraben-cetyl alcohol-stearyl alcohol-propy glycol-sls topical cleaner,18.92,11.35,3.22,7411.0,39
CDM,63700001,"parenteral amino acid 15 % combination no.2 intravenous solution,, parenteral amino acid 15 % combination no.5 intravenous solution,paremteral aminio acid 15 % combination no 5 intravenous solution,pa",264.0,158.4,37.74,7411.0,117
CDM,63700001,parenteral amino acid 15 % combination no.5 intravenous solution,264.0,158.4,44.88,7411.0,39
CDM,63700001,paricalcitol 1 mcg capsule,2.0,1.2,0.34,7411.0,39
CDM,63700001,patiromer calcium sorbitex 8.4 gram oral powder packet,79.80000000000001,47.88,11.61,7411.0,117
CDM,63700001,pediatric multivitamin no.212 250 mcg-50 mg-10 mcg-5 mg/mL oral drops,0.2,0.12,0.034,7411.0,39
CDM,63700001,peg 400-hypromellose-glycerin 1 %-0.2 %-0.2 % eye drops,3.39,2.03,0.5763,7411.0,78
CDM,63700001,peg 400-propylene glycol 0.4 %-0.3 % eye drops,19.3,11.58,3.28,7411.0,39
CDM,63700001,penicillAMINE 250 mg capsule,523.77,314.26,89.04,7411.0,39
CDM,63700001,perampanel 2 mg tablet,41.4,24.84,7.04,7411.0,39
CDM,63700001,perampanel 4 mg tablet,81.8,49.08,13.91,7411.0,78
CDM,63700001,"petrolatum, white-lanolin topical ointment",11.98,7.19,2.04,7411.0,39
CDM,63700001,phenazopyridine 100 mg tablet,0.5900000000000001,0.35,0.0918,7411.0,78
CDM,63700001,phenazopyridine 200 mg tablet,0.74,0.44,0.1258,7411.0,39
CDM,63700001,phenelzine 15 mg tablet,1.33,0.8,0.2244,7411.0,117
CDM,63700001,phenobarb-hyoscyamn-atropine-scop 16.2 mg-0.1037 mg-0.0194 mg tablet,20.01,12.01,3.4,7411.0,39
CDM,63700001,phenol 1.4 % mucosal aerosol spray,4.96,2.98,0.8432,7411.0,39
CDM,63700001,phenol 89 % topical swab,9.1,5.46,1.55,7411.0,39
CDM,63700001,phenylephrine 0.25 % nasal spray,6.93,4.16,1.18,7411.0,39
CDM,63700001,phenylephrine 0.25 %-cocoa butter 88.44 % rectal suppository,1.05,0.63,0.0816,7411.0,156
CDM,63700001,phenylephrine 0.25 %-mineral oil 14 %-petrolatm 74.9 % rectal ointment,11.2,6.72,0.8908,7411.0,117
CDM,63700001,phenylephrine 0.5 % nasal spray,6.63,3.98,1.08,7411.0,78
CDM,63700001,phenylephrine 1 % nasal spray,7.545,4.529999999999999,1.21,7411.0,78
CDM,63700001,phenylephrine 2.5 % eye drops,65.0,39.0,11.05,7411.0,39
CDM,63700001,phenytoin 100 mg/4 mL oral suspension,12.239999999999998,7.34,1.66,7411.0,78
CDM,63700001,"phenytoin 100 mg/4 mL oral suspension,phenytoin 125 mg/5 mL oral suspension",9.79,5.87,0.1564,7411.0,117
CDM,63700001,phenytoin 125 mg/5 mL oral suspension,54.51,32.71,9.27,7411.0,39
CDM,63700001,phenytoin 50 mg chewable tablet,1.89,1.13,0.1428,7411.0,117
CDM,63700001,phenytoin sodium extended 100 mg capsule,2.25,1.35,0.1921,7411.0,78
CDM,63700001,phenytoin sodium extended 30 mg capsule,2.9450000000000003,1.7650000000000001,0.493,7411.0,78
CDM,63700001,phytonadione (vitamin K1) 100 mcg tablet,0.07,0.04,0.0119,7411.0,78
CDM,63700001,phytonadione (vitamin K1) 5 mg tablet,45.01,27.01,7.65,7411.0,39
CDM,63700001,pilocarpine 1 % eye drops,157.71,94.63,26.81,7411.0,39
CDM,63700001,pilocarpine 2 % eye drops,161.31,96.79,27.42,7411.0,39
CDM,63700001,pilocarpine 4 % eye drops,0.66,0.4,0.1122,7411.0,39
CDM,63700001,pilocarpine 5 mg tablet,2.2,1.32,0.3094,7411.0,156
CDM,63700001,pioglitazone 15 mg tablet,0.515,0.31,0.0459,7411.0,195
CDM,63700001,polyethylene glycol 3350 17 gram oral powder packet,2.9699999999999998,1.7850000000000001,0.4216,7411.0,156
CDM,63700001,polyethylene glycol 3350 17 gram/dose oral powder,13.8,8.28,1.38,7411.0,234
CDM,63700001,polyethylene glycol 400  1 % eye drops,12.66,7.6,2.15,7411.0,39
CDM,63700001,potassium bicarbonate-citric acid 10 mEq effervescent tablet,0.95,0.57,0.1615,7411.0,156
CDM,63700001,potassium chloride 20 mEq oral packet,6.265,3.76,0.5661,7411.0,78
CDM,63700001,"potassium chloride ER 10 mEq tablet,extended release",1.09,0.65,0.1853,7411.0,117
CDM,63700001,"potassium chloride ER 20 mEq tablet,extended release(part/cryst)",1.2349999999999999,0.74,0.17,7411.0,273
CDM,63700001,"potassium chloride ER 8 mEq tablet,extended release",0.915,0.55,0.1462,7411.0,117
CDM,63700001,"potassium citrate ER 10 mEq (1,080 mg) tablet,extended release",2.83,1.7,0.1122,7411.0,117
CDM,63700001,potassium iodide 130 mg tablet,1.07,0.64,0.1819,7411.0,39
CDM,63700001,potassium iodide 65 mg/mL oral drops,37.5,22.5,6.38,7411.0,39
CDM,63700001,"potassium, sodium phosphates 280 mg-160 mg-250 mg oral powder packet",1.09,0.65,0.1853,7411.0,78
CDM,63700001,povidone-iodine 10 % topical ointment,3.01,1.81,0.5117,7411.0,39
CDM,63700001,povidone-iodine 10 % topical solution,5.3100000000000005,3.185,0.6018,7411.0,78
CDM,63700001,povidone-iodine 5 % topical cream,7.71,4.63,1.31,7411.0,39
CDM,63700001,pramipexole 0.125 mg tablet,0.31,0.185,0.0374,7411.0,156
CDM,63700001,pramipexole 0.25 mg tablet,0.29,0.17,0.0374,7411.0,156
CDM,63700001,pramipexole 0.5 mg tablet,0.29,0.17,0.0374,7411.0,117
CDM,63700001,pramipexole 1 mg tablet,0.255,0.15000000000000002,0.0374,7411.0,78
CDM,63700001,"pramlintide 1,500 mcg/1.5 mL subcutaneous pen injector",10.36,6.22,1.76,7411.0,39
CDM,63700001,pramoxine 1 % lotion,15.54,9.32,2.64,7411.0,39
CDM,63700001,"prednisoLONE acetate 1 % eye drops,suspension",88.5,53.1,14.96,7411.0,117
CDM,63700001,prednisoLONE sodium phosphate 1 % eye drops,105.42,63.25,17.92,7411.0,39
CDM,63700001,pregabalin 100 mg capsule,10.219999999999999,6.13,0.0221,7411.0,156
CDM,63700001,pregabalin 150 mg capsule,10.225,6.135000000000001,0.0289,7411.0,156
CDM,63700001,pregabalin 200 mg capsule,0.22,0.13,0.0272,7411.0,117
CDM,63700001,pregabalin 25 mg capsule,10.209999999999999,6.125,0.0306,7411.0,78
CDM,63700001,pregabalin 50 mg capsule,2.69,1.61,0.0306,7411.0,234
CDM,63700001,pregabalin 75 mg capsule,0.19,0.11,0.0221,7411.0,195
CDM,63700001,prenatal vits no.130-ferrous fum 27 mg iron-folic acid 800 mcg tablet,0.11,0.07,0.0102,7411.0,195
CDM,63700001,primidone 250 mg tablet,0.72,0.43,0.1224,7411.0,78
CDM,63700001,primidone 50 mg tablet,0.755,0.45499999999999996,0.0544,7411.0,156
CDM,63700001,probenecid 500 mg tablet,1.26,0.76,0.2023,7411.0,117
CDM,63700001,prochlorperazine 25 mg rectal suppository,17.43,10.46,2.96,7411.0,39
CDM,63700001,progesterone micronized 100 mg capsule,1.0,0.6,0.136,7411.0,78
CDM,63700001,promethazine 12.5 mg rectal suppository,19.5,11.7,3.31,7411.0,39
CDM,63700001,promethazine 12.5 mg tablet,0.53,0.32,0.0272,7411.0,117
CDM,63700001,promethazine 25 mg rectal suppository,19.5,11.7,3.31,7411.0,39
CDM,63700001,promethazine 25 mg tablet,0.515,0.31,0.034,7411.0,78
CDM,63700001,promethazine 50 mg rectal suppository,53.65,32.19,9.12,7411.0,39
CDM,63700001,promethazine 6.25 mg-codeine 10 mg/5 mL syrup,0.28,0.17,0.0221,7411.0,78
CDM,63700001,promethazine 6.25 mg/5 mL oral syrup,21.76,13.06,3.7,7411.0,39
CDM,63700001,proparacaine 0.5 % eye drops,70.185,42.11,11.93,7411.0,117
CDM,63700001,"propylene glycol (bulk) 99.5 % (not less than, USP) liquid",17.03,10.22,2.9,7411.0,39
CDM,63700001,propylthiouracil 50 mg tablet,3.55,2.13,0.255,7411.0,78
CDM,63700001,pseudoephedrine 30 mg tablet,1.04,0.62,0.1768,7411.0,78
CDM,63700001,pseudoephedrine 60 mg tablet,1.09,0.65,0.1802,7411.0,117
CDM,63700001,"psyllium husk (aspartame) 3.4 gram oral powder packet,psyllium husk (aspartame) 3.5 gram oral powder packet,psyllium husk (sweetleaf) 3.5 gram oral powder packet,psyllium husk (sweetleaf) 3.5 gram/5.8",0.79,0.47,0.1258,7411.0,195
CDM,63700001,psyllium husk (sweetleaf) 3.5 gram oral powder packet,0.84,0.5,0.1428,7411.0,156
CDM,63700001,psyllium husk 3 gram oral powder packet,0.61,0.37,0.1037,7411.0,39
CDM,63700001,psyllium husk 3.4 gram oral powder packet,0.595,0.355,0.0765,7411.0,117
CDM,63700001,psyllium oral packet,0.8,0.48,0.136,7411.0,39
CDM,63700001,psyllium oral powder,15.34,9.2,2.61,7411.0,39
CDM,63700001,pyRIDostigmine bromide 60 mg tablet,3.04,1.82,0.4471,7411.0,117
CDM,63700001,pyRIDostigmine bromide 60 mg/5 mL oral syrup,3283.62,1970.17,558.22,7411.0,39
CDM,63700001,pyridoxine (vitamin B6) 100 mg tablet,0.07500000000000001,0.045,0.0068,7411.0,234
CDM,63700001,pyridoxine (vitamin B6) 50 mg tablet,0.03,0.02,0.0051,7411.0,39
CDM,63700001,rOPINIRole 0.25 mg tablet,0.24,0.14,0.0408,7411.0,78
CDM,63700001,rOPINIRole 0.5 mg tablet,0.24,0.14,0.0408,7411.0,78
CDM,63700001,rOPINIRole 1 mg tablet,0.24,0.14,0.0408,7411.0,117
CDM,63700001,rOPINIRole 2 mg tablet,0.24,0.14,0.0408,7411.0,117
CDM,63700001,raloxifene 60 mg tablet,0.83,0.5,0.1411,7411.0,39
CDM,63700001,ramelteon 8 mg tablet,7.1,4.26,0.3842,7411.0,312
CDM,63700001,rasagiline 0.5 mg tablet,46.089999999999996,27.650000000000002,2.71,7411.0,78
CDM,63700001,repaglinide 1 mg tablet,0.62,0.37,0.1054,7411.0,39
CDM,63700001,riboflavin (vitamin B2) 100 mg tablet,0.14,0.08499999999999999,0.017,7411.0,117
CDM,63700001,riluzole 50 mg tablet,1.33,0.8,0.2261,7411.0,39
CDM,63700001,risperiDONE 0.5 mg tablet,0.545,0.325,0.0918,7411.0,78
CDM,63700001,risperiDONE 1 mg disintegrating tablet,8.17,4.9,1.39,7411.0,39
CDM,63700001,risperiDONE 1 mg tablet,0.34,0.2,0.0459,7411.0,117
CDM,63700001,risperiDONE 1 mg/mL oral solution,42.0,25.2,7.14,7411.0,39
CDM,63700001,risperiDONE 2 mg tablet,0.665,0.39999999999999997,0.0646,7411.0,78
CDM,63700001,risperiDONE 3 mg tablet,1.25,0.75,0.2125,7411.0,39
CDM,63700001,rivastigmine 1.5 mg capsule,5.075,3.045,0.3689,7411.0,78
CDM,63700001,rivastigmine 3 mg capsule,4.945,2.965,0.3689,7411.0,117
CDM,63700001,rivastigmine 4.6 mg/24 hour transdermal patch,46.72,28.03,7.94,7411.0,39
CDM,63700001,rivastigmine 9.5 mg/24 hour transdermal patch,46.73,28.04,7.94,7411.0,39
CDM,63700001,rizatriptan 10 mg disintegrating tablet,73.14,43.88,12.43,7411.0,39
CDM,63700001,rizatriptan 5 mg disintegrating tablet,73.14,43.88,12.43,7411.0,39
CDM,63700001,roflumilast 500 mcg tablet,15.395,9.235,0.204,7411.0,78
CDM,63700001,rotigotine 6 mg/24 hour transdermal 24 hour patch,56.19,33.71,9.55,7411.0,39
CDM,63700001,rufinamide 200 mg tablet,16.27,9.76,1.04,7411.0,78
CDM,63700001,saliva stimulant combination no.7 oral mucosal gel,11.26,6.76,1.91,7411.0,39
CDM,63700001,salmeterol 50 mcg/dose blister powder for inhalation,486.41,291.85,82.69,7411.0,39
CDM,63700001,scopolamine 1 mg over 3 days transdermal patch,19.79,11.87,3.23,7411.0,312
CDM,63700001,selegiline 5 mg capsule,3.35,2.01,0.5695,7411.0,39
CDM,63700001,selenium 200 mcg tablet,0.1,0.06,0.017,7411.0,78
CDM,63700001,sennosides 8.6 mg tablet,0.27,0.2,0.0034,7411.0,585
CDM,63700001,sennosides 8.6 mg-docusate sodium 50 mg tablet,0.2,0.12,0.0068,7411.0,624
CDM,63700001,sertraline 100 mg tablet,0.33499999999999996,0.2,0.0289,7411.0,234
CDM,63700001,sertraline 25 mg tablet,0.475,0.28500000000000003,0.034,7411.0,78
CDM,63700001,sertraline 50 mg tablet,0.19,0.11499999999999999,0.0272,7411.0,273
CDM,63700001,sevelamer carbonate 0.8 gram oral powder packet,18.91,11.35,3.21,7411.0,78
CDM,63700001,sevelamer carbonate 2.4 gram oral powder packet,35.7,21.42,6.07,7411.0,39
CDM,63700001,sevelamer carbonate 800 mg tablet,2.09,1.255,0.1003,7411.0,156
CDM,63700001,silodosin 4 mg capsule,3.0,1.8,0.51,7411.0,39
CDM,63700001,silver nitrate applicators 75 %-25 % topical stick,14.06,8.44,0.0816,7411.0,117
CDM,63700001,silver sulfADIAZINE 1 % topical cream,56.7,34.019999999999996,1.99,7411.0,156
CDM,63700001,simethicone 125 mg capsule,0.27,0.165,0.0221,7411.0,78
CDM,63700001,"simethicone 40 mg/0.6 mL oral drops,suspension",8.7,5.22,0.6324,7411.0,312
CDM,63700001,simethicone 80 mg chewable tablet,0.32499999999999996,0.195,0.0306,7411.0,117
CDM,63700001,simple syrup,27.43,16.46,4.66,7411.0,39
CDM,63700001,sod bicarb-citric ac-simeth 2.21 gram-1.53 gram/4 gram granules efferv,4.73,2.84,0.8041,7411.0,39
CDM,63700001,sodium bicarbonate 650 mg tablet,0.11,0.045000000000000005,0.0034,7411.0,234
CDM,63700001,sodium chloride 0.65 % nasal spray aerosol,1.85,1.11,0.3145,7411.0,39
CDM,63700001,"sodium chloride 1 gram tablet,sodium chloride 1,000 mg soluble tablet",0.305,0.185,0.0272,7411.0,117
CDM,63700001,sodium chloride 2 % eye drops,30.36,18.22,5.16,7411.0,39
CDM,63700001,sodium chloride 5 % eye ointment,20.73,12.435,3.49,7411.0,78
CDM,63700001,sodium citrate-citric acid 500 mg-334 mg/5 mL oral solution,15.99,9.595,0.612,7411.0,78
CDM,63700001,sodium di- and monophosphate-potassium phos monobasic 250 mg tablet,0.98,0.59,0.1156,7411.0,156
CDM,63700001,sodium phenylbutyrate 0.94 gram/gram oral powder,8999.31,5399.59,1529.88,7649.41,39
CDM,63700001,sodium phosphates 19 gram-7 gram/118 mL enema,2.93,1.76,0.4981,7411.0,39
CDM,63700001,sodium phosphates 9.5 gram-3.5 gram/59 mL enema,2.77,1.66,0.4709,7411.0,39
CDM,63700001,sodium polystyrene sulfonate 15 gram oral powder,6.6,3.96,1.12,7411.0,39
CDM,63700001,sodium polystyrene sulfonate 15 gram-sorbitol 20 gram/60 mL oral susp,234.79,140.875,8.43,7411.0,78
CDM,63700001,sodium zirconium cyclosilicate 10 gram oral powder packet,54.7,32.82,9.3,7411.0,117
CDM,63700001,sodium zirconium cyclosilicate 5 gram oral powder packet,54.7,32.82,9.3,7411.0,117
CDM,63700001,solifenacin 5 mg tablet,1.39,0.83,0.1139,7411.0,195
CDM,63700001,sorbitol 70 % solution,13.670000000000002,8.205,0.9486,7411.0,78
CDM,63700001,succimer 100 mg capsule,44.07,26.44,7.49,7411.0,39
CDM,63700001,sucralfate 1 gram tablet,0.63,0.38,0.0544,7411.0,234
CDM,63700001,sucralfate 100 mg/mL oral suspension,200.06,120.03999999999999,3.06,7411.0,156
CDM,63700001,surgical lubricant jelly topical,4.2,2.52,0.714,7411.0,39
CDM,63700001,tamsulosin 0.4 mg capsule,1.55,0.93,0.1887,7411.0,273
CDM,63700001,tapentadol 50 mg tablet,24.17,14.5,4.11,7411.0,39
CDM,63700001,temazepam 15 mg capsule,0.19,0.12,0.0306,7411.0,117
CDM,63700001,temazepam 7.5 mg capsule,9.969999999999999,5.9799999999999995,1.02,7411.0,78
CDM,63700001,terbutaline 2.5 mg tablet,8.155000000000001,4.895,1.12,7411.0,78
CDM,63700001,terbutaline 5 mg tablet,7.8,4.68,1.33,7411.0,39
CDM,63700001,testosterone 1.62 % (40.5 mg/2.5 gram) transdermal gel packet,44.27,26.56,7.53,7411.0,78
CDM,63700001,tetracaine HCl (PF) 0.5 % eye drops,26.44,15.86,4.49,7411.0,39
CDM,63700001,theophylline 80 mg/15 mL oral solution,149.47,89.68,25.41,7411.0,39
CDM,63700001,"theophylline ER 300 mg tablet,extended release,12 hr",2.59,1.55,0.4403,7411.0,39
CDM,63700001,"thiamine HCl (vitamin B1) 100 mg tablet,thiamine mononitrate (vitamin B1) 100 mg tablet",0.34,0.2,0.0578,7411.0,78
CDM,63700001,thiamine mononitrate (vitamin B1) 100 mg tablet,0.23500000000000001,0.08,0.0102,7411.0,468
CDM,63700001,thioridazine 25 mg tablet,1.2000000000000002,0.72,0.1802,7411.0,78
CDM,63700001,thiothixene 5 mg capsule,3.81,2.29,0.6477,7411.0,39
CDM,63700001,thyroid (pork) 30 mg tablet,1.93,1.16,0.3281,7411.0,39
CDM,63700001,thyroid (pork) 60 mg tablet,2.14,1.28,0.3638,7411.0,39
CDM,63700001,tiZANidine 4 mg capsule,1.53,0.92,0.2601,7411.0,39
CDM,63700001,tiZANidine 4 mg tablet,2.05,1.23,0.204,7411.0,195
CDM,63700001,tiaGABine 4 mg tablet,18.259999999999998,10.955,2.16,7411.0,117
CDM,63700001,timolol 0.25 % eye drops,2.76,1.66,0.4692,7411.0,39
CDM,63700001,timolol maleate 0.25 % eye drops,10.4,6.24,1.77,7411.0,39
CDM,63700001,timolol maleate 0.25 % eye gel forming solution,317.2,190.32,53.92,7411.0,39
CDM,63700001,timolol maleate 0.5 % eye drops,22.82,13.695,2.95,7411.0,78
CDM,63700001,timolol maleate 0.5 % eye gel forming solution,347.62,208.57,59.1,7411.0,39
CDM,63700001,tolterodine 1 mg tablet,1.67,1.0,0.1377,7411.0,156
CDM,63700001,tolterodine 2 mg tablet,2.365,1.42,0.1411,7411.0,156
CDM,63700001,tolvaptan 15 mg tablet,580.195,348.115,20.4,7411.0,117
CDM,63700001,tolvaptan 30 mg tablet,961.05,576.63,163.38,7411.0,39
CDM,63700001,topiramate 100 mg tablet,3.375,2.025,0.0391,7411.0,117
CDM,63700001,topiramate 25 mg sprinkle capsule,2.65,1.59,0.4505,7411.0,78
CDM,63700001,topiramate 25 mg tablet,0.365,0.22,0.0221,7411.0,117
CDM,63700001,torsemide 20 mg tablet,0.83,0.5,0.0731,7411.0,195
CDM,63700001,traMADol 50 mg tablet,3.15,1.89,0.5202,7411.0,273
CDM,63700001,traZODone 100 mg tablet,0.36,0.185,0.0425,7411.0,234
CDM,63700001,traZODone 50 mg tablet,0.13,0.08,0.0221,7411.0,78
CDM,63700001,"treprostinil diolamine ER 0.125 mg tablet,extended release",13.89,8.33,2.36,7411.0,78
CDM,63700001,"treprostinil diolamine ER 5 mg tablet, extended release",555.51,333.31,94.44,7411.0,39
CDM,63700001,tretinoin 0.1 % topical cream,219.12,131.47,37.25,7411.0,39
CDM,63700001,triamcinolone acetonide 0.025 % topical cream,7.32,4.390000000000001,1.22,7411.0,78
CDM,63700001,triamcinolone acetonide 0.025 % topical ointment,9.93,5.96,1.69,7411.0,39
CDM,63700001,triamcinolone acetonide 0.1 % dental paste,128.94,77.36,21.92,7411.0,39
CDM,63700001,triamcinolone acetonide 0.1 % lotion,65.4,39.24,11.12,7411.0,39
CDM,63700001,triamcinolone acetonide 0.1 % topical cream,39.04,23.42,1.44,7411.0,117
CDM,63700001,triamcinolone acetonide 0.1 % topical ointment,49.92,29.950000000000003,1.47,7411.0,156
CDM,63700001,triamcinolone acetonide 0.147 mg/gram topical aerosol,1059.28,635.57,180.08,7411.0,39
CDM,63700001,triamcinolone acetonide 0.5 % topical cream,16.38,9.83,2.78,7411.0,39
CDM,63700001,triamcinolone acetonide 0.5 % topical ointment,16.35,9.81,2.78,7411.0,39
CDM,63700001,triamcinolone acetonide 55 mcg nasal spray aerosol,34.65,20.79,5.89,7411.0,39
CDM,63700001,triamterene 37.5 mg-hydrochlorothiazide 25 mg tablet,0.55,0.33,0.0935,7411.0,78
CDM,63700001,triamterene 50 mg capsule,29.42,17.65,5.0,7411.0,39
CDM,63700001,triamterene 75 mg-hydrochlorothiazide 50 mg tablet,0.995,0.6,0.0952,7411.0,78
CDM,63700001,triazolam 0.125 mg tablet,5.87,3.52,0.9979,7411.0,39
CDM,63700001,triazolam 0.25 mg tablet,2.02,1.21,0.3434,7411.0,39
CDM,63700001,trifluoperazine 2 mg tablet,2.565,1.54,0.306,7411.0,78
CDM,63700001,trifluoperazine 5 mg tablet,2.27,1.36,0.3859,7411.0,39
CDM,63700001,trihexyphenidyl 2 mg tablet,0.3,0.18,0.051,7411.0,117
CDM,63700001,tropicamide 1 % eye drops,60.0,36.0,2.72,7411.0,117
CDM,63700001,ulipristal 30 mg tablet,71.5,42.9,12.15,7411.0,39
CDM,63700001,umeclidinium 62.5 mcg-vilanterol 25 mcg/actuation powdr for inhalation,17.3,10.38,2.94,7411.0,39
CDM,63700001,umeclidinium 62.5 mcg/actuation blister powder for inhalation,23.525,14.115,3.81,7411.0,78
CDM,63700001,urea 15 gram oral powder packet,7.25,4.35,1.23,7411.0,39
CDM,63700001,urea 40 % topical cream,177.14,106.28,30.11,7411.0,39
CDM,63700001,ursodiol 250 mg tablet,2.83,1.7,0.255,7411.0,117
CDM,63700001,ursodiol 300 mg capsule,2.5,1.5,0.357,7411.0,195
CDM,63700001,valproic acid (as sodium salt) 250 mg/5 mL oral solution,26.015,15.61,4.18,7411.0,78
CDM,63700001,valproic acid 250 mg capsule,0.75,0.44999999999999996,0.119,7411.0,78
CDM,63700001,varenicline tartrate 0.5 mg tablet,10.360000000000001,6.22,0.5032,7411.0,78
CDM,63700001,varenicline tartrate 1 mg tablet,17.76,10.66,3.02,7411.0,39
CDM,63700001,vecuronium bromide 20 mg intravenous solution,74.35,44.61,12.31,7411.0,156
CDM,63700001,venlafaxine 37.5 mg tablet,0.26,0.16,0.0425,7411.0,117
CDM,63700001,venlafaxine 50 mg tablet,0.28,0.17,0.0442,7411.0,156
CDM,63700001,"venlafaxine ER 150 mg capsule,extended release 24 hr",1.17,0.7,0.1037,7411.0,117
CDM,63700001,"venlafaxine ER 37.5 mg capsule,extended release 24 hr",11.885,7.13,0.1394,7411.0,78
CDM,63700001,"venlafaxine ER 75 mg capsule,extended release 24 hr",0.52,0.31000000000000005,0.0799,7411.0,78
CDM,63700001,vilazodone 40 mg tablet,23.16,13.9,3.94,7411.0,39
CDM,63700001,vit A 300 mcg-C 200 mg-E 27 mg-lutein 2 mg and minerals tablet,0.18,0.11,0.0289,7411.0,117
CDM,63700001,"vitamin A 10,000 unit capsule,vitamin A palmitate 10,000 unit capsule",0.08,0.05,0.0136,7411.0,39
CDM,63700001,"vitamin A 3,000 mcg (10,000 unit) capsule",0.08499999999999999,0.05,0.0136,7411.0,78
CDM,63700001,vitamin B comp no.3-folic acid 1 mg-vit C 60 mg-biotin 300 mcg tablet,0.38,0.23,0.0646,7411.0,39
CDM,63700001,"vitamin E (dl, acetate) 180 mg (400 unit) capsule",0.125,0.07500000000000001,0.0153,7411.0,156
CDM,63700001,"vitamin E (dl, acetate) 22.5 mg (50 unit)/mL oral drops",54.96,32.98,9.34,7411.0,39
CDM,63700001,"vitamin E (dl, acetate) 45 mg (100 unit) capsule",0.03,0.02,0.0051,7411.0,117
CDM,63700001,"vitamin E (dl, acetate) 90 mg (200 unit) capsule",0.08,0.05,0.0136,7411.0,78
CDM,63700001,vitamins A and D-white petrolatum-lanolin topical ointment,4.42,2.65,0.7514,7411.0,39
CDM,63700001,vortioxetine 20 mg tablet,32.64,19.58,5.55,7411.0,39
CDM,63700001,white petrolatum 41 % topical ointment,19.55,11.729999999999999,1.67,7411.0,78
CDM,63700001,white petrolatum 57.7 %-mineral oil 31.9 % eye ointment,11.1,6.66,1.89,7411.0,39
CDM,63700001,white petrolatum topical jelly,5.15,3.09,0.7293,7411.0,234
CDM,63700001,white petrolatum topical ointment in packet,0.44,0.26,0.0748,7411.0,39
CDM,63700001,white petrolatum-mineral oil 56.8 %-42.5 % eye ointment,19.54,11.72,3.32,7411.0,39
CDM,63700001,white petrolatum-mineral oil 57.3 %-42.5 % eye ointment,17.16,10.3,2.92,7411.0,39
CDM,63700001,white petrolatum-mineral oil 80 %-20 % eye ointment,13.64,8.18,2.32,7411.0,39
CDM,63700001,white petrolatum-mineral oil 83 %-15 % eye ointment,10.78,6.47,1.83,7411.0,39
CDM,63700001,white petrolatum-mineral oil 94 %-3 % eye ointment,16.3,9.78,2.21,7411.0,117
CDM,63700001,witch hazel 50 % topical pads,0.21,0.13,0.0357,7411.0,39
CDM,63700001,zinc oxide 20 % topical ointment,7.324999999999999,4.395,0.7038,7411.0,78
CDM,63700001,zinc oxide-cod liver oil 40 % topical paste,8.44,5.06,1.43,7411.0,39
CDM,63700001,zinc sulfate 50 mg zinc (220 mg) capsule,0.13,0.08,0.0068,7411.0,234
CDM,63700001,ziprasidone 20 mg capsule,1.835,1.1,0.17,7411.0,78
CDM,63700001,zolpidem 5 mg tablet,0.175,0.10500000000000001,0.0153,7411.0,156
CDM,63700001,zonisamide 100 mg capsule,0.74,0.44,0.1258,7411.0,78
CDM,63700001,zonisamide 25 mg capsule,0.365,0.22,0.0527,7411.0,117
CDM,63700032,NIFEdipine 10 mg capsule,1.44,0.86,0.1309,7411.0,156
CDM,63700032,NIFEdipine 20 mg capsule,2.67,1.605,0.2822,7411.0,78
CDM,63700032,"NIFEdipine ER 30 mg tablet,extended release",0.5,0.3,0.085,7411.0,39
CDM,63700032,"NIFEdipine ER 30 mg tablet,extended release 24 hr",1.44,0.865,0.0867,7411.0,156
CDM,63700032,"NIFEdipine ER 30 mg tablet,extended release 24 hr,NIFEdipine ER 30 mg tablet,extended release",1.98,1.19,0.153,7411.0,117
CDM,63700032,"NIFEdipine ER 60 mg tablet,extended release 24 hr",2.75,1.6500000000000001,0.0935,7411.0,117
CDM,63700032,"NIFEdipine ER 60 mg tablet,extended release,NIFEdipine ER 60 mg tablet, extended release 24 hr",2.75,1.6500000000000001,0.0935,7411.0,117
CDM,63700032,"NIFEdipine ER 90 mg tablet,extended release",3.85,2.31,0.6545,7411.0,39
CDM,63700032,"NIFEdipine ER 90 mg tablet,extended release 24 hr",5.255,3.1500000000000004,0.1547,7411.0,195
CDM,63700032,"NIFEdipine ER 90 mg tablet,extended release 24 hr,NIFEdipine ER 90 mg tablet,extended release",1.73,1.04,0.2941,7411.0,39
CDM,63700032,abacavir 20 mg/mL oral solution,294.26,176.56,50.02,7411.0,39
CDM,63700032,abacavir 300 mg-lamivudine 150 mg-zidovudine 300 mg tablet,54.16,32.5,9.21,7411.0,39
CDM,63700032,abacavir 600 mg-lamivudine 300 mg tablet,7.17,4.3,1.21,7411.0,117
CDM,63700032,acebutolol 200 mg capsule,1.56,0.94,0.2652,7411.0,39
CDM,63700032,acebutolol 400 mg capsule,2.06,1.24,0.3502,7411.0,39
CDM,63700032,acetic acid 2 % ear solution,56.01,33.61,9.52,7411.0,39
CDM,63700032,acetylcysteine 600 mg capsule,0.2,0.12,0.0255,7411.0,117
CDM,63700032,acyclovir 200 mg/5 mL oral suspension,712.84,427.7,121.18,7411.0,39
CDM,63700032,acyclovir 400 mg tablet,0.85,0.51,0.1275,7411.0,156
CDM,63700032,adefovir 10 mg tablet,109.18,65.51,18.56,7411.0,39
CDM,63700032,albendazole 200 mg tablet,273.16999999999996,163.9,10.29,7411.0,78
CDM,63700032,alendronate 70 mg tablet,63.92,38.35,10.87,7411.0,39
CDM,63700032,aliskiren 150 mg tablet,11.765,7.0600000000000005,1.88,7411.0,78
CDM,63700032,allopurinol 100 mg tablet,0.23,0.14,0.0374,7411.0,195
CDM,63700032,allopurinol 300 mg tablet,1.17,0.7,0.0714,7411.0,234
CDM,63700032,amLODIPine 10 mg tablet,0.1,0.06,0.0136,7411.0,117
CDM,63700032,amLODIPine 2.5 mg tablet,0.28,0.17,0.0476,7411.0,39
CDM,63700032,amLODIPine 5 mg tablet,0.06,0.035,0.0068,7411.0,78
CDM,63700032,aminocaproic acid 250 mg/mL (25 %) oral solution,1421.95,853.17,241.73,7411.0,39
CDM,63700032,aminocaproic acid 500 mg tablet,28.88,17.33,4.02,7411.0,156
CDM,63700032,amiodarone 200 mg tablet,0.545,0.325,0.068,7411.0,156
CDM,63700032,amoxicillin 250 mg capsule,0.73,0.44,0.1241,7411.0,39
CDM,63700032,amoxicillin 250 mg chewable tablet,1.15,0.69,0.1955,7411.0,39
CDM,63700032,amoxicillin 250 mg-potassium clavulanate 125 mg tablet,7.14,4.28,1.21,7411.0,39
CDM,63700032,amoxicillin 250 mg/5 mL oral suspension,8.850000000000001,5.3100000000000005,0.9826,7411.0,273
CDM,63700032,amoxicillin 400 mg-potassium clavulanate 57 mg/5 mL oral suspension,25.9,15.54,3.76,7411.0,156
CDM,63700032,amoxicillin 500 mg capsule,0.86,0.52,0.1156,7411.0,156
CDM,63700032,amoxicillin 500 mg-potassium clavulanate 125 mg tablet,2.86,1.7149999999999999,0.408,7411.0,78
CDM,63700032,amoxicillin 875 mg-potassium clavulanate 125 mg tablet,1.7,1.02,0.2091,7411.0,273
CDM,63700032,amphotericin B (bulk) powder,20370.5,12222.3,3462.99,17314.92,39
CDM,63700032,anagrelide 0.5 mg capsule,11.105,6.66,0.6239,7411.0,117
CDM,63700032,anastrozole 1 mg tablet,6.205,3.7249999999999996,0.952,7411.0,156
CDM,63700032,"antivenin, Micrurus fulvius 250 unit solution for injection",22873.98,13724.39,3888.58,19442.88,78
CDM,63700032,apixaban 2.5 mg tablet,21.814999999999998,13.09,3.71,7411.0,78
CDM,63700032,apixaban 5 mg tablet,21.814999999999998,13.09,3.71,7411.0,78
CDM,63700032,artemether-lumefantrine 20 mg-120 mg tablet,11.73,7.04,1.99,7411.0,39
CDM,63700032,"aspirin 25 mg-dipyridamole 200 mg capsule,ext.release 12 hr multiphase",18.8,11.28,0.2737,7411.0,117
CDM,63700032,atazanavir 200 mg capsule,11.04,6.62,1.09,7411.0,117
CDM,63700032,atazanavir 300 mg capsule,21.57,12.94,2.1,7411.0,156
CDM,63700032,atenolol 100 mg tablet,0.43,0.26,0.0731,7411.0,39
CDM,63700032,atenolol 25 mg tablet,0.13,0.08,0.0119,7411.0,156
CDM,63700032,atenolol 50 mg tablet,0.125,0.075,0.0119,7411.0,78
CDM,63700032,atorvastatin 10 mg tablet,0.41500000000000004,0.245,0.0289,7411.0,234
CDM,63700032,atorvastatin 20 mg tablet,0.48,0.29,0.0612,7411.0,117
CDM,63700032,atorvastatin 80 mg tablet,0.675,0.405,0.0527,7411.0,195
CDM,63700032,atovaquone 250 mg-proguanil 100 mg tablet,12.85,7.71,2.18,7411.0,39
CDM,63700032,atovaquone 750 mg/5 mL oral suspension,1539.565,923.74,11.36,7411.0,78
CDM,63700032,azithromycin 200 mg/5 mL oral suspension,28.73,17.24,4.88,7411.0,39
CDM,63700032,azithromycin 250 mg tablet,6.0649999999999995,3.6399999999999997,0.8211,7411.0,156
CDM,63700032,bacitracin 500 unit/gram topical ointment,4.43,2.66,0.6936,7411.0,117
CDM,63700032,bacitracin 500 unit/gram topical packet,0.27,0.16,0.0459,7411.0,78
CDM,63700032,"bacitracin zinc 500 unit-polymyxin B 10,000 unit/gram topical ointment",10.05,6.03,1.71,7411.0,39
CDM,63700032,"bacitracin zinc 500 unit-polymyxin B 10,000 unit/gram topical ointment,bacitracin 500 unit-polymyxin B 10,000 unit/gram topical ointment",10.05,6.03,1.71,7411.0,39
CDM,63700032,bacitracin zinc 500 unit/gram topical ointment,8.525,5.115,0.9282,7411.0,78
CDM,63700032,bacitracin zinc 500 unit/gram topical ointment in packet,0.34,0.2,0.0578,7411.0,39
CDM,63700032,"bacitracin-polymyxin B 500 unit-10,000 unit/gram eye ointment",27.8,16.68,4.73,7411.0,39
CDM,63700032,benznidazole 100 mg tablet,6.5,3.9,1.1,7411.0,39
CDM,63700032,bicalutamide 50 mg tablet,6.0,3.6,0.9486,7411.0,117
CDM,63700032,bictegravir 50 mg-emtricitabine 200 mg-tenofovir alafenam 25 mg tablet,265.91,159.55,45.2,7411.0,39
CDM,63700032,bisoprolol fumarate 5 mg tablet,0.455,0.275,0.0646,7411.0,117
CDM,63700032,candesartan 8 mg tablet,2.67,1.6,0.4539,7411.0,117
CDM,63700032,captopril 12.5 mg tablet,2.03,1.22,0.272,7411.0,156
CDM,63700032,captopril 25 mg tablet,1.935,1.1600000000000001,0.289,7411.0,117
CDM,63700032,carbamide peroxide 6.5 % ear drops,4.68,2.81,0.6426,7411.0,195
CDM,63700032,carvedilol 12.5 mg tablet,0.17,0.1,0.017,7411.0,117
CDM,63700032,carvedilol 3.125 mg tablet,0.14,0.085,0.0136,7411.0,234
CDM,63700032,carvedilol 6.25 mg tablet,0.19,0.11,0.017,7411.0,195
CDM,63700032,"carvedilol phosphate ER 10 mg capsule,ext.release24hr multiphase",18.35,11.01,3.12,7411.0,39
CDM,63700032,cefdinir 125 mg/5 mL oral suspension,79.3,47.58,13.48,7411.0,39
CDM,63700032,cefdinir 300 mg capsule,5.17,3.1,0.3689,7411.0,156
CDM,63700032,cefprozil 125 mg/5 mL oral suspension,47.75,28.65,8.12,7411.0,39
CDM,63700032,cefuroxime axetil 250 mg tablet,2.715,1.6300000000000001,0.2295,7411.0,156
CDM,63700032,cefuroxime axetil 500 mg tablet,5.720000000000001,3.435,0.6511,7411.0,78
CDM,63700032,cenobamate 50 mg tablet,78.67,47.2,13.37,7411.0,39
CDM,63700032,cephalexin 125 mg/5 mL oral suspension,38.5,23.1,6.54,7411.0,39
CDM,63700032,cephalexin 250 mg capsule,0.8,0.48,0.1292,7411.0,78
CDM,63700032,cephalexin 250 mg/5 mL oral suspension,46.5,27.9,4.5,7411.0,117
CDM,63700032,cephalexin 500 mg capsule,1.005,0.6000000000000001,0.1462,7411.0,195
CDM,63700032,chlorhexidine gluconate 0.12 % mouthwash,3.45,2.07,0.4488,7411.0,195
CDM,63700032,chloroquine 250 mg tablet,4.88,2.9299999999999997,0.5202,7411.0,78
CDM,63700032,cholestyramine (with sugar) 4 gram powder for susp in a packet,4.1,2.46,0.697,7411.0,78
CDM,63700032,ciclopirox 0.77 % topical cream,30.75,18.45,5.23,7411.0,39
CDM,63700032,ciclopirox 8 % topical solution,43.98,26.39,7.48,7411.0,39
CDM,63700032,cilostazol 100 mg tablet,2.73,1.64,0.4522,7411.0,117
CDM,63700032,cilostazol 50 mg tablet,2.63,1.58,0.4369,7411.0,117
CDM,63700032,ciprofloxacin 0.3 % eye drops,28.0,16.8,4.76,7411.0,39
CDM,63700032,"ciprofloxacin 0.3 %-dexamethasone 0.1 % ear drops,suspension",498.18,298.91,84.69,7411.0,39
CDM,63700032,ciprofloxacin 250 mg tablet,0.9450000000000001,0.565,0.1343,7411.0,78
CDM,63700032,ciprofloxacin 500 mg tablet,0.88,0.53,0.1479,7411.0,117
CDM,63700032,ciprofloxacin 750 mg tablet,1.94,1.16,0.3298,7411.0,39
CDM,63700032,clarithromycin 250 mg/5 mL oral suspension,349.5,209.7,59.41,7411.0,39
CDM,63700032,clarithromycin 500 mg tablet,2.415,1.45,0.4046,7411.0,78
CDM,63700032,"clarithromycin ER 500 mg tablet,extended release 24 hr",14.82,8.89,2.52,7411.0,78
CDM,63700032,clindamycin 1 % lotion,230.76,138.46,39.23,7411.0,39
CDM,63700032,clindamycin 1 % topical gel,165.84,99.5,28.19,7411.0,39
CDM,63700032,clindamycin 2 % vaginal cream,191.16,114.7,29.54,7411.0,78
CDM,63700032,clindamycin HCl 150 mg capsule,1.16,0.7,0.1343,7411.0,156
CDM,63700032,clindamycin HCl 300 mg capsule,2.71,1.63,0.4607,7411.0,39
CDM,63700032,cloNIDine 0.1 mg/24 hr weekly transdermal patch,145.12,87.07,24.67,7411.0,39
CDM,63700032,cloNIDine 0.2 mg/24 hr weekly transdermal patch,89.23,53.54,15.17,7411.0,78
CDM,63700032,cloNIDine 0.3 mg/24 hr weekly transdermal patch,123.78,74.27,21.04,7411.0,78
CDM,63700032,cloNIDine HCl 0.1 mg tablet,0.09,0.09,0.0119,7411.0,234
CDM,63700032,clopidogrel 300 mg tablet,28.57,17.14,4.86,7411.0,39
CDM,63700032,clopidogrel 75 mg tablet,2.375,1.4249999999999998,0.3604,7411.0,351
CDM,63700032,clotrimazole 1 % topical cream,2.47,1.48,0.4199,7411.0,39
CDM,63700032,clotrimazole 1 % topical solution,72.2,43.32,12.27,7411.0,39
CDM,63700032,clotrimazole 1 % vaginal cream,8.1,4.86,1.38,7411.0,39
CDM,63700032,clotrimazole 10 mg troche,4.035,2.42,0.4369,7411.0,78
CDM,63700032,clotrimazole 2 % vaginal cream,14.28,8.57,2.43,7411.0,39
CDM,63700032,clotrimazole-betamethasone 1 %-0.05 % topical cream,38.64,23.185000000000002,5.73,7411.0,78
CDM,63700032,cobicistat 150 mg tablet,19.81,11.89,3.37,7411.0,39
CDM,63700032,colchicine 0.6 mg tablet,7.44,4.46,0.2091,7411.0,273
CDM,63700032,colesevelam 625 mg tablet,1.81,1.085,0.1904,7411.0,156
CDM,63700032,cycloSERINE 250 mg capsule,139.83,83.9,23.77,7411.0,39
CDM,63700032,dabigatran etexilate 150 mg capsule,8.61,5.17,1.46,7411.0,39
CDM,63700032,dabigatran etexilate 75 mg capsule,8.61,5.17,1.46,7411.0,78
CDM,63700032,dapsone 25 mg tablet,2.47,1.48,0.3842,7411.0,117
CDM,63700032,darunavir 150 mg tablet,18.48,11.09,3.14,7411.0,39
CDM,63700032,darunavir 600 mg tablet,72.44,43.46,12.31,7411.0,39
CDM,63700032,darunavir 800 mg tablet,144.38,86.63,24.54,7411.0,39
CDM,63700032,dasatinib 140 mg tablet,1221.42,732.85,207.64,7411.0,39
CDM,63700032,dasatinib 20 mg tablet,342.46,205.48,58.22,7411.0,39
CDM,63700032,digoxin 125 mcg (0.125 mg) tablet,1.6500000000000001,0.99,0.102,7411.0,78
CDM,63700032,digoxin 250 mcg (0.25 mg) tablet,1.485,0.8899999999999999,0.102,7411.0,78
CDM,63700032,digoxin 50 mcg/mL (0.05 mg/mL) oral solution,258.96,155.38,40.45,7411.0,78
CDM,63700032,dilTIAZem 30 mg tablet,0.32,0.19,0.051,7411.0,78
CDM,63700032,dilTIAZem 60 mg tablet,0.74,0.445,0.0799,7411.0,117
CDM,63700032,dilTIAZem 90 mg tablet,0.685,0.41000000000000003,0.1088,7411.0,78
CDM,63700032,"dilTIAZem CD 120 mg capsule,extended release 24 hr",1.1,0.66,0.1105,7411.0,117
CDM,63700032,"dilTIAZem CD 180 mg capsule,extended release 24 hr",1.05,0.63,0.0731,7411.0,234
CDM,63700032,"dilTIAZem CD 240 mg capsule,extended release 24 hr",2.125,1.275,0.2584,7411.0,78
CDM,63700032,"dilTIAZem CD 300 mg capsule,extended release 24 hr",0.71,0.43,0.1207,7411.0,39
CDM,63700032,"dilTIAZem ER 60 mg capsule,extended release 12 hr",5.85,3.51,0.8636,7411.0,78
CDM,63700032,"dilTIAZem ER 90 mg capsule,extended release 12 hr",7.79,4.67,1.32,7411.0,39
CDM,63700032,dipyridamole 50 mg tablet,3.81,2.29,0.6477,7411.0,39
CDM,63700032,dipyridamole 75 mg tablet,3.755,2.255,0.4097,7411.0,78
CDM,63700032,disopyramide phosphate 100 mg capsule,3.99,2.39,0.6783,7411.0,78
CDM,63700032,disopyramide phosphate 150 mg capsule,4.49,2.69,0.7633,7411.0,78
CDM,63700032,disulfiram 250 mg tablet,11.6,6.96,0.9622,7411.0,117
CDM,63700032,docosanol 10 % topical cream,35.4,21.24,6.02,7411.0,39
CDM,63700032,dofetilide 125 mcg capsule,12.68,7.61,0.544,7411.0,78
CDM,63700032,dofetilide 250 mcg capsule,22.16,13.3,3.77,7411.0,39
CDM,63700032,dofetilide 500 mcg capsule,12.68,7.61,0.544,7411.0,117
CDM,63700032,dolutegravir 50 mg tablet,151.0,90.6,25.67,7411.0,39
CDM,63700032,doravirine 100 mg tablet,117.88,70.73,20.04,7411.0,39
CDM,63700032,doxazosin 1 mg tablet,1.69,1.01,0.2873,7411.0,78
CDM,63700032,doxycycline monohydrate 100 mg capsule,2.17,1.3,0.3587,7411.0,195
CDM,63700032,doxycycline monohydrate 25 mg/5 mL oral suspension,36.98,22.19,6.29,7411.0,39
CDM,63700032,dronedarone 400 mg tablet,24.275,14.565000000000001,3.73,7411.0,78
CDM,63700032,efavirenz 200 mg capsule,20.81,12.485,3.29,7411.0,78
CDM,63700032,efavirenz 600 mg tablet,5.83,3.5,0.9911,7411.0,39
CDM,63700032,efavirenz 600 mg-emtricitabine 200 mg-tenofovir disoprox 300 mg tablet,103.075,61.845,1.02,7411.0,78
CDM,63700032,eltrombopag olamine 25 mg tablet,485.11,291.07,82.47,7411.0,39
CDM,63700032,eltrombopag olamine 50 mg tablet,876.27,525.76,148.97,7411.0,39
CDM,63700032,elviteg 150 mg-cob 150 mg-emtricit 200 mg-tenofo ALAFENAM 10 mg tablet,265.91,159.55,45.2,7411.0,39
CDM,63700032,emtricitabine 200 mg capsule,32.63,19.58,5.34,7411.0,117
CDM,63700032,emtricitabine 200 mg-rilpivirine 25 mg-tenofovir alafenam 25 mg tablet,242.05,145.23,41.15,7411.0,39
CDM,63700032,enalapril maleate 10 mg tablet,0.725,0.435,0.0765,7411.0,78
CDM,63700032,enalapril maleate 2.5 mg tablet,0.8300000000000001,0.495,0.1258,7411.0,78
CDM,63700032,enalapril maleate 20 mg tablet,1.44,0.865,0.2397,7411.0,78
CDM,63700032,enalapril maleate 5 mg tablet,0.945,0.565,0.1598,7411.0,78
CDM,63700032,entecavir 0.5 mg tablet,52.915,31.75,2.35,7411.0,78
CDM,63700032,eplerenone 25 mg tablet,6.2,3.72,0.476,7411.0,117
CDM,63700032,"erythromycin 250 mg tablet,delayed release",13.92,8.35,1.78,7411.0,195
CDM,63700032,erythromycin 5 mg/gram (0.5 %) eye ointment,19.86,11.92,2.46,7411.0,117
CDM,63700032,erythromycin ethylsuccinate 200 mg/5 mL oral powder for suspension,584.3,350.58,70.67,7411.0,117
CDM,63700032,eslicarbazepine 400 mg tablet,84.72,50.83,14.4,7411.0,39
CDM,63700032,ethambutol 400 mg tablet,2.06,1.24,0.3502,7411.0,39
CDM,63700032,etravirine 100 mg tablet,25.46,15.28,4.33,7411.0,39
CDM,63700032,exemestane 25 mg tablet,12.66,7.6,1.42,7411.0,117
CDM,63700032,ezetimibe 10 mg tablet,0.6,0.36,0.0714,7411.0,312
CDM,63700032,famciclovir 500 mg tablet,4.895,2.94,0.4811,7411.0,117
CDM,63700032,febuxostat 40 mg tablet,3.175,1.905,0.17,7411.0,156
CDM,63700032,febuxostat 80 mg tablet,1.04,0.62,0.17,7411.0,117
CDM,63700032,fenofibrate 54 mg tablet,0.85,0.51,0.0731,7411.0,156
CDM,63700032,ferric subsulfate 0.2 gram to 0.22 gram/mL topical soln and applicator,41.835,25.1,5.3,7411.0,78
CDM,63700032,ferrous gluconate 324 mg (37.5 mg iron) tablet,2.07,1.245,0.3502,7411.0,117
CDM,63700032,ferrous sulfate 300 mg (60 mg iron)/5 mL oral liquid,8.79,5.27,1.49,7411.0,39
CDM,63700032,ferrous sulfate 325 mg (65 mg iron) tablet,2.0549999999999997,1.2349999999999999,0.3451,7411.0,234
CDM,63700032,finasteride 5 mg tablet,0.27,0.16,0.0272,7411.0,195
CDM,63700032,flecainide 100 mg tablet,1.505,0.905,0.1921,7411.0,78
CDM,63700032,flecainide 50 mg tablet,0.9199999999999999,0.5499999999999999,0.1173,7411.0,117
CDM,63700032,fluconazole 100 mg tablet,3.26,1.955,0.425,7411.0,117
CDM,63700032,fluconazole 150 mg tablet,4.7,2.82,0.799,7411.0,39
CDM,63700032,fluconazole 200 mg tablet,2.495,1.495,0.3094,7411.0,156
CDM,63700032,fluconazole 40 mg/mL oral suspension,99.34,59.605000000000004,13.69,7411.0,78
CDM,63700032,flucytosine 500 mg capsule,147.54000000000002,88.525,6.88,7411.0,78
CDM,63700032,fluorouracil 2 % topical solution,110.84,66.5,18.84,7411.0,39
CDM,63700032,fluorouracil 5 % topical solution,160.86,96.52,27.35,7411.0,39
CDM,63700032,flutamide 125 mg capsule,8.120000000000001,4.87,1.38,7411.0,117
CDM,63700032,fosfomycin tromethamine 3 gram oral packet,183.04,109.82,31.12,7411.0,39
CDM,63700032,ganciclovir 0.15 % eye gel,940.14,564.08,159.82,7411.0,39
CDM,63700032,gemfibrozil 600 mg tablet,0.435,0.26,0.0595,7411.0,117
CDM,63700032,gent violet-brlnt grn-proflav 2.29 mg-2.29 mg-1.14 mg/mL topical swab,9.34,5.6,1.59,7411.0,39
CDM,63700032,gentamicin 0.1 % topical cream,78.99,47.39,13.43,7411.0,39
CDM,63700032,gentamicin 0.3 % eye drops,40.07,24.04,1.48,7411.0,78
CDM,63700032,guanFACINE 1 mg tablet,0.41,0.25,0.0493,7411.0,117
CDM,63700032,hydrALAZINE 10 mg tablet,0.275,0.165,0.0153,7411.0,156
CDM,63700032,hydrALAZINE 25 mg tablet,0.31,0.19,0.0204,7411.0,234
CDM,63700032,hydrALAZINE 50 mg tablet,0.18,0.11,0.0255,7411.0,195
CDM,63700032,hydroxychloroquine 200 mg tablet,2.2,1.32,0.1972,7411.0,195
CDM,63700032,hydroxyurea (sickle cell) 100 mg tablet,17.14,10.28,2.91,7411.0,39
CDM,63700032,hydroxyurea 500 mg capsule,6.48,3.885,1.04,7411.0,78
CDM,63700032,icosapent ethyl 1 gram capsule,5.470000000000001,3.285,0.8551,7411.0,117
CDM,63700032,imatinib 100 mg tablet,7.43,4.46,1.26,7411.0,117
CDM,63700032,irbesartan 150 mg tablet,0.575,0.345,0.0595,7411.0,156
CDM,63700032,isavuconazonium sulfate 186 mg capsule,202.43,121.46,31.56,7411.0,117
CDM,63700032,isoniazid 300 mg tablet,4.65,2.79,0.17,7411.0,78
CDM,63700032,isoniazid 50 mg/5 mL oral solution,584.18,350.51,99.31,7411.0,39
CDM,63700032,isosorbide dinitrate 10 mg tablet,1.4449999999999998,0.87,0.0714,7411.0,234
CDM,63700032,isosorbide dinitrate 20 mg tablet,1.67,1.005,0.2159,7411.0,195
CDM,63700032,isosorbide dinitrate 40 mg tablet,40.37,24.22,6.86,7411.0,39
CDM,63700032,isosorbide dinitrate 5 mg tablet,1.315,0.79,0.1785,7411.0,78
CDM,63700032,isosorbide mononitrate 20 mg tablet,4.0,2.4000000000000004,0.1734,7411.0,117
CDM,63700032,"isosorbide mononitrate ER 30 mg tablet,extended release 24 hr",0.42,0.375,0.0697,7411.0,117
CDM,63700032,"isosorbide mononitrate ER 60 mg tablet,extended release 24 hr",0.8,0.48,0.0731,7411.0,117
CDM,63700032,itraconazole 10 mg/mL oral solution,593.3,355.98,85.1,7411.0,78
CDM,63700032,itraconazole 100 mg capsule,9.585,5.75,0.6511,7411.0,78
CDM,63700032,ivabradine 5 mg tablet,19.87,11.92,2.74,7411.0,156
CDM,63700032,ivermectin 3 mg tablet,9.295,5.58,1.49,7411.0,78
CDM,63700032,ketoconazole 2 % shampoo,44.16,26.5,7.51,7411.0,39
CDM,63700032,ketoconazole 2 % topical cream,45.36,27.22,5.1,7411.0,117
CDM,63700032,ketoconazole 200 mg tablet,2.6,1.56,0.442,7411.0,78
CDM,63700032,labetalol 100 mg tablet,0.63,0.38,0.068,7411.0,156
CDM,63700032,labetalol 200 mg tablet,1.17,0.7,0.0969,7411.0,195
CDM,63700032,labetalol 300 mg tablet,1.155,0.6950000000000001,0.1292,7411.0,78
CDM,63700032,lamiVUDine 10 mg/mL oral solution,194.42000000000002,116.655,28.32,7411.0,78
CDM,63700032,lamiVUDine 100 mg tablet,28.475,17.085,4.07,7411.0,78
CDM,63700032,lamiVUDine 150 mg tablet,15.5,9.3,2.63,7411.0,78
CDM,63700032,lamiVUDine 150 mg-zidovudine 300 mg tablet,4.95,2.97,0.8415,7411.0,39
CDM,63700032,leflunomide 10 mg tablet,50.55,30.330000000000002,0.2499,7411.0,78
CDM,63700032,leflunomide 20 mg tablet,1.47,0.88,0.2261,7411.0,117
CDM,63700032,leucovorin calcium 25 mg tablet,19.939999999999998,11.965,3.04,7411.0,78
CDM,63700032,leucovorin calcium 5 mg tablet,3.15,1.89,0.3706,7411.0,117
CDM,63700032,levOCARNitine 100 mg/mL oral solution,99.12,59.47,16.85,7411.0,39
CDM,63700032,levOCARNitine 330 mg tablet,2.105,1.2650000000000001,0.2992,7411.0,117
CDM,63700032,levoFLOXacin 250 mg/10 mL oral solution,447.3,268.38,76.04,7411.0,39
CDM,63700032,levoFLOXacin 500 mg tablet,1.3199999999999998,0.79,0.1683,7411.0,78
CDM,63700032,levoFLOXacin 750 mg tablet,1.38,0.83,0.2346,7411.0,39
CDM,63700032,lindane 1 % shampoo,219.0,131.4,37.23,7411.0,39
CDM,63700032,linezolid 100 mg/5 mL oral suspension,902.0,541.2,83.57,7411.0,78
CDM,63700032,linezolid 600 mg tablet,6.68,4.01,1.02,7411.0,78
CDM,63700032,lisinopril 10 mg tablet,0.24,0.14,0.0153,7411.0,156
CDM,63700032,lisinopril 2.5 mg tablet,0.05,0.03,0.0085,7411.0,39
CDM,63700032,lisinopril 20 mg tablet,0.14,0.125,0.0221,7411.0,156
CDM,63700032,lisinopril 40 mg tablet,0.24,0.14,0.0408,7411.0,117
CDM,63700032,lisinopril 5 mg tablet,0.06,0.04,0.0102,7411.0,78
CDM,63700032,lopinavir-ritonavir 200 mg-50 mg tablet,17.57,10.54,2.99,7411.0,39
CDM,63700032,lopinavir-ritonavir 400 mg-100 mg/5 mL oral solution,1024.5,614.7,174.16,7411.0,39
CDM,63700032,losartan 25 mg tablet,1.03,0.62,0.0272,7411.0,234
CDM,63700032,losartan 50 mg tablet,0.39,0.24,0.017,7411.0,429
CDM,63700032,lovastatin 20 mg tablet,0.43,0.26,0.0731,7411.0,39
CDM,63700032,mercaptopurine 50 mg tablet,11.34,6.8,1.93,7411.0,78
CDM,63700032,methenamine 81 mg-m.blue 10.8 mg-sod phos 40.8 mg-p.salicy-hyos tablet,14.22,8.530000000000001,1.7,7411.0,78
CDM,63700032,methenamine hippurate 1 gram tablet,1.94,1.16,0.3298,7411.0,39
CDM,63700032,methyldopa 250 mg tablet,0.295,0.18,0.0391,7411.0,78
CDM,63700032,"metoprolol succinate ER 100 mg tablet,extended release 24 hr",1.625,0.975,0.1275,7411.0,117
CDM,63700032,"metoprolol succinate ER 25 mg tablet,extended release 24 hr",0.4,0.24,0.0238,7411.0,273
CDM,63700032,"metoprolol succinate ER 50 mg tablet,extended release 24 hr",1.5,0.9,0.0221,7411.0,234
CDM,63700032,metoprolol tartrate 100 mg tablet,0.12,0.07,0.0119,7411.0,273
CDM,63700032,metoprolol tartrate 25 mg tablet,0.135,0.08,0.0119,7411.0,195
CDM,63700032,metoprolol tartrate 50 mg tablet,0.1,0.06,0.0102,7411.0,156
CDM,63700032,metroNIDAZOLE 0.75 % (37.5 mg/5 gram) vaginal gel,244.58,146.75,41.58,7411.0,39
CDM,63700032,metroNIDAZOLE 1 % topical gel,310.56,186.34,52.8,7411.0,39
CDM,63700032,metroNIDAZOLE 250 mg tablet,1.31,0.79,0.2227,7411.0,39
CDM,63700032,metroNIDAZOLE 500 mg tablet,1.51,0.905,0.2499,7411.0,234
CDM,63700032,mexiletine 150 mg capsule,1.7799999999999998,1.065,0.1649,7411.0,78
CDM,63700032,mexiletine 200 mg capsule,3.15,1.89,0.5355,7411.0,39
CDM,63700032,miconazole nitrate 2 % vaginal cream,13.995000000000001,8.4,2.02,7411.0,78
CDM,63700032,miconazole nitrate 200 mg vaginal suppository,31.83,19.1,5.41,7411.0,39
CDM,63700032,minocycline 100 mg capsule,1.41,0.85,0.2397,7411.0,39
CDM,63700032,minoxidil 10 mg tablet,1.28,0.77,0.2176,7411.0,39
CDM,63700032,minoxidil 2.5 mg tablet,1.04,0.62,0.1768,7411.0,39
CDM,63700032,mitomycin 5 mg IV Solution,491.54,294.92,83.56,7411.0,39
CDM,63700032,moxifloxacin 0.5 % eye drops,241.06,144.635,22.76,7411.0,78
CDM,63700032,moxifloxacin 400 mg tablet,6.38,3.83,1.08,7411.0,39
CDM,63700032,multivit-minerals no.73-iron fumarate 106 mg-folic acid 1 mg capsule,3.14,1.88,0.5015,7411.0,156
CDM,63700032,mupirocin 2 % topical ointment,17.01,10.21,2.09,7411.0,156
CDM,63700032,mupirocin calcium 2 % topical cream,392.25,235.35,66.68,7411.0,39
CDM,63700032,nadolol 20 mg tablet,1.44,0.86,0.0544,7411.0,117
CDM,63700032,nadolol 40 mg tablet,1.135,0.6849999999999999,0.0748,7411.0,156
CDM,63700032,"natamycin 5 % eye drops,suspension",1893.99,1136.39,321.98,7411.0,39
CDM,63700032,nebivolol 5 mg tablet,11.83,7.1,0.9571,7411.0,117
CDM,63700032,"neomycin 1.75 mg-polymyxin 10,000 unit-gramicidin 0.025mg/mL eye drops",102.1,61.26,17.36,7411.0,39
CDM,63700032,"neomycin 3.5 mg/g-polymyxin B 10,000 unit/g-dexameth 0.1 % eye oint",31.78,19.07,5.4,7411.0,39
CDM,63700032,neomycin 500 mg tablet,2.72,1.63,0.4318,7411.0,117
CDM,63700032,"neomycin-bacitracin-polymyxn 3.5 mg-400 unit-10,000 unit/gram eye oint",91.14,54.68,15.49,7411.0,39
CDM,63700032,"neomycin-bacitracn Zn-polymyx 3.5 mg-400 unit-5,000 unit/gram top oint",5.609999999999999,3.37,0.68,7411.0,195
CDM,63700032,"neomycin-bacitracn Zn-polymyxn 3.5 mg-400 unit-5,000 unit top oint pkt",0.26,0.16,0.0391,7411.0,117
CDM,63700032,neomycin-polymyxin B-bacitracin-hydrocortisone 1 % top ointment,319.47,191.68,54.31,7411.0,39
CDM,63700032,"neomycin-polymyxin-dexameth 3.5 mg/mL-10,000 unit/mL-0.1% eye drops",33.89,20.335,5.4,7411.0,78
CDM,63700032,"neomycin-polymyxin-hydrocort 3.5 mg-10,000 unit/mL-1 % ear drops,susp",167.8,100.68,28.53,7411.0,39
CDM,63700032,"neomycin-polymyxin-hydrocort 3.5 mg/mL-10,000 unit/mL-1 % ear solution",167.8,100.68,28.53,7411.0,39
CDM,63700032,nevirapine 50 mg/5 mL oral suspension,393.14,235.88,66.83,7411.0,39
CDM,63700032,niacin 100 mg tablet,0.03,0.02,0.0051,7411.0,78
CDM,63700032,"niacin ER 250 mg capsule,extended release",0.13,0.08,0.0187,7411.0,156
CDM,63700032,"niacin ER 500 mg tablet,extended release 24 hr",0.71,0.43,0.1207,7411.0,39
CDM,63700032,"niacin ER 750 mg tablet,extended release 24 hr",5.445,3.2649999999999997,0.2074,7411.0,78
CDM,63700032,nintedanib 150 mg capsule,438.22,262.93,74.5,7411.0,39
CDM,63700032,nitazoxanide 500 mg tablet,260.68,156.41,19.99,7411.0,117
CDM,63700032,nitrofurantoin macrocrystal 50 mg capsule,4.09,2.45,0.6953,7411.0,39
CDM,63700032,nitrofurantoin monohydrate/macrocrystals 100 mg capsule,5.63,3.38,0.3009,7411.0,117
CDM,63700032,nitroglycerin 0.1 mg/hr transdermal 24 hour patch,1.76,1.06,0.2992,7411.0,39
CDM,63700032,nitroglycerin 0.2 mg/hr transdermal 24 hour patch,1.41,0.85,0.2397,7411.0,39
CDM,63700032,nitroglycerin 0.3 mg/hr transdermal 24 hour patch,11.12,6.67,1.89,7411.0,39
CDM,63700032,nitroglycerin 0.4 mg sublingual tablet,1.99,1.195,0.1275,7411.0,78
CDM,63700032,nitroglycerin 0.4 mg/hr transdermal 24 hour patch,1.63,0.98,0.2771,7411.0,78
CDM,63700032,nitroglycerin 0.6 mg/hr transdermal 24 hour patch,1.98,1.185,0.3213,7411.0,117
CDM,63700032,nitroglycerin 2 % transdermal ointment,4.84,2.9,0.8228,7411.0,39
CDM,63700032,nitroglycerin 400 mcg/spray translingual,374.12,224.47,63.6,7411.0,39
CDM,63700032,"nitroglycerin ER 2.5 mg capsule,extended release",0.59,0.35,0.1003,7411.0,39
CDM,63700032,"nitroglycerin ER 6.5 mg capsule,extended release",0.69,0.41,0.1173,7411.0,39
CDM,63700032,"nystatin 100,000 unit/gram topical cream",22.71,13.625,2.96,7411.0,78
CDM,63700032,"nystatin 100,000 unit/gram topical ointment",27.99,16.79,4.76,7411.0,39
CDM,63700032,"nystatin 100,000 unit/gram topical powder",42.66,25.6,2.38,7411.0,156
CDM,63700032,"nystatin 100,000 unit/mL oral suspension",63.88,38.33,0.442,7411.0,195
CDM,63700032,"nystatin 500,000 unit tablet",2.51,1.51,0.4267,7411.0,39
CDM,63700032,"nystatin-triamcinolone 100,000 unit/g-0.1 % topical cream",41.91,25.15,7.12,7411.0,78
CDM,63700032,"nystatin-triamcinolone 100,000 unit/gram-0.1 % topical ointment",31.2,18.72,5.3,7411.0,39
CDM,63700032,ofloxacin 0.3 % ear drops,193.57,116.14,22.1,7411.0,78
CDM,63700032,ofloxacin 0.3 % eye drops,59.28,35.57,6.95,7411.0,78
CDM,63700032,"omega-3 fatty acids-fish oil 360 mg-1,200 mg capsule",0.135,0.085,0.017,7411.0,195
CDM,63700032,oseltamivir 30 mg capsule,28.37,17.02,4.82,7411.0,39
CDM,63700032,oseltamivir 45 mg capsule,28.37,17.02,4.82,7411.0,39
CDM,63700032,oseltamivir 6 mg/mL oral suspension,201.02,120.61,10.29,7411.0,117
CDM,63700032,oseltamivir 75 mg capsule,30.88,18.53,5.25,7411.0,39
CDM,63700032,penicillin V potassium 125 mg/5 mL oral solution,16.5,9.9,2.81,7411.0,39
CDM,63700032,penicillin V potassium 250 mg/5 mL oral solution,18.3,10.98,3.11,7411.0,39
CDM,63700032,penicillin V potassium 500 mg tablet,1.15,0.69,0.1717,7411.0,117
CDM,63700032,pentosan polysulfate sodium 100 mg capsule,22.6,13.56,3.84,7411.0,39
CDM,63700032,"pentoxifylline ER 400 mg tablet,extended release",2.62,1.57,0.4454,7411.0,39
CDM,63700032,peppermint spirit oral,15.78,9.47,2.68,7411.0,39
CDM,63700032,permethrin 1 % topical liquid,17.82,10.69,3.03,7411.0,39
CDM,63700032,permethrin 5 % topical cream,198.0,118.8,33.66,7411.0,39
CDM,63700032,pirfenidone 267 mg tablet,20.35,12.21,3.46,7411.0,39
CDM,63700032,"polymyxin B sulfate 10,000 unit-trimethoprim 1 mg/mL eye drops",21.5,12.9,3.65,7411.0,39
CDM,63700032,polysaccharide iron complex 150 mg iron capsule,2.25,1.35,0.3825,7411.0,78
CDM,63700032,"posaconazole 100 mg tablet,delayed release",32.83,19.7,2.63,7411.0,117
CDM,63700032,povidone-iodine 5 % eye solution,34.14,20.48,5.8,7411.0,39
CDM,63700032,prasugrel HCl 10 mg tablet,3.65,2.19,0.561,7411.0,234
CDM,63700032,prasugrel HCl 5 mg tablet,18.125,10.875,0.6205,7411.0,117
CDM,63700032,pravastatin 10 mg tablet,0.79,0.47,0.1343,7411.0,39
CDM,63700032,pravastatin 20 mg tablet,0.525,0.315,0.0476,7411.0,195
CDM,63700032,praziquantel 600 mg tablet,166.58,99.95,28.32,7411.0,39
CDM,63700032,prazosin 1 mg capsule,1.94,1.165,0.1462,7411.0,78
CDM,63700032,prazosin 2 mg capsule,3.975,2.385,0.6358,7411.0,78
CDM,63700032,prazosin 5 mg capsule,7.18,4.31,1.22,7411.0,39
CDM,63700032,primaquine 26.3 mg (15 mg base) tablet,4.59,2.75,0.7803,7411.0,39
CDM,63700032,propafenone 150 mg tablet,0.77,0.46,0.0799,7411.0,117
CDM,63700032,propafenone 225 mg tablet,0.91,0.55,0.1309,7411.0,156
CDM,63700032,propranolol 10 mg tablet,0.47,0.28,0.0544,7411.0,195
CDM,63700032,propranolol 20 mg tablet,0.41,0.25,0.068,7411.0,195
CDM,63700032,propranolol 20 mg/5 mL (4 mg/mL) oral solution,97.0,58.2,16.49,7411.0,39
CDM,63700032,propranolol 40 mg tablet,0.51,0.31,0.0867,7411.0,117
CDM,63700032,"propranolol ER 160 mg capsule,24 hr,extended release",2.07,1.24,0.3519,7411.0,39
CDM,63700032,"propranolol ER 60 mg capsule,24 hr,extended release",1.09,0.65,0.0697,7411.0,156
CDM,63700032,"propranolol ER 80 mg capsule,24 hr,extended release",0.865,0.52,0.0765,7411.0,78
CDM,63700032,pyrazinamide 500 mg tablet,10.125,6.075,1.59,7411.0,78
CDM,63700032,pyrimethamine (bulk) powder,741.4,444.84,126.04,7411.0,39
CDM,63700032,quiNIDine sulfate 200 mg tablet,0.49,0.29,0.0833,7411.0,39
CDM,63700032,quiNINE 324 mg capsule,11.82,7.09,2.01,7411.0,39
CDM,63700032,raltegravir 400 mg tablet,67.06,40.24,11.4,7411.0,39
CDM,63700032,ramipril 1.25 mg capsule,0.16,0.1,0.0272,7411.0,39
CDM,63700032,ramipril 10 mg capsule,0.42,0.25,0.0714,7411.0,39
CDM,63700032,ramipril 2.5 mg capsule,0.38,0.23,0.0646,7411.0,39
CDM,63700032,ramipril 5 mg capsule,0.5449999999999999,0.32499999999999996,0.068,7411.0,78
CDM,63700032,"ranolazine ER 500 mg tablet,extended release,12 hr",1.33,0.8,0.0986,7411.0,195
CDM,63700032,ribavirin 200 mg capsule,3.17,1.9,0.5389,7411.0,39
CDM,63700032,rifAMPin 150 mg capsule,2.48,1.49,0.4199,7411.0,117
CDM,63700032,rifAMPin 300 mg capsule,3.0149999999999997,1.81,0.4556,7411.0,156
CDM,63700032,rifAXIMin 200 mg tablet,21.68,13.01,3.69,7411.0,39
CDM,63700032,rifAXIMin 550 mg tablet,109.41,65.65,18.6,7411.0,78
CDM,63700032,rifabutin 150 mg capsule,33.949999999999996,20.369999999999997,4.84,7411.0,78
CDM,63700032,rilpivirine HCl 25 mg tablet,99.39,59.63,16.9,7411.0,39
CDM,63700032,ritonavir 100 mg oral powder packet,17.64,10.58,3.0,7411.0,39
CDM,63700032,rivaroxaban 10 mg tablet,39.97,23.98,6.79,7411.0,117
CDM,63700032,rivaroxaban 15 mg tablet,39.97,23.98,6.79,7411.0,156
CDM,63700032,rivaroxaban 2.5 mg tablet,20.99,12.59,3.57,7411.0,78
CDM,63700032,rivaroxaban 20 mg tablet,39.97,23.98,6.79,7411.0,39
CDM,63700032,rosuvastatin 10 mg tablet,0.27,0.16,0.0221,7411.0,312
CDM,63700032,rosuvastatin 5 mg tablet,1.28,0.77,0.0646,7411.0,156
CDM,63700032,sacubitril 24 mg-valsartan 26 mg tablet,22.93,13.76,3.9,7411.0,39
CDM,63700032,sacubitril 49 mg-valsartan 51 mg tablet,22.93,13.76,3.9,7411.0,39
CDM,63700032,sacubitril 97 mg-valsartan 103 mg tablet,22.93,13.76,3.9,7411.0,39
CDM,63700032,sildenafil (pulmonary hypertension) 20 mg tablet,1.03,0.62,0.034,7411.0,234
CDM,63700032,sildenafil 50 mg tablet,3.3,1.98,0.0901,7411.0,156
CDM,63700032,"sodium chloride 1,000 mg soluble tablet",0.305,0.185,0.0272,7411.0,117
CDM,63700032,sofosbuvir 400 mg-velpatasvir 100 mg tablet,571.93,343.16,97.23,7411.0,39
CDM,63700032,sorbitol-mannitol-xanthan gum oral liquid,16.0,9.6,2.72,7411.0,39
CDM,63700032,sotalol 160 mg tablet,0.63,0.38,0.0527,7411.0,78
CDM,63700032,sotalol 80 mg tablet,0.56,0.34,0.0306,7411.0,117
CDM,63700032,spironolactone 100 mg tablet,1.52,0.915,0.1547,7411.0,78
CDM,63700032,spironolactone 25 mg tablet,0.355,0.21500000000000002,0.0425,7411.0,156
CDM,63700032,spironolactone 25 mg/5 mL oral suspension,788.24,472.94,134.0,7411.0,39
CDM,63700032,sterile talc 4 gram intrapleural aerosol powder,252.0,151.2,42.84,7411.0,39
CDM,63700032,sulfADIAZINE 500 mg tablet,20.57,12.344999999999999,1.46,7411.0,78
CDM,63700032,sulfaSALAzine 500 mg tablet,2.305,1.38,0.1479,7411.0,273
CDM,63700032,sulfacetamide sodium 10 % eye drops,93.27000000000001,55.96,15.14,7411.0,78
CDM,63700032,sulfamethoxazole 200 mg-trimethoprim 40 mg/5 mL oral suspension,179.29,107.57,30.48,7411.0,39
CDM,63700032,sulfamethoxazole 400 mg-trimethoprim 80 mg tablet,0.87,0.52,0.1479,7411.0,78
CDM,63700032,sulfamethoxazole 800 mg-trimethoprim 160 mg tablet,0.9,0.54,0.1071,7411.0,117
CDM,63700032,tadalafil 20 mg tablet,2.635,1.58,0.306,7411.0,156
CDM,63700032,tadalafil 5 mg tablet,10.445,6.265,0.2839,7411.0,78
CDM,63700032,tamoxifen 10 mg tablet,5.859999999999999,3.52,0.9792,7411.0,78
CDM,63700032,tecovirimat 10 mg/mL intravenous solution,4.0,2.4,0.68,7411.0,78
CDM,63700032,telmisartan 40 mg tablet,5.745,3.4450000000000003,0.3638,7411.0,78
CDM,63700032,telmisartan 80 mg tablet,1.905,1.1400000000000001,0.187,7411.0,156
CDM,63700032,tenofovir disoproxil fumarate 300 mg tablet,42.81999999999999,25.689999999999998,0.2669,7411.0,78
CDM,63700032,terazosin 1 mg capsule,0.36,0.22,0.051,7411.0,117
CDM,63700032,terazosin 2 mg capsule,0.36,0.22,0.0612,7411.0,39
CDM,63700032,terazosin 5 mg capsule,0.36,0.22,0.051,7411.0,117
CDM,63700032,terbinafine HCl 250 mg tablet,0.9199999999999999,0.55,0.1428,7411.0,117
CDM,63700032,tetracycline 250 mg capsule,2.255,1.35,0.2618,7411.0,78
CDM,63700032,thioguanine 40 mg tablet,55.55,33.33,9.44,7411.0,39
CDM,63700032,ticagrelor 60 mg tablet,17.04,10.22,2.9,7411.0,39
CDM,63700032,ticagrelor 90 mg tablet,17.04,10.22,2.9,7411.0,78
CDM,63700032,"tobramycin (bulk) 900 mcg/mg(not less than,USP) powder",390.5,234.3,66.39,7411.0,39
CDM,63700032,tobramycin 0.3 % eye drops,23.4,14.04,3.96,7411.0,78
CDM,63700032,"tobramycin 0.3 %-dexamethasone 0.1 % eye drops,suspension",202.8,121.68,34.48,7411.0,39
CDM,63700032,tobramycin-dexamethasone 0.3 %-0.1 % eye ointment,456.42,273.85,77.59,7411.0,39
CDM,63700032,tranexamic acid 650 mg tablet,9.01,5.405,1.25,7411.0,78
CDM,63700032,"treprostinil diolamine ER 0.25 mg tablet,extended release",27.775,16.665,4.72,7411.0,78
CDM,63700032,tretinoin (antineoplastic) 10 mg capsule,60.05,36.03,9.99,7411.0,195
CDM,63700032,trifluridine 1 % eye drops,392.03,235.22,66.65,7411.0,39
CDM,63700032,trimethoprim 100 mg tablet,2.6700000000000004,1.605,0.1887,7411.0,117
CDM,63700032,valACYclovir 500 mg tablet,4.755,2.8550000000000004,0.2176,7411.0,78
CDM,63700032,valGANciclovir 450 mg tablet,10.5,6.3,1.43,7411.0,117
CDM,63700032,valGANciclovir 50 mg/mL oral solution,1590.48,954.29,268.68,7411.0,117
CDM,63700032,valsartan 160 mg tablet,1.58,0.9450000000000001,0.1411,7411.0,156
CDM,63700032,valsartan 40 mg tablet,0.53,0.405,0.0697,7411.0,312
CDM,63700032,valsartan 80 mg tablet,0.67,0.4,0.0816,7411.0,195
CDM,63700032,vancomycin 125 mg capsule,5.5,3.3,0.765,7411.0,117
CDM,63700032,vancomycin 25 mg/mL oral solution,5.805,3.4850000000000003,0.9384,7411.0,156
CDM,63700032,venetoclax 100 mg tablet,261.98,157.19,44.53,7411.0,156
CDM,63700032,venetoclax 50 mg tablet,133.5,80.1,22.7,7411.0,78
CDM,63700032,verapamil 120 mg tablet,0.18,0.11,0.0306,7411.0,78
CDM,63700032,verapamil 40 mg tablet,0.31,0.19,0.0527,7411.0,78
CDM,63700032,verapamil 80 mg tablet,0.195,0.12000000000000001,0.0272,7411.0,78
CDM,63700032,"verapamil ER (SR) 120 mg tablet,extended release",2.53,1.52,0.204,7411.0,78
CDM,63700032,"verapamil ER (SR) 180 mg tablet,extended release",2.4000000000000004,1.4400000000000002,0.1105,7411.0,78
CDM,63700032,"verapamil ER (SR) 240 mg tablet,extended release",2.42,1.45,0.1054,7411.0,78
CDM,63700032,voriconazole 200 mg tablet,15.5,9.3,2.63,7411.0,78
CDM,63700032,voriconazole 50 mg tablet,4.155,2.495,0.5916,7411.0,78
CDM,63700032,warfarin 1 mg tablet,2.59,1.5499999999999998,0.4148,7411.0,117
CDM,63700032,warfarin 10 mg tablet,3.22,1.93,0.4641,7411.0,117
CDM,63700032,warfarin 2 mg tablet,2.76,1.66,0.4182,7411.0,117
CDM,63700032,warfarin 2.5 mg tablet,2.71,1.625,0.4199,7411.0,156
CDM,63700032,warfarin 5 mg tablet,2.82,1.69,0.4216,7411.0,156
CDM,63700032,warfarin 7.5 mg tablet,8.17,4.9,1.39,7411.0,39
CDM,63700032,zidovudine 10 mg/mL oral syrup,72.5,43.5,12.32,7411.0,39
CDM,63700032,zidovudine 100 mg capsule,3.53,2.12,0.6001,7411.0,39
CDM,63700039,fidaxomicin 200 mg tablet,498.58,299.15,84.76,7411.0,39
CDM,63700039,niCARdipine 20 mg capsule,6.67,4.0,1.13,7411.0,39
CDM,63700039,niCARdipine 30 mg capsule,5.11,3.07,0.8687,7411.0,39
CDM,63700039,niMODipine 30 mg capsule,27.13,16.28,4.61,7411.0,78
CDM,63700039,posaconazole 200 mg/5 mL (40 mg/mL) oral suspension,2879.6,1727.76,489.53,7411.0,39
CDM,63700039,ritonavir 100 mg tablet,11.17,6.7,0.9911,7411.0,117
CDM,63700052,barium sulfate 2 % (w/v) oral suspension,9.0,5.4,1.38,7411.0,78
CDM,63700052,"barium sulfate 40 % (w/v), 30% (w/w) oral paste",100.74,60.44,17.13,7411.0,39
CDM,63700052,barium sulfate 60 % oral cream,217.92,130.75,37.05,7411.0,39
CDM,63700052,barium sulfate 700 mg tablet,4.63,2.78,0.7871,7411.0,39
CDM,63700052,barium sulfate 98 % oral powder for suspension,12.03,7.22,2.05,7411.0,39
CDM,63700052,fluorescein 1 mg eye strips,0.42,0.25,0.0714,7411.0,39
CDM,68100001,HC LVL 1 HOSP-TRAUMA ACT LVL 1,13378.27,8026.96,1272.03,10033.7,65
CDM,68100002,HC LVL 1 HOSP-TRAUMA ACT LVL 2,10601.64,6360.98,1272.03,7951.23,65
CDM,68100005,HC LVL 1 HOSP-TRAUMA ACT CONSULT/EVAL,7881.09,4728.65,1272.03,7543.0,65
CDM,68100006,HC LVL 1 HOSP-TRAUMA ACT LVL 1 (W/O CRITCARE),13378.27,8026.96,2274.31,11371.53,49
CDM,68100007,HC LVL 1 HOSP-TRAUMA ACT LVL 2 (W/O CRITCARE),10601.64,6360.98,1802.28,9011.39,49
CDM,68100008,HC LVL 1 HOSP-TRAUMA ACT CONSULT/EVAL (W/O CRITCARE),7881.09,4728.65,1339.79,7543.0,49
CDM,68200001,HC LVL 2 HOSP-TRAUMA ACT LVL 1,10702.62,6421.57,1272.03,8026.97,62
CDM,68200002,HC LVL 2 HOSP-TRAUMA ACT LVL 2,8481.31,5088.79,1272.03,7543.0,62
CDM,68200004,HC LVL 2 HOSP-TRAUMA ACT LVL 4,334.46,200.68,56.86,7543.0,46
CDM,68200007,HC LVL 2 HOSP-TRAUMA ACT CONSULT/EVAL,6304.87,3782.92,1071.83,7543.0,62
CDM,68200008,HC LVL 2 HOSP-TRAUMA ACT LVL 1 (W/O CRITCARE),10702.62,6421.57,1819.45,9097.23,46
CDM,68200009,HC LVL 2 HOSP-TRAUMA ACT LVL 2 (W/O CRITCARE),8481.31,5088.79,1441.82,7543.0,46
CDM,68200010,HC LVL 2 HOSP-TRAUMA ACT CONSULT/EVAL (W/O CRITCARE),6304.87,3782.92,1071.83,7543.0,46
CDM,68300001,HC LVL 3 HOSP-TRAUMA ACT LVL 1,8562.09,5137.25,1272.03,7543.0,62
CDM,68300002,HC LVL 3 HOSP-TRAUMA ACT LVL 2,6785.05,4071.03,1153.46,7543.0,62
CDM,68300008,HC LVL 3 HOSP-TRAUMA ACT CONSULT/EVAL,5043.9,3026.34,857.46,7543.0,62
CDM,68300010,HC LVL 3 HOSP-TRAUMA ACT LVL 1 (W/O CRITCARE),8562.09,5137.25,1455.56,7543.0,46
CDM,68300011,HC LVL 3 HOSP-TRAUMA ACT LVL 2 (W/O CRITCARE),6785.05,4071.03,1153.46,7543.0,46
CDM,68300012,HC LVL 3 HOSP-TRAUMA ACT CONSULT/EVAL (W/O CRITCARE),5043.9,3026.34,857.46,7543.0,46
CDM,68400001,HC LVL 4 HOSP-TRAUMA ACT LVL 1 FULL,1277.26,766.36,217.13,7543.0,62
CDM,68400002,HC LVL 4 HOSP-TRAUMA ACT LVL 1 PARTIAL,985.71,591.43,167.57,7543.0,62
CDM,68400004,HC LVL 4 HOSP-TRAUMA ACT LVL 1 FULL (W/O CRITCARE),1277.26,766.36,217.13,7543.0,46
CDM,68400005,HC LVL 4 HOSP-TRAUMA ACT LVL 1 PARTIAL (W/O CRITCARE),985.71,591.43,167.57,7543.0,46
CDM,70000001,HC PANTALOOM GPL2,238.3,142.98,40.51,7411.0,39
CDM,70000002,HC PANTALOOM GPL4,238.3,142.98,40.51,7411.0,39
CDM,70000003,HC PANTALOOM GPL6,300.34,180.2,51.06,7411.0,39
CDM,70000004,HC PANTALOOM GPL8,300.34,180.2,51.06,7411.0,39
CDM,70000005,"HC ARM SPLINT, LIGHTCAST",220.06,132.04,37.41,7411.0,39
CDM,70000006,HC CAST OR TRACTION SERVICE,69.7,41.82,11.85,7411.0,39
CDM,70000007,"HC CAST PLSTR RL,SPLINT-I",457.05,274.23,77.7,7411.0,39
CDM,70000008,HC WADDING / ROLL,8.56,5.14,1.46,7411.0,39
CDM,70000009,"HC ARM CAST,PLASTER,LONG",519.12,311.47,88.25,7411.0,39
CDM,70000010,"HC ARM SPLINT,PLASTER,LONG",383.0,229.8,65.11,7411.0,39
CDM,70000011,"HC LEG CAST,PLASTER,SHORT",299.0,179.4,50.83,7411.0,39
CDM,70000012,HC CAST BOOT,65.75,39.45,11.18,7411.0,39
CDM,70000013,"HC ARM CAST,PLASTER,SHORT",457.05,274.23,77.7,7411.0,39
CDM,70000014,"HC CAST,LONG-LEG-ADULT",592.13,355.28,100.66,7411.0,39
CDM,70000015,"HC LEG SPLINT,PLASTER,SHORT",118.34,71.0,20.12,7411.0,39
CDM,70000016,HC HIP SPICA CHILD SNGL,266.22,159.73,45.26,7411.0,39
CDM,70000017,HC HIP SPICA CHILD DBL,280.5,168.3,47.69,7411.0,39
CDM,70000018,"HC THUMB SPICA CAST,",124.15,74.49,21.11,7411.0,39
CDM,70000019,"HC ARM SPLINT,PLASTER,SHORT",361.07,216.64,61.38,7411.0,39
CDM,70000020,"HC ARM CAST,LIGHTCAST,SHORT",457.05,274.23,77.7,7411.0,39
CDM,70000021,"HC ARM CAST,LIGHTCAST,LONG",519.12,311.47,88.25,7411.0,39
CDM,70000022,"HC HIP SPICA,SINGLE",144.17,86.5,24.51,7411.0,39
CDM,70000023,"HC HIP SPICA,DBL.(PLASTER)",193.41,116.05,32.88,7411.0,39
CDM,70000024,"HC HIP SPICA,SINGLE LIGHT",786.51,471.91,133.71,7411.0,39
CDM,70000025,"HC HIP SPICA,DOUBLE LIGHT",982.07,589.24,166.95,7411.0,39
CDM,70000026,"HC LEG SPLINT.PLASTER,LONG",121.59,72.95,20.67,7411.0,39
CDM,70000027,HC LIGHTCAST TAPE 2 IN EA.,24.98,14.99,4.25,7411.0,39
CDM,70000028,HC LIGHTCAST TAPE 3 IN EA.,30.68,18.41,5.22,7411.0,39
CDM,70000029,HC LIGHTCAST TAPE 4 IN EA.,38.54,23.12,6.55,7411.0,39
CDM,70000030,HC LIGHTCAST TAPE 6 IN EA.,47.11,28.27,8.01,7411.0,39
CDM,70000031,HC LIGHTCAST WEB 2-3 WRAP E,24.98,14.99,4.25,7411.0,39
CDM,70000032,HC ORTHO. STOCKINETT /FT.,4.92,2.95,0.8364,7411.0,39
CDM,70000033,"HC LEG CAST,P.T.B.,PLASTER",166.18,99.71,28.25,7411.0,39
CDM,70000034,"HC LEG CAST,LIGHTCAST,SHORT",299.0,179.4,50.83,7411.0,39
CDM,70000035,"HC LEG CAST,LIGHTCAST,LONG",440.87,264.52,74.95,7411.0,39
CDM,70000036,"HC LIGHTCAST,CYLINDER,LIGHT",339.0,203.4,57.63,7411.0,39
CDM,70000037,"HC LEG CAST W/KNEE BRACE,",463.63,278.18,78.82,7411.0,39
CDM,70000038,HC TRIM/REMOVE CAST,211.09,126.65,35.89,7411.0,39
CDM,70000039,HC LEG CAST WITH HINGES,853.51,512.11,145.1,7411.0,39
CDM,70000040,HC LEG CAST P.T.B. SYNTHETIC,261.8,157.08,44.51,7411.0,39
CDM,70000041,HC LEG SPLINT SYNTHETIC LONG,284.99,170.99,48.45,7411.0,39
CDM,70000042,HC LEG SPLINT SYNTHETIC SHOR,241.43,144.86,41.04,7411.0,39
CDM,71000001,HC RECOVERY ROOM 0 - 60 MINUTES,2164.1,1298.46,367.9,7411.0,39
CDM,71000074,HC RECOVERY ROOM OB EACH ADDL 30 MIN,147.17,88.3,25.02,7411.0,39
CDM,71000077,HC RECOVERY ROOM OB INITIAL 0-60 MIN,2164.1,1298.46,367.9,7411.0,39
CDM,71000079,HC RECOVERY ROOM EA ADDL 30 MIN,147.17,88.3,25.02,7411.0,39
CDM,72000002,HC CARDIOPULMONARY RESUSC - DELIVERY RM,1522.15,913.29,258.77,7411.0,55
CDM,72200016,HC VAG DELIVERY NORMAL ACUITY,6169.92,3701.95,1048.89,7411.0,39
CDM,72200017,HC VAG DELIVERY HIGH ACUITY,8349.44,5009.66,1419.4,7411.0,39
CDM,72200018,HC INDUCED AB BY VAG SUPPOS,3329.99,1997.99,566.1,7411.0,39
CDM,72200019,HC VAGINAL DELIVERY,5334.16,3200.5,906.81,7411.0,39
CDM,73000001,HC ECG ROUTINE TRACING ONLY,453.2,271.92,56.3,7411.0,55
CDM,73000002,HC ECG RHYTHM 1-3 LEADS W/I&R,242.1,145.26,41.16,7411.0,55
CDM,73000005,HC ECG - RTNE W/INTERP & REPAIRT - INIT,137.08,82.25,23.3,7411.0,55
CDM,73000008,HC ELECTROCARDIOGRAPHY - SIGNAL-AVE,621.86,373.12,31.74,7411.0,55
CDM,73100001,HC ECG MONITORING/48 HRS/W/SUPERIMPOSITION SC,997.07,598.24,126.97,7411.0,55
CDM,73100002,HC ECG MONITOR/48 HRS/W/SUPERIMPOS./SCAN W/RE,1273.2,763.92,56.3,7411.0,55
CDM,73100005,HC EXT ECG RECORD >48HRS - RECORDING,850.34,510.2,144.56,7411.0,39
CDM,73100007,HC EXTERNAL ECG REC>48HR<7D RECORDING,867.86,520.72,35.64,7411.0,55
CDM,73100009,HC EXTERNAL ECG REC>7D<15D RECORDING,867.86,520.72,35.64,7411.0,55
CDM,74000004,HC EEG EXT 41-60 MINUTES,1991.8,1195.08,206.06,7411.0,55
CDM,74000005,"HC EEG EXT, 61-119 MIN (1-2 HR)",2438.8,1463.28,206.06,7411.0,55
CDM,74000006,HC EEG AWAKE & DROWSY,1713.13,1027.88,206.06,7411.0,55
CDM,74000007,HC EEG STANDARD (AWAKE/ASLEEP),1717.11,1030.27,206.06,7411.0,55
CDM,74000008,HC EEG COMA/SLEEP/DURING SURGERY,2032.35,1219.41,206.06,7411.0,55
CDM,74000009,HC EEG EVALUATE CEREBRAL SILENCE,1616.78,970.07,125.01,7411.0,55
CDM,74000015,HC EEG REQUIRING PHYSICIAN FOR AED,1349.76,809.86,229.46,7411.0,55
CDM,74000016,HC DIGITAL ANALYSIS,1241.17,744.7,211.0,7411.0,39
CDM,74000017,HC WADA ACTIVITY TEST - HEMISPERIC,2952.89,1771.73,501.99,7411.0,55
CDM,74000021,"HC ORBICULARIS OCULI REFLEX, ELEC",466.95,280.17,56.3,7411.0,55
CDM,74000025,HC ELECTROCORTICOGRAPHY,1959.51,1175.71,333.12,10268.47,39
CDM,74000026,HC EEG NONINTRACRAINAL,1489.84,893.9,253.27,7411.0,39
CDM,74000027,"HC RADIOPHRMCTCL LCLZTN OF TUMR SPECT W/CT, 1 AREA",5010.65,3006.39,436.04,7411.0,55
CDM,74000028,"HC RADIOPHRMCTCL LCLZTN OF TUMR SPECT, 2 AREAS",4552.43,2731.46,652.23,7411.0,55
CDM,74000029,"HC RADIOPHRMCTCL LCLZTN OF TUMR SPECT W/CT, 2 AREAS",6358.14,3814.88,823.96,7411.0,55
CDM,74000030,HC CONT EEG SETUP,896.76,538.06,152.45,7411.0,55
CDM,74000031,HC EEG W/O VIDEO 2-12HR UNMONITORED,2319.29,1391.57,206.06,7411.0,55
CDM,74000032,HC EEG W/O VIDEO 2-12HR INTMT.MONT(Q2),2081.69,1249.01,206.06,7411.0,55
CDM,74000033,HC EEG W/O VIDEO 2-12HR CONT.MONT,3777.87,2266.72,206.06,7411.0,55
CDM,74000034,HC EEG W/O VIDEO 12-26HR UNMONITORED,4234.63,2540.78,356.12,7411.0,55
CDM,74000035,HC EEG W/O VIDEO 12-26HR INTMT.MONT(Q2),7579.06,4547.44,356.12,7411.0,55
CDM,74000036,HC EEG W/O VIDEO 12-26HR CONT.MONT,7441.26,4464.76,356.12,7411.0,55
CDM,74000037,HC VEEG 2-12HRS UNMONITORED,3149.9,1889.94,206.06,7411.0,55
CDM,74000038,HC VEEG 2-12HRS INTMT.MONT.(Q2),3896.83,2338.1,356.12,7411.0,55
CDM,74000039,HC VEEG 2-12HRS CONT.MONT.,3113.57,1868.14,356.12,7411.0,55
CDM,74000040,HC VEEG 12-26HRS UNMONITORED,4710.55,2826.33,356.12,7411.0,55
CDM,74000041,HC VEEG 12-26HRS INTMT.MONT.(Q2),6525.92,3915.55,356.12,7411.0,55
CDM,74000042,HC VEEG 12-26HRS CONT.MONT.,7020.29,4212.17,819.52,7411.0,55
CDM,74000048,HC ELECTROCORTICOGRAM SURGERY SPX,2767.54,1660.52,470.48,10268.47,39
CDM,74000049,HC ECOG IMPLANTED BRAIN NPGT W/REC I&R <30 DAYS,375.47,225.28,35.62,7411.0,55
CDM,75000041,HC ENDOSCOPIC PANCREAT,5223.33,3134.0,887.97,12700.0,32
CDM,75000043,HC INSERT NASO/ORO GI TUBE,706.27,423.76,111.0,7411.0,53
CDM,75000046,HC REPOSITION GASTRO TU,2152.7,1291.62,110.15,7411.0,53
CDM,75000047,HC PLACE GASTRO TUBE,8180.82,4908.49,1390.74,8280.0,53
CDM,75000064,HC INS NASO-INTESTINAL TUBE,1726.66,1036.0,334.95,7411.0,53
CDM,75000065,HC BIOPSY OF RECTUM,3144.02,1886.41,939.93,8368.72,53
CDM,75000093,HC INCISE RECTAL ABSCES,5446.16,3267.7,429.26,7411.0,53
CDM,75000094,HC INCISE ANAL ABSSCESS,2616.36,1569.82,328.5,7411.0,53
CDM,75000098,HC LIGATION HEMORRHOIDS,424.33,254.6,152.76,7411.0,53
CDM,75000099,HC REMOVE CLOT HEMORRHO,4976.65,2985.99,125.69,7411.0,53
CDM,75000113,HC NEEDLE BIOPSY LIVER,3698.8,2219.28,486.45,7411.0,53
CDM,75000115,HC PERCUT ABLATE LIVER,13615.33,8169.2,1888.85,17256.34,53
CDM,75000116,HC LIVER SURGERY PROCED,4616.81,2770.09,675.79,8280.0,51
CDM,75000127,HC BILE TRACT SURGERY (GI),4140.91,2484.55,865.56,8280.0,51
CDM,75000128,"HC NEEDLE BIOPSY, PANCREAS",3621.78,2173.07,486.45,7411.0,53
CDM,75000130,"HC BIOPSY, ABDM MASS",3202.69,1921.61,486.45,7411.0,53
CDM,75000131,HC REMOVE PERM CANNULA,7383.35,4430.01,1118.22,9893.47,53
CDM,75000132,HC EXCHANGE DRAIN CATH,3761.34,2256.8,564.97,8280.0,53
CDM,75000133,"HC ASSESS CYST, CONTRAS",1164.12,698.47,197.9,7411.0,32
CDM,75000134,HC ESOPHAGEAL MOTILITY STUDY,2095.29,1257.17,356.12,7411.0,53
CDM,75000136,"HC ESOPHAGUS,GI REFLUX TST - W/NASL PLACMNT",2322.55,1393.53,356.12,7411.0,53
CDM,75000137,"HC ESOPHAGUS, GI REFLUX TST - BRAVO PH CAPSULE",3144.52,1886.71,534.57,7411.0,53
CDM,75000138,"HC ESOPHAGEAL FUNCTION TST,GI REF",1333.7,800.22,206.06,7411.0,53
CDM,75000139,"HC ESOPHAGEAL FUNCTION TST,GI REF - PROLONGED",2572.74,1543.64,356.12,7411.0,53
CDM,75000140,HC BREATH HYDROGEN TEST,913.65,548.19,155.32,7411.0,53
CDM,75000141,HC PILL CAM ENDOSCOPY ESOPHAGUS THRU ILEUM,4031.53,2418.92,732.9,7411.0,53
CDM,75000142,HC ANORECTAL MANOMETRY,2353.05,1411.83,400.02,7411.0,38
CDM,75000144,HC COLONOSCOPY SCRN HI RISK,3776.04,2265.62,328.5,7411.0,53
CDM,75000146,HC INSERT DOBHOFF GI TUBE,318.65,191.19,54.17,7411.0,37
CDM,75000164,HC DILATE ESOPHAGUS,2473.61,1484.17,334.95,7411.0,53
CDM,75000165,HC DILATE ESOPHAGUS,2735.83,1641.5,564.97,7411.0,53
CDM,75000180,HC STOMACH SURGERY PROC,2498.5,1499.1,624.62,8280.0,51
CDM,75000183,"HC LAP, JEJUNOSTOMY",9497.46,5698.48,1614.57,17256.34,53
CDM,75000200,HC DRAIN PELVIC ABSCESS,2690.75,1614.45,429.26,7411.0,53
CDM,75000212,HC SURGICAL COLONOSCOPY,2615.17,1569.1,653.79,8674.0,51
CDM,75000219,HC REDUCE RECTAL PROLAP,1782.78,1069.67,328.5,7411.0,53
CDM,75000232,HC REPR OF ANAL FISTULA,4855.94,2913.56,939.93,8368.72,53
CDM,75000248,HC LAP.CHOLECYSTECTOMY,11063.32,6637.99,1888.85,25500.18,53
CDM,75000254,HC INSRT ABD CATHCHEMO,9376.23,5625.74,1804.0,16408.4,53
CDM,75000255,HC INSERT ABDOM DRAIN,7762.44,4657.46,1151.54,11100.34,53
CDM,75000261,HC PREPARATION FECAL MICROBIOTA,1495.78,897.47,254.28,7411.0,53
CDM,75000262,HC ESOPHAGEAL BALLOON DISTENSION,2217.87,1330.72,356.12,7411.0,53
CDM,75000263,"HC RECTAL SENSATION,TONE&COMPLIAN",1085.73,651.44,184.57,7411.0,38
CDM,75000264,HC PILL CAM ENDOSCOPY ESOPHAGUS ONLY,3163.03,1897.82,865.56,7411.0,53
CDM,75000298,"HC INJ FOR CHOLANGIOGRAM, INCLUDES IMAG GUIDANCE AND S&I, EXISTING ACCESS",4029.38,2417.63,684.99,11100.34,53
CDM,75000299,"HC INJ FOR CHOLANGIOGRAM, INCLUDES IMAG GUIDANCE AND S&I, NEW ACCESS",6787.97,4072.78,1153.95,12700.0,53
CDM,75000300,"HC PLACEMENT OF BILIARY DRAINAGE CATH, EXTERNAL",7037.46,4222.48,1151.54,12700.0,53
CDM,75000301,"HC PLACEMENT OF BILIARY DRAINAGE CATH, INTERNAL-EXTERNAL",8316.15,4989.69,1151.54,12700.0,53
CDM,75000302,HC CONVERSION OF EXTERNAL BILIARY DRAINAGE CATH,8161.45,4896.87,1151.54,12700.0,53
CDM,75000303,HC EXCHANGE OF BILIARY DRAINAGE CATH,7130.94,4278.56,1151.54,12700.0,53
CDM,75000304,"HC PLCMT STENT BILE DUCT, PERC, EA STENT, EXISTING ACCESS",13608.0,8164.8,2858.51,17256.34,53
CDM,75000305,"HC PLCMT STENT BILE DUCT, PERC, EA STENT, NEW ACCESS, W/O BILIARY CATH",10141.96,6085.18,2559.08,17256.34,53
CDM,75000306,"HC PLCMT STENT BILE DUCT, PERC, EA STENT, NEW ACCESS, W/ BILIARY CATH",11804.99,7082.99,2787.88,17256.34,53
CDM,75000307,HC REMOVAL OF CALCULI/DEBRIS FROM BILI DUCTS/GALLBLADDER,3316.09,1989.65,563.74,7411.0,32
CDM,75000322,HC ESOPHAGOSCOPY DILATION,689.77,413.86,117.26,7411.0,37
CDM,75000323,HC ESOPH FB REMOVAL,627.07,376.24,106.6,7411.0,37
CDM,75000324,HC ESOPHAGOSCOPY BANDING,627.07,376.24,106.6,7411.0,37
CDM,75000327,HC EGD BALLOON DILATION,703.8,422.28,119.65,7411.0,37
CDM,75000328,HC POUCHOSCOPY,2563.26,1537.96,435.75,7411.0,37
CDM,75000329,HC POUCHOSCOPY BIOPSY,732.36,439.42,124.5,7411.0,37
CDM,75000330,HC HEMORRHOID BANDING,424.33,254.6,72.14,7411.0,37
CDM,75000331,HC EUS CELIAC PLEXUS BLOCK,637.3,382.38,108.34,7411.0,37
CDM,75000332,HC ERCP CTRL BLEEDING,1818.66,1091.2,309.17,7411.0,37
CDM,75000333,HC FECAL DISIMPACTION,2546.96,1528.18,432.98,7411.0,37
CDM,75000335,HC PLACEMENT DUOD FEED TUBE,689.77,413.86,117.26,7411.0,37
CDM,75000336,HC ILEOSCOPY CTRL BLEEDING,832.17,499.3,141.47,7411.0,37
CDM,75000337,HC ERCP SPY GLASS,5785.57,3471.34,983.55,7411.0,37
CDM,75000338,HC FLEX SIG ENDO MUCOSAL RESECTN,703.8,422.28,119.65,7411.0,37
CDM,75000339,HC COLON ENDO MUCOSAL RESECTION,703.8,422.28,119.65,7411.0,37
CDM,75000341,HC ERCP STENT REMOVE AND EXCHANGE,2130.78,1278.47,362.23,7411.0,37
CDM,75000342,HC GASTROSTOMY TUBE CHANGE,822.9,493.74,139.89,7411.0,37
CDM,75000343,HC BONE MARROW BIOPSY(IES),1260.83,756.5,214.34,7411.0,37
CDM,75000344,HC PH MONITOR CAPSULE PLACEMENT,1546.98,928.19,262.99,7411.0,37
CDM,75000346,HC GASTRIC LAVAGE,272.17,163.3,46.27,7411.0,37
CDM,75000347,HC PLACEMENT N/G TUBE,417.89,250.73,71.04,7411.0,37
CDM,75000348,HC PERCUTANEOUS TRACHEOSTOMY,6585.01,3951.01,1119.45,7411.0,37
CDM,75000349,HC EGD DIL OF GASTRIC OUTLET,703.8,422.28,119.65,7411.0,37
CDM,75000350,HC POUCHOSCOPY FB REMOVAL,718.09,430.85,122.08,7411.0,37
CDM,75000353,HC POUCHOSCOPY DILATION,732.36,439.42,124.5,7411.0,37
CDM,75000354,HC EUS LOWER PROCEDURE,2925.19,1755.11,497.28,7411.0,37
CDM,75000355,HC DBL BALL COLONOSCOPY,2764.65,1658.79,469.99,7411.0,37
CDM,75000356,HC DBL BALL COLONOSCOPY BIOPSY,789.9,473.94,134.28,7411.0,37
CDM,75000357,HC DBL BALL COLON CTRL BLEED,789.9,473.94,134.28,7411.0,37
CDM,75000358,HC DBL BALL COLON POLYPECTOMY,789.9,473.94,134.28,7411.0,37
CDM,75000359,HC DBL BALL COLONOSCOPY SUB INJ,263.31,157.99,44.76,7411.0,37
CDM,75000360,HC DBL BALL COLON BALLOON DIL,789.9,473.94,134.28,7411.0,37
CDM,75000361,HC DBL BALL COLONOSCOPY ABLATION,789.9,473.94,134.28,7411.0,37
CDM,75000362,HC DBL BALL ENDO ABLATION,854.55,512.73,145.27,7411.0,37
CDM,75000363,HC DBL BALL ENDO BIOPSY,854.55,512.73,145.27,7411.0,37
CDM,75000364,HC DBL BALL ENDO FB REMOVAL,854.55,512.73,145.27,7411.0,37
CDM,75000365,HC DBL BALL ENDO CTRL BLEED,854.55,512.73,145.27,7411.0,37
CDM,75000366,HC DBL BALL ENDO POLYPECTOMY,854.55,512.73,145.27,7411.0,37
CDM,75000370,HC ENT SUBMUCOSAL INJ,264.18,158.51,44.91,7411.0,37
CDM,75000372,HC ERCP SUBMUCOSAL INJECTION,605.88,363.53,103.0,7411.0,37
CDM,75000376,HC ANOSCOPY BIOPSY,455.43,273.26,77.42,7411.0,37
CDM,75000379,HC ERCP LASER STONE DESTRUCTION,2313.96,1388.38,393.37,7411.0,37
CDM,75000381,HC FLEX SIG BAND LIGATION,689.77,413.86,117.26,7411.0,37
CDM,75000382,HC POUCHOSCOPY POLYPECTOMY,718.09,430.85,122.08,7411.0,37
CDM,75000383,HC BRONCHOSCOPY EBUS,4862.46,2917.48,826.62,7411.0,37
CDM,75000384,HC RESECT/DEBRIDE PANCREAS,2313.96,1388.38,393.37,7411.0,37
CDM,75000385,HC ERCP BASKET/BALLOON SWEEP,2313.96,1388.38,393.37,7411.0,37
CDM,75000386,HC LIVER BIOPSY,2620.02,1572.01,445.4,7411.0,37
CDM,75000387,HC ESOPHAGOSCOPY MYOTOMY,689.77,413.86,117.26,7411.0,37
CDM,75000388,HC POUCHOSCOPY SUBMUCOSAL INJ,271.45,162.87,46.15,7411.0,37
CDM,75000389,HC DBL BALL ENDOSCOPY,2990.93,1794.56,508.46,7411.0,37
CDM,75000390,HC ERCP ABLATION,1818.66,1091.2,309.17,7411.0,37
CDM,75000391,HC DBL BALL ENDO SUBMUCOSAL INJ,284.85,170.91,48.42,7411.0,37
CDM,75000392,HC PFT MULTI ASPIRATE COLLECTION,598.44,359.06,101.73,7411.0,37
CDM,75000393,HC ERCP POLYPECTOMY,2313.96,1388.38,393.37,7411.0,37
CDM,75000394,HC BRONCH LUNG BIOPSY,1060.71,636.43,180.32,7411.0,37
CDM,75000395,HC BRONCH DILATION /CLSD REDUCT,1917.68,1150.61,326.01,7411.0,37
CDM,75000396,HC SEDATED WOUND DRSG CHANGE,857.39,514.43,145.76,7411.0,37
CDM,75000397,HC POUCHOSCOPY ABLATION,690.47,414.28,117.38,7411.0,37
CDM,75000400,HC EGD LIMITED,2462.28,1477.37,418.59,7411.0,37
CDM,75000401,HC HEMORRHOIDECTOMY,718.09,430.85,122.08,7411.0,37
CDM,75000402,HC BRONCHOSCOPY LASER TUMOR/STEN,5273.87,3164.32,896.56,7411.0,37
CDM,75000403,HC REDUCTION INGUINAL HERNIA,5400.49,3240.29,918.08,7411.0,37
CDM,75000405,HC HEMORRHOID INFRARED COAGULAT,1582.73,949.64,269.06,7411.0,37
CDM,75000406,HC EUS BIOPSY,732.36,439.42,124.5,7411.0,37
CDM,75000407,HC ESOPHAGEAL MOTILITY LIMITED,1458.5,875.1,247.94,7411.0,37
CDM,75000408,HC ESOPHAGOSCOPY SUBMUCOSAL INJ,602.95,361.77,102.5,7411.0,37
CDM,75000410,HC LAPAROSCOPIC LYSIS OF ABDOMINAL OR PELVIC ADHESIONS (NOT INTESTINE),10782.94,6469.76,2695.74,17256.34,51
CDM,75000412,HC ANOSCOPY,252.35,151.41,42.9,7411.0,37
CDM,75000413,HC ANOSCOPY BIOPSY,1029.01,617.41,174.93,7411.0,37
CDM,75000414,HC BREATH TEST,713.65,428.19,121.32,7411.0,37
CDM,75000415,HC PILL CAM ENDOSCOPY ESOPHAGUS,1516.12,909.67,257.74,7411.0,37
CDM,75000416,HC COLONOSCOPY ABLATION,931.82,559.09,158.41,7411.0,37
CDM,75000417,HC COLONOSCOPY ENDO MUCOSAL RESECTION,895.48,537.29,152.23,7411.0,37
CDM,75000418,HC COLONOSCOPY,3762.64,2257.58,639.65,7411.0,37
CDM,75000419,HC COLONOSCOPY BALLOON DILATION,931.82,559.09,158.41,7411.0,37
CDM,75000420,HC COLONOSCOPY BANDING,548.97,329.38,93.32,7411.0,37
CDM,75000421,HC COLONOSCOPY BIOPSY,931.82,559.09,158.41,7411.0,37
CDM,75000422,HC COLONOSCOPY CTRL BLEEDING,931.82,559.09,158.41,7411.0,37
CDM,75000423,HC COLONOSCOPY DECOMPRESSION,931.82,559.09,158.41,7411.0,37
CDM,75000424,HC COLONOSCOPY FB REMOVAL,931.82,559.09,158.41,7411.0,37
CDM,75000425,HC COLONOSCOPY STENT PLACEMENT,2711.1,1626.66,460.89,7411.0,37
CDM,75000426,HC COLONOSCOPY SUBMUCOSAL INJEC,310.18,186.11,52.73,7411.0,37
CDM,75000427,HC SMALL BOWEL ENDOSCOPY CNTRL BLEED,1008.39,605.03,171.43,7411.0,37
CDM,75000428,HC SMALL BOWEL ENDOSCOPY FB REMOVAL,839.01,503.41,142.63,7411.0,37
CDM,75000429,HC SMALL BOWEL ENDOSCOPY POLYPECTOMY,898.58,539.15,152.76,7411.0,37
CDM,75000430,HC SMALL BOWEL ENDOSCOPY BIOPSY,1008.39,605.03,171.43,7411.0,37
CDM,75000431,HC SMALL BOWEL ENDOSCOPY SUBMUCOSAL INJ,336.13,201.68,57.14,7411.0,37
CDM,75000432,HC SMALL BOWEL ENDOSCOPY,3528.71,2117.23,599.88,7411.0,37
CDM,75000433,HC EGD ABLATION,895.48,537.29,152.23,7411.0,37
CDM,75000434,HC EGD BALLOON DILATION,895.48,537.29,152.23,7411.0,37
CDM,75000435,HC EGD BAND LIGATION,895.48,537.29,152.23,7411.0,37
CDM,75000436,HC EGD BIOPSY,895.48,537.29,152.23,7411.0,37
CDM,75000437,HC EGD CTRL BLEEDING,895.48,537.29,152.23,7411.0,37
CDM,75000438,HC EGD DILATION OF GASTRIC OUTLET,895.48,537.29,152.23,7411.0,37
CDM,75000439,HC EGD ENDO MUCOSAL RESECTION,895.48,537.29,152.23,7411.0,37
CDM,75000440,HC EGD FB REMOVAL,895.48,537.29,152.23,7411.0,37
CDM,75000441,HC EGD PILL CAMERA PLACEMENT,1546.98,928.19,262.99,7411.0,37
CDM,75000442,HC EGD POLYPECTOMY,895.48,537.29,152.23,7411.0,37
CDM,75000443,HC EGD SCLEROTHERAPY INJ,895.48,537.29,152.23,7411.0,37
CDM,75000444,HC EGD STENT PLACEMENT,2711.1,1626.66,460.89,7411.0,37
CDM,75000445,HC EGD SUBMUCOSAL INJ,298.48,179.09,50.74,7411.0,37
CDM,75000446,HC EGD/EUS,4900.47,2940.28,833.08,7411.0,37
CDM,75000447,HC SMALL BOWEL ENDOSCOPY ABLATION,1008.39,605.03,171.43,7411.0,37
CDM,75000448,HC ERCP,8099.54,4859.72,1376.92,7411.0,37
CDM,75000449,HC ERCP ABLATION,2313.96,1388.38,393.37,7411.0,37
CDM,75000450,HC ERCP DESTRUCTION OF CALCULI,2313.96,1388.38,393.37,7411.0,37
CDM,75000451,HC ERCP BIOPSY,2313.96,1388.38,393.37,7411.0,37
CDM,75000452,HC ERCP CNTRL BLEED,2313.96,1388.38,393.37,7411.0,37
CDM,75000453,HC ERCP BALLOON DILATION,2313.96,1388.38,393.37,7411.0,37
CDM,75000454,HC ERCP SPHINCTEROTOMY,2313.96,1388.38,393.37,7411.0,37
CDM,75000455,HC ERCP VISUALIZATION OF DUCTS,5785.57,3471.34,983.55,7411.0,37
CDM,75000456,HC ERCP STENT PLACEMENT,2711.1,1626.66,460.89,7411.0,37
CDM,75000457,HC ERCP REMOVAL OF FB/STENT,2711.1,1626.66,460.89,7411.0,37
CDM,75000458,HC ERCP REMOVAL & EXCHANGE STENT,2711.1,1626.66,460.89,7411.0,37
CDM,75000459,HC ERCP SUBMUCOSAL INJ,770.89,462.53,131.05,7411.0,37
CDM,75000460,HC ESOPHAGOSCOPY FB REMOVAL,690.7,414.42,117.42,7411.0,37
CDM,75000461,HC ESOPHAGEAL IMPDNCE TEST <1HR ENDO LAB,1413.3,847.98,240.26,7411.0,37
CDM,75000462,HC ESOPHAGEAL MOTILITY STUDY ENDO LAB,2123.19,1273.91,360.94,7411.0,37
CDM,75000463,HC ESOPHAGEAL PH MO 8-24H ENDO LAB,1881.81,1129.09,319.91,7411.0,37
CDM,75000464,HC ESOPHAGOSCOPY,2387.72,1432.63,405.91,7411.0,37
CDM,75000465,HC ESOPHAGOSCOPY ABLATION,1952.39,1171.43,331.91,7411.0,37
CDM,75000466,HC ESOPHAGOSCOPY BAND LIGATION,639.61,383.77,108.73,7411.0,37
CDM,75000467,HC ESOPHAGOSCOPY BIOPSY,704.52,422.71,119.77,7411.0,37
CDM,75000468,HC ESOPHAGOSCOPY MYOTOMY,3817.99,2290.79,649.06,7411.0,37
CDM,75000469,HC ESOPHAGOSCOPY SUBMUCOSAL INJ,602.95,361.77,102.5,7411.0,37
CDM,75000470,HC EGD/EUS /CEILAC PLEXUS BLOCK,737.15,442.29,125.32,7411.0,37
CDM,75000471,HC EGD CYST DRAINAGE,895.48,537.29,152.23,7411.0,37
CDM,75000472,HC REMOVE FECAL IMPACTION/FB,3305.48,1983.29,561.93,7411.0,37
CDM,75000473,HC FECAL TRANSPLANT,4239.9,2543.94,720.78,7411.0,37
CDM,75000474,HC FLEX SIG ABLATION,946.09,567.65,160.84,7411.0,37
CDM,75000475,HC FLEX SIG BALLOON DILATION,946.09,567.65,160.84,7411.0,37
CDM,75000476,HC FLEX SIG BAND LIGATION,895.48,537.29,152.23,7411.0,37
CDM,75000477,HC FLEX SIG BARRX ABLATION,2170.6,1302.36,369.0,7411.0,37
CDM,75000478,HC FLEX SIG BIOPSY,590.5,354.3,100.39,7411.0,37
CDM,75000479,HC FLEX SIG CNTRL BLEED,946.09,567.65,160.84,7411.0,37
CDM,75000480,HC FLEX SIG DECOMPRESSION,590.5,354.3,100.39,7411.0,37
CDM,75000481,HC FLEX SIG ENDO MUCOSAL RESECTION,852.84,511.7,144.98,7411.0,37
CDM,75000482,HC FLEX SIG FB REMOVAL,578.92,347.35,98.42,7411.0,37
CDM,75000483,HC FLEX SIG POLYPECTOMY,946.09,567.65,160.84,7411.0,37
CDM,75000484,HC FLEX SIG SCLEROTHERAPY INJ,420.1,252.06,71.42,7411.0,37
CDM,75000485,HC FLEX SIG STENT PLACEMENT,6043.83,3626.3,1027.45,7411.0,37
CDM,75000486,HC FLEX SIG SUBMUCOSAL INJ,197.26,118.36,33.53,7411.0,37
CDM,75000487,HC FLEXIBLE SIGMOIDOSCOPY,2068.69,1241.21,351.68,7411.0,37
CDM,75000488,HC GASTRIC LAVAGE,353.0,211.8,60.01,7411.0,37
CDM,75000489,HC CHANGE GASTROSTOMY TUBE,969.45,581.67,164.81,7411.0,37
CDM,75000490,HC HEMORRHOID BANDING,1152.39,691.43,195.91,7411.0,37
CDM,75000491,HC ILEOSCOPY,3528.71,2117.23,599.88,7411.0,37
CDM,75000492,HC ILEOSCOPY BIOPSY,1008.39,605.03,171.43,7411.0,37
CDM,75000493,HC ILEOSCOPY BALLOON DILATION,805.7,483.42,136.97,7411.0,37
CDM,75000496,HC LIVER BIOPSY,1916.84,1150.1,325.86,7411.0,37
CDM,75000497,"HC PANCREATIC PSEUDOCYST DRAINAGE, OPEN",860.44,516.26,146.27,7411.0,37
CDM,75000498,HC PLACEMENT OF GASTRO TUBE,895.48,537.29,152.23,7411.0,37
CDM,75000499,HC TRACHEOSTOMY,5588.97,3353.38,950.12,7411.0,37
CDM,75000500,HC PLACE DUOD/JEJ TUBE,3250.98,1950.59,552.67,7411.0,37
CDM,75000501,HC INSTERT NASO/OROGASTRICT TUBE,417.89,250.73,71.04,7411.0,37
CDM,75000502,HC POUCHOSCOPY,3261.36,1956.82,554.43,7411.0,37
CDM,75000503,HC POUCHOSCOPY ABLATION,798.65,479.19,135.77,7411.0,37
CDM,75000504,HC POUCHOSCOPY BIOPSY,931.82,559.09,158.41,7411.0,37
CDM,75000505,HC POUCHOSCOPY CNTRL BLEED,805.7,483.42,136.97,7411.0,37
CDM,75000506,HC POUCHOSCOPY BALLOON DILATION,931.82,559.09,158.41,7411.0,37
CDM,75000507,HC POUCHOSCOPY FB REMOVAL,775.54,465.32,131.84,7411.0,37
CDM,75000508,HC POUCHOSCOPY POLYPECTOMY,913.67,548.2,155.32,7411.0,37
CDM,75000509,HC PROCTOSIGMOIDOSCOPY,1123.9,674.34,191.06,7411.0,37
CDM,75000510,HC PROCTOSIGMOIDOSCOPY BIOPSY,895.48,537.29,152.23,7411.0,37
CDM,75000511,HC RESECT/DEBRIDE PANCREAS,2203.77,1322.26,374.64,7411.0,37
CDM,75000512,HC SEDATED WOUND DRSG CHANGE,1112.21,667.33,189.08,7411.0,37
CDM,75000513,HC EGD,3363.77,2018.26,571.84,7411.0,37
CDM,75000514,HC COLONOSCOPY POLYPECTOMY,931.82,559.09,158.41,7411.0,37
CDM,75000515,"HC REMOVE/REPLACE GTUBE, PERC,  NO REVISION TO GASTRONOMY TRACT",1375.24,825.14,110.15,7411.0,53
CDM,75000519,HC ENTEROSCOPY,3528.71,2117.23,599.88,7411.0,37
CDM,75000520,HC ENTEROSCOPY BIOPSY,1008.39,605.03,171.43,7411.0,37
CDM,75000521,HC ENTEROSCOPY POLYPECTOMY,1008.39,605.03,171.43,7411.0,37
CDM,75000522,HC ENTEROSCOPY ABLATION,1008.39,605.03,171.43,7411.0,37
CDM,75000523,HC ENTEROSCOPY CONTROL BLEEDING,1008.39,605.03,171.43,7411.0,37
CDM,75000524,HC ENTEROSCOPY FB REMOVAL,1008.39,605.03,171.43,7411.0,37
CDM,75000525,HC ENTEROSCOPY SUBMUCOSAL INJ,336.13,201.68,57.14,7411.0,37
CDM,75000526,HC ENTEROSCOPY STENT PLACEMENT,2531.36,1518.82,430.33,7411.0,37
CDM,75000527,HC ENTEROSCOPY DILATION,1008.39,605.03,171.43,7411.0,37
CDM,75000528,HC ENTEROSCOPY ENDO MUCOSAL RESEC,798.11,478.87,135.68,7411.0,37
CDM,75000529,HC COLONOSCOPY THRU STOMA,3261.36,1956.82,554.43,7411.0,37
CDM,75000530,HC COLONOSCOPY THRU STOMA BIOPSY,931.82,559.09,158.41,7411.0,37
CDM,75000531,HC COLONOSCOPY THRU STOMA FB REMOVAL,718.09,430.85,122.08,7411.0,37
CDM,75000532,HC COLONOSCOPY THRU STOMA CTRL BLEEDING,789.9,473.94,134.28,7411.0,37
CDM,75000533,HC COLONOSCOPY THRU STOMA POLYPECTOMY,931.82,559.09,158.41,7411.0,37
CDM,75000534,HC COLONOSCOPY THRU STOMA ABLATION,789.9,473.94,134.28,7411.0,37
CDM,75000535,HC COLONOSCOPY THRU STOMA STENT PLACEMENT,2089.28,1253.57,355.18,7411.0,37
CDM,75000536,HC COLONOSCOPY THRU STOMA ENDO MUCOSAL RESECTION,689.77,413.86,117.26,7411.0,37
CDM,75000537,HC COLONOSCOPY THRU STOMA SUBMUCOSAL INJ,268.58,161.15,45.66,7411.0,37
CDM,75000538,HC COLONOSCOPY THRU STOMA BALLOON DILATION,718.09,430.85,122.08,7411.0,37
CDM,75000539,HC COLONOSCOPY THRU STOMA EUS,2008.44,1205.06,341.43,7411.0,37
CDM,75000540,HC COLONOSCOPY THRU STOMA EUS FNA,527.12,316.27,89.61,7411.0,37
CDM,75000541,HC EGD W/PLCE GASTRO TUBE,3250.98,1950.59,552.67,7411.0,37
CDM,75000542,HC EGD/EUS FNA,877.64,526.58,149.2,7411.0,37
CDM,75000543,HC FLEXIBLE SIGMOIDOSCOPY EUS,1441.85,865.11,245.11,7411.0,37
CDM,75000544,HC FLEXIBLE SIGMOIDOSCOPY EUS FNA,1439.25,863.55,244.67,7411.0,37
CDM,75000547,HC ESOPHAGOSCOPY DILATION,703.57,422.14,119.61,7411.0,37
CDM,75000548,HC ESOPHAGOSCOPY EUS,4707.16,2824.3,800.22,7411.0,37
CDM,75000549,HC ESOPHAGOSCOPY EUS FNA,1671.56,1002.94,284.17,7411.0,37
CDM,75000550,HC PLACEMENT N/G TUBE,417.89,250.73,71.04,7411.0,37
CDM,75000562,HC ERCP REMOVAL OF CALCULI,1524.92,914.95,259.24,7411.0,37
CDM,75000563,HC RETROGRADE SINGLE BALLOON ENTEROSCOPY WITH SUBMUCOSAL INJECTION,239.37,143.62,59.84,8280.0,51
CDM,75000564,HC SINGLE BALLOON ENTEROSCOPY WITH SUBMUCOSAL INJECTION INCLUDING ILEUM,3326.4,1995.84,831.6,8280.0,51
CDM,75000565,HC SINGLE BALLOON ENTEROSCOPY WITH SUBMUCOSAL INJECTION NOT INCLUDING ILEUM,2719.03,1631.42,679.76,8280.0,51
CDM,75000566,HC EGD WITH FISTULA CLIPPING,2548.98,1529.39,637.25,8280.0,51
CDM,75000567,HC ENT STENT INSERTION,2089.28,1253.57,355.18,7411.0,37
CDM,75000568,HC ENTEROSCOPY DILATION,776.86,466.12,132.07,7411.0,37
CDM,75000569,HC EGD BALLON DILATION W ENDOFLIP,1386.04,831.62,235.63,7411.0,37
CDM,75000570,HC EGD ENDOFLIP,1162.83,697.7,197.68,7411.0,37
CDM,75000571,HC EGD GUIDE WIRE/DILATOR,895.48,537.29,152.23,7411.0,37
CDM,75000573,HC COLONOSCOPY EUS,4736.72,2842.03,805.24,7411.0,37
CDM,75000574,HC COLONOSCOPY EUS FNA,394.44,236.66,67.05,7411.0,37
CDM,75000575,HC EGD INSERTION INTRALUM TUBE/CATH,855.81,513.49,145.49,7411.0,37
CDM,75000576,HC EGD OPTICAL ENDOMICROSCOPY,1508.58,905.15,256.46,7411.0,37
CDM,75000577,HC EGD/EUS INJ DX/THER SUBST OR FIDUCIAL MARKERS,424.91,254.95,72.23,7411.0,37
CDM,75000578,HC LAPAROSCOPIC GASTROJEJUNOSTOMY,15203.45,9122.07,2584.59,17256.34,53
CDM,75000579,HC ESOPHAGOSCOPY CONTROL BLEED,2397.34,1438.4,407.55,7411.0,37
CDM,75000580,HC RECTUM REPAIR VIA PROCTOSCOPY OR ANOSCOPY,2750.5,1650.3,82.5,7411.0,53
CDM,75000582,HC ESOPHAGOGASTRODUODENOSCOPY; WITH PANCREATIC NECROSECTOMY,1168.0,700.8,420.48,14118.49,53
CDM,75000583,HC EGD W/PLCMT GASTRIC NEUROSTIM,4931.82,2959.09,838.41,7411.0,37
CDM,75000585,HC ENDOSCOPIC CLOSURE OF GASTROSTOMY/-OSTOMY FISTULA W/ DEVICE,2089.28,1253.57,522.32,8280.0,51
CDM,75000586,HC EGD FUNDOPLASTY,12132.78,7279.67,2062.57,10312.86,37
CDM,75000587,HC EVALUATE FLEX FIBEROPTIC ENDOSCOPIC (92612),960.27,576.16,163.25,7411.0,37
CDM,75000588,HC SMALL BOWEL ENDOSCOPY W/ILEUM STENT PLACEMENT,6776.88,4066.13,1152.07,7411.0,37
CDM,75000589,HC SGL BLOON ENTRSCPY ERCP W BLOON DILATION AND STONE REMOVAL (ALT ANATOMY),5273.11,3163.87,865.56,8280.0,51
CDM,75000590,HC SINGLE BALLOON ENTEROSCOPY ERCP W SPHINCTEROTOMY ONLY (ALTERED ANATOMY),4113.99,2468.39,865.56,8280.0,51
CDM,75000591,HC SINGLE BALLOON ENTEROSCOPY ERCP W STENT AND STONE REMOVAL (ALT ANATOMY),5624.91,3374.95,865.56,8280.0,51
CDM,75000592,HC SINGLE BALLOON ENTEROSCOPY ERCP W STONE REMOVAL ONLY (ALTERED ANATOMY),4067.97,2440.78,865.56,8280.0,51
CDM,75000593,HC SINGLE BALLOON ENTEROSCOPY ERCP WITH DILATION ONLY (ALTERED ANATOMY),4113.99,2468.39,865.56,8280.0,51
CDM,75000594,HC SINGLE BALLOON ENTEROSCOPY ERCP WITH STENT EXCHANGE (ALTERED ANATOMY),9462.63,5677.58,865.56,8280.0,51
CDM,75000595,HC SINGLE BALLOON ENTEROSCOPY ERCP WITH STENT PLACEMENT (ALTERED ANATOMY),4465.79,2679.47,865.56,8280.0,51
CDM,75000596,HC SINGLE BALLOON ENTEROSCOPY ERCP WITH STENT REMOVAL (ALTERED ANATOMY),16800.79,10080.47,865.56,12600.59,51
CDM,75000597,HC SNGL BLOON ENTEROSCOPY ERCP W SPHINCTERTMY AND STONE RMOVL (ALT ANATOMY),5250.1,3150.06,865.56,8280.0,51
CDM,75000598,"HC ABLATION, 1 OR MORE LIVER LSTION, PRCTNEOUS, ETHNL INJCTN, W/WO IMG GDNC",5005.19,3003.11,675.79,8280.0,51
CDM,75000599,"HC LAPAROSCOPY, SURGICAL; CHOLCYSTSTMY INCLDNG CHOLANGIOGRAPHY, WHEN PRFRMD",15821.34,9492.8,3955.34,17256.34,51
CDM,75000600,HC MACE DILATION,1148.42,689.05,287.11,8280.0,51
CDM,75000601,"HC BIOPSY OF ANUS, EXTERNAL",1572.01,943.21,393.0,8280.0,51
CDM,75000602,HC LAPAROSCOPIC PARTIAL GASTRECTOMY WITH GASTROCUTANEOUS FISTULA TAKEDOWN,6106.0,3663.6,1038.02,17256.34,53
CDM,75000603,HC PERORAL ENDOSCOPIC MYOTOMY,7049.22,4229.53,1198.37,7411.0,37
CDM,75000604,HC TRANSORAL LOWER ESOPHAGEAL MYOTOMY,7049.22,4229.53,1198.37,14118.49,53
CDM,75000605,HC PUSH ENTEROSCOPY W/ SUBMUCOSAL INJECTION AND ENTEROCUTANEOUS FISTULA CLOSURE,5049.91,3029.95,865.56,8280.0,51
CDM,75000606,HC EGD W/ PERCUTANEOUS GUIDEWIRE INSERT THRGH GASTROCUTANEOUS FISTULA TRACT,4370.0,2622.0,742.9,7411.0,37
CDM,75000607,HC EGD W/ CLOSURE FISTULA/PERFORATION,5004.07,3002.44,865.56,8280.0,51
CDM,75000608,HC COLONIC LAVAGE 35+L WATER W/INDUCED DEFECATION,291.9,175.14,49.62,7411.0,53
CDM,75000609,HC FLEXIBLE SIGMOIDOSCOPY WITH PADLOCK CLIP PLACEMENT,2566.38,1539.83,641.6,8280.0,51
CDM,75000610,HC EGD FLEXIBLE TRANSNASAL DX W/COLLJ SPEC BR/WA,2912.35,1747.41,495.1,7411.0,37
CDM,75000611,HC EGD FLEXIBLE TRANSNASAL W/INSJ INTRAL TUBE/CATH,855.81,513.49,145.49,7411.0,37
CDM,75000612,HC GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT,2322.55,1393.53,356.12,7411.0,53
CDM,75000613,HC GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD,3144.52,1886.71,534.57,7411.0,53
CDM,75000615,HC ENDO SLEEVE GASTRO W/TUBE,18888.18,11332.91,3210.99,32441.66,38
CDM,75000616,HC ENDO OUTLET RESTRICT W/TUBE,18888.18,11332.91,3210.99,32441.66,53
CDM,75000617,HC ERCP THE GSTRSTMY TRCT TO RMNNT STMCH WI BILIARY SPHINCTEROTOMY/CNNULTN,7537.29,4522.37,865.56,8280.0,51
CDM,75000618,"HC ERCP GSTRSTMY TRCT TO RMNNT STMCH W PNCRTC SPHNCTRTMY/CNNLTN, PNCRTSCPY",10996.31,6597.79,675.79,8280.0,51
CDM,75000619,HC ESPHGSC FLX TRNSORL 1ST TNDSC DILAT RX BALO CATH,9582.74,5749.64,1629.07,13111.9,53
CDM,75000620,HC COLSC FLX TRNSORL 1ST TNDSC DILAT RX BALO CATH,9632.14,5779.28,1637.46,13111.9,53
CDM,75000621,HC SGMDSC FLX TRNSORL 1ST TNDSC DILAT RX BALO CATH,9632.14,5779.28,1637.46,13111.9,53
CDM,75000622,HC PROCTOSIGMOIDOSCOPY DECOMPRES VOLVULUS,3475.04,2085.02,590.76,7411.0,37
CDM,75000623,HC INSTLJ FECAL MICROBIOTA SSP RCT NMA LWR GI TRC,246.3,147.78,41.87,8280.0,53
CDM,75000624,HC ANOSCOPY FB REMOVAL,3964.83,2378.9,674.02,7411.0,37
CDM,75000625,HC ANOSCOPY W/RMVL FOREIGN BODY,3964.83,2378.9,674.02,7411.0,37
CDM,75000626,HC ERCP NECROSECTOMY,3314.45,1988.67,675.79,8280.0,51
CDM,75000627,HC ANOSCOPY ABLATION LESION,7119.83,4271.9,1210.37,7411.0,37
CDM,75000628,"HC ANORECTAL MANOMETRY, WITH RECTAL SENSATION AND RECTAL BALLOON EXPULSION TEST, WHEN PERFORMED",2353.05,1411.83,356.12,7411.0,52
CDM,75000629,"HC RECTAL SENSATION, TONE, AND COMPLIANCE STUDY (EG, BAROSTAT)",1085.73,651.44,184.57,7411.0,52
CDM,76000007,HC DIRECT REFER HOSPITAL OBSERV,923.88,554.33,157.06,7411.0,55
CDM,76000009,HC SANE EXAM,350.0,210.0,59.5,7411.0,39
CDM,76100001,HC FNA WITHOUT IMAGE,912.55,547.53,51.77,7411.0,55
CDM,76100004,HC I&D ABSCESS SIMPLE,994.45,596.67,65.06,7411.0,55
CDM,76100005,HC I&D ABSCESS COMPLEX,1304.97,782.98,98.28,7411.0,55
CDM,76100006,HC DRAINAGE PILONIDA CST - SIMPLE,1480.17,888.1,174.14,7411.0,55
CDM,76100007,HC DRAINAGE PILONIDA CST - COMPLICATED,3652.61,2191.57,209.3,7411.0,55
CDM,76100008,"HC REMOVE FOREIGN BODY, SUBCUT TISSUE - SIMPLE",1165.03,699.02,86.38,7411.0,55
CDM,76100009,"HC REMOVE FOREIGN BODY, SUBCUT TISSUE - COMPLICATED",5350.06,3210.04,486.45,7411.0,55
CDM,76100010,HC DRAINAGE HEMATMA FLUID COLLECT,5086.48,3051.89,90.81,7411.0,55
CDM,76100011,"HC PUNCTURE ASPIRATE ABSCESS, HEMATOMA,CYST",1075.22,645.13,67.83,7411.0,55
CDM,76100012,HC I&D WOUND INFECTION POST OP,6410.49,3846.29,815.2,7411.0,55
CDM,76100015,HC DEBRIDE FX - SKIN/SUBQ MUSCLE & BONE,3624.18,2174.51,815.2,7411.0,55
CDM,76100016,HC DEBRIDE SUBCUT TISSUE - 1ST 20 SQ CM OR LESS,1686.27,1011.76,171.51,7411.0,55
CDM,76100017,HC DEBRIDE SUBCUT TISSUE/MUSCLE - 1ST 20 SQ CM OR LESS,2255.2,1353.12,262.63,7411.0,55
CDM,76100018,HC DEBRIDE BONE - 1ST 20 SQ CM OR LESS,4918.6,2951.16,566.62,7411.0,55
CDM,76100019,HC DEBRIDE SUBCUT TISSUE - EA ADD 20 SQ CM,1524.6,914.76,259.18,7411.0,39
CDM,76100020,HC DEBRIDE SUBCUT TISSUE/MUSCLE - EA ADD 20 SQ CM,1545.61,927.37,262.75,7411.0,39
CDM,76100021,HC PAR/CUT BENIGN HYPERKERATOTIC LESION - SNGLE,476.55,285.93,81.01,7411.0,55
CDM,76100022,HC TRIM SKIN LESIONS - 2-4,472.06,283.24,80.25,7411.0,55
CDM,76100023,HC TRIM SKIN LESIONS - >4,431.08,258.65,55.65,7411.0,55
CDM,76100026,HC REMOVAL OF SKIN TAGS - UP TO 15,530.97,318.58,90.26,7411.0,55
CDM,76100041,HC EXC TR-EXT B9+MARG 0.6 - 1.0 CM,1179.41,707.65,89.14,7411.0,55
CDM,76100043,HC EXC TR-EXT B9+MARG 2,2443.35,1466.01,105.2,7411.0,55
CDM,76100045,HC EXC TR-EXT B9+MARG >,6431.1,3858.66,486.45,7411.0,55
CDM,76100048,HC EXC H-F-NK-SP B9+MAR - 1.1 - 2.0 CM,2771.94,1663.16,95.79,7411.0,55
CDM,76100053,HC EXC FACE-MM B9+MARG - 0.6 - 1.0 CM,1271.09,762.65,96.06,7411.0,55
CDM,76100067,HC EXC H-F-NK-SP MLG+MA - 0.5CM OR LESS,1640.45,984.27,112.95,7411.0,55
CDM,76100079,HC TRIM NONDYSTSTOPHIC NAIL(S),212.81,127.69,36.18,7411.0,55
CDM,76100080,"HC DEBRIDE NAIL, 1-5",311.47,186.88,52.95,7411.0,55
CDM,76100081,"HC DEBRIDE NAIL, >6",333.69,200.21,56.3,7411.0,55
CDM,76100082,HC NAIL PLATE AVULSION/SIMPLE/SINGLE,662.97,397.78,112.7,7411.0,55
CDM,76100083,HC NAIL PLATE AVULSION/EACH ADD,407.83,244.7,69.33,7411.0,39
CDM,76100084,HC DRAIN BLOOD UNDER NAIL,317.21,190.33,53.93,7411.0,55
CDM,76100085,HC REMOVAL OF NAIL BED,1692.54,1015.52,84.71,7411.0,55
CDM,76100088,HC REPAIR OF NAIL BED,1684.74,1010.84,105.2,7411.0,55
CDM,76100090,HC INJECT INTO SKIN LES,397.95,238.77,67.65,7411.0,55
CDM,76100098,HC REMOVAL OF CONTRACEPTIVE,1410.7,846.42,61.74,7411.0,55
CDM,76100100,HC REMOVE DRUG IMPLANT,452.47,271.48,54.42,7411.0,55
CDM,76100102,"HC REPAIR SUPERFICL WND - NON-FACE, 2.5 CM OR LESS",806.34,483.8,137.08,7411.0,55
CDM,76100103,"HC REPAIR SUPERFICL WND - NON-FACE, 2.6 - 7.5 CM",801.4,480.84,136.24,7411.0,55
CDM,76100104,"HC REPAIR SUPERFICL WND - NON-FACE, 7.6 - 12.5 CM",948.43,569.06,161.23,7411.0,55
CDM,76100106,"HC REPAIR SUPERFICL WND - FACE, 2.5 CM OR LESS",753.62,452.17,128.12,7411.0,55
CDM,76100107,"HC REPAIR SUPERFICL WND - FACE, 2.6 - 5 CM",862.0,517.2,146.54,7411.0,55
CDM,76100109,HC CLOSURE SPLIT WOUND - SIMPLE,2775.07,1665.04,216.8,7411.0,55
CDM,76100111,HC INTMD WND REPAIR S/TR - 2.5 CM OR LESS,1175.96,705.58,143.08,7411.0,55
CDM,76100112,HC INTMD WND REPAIR S/TR - 2.6 - 7.5 CM,1358.12,814.87,143.08,7411.0,55
CDM,76100113,HC INTMD WND REPAIR S/TR - 7.6 - 12.5 CM,1503.07,901.84,143.08,7411.0,55
CDM,76100117,HC INTMD WND REPAIR FACE - 2.5 CM OR LESS,1178.77,707.26,143.08,7411.0,55
CDM,76100122,"HC REPAIR COMPLEX, TRUNK, 2.6 - 7.5 CM",2686.99,1612.19,216.8,7411.0,55
CDM,76100123,"HC REPAIR COMPLEX, TRUNK, EA ADD 5 CM OR LESS",2112.59,1267.55,359.14,7411.0,39
CDM,76100125,"HC REPAIR COMPLEX, SCLP/ARMS/LEGS, 2.6 - 7.5 CM",2141.13,1284.68,216.8,7411.0,55
CDM,76100126,"HC REPAIR COMPLEX, SCLP/ARMS/LEGS, EA ADD 5 CM OR LESS",987.81,592.69,167.93,7411.0,39
CDM,76100128,"HC REPAIR COMPLEX, NON-TRUNK, 2.6 - 7.5 CM",2546.74,1528.04,216.8,7411.0,55
CDM,76100132,"HC REPAIR COMPLEX, FACE, 2.6 - 7.5 CM",2704.25,1622.55,216.8,7411.0,55
CDM,76100134,HC LATE CLOSURE OF WOUN,8662.56,5197.54,709.01,7653.72,55
CDM,76100146,HC EPIDRM AUTOGRFT TRN,3482.89,2089.73,709.01,7411.0,55
CDM,76100147,HC SKIN SPLT A-GRFT FAC/,7572.67,4543.6,1457.62,8887.48,55
CDM,76100151,HC SKIN SUB GRAFT TRNK/,4023.26,2413.96,705.32,7411.0,55
CDM,76100152,HC SKIN SUB GRAFT T/A/L,1265.66,759.4,215.16,7411.0,39
CDM,76100153,HC SKIN SUB GRAFT FACE/,5023.65,3014.19,71.16,7411.0,55
CDM,76100154,HC SKIN SUB GRAFT F/N/H,1550.18,930.11,263.53,7411.0,39
CDM,76100162,HC REMOVAL OF SUTURES - DIFF SURGEON,1438.0,862.8,62.29,7411.0,55
CDM,76100164,HC DRESS/DEBRIDE P-THICK - SMALL,788.36,473.02,44.31,7411.0,55
CDM,76100165,HC DRESS/DEBRIDE P-THICK - MEDIUM,934.38,560.63,85.42,7411.0,55
CDM,76100166,HC DRESS/DEBRIDE P-THICK - LARGE,995.82,597.49,171.51,7411.0,55
CDM,76100172,"HC CHEMICAL CAUTERY, TI",646.46,387.88,109.9,7411.0,55
CDM,76100196,HC DRAINAGE BREAST LES,1980.0,1188.0,59.25,7411.0,55
CDM,76100197,HC DRAINAGE BREAST LESION,817.19,490.31,138.92,7411.0,39
CDM,76100199,HC BIOPSY BREAST PERCUT W/O,1741.14,1044.68,486.45,7411.0,55
CDM,76100203,HC REMOVAL OF BREAST LE,8201.62,4920.97,963.66,9442.65,55
CDM,76100204,"HC EXCISION, BREAST LES",6158.26,3694.96,963.66,9442.65,55
CDM,76100216,HC DEEP MUSCLE BIOPSY,5185.1,3111.06,815.2,7411.0,55
CDM,76100217,"HC NEEDLE BIOPSY, MUSCLE",3138.66,1883.2,486.45,7411.0,55
CDM,76100218,"HC BONE BIOPSY, TROCAR/ SUPERFICIAL",3098.66,1859.2,486.45,7411.0,55
CDM,76100219,"HC BONE BIOPSY, TROCAR/DEEP",3774.62,2264.77,486.45,7411.0,55
CDM,76100220,"HC BONE BIOPSY,EXCISIO",7042.0,4225.2,815.2,7411.0,55
CDM,76100221,HC INJECTION SINUS TRAC,1678.02,1006.81,60.63,7411.0,55
CDM,76100222,HC INJECT SINUS TRACT F,1167.54,700.52,198.48,7411.0,39
CDM,76100224,HC THER INJ.CARP TUNNEL,702.21,421.33,36.54,7411.0,55
CDM,76100225,HC INJECTION TENDON SHEATH/LI,768.23,460.94,23.54,7411.0,55
CDM,76100226,HC INJECTION TENDON ORIGIN,718.45,431.07,24.36,7411.0,55
CDM,76100227,"HC INJECTION TRIGGER POINT, 1",1040.94,624.56,23.26,7411.0,55
CDM,76100228,HC INJECTION TRIGGER POINT>3,1140.8,684.48,27.13,7411.0,55
CDM,76100229,HC PLACE NDL MUSC/TIS F,5854.82,3512.89,995.32,8018.48,55
CDM,76100230,"HC DRAIN/INJECT, JOINT/SMALL",1004.97,602.98,22.7,7411.0,55
CDM,76100231,"HC DRAIN/INJECT, JOINT/INTERMEDIATE",980.89,588.53,23.54,7411.0,55
CDM,76100232,"HC DRAIN/INJECT, JOINT/MAJOR",1192.29,715.37,27.96,7411.0,55
CDM,76100241,"HC ABLATE, BONE TUMOR(S",15583.89,9350.33,2398.52,37869.5,55
CDM,76100242,HC MUSCULOSKELETAL SURG,4490.04,2694.02,235.4,7411.0,53
CDM,76100254,HC BIOPSY OF NECK/CHEST,4720.07,2832.04,486.45,7411.0,55
CDM,76100260,HC NECK/CHEST SURGERY P,5642.64,3385.58,226.03,7411.0,53
CDM,76100267,"HC PERCUT VERTEBROPLAST,THORACIC",7060.56,4236.34,1088.27,8018.48,55
CDM,76100268,"HC PERCUT VERTEBROPLAST,LUMBAR",8019.23,4811.54,1088.27,8018.48,55
CDM,76100269,HC PERCUT VERTEBROPLASTY,4542.6,2725.56,772.24,7411.0,39
CDM,76100270,"HC PERC KYPHOPLASTY, LU",17384.64,10430.78,2398.52,17722.46,55
CDM,76100275,HC INJECTION SHOULDER XRY,857.26,514.36,145.73,7411.0,39
CDM,76100284,HC TREAT SHOULDER DISLOCATION,1515.14,909.08,85.32,7411.0,55
CDM,76100289,HC REPAIR ELBOW LAT LIGAMENT,6826.82,4096.09,1088.27,8018.48,55
CDM,76100308,HC INJECTION FOR WRIST,868.64,521.18,147.67,7411.0,39
CDM,76100321,HC DRAINAGE FINGER ABSC - SIMPLE,870.42,522.25,74.34,7411.0,55
CDM,76100354,HC INJECTION HIP X-RAY,1015.34,609.2,172.61,7411.0,39
CDM,76100361,HC PELVIS/HIP JOINT SUR,7105.7,4263.42,235.4,7411.0,53
CDM,76100371,HC DRAIN LOWER LEG LESI,7646.92,4588.15,815.2,7411.0,55
CDM,76100388,"HC INCISION OF TOE TENDON - PERC, SINGLE",3831.65,2298.99,100.5,7411.0,55
CDM,76100411,HC AMPUTATION OF TOE,4857.53,2914.52,1088.27,8018.48,55
CDM,76100412,HC PARTIAL AMPUTATION TOE,5148.19,3088.91,1088.27,8018.48,55
CDM,76100418,HC APPLY LONG ARM SPLINT,647.54,388.52,40.14,7411.0,55
CDM,76100419,HC APPLY FOREARM SPLINT - STATIC,618.19,370.91,105.09,7411.0,55
CDM,76100421,HC APPLY FINGER SPLINT - STATIC,532.61,319.57,90.54,7411.0,55
CDM,76100428,HC APPLY SHORT LEG CAST,662.22,397.33,39.03,7411.0,55
CDM,76100429,HC APPLY SHORT LEG CAST - WALKING,810.65,486.39,35.99,7411.0,55
CDM,76100432,HC APPLY RIGID LEG CAST,975.52,585.31,49.94,7411.0,55
CDM,76100435,HC APPLY LOW LEG SPLINT,687.27,412.36,34.33,7411.0,55
CDM,76100438,HC APPLY PASTE BOOT,552.9,331.74,33.12,7411.0,55
CDM,76100439,HC APPLY MULTLAY COMPRS,818.93,491.36,51.75,7411.0,55
CDM,76100454,"HC CONTROL OF NOSEBLEED - ANTERIOR, COMPLEX",683.43,410.06,46.68,7411.0,55
CDM,76100455,"HC CONTROL OF NOSEBLEED - POSTERIOR, INITIAL",766.95,460.17,46.68,7411.0,55
CDM,76100458,"HC NASAL ENDOSCOPY, DX",782.64,469.58,68.14,7411.0,55
CDM,76100463,HC INSERT EMERGENCY AIR,1179.82,707.89,87.58,7411.0,55
CDM,76100464,HC CHANGE WINDPIPE AIRW,973.2,583.92,87.58,7411.0,55
CDM,76100465,HC DIAG. LARYNGOSCOPY,542.52,325.51,56.2,7411.0,55
CDM,76100468,HC DIAGNOSTIC LARYNGOSCOPY,750.46,450.28,68.14,7411.0,55
CDM,76100469,HC DIAGNOSTIC LARYNGOSCOPY - W STROBOSCOPY,1142.39,685.43,104.65,7411.0,55
CDM,76100492,HC NEEDLE BIOPSY CHEST LINI,3613.17,2167.9,486.45,7411.0,55
CDM,76100493,"HC BIOPSY, LUNG/MEDIAST",2951.0,1770.6,501.67,7411.0,39
CDM,76100496,HC INSERT PLEURAL CATH,7541.1,4524.66,1551.5,8570.48,55
CDM,76100497,HC INSERTION CHEST TUBE,3058.83,1835.3,520.0,7411.0,55
CDM,76100498,HC REMOVE LUNG CATHETER,1491.63,894.98,223.75,7411.0,55
CDM,76100499,HC INS MARK THOR FOR RT,4129.09,2477.45,522.73,7411.0,55
CDM,76100500,HC TREAT LUNG LINING CH,1895.09,1137.05,322.17,7411.0,55
CDM,76100501,HC PERQ RF ABLATE TREATMENT,10798.89,6479.33,1835.81,14293.73,55
CDM,76100502,HC CHEST SURGERY PROCEDU,3618.76,2171.26,598.65,7411.0,53
CDM,76100506,HC INSERTION HEART PACE - VENTRICULAR,26646.17,15987.7,6299.0,26452.82,55
CDM,76100508,HC INSERTION HEART ELE,12922.92,7753.75,3320.59,21045.99,55
CDM,76100513,HC CARDIAC SURGERY PROC,1280.7,768.42,320.18,7411.0,53
CDM,76100519,HC INJ PX PRQ TX EXTREMITY PSEUDOANEURYSM,1690.12,1014.07,223.75,7411.0,55
CDM,76100520,HC INJECTION EXT VENOGRAPHY,3097.26,1858.36,526.53,7411.0,39
CDM,76100521,HC PLACE CATH VEIN - SUPERIOR/INFERIOR,3462.0,2077.2,588.54,7411.0,39
CDM,76100522,HC PLACE CATH VEIN - 1ST ORDER BRANCH,5046.45,3027.87,857.9,7411.0,39
CDM,76100523,HC PLACE CATH VEIN - 2ND ORDER BRANCH,4677.07,2806.24,795.1,7411.0,39
CDM,76100524,HC PLACE CATH ARTERY - PULMONARY,3470.39,2082.23,589.97,7411.0,39
CDM,76100525,"HC PLACE CATH ARTERY - PULMONARY,SUB OR SUBSEG",2430.57,1458.34,413.2,7411.0,39
CDM,76100527,HC ESTABLISH ACC ARTERY - EXTREMITY,3224.38,1934.63,548.14,7411.0,39
CDM,76100530,"HC INTRO CATH, AORTA",4329.44,2597.66,736.0,7411.0,39
CDM,76100531,"HC PLACE CATH ART,THORAC/BRACHIO EA 1ST BRANCH",4809.48,2885.69,817.61,7411.0,39
CDM,76100532,"HC PLACE CATH ART,THORAC/BRACHIO INT 2ND ORDER",4446.09,2667.65,755.84,7411.0,39
CDM,76100533,"HC PLACE CATH ART,THOR/BRACH INIT 3RD ORDER",5613.29,3367.97,954.26,7411.0,39
CDM,76100534,"HC PLACE CATH ART,THOR/BRACH INIT ADD ORDER",2470.24,1482.14,419.94,7411.0,39
CDM,76100535,"HC PLACE CATH ART,ABD/PEL/LOW EXT AS 1ST BRANCH",6207.74,3724.64,1055.32,7411.0,39
CDM,76100536,"HC PLACE CATH ART,ABD/PEL/LOW EXT INIT 2ND ORDER",5898.75,3539.25,1002.79,7411.0,39
CDM,76100537,"HC PLACE CATH ART,ABD/PEL/LOW EXT INIT 3RD ORDER",6706.97,4024.18,1140.18,7411.0,39
CDM,76100538,"HC PLACE CATH ART,ABD/PEL/LOW EXT ADD ORDER",2800.81,1680.49,476.14,7411.0,39
CDM,76100546,"HC INSERT CATHETER,VEIN",3740.67,2244.4,635.91,7411.0,39
CDM,76100547,HC INSERT CATHETER VEIN,2999.73,1799.84,509.95,7411.0,39
CDM,76100548,HC INSERT NON-TUNNEL CV - YOUNGER THAN 5 YRS,3893.7,2336.22,1118.22,7896.23,55
CDM,76100549,HC INSERT NON-TUNNEL CV - AGE 5 YRS AND OLDER,4146.65,2487.99,1118.22,7896.23,55
CDM,76100550,HC INSERT TUNNELED CATH - YOUNGER THAN 5 YRS,4769.95,2861.97,1717.18,13613.39,55
CDM,76100551,HC INSERT TUNNELED CATH - AGE 5 YRS AND OLDER,8020.11,4812.07,1118.22,7896.23,55
CDM,76100552,HC INSERT TUNNELED DEVICE - AGE 5 YRS AND OLDER,9117.57,5470.54,1118.22,7896.23,55
CDM,76100553,HC INSERT PICC CATH - YOUNGER THAN 5 YRS,4384.8,2630.88,446.27,7411.0,55
CDM,76100554,HC INSERT PICC CATH - AGE 5 YRS AND OLDER,3465.72,2079.43,446.27,7411.0,55
CDM,76100555,HC REPAIR CV ACCESS CATH,2048.74,1229.24,223.75,7411.0,55
CDM,76100556,HC REPAIR CV ACCESS DEVICE,4454.03,2672.42,446.27,7411.0,55
CDM,76100557,"HC REPLACE TUNNELED CV, CATH ONLY",6281.5,3768.9,1501.07,7896.23,55
CDM,76100558,HC REPLACE CVAD CATH,4316.99,2590.19,605.62,7411.0,55
CDM,76100559,"HC REPLACE TUNNELED CV, COMPLETE",7368.3,4420.98,1477.77,7896.23,55
CDM,76100560,"HC REPLACE TUNNELED CV, COMPLETE W/PORT",8698.95,5219.37,1118.22,7896.23,55
CDM,76100561,HC REPLACE PICC CATH,4363.24,2617.94,446.27,7411.0,55
CDM,76100562,HC REMOVE TUNNELED CAT,3463.45,2078.07,223.75,7411.0,55
CDM,76100563,HC REMOVE TUNNELED CATH,4331.88,2599.13,446.27,7411.0,55
CDM,76100567,HC MECH REMOV TUN CATH,5323.24,3193.94,1452.4,7896.23,55
CDM,76100568,HC REPOSITION VENOUS CATH,2536.15,1521.69,446.27,7411.0,55
CDM,76100569,"HC INJECTION W/FLUOR, EVAL CV",1160.23,696.14,79.46,7411.0,55
CDM,76100572,HC INSERT HEPATIC SHUNT,16257.47,9754.48,2763.77,39592.62,54
CDM,76100573,HC TIPS REVISION,18697.16,11218.3,3178.52,14583.78,55
CDM,76100574,HC PRIM ART M-THRMBC 1ST VSL,10890.34,6534.2,3920.52,43439.01,55
CDM,76100575,HC SEC ART M-THROMBECT,7752.67,4651.6,1317.95,7411.0,39
CDM,76100576,HC VENOUS THROMBECTOMY,11846.54,7107.92,4264.75,27252.71,55
CDM,76100577,HC INS ENDOVAS VENA CAV,12017.97,7210.78,2043.05,13613.39,55
CDM,76100578,HC REM ENDOVAS VENA CAV,10328.17,6196.9,1755.79,8055.97,55
CDM,76100579,HC TRANSCATHETER BIOPSY,7143.21,4285.93,1939.15,13613.39,55
CDM,76100588,"HC TRANSCATH STENT, CCA",22171.21,13302.73,3769.11,18845.53,39
CDM,76100590,HC ILIAC REVASC W/STENT - INITIAL VESSEL,40091.98,24055.19,6299.0,34078.18,40
CDM,76100591,HC ILIAC REVASC ADD-ON,17389.59,10433.75,2956.23,14781.15,39
CDM,76100592,HC ILIAC REVASC W/STENT - EA ADD VESSEL,23985.53,14391.32,4077.54,20387.7,39
CDM,76100593,HC FEM/POPL REVAS W/TLA,28124.2,16874.52,4781.11,23905.57,40
CDM,76100595,HC FEM/POPL REVAS W/STENT,42046.91,25228.15,6299.0,35739.87,40
CDM,76100597,HC TIB/PER REVASC W/TLA,30648.97,18389.38,5210.32,27252.71,40
CDM,76100601,HC TIB/PER REVASC ADD-O,16946.04,10167.62,2880.83,14404.13,39
CDM,76100605,HC LIGATION OF A-V FIST,10608.57,6365.14,1118.22,8274.68,55
CDM,76100611,HC HRVST AUTO STEM CELL,7440.99,4464.59,564.62,7411.0,55
CDM,76100612,HC BONE MARROW ASPIRATION,2294.27,1376.56,92.74,7411.0,55
CDM,76100613,HC BONE MARROW BIOPSY,2252.63,1351.58,95.79,7411.0,55
CDM,76100614,"HC BIOPSY/REMOVAL, LYMP",6892.23,4135.34,963.66,9442.65,55
CDM,76100615,"HC NEEDLE BIOPSY, LYMPH",3839.39,2303.63,486.45,7411.0,55
CDM,76100616,"HC BIOPSY/REMOVAL, LYMP - NEEDLE",6633.13,3979.88,963.66,9442.65,55
CDM,76100617,"HC BIOPSY/REMOVAL, LYMP - OPEN, DEEP",6994.24,4196.54,963.66,9442.65,55
CDM,76100618,HC BLOOD/LYMPH SYSTEM,3015.12,1809.07,421.02,7411.0,53
CDM,76100623,HC DRAIN MOUTH LESION - SIMPLE,1444.87,866.92,131.78,7411.0,55
CDM,76100630,HC EXCISE LIP/CHEEK FOL,3282.61,1969.57,420.64,7411.0,55
CDM,76100631,HC INCISION TONGUE FOLD,1939.64,1163.78,420.64,7411.0,55
CDM,76100640,HC DRAIN GUM LESION,814.34,488.6,126.97,7411.0,55
CDM,76100646,HC REMOVE SALIVARY STON,4061.4,2436.84,121.82,7975.81,55
CDM,76100647,"HC BIOPSY SALIVARY GLAND, NEEDLE",1909.84,1145.9,57.58,7411.0,55
CDM,76100650,HC DRAIN TONSIL ABSCESS,2423.03,1453.82,87.58,7411.0,55
CDM,76100654,HC UNLISTED PROC INTEST,3055.95,1833.57,763.99,7411.0,53
CDM,76100657,HC HEMORRHOIDECTOMY,8725.08,5235.05,939.93,7411.0,55
CDM,76100658,"HC NEEDLE BIOPSY, LIVER",3924.54,2354.72,667.17,7411.0,39
CDM,76100659,HC CHOLECYSTOSTOMY PRQ W IMG & PLMT,5938.2,3562.92,1009.49,8570.48,55
CDM,76100667,HC ABD PARACENTESIS,2136.21,1281.73,334.95,7411.0,55
CDM,76100668,HC ABD PARACENTESIS W/I,2711.82,1627.09,334.95,7411.0,55
CDM,76100669,HC INS MARK ABD/PEL FOR,3334.63,2000.78,296.23,7411.0,55
CDM,76100670,HC INSERTION TUNNELED CATHETER W/PORT,9458.69,5675.21,1151.54,8570.48,55
CDM,76100671,HC PLACE GASTROSTOMY,3193.13,1915.88,564.97,7411.0,55
CDM,76100672,HC PLACE DUOD/JEJ TUBE,3837.77,2302.66,564.97,7411.0,55
CDM,76100674,HC CHANGE G-TUBE TO G-J,3082.91,1849.75,564.97,7411.0,55
CDM,76100676,HC REPLACE G/C TUBE PER,1867.74,1120.64,334.95,7411.0,55
CDM,76100677,HC MEASURE KIDNEY PRESSU,1339.98,803.99,238.15,7411.0,55
CDM,76100678,HC REPLACE DUOD/JEJ TUBE,2257.56,1354.54,334.95,7411.0,55
CDM,76100680,HC REPLACE G-J TUBE PER,2667.42,1600.45,334.95,7411.0,55
CDM,76100682,HC FLUORO EXAM OF G/CO,1045.04,627.02,177.66,7411.0,55
CDM,76100684,HC PRP I/HERN INIT REDU,10351.2,6210.72,1151.54,8570.48,55
CDM,76100687,HC PERC RF ABLATE RENAL,11582.46,6949.48,1888.85,14293.73,55
CDM,76100691,HC CHANGE OF URETER TUB,4571.01,2742.61,652.8,7411.0,55
CDM,76100693,HC INJECTION FOR URETER XRAY,858.68,515.21,145.98,7411.0,39
CDM,76100696,HC BIOPSY OF KIDNEY,3625.85,2175.51,486.45,7411.0,55
CDM,76100697,HC DRAIN BL W/CATH INSE,6454.45,3872.67,652.8,7411.0,55
CDM,76100698,"HC CHANGE URETER STENT,",4625.43,2775.26,652.8,7411.0,55
CDM,76100699,HC IRRIGATION BLADDER,893.09,535.85,44.3,7411.0,55
CDM,76100701,HC STRAIGHT CATH,395.21,237.13,67.19,7411.0,55
CDM,76100703,HC INSERT TEMP BLADDER CATHETER,500.62,300.37,85.11,7411.0,55
CDM,76100704,HC REMOVE RENAL TUBE,2810.6,1686.36,238.15,7411.0,55
CDM,76100705,HC INSERT BLADDER CATHETER - COMPLICATED,681.03,408.62,57.79,7411.0,55
CDM,76100706,HC DRAIN KIDNEY LESION,2866.55,1719.93,257.6,7411.0,55
CDM,76100707,HC CHANGE OF BLADDER TUBE,886.6,531.96,51.77,7411.0,55
CDM,76100709,HC CHANGE BLADDER TUBE,2004.38,1202.63,238.15,7411.0,55
CDM,76100712,HC TREAT BLADDER LESION,965.05,579.03,44.85,7411.0,55
CDM,76100713,HC US MEASUREMENT OF BLADDER CAPACITY OR POST VOID RESIDUAL,321.05,192.63,54.58,7411.0,55
CDM,76100714,HC CYSTOSCOPY,2785.38,1671.23,238.15,7411.0,55
CDM,76100722,HC CYSTOSCOPY AND TREAT - W CALIB/DILAT STRICTURE,5663.52,3398.11,652.8,7411.0,55
CDM,76100728,HC CYSTOSCOPY&TREATMENT - W STENT INSERT,7238.05,4342.83,1142.9,8636.11,55
CDM,76100746,HC CIRCUMCISION W/BLOCK,2370.06,1422.04,652.8,7411.0,55
CDM,76100747,"HC CIRCUMCISION, NEONAT",3775.96,2265.58,238.15,7411.0,55
CDM,76100755,HC DRAINAGE OF HYDROCEL,1220.02,732.01,54.26,7411.0,55
CDM,76100756,HC DRAIN SCROTUM ABSCES,3329.81,1997.89,486.45,7411.0,55
CDM,76100759,HC BIOPSY OF PROSTATE,4378.44,2627.06,744.33,7411.0,40
CDM,76100760,HC PLACE RT DEVICE/MARK,4877.63,2926.58,70.87,7411.0,55
CDM,76100761,HC I & D VULVA/PERINEU,1153.73,692.24,75.58,7411.0,55
CDM,76100762,HC DRAIN ABSCESS GLAND,849.69,509.81,70.52,7411.0,55
CDM,76100767,HC BIOPSY VULVA/PERINEUM - 1 LESION,1355.89,813.53,44.85,7411.0,55
CDM,76100773,HC BIOPSY OF VAGINA,2872.47,1723.48,47.06,7411.0,55
CDM,76100775,HC INSERT UTERI TANDEMS,8668.93,5201.36,1526.99,12321.66,55
CDM,76100776,HC INS VAG BRACHY TREATMENT DEV,1612.07,967.24,116.74,7411.0,55
CDM,76100790,HC BIOPSY OF CERVIX,2114.23,1268.54,91.36,7411.0,55
CDM,76100796,HC BIOPSY UTERUS LINING,662.77,397.66,45.96,7411.0,55
CDM,76100797,HC DILATION AND CURETTA,6916.78,4150.07,1063.52,7744.8,55
CDM,76100799,HC REMOVE DEVICE INTRA,805.59,483.35,51.22,7411.0,55
CDM,76100810,"HC AMNIOCENTESIS, DIAGN",1461.0,876.6,49.56,7411.0,55
CDM,76100812,HC D& C AFTER DELIVERY,5736.64,3441.98,1063.52,7744.8,55
CDM,76100813,HC INSERT CERVICAL DILATOR,1139.52,683.71,193.72,7411.0,55
CDM,76100814,HC EXT CEPHALIC VERSION,5219.63,3131.78,887.34,7744.8,55
CDM,76100815,HC BIOPSY OF THYROID,2140.51,1284.31,42.63,7411.0,55
CDM,76100817,HC ASPIR/INJECTION THYROID CYS,1388.81,833.29,59.52,7411.0,55
CDM,76100818,HC ENDOCRINE SURGERY PR,6670.8,4002.48,1667.7,14293.73,53
CDM,76100822,HC REMOVE BRAIN CANAL FL,1697.2,1018.32,108.15,7411.0,55
CDM,76100823,HC INJ.INTO BRAIN CANAL,1817.81,1090.69,108.15,7411.0,55
CDM,76100824,HC BRAIN CANAL SHUNT PR,1735.95,1041.57,262.86,7411.0,55
CDM,76100825,HC ENDOVASC TEMP VESSEL,20893.2,12535.92,3551.84,27252.71,55
CDM,76100826,HC TRANSCATH OCCLUSION - CENTRL NRVS SYST,14907.32,8944.39,2534.24,39592.62,54
CDM,76100827,HC TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK,20712.98,12427.79,3521.21,27252.71,55
CDM,76100828,HC INTERCRANIAL ANGIOPL,8108.77,4865.26,1378.49,7411.0,39
CDM,76100832,HC EPIDURAL LYSIS 1 DAY,3623.71,2174.23,340.77,7411.0,55
CDM,76100833,HC INDERDISCAL PERQ ASPI,2887.34,1732.4,257.6,7411.0,55
CDM,76100835,"HC SPINAL FLUID TAP, DIAGNOSTIC",1956.09,1173.65,262.86,7411.0,55
CDM,76100836,HC DRAIN CEREBRO SPINAL,1988.25,1192.95,262.86,7411.0,55
CDM,76100837,HC INJECT EPIDURAL PATCH,2983.9,1790.34,262.86,7411.0,55
CDM,76100838,HC INJECTION FOR MYELOGRAM,2112.89,1267.73,359.19,7411.0,39
CDM,76100843,HC IMPLANT SPINAL CANAL,5747.17,3448.3,2068.98,18954.06,55
CDM,76100845,HC ANALYZE SPINE INFUSI - W/O REPROGRAM,849.85,509.91,144.47,7411.0,55
CDM,76100846,HC ANALYZE SPINE INFUSI - W REPROGRAM,1010.17,606.1,171.73,7411.0,55
CDM,76100847,HC ANAL SP INF PMP W/MD,1321.0,792.6,224.57,7411.0,55
CDM,76100849,HC IMPLANT NEUROELECTRODE - EPIDURAL,12577.0,7546.2,2416.0,16942.33,55
CDM,76100850,"HC NBLOCK INJECTION, TRIGEMIN",1313.52,788.11,67.55,7411.0,55
CDM,76100851,"HC NBLOCK INJECTION, FACIAL",778.33,467.0,194.58,7411.0,53
CDM,76100852,"HC NBLOCK INJECTION, OCCIPITAL",1601.07,960.64,30.18,7411.0,55
CDM,76100853,"HC NBLOCK INJ, BRACHIAL PLEXUS, SINGL W/GUIDANCE",2982.52,1789.51,340.77,7411.0,55
CDM,76100855,"HC NBLOCK INJ, AXILLARY W/ GUIDANCE",1875.95,1125.57,340.77,7411.0,55
CDM,76100856,"HC NBLOCK INJECTION, SUPRASCA",2310.0,1386.0,38.76,7411.0,55
CDM,76100857,"HC NBLOCK INJECTION, INTERCOSTAL NRVE,SNGL",2053.71,1232.23,262.86,7411.0,55
CDM,76100858,"HC NBLOCK INJECTION, INTERCOSTAL NRVS,MLTPLE",2409.18,1445.51,340.77,7411.0,55
CDM,76100859,"HC NBLOCK INJECTION, ILIO-ING",1581.94,949.16,61.74,7411.0,55
CDM,76100860,"HC NBLOCK INJECTION, PUDENDAL",1805.09,1083.05,340.77,7411.0,55
CDM,76100862,"HC NBLOCK INJ, SCIATIC W/GUIDANCE",3203.39,1922.03,73.64,7411.0,55
CDM,76100864,"HC NBLOCK INJECTION FEMORAL, SINGLE W GUIDANCE",4363.94,2618.36,39.86,7411.0,55
CDM,76100865,"HC BLOCK INJ FEM,CONTW/GUIDANCE",2627.8,1576.68,443.63,7411.0,55
CDM,76100866,"HC NBLOCK, OTHER PERIPHERAL",1898.54,1139.12,39.31,7411.0,55
CDM,76100867,"HC N BLOCK, OTHER PERIPH",716.39,429.83,17.99,7411.0,55
CDM,76100868,"HC INJECTION FORAMEN EPIDURAL - CERV/THORACIC, SINGLE",3408.9,2045.34,340.77,7411.0,55
CDM,76100869,"HC INJECTION FORAMEN EPIDURAL - CERV/THORACIC,EA ADD LVL",2137.65,1282.59,363.4,7411.0,39
CDM,76100870,HC INJECTION FORAMEN EPIDURAL - LUMB/SACR SNGL LVL,3751.66,2251.0,340.77,7411.0,55
CDM,76100871,HC INJECTION FORAMEN EPIDURAL - LUMB/SACR EA ADD LVL,2235.06,1341.04,379.96,7411.0,39
CDM,76100872,HC INJECTION DX/THER PARAVERT FACET JT CERV/THOR 1 LEVEL,3659.91,2195.95,340.77,7411.0,55
CDM,76100873,HC INJECTION DX/THER PARAVERT FACET JT CERV/THOR 2ND LEVEL,1885.68,1131.41,320.57,7411.0,39
CDM,76100874,HC INJECTION DX/THER PARAVERT FACET JT CERV/THOR 3RD LEVEL,2017.63,1210.58,343.0,7411.0,39
CDM,76100875,HC INJECTION DX/THER PARAVERT FACET JT LMBR/SAC 1 LEVEL,3609.74,2165.84,340.77,7411.0,55
CDM,76100876,HC INJECTION DX/THER PARAVERT FACET JT LMBR/SAC 2ND LEVEL,1610.54,966.32,273.79,7411.0,39
CDM,76100877,HC INJECTION DX/THER PARAVERT FACET JT LMBR/SAC 3RD LEVEL,1405.38,843.23,238.91,7411.0,39
CDM,76100878,"HC NBLOCK, SPENOPALATIN",1271.52,762.91,70.6,7411.0,55
CDM,76100879,"HC NBLOCK, STELLATE GAN",2543.49,1526.09,340.77,7411.0,55
CDM,76100880,"HC NBLOCK INJECTION, HYPOGAS",3289.92,1973.95,340.77,7411.0,55
CDM,76100881,"HC NBLOCK, LUMBAR/THORA",3465.35,2079.21,340.77,7411.0,55
CDM,76100882,"HC NBLOCK INJECTION, CELIAC",3692.62,2215.57,340.77,7411.0,55
CDM,76100883,HC IMPLANT NEUROELECTRODE - PERIPHERAL NERVE,9382.33,5629.4,3377.64,16942.33,55
CDM,76100887,HC INJECTION TRT NERVE - TRIGEMINAL,5848.1,3508.86,340.77,7411.0,55
CDM,76100888,HC CHEMODENERV SALIV GL,1678.0,1006.8,67.55,7411.0,55
CDM,76100889,"HC DESTROY NERVE, FACE",1120.82,672.49,64.78,7411.0,55
CDM,76100892,HC INJECTION TRT NERVE - INTERCOSTAL,3413.2,2047.92,340.77,7411.0,55
CDM,76100893,"HC N BLOCK INJECTION,COMMON D",757.9,454.74,36.82,7411.0,55
CDM,76100894,HC DESTROY CERV/THOR FAC,4200.08,2520.05,659.94,7411.0,55
CDM,76100895,HC DESTROY C/TH FACET J,2623.22,1573.93,445.95,7411.0,39
CDM,76100896,HC DESTROY LUMB/SAC FAC,5169.8,3101.88,659.94,7411.0,55
CDM,76100897,HC DESTROY L/S FACET JN,2189.43,1313.66,372.2,7411.0,39
CDM,76100898,HC INJECTION TRT NERVE - OTHER PERIPHERAL,3287.82,1972.69,145.34,7411.0,55
CDM,76100901,HC INJECTION TRT NERVE - CELIAC PLEXUS,5528.82,3317.29,340.77,7411.0,55
CDM,76100904,HC NERVOUS SYSTEM SURG,3641.28,2184.77,292.93,7411.0,53
CDM,76100925,HC LASER SURGERY OF EYE,2312.3,1387.38,109.35,7411.0,55
CDM,76100932,HC REVISION OF IRIS,2870.42,1722.25,153.38,7411.0,55
CDM,76100933,HC AFTER CATARACT LASER,2288.51,1373.11,208.33,7411.0,55
CDM,76100937,HC INJECTION EYE DRUG,1375.17,825.1,48.45,7411.0,55
CDM,76100952,HC TREAT RETINOPATHY,2624.71,1574.83,142.3,7411.0,55
CDM,76100957,HC DRAIN EYELID ABSCESS,2950.71,1770.43,108.29,7411.0,55
CDM,76101003,HC CLEAR OUTER EAR CANA,467.99,280.79,79.56,7411.0,55
CDM,76101004,HC REMOVE IMPACTED CERUMEN,327.18,196.31,55.62,7411.0,55
CDM,76101019,HC CHEMOTX ADMIN PRTL CA,845.28,507.17,143.7,7411.0,55
CDM,76101021,HC WOUND CARE SELECTIVE DEBRIDEMENT <20CM,584.97,350.98,99.44,7411.0,55
CDM,76101022,HC WOUND CARE SELECTIVE DEBRIDEMENT EACH ADTL 20CM,690.39,414.23,117.37,7411.0,40
CDM,76101023,HC NEG PRESS WOUND TREATMENT<50,528.03,316.82,89.77,7411.0,55
CDM,76101024,HC NEG PRESS WOUND TREATMENT>50 CM,826.97,496.18,140.58,7411.0,55
CDM,76101034,HC PERCUTANEOUS SACRAL AUGMENTATION (UNILATERAL INJECTIONS),9653.01,5791.81,1641.01,17722.46,55
CDM,76101035,HC PERCUTANEOUS SACRAL AUGMENTATION (BILATERAL INJECTIONS),11859.86,7115.92,2016.18,17722.46,55
CDM,76101036,HC INJECT PLATELET RICH PLASMA,1915.0,1149.0,325.55,7411.0,55
CDM,76101042,HC INJECTION SACROILIAC JT,2636.87,1582.12,448.27,7411.0,55
CDM,76101046,"HC FORENSIC EXAM, MALE W/ DIGITAL PHOTO",2671.77,1603.06,667.94,7411.0,53
CDM,76101056,HC OCCLUSIVE DEVICE IN,1542.86,925.72,262.29,7411.0,39
CDM,76101061,HC DEBRIDE BONE - EA ADD 20 SQ CM,2896.67,1738.0,492.43,7411.0,39
CDM,76101091,"HC WOUND PREP, F/N/HF/G",1997.34,1198.4,262.63,7411.0,55
CDM,76101095,HC EPIDRM A-GRFT FACE,2262.44,1357.46,709.01,7411.0,55
CDM,76101106,HC SKIN SUB GRFT T/ARM/,3389.26,2033.56,1220.13,8887.48,55
CDM,76101107,HC SKIN SUB GRFT T/A/L C,1752.09,1051.25,297.86,7411.0,39
CDM,76101108,HC SKIN SUB GRFT F/N/HF,3463.66,2078.2,784.87,7411.0,55
CDM,76101109,HC SKN SUB GRFT F/N/HF/,1761.85,1057.11,299.51,7411.0,39
CDM,76101180,HC SKIN TISSUE PROCEDUR,1802.51,1081.51,191.47,7411.0,55
CDM,76101181,HC INJECTION FOR BREAST,1036.04,621.62,176.13,7411.0,39
CDM,76101206,HC BREAST SURGERY PROCE,3524.35,2114.61,881.09,9442.65,53
CDM,76101209,"HC EXPLORE WOUND, ABDOM",4883.07,2929.84,830.12,7411.0,55
CDM,76101252,HC PREPARE FACE/ORAL PR,4672.51,2803.51,504.98,7975.81,55
CDM,76101255,HC PREPARE FACE/ORAL PR,4515.2,2709.12,767.58,7975.81,55
CDM,76101319,HC RESET DISLOCATED JAW,854.0,512.4,85.32,7411.0,55
CDM,76101322,HC DRAIN NECK/CHEST LES,4545.12,2727.07,815.2,7411.0,55
CDM,76101343,HC PERC KYPHOPLASTY TH,19277.21,11566.33,2398.52,17722.46,55
CDM,76101345,"HC PERC KYPHOPLASTY, AD",12855.9,7713.54,2185.5,10927.51,39
CDM,76101352,HC SPINE SURGERY PROCED,4645.25,2787.15,235.4,7411.0,53
CDM,76101359,HC ABDOMEN SURGERY PROC,4737.9,2842.74,235.4,7411.0,53
CDM,76101367,HC BIOPSY SHOULDER TISS,5030.72,3018.43,815.2,7411.0,55
CDM,76101398,HC REPAIR SHOULDER CAPS,13450.5,8070.3,3391.14,17722.46,55
CDM,76101432,HC SHOULDER SURGERY PRO,3142.43,1885.46,235.4,7411.0,53
CDM,76101460,HC INJECTION FOR ELBOW,1281.41,768.85,217.84,7411.0,39
CDM,76101472,HC REPR ELBW MED LIGMNT,8199.06,4919.44,2398.52,17722.46,55
CDM,76101501,HC TREAT ELBOW DISLOCAT,12154.86,7292.92,2763.0,17722.46,55
CDM,76101607,HC TREAT WRIST DISLOCAT,891.65,534.99,85.32,7411.0,55
CDM,76101610,HC TREAT WRIST DISLOCAT,1502.69,901.61,85.32,7411.0,55
CDM,76101793,HC DRAIN THIGH/KNEE LES,6011.43,3606.86,815.2,7411.0,55
CDM,76101798,"HC BIOPSY, THIGH SOFT T",5537.79,3322.67,486.45,7411.0,55
CDM,76101822,HC REPAIR OF THIGH MUSC,11212.84,6727.7,2398.52,17722.46,55
CDM,76101867,HC FIXATION OF KNEE JNT,2960.4,1776.24,593.04,7411.0,55
CDM,76101870,HC DECOMPRESSN LOW LEG,5680.5,3408.3,1088.27,8018.48,55
CDM,76101872,HC DECOMPRESSN LOW LEG,11813.87,7088.32,1088.27,9214.82,55
CDM,76101934,HC TREATMENT ANKLE FRACTURE,11104.53,6662.72,2763.0,17722.46,55
CDM,76101954,HC LEG/ANKLE SURGERY PR,3838.28,2302.97,235.4,7411.0,53
CDM,76102025,HC CORRECTION OF BUNION,10590.0,6354.0,1088.27,10032.0,56
CDM,76102196,HC REMOVE NASAL F.B.,7313.78,4388.27,420.64,7411.0,55
CDM,76102249,HC DIAGNOSTIC LARYNGOSCOPY EXCL,4134.52,2480.71,525.71,7411.0,55
CDM,76102262,HC LARYNGOSCOPE W/VC IN,5737.88,3442.73,1062.24,9276.93,55
CDM,76102263,HC LARYNGOSCOP W/VC INJ,6531.23,3918.74,1062.24,9276.93,55
CDM,76102264,HC LARYNGOSCOPY W/BIOPSY,5560.44,3336.26,525.71,7411.0,55
CDM,76102270,HC INCISION OF WINDPIPE,8760.12,5256.07,1489.22,7975.81,55
CDM,76102272,HC INCISION OF WINDPIPE,4390.6,2634.36,420.64,7411.0,55
CDM,76102284,HC NASOTRACHEAL SUCTIONING,463.83,278.3,78.85,7411.0,55
CDM,76102288,HC CLOSURE WINDPIPE LES,5334.54,3200.72,886.62,7975.81,55
CDM,76102293,HC LYSE CHEST FIBRIN IN,1901.04,1140.62,323.18,7411.0,55
CDM,76102294,HC LYSE CHEST FIBRIN SU,1496.87,898.12,254.47,7411.0,55
CDM,76102302,HC INSERT HEART ELECTRO,15896.5,9537.9,5113.52,21045.99,55
CDM,76102303,HC REMOVAL ARTERY CLOT,11205.38,6723.23,1904.91,13613.39,55
CDM,76102305,HC REMOVAL ARTERY CLOT,13648.66,8189.2,2320.27,13613.39,55
CDM,76102306,HC REMOVAL LEG ART CLOT,11199.93,6719.96,1903.99,13613.39,55
CDM,76102310,HC REPAIR DEFECT ARTERY,10509.92,6305.95,1786.69,13613.39,55
CDM,76102313,HC REPAIR BLOOD VESSEL,7836.86,4702.12,1332.27,13613.39,55
CDM,76102314,HC REPAIR BLOOD VESSEL,9522.78,5713.67,1618.87,7896.23,55
CDM,76102315,HC REPAIR BLOOD VESSEL,7032.8,4219.68,1118.22,7896.23,55
CDM,76102316,HC REPAIR BLOOD VESSEL,3057.26,1834.36,519.73,7411.0,55
CDM,76102321,HC REPAIR BLOOD VESSEL,9726.73,5836.04,1653.54,13613.39,55
CDM,76102322,HC RECHANNELING ARTERY,9990.19,5994.11,1698.33,13613.39,55
CDM,76102329,HC REMOVE FRAGT CLOT,11935.06,7161.04,1939.15,13613.39,55
CDM,76102333,HC PLACE CATH ARTERY,2362.4,1417.44,401.61,7411.0,39
CDM,76102334,HC ESTABLISH ACC AORTA,2601.58,1560.95,442.27,7411.0,39
CDM,76102345,"HC APHERESIS, SELECTIVE",9657.01,5794.21,1462.04,11464.28,55
CDM,76102347,HC INSERT TUNNELED CATH,6853.39,4112.03,1118.22,7896.23,55
CDM,76102348,HC INSERT TUNNELED CATH,10660.95,6396.57,1939.15,13613.39,55
CDM,76102350,HC INSERT PICVAD CATH,6521.55,3912.93,1118.22,7896.23,55
CDM,76102351,HC REPLACE PICVAD CATH,5149.77,3089.86,1118.22,7896.23,55
CDM,76102352,HC MECH REMOV TUN CATH,2342.1,1405.26,446.27,7411.0,55
CDM,76102354,"HC INSERT NEEDLE, BONE",769.99,461.99,130.9,7411.0,55
CDM,76102362,HC OPEN THROMBECT AV,11497.88,6898.73,1939.15,13613.39,55
CDM,76102363,HC AV FISTULA REVISION,17857.94,10714.76,1939.15,13929.19,55
CDM,76102364,HC AV FISTULA REVISION,12900.54,7740.32,1939.15,13613.39,55
CDM,76102366,HC PRIM ART M-THROMBECT,8646.11,5187.67,1469.84,7411.0,39
CDM,76102367,HC VENOUS M-THROMBECTOM,7785.35,4671.21,1544.74,7896.23,55
CDM,76102368,HC REDO ENDOVAS VENA CA,8283.76,4970.26,1408.24,7896.23,55
CDM,76102372,"HC TRANSCATH STENT, CCA",16145.24,9687.14,2744.69,13723.45,39
CDM,76102373,HC TIB/PER REVASC W/ATH,34331.47,20598.88,5836.35,29181.75,39
CDM,76102393,HC BONE MARROW/STEM TRA,15000.0,9000.0,564.62,12750.0,55
CDM,76102411,HB RA TRACER ID OF SENTINL NODE,2469.78,1481.87,381.51,7411.0,55
CDM,76102437,HC DRAIN MOUTH LESION,3825.66,2295.4,886.62,7975.81,55
CDM,76102441,HC DRAIN MOUTH LESION,2174.82,1304.89,420.64,7411.0,55
CDM,76102480,HC DRAIN SALIVARY GLAND,5189.52,3113.71,420.64,7411.0,55
CDM,76102494,HC INJECTION FOR SALIVAY XRAY,698.9,419.34,118.81,7411.0,39
CDM,76102544,HC REPAIR ANAL FISTULA,4855.84,2913.5,939.93,7411.0,55
CDM,76102549,HC PANCREAS UNLISTED SURGERY PROCEDURE,3548.91,2129.35,675.79,7411.0,53
CDM,76102550,HC PERITONEAL LAVAGE,2664.88,1598.93,334.95,7411.0,55
CDM,76102565,HC FIX G/COLON TUBE W/D,1269.15,761.49,334.95,7411.0,55
CDM,76102588,"HC RPR UMBIL HERN, REDU",9876.59,5925.95,1679.02,8395.1,39
CDM,76102589,"HC RPR UMBIL HERN, BLOC",9409.82,5645.89,1599.67,8033.0,39
CDM,76102602,HC REMOVE KIDNEY STONE,16857.64,10114.58,3322.27,22821.27,55
CDM,76102604,HC CHANGE URETER STENT,4263.18,2557.91,652.8,7411.0,55
CDM,76102617,HC INJECTION FOR URETER XRAY,1402.48,841.49,238.42,7411.0,39
CDM,76102624,HC URETER ENDOSCOPY BIOPSY,9494.54,5696.72,1689.43,12818.21,55
CDM,76102629,HC INCISE & DRAIN BLADD,7911.69,4747.01,652.8,7411.0,55
CDM,76102636,HC INJECTION FOR BLADDER XRAY,1300.0,780.0,221.0,7411.0,39
CDM,76102637,HC INJECTION FOR BLADDER XRAY,1008.37,605.02,171.42,7411.0,39
CDM,76102723,HC UROLOGY SURGERY PROC,5385.72,3231.43,238.44,7411.0,53
CDM,76102815,HC REPAIR OF PERINEUM,5475.81,3285.49,1063.52,7744.8,55
CDM,76102847,HC PELVIC EXAMINATION,1782.78,1069.67,641.8,7744.8,55
CDM,76102903,HC BIOPSY OF OVARY(S),7736.64,4641.98,1063.52,7744.8,55
CDM,76102905,HC GENITAL SURGERY PROC,2204.33,1322.6,192.94,7411.0,53
CDM,76102906,"HC AMNIOCENTESIS, THERA",1121.53,672.92,116.74,7411.0,55
CDM,76102915,HC REVISION OF CERVIX,6424.6,3854.76,1063.52,7744.8,55
CDM,76102918,HC DELIVER PLACENTA,5225.23,3135.14,1063.52,7744.8,55
CDM,76102920,HC TRT OF MISCARRIAGE,7448.28,4468.97,1063.52,7744.8,55
CDM,76102921,HC CARE OF MISCARRIAGE,6367.55,3820.53,1063.52,7744.8,55
CDM,76102923,HC INDUCED ABORTION D&C,6075.2,3645.12,1063.52,7744.8,55
CDM,76102926,HC REMVE CERCLAGE SUTUR UNDER CONSCIOUS SEDATION,5053.65,3032.19,1063.52,7744.8,55
CDM,76102942,"HC PIERCE SKULL,IMPLANT",9453.26,5671.96,1607.05,8035.27,39
CDM,76102958,HC TRT SPINAL CANAL LES,2789.44,1673.66,340.77,7411.0,55
CDM,76102959,HC PERCUTANEOUS DISKECT,8869.55,5321.73,659.94,7411.0,55
CDM,76102960,HC INJECT SPINE DISK X-,3359.25,2015.55,571.07,7411.0,39
CDM,76102965,HC ANAL SP INF PMP W/RE,717.6,430.56,121.99,7411.0,55
CDM,76103000,"HC NBLOCK INJECTION, PHRENIC",1318.0,790.8,292.93,7411.0,53
CDM,76103002,"HC NBLOCK INJECTION, CERVICAL",1538.48,923.09,292.93,7411.0,53
CDM,76103006,"HC NBLOCK INJECTION, LUMBAR",2593.09,1555.85,340.77,7411.0,55
CDM,76103011,HC REMOVE VAGUS N ELETR,11105.04,6663.02,1996.58,16502.12,55
CDM,76103015,HC INJECTION TRT NERVE,4654.55,2792.73,659.94,7411.0,55
CDM,76103148,HC EXTRACTION OF LENS,4205.38,2523.23,849.94,7411.0,55
CDM,76103168,HC TR RETINAL LES PRETER,2894.38,1736.63,208.33,7411.0,55
CDM,76103294,HC ELECTRICAL CONVERSION OF ARRHY,3281.49,1968.89,557.85,7411.0,55
CDM,76103313,"HC THORACENTESIS,ASPIRAT PLEURL SPACE W/O IMG",2245.45,1347.27,223.75,7411.0,55
CDM,76103314,HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,2351.37,1410.82,223.75,7411.0,55
CDM,76103315,HC PLEURAL DRAINAGE W/O IMAGING GUIDANCE,4249.78,2549.87,564.97,7411.0,55
CDM,76103316,"HC PLEURAL DRAINAGE,W/IMAGING GUIDANCE",3731.7,2239.02,446.27,7411.0,55
CDM,76103317,HC TRANSCATHETER RETRIEVAL,9338.16,5602.9,1118.22,7896.23,55
CDM,76103318,"HC TRANSCATHETER THERAPY,ARTERIAL INFU",8936.2,5361.72,2532.26,13613.39,55
CDM,76103319,"HC TRANSCATHETER THERAPY,VENOUS INFU",7537.94,4522.76,1518.93,7896.23,55
CDM,76103320,"HC TRANSCATHETER THERAPY,ARTERIAL /VENOUS IN",8266.75,4960.05,1405.35,7896.23,55
CDM,76103321,"HC TRANSCATHETER THERAPY,REMOVAL CLOSURE ANY",9048.21,5428.93,1538.2,7896.23,55
CDM,76103324,"HC NERVE DESTRUC,CHEMODENERV/MUSCLE(S) FACIAL",928.1,556.86,59.25,7411.0,55
CDM,76103325,"HC CATH PLACEMENT, THORACIC AORTA NON-SELECT",9163.35,5498.01,1557.77,7896.23,55
CDM,76103326,"HC CATH PLACEMENT, CAROTID/INNONMINATE - EXTRAC",15302.25,9181.35,2601.38,13613.39,55
CDM,76103327,"HC CATH PLACEMENT, INTERNAL CAROTID ARTERY",20885.46,12531.28,3550.53,16290.66,55
CDM,76103329,"HC CATH PLACEMENT, VERTEBRAL ARTERY",17918.04,10750.82,3046.07,13976.07,55
CDM,76103330,HC PLACE CATH EXTERNAL CAROTID ARTERY,5753.82,3452.29,978.15,7411.0,39
CDM,76103331,HC PLACE CATH INTRACRAN,3821.91,2293.15,649.72,7411.0,39
CDM,76103336,"HC EPIDURAL,CERVICAL OR THORACIC/INJ.NEUROLYT",2173.87,1304.32,340.77,7411.0,55
CDM,76103350,HC NEEDLE BIOPSY LIVER,3698.8,2219.28,486.45,7411.0,55
CDM,76103365,"HC SHUNT,EVAL.OF PREV.PLACED PERIT ONEALVENOU",549.15,329.49,93.36,7411.0,39
CDM,76103366,HC CVRX BATTERY CHANGE,56978.46,34187.08,6299.0,76924.35,40
CDM,76103389,HC INTRAUTERINE DEVICE (IUD) INSERTION,631.38,378.83,107.33,7411.0,39
CDM,76103393,"HC CATHETER INSERT/PLACEMENT, SWAN-GANZ",5919.65,3551.79,1006.34,17181.0,55
CDM,76103397,HC IMG GUIDE FLUID COLLECT DRAIN BY CATH - SOFT TISSUE,3783.48,2270.09,257.6,7411.0,55
CDM,76103398,"HC BX BRST W/PLCMNT DVC,IMG - FIRST LESION",6237.0,3742.2,486.45,7411.0,55
CDM,76103399,"HC BX BRST W/PLCMNT DVC,IMG - EA ADD LESION",2232.24,1339.34,379.48,7411.0,39
CDM,76103400,"HC BX BRST W/PLCMNT DVC,IMG&US - FIRST LESION",5153.43,3092.06,486.45,7411.0,55
CDM,76103401,"HC BX BRST W/PLCMNT DVC,IMG&US - EA ADD LESION",3402.0,2041.2,578.34,7411.0,39
CDM,76103402,"HC BX BRST W/PLCMNT DVC,IMG&MR GUIDE - FIRST LESION",5386.5,3231.9,486.45,7411.0,55
CDM,76103403,"HC BX BRST W/PLCMNT DVC,IMG&MR GUIDE - EA ADD LESION",2584.23,1550.54,439.32,7411.0,39
CDM,76103404,HC PLACE BREAST DEVICE - 1ST LESION,2999.64,1799.78,509.94,7411.0,55
CDM,76103405,HC HC PLACE BREAST DEVICE - EA AD LESION,1946.07,1167.64,330.83,7411.0,39
CDM,76103406,HC PLACE BREAST DEVICE - 1ST LESION W/STEREOTAC,3667.77,2200.66,623.52,7411.0,55
CDM,76103407,HC PLACE BREAST DEVICE - EA AD LESION W/STEREOT,1606.74,964.04,273.15,7411.0,39
CDM,76103408,HC PLACE BREAST DEVICE - 1ST  LESION W/US GUIDE,2869.41,1721.65,487.8,7411.0,55
CDM,76103409,HC PLACE BREAST DEVICE - EA AD LESION W/US GUIDE,1785.38,1071.23,303.51,7411.0,39
CDM,76103410,HC PLACE BREAST DEVICE - 1ST  LESION W/MR GUIDE,3802.66,2281.6,646.45,7411.0,55
CDM,76103411,HC PLACE BREAST DEVICE - EA AD LESION W/MR GUIDE,1405.14,843.08,238.87,7411.0,39
CDM,76103415,HC VASCULAR EMBOLIZATION/OCCLUSION - ARTERIAL,26767.56,16060.54,5195.63,43439.01,55
CDM,76103416,"HC VASCULAR EMBOLIZATION/OCCLUSION - TUMORS,ISCHEMIA",26767.56,16060.54,3491.58,27252.71,55
CDM,76103417,HC VASCULAR EMBOLIZATION/OCCLUSION - ARTERIAL/VENOUS,25045.66,15027.4,4257.76,27252.71,55
CDM,76103419,HC TRANSCATH PLAC INTRAVASCULAR STENT - INITIAL ARTERY,27999.58,16799.75,5004.56,27252.71,55
CDM,76103420,HC TRANSCATH PLAC INTRAVASCULAR STENT - EA ADD ARTERY,15697.36,9418.42,2668.55,13342.76,39
CDM,76103421,HC TRANSCATH PLAC INTRAVASCULAR STENT - INTL VEIN,27812.84,16687.7,5114.71,27252.71,55
CDM,76103422,HC TRANSCATH PLAC INTRAVASCULAR STENT - EA ADD VEIN,18243.75,10946.25,3101.44,15507.19,39
CDM,76103423,HC VASCULAR EMBOLIZATION/OCCLUSION - VENOUS,28176.51,16905.91,4545.56,27252.71,55
CDM,76103424,HC IMG-GUIDE FLUID COLLCT DRAIN BY CATH - VISCERAL,4732.07,2839.24,804.45,7411.0,55
CDM,76103425,HC IMG-GUIDE FLUID COLLCT DRAIN BY CATH - PERITONEAL,5088.64,3053.18,486.45,7411.0,55
CDM,76103426,HC IMG-GUIDE FLUID COLLCT DRAIN BY CATH - TRANS VAGINAL/RECTAL,4489.17,2693.5,486.45,7411.0,55
CDM,76103427,"HC NERVE DESTRUC,CHEMODENERVATION/NECK MUSCLES",1348.07,808.84,57.3,7411.0,55
CDM,76103428,"HC NERVE DESTRUC,CHEMODENERVATION/LARYNX",1124.97,674.98,74.47,7411.0,55
CDM,76103429,HC CHEMODENERVATION 1 EXTREMITY - 1-4 MUSCLES,1702.35,1021.41,68.66,7411.0,55
CDM,76103430,HC CHEMODENERVATION EA ADD EXTREMITY - 1-4 MUSCLES,775.58,465.35,131.85,7411.0,39
CDM,76103431,HC CHEMODENERVATION 1 EXTREMITY - 5 OR MORE MUSCLES,1701.45,1020.87,85.54,7411.0,55
CDM,76103432,HC CHEMODENERVATION EA ADD EXTREMITY - 5 OR MORE MUSCLES,773.07,463.84,131.42,7411.0,39
CDM,76103433,HC CHEMODENERVATION 1 TRUNK - 1-5MUSCLES,1610.1,966.06,68.66,7411.0,55
CDM,76103435,HC CHEMODENERVATION 1 TRUNK - 6 OR MORE,976.52,585.91,75.3,7411.0,55
CDM,76103437,HC APPLY SKIN SUBST GRAFT LW TRNK/ARM/LG </=25SQ,1876.87,1126.12,319.07,7411.0,40
CDM,76103438,HC APPLY SKIN SUBST GRAFT LW TRNK/ARM/LG EA AD 25,1155.81,693.49,196.49,7411.0,39
CDM,76103439,HC APPLY SKIN SUBST GRAFT LW TRNK/ARM/LG>/=100SQ,2640.4,1584.24,448.87,7411.0,40
CDM,76103440,HC APPLY SKIN SUBST GRAFT LW TRNK/ARM/LGEA AD 100,1282.42,769.45,218.01,7411.0,39
CDM,76103441,HC APPLY SKIN SUBST GRAFT LW FCE/SCLP </=25SQ CM,2188.44,1313.06,372.03,7411.0,40
CDM,76103442,HC APPLY SKIN SUBST GRAFT LW FCE/SCLP/ EA AD 25,4047.75,2428.65,688.12,7411.0,39
CDM,76103453,HC INTRAOPERATIVE IDENTIFICATION OF SENTINEL LYMPH NODE,780.35,468.21,132.66,7411.0,39
CDM,76103482,HC CHEST SURGERY PROCEDU (BRONCHOSCOPY),4129.09,2477.45,522.73,7411.0,55
CDM,76103488,HC INCISION OF WINDPIPE (BRONCHOSCOPY),4390.6,2634.36,420.64,7411.0,55
CDM,76103490,"HC THORACENTESIS,ASPIRAT PLEURL SPACE W/O IMG (BRONCHOSCOPY)",2245.45,1347.27,223.75,7411.0,55
CDM,76103491,HC THORACENTESIS W/IMG (BRONCHOSCOPY),2351.37,1410.82,223.75,7411.0,55
CDM,76103492,HC INSERTION CHEST TUBE (BRONCHOSCOPY),3058.83,1835.3,520.0,7411.0,55
CDM,76103493,HC INSERT PLEURAL CATH (BRONCHOSCOPY),7541.1,4524.66,1551.5,8570.48,55
CDM,76103505,HC DEBRIDE NECROTIC SKIN/TISSUE ABD WALL,4750.19,2850.11,807.53,7411.0,39
CDM,76103506,HC GROUP MNT 2 OR MORE 30 MIN,110.92,66.55,18.86,7411.0,39
CDM,76103537,HC DECLOT VASCULAR DEV,1059.88,635.93,26.3,7411.0,55
CDM,76103539,HC CIRCUMCISION W/O BLOCK,2370.06,1422.04,652.8,7411.0,40
CDM,76103540,"HC INTUBATION, ENDOTRACHEAL",1179.82,707.89,87.58,7411.0,55
CDM,76103542,"HC INJECT VERTEBRAL BODY, THORACIC, IMG GUIDE",7060.56,4236.34,1088.27,8018.48,55
CDM,76103543,"HC INJECT VERTEBRAL BODY, LUMBAR, IMG GUIDE",8019.23,4811.54,1088.27,8018.48,55
CDM,76103544,"HC INJ VERTEBRAL BODY,IMG GUIDE, EA ADD",4542.6,2725.56,772.24,7411.0,39
CDM,76103545,"HC PERC VERTEB AUG/KYPHOPLAST, IMG, THOR",19277.21,11566.33,2398.52,17722.46,55
CDM,76103546,"HC PERC VERTEB AUG/KYPHOPLAST, IMG, LUMBAR",17384.64,10430.78,2398.52,17722.46,55
CDM,76103547,"HC PERC KYPHOPLASTY, ADD",12855.9,7713.54,2185.5,10927.51,39
CDM,76103548,"HC DRAIN/INJECT SMALL JOINT/BURSA, W US GUID",1345.94,807.56,39.86,7411.0,55
CDM,76103549,"HC DRAIN/INJECT INTERMEDIATE JOINT/BURSA, W US GUID",1845.32,1107.19,42.36,7411.0,55
CDM,76103550,"HC DRAIN/INJECT LARGE JOINT/BURSA, W US GUID",1872.6,1123.56,47.34,7411.0,55
CDM,76103552,HC SPLANCHIC NERVE BLOCK,567.64,340.58,141.91,7411.0,53
CDM,76103553,HC LUMBAR SYNOVIAL CYST DRAINAGE,567.64,340.58,141.91,7411.0,53
CDM,76103554,HC GANGLION IMPAR BLOCK,2475.0,1485.0,292.93,7411.0,53
CDM,76103556,HC REPAIR SALIVARY DUCT SIMPLE,10745.62,6447.37,1954.22,14507.25,55
CDM,76103559,"HC ABLATION BONE TUMOR, PERQ, 1+, INC IMG GUID",13160.38,7896.23,2237.26,17722.46,55
CDM,76103560,"HC ABLATION, 1+ LIVER TUMOR, PERQ, CRYOABLATION",14303.0,8581.8,2813.82,25500.18,55
CDM,76103561,"HC MYELOGRAPHY LUMBAR INJ, INC RAD SUP AND INT, CERV",2716.11,1629.67,461.74,7411.0,55
CDM,76103562,"HC MYELOGRAPHY LUMBAR INJ, INC RAD SUP AND INT,  THORACIC",3697.18,2218.31,628.52,7411.0,55
CDM,76103563,"HC MYELOGRAPHY LUMBAR INJ, INC RAD SUP AND INT, LUMBOSACRAL",3205.05,1923.03,544.86,7411.0,55
CDM,76103564,"HC MYELOGRAPHY LUMBAR INJ, INC RAD SUP AND INT, 2+ REGIONS",4035.44,2421.26,686.02,7411.0,55
CDM,76103565,HC TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE,16886.85,10132.11,2870.76,14353.82,39
CDM,76103566,HC NEG PRESSURE WOUND THERAPY NON DME </= 50 SQ CM,1054.62,632.77,179.29,7411.0,55
CDM,76103567,HC NEG PRESSURE WOUND THERAPY NON DME >50 SQ CM,1105.65,663.39,187.96,7411.0,55
CDM,76103570,"HC INTUBATION, ENDOTRACHEAL",1179.82,707.89,87.58,7411.0,55
CDM,76103571,HC INCISION OF WINDPIPE,8760.12,5256.07,1489.22,7975.81,55
CDM,76103572,HC VISUALIZATION WINDPIPE,3210.7,1926.42,187.22,7411.0,55
CDM,76103588,HC REMOVE DEVITALIZED TISSUE/WND - NON SELECTIVE,560.49,336.29,95.28,7411.0,55
CDM,76103589,HC THERAPEUTIC PNEUMOTHORAX,1353.04,811.82,230.02,7411.0,55
CDM,76103606,"HC INJECTION HIP ARTHROGRAM,ANESTH",2017.55,1210.53,342.98,7411.0,39
CDM,76103612,HC PLACE CATH CAROT/VERT ART,1621.8,973.08,275.71,7411.0,39
CDM,76103613,HC VESSEL INJECTION PROCEDURE UNLISTED,1747.0,1048.2,436.75,7411.0,37
CDM,76103617,"HC VENIPUNC NEED PHYS SKILL,DX OR RX",2308.84,1385.3,392.5,7411.0,39
CDM,76103618,"HC CATH, VEIN UMBILICAL NEWBORN",1135.31,681.19,193.0,7411.0,39
CDM,76103619,"HC INSERT CATH,ART,PERCUT,SHORTTERM",1160.05,696.03,197.21,7411.0,39
CDM,76103620,"HC INSERT CATH,ART,CUTDOWN,SHORTTERM",601.13,360.68,102.19,7411.0,39
CDM,76103624,HC INJECTION FOR LYMPHATIC XRAY,3081.27,1848.76,523.82,7411.0,39
CDM,76103625,HC ACCESS THORACIC LYMPH DUCT,653.44,392.06,111.08,7411.0,39
CDM,76103631,"HC INJECT/PLACE CHAIN,BLADDER XRAY",1905.54,1143.32,323.94,7411.0,39
CDM,76103638,HC CATH/INJECT HYSTEROSALPINGOGRAM,883.44,530.06,150.18,7411.0,39
CDM,76103645,HC CESAREAN DELIVERY+POSTPARTUM CARE,5873.22,3523.93,998.45,7411.0,39
CDM,76103672,"HC EMG, NEEDLE, HEMIDIAPHRAGM",500.92,300.55,85.16,7411.0,55
CDM,76103684,"HC INJ PROC, ANTEGRADE NEPHROSTOGRAM/URETEROGRAM, EXISTING ACCESS",2615.39,1569.23,444.62,7411.0,55
CDM,76103685,"HC PLCMT OF NEPHROSTOMY CATH, PERC",7953.93,4772.36,652.8,7411.0,55
CDM,76103686,HC EXCHANGE NEPHROSTOMY CATHETER,4380.22,2628.13,652.8,7411.0,55
CDM,76103690,"HC ENDOVASCULAR INTRACRAN PROLONGED ADMIN, RX AGENT, INITIAL",12002.66,7201.6,2040.45,10202.26,39
CDM,76103691,"HC ENDOVASCULAR INTRACRAN PROLONGED ADMIN, RX AGENT, EA ADDL",4672.06,2803.24,794.25,7411.0,39
CDM,76103695,HC PLCMT DEV SOFT TISS - 1ST LESION,2100.78,1260.47,357.13,7411.0,55
CDM,76103696,HC PLCMT DEV SOFT TISS - EACH ADD LESION,1463.7,878.22,248.83,7411.0,39
CDM,76103697,HC REMOVAL BILIARY DRG CATH,2301.36,1380.82,334.95,7411.0,55
CDM,76103698,HC PLMT ACCESS BIL TREE SM BWL - NEW ACCESS,5343.16,3205.9,1151.54,18741.87,55
CDM,76103699,HC BALLOON DILATE BILIARY DUCT/AMPULLA - EACH DUCT,3111.21,1866.73,528.91,7411.0,39
CDM,76103700,"HC ENDOLUMINAL BX BILIARY TREE, ANY METHOD, SINGLE OR MULTIPLE",4380.08,2628.05,744.61,7411.0,39
CDM,76103701,HC SCLEROTX FLUID COLLECTION,2816.66,1690.0,478.83,7411.0,55
CDM,76103702,"HC PLMT NEPHROURETERAL CATHETER, NEW ACCESS",6368.04,3820.82,1142.9,8636.11,55
CDM,76103704,HC URETERAL EMBOLIZATION/OCCL,6149.0,3689.4,1045.33,7411.0,39
CDM,76103705,HC BALLOON DILATE URTRL STRIX,5206.23,3123.74,885.06,7411.0,39
CDM,76103706,"HC PERQ ART M-THROMBECT & INFUSTION, INTRACRANIAL, ANY METHOD",12599.25,7559.55,2141.87,10709.36,39
CDM,76103708,HC IR BIOPSY URETER AND/OR RENAL PELVIS,3620.89,2172.53,615.55,7411.0,39
CDM,76103711,"HC INTRACRANIAL PRESS, MONITORING",3185.84,1911.5,541.59,7411.0,39
CDM,76103714,HC BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT,325.88,195.53,55.4,7411.0,55
CDM,76103719,HC TAP BLOCK BILATERAL BY INJECTION(S),4875.48,2925.29,51.26,7411.0,39
CDM,76103726,HC RELIEVE INNER EYE PRESSURE,6576.03,3945.62,1533.49,10072.14,55
CDM,76103731,HC INTRACRANIAL BALLOON ANGIOPLSTY W/STENT,20064.4,12038.64,3410.95,17054.74,39
CDM,76103732,HC PLACE XCRAN CAROTID ARTERY STENT - INT VSL,15029.28,9017.57,1826.96,12774.89,37
CDM,76103733,"HC INSERT CATH, UMBILICAL ARTERY",1622.72,973.63,275.86,7411.0,39
CDM,76103737,HC PVB THORACIC SINGLE INJECTION SITE W/IMG GID,1701.71,1021.03,262.86,7411.0,55
CDM,76103738,"HC PVB THORACIC SINGLE INJECTION SITE W/IMG GID, EA ADDL",1688.66,1013.2,287.07,7411.0,39
CDM,76103739,HC INJECTION SUBCUT/IM,321.2,192.72,54.6,7411.0,55
CDM,76103740,HC TAP BLOCK UNILATERAL INJECT,2714.24,1628.54,41.42,7411.0,39
CDM,76103752,"HC NJX DX/THER SUST EPIDURAL/SUBRACH CER/THORACIC,NO IM GUID",2186.24,1311.74,262.86,7411.0,55
CDM,76103753,"HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W/O GUIDANCE",2418.06,1450.84,262.86,7411.0,55
CDM,76103754,"HC INJ/INFUS,CERV/THORAC,W/CATH, W/O GUIDANCE",2644.52,1586.71,340.77,7411.0,55
CDM,76103755,"HC NJX INFUS/BOLUS DX/SBST EDRL/SUBRACH LUM/SACRL,W/O GUIDANCE",2489.87,1493.92,340.77,7411.0,55
CDM,76103766,"HC CATH/NEEDLE DIALYSIS CIR, W/ANGIO",5324.38,3194.63,446.27,7411.0,55
CDM,76103767,"HC CATH/NEEDLE DIALYSIS CIR, W/ANGIO & BLLN ANGIOPLAST",20527.59,12316.55,1764.89,16011.52,55
CDM,76103768,"HC CATH/NEEDLE DIALYSIS CIR, W/ANGIO/BLLN ANGIOPLAST/STENT",48061.72,28837.03,5270.09,37488.14,55
CDM,76103769,HC THROMBECTOMY DIALYSIS CIR W/ANGIO,15470.4,9282.24,2362.78,14159.18,55
CDM,76103770,HC THROMBECTOMY DIALYSIS CIR W/ANGIO & BLLN ANGIOPLAST,32727.24,19636.34,4535.02,27252.71,55
CDM,76103771,HC THROMBECTOMY DIALYSIS CIR W/ANGIO & BLLN ANGIOPLAST/STENT,51865.7,31119.42,6299.0,43439.01,55
CDM,76103772,"HC BLLN ANGIOPLAST CENTRAL DIALYSIS SGMT, THRU DIALYSIS CIR",12570.49,7542.29,2136.98,10684.92,39
CDM,76103773,HC TRANSCATHETER STENT PLMT CTR DIALYSIS SEG,17993.68,10796.21,3058.93,15294.63,39
CDM,76103774,HC DIALYSIS CIRCUIT EMBOLJ,18070.23,10842.14,3071.94,15359.7,39
CDM,76103775,"HC NJX DX/THER SUST EPIDURAL/SUBRACH CER/THORACIC, W IM GUID",3389.57,2033.74,262.86,7411.0,55
CDM,76103776,"HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID",3137.53,1882.52,262.86,7411.0,55
CDM,76103777,"HC INJ/INFUS,CERV/THORAC,W/CATH, W IM GUID",3181.45,1908.87,340.77,7411.0,55
CDM,76103778,"HC NJX INFUS/BOLUS DX/SBST EDRL/SUBRACH LUM/SACRL,W IM GUID",3509.58,2105.75,340.77,7411.0,55
CDM,76103779,HC HCTRLML PERIP ATHRC,31082.55,18649.53,5284.03,43439.01,55
CDM,76103789,HC APPLICATION ON-BODY INJECTOR,249.15,149.49,42.36,7411.0,55
CDM,76103798,HC BLOOD COLLECTION OFF VENOUS ACCESS DEVICE (PORT A CATH ACCESS),337.19,202.31,57.32,7411.0,55
CDM,76103804,"HC LARYNGOPLASTY MEDIALIZATION, UNILATERAL",9721.13,5832.68,1954.22,14507.25,55
CDM,76103814,HC LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI,6137.56,3682.54,160.85,7411.0,55
CDM,76103818,HC SANE HANDLING/CONVEYANCE SPEC.,50.6,30.36,8.6,7411.0,39
CDM,76103819,HC SANE EXAM OF VULVA,150.0,90.0,54.0,7411.0,55
CDM,76103820,HC SANE EXAMINER FEE,233.0,139.8,56.75,7411.0,55
CDM,76103822,"HC SANE ANOGENITAL EXAM, CHILD",150.0,90.0,25.5,7411.0,55
CDM,76103823,HC SANE FORENSIC EXAM - 60 MINUTES,350.0,210.0,59.5,7411.0,39
CDM,76103825,HC INSERT BLADDER CATHETER,395.21,237.13,67.19,7411.0,55
CDM,76103828,"HC SANE ANOGENITAL EXAM, ADULT",150.0,90.0,25.5,7411.0,39
CDM,76103829,"HC BLLN ANGIOPLAST NOT LOW EXTRM,COR,PULM,DIAL CIR, 1ST",21191.89,12715.13,2300.22,16529.67,55
CDM,76103832,HC ABLATION THERAPY 1+ PULM TUMORS PERQ CRYOABLATION,12589.5,7553.7,2140.22,25500.18,55
CDM,76103833,HC DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS,4358.58,2615.15,815.2,7411.0,55
CDM,76103834,HC TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX,9967.81,5980.69,2405.54,12818.21,55
CDM,76103841,HC IR INS CATH REN 1ST UNIL,8132.73,4879.64,1382.56,7896.23,55
CDM,76103842,HC IR INS CATH REN 1ST BILA,10192.52,6115.51,1732.73,7950.17,55
CDM,76103843,HC IR INS CATH REN ART 2ND+,9214.9,5528.94,1566.53,13613.39,55
CDM,76103844,HC IR INS CATH REN ART 2ND+,5542.66,3325.6,942.25,7896.23,55
CDM,76103845,"HC IR INTRAVASCULAR ULTRASOUND, NONCORONARY, INITIAL",9175.77,5505.46,1559.88,7799.4,39
CDM,76103846,"HC IR BLLN ANGIOPLAST NOT LOW EXTRM,COR,PULM,DIAL CIR, EA ADDL",11978.02,7186.81,2036.26,10181.32,39
CDM,76103847,"HC IR BLLN ANGIOPLAST NOT DIAL CIR, 1ST",17222.9,10333.74,1764.89,14159.18,55
CDM,76103848,"HC IR BLLN ANGIOPLAST NOT DIAL CIR, EA ADDL",8109.28,4865.57,1378.58,7411.0,39
CDM,76103849,HC IR PERCUT ABLATE LIVER,13615.33,8169.2,1888.85,14293.73,55
CDM,76103850,"HC IR ASSESS CYST, CONTRAS",1164.12,698.47,197.9,7411.0,39
CDM,76103851,"HC IR INJ FOR CHOLANGIOGRAM, INCL IMAG GUIDANCE AND S&I, EXISTING ACCESS",4029.38,2417.63,684.99,8570.48,55
CDM,76103852,"HC IR INJ FOR CHOLANGIOGRAM, INCL IMAG GUIDANCE AND S&I, NEW ACCESS",6787.97,4072.78,1153.95,8570.48,55
CDM,76103853,"HC IR PLACEMENT OF BILIARY DRAINAGE CATH, EXTERNAL",7037.46,4222.48,1151.54,8570.48,55
CDM,76103854,"HC IR PLACEMENT OF BILIARY DRAINAGE CATH, INTERNAL-EXTERNAL",8316.15,4989.69,1151.54,8570.48,55
CDM,76103855,HC IR CONVERSION OF EXTERNAL BILIARY DRAINAGE CATH,8161.45,4896.87,1151.54,8570.48,55
CDM,76103856,HC IR EXCHANGE OF BILIARY DRAINAGE CATH,7130.94,4278.56,1151.54,8570.48,55
CDM,76103857,"HC IR PLCMT STENT BILE DUCT, PERC, EA STENT, EXISTING ACCESS",13608.0,8164.8,2858.51,14293.73,55
CDM,76103858,"HC IR PLCMT STENT BILE DUCT, PERC, EA STENT, NEW ACCESS, W/O BILIARY CATH",10141.96,6085.18,2559.08,14293.73,55
CDM,76103859,"HC IR PLCMT STENT BILE DUCT, PERC, EA STENT, NEW ACCESS, W/ BILIARY CATH",11804.99,7082.99,2787.88,14293.73,55
CDM,76103860,"HC IR BIOPSY, ABDM MASS",3202.69,1921.61,486.45,7411.0,55
CDM,76103862,HC CATH ART ABD LOW EXT 1ST RT,6207.74,3724.64,1055.32,7411.0,39
CDM,76103863,HC CATH ART ABD LOW EXT ADD 2NDLT,2800.81,1680.49,476.14,7411.0,39
CDM,76103864,HC CATH ART ABD LOW EXT ADD3RD LT,6706.97,4024.18,1140.18,7411.0,39
CDM,76103865,HC CATH PLC THOR BRACH 2ND ADD RT,4446.09,2667.65,755.84,7411.0,39
CDM,76103866,HC CATH PLC THOR BRACH 3RD ADD RT,5613.29,3367.97,954.26,7411.0,39
CDM,76103867,HC CATH RENAL COMP 1ST ORD LT,8132.73,4879.64,1382.56,7896.23,40
CDM,76103868,HC CATH RENAL COMP 1ST ORD RT,8132.73,4879.64,1382.56,7896.23,40
CDM,76103869,HC CATH RENAL COMP SUPRSEL RT,9214.9,5528.94,1566.53,13613.39,40
CDM,76103870,HC CATH VEN 2ND ORDER LT,4677.07,2806.24,795.1,7411.0,39
CDM,76103871,HC DISCOGRAPHY CRV/THOR EA LEVEL,1458.8,875.28,248.0,7411.0,39
CDM,76103873,HC FACET NEURO CRV/THOR SNGL BI,4200.08,2520.05,659.94,7411.0,40
CDM,76103874,HC FACET NEURO LUMB/SAC ADD LV BI,2189.43,1313.66,372.2,7411.0,39
CDM,76103875,HC FACET NEURO LUMB/SAC SNG LV BI,5169.8,3101.88,659.94,7411.0,40
CDM,76103876,HC FEMPOP W ANGPLAS LT,28124.2,16874.52,4781.11,23905.57,40
CDM,76103877,HC FEMPOP W ANGPLAS RT,28124.2,16874.52,4781.11,23905.57,40
CDM,76103878,HC FEMPOP W ANGPLAS W ATHER LT,44172.48,26503.49,6299.0,43439.01,40
CDM,76103879,HC FEMPOP W ANGPLAS W ATHER RT,44172.48,26503.49,6299.0,43439.01,40
CDM,76103880,HC FEMPOP W STENT AND ATHER LT,81835.93,49101.56,6299.0,69560.54,40
CDM,76103881,HC FEMPOP W STENT AND ATHER RT,81835.93,49101.56,6299.0,69560.54,40
CDM,76103882,HC FEMPOP W STENT LT,42046.91,25228.15,6299.0,35739.87,40
CDM,76103883,HC FEMPOP W STENT RT,42046.91,25228.15,6299.0,35739.87,40
CDM,76103884,HC ILIAC ADD VSL W ANGPLAS LT,17389.59,10433.75,2956.23,14781.15,39
CDM,76103885,HC ILIAC ADD VSL W ANGPLAS RT,17389.59,10433.75,2956.23,14781.15,39
CDM,76103886,HC ILIAC ADD VSL W STENT LT,23985.53,14391.32,4077.54,20387.7,39
CDM,76103887,HC ILIAC W ANGPLAS LT,21276.79,12766.07,3617.05,18085.27,40
CDM,76103888,HC ILIAC W ANGPLAS RT,21276.79,12766.07,3617.05,18085.27,40
CDM,76103889,HC ILIAC W STENT LT,40091.98,24055.19,6299.0,34078.18,40
CDM,76103890,HC ILIAC W STENT RT,40091.98,24055.19,6299.0,34078.18,40
CDM,76103891,HC INJ PSEUDOANEURYSM EXT LT,1690.12,1014.07,223.75,7411.0,40
CDM,76103892,HC IR CATH ART BRCHCEP 3RD ORD RT,5613.29,3367.97,954.26,7411.0,39
CDM,76103893,HC IR CATH VERT W ANGIO BI,17918.04,10750.82,3046.07,15230.33,40
CDM,76103894,HC IR PTA ARTERIES INITIAL RT,21191.89,12715.13,2300.22,18013.11,40
CDM,76103895,HC NERVE BLOCK BI,1898.54,1139.12,39.31,7411.0,40
CDM,76103896,"HC NBLOCK, OTHER PERIPHERAL OR",1898.54,1139.12,39.31,7411.0,55
CDM,76103897,HC NERVE BLOCK OR BI,1898.54,1139.12,39.31,7411.0,40
CDM,76103898,HC PSEUDOANEURYSM INJ BILAT,1690.12,1014.07,223.75,7411.0,40
CDM,76103899,HC PSEUDOANEURYSM INJ LT,1690.12,1014.07,223.75,7411.0,40
CDM,76103900,HC PSEUDOANEURYSM INJ RT,1690.12,1014.07,223.75,7411.0,40
CDM,76103901,HC SEL COM CAR INNOM CERV BI,11220.8,6732.48,1907.54,9537.68,40
CDM,76103902,HC SEL COM CAR INNOM CERV LT,11220.8,6732.48,1907.54,9537.68,40
CDM,76103903,HC SEL COM CAR INNOM CERV RT,11220.8,6732.48,1907.54,9537.68,40
CDM,76103904,HC SEL COM CAR INNOM CERVCERBL BI,15302.25,9181.35,2601.38,13613.39,40
CDM,76103905,HC SEL COM CAR INNOM CERVCERBL LT,15302.25,9181.35,2601.38,13613.39,40
CDM,76103906,HC SEL COM CAR INNOM CERVCERBL RT,15302.25,9181.35,2601.38,13613.39,40
CDM,76103907,HC SEL EXT CAR BI,5753.82,3452.29,978.15,7411.0,39
CDM,76103908,HC SEL EXT CAR LT,5753.82,3452.29,978.15,7411.0,39
CDM,76103909,HC SEL INT CAR CERVCERBL BI,20885.46,12531.28,3550.53,17752.64,40
CDM,76103910,HC SEL INT CAR CERVCERBL LT,20885.46,12531.28,3550.53,17752.64,40
CDM,76103911,HC SEL INT CAR CERVCERBL RT,20885.46,12531.28,3550.53,17752.64,40
CDM,76103912,HC SEL INT CAR VERT EA BRANCH RT,3821.91,2293.15,649.72,7411.0,39
CDM,76103913,HC SEL SUBCLV INNOM VERT BI,11220.8,6732.48,1907.54,9537.68,40
CDM,76103914,HC SEL SUBCLV INNOM VERT LT,11220.8,6732.48,1907.54,9537.68,40
CDM,76103915,HC SEL SUBCLV INNOM VERT RT,11220.8,6732.48,1907.54,9537.68,40
CDM,76103916,HC SEL VERT BI,17918.04,10750.82,3046.07,15230.33,40
CDM,76103917,HC SEL VERT LT,17918.04,10750.82,3046.07,15230.33,40
CDM,76103918,HC SEL VERT RT,17918.04,10750.82,3046.07,15230.33,40
CDM,76103919,HC SNRB TRANS CRV/THOR SNGL LV BI,3408.9,2045.34,340.77,7411.0,40
CDM,76103920,HC SNRB TRANS LUMB/SAC EA ADD BI,2235.06,1341.04,379.96,7411.0,39
CDM,76103921,HC SNRB TRANS LUMB/SAC SNGL LV BI,3751.66,2251.0,340.77,7411.0,40
CDM,76103922,HC TBPRNL W ANGPLAS LT,30648.97,18389.38,5210.32,27252.71,40
CDM,76103923,HC TBPRNL W ANGPLAS RT,30648.97,18389.38,5210.32,27252.71,40
CDM,76103924,HC TBPRNL W ANGPLAS W ATHER LT,46540.68,27924.41,6299.0,43439.01,40
CDM,76103925,HC TBPRNL W ANGPLAS W ATHER RT,46540.68,27924.41,6299.0,43439.01,40
CDM,76103926,HC TBPRNL W STENT AND ATHER LT,56284.8,33770.88,6299.0,47842.08,40
CDM,76103927,HC TBPRNL W STENT AND ATHER RT,56284.8,33770.88,6299.0,47842.08,40
CDM,76103928,HC TBPRNL W STENT LT,46400.94,27840.56,6299.0,43439.01,40
CDM,76103929,HC TBPRNL W STENT RT,46400.94,27840.56,6299.0,43439.01,40
CDM,76103930,HC TRLUML BAL ANGIOP LT,21191.89,12715.13,2300.22,18013.11,40
CDM,76103931,HC US BREAST CYST ASP ADD LT,817.19,490.31,138.92,7411.0,39
CDM,76103932,HC YAG LASER POSTERIOR CAPSULE BI,2288.51,1373.11,208.33,7411.0,40
CDM,76103933,HC NASOPHARYNGOSCOPY W ENDOSC,586.12,351.67,99.64,7411.0,55
CDM,76103934,HC LAA EXCLUSION PERCUTANEOUS,6084.0,3650.4,598.65,7411.0,53
CDM,76103935,HC INSERT VAD VENOUS ACCESS,11458.68,6875.21,598.65,8937.77,53
CDM,76103937,HC CARDIAC ASSIST VENOUS SUPPORT,11233.54,6740.12,598.65,8762.16,53
CDM,76103942,HC REMOVE DEVITALIZED TISSUE/WND; NON SELECTIVE,560.49,336.29,95.28,7411.0,55
CDM,76103943,HC REMOVE DEVITALIZED TISSUE/WND; NON SELECTIVE,560.49,336.29,95.28,7411.0,55
CDM,76103944,HC REMOVE DEVITALIZED TISSUE/WND; NON SELECTIVE,560.49,336.29,95.28,7411.0,55
CDM,76103945,HC REMOVE DEVITALIZED TISSUE/WND; NON SELECTIVE,560.49,336.29,95.28,7411.0,55
CDM,76103946,HC REMOVE DEVITALIZED TISSUE/WND; NON SELECTIVE,560.49,336.29,95.28,7411.0,55
CDM,76103947,"HC NBLOCK INJECTION, OCCIPITAL (OR)",1601.07,960.64,30.18,7411.0,55
CDM,76103948,"HC NBLOCK INJECTION, OCCIPITAL (OR)",1601.07,960.64,30.18,7411.0,55
CDM,76103949,HC INJECTION SACROILIAC JT BI,2636.87,1582.12,448.27,7411.0,40
CDM,76103952,HC OPEN AX EXPOSURE/ GRFT PLCMENT,1703.52,1022.11,425.88,7411.0,53
CDM,76103955,HC A/V GRAFT ATHERECTOMY,4541.42,2724.85,598.65,7411.0,53
CDM,76103957,HC INJECTION PARAVERTEBRAL F JNT L,3609.74,2165.84,340.77,7411.0,55
CDM,76103958,HC SELFCARE/HOME MANAG EA 15MIN,198.16,118.9,33.69,7411.0,40
CDM,76103960,"HC PROG CELL HARVEST,TRANSPLANT,ALLOGENIC",9218.75,5531.25,1567.19,7835.94,32
CDM,76103961,HC PBSC ACQUISITION INTL,9218.75,5531.25,1567.19,7835.94,32
CDM,76103962,HC FACET CRV/THOR LEVEL 3,2017.63,1210.58,343.0,7411.0,39
CDM,76103963,"HC INJECTION FORAMEN EPIDURAL; CERV/THORACIC,EA ADD LVL BI",2137.65,1282.59,363.4,7411.0,39
CDM,76103964,HC INJECTION PARAVERTEBRAL F JNT C - SINGLE LVL BI,3659.91,2195.95,340.77,7411.0,55
CDM,76103965,HC INJECTION PARAVERTEBRAL F JNT C; SECOND LVL BI,1885.68,1131.41,320.57,7411.0,39
CDM,76103966,HC INJECTION PARAVERTEBRAL F JNT C; THIRD AND ADD LVL BI,2017.63,1210.58,343.0,7411.0,39
CDM,76103967,HC INJECTION PARAVERTEBRAL F JNT C,1610.54,966.32,273.79,7411.0,39
CDM,76103968,HC INJECTION PARAVERTEBRAL F JNT L,1405.38,843.23,238.91,7411.0,39
CDM,76103969,HC BURSA OR JT INJ MAJOR BI EXAM,1192.29,715.37,27.96,7411.0,40
CDM,76103970,HC BURSA IR JT INJ MAJOR BI OR,1192.29,715.37,27.96,7411.0,40
CDM,76103971,HC PERAVALVULAR LEAK REPAIR,14990.93,8994.56,122.8,11692.93,55
CDM,76103976,HC ACCESS LINE PLACEMNET,184.3,110.58,31.33,7411.0,39
CDM,76103977,HC THORACOSCOPY DIAGNOSTIC,10063.03,6037.82,1710.72,8553.58,39
CDM,76103979,HC VENTRICULOSTOMY-UNLISTED PROC,4879.05,2927.43,292.93,7411.0,53
CDM,76103980,HC INSERT PICC CATH >5YO W/ IMAGE,4987.44,2992.46,446.27,7411.0,55
CDM,76103983,"HC ARTHRSCPY, HIP, SRGCL; GLUTEUS MINMUS / GLUTEUS MXMUS /OR MEDIUS RPR",8134.29,4880.57,235.4,12343.0,53
CDM,76103984,"HC LPSCPY SGCL; BPSY OF LIVR, NDL, WN DNE FR INDCTD PRPSES, TIM OTHR MJR PRCDR",5826.24,3495.74,1456.56,14293.73,53
CDM,76103985,HC EXCISION OF EXOSTOSIS; RIB(S),4068.52,2441.11,226.03,7411.0,53
CDM,76103986,"HC ARTHROSCOPY, KNEE, SURGICAL; EXCISION OF GANGLION CYST",6608.72,3965.23,235.4,12343.0,53
CDM,76103987,HC OPEN EXCISION OF TIBIAL TUBERCLE OSSICLE,6601.79,3961.07,235.4,7411.0,53
CDM,76103988,"HC ARTHROSCOPY, KNEE, SURGICAL; DEBRIDEMENT OF PATELLAR TENDON",7854.1,4712.46,235.4,12343.0,53
CDM,76103989,"HC PLANTAR PLATE REPAIR, TOE(S)",5280.03,3168.02,235.4,7411.0,53
CDM,76103990,"HC ARTHROSCOPY, SHOULDER, SURGICAL; CORACOPLASTY",8739.55,5243.73,235.4,12343.0,53
CDM,76103991,"HC REMOVAL OF TEMPORARY PACEMAKER WIRE, OPEN",10551.74,6331.04,598.65,8230.36,53
CDM,76103992,"HC LAPAROSCOPY, SRGCL; REPAIR FEMORL HERNIA, ANY AGE; INCARCERATED/STRNGLTD",9494.18,5696.51,2373.55,14293.73,53
CDM,76103993,HC PERINEAL INCISIONAL EXPLORATION,4892.93,2935.76,238.44,7411.0,53
CDM,76103994,"HC EVACUATION, HEMATOMA; ABDOMINAL WALL MUSCLE(S)",8087.63,4852.58,235.4,7411.0,53
CDM,76103995,HC MANIPULATION OF KNEE JOINT UNDER OTHER ANESTHESIA (NOT GENERAL),2960.4,1776.24,235.4,7411.0,53
CDM,76103996,"HC EXCISION OR FULGURATION; OTHER URETHRAL LESION, TUMOR, OR MASS",4892.93,2935.76,238.44,7411.0,53
CDM,76103997,HC CARPECTOMY WITH CAPITATE IMPLANT RESURFACING (HEMI-ARTHROPLASTY),10859.29,6515.57,235.4,8470.25,53
CDM,76103998,HC EXCISION OF SUPERFICIAL OSTOMY/STOMA LESIONS,2358.82,1415.29,589.71,7411.0,53
CDM,76103999,HC INCISION AND DRAINAGE OF VULVAR HEMATOMA; OBSTECTRICAL/POSTPARTUM,2676.8,1606.08,192.94,7411.0,53
CDM,76104000,HC HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY (HIPEC),845.28,507.17,44.69,7411.0,55
CDM,76104001,HC BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED,4378.44,2627.06,1378.42,7613.24,54
CDM,76104002,HC BX PROSTATE TRANSRECTAL US GID W/MRI FUS GDN 1ST,4378.44,2627.06,1576.24,47686.05,54
CDM,76104003,HC BX PROSTATE TRANSPERINEAL ULTRASOUND-GUIDED,4378.44,2627.06,1378.42,7613.24,54
CDM,76104004,HC BX PROSTATE TRANSPERINEAL US GID W/MRI FUS GDN 1,4378.44,2627.06,1378.42,7613.24,54
CDM,76104005,HC BX PROSTATE TRANSRECTAL MRI-US GID TRGT LES 1ST,4378.44,2627.06,1378.42,7613.24,54
CDM,76104006,HC BX PROSTATE TPRNL MRI-US GID TRGT LES 1ST,4378.44,2627.06,1378.42,7613.24,54
CDM,76104007,HC BX PROSTATE IN-BORE CT/MRI BX ADDL TRGT LES 1ST,4378.44,2627.06,1576.24,11580.39,54
CDM,76104008,HC BX PROSTATE IN-BORE CT/MRI TRGT LES ONLY 1ST,4378.44,2627.06,1576.24,11580.39,54
CDM,76104009,HC BX PROSTATE EA ADDL MRI-US FUSION/IN-BORE CT/MRI,4378.44,2627.06,744.33,7411.0,39
CDM,76104023,HC FACET NEURO CRV/THOR EA ADD BI,2623.22,1573.93,445.95,7411.0,39
CDM,76104024,HC IR TUNL CATH INS PLEURAL RT,7541.1,4524.66,1551.5,8570.48,40
CDM,76104026,HC DRAINAGE CATHETER EXCHANGE,3761.34,2256.8,564.97,7411.0,55
CDM,76104027,HC NEEDLE BIOPSY OF PANCREAS,3621.78,2173.07,486.45,7411.0,55
CDM,76104034,"HC NERVE BLOCK BRACHIAL PLEXUS, CONT W/ GUIDANCE",2324.35,1394.61,340.77,7411.0,55
CDM,76104036,HC INSERT PLEURAL CATH W/  CUFF,5672.69,3403.61,964.36,7411.0,39
CDM,76104037,HC PLEURAL DRN INSERT CATH W/ IMAGE,2979.74,1787.84,506.56,7411.0,39
CDM,76104038,HC I&D PERIANAL ABSCESS,2616.36,1569.82,328.5,7411.0,55
CDM,76104039,"HC FNA BX W/O GDN, EA ADDL",351.21,210.73,59.71,7411.0,39
CDM,76104040,HC FNA BX W/US GDN 1ST LES,2544.95,1526.97,257.6,7411.0,55
CDM,76104041,HC FNA BX W/US GDN EA ADDL,1719.59,1031.75,292.33,7411.0,39
CDM,76104042,HC FNA BX W/FLUOR GDN 1ST LES,1802.54,1081.52,194.07,7411.0,55
CDM,76104043,HC FNA BX W/FLUOR GDN EA ADDL,1938.28,1162.97,329.51,7411.0,39
CDM,76104044,HC FNA BX W/CT GDN 1ST LES,2879.73,1727.84,257.6,7411.0,55
CDM,76104045,HC FNA BX W/CT GDN EA ADDL,965.0,579.0,164.05,7411.0,39
CDM,76104048,HC TANGNTL BX SKIN SINGLE LES,448.37,269.02,64.23,7411.0,55
CDM,76104049,HC TANGNTL BX SKIN EA SEP/ADDL,393.56,236.14,66.91,7411.0,39
CDM,76104050,HC PUNCH BX SKIN SINGLE LESION,841.97,505.18,79.46,7411.0,55
CDM,76104051,HC PUNCH BX SKIN EA SEP/ADDL,378.55,227.13,64.35,7411.0,39
CDM,76104052,HC INCAL BX SKN SINGLE LES,1076.11,645.67,98.83,7411.0,55
CDM,76104053,HC INCAL BX SKN EA SEP/ADDL,333.23,199.94,56.65,7411.0,39
CDM,76104054,HC NJX CNTRST KNE ARTHG/CT/MRI,952.18,571.31,161.87,7411.0,39
CDM,76104055,HC INSJ SUBQ CAR RHYTHM MNTR,14200.7,8520.42,5112.25,21045.99,55
CDM,76104056,HC RMVL SUBQ CAR RHYTHM MNTR,4602.91,2761.75,257.6,7411.0,55
CDM,76104057,HC DILAT XST TRC NDURLGC PX,12824.74,7694.84,1142.9,10003.3,55
CDM,76104059,"HC INSERT PICC, INCL IMG GUIDANCE & SUPERVISION, < 5 YRS AGE",6309.36,3785.62,223.75,7411.0,55
CDM,76104060,"HC INSERT PICC, INCL IMG GUIDANCE & SUPERVISION, 5+ YRS AGE",4987.44,2992.46,446.27,7411.0,55
CDM,76104064,"HC MIDLINE INSERTION <3 Y/O, OTHER VEIN",2723.76,1634.26,463.04,7411.0,39
CDM,76104065,HC MIDLINE INSERTION >3 Y/O,2308.84,1385.3,392.5,7411.0,39
CDM,76104067,HC PLACE BREAST DEVICE - 1ST  LESION W/MR GUIDE,3802.6,2281.56,646.44,7411.0,40
CDM,76104068,HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US,1004.97,602.98,22.7,7411.0,40
CDM,76104069,HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US,1004.97,602.98,22.7,7411.0,40
CDM,76104070,HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US,1004.97,602.98,22.7,7411.0,40
CDM,76104071,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US,980.89,588.53,23.54,7411.0,40
CDM,76104072,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US,980.89,588.53,23.54,7411.0,40
CDM,76104073,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US,980.89,588.53,23.54,7411.0,40
CDM,76104074,HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US,1192.29,715.37,27.96,7411.0,40
CDM,76104075,HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US,1192.29,715.37,27.96,7411.0,40
CDM,76104076,HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US,1192.29,715.37,27.96,7411.0,40
CDM,76104077,"HC DRAIN/INJECT LARGE JOINT/BURSA, W US GUID",1872.6,1123.56,47.34,7411.0,40
CDM,76104078,HC LYMPHANGIO EXTREM UNILAT,1168.0,700.8,284.65,7411.0,40
CDM,76104079,HC LYMPHANGIO ABD/PELV UNILAT,4490.09,2694.05,313.39,7896.23,40
CDM,76104080,HC VENOGRAM RENAL UNILAT,4286.58,2571.95,119.63,7896.23,40
CDM,76104081,"HC DRAIN/INJECT LARGE JOINT/BURSA, W US GUID",1872.6,1123.56,47.34,7411.0,40
CDM,76104082,HC LYMPHANGIO EXTREM UNILAT,1168.0,700.8,284.65,7411.0,40
CDM,76104083,HC LYMPHANGIO ABD/PELV UNILAT,4490.09,2694.05,313.39,7896.23,40
CDM,76104084,HC VENOGRAM RENAL UNILAT,4286.58,2571.95,119.63,7896.23,40
CDM,76104086,HC COLLECT BLOOD FROM CATHETER VENOUS NOS,320.05,192.03,54.41,7411.0,55
CDM,76104100,HC OB EXAM LVL 1,187.8,112.68,31.93,7411.0,53
CDM,76104101,HC OB EXAM LVL 2,206.58,123.95,35.12,7411.0,53
CDM,76104102,HC OB EXAM LVL 3,227.26,136.36,38.63,7411.0,53
CDM,76104103,HC OB EXAM LVL 4,249.98,149.99,42.5,7411.0,53
CDM,76104104,HC OB EXAM LVL 5,275.0,165.0,46.75,7411.0,53
CDM,76104108,HC BURSA OR JT INJ MAJOR EXAM,1192.29,715.37,27.96,7411.0,55
CDM,76104111,HC ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN,13848.5,8309.1,2354.24,13613.39,55
CDM,76104112,HC NJX DX/THER PARAVER FCT JT W/US LUMB/SAC 1 LVL,1502.24,901.34,255.38,7411.0,55
CDM,76104117,HC ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN,7952.25,4771.35,1351.88,7411.0,39
CDM,76104118,HC INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,387.66,232.6,35.62,7411.0,55
CDM,76104119,"HC US GUIDE, VASCULAR ACCESS",1053.25,631.95,179.05,7411.0,39
CDM,76104120,HC INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS,642.15,385.29,90.72,7411.0,55
CDM,76104121,"HC ULTRASOUND GUIDED INJECTION OF GESTATIONAL SAC, ECTOPIC PREGNANCY",821.35,492.81,192.94,7411.0,53
CDM,76104123,HC ENDOVSCLR RPR OF ILLIAC ARTERY DRING AORTO-ILIAC ARTERY ENDGRFT PLCMNT,8077.24,4846.34,1373.13,17181.0,39
CDM,76104124,HC ENDOVSCLR RPR OF ILLIAC ARTERY N/DRING AORTO-ILIAC ARTRY ENDGRFT PLCMNT,8723.42,5234.05,1482.98,17181.0,39
CDM,76104126,HC PERICARDIAL DRAINAGE W/INSERTION OF INDWELLING CATHETER,5379.32,3227.59,914.48,17181.0,39
CDM,76104127,HC PERICARDIOCENTESIS W/IMG GUIDANCE,5269.82,3161.89,446.27,7411.0,55
CDM,76104128,HC PERICARDIAL DRAINAGE 6YR+ W/O COGENIAL CARDIAC ANOMALY,5269.82,3161.89,895.87,17181.0,39
CDM,76104129,"HC PERICARDIAL DRAINAGE, UNDER 6YRS, W/COGENIAL CARDIAC ANOMALY",2949.74,1769.84,501.46,17181.0,39
CDM,76104130,"HC INJECT, ANES AGENT(S) AND/OR STEROID - SI JOINT, WITH IMAG GUIDANCE",1374.96,824.98,262.86,7411.0,55
CDM,76104131,"HC INJECT, ANES AGENT(S) AND/OR STEROID - GENICULAR NRVE BRAN, W/ IMAG GUID",1717.62,1030.57,139.81,7411.0,55
CDM,76104132,"HC DESTRUC BY NEUROLYTIC AGENT, GENICULAR NERVE BRANCHES INCL IMAG GUIDANCE",4334.04,2600.42,659.94,7411.0,55
CDM,76104133,"HC RADIOFREQ ABLATION, SI JOINT, WITH IMAG GUID (IE, FLUORO OR CT)",4084.73,2450.84,659.94,7411.0,55
CDM,76104136,HC PERCUTANEOUS SPINAL ARTHODESIS W INST 2 VERT SEGMENTS,6631.2,3978.72,235.4,7411.0,53
CDM,76104137,HC PERCUTANEOUS SPINAL ARTHODESIS W INST 3-6 VERT SEGMENTS,6631.2,3978.72,235.4,7411.0,53
CDM,76104138,HC PERCUTANEOUS SPINAL ARTHODESIS W INST 7-12 VERT SEGMENTS,6631.2,3978.72,235.4,7411.0,53
CDM,76104139,"HC CHEM PEEL, NONFACIAL DERMAL",639.02,383.41,108.63,7411.0,55
CDM,76104140,HC ENDOSCOPIC GASTROCNEMIUS RECESSION,6743.35,4046.01,235.4,12343.0,53
CDM,76104141,"HC ARTHROSCOPY, HIP, SURGICAL; ACETABULAR RIM DECOMHCESSION OF SUBSPINE REGION",9811.23,5886.74,235.4,12343.0,53
CDM,76104142,HC BASILICA PROCEDURE,16592.26,9955.36,122.8,12941.96,55
CDM,76104143,HC BILATERAL ENDOSCOPIC ABLATION OF THE VIDIAN NERVE,5852.76,3511.66,292.93,7411.0,53
CDM,76104144,HC EXCISION OF SCROTAL MASS,3832.62,2299.57,238.44,7411.0,53
CDM,76104145,"HC INTERPOSITION ARTHROPLASTY, METATARSOPHALANGEAL JOINT; EACH JOINT",4772.8,2863.68,235.4,7411.0,53
CDM,76104146,"HC LAPAROSCOPY; W ABD LYMPH NODE SAMPLING (BIOPSY), SINGLE OR MULTIPLE, OTHER THAN RETROPERITONEAL",17480.98,10488.59,4370.24,14293.73,53
CDM,76104147,"HC PERCUTANEOUS SPINAL ARTHRODESIS, WITH INSTRUMENTATION;2 VERTEBRAL SEGMENTS",6631.2,3978.72,235.4,7411.0,53
CDM,76104148,"HC PERCUTANEOUS SPINAL ARTHRODESIS, WITH INSTRUMENTATION;3-6 VERTEBRAL SEGMENTS",6631.2,3978.72,235.4,7411.0,53
CDM,76104149,"HC PERCUTANEOUS SPINAL ARTHRODESIS, WITH INSTRUMENTATION;7-12 VERTEBRAL SEGMENTS",6631.2,3978.72,235.4,7411.0,53
CDM,76104150,"HC TRANSORAL REPAIR OF ORAL CUTANEOUS FISTULA, NECK/FACE/OTHER",8149.68,4889.81,226.03,7411.0,53
CDM,76104151,HC VAGINAL CUFF REVISION,5101.67,3061.0,192.94,7411.0,53
CDM,76104154,HC THORACOSCOPY; WITH RESECTIO OF CHEST WALL-PLEURAL MASS,10962.67,6577.6,598.65,8550.88,53
CDM,76104156,"HC ARTHROSCOPY, KNEE, SURGICAL; RECONSTRUCTION OF MEDIAL PATELLOFEMORAL LIGAMENT",11662.45,6997.47,235.4,12343.0,53
CDM,76104157,HC GLUTEUS MEDIUS REPAIR; OPEN,9811.23,5886.74,235.4,7652.76,53
CDM,76104158,"HC LAPAROSCOPY, ABDOMEN, PERITONEUM, AND OMENTUM; WITH TREATMENT OF HEMORRHAGE (INCLUDING POST-OPERATIVE)",9886.66,5932.0,2471.66,14293.73,53
CDM,76104166,HC REVISION OF JEJUNOSTOMY,3624.0,2174.4,564.97,7411.0,55
CDM,76104167,HC LARYNGOSCOPY FLEX W/INJECTION AGMNTJ UNI,5804.56,3482.74,525.71,7411.0,55
CDM,76104168,HC LARYNGOSCOPY FLEX W/INJECTION AGMNTJ UNI,5804.56,3482.74,525.71,7411.0,55
CDM,76104169,HC REMOVAL OF FOOT FOREIGN BODY,2310.13,1386.08,138.98,7411.0,55
CDM,76104171,HC LARYNGOSCOPY ABLATION/DEST OF LESION(S) W/LASER,12367.8,7420.68,1062.24,9646.88,55
CDM,76104176,"HC ARTHROSCOPY, KNEE, SURGICAL; MENISCAL TREPHINATION",5310.44,3186.26,235.4,12343.0,53
CDM,76104177,HC MECHANICAL THROMBECTOMY VIA ANGIOVAC SYSTEM IN HEART CHAMBERS/VALVES (VENOUS),9996.74,5998.04,598.65,7797.46,53
CDM,76104179,HC CERVICAL VEMP TESTING W/I&R,279.1,167.46,47.45,7411.0,55
CDM,76104180,HC OCULAR VEMP TESTING W/I&R,279.1,167.46,47.45,7411.0,55
CDM,76104181,HC CERVICAL & OCULAR VEMP TESTING W/I&R,528.9,317.34,89.91,7411.0,55
CDM,76104182,HC RMOT OCT RETINA 1ST SET-UP/PT EDUCAJ,231.86,139.12,39.42,7411.0,40
CDM,76104183,HC REM OCT RTA TECHL SHCT MIN 8,72.5,43.5,12.32,7411.0,40
CDM,76104185,HC REM MNTR PULM FLU MNTR SETUP,233.86,140.32,39.76,7411.0,39
CDM,76104186,HC REM MNTR PULM FLU MNTR ALYS,72.5,43.5,12.32,7411.0,39
CDM,76104187,HC EYE MVMT ALYS W/O CALBRJ I&R,218.06,130.84,37.07,7411.0,55
CDM,76104191,HC NSL/SINS CRYO POST NASAL TIS,5472.78,3283.67,930.37,7411.0,39
CDM,76104192,HC SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI,3435.6,2061.36,1236.82,14507.25,55
CDM,76104193,HC SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI,5153.4,3092.04,1855.22,14507.25,55
CDM,76104194,HC MECHANICAL THROMBECTOMY VIA ANGIOVAC SYSTEM OF VENA CAVA/NON-LOWER EXTREMITY VEINS,9996.84,5998.1,598.65,7797.54,53
CDM,76104195,"HC LAPAROSCOPY, SURGICAL; REMOVAL OF IUD",11037.92,6622.75,2759.48,14293.73,53
CDM,76104196,"HC ARTHROSCOPY, ANKLE; DIAGNOSTIC",7426.78,4456.07,235.4,12343.0,53
CDM,76104197,"HC ARTHROSCOPY, KNEE, SURGICAL; INJECTION OF BIOCARTILAGE, BONE ASPIRATE, OR BONE SUBSTITUTE INTO CHONDRAL DEFECT AND/OR KNEE SUBCHONDROPLASTY",10433.86,6260.32,235.4,12343.0,53
CDM,76104198,"HC ARTHROSCOPY, HIP, SURGICAL; ILIOPSOAS RECESSION",8890.71,5334.43,235.4,12343.0,53
CDM,76104199,"HC OPEN REPAIR OF GLUTEUS MEDIUS AND MINIMUS TENDON, INCLUDING DEBRIDEMENT, WHEN PERFORMED",8651.7,5191.02,235.4,7411.0,53
CDM,76104200,HC QUADRATUS LUMBORUM BLOCK (QLB),2714.24,1628.54,292.93,7411.0,53
CDM,76104201,HC INFILTRATION BETWEEN POPLITEAL ARTERY AND CAPSULE OF THE KNEE IPACK,1441.93,865.16,292.93,7411.0,53
CDM,76104202,HC ERECTOR SPINAE PLANE (ESP) BLOCK,1547.01,928.21,292.93,7411.0,53
CDM,76104203,HC GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS,8504.99,5102.99,1457.62,8887.48,55
CDM,76104204,HC EXCISION NON-INFECTED VASCULAR GRAFT; EXTREMITY,5519.68,3311.81,598.65,7411.0,53
CDM,76104205,HC PERCUTANEOUS TENOTOMY WITH ULTRASOUND DESTRUCTION OF CALCIFICATIONS OR DISEASED TENDON OF ABDUCTORS AND EXTENSORS,5459.38,3275.63,235.4,7411.0,53
CDM,76104207,HC RIGHT HEART ASPIRATION THROMBECTOMY (VALVE &/OR CHAMBER),9996.84,5998.1,122.8,7797.54,55
CDM,76104208,HC RIGHT HEART ASPIRATION THROMBECTOMY (VALVE &/OR CHAMBER),9996.84,5998.1,122.8,7797.54,55
CDM,76104217,"HC SKIN GRAFT, HARVEST CULTURED TISSUE",3048.84,1829.3,784.87,7411.0,55
CDM,76104218,"HC CULT EPIDERM GRAFT,F/",5880.19,3528.11,1457.62,8887.48,55
CDM,76104222,"HC LIGATION OF OTHER VEIN, LOWER LIMB",5266.67,3160.0,598.65,7411.0,53
CDM,76104223,HC BILATERAL ENDOSCOPIC ABLATION OF POSTERIOR NASAL NERVE,6902.73,4141.64,226.03,7411.0,53
CDM,76104224,"HC PERCUTANEOUS TENOTOMY W ULTRASOUND, LOWER LEG/ANKLE, SINGLE TENDON",11363.73,6818.24,235.4,8863.71,53
CDM,76104228,"HC ARTHROSCOPY, SHOULDER, SURGICAL, CORACOCLAVICULAR AND/OR SHOULDER LIGAMENT RECONSTRUCTION",13871.62,8322.97,235.4,12343.0,53
CDM,76104229,"HC ARTHROSCOPY, WRIST, SURGICAL, SCAPHOLUNATE AND/OR OTHER LIGAMENT THERMAL PLASTY/REPAIR",11212.84,6727.7,235.4,12343.0,53
CDM,76104230,"HC LAPAROSCOPY, SURGICAL, LAVAGE OR DRAINAGE OF ABDOMEN, PERITONEUM, AND/OR OMENTUM",10363.52,6218.11,2590.88,14293.73,53
CDM,76104231,"HC NERVE WRAPPING, SINGLE NERVE",8424.78,5054.87,292.93,7411.0,53
CDM,76104232,"HC ARTHROSCOPY, SHOULDER, TREATMENT OF GREATER HUMERAL TUBEROSITY FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",8134.29,4880.57,235.4,12343.0,53
CDM,76104233,"HC DECOMPRESSION FASCIOTOMIES, FOOT, DORSAL, MULTIPLE AREAS",4629.16,2777.5,235.4,7411.0,53
CDM,76104237,HC CLOSURE OF AV FISTULA WITH EXCISION OF ANEURYSM,25089.55,15053.73,598.65,19569.85,53
CDM,76104238,HC HEMI-IMPLANT IN LESSER METATARSOPHALANGEAL JOINT,10466.77,6280.06,235.4,8164.08,53
CDM,76104239,"HC LAPAROSCOPY, SURGICAL; APPENDECTOMY WHEN DONE FOR INDICATED PURPOSE AT TIME OF OTHER MAJOR PROCEDURE",4816.81,2890.09,1204.2,14293.73,53
CDM,76104240,HC SUBCHONDRAL DRILLING METATARSOPHALANGEAL JOINT,5460.0,3276.0,235.4,7411.0,53
CDM,76104241,HC LASER HAIR REMOVAL (MEDICAL),1070.18,642.11,181.93,7411.0,55
CDM,76104242,HC LARYNGOSCOPY WITH INCISION & DRAINAGE OF RETROPHARYNGEAL SPACE,3848.36,2309.02,226.03,7411.0,53
CDM,76104243,"HC LAPAROSCOPY, SURGICAL; PYELOLITHOTOMY (W/WO URETEROSCOPIC ASSISTANCE)",6485.56,3891.34,1102.55,14293.73,55
CDM,76104244,HC YAG ANT CAPSULOTOMY (ANT CAPSULAR OPACIFICATION INVOLVING VISUAL AXIS),1834.62,1100.77,458.65,7411.0,53
CDM,76104245,HC ORAL APPLIANCE FITTING AND/OR REMOVAL,2679.06,1607.44,226.03,7411.0,53
CDM,76104246,"HC INJ, INTRALESIONAL; TONGUE/ FLOOR OF MOUTH, UP TO N INCLUDE 7 LESIONS",395.09,237.05,98.77,7411.0,53
CDM,76104247,"HC INJECTION, THERAPEUTIC, RADIAL TUNNEL",613.2,367.92,153.3,7411.0,53
CDM,76104248,HC REPAIR OF MEDIPORT,3570.65,2142.39,598.65,7411.0,53
CDM,76104249,"HC ARTHRO, KNEE, SURG; DEBRD OF CYCLOPS LESION &OR NOTCHPLSTY",8007.87,4804.72,235.4,12343.0,53
CDM,76104250,HC BAKRI BALLOON PLACEMENT,340.64,204.38,85.16,7411.0,53
CDM,76104251,"HC ARTHROSCOPY, SHOULDER, SURGICAL; SUPERIOR CAPSULAR RECONSTRUCTION",22847.45,13708.47,235.4,17821.01,53
CDM,76104257,HC THERAPEUTIC ULTRAFILTRATION,5247.9,3148.74,892.14,7411.0,55
CDM,76104258,HC AUTOLOG PRP DIAB WOUND ULCER,3778.4,2267.04,642.33,7411.0,55
CDM,76104259,HC AQUAPHERESIS THERAPY,5247.9,3148.74,892.14,7411.0,39
CDM,76104260,"HC REMOVAL OF MESH OR PROSTHETIC MATERIAL, ABDOMINAL WALL",1123.54,674.12,235.4,7411.0,53
CDM,76104261,HC TURBINOPLASTY,4950.45,2970.27,226.03,7411.0,53
CDM,76104262,"HC REPAIR, MORGAGNI HERNIA, OPEN; INCARCERATD, STRANGULATD, OR COMPLICATD",10912.61,6547.57,2728.15,9275.72,37
CDM,76104263,"HC FIBRIN SHEATH BY BALLOON CATHETER, VENOUS",4694.21,2816.53,598.65,7411.0,53
CDM,76104264,HC ALCOHOL ABLATION OF THE LIVER,2252.9,1351.74,563.23,7411.0,53
CDM,76104265,"HC ARTHROPLASTY, KNEE, PATELLOFEMORAL",21546.0,12927.6,235.4,16805.88,53
CDM,76104266,"HC ARTHROSCOPY, HIP, SURGICAL; GLUTEUS MINIMUS REPAIR",9811.23,5886.74,235.4,12343.0,53
CDM,76104267,HC DRAINAGE OF LYMPHOCELE W/WO LIGATION OF LYMPHATIC CHANNELS,13942.35,8365.41,421.02,10875.03,53
CDM,76104268,HC EXCISION OF PECTUS CARINATUM CARTILAGE,4068.52,2441.11,235.4,7411.0,53
CDM,76104269,"HC STYLOIDECTOMY, FACIAL BONE (E.G. TEMPORAL, ETC.)",10482.55,6289.53,226.03,8176.39,53
CDM,76104270,HC INSERTION OF SKULL SCREW FIDUCIAL PIN(S),14226.4,8535.84,292.93,11096.59,53
CDM,76104271,"HC TENDON DEBRIDEMENT/RELEASE, KNEE (E.G. POPLITEUS)",6300.74,3780.44,235.4,7411.0,53
CDM,76104272,"HC CYSTOURETHROSCOPY, WITH INSERTION OF TRANSPROSTATIC IMPLANT; 4 OR MORE IMPLANTS",10952.5,6571.5,3942.9,22821.27,55
CDM,76104273,"HC CYSTOURETHROSCOPY, WITH INSERTION OF TRANSPROSTATIC IMPLANT; 1 TO 3 IMPLANTS",9569.0,5741.4,2780.78,12818.21,55
CDM,76104274,"HC PROXIMAL FMRL OSTEOCHNDRPLSTY W HIP LABRAL RPR W/WO ACETABULOPLASTY, OPN",16719.97,10031.98,235.4,13041.58,53
CDM,76104275,"HC BOTOX INJECTION, ABDOMINAL WALL, IN PREPARATION FOR HERNIA REPAIR",1254.91,752.95,235.4,7411.0,53
CDM,76104276,"HC INJCTN, ABDMNL ABSCSS/FSTLA, W SFT TSSE SUB (AMNFX) W/WO IMG GDNC/CNTRST",4277.63,2566.58,865.56,7411.0,53
CDM,76104277,"HC INSRTN OF GSTRSTMY TUB, PRCTNS, W CT GDNC, CNTRST INJCTN, IMG DOC N RPRT",3076.32,1845.79,769.08,7411.0,53
CDM,76104278,"HC ABLATION, 1 OR MORE LYMPH NODES, RADIOFREQ (MICROWAVE), W/WO IMG GDANC",14388.0,8632.8,421.02,11222.64,53
CDM,76104279,"HC ABLATION, 1 OR MORE BRST LSNS, RADIOFREQ (MCRWV), W/WO IMG GDNC, UNILTRL",14388.0,8632.8,3597.0,11222.64,53
CDM,76104280,"HC ABLATION, 1/MORE SFT TSSE LSNS, RADFREQ (MCRWVE), W/WO IMG GDNC, UNILTRL",14388.0,8632.8,235.4,11222.64,53
CDM,76104281,"HC LPRSCPY, SRGCL, MSCL, MYCTNUS, FSCOCTNUS FLP(S); TRNK (EG CMPNENT SPRTN)",10206.08,6123.65,191.47,7960.74,55
CDM,76104282,"HC LPRSCPY, SRGCL; EXCSION OF URACHAL CYST OR SINUS W/WO UMBILCAL HRNIA RPR",11034.31,6620.59,238.44,8606.76,53
CDM,76104283,HC EXAM UNDER ANESTHESIA; MALE GENITALIA (INCLUDING URETHRA),5708.06,3424.84,238.44,7411.0,53
CDM,76104284,"HC LAPAROSCOPY, SURGICAL; REMOVAL OF MESH",11026.05,6615.63,2756.51,14293.73,53
CDM,76104285,HC LARYNGOSCOPY WITH REDUCTION OF ARYTENOID DISLOCATION,8512.3,5107.38,226.03,7411.0,53
CDM,76104286,"HC LAPAROSCOPY, SURGICAL; REPAIR LUMBAR HERNIA",11397.2,6838.32,2849.3,14293.73,53
CDM,76104287,HC TRANSURETHRAL RESECTION OF PROSTATE LESION,11107.8,6664.68,238.44,8664.08,53
CDM,76104288,"HC OPN TRTMNT OF CARPOMETACARPAL DISLCTN, THMB; INC INTRNL FXTN, WHN PRFRMD",11972.54,7183.52,235.4,9338.58,53
CDM,76104289,HC EXCISION OF SUPERFICIAL TRACHEOSTOMY LESIONS AND/OR GRANULATION TISSUE,722.39,433.43,180.6,7411.0,53
CDM,76104290,"HC BIOPSY, SEMINAL VESICLE(S); NEEDLE, SINGLE OR MULTIPLE, ANY APPROACH",3250.05,1950.03,238.44,7411.0,53
CDM,76104291,"HC ARTHRECTOMY, FOOT JOINT(S), W/WO REMOVAL OF OSTEOPHYTES",12938.34,7763.0,235.4,10091.91,53
CDM,76104292,HC JADA SYSTEM PLACEMENT,7448.28,4468.97,192.94,7411.0,53
CDM,76104293,HC CYSTOURETHROSCOPY; WITH REMOVAL OF PROSTATE CALCULUS,6485.56,3891.34,238.44,7411.0,53
CDM,76104294,HC EXCISION OF VAGINAL CUFF MASS (E.G. GRANULATION TISSUE),5838.25,3502.95,192.94,7411.0,53
CDM,76104295,HC REDUCTION OF INVERTED/INCARCERATED UTERUS,6432.52,3859.51,192.94,7411.0,53
CDM,76104296,HC TRNSCTR PLCM CRTD STNT OPN OR PRC W/O DSTL MBLC PRTCTN TRTM PSDO/ANRSM,19995.68,11997.41,598.65,15596.63,53
CDM,76104297,"HC LARYNGOSCOPY,DIRECT, INJCTN ARYTENOID/LARYNX, AGMENTTN,W/ OR W/O MCRSCP",6531.23,3918.74,226.03,7411.0,53
CDM,76104298,"HC REPAIR OF VOLAR PLATE, METACARPOPHALANGEAL JOINT",7030.64,4218.38,235.4,7411.0,53
CDM,76104299,HC  REMOVAL AND REINSERTION OF HARDWARE,10698.26,6418.96,235.4,8344.64,53
CDM,76104300,HC ANTERIOR MOBILIZATION AND DISCONNECTION OF INTRAPELVIC MASS,9499.82,5699.89,235.4,7411.0,53
CDM,76104301,HC LYSIS OF VAGINAL ADHESION,6443.26,3865.96,192.94,7411.0,53
CDM,76104302,HC MPJ COLLATERAL LIGAMENT REPAIR W/ MICROFX TOE,5786.45,3471.87,235.4,7411.0,53
CDM,76104303,HC REMOVAL OF OMMAYA RESERVOIR,7957.29,4774.37,292.93,7411.0,53
CDM,76104304,HC PROXIMAL HAMSTRING REPAIR,5555.61,3333.37,235.4,7411.0,53
CDM,76104305,HC EXPLANTATION OF COCHLEAR IMPLANT ELECTRODE COIL AND/OR RECEIVER,28524.99,17114.99,226.03,22249.49,53
CDM,76104306,HC REPAIR/RESECTION OF PSEUDOANEURYSM(S) OF THE FOOT,7514.61,4508.77,598.65,7411.0,53
CDM,76104307,"HC TROCHLEOPLASTY, KNEE",8007.87,4804.72,235.4,7411.0,53
CDM,76104309,HC CNTRL VENOUS CTHTR SCTN THRMCTM W RMVL/RNSRTN/RPSTN XSTNG CVC,2342.1,1405.26,585.52,7411.0,53
CDM,76104310,HC CAPSLRHPHY; METATRSPHALNGL JOINT W/WO TENRHPHY OR LGMNT RPR SNGL JOINT,5786.45,3471.87,235.4,7411.0,53
CDM,76104311,HC SCLEROTHERAPY OF BONE LESION,13742.41,8245.45,235.4,10719.08,53
CDM,76104312,"HC LAPAROSCOPY, SURGICAL; VASECTOMY",6602.4,3961.44,1650.6,14293.73,53
CDM,76104313,HC LAPAROSCOPY W/ DRAINAGE OF INTRA-ABDOMINAL ABSCESS,10862.16,6517.3,1846.57,9232.84,39
CDM,76104315,HC MWA OF ADRENAL GLAND,10914.97,6548.98,2728.74,14293.73,53
CDM,76104328,HC REMOVAL OF SUTURES OR STAPLES NOT REQUIRING ANESTHESIA (LIST SEPARATELY IN ADDITION TO E/M CODE),1449.5,869.7,246.41,7411.0,39
CDM,76104329,HC REMOVAL OF SUTURES AND STAPLES NOT REQUIRING ANESTHESIA (LIST SEPARATELY IN ADDITION TO E/M CODE),1630.69,978.41,277.22,7411.0,39
CDM,76104330,HC REDUCTION OF INCARCERATED UTERUS IN MATERNITY CARE AND/OR DELIVERY,8302.92,4981.75,192.94,7411.0,53
CDM,76104333,"HC INJCT(S), ANSTHTC AGENT(S) AND/OR STEROID; PECS I (BTWN PEC MAJOR/MINOR)",1547.01,928.21,292.93,7411.0,53
CDM,76104335,HC GANGLION IMPAR NERVE BLOCK,1374.96,824.98,292.93,7411.0,53
CDM,76104336,HC INJCTS ANES AGNTS + STRD PECS II (BTWN PEC MJR/MNR & PEC MNR/SERRTS ANT),1674.2,1004.52,292.93,7411.0,53
CDM,76104337,HC INJCTN(S) ANES AGENT(S) AND/OR STEROID; SERRATUS ANTERIOR PLANE (SAP),1674.2,1004.52,292.93,7411.0,53
CDM,76104338,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; FASCIA ILIACA",4329.3,2597.58,292.93,7411.0,53
CDM,76104339,"HC INJCS ANES AGNTS + STEROID SNSRY PSTRR ARTIC NERVES, KNEE (SPANK)",4329.3,2597.58,292.93,7411.0,53
CDM,76104341,HC SPLENIC VENOGRAM,4252.56,2551.54,83.05,7411.0,55
CDM,76104342,HC VENOGRAPHY OPHTHAMNIE VEINS,3772.61,2263.57,83.05,7411.0,55
CDM,76104343,"HC INJCTN/ANES/STEROID; SINGLE/MULTI LVL SPINE W/WO IMG, CERVICAL/THORACIC",3006.09,1803.65,292.93,7411.0,53
CDM,76104344,"HC INJCTN/ANES/STEROID; SINGLE/MULTI LVL SPINE W/WO IMG, LUMBAR/SACRAL",3721.89,2233.13,292.93,7411.0,53
CDM,76104346,"HC REVISION EYELID, XPOSITN TARSAL PLATE",4117.32,2470.39,698.3,7411.0,55
CDM,76104347,HC INJ SI JNT ARTHRGRPHY&/ANES/STROID W/IMG THRPEUTIC,1583.81,950.29,269.25,7411.0,39
CDM,76104348,HC LYMPHOCYTE INFUSE TRANSPLANT,5647.73,3388.64,564.62,7411.0,48
CDM,76104349,HB NASAL/SINUS NDSC DSTRJ CRYOABLATION PST NSL NRV,11159.42,6695.65,1897.1,14507.25,55
CDM,76104350,HC IM/REPL CARTD SINS BAROREFLX ACTIV DEV LEAD ONLY,6243.38,3746.03,1061.37,8428.94,40
CDM,76104351,HC PENG BLOCK,1674.2,1004.52,292.93,7411.0,53
CDM,76104352,HC INFERIOR PHRENIC VENOGRAPHY,4252.56,2551.54,83.05,7411.0,55
CDM,76104353,HC IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST,344.47,206.68,56.3,7411.0,55
CDM,76104355,HC ARTERIAL LINE DRAW,296.34,177.8,74.08,7411.0,53
CDM,76104356,HC THORACIC FASCIAL PLANE BLOCK UNI INJECTION W/ IM GUID,2714.24,1628.54,461.42,7411.0,39
CDM,76104357,HC THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION W/ IM GUID,2202.3,1321.38,374.39,7411.0,39
CDM,76104358,HC THORACIC FASCIAL PLANE BLOCK BI INJECTION W/IM GUID,5078.62,3047.17,863.37,7411.0,39
CDM,76104360,HC LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION W/ IM GUID,1324.5,794.7,225.16,7411.0,39
CDM,76104363,HC INCISE EXT HEMORRHOID,1033.37,620.02,110.15,7411.0,55
CDM,76104364,HC MOSTOTOMY W/DRAIN ABSCESS,4693.19,2815.91,486.45,7411.0,55
CDM,76104365,HC MAXILLARY IMPRESJ PALATAL PROSTHESIS,973.04,583.82,165.42,7411.0,55
CDM,76104366,HC RX&FITG CONTACT LENS CORNEOSCLERAL LENS,246.3,147.78,41.87,7411.0,55
CDM,76104367,HC INSERT CERVICAL DILATOR - MECHANICAL,1139.52,683.71,193.72,7411.0,55
CDM,76104368,HC INSERT CERVICAL DILATOR - MEDICINAL,1139.52,683.71,193.72,7411.0,55
CDM,76200001,HC OBSERVATION PER HOUR,179.69,107.81,30.55,7411.0,36
CDM,76200006,HC OBSERVATION CARVE-OUT GENERAL,179.69,107.81,30.55,7411.0,36
CDM,77000003,HC CA SCREEN - PELVIC/BREAST EXAM,157.69,94.61,26.81,7411.0,55
CDM,77100003,HC IMMUNIZATION ADMINISTRATION,129.54,77.72,22.02,7411.0,55
CDM,77100004,"HC IMMUNIZATION ADMINISTRATION, EACH ADDL",89.04,53.42,15.14,7411.0,39
CDM,77100005,"HC IMMUNZATN ADMIN,INTRANASAL/ORAL",80.0,48.0,13.6,7411.0,55
CDM,77100006,"HC IMMUNZATN ADMIN,INTRNASAL/ORAL - EA ADD",56.0,33.6,9.52,7411.0,39
CDM,77100007,HC ADMIN INFLUENZA INTRANASAL-SEASONAL,25.0,15.0,4.25,7411.0,55
CDM,77100008,HC ADMINISTER FLU VACCINE,25.0,15.0,4.25,7411.0,55
CDM,77100009,HC ADMINISTER PNEUMOCOCCAL VACCINE,70.83,42.5,12.04,7411.0,55
CDM,77100011,HC ADMIN HEPATITIS B VACCINE,111.62,66.97,18.98,7411.0,55
CDM,77100018,HC IMM ADMIN PFIZER SARSCOV2 30MCG/0.3ML DIL RECON 1ST DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100019,HC IMM ADMIN PFIZER SARSCOV2 30MCG/0.3ML DIL RECON 2ND DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100020,HC IMM ADMIN MODERNA SARSCOV2 100MCG/0.5ML 1ST DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100021,HC IMM ADMIN MODERNA SARSCOV2 100MCG/0.5ML 2ND DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100022,HC IMM ADMIN ASTRAZENECA VACC ADMIN 1ST DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100023,HC IMM ADMIN ASTRAZENECA VACC ADMIN 2ND DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100024,HC IMM ADMIN JANSSEN VACC ADMIN,80.0,48.0,13.6,7411.0,39
CDM,77100025,"HC INTRAVENOUS INFSN, BAMLANIVIMAB/ETESEVIMAB, INFSN & POST ADMIN MNITRING",900.0,540.0,153.0,7411.0,40
CDM,77100026,HC IMM ADMIN NOVAVAX VACC ADMIN 1ST DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100027,HC IMM ADMIN NOVAVAX VACC ADMIN 2ND DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100028,"HC INTRAVENOUS INFUSION, SOTROVIMAB, INCLUDES INFUSION AND POST ADMINISTRATION MONITORING",900.0,540.0,153.0,7411.0,40
CDM,77100029,HC INTRAVENOUS INFSN TOCILIZUMAB COVID-19 1ST DOSE,900.0,540.0,153.0,7411.0,55
CDM,77100030,HC INTRAVENOUS INFSN TOCILIZUMAB COVID-19 2ND DOSE,900.0,540.0,153.0,7411.0,55
CDM,77100031,HC IMM ADMIN PFIZER SARSCOV2 30MCG/0.3ML DIL RECON 3RD DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100032,HC IMM ADMIN MODERNA SARSCOV2 100MCG/0.5ML 3RD DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100033,"HC INTRVNS INFSN /SBCTNOUS INJCTN, CASIRIVIMAB AND IMDEVIMAB INCLUDES INFSN OR INJCTN, AND POST ADMINISTRATION MONITORING",900.0,540.0,153.0,7411.0,40
CDM,77100034,HC IMM ADMIN SARSCV2 10MCG TRS-SUCR 1ST DOSE PEDI (PFIZER),80.0,48.0,13.6,7411.0,39
CDM,77100035,HC IMM ADMIN SARSCV2 10MCG TRS-SUCR 2ND DOSE PEDI (PFIZER),80.0,48.0,13.6,7411.0,39
CDM,77100036,HC IMM ADMIN SARSCOV2 50MCG/0.25ML MODERNA LOW DOSE BOOSTER,80.0,48.0,13.6,7411.0,39
CDM,77100037,HC IMM ADMIN SARSCV2 30MCG TRS-SUCR 1ST DOSE (PFIZER),80.0,48.0,13.6,7411.0,39
CDM,77100038,HC IMM ADMIN SARSCV2 30MCG TRS-SUCR 2ND DOSE (PFIZER),80.0,48.0,13.6,7411.0,39
CDM,77100039,HC IMM ADMIN SARSCV2 30MCG TRS-SUCR 3RD DOSE (PFIZER),80.0,48.0,13.6,7411.0,39
CDM,77100040,HC IMM ADMIN SARSCV2 30MCG TRS-SUCR BOOSTER (PFIZER),80.0,48.0,13.6,7411.0,39
CDM,77100041,HC IMM ADMIN PFIZER SARSCOV2 30MCG/0.3ML BOOSTER,80.0,48.0,13.6,7411.0,39
CDM,77100042,HC IMM ADMIN J&J BOOSTER,80.0,48.0,13.6,7411.0,39
CDM,77100043,HC INJ TIXAGEV AND CILGAV AND POST ADMIN MNITRING,301.0,180.6,51.17,7411.0,40
CDM,77100044,HC IMM ADMIN SARSCV2 10MCG TRS-SUCR 3RD DOSE PEDI (PFIZER),80.0,48.0,13.6,7411.0,39
CDM,77100045,HC BEBTELOVIMAB INJ AND POST ADMIN MNITRING,701.0,420.6,119.17,7411.0,40
CDM,77100046,HC IMM ADMIN SARSCOV2 50MCG/0.5ML MODERNA BOOSTER,80.0,48.0,13.6,7411.0,39
CDM,77100047,HC IMM ADMN SARSCOV2 30MCG/0.2ML DIL RECON 1ST DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100048,HC IMM ADMN SARSCOV2 30MCG/0.2ML DIL RECON 2ND DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100049,HC IMM ADMIN SARSCV2 10MCG TRS-SUCR BOOSTER DOSE PEDI (PFIZER),80.0,48.0,13.6,7411.0,39
CDM,77100051,HC IMM ADMN SARSCOV2  25MCG/0.25 ML 1ST DOSE PEDI (MODERNA),80.0,48.0,13.6,7411.0,39
CDM,77100052,HC IMM ADMN SARSCOV2  25MCG/0.25 ML 2ND DOSE PEDI (MODERNA),80.0,48.0,13.6,7411.0,39
CDM,77100053,HC IMM ADMN SARSCOV2 30MCG/0.2ML DIL RECON 3RD DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100058,HC IMM ADMN SARSCOV2 25MCG/0.25 ML 3RD DOSE PEDI (MODERNA),80.0,48.0,13.6,7411.0,39
CDM,77100059,HC IMM ADMN SARSCOV2 50MCG/0.5ML 1ST DOSE 6-11YRS,80.0,48.0,13.6,7411.0,39
CDM,77100060,HC IMM ADMN SARSCOV2 50MCG/0.5ML 2ND DOSE 6-11YRS,80.0,48.0,13.6,7411.0,39
CDM,77100061,HC IMM ADMN SARSCOV2 50MCG/0.5ML 3RD DOSE 6-11YRS,80.0,48.0,13.6,7411.0,39
CDM,77100062,HC IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML ADDITIONAL DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100063,HC IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML ADDITIONAL DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100064,HC IMM ADMN SARSCOV2 BIVALENT 50 MCG/0.5 ML ADDITIONAL DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100065,HC IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML ADDITIONAL DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100066,HC IMM ADMN SARSCOV2 3MCG/0.2 ML 6M-4Y BIVALENT THIRD DOSE (PFIZER),80.0,48.0,13.6,7411.0,39
CDM,77100067,HC IMM ADMN SARSCOV2 10MCG/0.2 ML 6M-4Y BIVALENT ADDITIONAL DOSE (MODERNA),80.0,48.0,13.6,7411.0,39
CDM,77100068,HC IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML SINGLE DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100069,HC IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML SINGLE DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100070,HC IMM ADMN SARSCOV2 3MCG/0.2 ML 6M-4Y BIVALENT FIRST DOSE (PFIZER),80.0,48.0,13.6,7411.0,39
CDM,77100071,HC IMM ADMN SARSCOV2 3MCG/0.2 ML 6M-4Y BIVALENT SECOND DOSE (PFIZER),80.0,48.0,13.6,7411.0,39
CDM,77100072,HC IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML FIRST DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100073,HC IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML SECOND DOSE,80.0,48.0,13.6,7411.0,39
CDM,77100074,HC IMM ADMN SARSCOV2 3MCG/0.2 ML 6M-4Y BIVALENT ADDITIONAL DOSE (PFIZER),80.0,48.0,13.6,7411.0,39
CDM,77100075,HC IM ADM INTRANSL/ORAL EA VACCINE,25.0,15.0,4.25,7411.0,39
CDM,77100076,HC IM ADM INTRANSL/ORAL 1 VACCINE,25.0,15.0,4.25,7411.0,55
CDM,77100077,HC IM ADM SARCOV2 SINGLE DOSE,80.0,48.0,13.6,7411.0,55
CDM,77100078,HC ADMIN RESPIRATORY SYNCYTIAL VIRUS MON ANT W/COUN,45.76,27.46,7.78,7411.0,39
CDM,77100079,HC ADMIN RESPIRATORY SYNCYTIAL VIRUS MON ANT,41.14,24.68,6.99,7411.0,39
CDM,77100080,HC PEMIVIBART INFUSION,867.6,520.56,147.49,7411.0,55
CDM,78000013,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYCH DIAGNOSTIC EVALUATION,640.58,384.35,108.9,7411.0,34
CDM,78000014,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYCH DIAG EVAL W/MED SRVCS,547.13,328.28,93.01,7411.0,34
CDM,78000016,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYTX W PT 45 MINUTES,457.5,274.5,77.78,7411.0,34
CDM,78000017,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYTX W PT 60 MINUTES,479.11,287.47,81.45,7411.0,34
CDM,78000021,HC (Q3014-CHG ROUTING DO NOT SELECT)FAMILY PSYTX W/PT 50 MIN,317.1,190.26,53.91,7411.0,34
CDM,78000022,HC (Q3014-CHG ROUTING DO NOT SELECT)GROUP PSYCHOTHERAPY,268.0,160.8,45.56,7411.0,34
CDM,78000023,HC (Q3014-CHG ROUTING DO NOT SELECT)EYE EXAM NEW PATIENT,249.9,149.94,42.48,7411.0,34
CDM,78000031,HC (Q3014-CHG ROUTING DO NOT SELECT)NUBHVL XM PHYS/QHP 1ST HR,776.65,465.99,132.03,7411.0,34
CDM,78000032,HC (Q3014-CHG ROUTING DO NOT SELECT)NUBHVL XM PHY/QHP EA ADDL HR,622.04,373.22,105.75,7411.0,34
CDM,78000033,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYCL TST EVAL PHYS/QHP 1ST,565.66,339.4,96.16,7411.0,34
CDM,78000034,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYCL TST EVAL PHYS/QHP EA,468.6,281.16,79.66,7411.0,34
CDM,78000035,HC (Q3014-CHG ROUTING DO NOT SELECT)NRPSYC TST EVAL PHYS/QHP 1ST,679.0,407.4,115.43,7411.0,34
CDM,78000036,HC (Q3014-CHG ROUTING DO NOT SELECT)NRPSYC TST EVAL PHYS/QHP EA,528.94,317.36,89.92,7411.0,34
CDM,78000037,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYCL/NRPSYC TST PHY/QHP 1ST,374.58,224.75,63.68,7411.0,34
CDM,78000038,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYCL/NRPSYC TST PHY/QHP EA,301.71,181.03,51.29,7411.0,34
CDM,78000039,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYCL/NRPSYC TECH 1ST,461.72,277.03,78.49,7411.0,34
CDM,78000040,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV ASSMT/REASSESSMENT,467.93,280.76,79.55,7411.0,34
CDM,78000041,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV IVNTJ INDIV 1ST 30,347.06,208.24,59.0,7411.0,34
CDM,78000042,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV IVNTJ INDIV EA ADDL,171.19,102.71,29.1,7411.0,34
CDM,78000043,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV IVNTJ GRP 1ST 30,243.92,146.35,41.47,7411.0,34
CDM,78000044,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV IVNTJ GRP EA ADDL,121.96,73.18,20.73,7411.0,34
CDM,78000045,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV IVNTJ FAM 1ST 30,364.35,218.61,61.94,7411.0,34
CDM,78000046,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV IVNTJ FAM EA ADDL,143.94,86.36,24.47,7411.0,34
CDM,78000047,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV IVNTJ FAM WO PT 1ST,321.45,192.87,54.65,7411.0,34
CDM,78000048,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV IVNTJ FAM W/O PT EA,153.07,91.84,26.02,7411.0,34
CDM,78000049,HC (Q3014-CHG ROUTING DO NOT SELECT) OFFICE/OUTPATIENT VISIT LVL1,325.0,195.0,55.25,7411.0,34
CDM,78000050,HC (Q3014-CHG ROUTING DO NOT SELECT) OFFICE/OUTPATIENT VISIT LVL2,325.0,195.0,55.25,7411.0,34
CDM,78000051,HC (Q3014-CHG ROUTING DO NOT SELECT) OFFICE/OUTPATIENT VISIT LVL3,325.0,195.0,55.25,7411.0,34
CDM,78000052,HC (Q3014-CHG ROUTING DO NOT SELECT) OFFICE/OUTPATIENT VISIT LVL4,325.0,195.0,55.25,7411.0,34
CDM,78000053,HC (Q3014-CHG ROUTING DO NOT SELECT) OFFICE/OUTPATIENT VISIT LVL5,325.0,195.0,55.25,7411.0,34
CDM,78000054,HC (Q3014-CHG ROUTING DO NOT SELECT)BEHAV CHNG SMOKING 3-10 MIN,81.19,48.71,13.8,7411.0,34
CDM,78000055,HC (Q3014-CHG ROUTING DO NOT SELECT)BEHAV CHNG SMOKING > 10 MIN,115.53,69.32,19.64,7411.0,34
CDM,78000056,HC (Q3014-CHG ROUTING DO NOT SELECT)PHONE E/M PHYS/QHP 5-10 MIN,325.0,195.0,55.25,7411.0,34
CDM,78000057,HC (Q3014-CHG ROUTING DO NOT SELECT)PHONE E/M PHYS/QHP 11-20 MIN,325.0,195.0,55.25,7411.0,34
CDM,78000058,HC (Q3014-CHG ROUTING DO NOT SELECT)PHONE E/M PHYS/QHP 21-30 MIN,325.0,195.0,55.25,7411.0,34
CDM,78000060,HC (Q3014-CHG ROUTING DO NOT SELECT)TRANS CARE MGMT 14 DAY DISCH,112.77,67.66,19.17,7411.0,34
CDM,78000061,HC (Q3014-CHG ROUTING DO NOT SELECT)TRANS CARE MGMT 7 DAY DISCH,148.39,89.03,25.23,7411.0,34
CDM,78000062,HC (Q3014-CHG ROUTING DO NOT SELECT)MNT SUBS TX FOR CHANGE DX,95.88,57.53,16.3,7411.0,34
CDM,78000063,HC (Q3014-CHG ROUTING DO NOT SELECT)VISIT TO DETERM LDCT ELIG,163.56,98.14,27.81,7411.0,34
CDM,78000078,HC NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN,89.0,53.4,15.13,7411.0,39
CDM,78000079,HC NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN,146.3,87.78,24.87,7411.0,39
CDM,78000080,HC NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN,46.0,27.6,7.82,7411.0,39
CDM,78000081,"HC TELESTROKE-TELESTROKE STATISTICAL CHARGE, <30 MIN",179.0,107.4,30.43,7411.0,34
CDM,78000082,HC TELESTROKE-NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5-10 MIN,179.0,107.4,30.43,7411.0,34
CDM,78000083,HC TELESTROKE-NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 11-20 MIN,179.0,107.4,30.43,7411.0,34
CDM,78000084,HC TELESTROKE-NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 21-30 MIN,179.0,107.4,30.43,7411.0,34
CDM,78000085,HC TELESTROKE-INPT TELEHEALTH CONSULT 30M,179.0,107.4,30.43,7411.0,34
CDM,78000086,HC TELESTROKE-INPT TELEHEALTH CONSULT 50M,179.0,107.4,30.43,7411.0,34
CDM,78000087,HC TELESTROKE-CRITICAL CARE TELEHEALTH CONSULT 60,179.0,107.4,30.43,7411.0,34
CDM,78000088,HC TELESTROKE CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN,179.0,107.4,30.43,7411.0,34
CDM,78000089,"HC TELESTROKE INITIAL HOSPITAL IP OR OBS CARE, PER DAY, HIGH MDM LEVEL OR 75 MINS MET OR EXCEEDED",179.0,107.4,30.43,7411.0,34
CDM,78000090,"HC TELESTROKE INITIAL HOSPITAL IP OR OBS CARE, PER DAY, MODERATE MDM LEVEL OR 55 MINUTES MET OR EXCEEDED.",179.0,107.4,30.43,7411.0,34
CDM,78000091,"HC TELESTROKE INITIAL HOSPITAL IP OR OBS CARE, PER DAY, SF OR LOW MDM LEVEL OR 40 MINUTES MET OR EXCEEDED",179.0,107.4,30.43,7411.0,34
CDM,78000092,"HC TELESTROKE SUBSEQUENT HOSPITAL IP OR OBS CARE, PER DAY, HIGH MDM LEVEL OR 50 MINUTES MET OR EXCEEDED.",179.0,107.4,30.43,7411.0,34
CDM,78000093,"HC TELESTROKE SUBSEQUENT HOSPITAL IP OR OBS CARE, PER DAY, MODERATE MDM LEVEL OR 35 MINUTES MET OR EXCEEDED.",179.0,107.4,30.43,7411.0,34
CDM,78000094,"HC TELESTROKE SUBSEQUENT HOSPITAL IP OR OBS CARE, PER DAY, SF OR LOW MDM LEVEL OR 25 MINUTES MET OR EXCEEDED.",179.0,107.4,30.43,7411.0,34
CDM,78000095,"HC TELESTROKE IP OR OBS CONSULT FOR A NEW OR EST PATIENT, WHICH REQUIRES HIGH MDM LEVEL OR 80 MINUTES MET OR EXCEEDED.",179.0,107.4,30.43,7411.0,34
CDM,78000096,"HC TELESTROKE IP OR OBS CONSULT FOR A NEW OR EST PATIENT, WHICH REQUIRES MODERATE MDM LEVEL OR 60 MINUTES MET OR EXCEEDED",179.0,107.4,30.43,7411.0,34
CDM,78000097,"HC TELESTROKE IP OR OBS CONSULT FOR A NEW OR EST PATIENT, WHICH REQUIRES LOW MDM LEVEL OR 45 MINUTES MET OR EXCEEDED.",179.0,107.4,30.43,7411.0,34
CDM,78000098,"HC TELESTROKE IP OR OBS CONSULT FOR A NEW OR EST PATIENT, WHICH REQUIRES SF MDM LEVEL OR 35 MINUTES MET OR EXCEEDED",179.0,107.4,30.43,7411.0,34
CDM,79000001,HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE,21819.84,13091.9,1142.9,16364.88,54
CDM,79000002,HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON),6000.0,3600.0,1142.9,14478.0,54
CDM,80100001,"HC HEMODIALYSIS, SINGLE EVAL",3579.7,2147.82,608.55,7411.0,55
CDM,80100002,"HC HEMODIALYSIS, SINGLE EVAL",3579.7,2147.82,608.55,7411.0,55
CDM,81100001,HC STD ACQ CHG LIVE DONOR KIDNEY,128449.36,77069.62,6299.0,109181.96,36
CDM,81100002,HC LIVER ACQ LIVING MCARE,137258.16,82354.9,6299.0,116669.44,36
CDM,81100003,HC LIVER ACQ LIVING,137258.16,82354.9,6299.0,116669.44,36
CDM,81200001,HC STD ACQ CHG CADAVER KIDNEY,193242.4,115945.44,6299.0,164256.04,36
CDM,81200002,HC STD ACQ CHG CADAVER PANCREAS,106529.28,63917.57,6299.0,90549.89,36
CDM,81200003,HC STD ACQ CHG CADAVER KIDNEY/PANCREAS,329040.87,197424.52,6299.0,279684.74,36
CDM,81200004,HC STD ACQ CHG CADAVER HEART,229516.31,137709.79,6299.0,195088.86,36
CDM,81200006,"HC Shell Corneal Tissue Processing,Preserving & Transporting",13714.965,8228.98,132.55,13232.31,288
CDM,81200007,HC LIVER ACQ CAD,212024.8,127214.88,6299.0,180221.08,36
CDM,81200008,HC LIVER ACQ CAD MCARE,212024.8,127214.88,6299.0,180221.08,36
CDM,81200009,HC LUNG ACQ SINGLE CAD,180336.74,108202.04,6299.0,153286.23,36
CDM,81200010,HC LUNG ACQ SINGLE CAD MCARE,180336.74,108202.04,6299.0,153286.23,36
CDM,81200011,HC LUNG ACQ DOUBLE CAD,205292.71,123175.63,6299.0,174498.8,36
CDM,81200012,HC LUNG ACQ DOUBLE CAD MCARE,205292.71,123175.63,6299.0,174498.8,36
CDM,81200013,HC HEART LUNG ACQ CAD,229221.08,137532.65,6299.0,194837.92,36
CDM,81200014,HC HEART LUNG ACQ CAD MCARE,229221.08,137532.65,6299.0,194837.92,36
CDM,81200015,HC UTERUS ACQ LIVING DONOR,91900.0,55140.0,6299.0,78115.0,36
CDM,81200016,HC UTERUS ACQ CADAVERIC DONOR,91900.0,55140.0,6299.0,78115.0,36
CDM,81500001,HC MARROW FREEZE & STORAGE DONOR,5869.29,3521.57,421.02,7411.0,53
CDM,81500003,HC HLA TYPING HR DQB1 STD US,937.75,562.65,25.34,7411.0,53
CDM,81500005,HC HLA TYPING HR DRB1 STD US,961.0,576.6,25.34,7411.0,53
CDM,81500006,HC DONOR COORDINATION FEE US,7470.19,4482.11,1269.93,7411.0,38
CDM,81500007,HC MARROW ACQUISITION USA,102500.0,61500.0,6299.0,87125.0,38
CDM,81500008,HC NMDP FORMAL SEARCH FEE,1844.5,1106.7,313.56,7411.0,38
CDM,81500009,HC PBSC DONOR INFO SESSION US,1581.0,948.6,268.77,7411.0,38
CDM,81500010,HC CONFIRMATORY TYPING SAMPLE USA,1092.75,655.65,185.77,7411.0,38
CDM,81500011,HC INFECTIOUS DISEASE TEST USA,891.25,534.75,151.51,7411.0,38
CDM,81500013,HC PBSC DONOR PHYSICAL EXAM US,5355.25,3213.15,910.39,7411.0,38
CDM,81500015,HC PBSC ACQUISTION US,89560.0,53736.0,6299.0,76126.0,38
CDM,81500019,HC PRE COLLECTION SAMPLE US,1092.75,655.65,185.77,7411.0,38
CDM,81500021,HC UNRELATED DONOR ACQUISITION US,141579.31,84947.59,6299.0,120342.41,38
CDM,81500022,HC RELATED DONOR ACQUISITION,93356.34,56013.8,6299.0,79352.89,38
CDM,81500023,HC PBSC WORKUP CANCELLATION US,5479.25,3287.55,931.47,7411.0,38
CDM,81500028,HC PERIPH BLD STEM FRZ&STR DONOR,5869.29,3521.57,421.02,7411.0,53
CDM,81500029,HC TRANS PREP RBC REMOVAL DNR,2601.99,1561.19,442.34,7411.0,38
CDM,81500031,HC AUTOLOGOUS BLOOD UNIT USA,1712.75,1027.65,162.59,7411.0,53
CDM,81500032,HC HLA TYPING IR ABC STD US,992.0,595.2,48.72,7411.0,53
CDM,81500033,HC HLA TYPING HR A STD US,968.75,581.25,21.68,7411.0,53
CDM,81500034,HC HLA TYPING IR ABC STD INTL,992.0,595.2,48.72,7411.0,53
CDM,81500035,HC FILGRASTIM INJECTIONS US,14399.5,8639.7,2447.91,12239.58,38
CDM,81500042,HC CORD TYPING HR DQB1 STD US,674.25,404.55,114.62,7411.0,38
CDM,81500045,HC MNC APHERESIS ACQUISTION US,49690.0,29814.0,6299.0,42236.5,38
CDM,81500047,HC BLOOD SAMPLE US,1092.75,655.65,185.77,7411.0,38
CDM,81500049,HC MARROW DONOR INFO SESSION US,1650.75,990.45,280.63,7411.0,38
CDM,81500050,HC MARROW DONOR PHYSICAL EXAM US,5339.75,3203.85,907.76,7411.0,38
CDM,81500059,HC PBSC SECOND ACQUISITION US,89560.0,53736.0,6299.0,76126.0,38
CDM,81500061,HC CORD HR-A TYPING US,860.25,516.15,146.24,7411.0,38
CDM,81500062,HC CORD HR-B TYPING US,875.75,525.45,148.88,7411.0,38
CDM,81500063,HC CORD HR-C TYPING US,821.5,492.9,139.66,7411.0,38
CDM,81500064,HC CORD HR-ABC TYPING US,1712.75,1027.65,291.17,7411.0,38
CDM,81500065,"HC CORD HR-DRB3,4,5 TYPING US",705.25,423.15,119.89,7411.0,38
CDM,81500066,HC CORD HR-DPB1 TYPING US,767.25,460.35,130.43,7411.0,38
CDM,81500067,HC CORD KIR TYPING US,465.0,279.0,79.05,7411.0,38
CDM,81500068,HC MATERNAL HLA TYPING US,465.0,279.0,79.05,7411.0,38
CDM,81500069,HC CORD SMP SHIP US,472.75,283.65,80.37,7411.0,38
CDM,81500079,"HC CORD HR-A, B, C, DRB1, DQB1, DPB1 TYPING US",2495.5,1497.3,424.24,7411.0,38
CDM,81900001,HC TRNSPLNT PREP HEMAT PROG CELLS,2405.55,1443.33,408.94,7411.0,51
CDM,81900002,HC BONE MARROW HARVEST ALLOGEN,7757.0,4654.2,564.62,7411.0,51
CDM,81900003,HC MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUIS,6959.92,4175.95,1183.19,7411.0,31
CDM,82000002,"HC DIALYSIS TREATMENT,UNSCHEDULED/EMERGENCY",3252.71,1951.63,552.96,7411.0,55
CDM,82100001,HC ESRD OP DIALYSIS TREATMENT,2922.87,1753.72,496.89,7411.0,39
CDM,82100002,HC ESRD OP DIALYSIS TREATMENT REPEAT,2922.87,1753.72,496.89,7411.0,39
CDM,82100003,HC OP ACUTE HEMODIALYSIS TREATMENT,1500.0,900.0,255.0,7411.0,39
CDM,82900001,"HC DIALYSIS TREATMENT,UNSCHEDULED/EMERGENCY",3252.71,1951.63,552.96,7411.0,55
CDM,83000001,HC PERITONEAL DIALYSIS,2959.74,1775.84,398.2,7411.0,55
CDM,83100001,HC OP PERITONEAL DIALYSIS SINGLE EVAL,2959.74,1775.84,398.2,7411.0,55
CDM,83100002,HC OP PERITONEAL DIALYSIS REPEAT EVAL,1812.5,1087.5,308.12,7411.0,39
CDM,84000001,HC CAPD (EXCHANGE) DIALYSIS,2959.74,1775.84,398.2,7411.0,55
CDM,84100001,HC OP CAPD METHOD I SINGLE EVAL,2959.74,1775.84,398.2,7411.0,55
CDM,84100002,HC OP CAPD METHOD II SINGLE EVAL,2959.74,1775.84,398.2,7411.0,55
CDM,84100003,HC OP CAPD METHOD I REPEAT EVAL,1812.5,1087.5,308.12,7411.0,39
CDM,84100004,HC OP CAPD METHOD II REPEAT EVAL,1812.5,1087.5,308.12,7411.0,39
CDM,85000001,HC CCPD,2959.74,1775.84,398.2,7411.0,55
CDM,85100001,HC OP CCPD METHOD I SINGLE EVAL,2959.74,1775.84,398.2,7411.0,55
CDM,85100002,HC OP CCPD METHOD II SINGLE EVAL,2959.74,1775.84,398.2,7411.0,55
CDM,85100003,HC OP CCPD METHOD I REPEAT EVAL,1812.5,1087.5,308.12,7411.0,39
CDM,85100004,HC OP CCPD METHOD II REPEAT EVAL,1812.5,1087.5,308.12,7411.0,39
CDM,87100001,HC CAR-T THERAPY HARVESTING OF BLOOD DERIVED T LMPHOCYTES,6142.46,3685.48,1044.22,7411.0,39
CDM,87100002,HC CAR-T THERAPY HARVESTING OF BLOOD DERIVED T LMPHOCYTES,6142.46,3685.48,1044.22,7411.0,39
CDM,87200001,HC CAR-T THERAPY PREPARATION OF BLOOD DERIVED T LMPHOCYTES FOR TRANSPORTATION,6137.11,3682.27,1043.31,7411.0,39
CDM,87200002,HC CAR-T THERAPY PREPARATION OF BLOOD DERIVED T LMPHOCYTES FOR TRANSPORTATION,6137.11,3682.27,1043.31,7411.0,39
CDM,87300001,HC CAR-T THERAPY RECEIPT & PREPARATION OF CAR-T CELLS FOR ADMINISTRATION,4866.65,2919.99,827.33,7411.0,39
CDM,87300002,HC CAR-T THERAPY RECEIPT & PREPARATION OF CAR-T CELLS FOR ADMINISTRATION,4866.65,2919.99,827.33,7411.0,39
CDM,87400001,HC CAR-T THERAPY AUTOLOGOUS CELL ADMINISTRATION,4510.6,2706.36,766.8,7411.0,40
CDM,87400002,HC RESEARCH CAR-T THERAPY ALLOGENIC CELL ADMINISTRATION,4613.11,2767.87,784.23,7411.0,39
CDM,87400003,HC  AMTAGVITM (LIFILEUCEL) ADMINISTRATION,5074.42,3044.65,862.65,7411.0,39
CDM,87400004,HC CAR-T THERAPY AUTOLOGOUS CELL ADMINISTRATION,4698.54,2819.12,315.22,7411.0,54
CDM,88000001,HC CRRT DIALYSIS,2959.74,1775.84,398.2,7411.0,55
CDM,88000002,"HC DIALYSIS/OTHER THAN HEMO,SINGL",2959.74,1775.84,398.2,7411.0,55
CDM,88000005,HC SERAPH TREATMENT,2959.74,1775.84,398.2,7411.0,55
CDM,89100001,HC YESCARTA (INCLUDING APHERESIS),2601654.52,1560992.71,6299.0,1951240.89,55
CDM,89100003,HC KYMRIAH-ADULT (INCL APHERESIS),2303448.96,1382069.38,6299.0,1727586.72,53
CDM,89100004,HC TECARTUS (INCLUDING APHERESIS),2383505.36,1430103.22,6299.0,1787629.02,55
CDM,89100005,HC BREYANZI CAR T,2630508.07,1578304.84,6299.0,1972881.05,55
CDM,89100006,HC ABECMA (INCLUDING APHERESIS),2573261.98,1543957.19,6299.0,1929946.49,55
CDM,89100007,HC CARVYKTI (INCLUDING APHERESIS),2621787.28,1573072.37,6299.0,1966340.46,55
CDM,89100008,HC AMTAGVITM (LIFILEUCEL),2952484.63,1771490.78,6299.0,2509611.94,39
CDM,89100009,HC AUCATZYL (INCLUDING APHERESIS),2709484.0,1625690.4,6299.0,2032113.0,54
CDM,89100010,HC OMISIRGE,3299518.1,1979710.86,6299.0,2804590.38,39
CDM,89100011,HC TECELRA AUTOLEUCEL (INCLUDEING LEUKAPHERESIS),3541780.23,2125068.14,6299.0,2656335.17,55
CDM,90000010,HC PSYCHIATRIC DIAGNOSTIC EVALUATION,640.58,384.35,108.9,7411.0,55
CDM,90000012,HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERV,547.13,328.28,93.01,7411.0,55
CDM,90000030,HC  INIT/SUB PSYCH CARE M 1ST 30,149.74,89.84,25.46,7411.0,55
CDM,90000031,HC COCM BY RHC/FQHC 60 MIN MO,145.21,87.13,24.69,7411.0,39
CDM,90000032,"HC HOPD MENTAL HEALTH EVAL/TRMT REMOTE, INITIAL 15-29 MIN",171.84,103.1,29.21,7411.0,55
CDM,90000033,"HC HOPD MENTAL HEALTH EVAL/TRMT REMOTE, INITIAL 30-60 MIN",343.66,206.2,58.42,7411.0,55
CDM,90000034,"HC HOPD MENTAL HEALTH EVAL/TRMT REMOTE, EACH ADDL 15 MINS",75.0,45.0,12.75,7411.0,39
CDM,90100002,HC ELECTROCONVULSIVE TREATMENT,1754.5,1052.7,298.26,7411.0,55
CDM,90400001,HC ACTIVITY THERAPY/DAY,264.0,158.4,44.88,7411.0,39
CDM,90500001,HC PSYCHIATRIC HALF DAY IOP,268.0,160.8,45.56,7411.0,54
CDM,90600003,HC GROUP CD INTENSIVE OP (IOP),268.0,160.8,45.56,7411.0,54
CDM,91300001,HC PHP PSYCH (FULL DAY),1072.0,643.2,96.95,7411.0,51
CDM,91300002,HC PHP-CD (FULL DAY),1072.0,643.2,96.95,7411.0,51
CDM,91400017,HC INTERVENE HLTH/BEHAV,148.0,88.8,25.16,7411.0,36
CDM,91400018,"HC PSYCHOTHERAPY, 30 MIN WITH PATIENT",334.05,200.43,56.79,7411.0,51
CDM,91400019,"HC PSYCHOTHERAPY, 45 MIN WITH PATIENT",457.5,274.5,77.78,7411.0,51
CDM,91400020,"HC PSYCHOTHERAPY, 60 MIN WITH PATIENT",479.11,287.47,81.45,7411.0,51
CDM,91400025,HC PSYCHOTHERAPY FOR CRISIS - FIRST 60MIN,543.9,326.34,92.46,7411.0,51
CDM,91400026,HC PSYCH THERAPY CRISIS ADDL 30,228.3,136.98,38.81,7411.0,36
CDM,91400028,HC HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN,347.06,208.24,59.0,7411.0,51
CDM,91400029,HC HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN,171.19,102.71,29.1,7411.0,36
CDM,91500001,HC GROUP PSYCHOTHERAPY,268.0,160.8,45.56,7411.0,51
CDM,91500002,HC INTERVENE HLTH/BEHAV,121.96,73.18,20.73,7411.0,51
CDM,91500003,HC EDUCATION/TRAINING GROUP/DAY,281.35,168.81,47.83,7411.0,36
CDM,91500004,HC GROUP PSYCHOTHERAPY 1.0 HR,159.67,95.8,27.14,7411.0,36
CDM,91500005,HC GRP PSYCHOTHER 1HR FULL (TRIC),159.67,95.8,27.14,7411.0,36
CDM,91500006,HC GRP PSYCHOTHER 1HR HALF (TRIC),159.67,95.8,27.14,7411.0,36
CDM,91500007,HC GRP PSYCHOTHER 2HR FULL (TRIC),159.67,95.8,27.14,7411.0,36
CDM,91500008,HC GRP PSYCHOTHER 2HR HALF (TRIC),159.67,95.8,27.14,7411.0,36
CDM,91500009,HC HEALTH BEHAVIOR IVNTJ GROUP 1ST 30MIN,243.92,146.35,35.76,7411.0,51
CDM,91500010,HC HEALTH BEHAVIOR IVNTJ GROUP EA ADDL 15MIN,121.96,73.18,12.16,7411.0,36
CDM,91600002,HC FAMILY PSYCHOTHERAPY W/PATIENT,302.0,181.2,51.34,7411.0,51
CDM,91600004,"HC INTERV HLTH/BEHAV, F",347.0,208.2,35.76,7411.0,51
CDM,91600005,"HC HLTH/BEHAV INTRVNTION,EA 15MIN,FMLY W/O PT",153.07,91.84,26.02,7411.0,36
CDM,91600010,HC MULTI.FAM.GROUP PSYT 2HR,604.0,362.4,102.68,7411.0,51
CDM,91600011,HC MULTI.FAM.GROUP PSYT 3HR,906.0,543.6,154.02,7411.0,51
CDM,91600012,HC HEALTH BEHAVOR INTVNTJ W/FAMILY 1ST 30MIN,347.0,208.2,35.76,7411.0,51
CDM,91600013,HC HEALTH BEHAVOR INTVNTJ W/FAMILY EA ADDL 15MIN,137.09,82.25,23.31,7411.0,36
CDM,91600014,"HC HEALTH BEHAVOR INTVNTJ W/FAMILY, WO/PATIENT PRESENT, 1ST 30MIN",306.14,183.68,52.04,7411.0,36
CDM,91600015,"HC HEALTH BEHAVOR INTVNTJ W/FAMILY, WO/PATIENT PRESENT, EA ADDL 15MIN",153.07,91.84,26.02,7411.0,36
CDM,91700001,"HC BIOFEEDBACK TRAIN, PERINEAL MUSCLES, ANORECT",454.92,272.95,77.34,7411.0,39
CDM,91700002,"HC BIOFEEDBACK TRAINING, BY ANY MODALITY",247.76,148.66,42.12,7411.0,39
CDM,91700004,"HC BIOFEEDBACK TRAINING, W/EMG AND/OR MANOMETRY 1ST 15MIN",450.62,270.37,76.61,7411.0,39
CDM,91700005,"HC BIOFEEDBACK TRAINING, W/EMG AND/OR MANOMETRY EA ADDL 15MIN",454.92,272.95,77.34,7411.0,39
CDM,91800005,HC NEUROBEHAVIORAL STATUS EXAM - PE,776.65,465.99,132.03,7411.0,55
CDM,91800009,HC ASSESS HLTH/BEHAVE,122.12,73.27,20.76,7411.0,39
CDM,91800012,HC ASSESS HLTH/BEHAVE,150.82,90.49,25.64,7411.0,39
CDM,91800014,HC PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR,565.66,339.4,96.16,7411.0,55
CDM,91800015,HC PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR,468.6,281.16,79.66,7411.0,39
CDM,91800016,HC NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR,679.0,407.4,115.43,7411.0,55
CDM,91800017,HC NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HOUR,528.94,317.36,89.92,7411.0,39
CDM,91800018,"HC PSYCHOLOGICAL OR NEUROPSYCH TEST ADMIN/SCORING, PHYS/QHP, FIRST 30 MIN",374.58,224.75,63.68,7411.0,55
CDM,91800019,"HC PSYCHOLOGICAL OR NEUROPSYCH TEST ADMIN/SCORING, PHYS/QHP, ADDL 30 MIN",301.71,181.03,51.29,7411.0,39
CDM,91800020,"HC PSYCH OR NEUROPSYCH TEST ADMIN/SCORE, 2+ TESTS ,TECH, FIRST 30 MIN",461.72,277.03,70.58,7411.0,55
CDM,91800021,"HC PSYCH OR NEUROPSYCH TEST ADMIN/SCORE, 2+ TESTS, TECH, ADDL 30 MIN",288.44,173.06,49.03,7411.0,39
CDM,91800024,"HC DEVELOPMENTAL TST ADMIN, W INTERPRETATION, PHYS/QHP EA ADDL 30 MIN",338.65,203.19,57.57,7411.0,39
CDM,91800025,HC NEUROBEHAVIORAL STATUS EXAM - PE EA ADDL HR,622.04,373.22,105.75,7411.0,39
CDM,91800026,HC HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT,467.93,280.76,79.55,7411.0,55
CDM,92000008,"HC SPHINCTER,ANAL/URETHRAL,EMG,OT",678.34,407.0,22.14,7411.0,55
CDM,92000009,"HC SPHINCTER ANAL/URETHRAL EMG,AN",809.88,485.93,110.15,7411.0,55
CDM,92000013,HC FETAL CONTRACTION STRESS TEST,1038.84,623.3,27.13,7411.0,55
CDM,92000014,HC NON STRESS TEST,929.75,557.85,15.78,7411.0,55
CDM,92000016,"HC COMP CORNEAL TOPOGRAPHY,W/INT",303.91,182.35,51.66,7411.0,55
CDM,92000021,"HC VISUAL FIELD EXAM, EXTENDED",410.48,246.29,69.78,7411.0,55
CDM,92000022,HC SCAN COMP/OPHTH/DIAG IMG ANTR SEGMNT,217.35,130.41,36.95,7411.0,55
CDM,92000023,HC SCAN COMP/OPHTH/DIAG IMG POST SEGM - OPTC NR,345.49,207.29,56.3,7411.0,55
CDM,92000024,HC SCAN COMP/OPHTH/DIAG IMG POST SEGM - RETINA,320.4,192.24,54.47,7411.0,55
CDM,92000027,HC ICG ANGIOGRAPHY,1313.98,788.39,206.06,7411.0,55
CDM,92000028,"HC FUNDUS PHOTOGRAPHY,W/INTERPRETATION/REPORT",349.1,209.46,59.35,7411.0,55
CDM,92000029,HC ELECTRO-OCULOGRAPHY,616.12,369.67,104.74,7411.0,55
CDM,92000031,"HC COLOR VISION EXAM, EXTEND, ANOMALOSCOPE/EQUAL",175.07,105.04,29.76,7411.0,55
CDM,92000035,"HC BLOOD PRESSURE MONITORING, AMBULATORY/RECORDING",622.66,373.6,105.85,7411.0,55
CDM,92000036,"HC BP MONITOR - AMBUL, ANALYS W/REP",595.46,357.28,101.23,7411.0,55
CDM,92000039,HC MULTIPLE SLEEP LATENCY/MAINT OF WAKEFULNESS TESTING,4606.33,2763.8,783.08,7411.0,55
CDM,92000040,"HC SLEEP STUDY,UNATTENDED",1323.67,794.2,206.06,7411.0,55
CDM,92000043,"HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, ATTENDED BY TECH",7764.68,4658.81,819.52,7411.0,55
CDM,92000044,"HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, W/POSITIVE AIRWAY PRESSURE THERAPY",8726.91,5236.15,819.52,7411.0,55
CDM,92000053,HC SPIN/BRAIN PUMP REFI,383.0,229.8,65.11,7411.0,55
CDM,92000054,HC HOME SLEEP TEST/TYPE 3 PORTA,1098.0,658.8,186.66,7411.0,55
CDM,92000055,HC TCD INTRACRANIAL ARTERIES VASOREACTIVITY,944.8,566.88,160.62,7411.0,40
CDM,92000057,HC ELECT ANLS IMPLNT PLSE GNRTR - G,215.94,129.56,36.71,7411.0,55
CDM,92000058,HC ELECT ANLS PLSE GNRTR - GASTRC -,337.86,202.72,35.62,7411.0,55
CDM,92000059,"HC SLEEP STDY,YOUNGER THAN 6YRS,",4837.31,2902.39,819.52,7411.0,55
CDM,92000060,"HC SLEEP STDY, YOUNGER THAN 6YRS, W/CPAP",8004.62,4802.77,819.52,7411.0,55
CDM,92000062,HC SLP STUDY UNATTENDED,838.97,503.38,142.62,7411.0,55
CDM,92000064,HC ELECTRODE STIMULATE/RECORD BRAIN - INIT HOUR,1718.48,1031.09,292.14,7411.0,55
CDM,92000066,"HC ART, TRANSCRAN DOPPLER EMBOLI DETECTW/O IN",1001.6,600.96,99.77,7411.0,55
CDM,92000067,"HC ART, TRANSCRAN DOPPLER EMBOLI DETECTION W/",1067.03,640.22,99.77,7411.0,55
CDM,92000068,HC UPPER/LOWER EXTREMITIES ART STUDY,1468.77,881.26,129.98,7411.0,55
CDM,92000069,HC CAR SEAT/BED TESTING W/INTERP & REPORT 60 MINUTES,395.26,237.16,35.64,7411.0,55
CDM,92000070,HC CAR SEAT/BED TESTNG W/INTERP & REPORT +30MIN,284.54,170.72,26.56,7411.0,39
CDM,92000078,HC POLYSOMNGRPHY 4 OR MORE MOD,7764.68,4658.81,819.52,7411.0,55
CDM,92000079,HC POLYSOMNGRPHY W/CPAP MOD,8726.91,5236.15,819.52,7411.0,55
CDM,92000080,HC IR VENOUS PRESSURE DETERMINE,410.57,246.34,25.45,7411.0,39
CDM,92000081,HC INTRAOP MONT. EA 15MINS,441.09,264.65,74.99,7411.0,39
CDM,92000082,HC INTRAOP NEURO OUT OR EA HR,1176.06,705.64,199.93,7411.0,39
CDM,92000083,HC CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH,595.0,357.0,101.15,7411.0,54
CDM,92000084,HC VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE,944.8,566.88,160.62,7411.0,39
CDM,92000087,HC TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX,1067.03,640.22,99.77,7411.0,55
CDM,92000785,HC GASTRIC STIM ANAL W/ REPROG,337.86,202.72,57.44,7411.0,39
CDM,92000786,HC FULL FIELD ERG W/I&R,957.0,574.2,162.69,7411.0,55
CDM,92000787,HC MULTIFOCAL ERG W/I&R,957.0,574.2,122.8,7411.0,55
CDM,92000788,HC PATTERN ERG W/I&R,975.0,585.0,142.45,7411.0,55
CDM,92000789,HC ALYS SMPL CN NPGT PRGRMG,588.64,353.18,35.62,7411.0,55
CDM,92000790,HC ALYS CPLX CN NPGT PRGRMG,649.24,389.54,90.72,7411.0,55
CDM,92000791,HC ALYS BRN NPGT PRGRMG 15 MIN,202.05,121.23,34.35,7411.0,55
CDM,92000792,HC ALYS BRN NPGT PRGRMG ADDL 15,202.05,121.23,34.35,7411.0,39
CDM,92000793,"HC ESOPHAGEAL FUNCTION TST,GI REF - PROLONGED",2572.74,1543.64,356.12,7411.0,55
CDM,92100002,"HC CAROTID SCAN, BILATERAL",2293.32,1375.99,187.79,7411.0,55
CDM,92100003,"HC DUPLEX SCAN, EXTRACRANIAL ARTERIES, UNILATERAL OR LIMITED",1002.46,601.48,99.77,7411.0,55
CDM,92100004,"HC TRANSCRANIAL DOPPLER INTRACRANIA ART, CMPLT",2180.83,1308.5,227.71,7411.0,55
CDM,92100005,HC TRANSCRANIAL DOPPLER INTRACRANIAL ART - LIMT,697.4,418.44,99.77,7411.0,55
CDM,92100006,"HC NONINVAS PHYSIOL STUDY,ARTERY,SNGL LEV,BIL",1013.88,608.33,126.97,7411.0,55
CDM,92100007,"HC NONINVAS PHYSIOL STUDY,ARTERY,UE/LE - BIL",1468.77,881.26,129.98,7411.0,55
CDM,92100008,"HC NONINVAS PHYSIOL STUDY,ARTERY,LE - BILAT",1442.64,865.58,156.46,7411.0,55
CDM,92100009,"HC DUPLEX SCAN,LE ARTERL BYPS GFT - BI/COMPLT",1961.81,1177.09,227.71,7411.0,55
CDM,92100010,"HC DUPLEX SCAN,LE ARTERL BYPS GFT - UNIL/LIMT",1239.41,743.65,99.77,7411.0,55
CDM,92100011,"HC DUPLEX SCAN,UE ARTERL BYPS GFT - BI/COMPLT",1676.01,1005.61,197.14,7411.0,55
CDM,92100012,"HC DUPLEX SCAN,UE ARTERL BYPS GFT - UNIL/LIMT",1170.22,702.13,99.77,7411.0,55
CDM,92100013,"HC DUPLEX SCAN OF EXTREMITY VEINS, INCL RESPONSES TO COMPRESSION/COMPLETE BILATERAL STUDY",2001.42,1200.85,184.78,7411.0,55
CDM,92100014,HC DUP-SCAN XTR VEINS LIMITED STUDY UNILATERAL,1338.82,803.29,99.77,7411.0,55
CDM,92100015,"HC DUPLEX SCAN ABDM, PLVC,SCRTL - COMPLETE",1741.09,1044.65,227.71,7411.0,55
CDM,92100016,"HC DUPLEX SCAN ABDM, PLVC,SCRTL - LIMITED",1199.94,719.96,99.77,7411.0,55
CDM,92100017,"HC DUPLEX SCAN,AORTA,VENA,ILIAC VAS BYP GFT - COMP",1359.44,815.66,179.76,7411.0,55
CDM,92100018,"HC DUPLEX SCAN AORTA,VENA,ILIAC VAS,BYP - LIMITED",848.91,509.35,99.77,7411.0,55
CDM,92100019,HC DUP SCAN HEMODIALYSIS ACC,832.87,499.72,99.77,7411.0,55
CDM,92100022,"HC DUPLEX SCAN, PENILE VESSEL - COMPLETE",1426.32,855.79,99.77,7411.0,55
CDM,92100023,"HC DUPLEX SCAN, PENILE VESSEL - LIMITED",1009.03,605.42,70.5,7411.0,55
CDM,92100027,"HC DUPLEX SCAN ABDM, PLVC,SCRTL - COMPLETE",1741.09,1044.65,227.71,7411.0,55
CDM,92100028,"HC DUPLEX SCAN ABDM, PLVC,SCRTL - COMPLETE",1741.09,1044.65,227.71,7411.0,55
CDM,92100029,HC TCPO2 TESTING 1-2 LEVELS UN,1013.88,608.33,126.97,7411.0,55
CDM,92100030,HC US RENAL WWO DPLX DOPP BI,1741.09,1044.65,241.72,7411.0,40
CDM,92100031,HC US RENAL WWO DPLX DOPP LT,1741.09,1044.65,241.72,7411.0,40
CDM,92100032,HC US RENAL WWO DPLX DOPP RT,1741.09,1044.65,241.72,7411.0,40
CDM,92100033,HC US LWR EXT ART DPLX LT,1239.41,743.65,106.34,7411.0,40
CDM,92100034,HC US LWR EXT ART DPLX RT,1239.41,743.65,106.34,7411.0,40
CDM,92100035,HC DUP-SCAN XTR VEINS LIMITED STUDY UNILATERAL - RT,1338.82,803.29,106.34,7411.0,40
CDM,92100036,HC DUP-SCAN XTR VEINS LIMITED STUDY UNILATERAL - LT,1338.82,803.29,106.34,7411.0,40
CDM,92100037,HC US UPR EXT VEN DPLX RT,1338.82,803.29,106.34,7411.0,40
CDM,92100038,HC US LWR EXT VEN DPLX LT,1338.82,803.29,106.34,7411.0,40
CDM,92100039,HC US UPR EXT ART DPLX LT,1170.22,702.13,106.34,7411.0,40
CDM,92100040,HC US UPR EXT ART DPLX RT,1170.22,702.13,106.34,7411.0,40
CDM,92100041,HC US UPR EXT VEN DPLX RT PORT,1338.82,803.29,106.34,7411.0,40
CDM,92100042,HC DUPLEX SCAN OF EXTRACRANIAL ARTERIES UNILATERAL OR LIMITED - RT,1002.46,601.48,99.77,7411.0,55
CDM,92100043,HC DUPLEX SCAN OF EXTRACRANIAL ARTERIES UNILATERAL OR LIMITED - LT,1002.46,601.48,99.77,7411.0,55
CDM,92100044,HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD,672.82,403.69,114.38,7411.0,55
CDM,92100045,HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD,301.96,181.18,51.33,7411.0,55
CDM,92100046,HC TCPO2 TESTING 3+ LVLS BI,1468.77,881.26,129.98,7411.0,55
CDM,92200002,HC EMG-1 EXTREMITY & RELATED PARA,678.49,407.09,115.34,7411.0,55
CDM,92200003,HC EMG-2 EXTREMITIES & RELATED PA,1085.56,651.34,126.97,7411.0,55
CDM,92200004,HC EMG-3 EXTREMITIES OF RLTD PARA,908.96,545.38,122.8,7411.0,55
CDM,92200005,HC EMG-4 EXTREMITIES & RELATED PA,1142.84,685.7,122.8,7411.0,55
CDM,92200006,"HC EMG,CRANIAL NERVE SUPPLIED MUS",641.78,385.07,109.1,7411.0,55
CDM,92200007,HC EMG-CRANIAL NERVE SUPPLIED MUS,823.55,494.13,140.0,7411.0,55
CDM,92200008,HC EMG-THORACIC PARASPINAL MUSCLE,524.93,314.96,89.24,7411.0,55
CDM,92200009,"HC EMG-LIMITED STUDY OF MUSCLES,",498.86,299.32,84.81,7411.0,55
CDM,92200011,HC EMG - GUIDANCE IN CONJ W/CHEMO,301.44,180.86,51.24,7411.0,39
CDM,92200013,HC EMG-EACH EXTRIMITY W/NERVE,462.08,277.25,78.55,7411.0,39
CDM,92200014,HC EMG-EACH EXTREMITY,588.29,352.97,100.01,7411.0,39
CDM,92200015,HC EMG-EACH NON-EXTREMITY W/NERV,521.23,312.74,88.61,7411.0,39
CDM,92200019,HC MOTOR/SENSORY NERVE CONDUCTION,493.9,296.34,83.96,7411.0,55
CDM,92200023,HC SOMATOSENSORY TESTING/ONE OR M,1514.23,908.54,206.06,7411.0,55
CDM,92200024,HC SOMATOSENSORY TEST/LOWER LIMBS,1476.35,885.81,206.06,7411.0,55
CDM,92200025,HC CENTRAL MOTOR EVOKED STDY - LOWE,1035.0,621.0,175.95,7411.0,55
CDM,92200026,"HC VIS. EVOKED POTEN.(VEP),CNS,C",1735.45,1041.27,154.88,7411.0,55
CDM,92200030,HC NEUROMUSCULAR JUNCTION TESTING,665.03,399.02,113.06,7411.0,55
CDM,92200031,HC NERVE CONDUCTION STUDIES - 1-2 STUDIES,587.19,352.31,99.82,7411.0,55
CDM,92200032,HC NERVE CONDUCTION STUDIES - 3-4 STUDIES,697.79,418.67,118.62,7411.0,55
CDM,92200033,HC NERVE CONDUCTION STUDIES - 5-6 STUDIES,852.1,511.26,144.86,7411.0,55
CDM,92200034,HC NERVE CONDUCTION STUDIES - 7-8 STUDIES,697.79,418.67,118.62,7411.0,55
CDM,92200035,HC NERVE CONDUCTION STUDIES - 9-10 STUDIES,2281.84,1369.1,308.69,7411.0,55
CDM,92200036,HC NERVE CONDUCTION STUDIES - 11-12 STUDIES,1492.15,895.29,253.67,7411.0,55
CDM,92200037,HC NERVE CONDUCTION STUDIES - 13 OR STUDIES,3183.26,1909.96,352.93,7411.0,55
CDM,92200039,HC EMG-LARYNX,479.4,287.64,81.5,7411.0,55
CDM,92200045,HC SOMATOSENSORY TESTING/TRUNK OR HEAD,1777.44,1066.46,206.06,7411.0,55
CDM,92200046,HC CENTRAL MOTOR EVOKED STDY - UPPER LIMB,1081.81,649.09,183.91,7411.0,55
CDM,92200047,HC SOMATOSENSORY TESTING/UPPER&LOWER LIMBS,2942.2,1765.32,500.17,7411.0,55
CDM,92200048,HC CENTRAL MOTOR EVOKED STDY - UPP,2613.66,1568.2,444.32,7411.0,55
CDM,92200049,"HC EMG,NEEDLE ONE FIBER",828.91,497.35,136.09,7411.0,55
CDM,92200050,"HC DYN SURFACE EMG, 1-12 MUSCLES",1186.32,711.79,69.69,7411.0,55
CDM,92200051,"HC DYN FINE-WIRE EMG, 1 MUSCLE",623.82,374.29,106.05,7411.0,40
CDM,92400001,"HC ALLERGY TEST, PERCUTANEOUS (SC",79.07,47.44,13.44,7411.0,55
CDM,92400004,"HC ALLERGY TEST, INTRACUTANEOUS (",95.7,57.42,16.27,7411.0,55
CDM,92400007,HC INHALATION BRONCHIAL CHALLENGE,1253.4,752.04,99.59,7411.0,55
CDM,92400013,HC BRONCHIAL CHALLENGE WITH GAS,735.42,441.25,125.02,7411.0,39
CDM,92400014,HC EYE ALLERGY TESTS,215.94,129.56,36.71,7411.0,55
CDM,94000001,"HC THERA APHERESIS,WHITE BLOOD CE",5579.33,3347.6,564.62,7411.0,55
CDM,94000002,HC THERA PLASMA EXCHANGE,5910.01,3546.01,564.62,7411.0,55
CDM,94000003,HC ARTERIAL PUNCTURE BY LAB,212.5,127.5,36.12,7411.0,55
CDM,94000005,HC INSERT FOLEY CATHETER,500.62,300.37,85.11,7411.0,55
CDM,94000009,"HC REFILL/MAINT IMPLANT PUMP/RES,",944.25,566.55,160.52,7411.0,55
CDM,94000011,HC (NURSE/TECH ADMIN) THER/PHOPH/DIAG INJECTION SC/IM,321.2,192.72,54.6,7411.0,55
CDM,94000012,"HC THERAPEUTIC/DIAGNOSTIC INJ, INTRA-ARTERIAL",412.22,247.33,58.64,7411.0,55
CDM,94000013,HC REFILL PORTABLE PUMP,644.33,386.6,109.54,7411.0,55
CDM,94000015,HC IRRIGATION IMPLANTED VAD FOR D,344.47,206.68,56.3,7411.0,55
CDM,94000030,"HC PHLEBOTOMY, THERAPEUTIC",458.59,275.15,77.96,7411.0,55
CDM,94000033,"HC THERA APHRESIS, PLATELET",4487.9,2692.74,164.3,7411.0,55
CDM,94000034,"HC THERA APHERESIS, RED BLOOD CELL",6518.19,3910.91,564.62,7411.0,55
CDM,94000039,HC MNT SUBS TX FOR CHANGE DX,95.88,57.53,16.3,7411.0,39
CDM,94000045,HC THERAPUETIC EXERCISES,208.73,125.24,35.48,7411.0,40
CDM,94000058,HC THERAPEUT ACTIVITY DIRECT PT CONTRACT EACH 15 MIN,204.6,122.76,34.78,7411.0,40
CDM,94000060,HC PHOTOPHERESIS EXTRACORPOREAL,16188.84,9713.3,1674.15,12141.63,55
CDM,94000061,HC HYPOTHERMIA INITIATION NEONATE,2722.44,1633.46,462.81,7411.0,39
CDM,94000078,HC LOW FREQUENCY NON-THERMAL US,607.95,364.77,103.35,7411.0,55
CDM,94100001,HC SELFCARE/HOME MANAG EA 15MIN,198.16,118.9,33.69,7411.0,37
CDM,94100002,HC RECREATIONAL THERAPY PROCEDURE,112.36,67.42,19.1,7411.0,37
CDM,94100003,HC EVALUATION EA 15 MIN,220.32,132.19,37.45,7411.0,36
CDM,94100004,HC THERAPEUT ACTIVITIES EA 15,204.6,122.76,34.78,7411.0,37
CDM,94100005,HC WORK/COMMUN REINTEGR EA 15MIN,172.12,103.27,29.26,7411.0,37
CDM,94100006,HC EXERCISE EA 15 MIN,208.73,125.24,35.48,7411.0,37
CDM,94100008,"HC COGNITIVE SKILLS DEVELOPMENT TR, 1ST 15MIN",191.15,114.69,32.5,7411.0,37
CDM,94100009,"HC COGNITIVE SKILLS DEVELOPMENT TR, EA ADD 15MIN",191.98,115.19,32.64,7411.0,37
CDM,94200001,HC MEDICAL NUTRITION THERAPY - INITIAL 15 MIN,111.83,67.1,19.01,7411.0,39
CDM,94200002,HC MEDICAL NUTRITION THERAPY - FOLLOW-UP 15 MIN,106.84,64.1,18.16,7411.0,39
CDM,94200003,HC MNT GROUP EA 30 MIN,87.21,52.33,14.83,7411.0,39
CDM,94200004,HC ED/TRAIN PT SELF-MGMT - EA 30 MIN - INDIVIDUAL,159.0,95.4,27.03,7411.0,39
CDM,94200005,HC ED/TRAIN PT SELF-MGMT - EA 30 MIN - 2-4 PTS,86.63,51.98,14.73,7411.0,39
CDM,94200006,HC ED/TRAIN PT SELF-MGMT - EA 30 MIN - 5-8 PTS,53.2,31.92,9.04,7411.0,39
CDM,94200007,HC SMOKING CESSATION >3 UP TO 10 MIN,81.19,48.71,13.8,7411.0,55
CDM,94200008,HC SMOKING CESSATION >10 MIN,115.53,69.32,19.64,7411.0,55
CDM,94200009,HC DIABETES MANAGEMENT INDIVIDUAL-30 MINS,168.3,100.98,28.61,7411.0,39
CDM,94200010,HC DIABETES MANAGEMENT GROUP-30 MINS,98.94,59.36,16.82,7411.0,39
CDM,94200016,HC GROUP EDUCATIONAL SERVICES,83.51,50.11,14.2,7411.0,39
CDM,94200021,HC WEIGHT MGMT CLASS PER SESSION,130.91,78.55,22.25,7411.0,39
CDM,94200022,HC NUTRITION CLASS PER SESSION,124.96,74.98,21.24,7411.0,39
CDM,94200023,HC NUTRITIONAL COUNSELING DIET,121.35,72.81,20.63,7411.0,39
CDM,94200026,HC OP COLOSTRUM HARVEST GROUP CLASS,333.04,199.82,56.62,7411.0,39
CDM,94200027,HC OP COLOSTRUM HARVEST GROUP CLASS,333.04,199.82,56.62,7411.0,39
CDM,94200028,HC OP LACTATION PUMPING GROUP CLASS,333.04,199.82,56.62,7411.0,39
CDM,94300001,HC CARDIAC REHAB INITIAL EVAL,430.17,258.1,44.27,7411.0,55
CDM,94300003,HC CARDIAC REHAB FOLLOW UP W/MONITOR,430.17,258.1,44.27,7411.0,55
CDM,94300004,HC CARDIAC REHAB EXER W/O MON,347.92,208.75,27.66,7411.0,55
CDM,94800001,"HC PULMONARY REHAB INCL EXERCISE,",287.52,172.51,48.88,7411.0,39
CDM,94800002,HC PULMONARY REHAB W/O CONT OXIMETRY MONITORING,329.71,197.83,56.05,7411.0,55
CDM,94800003,HC PULMONARY REHAB W CONT OXIMETRY MONITORING,332.08,199.25,56.3,7411.0,55
CDM,96400003,"HC INTUBATION, OTHER AREAS",939.66,563.8,159.74,7411.0,36
CDM,97100001,"HC REF MAYO, COMP HAEV1, CPT 85060",414.5,248.7,61.56,7411.0,36
CDM,98200001,HC PROLONGED PHYS SVS 1 HR,297.94,178.76,50.65,7411.0,36
CDM,98200002,HC PROLONGED PHYS SVS ADD'L 30 MI,111.82,67.09,19.01,7411.0,36
CDM,98200003,HC COMPX CHRONIC CARE MGMT 60M/MO,173.06,103.84,29.42,7411.0,51
CDM,98200004,HC COMPX CHRONIC CARE EA ADD 30 M,86.53,51.92,14.71,7411.0,36
CDM,98200005,HC CHRONIC CARE MGMT 20 MIN/MO,119.9,71.94,20.38,7411.0,51
CDM,98200006,HC HOME HEALTH RE-CERT,170.73,102.44,29.02,7411.0,36
CDM,98200007,HC HOME HEALTH INITIAL CERT,213.64,128.18,36.32,7411.0,36
CDM,98200008,HC MD INR TEST REVIEW INTER MGMT,22.88,13.73,3.89,7411.0,36
CDM,99500002,HC HOUSING,55.0,33.0,9.35,7411.0,36
CDM,99500003,HC HOUSING/2 BEDROOM,70.0,42.0,11.9,7411.0,36
CDM,99800182,HC SURFACTANT ADMINISTRATION,205.6,123.36,34.95,7411.0,36
CDM,99800351,HC INCENTIVE SPIRO,167.2,100.32,28.42,7411.0,36
CDM,99895259,HC TRANS PREP PLASMA REMOVE AUTO,2405.55,1443.33,35.0,7411.0,55
CDM,99900021,HC CONSULTATION WITH FAMILY,226.31,135.79,38.47,7411.0,36
CDM,99900056,HC DIAGNOSTIC CASTS,140.0,84.0,23.8,7411.0,36
CDM,99900057,HC FLUORIDE APPLICATOR,200.0,120.0,34.0,7411.0,36
CDM,99900058,HC INITIAL DENTAL CONSULT,80.0,48.0,13.6,7411.0,36
CDM,99900059,HC LIMIT ORAL EVAL PROBLM FOCUS,60.0,36.0,10.2,7411.0,51
CDM,99900060,HC MAN PARTIAL DENTURE RESIN BASE,800.0,480.0,136.0,7411.0,36
CDM,99900061,HC MAND. RESECTION PROS.,3660.0,2196.0,622.2,7411.0,36
CDM,99900062,HC MANDIBULAR PARTIAL CAST FRAME,2800.0,1680.0,476.0,7411.0,36
CDM,99900063,HC MAX. PARTIAL DENTURE-RESIN BAS,800.0,480.0,136.0,7411.0,36
CDM,99900064,HC MAXILLARY PARTIAL CAST FRAME,2800.0,1680.0,476.0,7411.0,36
CDM,99900065,HC OBTURATOR DEFINITIVE,4014.0,2408.4,682.38,7411.0,36
CDM,99900066,HC OBTURATOR MODIFICATION,362.0,217.2,61.54,7411.0,36
CDM,99900067,HC OBTURATOR SURGICAL,2146.0,1287.6,364.82,7411.0,36
CDM,99900068,HC PERIODIC ORAL EVALUATION,60.0,36.0,10.2,7411.0,51
CDM,99900069,HC PERIODONTAL SCALING & ROOT,120.0,72.0,20.4,7411.0,51
CDM,99900070,HC PORCELIN CROWN,1500.0,900.0,255.0,7411.0,51
CDM,99900071,HC POST 1 SRFC RESINBASED CMPST,120.0,72.0,20.4,7411.0,51
CDM,99900072,HC POST 2 SRFC RESINBASED CMPST,140.0,84.0,23.8,7411.0,51
CDM,99900073,HC PROTECTIVE RESTORATION,105.0,63.0,17.85,7411.0,51
CDM,99900074,HC RELINE COMPLETE MAND. CHAIRSID,200.0,120.0,34.0,7411.0,36
CDM,99900075,HC RELINE COMPLETE MAX LAB,300.0,180.0,51.0,7411.0,36
CDM,99900076,HC RELINE COMPLETE MAX. CHAIRSIDE,200.0,120.0,34.0,7411.0,36
CDM,99900077,HC RESIN 4/> SURF OR W INCIS AN,200.0,120.0,34.0,7411.0,51
CDM,99900078,HC RESIN ONE SURFACE-ANTERIOR,120.0,72.0,20.4,7411.0,51
CDM,99900079,HC RESIN THREE SURFACES-ANTERIO,160.0,96.0,27.2,7411.0,51
CDM,99900080,HC RESIN TWO SURFACES-ANTERIOR,140.0,84.0,23.8,7411.0,51
CDM,99900081,HC SURGICAL STENT,500.0,300.0,85.0,7411.0,36
CDM,99900082,HC TOOTH EXTRACTION NON RAD,140.0,84.0,23.8,7411.0,36
CDM,99900083,HC TOPICAL APP FLUORIDE ADULT,20.0,12.0,3.4,7411.0,36
CDM,99900084,HC TOPICAL FLUORIDE VARNISH,20.0,12.0,3.4,7411.0,36
CDM,99900088,HC ANALGESIA,110.0,66.0,18.7,7411.0,36
CDM,99900089,HC BIOPSY OF ORAL TISSUE SOFT,300.0,180.0,51.0,7411.0,36
CDM,99900090,HC COMPLETE MANDIBULAR DENTURE,2000.0,1200.0,340.0,7411.0,36
CDM,99900091,HC COMPLETE MAXILLARY DENTURE,2000.0,1200.0,340.0,7411.0,36
CDM,99900092,HC DENTAL PROPHYLAXIS ADULT,110.0,66.0,18.7,7411.0,51
CDM,99900093,HC DENTAL PROPHYLAXIS CHILD,60.0,36.0,10.2,7411.0,36
CDM,99900094,HC DENTAL RECEMENT CROWN,60.0,36.0,10.2,7411.0,51
CDM,99900095,HC DENTURES ADJUST CMPLT MAND,80.0,48.0,13.6,7411.0,36
CDM,99900096,HC DENTURES ADJUST CMPLT MAXIL,80.0,48.0,13.6,7411.0,36
CDM,99900097,HC OUTPT CARD REHAB PHASE III,50.0,30.0,8.5,7411.0,36
CDM,99900098,HC SAFE START FEE,500.0,300.0,85.0,7411.0,36
CDM,99900099,HC CT ABD PELVIS SCREEN,343.2,205.92,58.34,7411.0,36
CDM,99900100,HC CT ABD CHEST PELVIS SCREEN,772.2,463.32,131.27,7411.0,36
CDM,99900102,HC HIGH RISK ABR-MRI BUMC ONLY,683.33,410.0,116.17,7411.0,36
CDM,99900103,HC IMMEDIATE MAXILLARY DENTURE,2600.0,1560.0,442.0,7411.0,36
CDM,99900104,HC IMMEDIATE MANDIBULAR DENTURE,2600.0,1560.0,442.0,7411.0,36
CDM,99900105,HC REPLACE TEETH REPAIR,200.0,120.0,34.0,7411.0,36
CDM,99900108,HC CORE BUILD UP,120.0,72.0,20.4,7411.0,36
CDM,99900115,HC POST 3 SRFC RESINBASED CMPST,160.0,96.0,27.2,7411.0,51
CDM,99900118,HC SEALANT PER TOOTH,20.0,12.0,3.4,7411.0,36
CDM,99900119,HC UNRETURNED BRAVO MONITOR,4475.0,2685.0,760.75,7411.0,36
CDM,99900120,US BREAST SCREENING AUTOMATED BILATERAL,225.0,135.0,81.0,7411.0,51
CDM,99900121,HC OUTPT CARD REHAB SPOUSE PHASE III,30.0,18.0,5.1,7411.0,36
CDM,99900122,HC VIVITY OR,845.0,507.0,143.65,7411.0,36
CDM,99900123,HC THH WELLNESS PROGRAM – INITIAL EXERCISE VISIT,199.0,119.4,33.83,7411.0,36
CDM,99900124,HC THH WELLNESS PROGRAM – BOOK MATERIALS ONLY,22.0,13.2,3.74,7411.0,36
CDM,99900125,HC THH WELLNESS PROGRAM – MEAL ONLY,12.0,7.2,2.04,7411.0,36
CDM,99900126,HC THH WELLNESS PROGRAM – EXERCISE VISIT ONLY,165.0,99.0,28.05,7411.0,36
CDM,E0621,PR Patient Lift Sling or Seat,226.24,135.74,38.46,7411.0,39
CPT,0001A,HC IMM ADMIN PFIZER SARSCOV2 30MCG/0.3ML DIL RECON 1ST DOSE,80.0,48.0,13.6,7411.0,39
CPT,0001U,HC RBC DNA HEA 35 AG 11 BLD GRP WHL BLD CMN ALLEL,645.51,387.31,35.0,7411.0,55
CPT,0001U,HC REF ARUP 3001053 RED BLOOD CELL ANTIGEN GENOTYPING,600.0,360.0,35.0,7411.0,55
CPT,0002A,HC IMM ADMIN PFIZER SARSCOV2 30MCG/0.3ML DIL RECON 2ND DOSE,80.0,48.0,13.6,7411.0,39
CPT,0003A,HC IMM ADMIN PFIZER SARSCOV2 30MCG/0.3ML DIL RECON 3RD DOSE,80.0,48.0,13.6,7411.0,39
CPT,0003M,"HC REF MAYO, NSFIB NASH FIBROTEST",1257.5,754.5,10.0,7411.0,55
CPT,0004A,HC IMM ADMIN PFIZER SARSCOV2 30MCG/0.3ML BOOSTER,80.0,48.0,13.6,7411.0,39
CPT,0011A,HC IMM ADMIN MODERNA SARSCOV2 100MCG/0.5ML 1ST DOSE,80.0,48.0,13.6,7411.0,39
CPT,0012A,HC IMM ADMIN MODERNA SARSCOV2 100MCG/0.5ML 2ND DOSE,80.0,48.0,13.6,7411.0,39
CPT,0013A,HC IMM ADMIN MODERNA SARSCOV2 100MCG/0.5ML 3RD DOSE,80.0,48.0,13.6,7411.0,39
CPT,0021A,HC IMM ADMIN ASTRAZENECA VACC ADMIN 1ST DOSE,80.0,48.0,13.6,7411.0,39
CPT,0022A,HC IMM ADMIN ASTRAZENECA VACC ADMIN 2ND DOSE,80.0,48.0,13.6,7411.0,39
CPT,0027U,HC REF JAK2 EXON 12 MUT DETECT B,912.25,547.35,35.0,7411.0,55
CPT,0027U,"HC REF MAYO, JAKXM JAK2 EXON 12 MUT DET, BM",802.23,481.34,35.0,7411.0,55
CPT,0029U,HC REF FOCUSED PHARMGENOM PANEL,1250.0,750.0,35.0,7411.0,55
CPT,0031A,HC IMM ADMIN JANSSEN VACC ADMIN,80.0,48.0,13.6,7411.0,39
CPT,0032U,"HC REF MAYO COMTQ - CATECHOL-O-METHYLTRANSFERASE (COMT) GENOTYPE, VARIES",1685.0,1011.0,35.0,7411.0,55
CPT,0034A,HC IMM ADMIN J&J BOOSTER,80.0,48.0,13.6,7411.0,39
CPT,0034U,"HC REF MAYO TPNUQ TPMT AND NUDT15 GENOTYPE, V",1110.0,666.0,35.0,7411.0,55
CPT,0034U,HC TPMT NUDT15 GENES,1084.6,650.76,10.0,7411.0,55
CPT,0035U,HC NEURO CSF PRION PROTEIN QUALITATIVE,1690.41,1014.25,35.0,7411.0,55
CPT,0037U,HC REF FOUNDATION MED FC5 FOUNDATIONONE CDX,8750.0,5250.0,35.0,18060.0,55
CPT,0037U,HC TRGT GEN SEQ DNA 324 GENES,4200.0,2520.0,35.0,18060.0,55
CPT,0041A,HC IMM ADMIN NOVAVAX VACC ADMIN 1ST DOSE,80.0,48.0,13.6,7411.0,39
CPT,0042A,HC IMM ADMIN NOVAVAX VACC ADMIN 2ND DOSE,80.0,48.0,13.6,7411.0,39
CPT,0042T,HC CEREBRAL PERFUSION ANALYSIS CT W/CNTRST,2462.46,1477.48,196.0,7411.0,39
CPT,0046U,"HC REF ARUP, PMM AML-FLT3 ITD MRD ASSAY",5637.5,3382.5,35.0,7411.0,55
CPT,0051A,HC IMM ADMIN SARSCV2 30MCG TRS-SUCR 1ST DOSE (PFIZER),80.0,48.0,13.6,7411.0,39
CPT,0052A,HC IMM ADMIN SARSCV2 30MCG TRS-SUCR 2ND DOSE (PFIZER),80.0,48.0,13.6,7411.0,39
CPT,0053A,HC IMM ADMIN SARSCV2 30MCG TRS-SUCR 3RD DOSE (PFIZER),80.0,48.0,13.6,7411.0,39
CPT,0054A,HC IMM ADMIN SARSCV2 30MCG TRS-SUCR BOOSTER (PFIZER),80.0,48.0,13.6,7411.0,39
CPT,0054T,"COMPUTER-ASSISTED MUSCULOSKELETAL SURGICAL NAVIGATIONAL ORTHOPEDIC PROCEDURE, WITH IMAGE-GUIDANCE BASED ON FLUOROSCOPIC IMAGES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,0055T,"COMPUTER-ASSISTED MUSCULOSKELETAL SURGICAL NAVIGATIONAL ORTHOPEDIC PROCEDURE, WITH IMAGE-GUIDANCE BASED ON CT/MRI IMAGES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,0058U,HC REF ANTI-MARKEL CELL PANEL,828.13,496.88,10.0,7411.0,55
CPT,0058U,"HC REF ARUP, MERKEL CELL CARCINOMA 3005986",853.45,512.07,10.0,7411.0,55
CPT,0064A,HC IMM ADMIN SARSCOV2 50MCG/0.25ML MODERNA LOW DOSE BOOSTER,80.0,48.0,13.6,7411.0,39
CPT,0071A,HC IMM ADMIN SARSCV2 10MCG TRS-SUCR 1ST DOSE PEDI (PFIZER),80.0,48.0,13.6,7411.0,39
CPT,0072A,HC IMM ADMIN SARSCV2 10MCG TRS-SUCR 2ND DOSE PEDI (PFIZER),80.0,48.0,13.6,7411.0,39
CPT,0073A,HC IMM ADMIN SARSCV2 10MCG TRS-SUCR 3RD DOSE PEDI (PFIZER),80.0,48.0,13.6,7411.0,39
CPT,0074A,HC IMM ADMIN SARSCV2 10MCG TRS-SUCR BOOSTER DOSE PEDI (PFIZER),80.0,48.0,13.6,7411.0,39
CPT,0075T,HC PLACE XCRAN CAROTID ARTERY STENT - INT VSL,15029.28,9017.57,1826.96,12774.89,76
CPT,0076T,HC TCAT PLMT XTRC VRT CRTD STENT RS&IPRQ EA VSL,10471.16,6282.7,1780.1,8900.49,37
CPT,0081A,HC IMM ADMN SARSCOV2 30MCG/0.2ML DIL RECON 1ST DOSE,80.0,48.0,13.6,7411.0,39
CPT,0082A,HC IMM ADMN SARSCOV2 30MCG/0.2ML DIL RECON 2ND DOSE,80.0,48.0,13.6,7411.0,39
CPT,0083A,HC IMM ADMN SARSCOV2 30MCG/0.2ML DIL RECON 3RD DOSE,80.0,48.0,13.6,7411.0,39
CPT,0084U,"HC REF CARTER BLOOD CARE, B1009 MOLECULAR RBC GENOTYPE",672.5,403.5,35.0,7411.0,55
CPT,0091A,HC IMM ADMN SARSCOV2 50MCG/0.5ML 1ST DOSE 6-11YRS,80.0,48.0,13.6,7411.0,39
CPT,0092A,HC IMM ADMN SARSCOV2 50MCG/0.5ML 2ND DOSE 6-11YRS,80.0,48.0,13.6,7411.0,39
CPT,0093A,HC IMM ADMN SARSCOV2 50MCG/0.5ML 3RD DOSE 6-11YRS,80.0,48.0,13.6,7411.0,39
CPT,0094A,HC IMM ADMIN SARSCOV2 50MCG/0.5ML MODERNA BOOSTER,80.0,48.0,13.6,7411.0,39
CPT,0111A,HC IMM ADMN SARSCOV2  25MCG/0.25 ML 1ST DOSE PEDI (MODERNA),80.0,48.0,13.6,7411.0,39
CPT,0112A,HC IMM ADMN SARSCOV2  25MCG/0.25 ML 2ND DOSE PEDI (MODERNA),80.0,48.0,13.6,7411.0,39
CPT,0112U,"HC REF MICROGEN DX, NGS PCR PANEL",887.5,532.5,35.0,7411.0,55
CPT,0112U,"HC REF MICROGENDX, UROKEY, UROKEY TEST SERVICE",887.5,532.5,35.0,7411.0,55
CPT,0112U,"HC REF MICROGENDX, WOUNDKEY, WOUNDKEY TEST SERVICE",887.5,532.5,35.0,7411.0,55
CPT,0113A,HC IMM ADMN SARSCOV2 25MCG/0.25 ML 3RD DOSE PEDI (MODERNA),80.0,48.0,13.6,7411.0,39
CPT,0121A,HC IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML SINGLE DOSE,80.0,48.0,13.6,7411.0,39
CPT,0124A,HC IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML ADDITIONAL DOSE,80.0,48.0,13.6,7411.0,39
CPT,0134A,HC IMM ADMN SARSCOV2 BIVALENT 50 MCG/0.5 ML ADDITIONAL DOSE,80.0,48.0,13.6,7411.0,39
CPT,0141A,HC IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML FIRST DOSE,80.0,48.0,13.6,7411.0,39
CPT,0142A,HC IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML SECOND DOSE,80.0,48.0,13.6,7411.0,39
CPT,0144A,HC IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML ADDITIONAL DOSE,80.0,48.0,13.6,7411.0,39
CPT,0151A,HC IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML SINGLE DOSE,80.0,48.0,13.6,7411.0,39
CPT,0152U,HC REF KARIUS LAB KARIUS SPECTRUM,5000.0,3000.0,35.0,7411.0,55
CPT,0154A,HC IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML ADDITIONAL DOSE,80.0,48.0,13.6,7411.0,39
CPT,0164A,HC IMM ADMN SARSCOV2 10MCG/0.2 ML 6M-4Y BIVALENT ADDITIONAL DOSE (MODERNA),80.0,48.0,13.6,7411.0,39
CPT,0171A,HC IMM ADMN SARSCOV2 3MCG/0.2 ML 6M-4Y BIVALENT FIRST DOSE (PFIZER),80.0,48.0,13.6,7411.0,39
CPT,0172A,HC IMM ADMN SARSCOV2 3MCG/0.2 ML 6M-4Y BIVALENT SECOND DOSE (PFIZER),80.0,48.0,13.6,7411.0,39
CPT,0173A,HC IMM ADMN SARSCOV2 3MCG/0.2 ML 6M-4Y BIVALENT THIRD DOSE (PFIZER),80.0,48.0,13.6,7411.0,39
CPT,0174A,HC IMM ADMN SARSCOV2 3MCG/0.2 ML 6M-4Y BIVALENT ADDITIONAL DOSE (PFIZER),80.0,48.0,13.6,7411.0,39
CPT,0184T,"EXCISION OF RECTAL TUMOR, TRANSANAL ENDOSCOPIC MICROSURGICAL APPROACH (IE, TEMS), INCLUDING MUSCULARIS PROPRIA (IE, FULL THICKNESS)",,,5793.63,17067.56,30
CPT,0200T,HC PERCUTANEOUS SACRAL AUGMENTATION (UNILATERAL INJECTIONS),9653.01,5791.81,1641.01,17722.46,55
CPT,0201T,HC PERCUTANEOUS SACRAL AUGMENTATION (BILATERAL INJECTIONS),11859.86,7115.92,2016.18,17722.46,55
CPT,0201T,"PERCUTANEOUS SACRAL AUGMENTATION (SACROPLASTY), BILATERAL INJECTIONS, INCLUDING THE USE OF A BALLOON OR MECHANICAL DEVICE, WHEN USED, 2 OR MORE NEEDLES, INCLUDES IMAGING GUIDANCE AND BONE BIOPSY, WHEN",,,6497.0,21355.56,30
CPT,0202U,"HC BIOFIRE RESPIRATORY PANEL, NFCT DS 22 TRGT SARS-COV-2",318.65,191.19,10.0,7411.0,55
CPT,0211U,HC REF CARIS MI CANCER SEEK,21137.5,12682.5,35.0,20292.0,55
CPT,0216T,HC NJX DX/THER PARAVER FCT JT W/US LUMB/SAC 1 LVL,1502.24,901.34,255.38,7411.0,55
CPT,0219U,"HC REF MAYO, HIVDR HIV-1 GENOTYPIC DRUG RESISTANCE, P",1350.0,810.0,35.0,7411.0,55
CPT,0232T,HC INJECT PLATELET RICH PLASMA,1915.0,1149.0,325.55,7411.0,55
CPT,0236T,HC ATHERECTOMY AORTA,11832.71,7099.63,2011.56,35373.27,53
CPT,0238T,"HC ARTHERECTOMY,ILIAC ARTERY,EA VESSEL",31082.55,18649.53,5284.03,43439.01,54
CPT,0238T,HC HCTRLML PERIP ATHRC,31082.55,18649.53,5284.03,56905.69,108
CPT,0241U,HC NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN,174.88,104.93,10.0,7411.0,40
CPT,0250U,"HC PGDX ELIOTM TISSUE, COMPLETE",5885.91,3531.55,35.0,18060.0,55
CPT,0251U,"HC REF ARUP, INTRINSIC DX HEPCIDIN TEST",450.0,270.0,16.41,7411.0,55
CPT,0256U,"HC REF CHILDREN'S HOSPITAL COLORADO LAB6949 TMA/TMAO PROFILE, URINE",1312.5,787.5,35.0,7411.0,55
CPT,0266T,HC IM/REPL CARTD SINUS BAROREFLX ACTIV DEV TOT SYST,83197.21,49918.33,6299.0,117001.3,38
CPT,0267T,HC IM/REPL CARTD SINS BAROREFLX ACTIV DEV LEAD ONLY,6243.38,3746.03,1061.37,8428.94,40
CPT,0268T,HC CVRX BATTERY CHANGE,56978.46,34187.08,6299.0,76924.35,80
CPT,0275T,HC MILD LUMBAR,13257.14,7954.28,2253.71,17722.46,32
CPT,0275T,HC PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR,13257.14,7954.28,2253.71,21355.56,38
CPT,0296T,HC EXT ECG RECORD >48HRS - RECORDING,850.34,510.2,144.56,7411.0,39
CPT,0314T,HC LAPS RMVL NSTIM ELTRD ARRAY & PLS GEN VAGUS NRV,11105.04,6663.02,1887.86,19305.0,37
CPT,0315T,HC REMOVAL PULSE GENERATOR VAGUS NERVE,11105.04,6663.02,1887.86,19305.0,37
CPT,0318U,"HC REF GREENWOOD, EPISIGN COMPLETE METHYLATION ARRAY",3750.0,2250.0,35.0,7411.0,55
CPT,0338T,HC TRNSCTH RENAL SYMP DENRV UNL,8459.16,5075.5,1438.06,14159.18,54
CPT,0339T,HC TRNSCTH RNL SYMP DNRV PERC BI,22858.05,13714.83,3885.87,17143.54,54
CPT,0346U,"HC REF QUEST, 11786 BETA-AMYLOID 42/40 RATIO, PLASMA",1125.0,675.0,35.0,7411.0,40
CPT,0351U,HC NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM,521.0,312.6,35.0,7411.0,55
CPT,0352U,"HC INFECTIOUS DISEASE BV/VAGINITIS, CANDIDA, TV AMP PRB",285.23,171.14,35.0,7411.0,40
CPT,0358U,"HC REF MAYO, AMYR BETA-AMYLOID RATIO CSF",1903.0,1141.8,35.0,7411.0,55
CPT,0399U,HC REF ARUP 0097102 MISC FOR FRAT TO RELIGENDX,825.0,495.0,35.0,7411.0,54
CPT,0408T,HC INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD,78876.17,47325.7,6299.0,81499.55,106
CPT,0409T,HC INSJ/RPLC CARDIAC MODULJ SYS PLS GENERATOR ONLY,27495.24,16497.14,4674.19,81085.02,53
CPT,0410T,HC INSJ/RPLC CARDIAC MODULJ SYS ATR ELECTRODE ONLY,25333.64,15200.18,4306.72,27281.4,53
CPT,0411T,HC INSJ/RPLC CAR MODULJ SYS VENTR ELECTRODE ONLY,19855.52,11913.31,3375.44,27281.4,53
CPT,0412T,HC REMOVAL CARDIAC MODULJ SYS PLS GENERATOR ONLY,9390.88,5634.53,1596.45,12700.0,53
CPT,0413T,HC REMOVAL CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE,1847.0,1108.2,313.99,17181.0,53
CPT,0414T,HC RMVL & RPL CARDIAC MODULJ SYS PLS GENERATOR ONLY,16227.17,9736.3,2758.62,81085.02,53
CPT,0415T,HC REPOS CARDIAC MODULJ TRANSVENOUS ELECTRODE,8387.3,5032.38,598.65,17181.0,53
CPT,0416T,HC RELOC SKIN POCKET CARDIAC MODULJ PULSE GENERATOR,6320.77,3792.46,1074.53,10495.0,53
CPT,0417T,HC PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM,386.73,232.04,35.62,7411.0,53
CPT,0418T,HC INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM,483.99,290.39,35.62,7411.0,53
CPT,0421T,"TRANSURETHRAL WATERJET ABLATION OF PROSTATE, INCLUDING CONTROL OF POST-OPERATIVE BLEEDING, INCLUDING ULTRASOUND GUIDANCE, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR",,,7038.0,28802.51,11
CPT,0423T,HC ASSAY SECRETORY TYPE II PLA2,596.31,357.79,35.0,7411.0,39
CPT,0424T,HC INSJ/RPLC NSTIM SYSTEM SLEEP APNEA COMPLETE,86663.76,51998.26,6299.0,103953.9,37
CPT,0425T,HB INSJ/RPLC NSTIM SYSTEM SLEEP APNEA SENSING LEAD,21904.76,13142.86,3723.81,22088.05,37
CPT,0426T,HB INSJ/RPLC NSTIM SYSTEM SLEEP APNEA STIMJ LEAD,23657.14,14194.28,4021.71,68827.53,37
CPT,0427T,HB INSJ/RPLC NSTIM SYSTEM SLEEP APNEA PLS GENERATOR,57401.5,34440.9,6299.0,103953.9,37
CPT,0428T,HB REMOVAL NSTIM SYSTEM SLEEP APNEA PLS GENERATOR,6704.4,4022.64,1139.75,11240.15,37
CPT,0429T,HB REMOVAL NSTIM SYSTEM SLEEP APNEA SENSING LEAD,7240.75,4344.45,1230.93,11240.15,37
CPT,0430T,HB REMOVAL NSTIM SYSTEM SLEEP APNEA STIMJ LEAD,6704.4,4022.64,1139.75,11240.15,37
CPT,0430U,"HC REF MAYO, MALP MALABSORPTION EVALUATION PANEL, FECES",1750.0,1050.0,35.0,7411.0,54
CPT,0431T,HB RMVL/RPLC NSTIM SYSTEM SLEEP APNEA PLS GENERATOR,60271.58,36162.95,6299.0,103953.9,37
CPT,0431U,"HC REF MAYO COMP, SPPC CPT 0431U",0.38,0.23,0.0646,7411.0,54
CPT,0431U,"HC REF MAYO, COMP SPPS, CPT 0431U",0.35,0.21,0.0595,7411.0,54
CPT,0431U,"HC REF MAYO, GLYCC GLYCINE RECEPTOR ALPHA 1 IGG, CSF",1250.0,750.0,34.74,7411.0,54
CPT,0431U,"HC REF MAYO, GLYCS GLYCINE RECEPTOR ALPHA 1 IGG, SERUM",1250.0,750.0,34.74,7411.0,54
CPT,0432T,HB REPOS NSTIM SYSTEM SLEEP APNEA STIMJ LEAD,6385.14,3831.08,1085.47,11240.15,37
CPT,0432U,"HC REF MAYO, COMP MDC2 CPT 0432U",0.05,0.03,0.0085,7411.0,54
CPT,0432U,"HC REF MAYO, COMP MDS2, CPT 0432U",0.1,0.06,0.017,7411.0,54
CPT,0432U,"HC REF MAYO, K11CC KELCH-LIKE PROTEIN 11 AB, CSF",1250.0,750.0,34.74,7411.0,54
CPT,0432U,"HC REF MAYO, K11CS KELCH-LIKE PROTEIN 11 AB, SERUM",1250.0,750.0,34.74,7411.0,54
CPT,0433T,HB REPOS NSTIM SYSTEM SLEEP APNEA SENSING LEAD,6385.14,3831.08,1085.47,11240.15,37
CPT,0439T,HC MYOCRD CONTRAST PRFUJ ECHO,3970.94,2382.56,297.64,7411.0,39
CPT,0440T,HC ABLTJ PERC CRYOABLTJ IMG GDN UXTR/PERPH NERVE,3595.04,2157.02,611.16,8568.0,53
CPT,0441T,HC ABLTJ PERC CRYOABLTJ IMG GDN LXTR/PERPH NERVE,3595.04,2157.02,611.16,8568.0,53
CPT,0442T,HC ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV,12357.3,7414.38,2100.74,19667.17,53
CPT,0480U,"HC REF MAYO MSCSF METAGENOMIC SEQUENCING, CSF",7500.0,4500.0,35.0,7411.0,54
CPT,0482U,HC REF MAYO PERA PREECLAMPSIA SFIT/PLGF RATIO S,906.25,543.75,35.0,7411.0,54
CPT,0483T,HC THH ONLY - TMVI PERCUTANEOUS APPROACH,52987.48,31792.49,2546.0,45039.36,37
CPT,0483T,HC TMVI PERCUTANEOUS APPROACH,52987.48,31792.49,2546.0,45039.36,37
CPT,0484T,HC TMVI TRANSTHORACIC EXPOSURE,25523.6,15314.16,2546.0,21695.06,37
CPT,0499T,"CYSTOURETHROSCOPY, WITH MECHANICAL DILATION AND URETHRAL THERAPEUTIC DRUG DELIVERY FOR URETHRAL STRICTURE OR STENOSIS, INCLUDING FLUOROSCOPY, WHEN PERFORMED",,,4063.0,4779.0,2
CPT,0502T,HC COR FFR DATA PREP AND TRANSMIS,2378.19,1426.91,276.7,7411.0,39
CPT,0503T,HC COR FFR ALYS GNRJ FFR MDL,5939.69,3563.81,1009.75,7411.0,39
CPT,0503U,"HC REF MAYO C2AD2 PRECIVITYAD2, PLASMA",3625.0,2175.0,35.0,7411.0,54
CPT,0505T,HC EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR,32701.77,19621.06,5559.3,35373.27,53
CPT,0509T,HC PATTERN ERG W/I&R,975.0,585.0,142.45,7411.0,55
CPT,0515T,HC INSERTION WRLS CAR STIMULATOR LV PACG COMPL SYS,56028.65,33617.19,6299.0,69548.0,54
CPT,0516T,HC INSERTION WRLS CAR STIMULATOR LV PACG ELTRD ONLY,18881.24,11328.74,3209.81,26452.82,54
CPT,0517T,HC INSERTION WRLS CAR STIMULATOR LV PACG PG COMPNT,17164.76,10298.86,2918.01,26452.82,54
CPT,0518T,HC REMOVAL PG COMPNT ONLY WRLS CAR STIMULATOR,5863.1,3517.86,996.73,9728.21,55
CPT,0519T,HC PR REMOVAL&RPLCMT WRLS CAR STIMULATOR PG COMPNT,7369.61,4421.77,1252.83,26452.82,55
CPT,0520T,HC REMOVAL&RPLCMT WRLS CAR STIMULATOR W/NEW ELTRD,44916.34,26949.8,6299.0,69548.0,54
CPT,0523T,HC INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING,10547.48,6328.49,1793.07,8965.36,33
CPT,0524U,"HC REF ARUP 3017909 PREECLAMPSIA SFLT-1/PIGF RATIO, S/P",787.5,472.5,35.0,7411.0,54
CPT,0524U,HC REF ARUP COMP 3017909 CPT 0524U,393.75,236.25,35.0,7411.0,54
CPT,0528U,HC LRT IAD 18BCT/8VIR&7ARG RNA,1871.81,1123.09,35.0,7411.0,54
CPT,0531U,HC REF EUROFINS VIRACOR 33457 NEXGEN FUNGAL/AFB NGS,3237.5,1942.5,35.0,7411.0,37
CPT,0537T,"CHIMERIC ANTIGEN RECEPTOR T-CELL (CAR-T) THERAPY; HARVESTING OF BLOOD-DERIVED T LYMPHOCYTES FOR DEVELOPMENT OF GENETICALLY MODIFIED AUTOLOGOUS CAR-T CELLS, PER DAY",,,,,0
CPT,0537T,HC CAR-T THERAPY HARVESTING OF BLOOD DERIVED T LMPHOCYTES,6142.46,3685.48,1044.22,7411.0,39
CPT,0538T,"CHIMERIC ANTIGEN RECEPTOR T-CELL (CAR-T) THERAPY; PREPARATION OF BLOOD-DERIVED T LYMPHOCYTES FOR TRANSPORTATION (EG, CRYOPRESERVATION, STORAGE)",,,,,0
CPT,0538T,HC CAR-T THERAPY PREPARATION OF BLOOD DERIVED T LMPHOCYTES FOR TRANSPORTATION,6137.11,3682.27,1043.31,7411.0,39
CPT,0539T,CHIMERIC ANTIGEN RECEPTOR T-CELL (CAR-T) THERAPY; RECEIPT AND PREPARATION OF CAR-T CELLS FOR ADMINISTRATION,,,,,0
CPT,0539T,HC CAR-T THERAPY RECEIPT & PREPARATION OF CAR-T CELLS FOR ADMINISTRATION,4866.65,2919.99,827.33,7411.0,39
CPT,0540T,HC CAR-T THERAPY AUTOLOGOUS CELL ADMINISTRATION,4510.6,2706.36,766.8,7411.0,40
CPT,0545T,HC TCAT TV ANN RCNSTJ W/IMPL ADJST ANN RCNSTJ DEV,62316.52,37389.91,1826.96,52969.04,37
CPT,0569T,HC TTVR PERQ APPR 1ST PROSTH,38150.18,22890.11,1826.96,32427.65,37
CPT,0570T,HC TTVR PERQ EA ADDL PROSTH,29151.66,17491.0,1826.96,24778.91,37
CPT,0570U,HC TRAUMATIC BRAIN INJURY SCREEN,521.0,312.6,35.0,7411.0,54
CPT,0571T,HC INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE,65590.06,39354.04,6299.0,81499.55,55
CPT,0572T,HC INSJ SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD,15896.5,9537.9,2702.41,21045.99,55
CPT,0573T,HC RMVL SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD,6525.74,3915.44,1109.38,9728.21,55
CPT,0574T,HC REPOS PREV IMPL SS IMPLTBL DFB PACING ELTRD,6525.74,3915.44,1109.38,9728.21,55
CPT,0575T,HC PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON,69.2,41.52,11.76,7411.0,55
CPT,0576T,HC INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON,69.2,41.52,11.76,7411.0,55
CPT,0577T,HC ELECTROPHYSIOLOGIC EVAL ICDS W/SS ELECTRODE,2183.8,1310.28,371.25,7411.0,55
CPT,0580T,HC RMVL SUBSTERNAL IMPLTBL DFB PULSE GENERATOR ONLY,7205.76,4323.46,1224.98,9728.21,55
CPT,0581T,HC ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL,6007.52,3604.51,1021.28,9442.65,53
CPT,0598T,HC R-T FLUOR WOUND IMG 1ST SITE,595.0,357.0,101.15,7411.0,110
CPT,0600T,HC IRE ABLATION 1+TUMORS PER ORGAN W/IMG GDN PERQ,18192.92,10915.75,3092.8,25500.18,53
CPT,0604T,HC RMOT OCT RETINA 1ST SET-UP/PT EDUCAJ,231.86,139.12,39.42,7411.0,40
CPT,0605T,HC REM OCT RTA TECHL SHCT MIN 8,72.5,43.5,12.32,7411.0,40
CPT,0607T,HC REM MNTR PULM FLU MNTR SETUP,233.86,140.32,39.76,7411.0,39
CPT,0608T,HC REM MNTR PULM FLU MNTR ALYS,72.5,43.5,12.32,7411.0,39
CPT,0614T,HC RMVL&RPLCMT SUBSTERNAL IMPLTBL DEFIBRILLATOR PG,44916.34,26949.8,6299.0,58392.49,55
CPT,0615T,HC EYE MVMT ALYS W/O CALBRJ I&R,218.06,130.84,37.07,7411.0,55
CPT,0620T,HC ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN,52961.56,31776.94,6299.0,95131.46,53
CPT,0624T,HC AUTO QUAN&CHARAC CORONARY PLAQ DATA PREP&TRNSMIS,150.0,90.0,25.5,7411.0,39
CPT,0625T,HC AUTO QUAN&CHARAC CORONARY PLAQ COMPUTERIZED ALYS,1830.52,1098.31,311.19,7411.0,40
CPT,0643T,HC TRANSCATHETER L VENTR RESTORATION DEVICE IMPLTJ,72615.83,43569.5,2546.0,61723.46,38
CPT,0644T,HC MECHANICAL THROMBECTOMY VIA ANGIOVAC SYSTEM IN HEART CHAMBERS/VALVES (VENOUS),11370.31,6822.19,1932.95,25874.7,54
CPT,0645T,"TRANSCATHETER IMPLANTATION OF CORONARY SINUS REDUCTION DEVICE INCLUDING VASCULAR ACCESS AND CLOSURE, RIGHT HEART CATHETERIZATION, VENOUS ANGIOGRAPHY, CORONARY SINUS ANGIOGRAPHY, IMAGING GUIDANCE, AND ",,,1826.96,43439.01,30
CPT,0646T,HC TRANSCATHETER TRICUSPID VALVE IMPLANT,57037.37,34222.42,1826.96,48481.76,37
CPT,0649T,HC QUAN MR ALYS TISS COMPOSITION W/MRI SINGLE ORGAN,2053.08,1231.85,349.02,7411.0,55
CPT,0654T,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSNASAL; WITH INSERTION OF INTRALUMINAL TUBE OR CATHETER",,,2746.28,10495.0,30
CPT,0655T,HC TRANSPERINEAL FOCAL LASER ABLTJ MAL PRST8 TISS,6208.08,3724.85,1055.37,12700.0,53
CPT,0673T,HC ABLATION B9 THYROID NODULE PERQ LASER W/IMG GDN,2873.98,1724.39,488.58,10495.0,53
CPT,0686T,HC HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN,25001.0,15000.6,4250.17,45501.3,53
CPT,0689T,HC QUAN US TISS CHARAC I&R W/O DX US SAME ANAT,196.28,117.77,33.37,7411.0,55
CPT,0692T,HC THERAPEUTIC ULTRAFILTRATION,5247.9,3148.74,892.14,7411.0,55
CPT,0696T,HC BDY SURF ACTIVATION MAPG PM/CVDFB LEADS TM F/UP,76.06,45.64,12.93,7411.0,54
CPT,0697T,HC QUAN MR ALYS TIS COMPJ WO MRI SAME SESS MLT ORGN,470.0,282.0,79.9,7411.0,55
CPT,0697T,HC QUAN MR ALYS TIS COMPJ WO MRI SAME SESS MULTIPLE ORGANS,2203.93,1322.36,374.67,7411.0,55
CPT,0698T,HC QUAN MR ALYS TISS COMPOSITION W/MRI MLT ORGANS,1816.14,1089.68,308.74,7411.0,55
CPT,0699T,HC INJECTION POSTERIOR CHAMBER EYE MEDICATION,4241.72,2545.03,721.09,12700.0,53
CPT,0702T,HC REM THER MNTR OL DIG COG BHV THER PRGRM SPLY TCH,76.06,45.64,12.93,7411.0,29
CPT,0707T,HC NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT,5784.56,3470.74,983.38,12700.0,53
CPT,0714T,"TRANSPERINEAL LASER ABLATION OF BENIGN PROSTATIC HYPERPLASIA, INCLUDING IMAGING GUIDANCE; PROSTATE VOLUME LESS THAN 50 ML",,,4302.0,16086.03,30
CPT,0715T,HC PERQ TRLUML CORONRY LITHOTRP,21666.54,12999.92,3683.31,18416.56,38
CPT,0736T,HC COLONIC LAVAGE 35+L WATER W/INDUCED DEFECATION,291.9,175.14,49.62,7411.0,53
CPT,0751T,HC DIGITIZATION SURG PATH II,18.14,10.88,3.08,7411.0,39
CPT,0752T,HC DIGITIZATION SURG PATH III,15.75,9.45,2.68,7411.0,39
CPT,0753T,"DIGITIZATION OF GLASS MICROSCOPE SLIDES FOR LEVEL IV, SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,120.71,255.27,5
CPT,0753T,HC DIGITIZATION SURG PATH IV,16.01,9.61,2.72,7411.0,39
CPT,0754T,HC DIGITIZATION SURG PATH V,17.28,10.37,2.94,7411.0,39
CPT,0755T,HC DIGITIZATION SURG PATH VI,17.28,10.37,2.94,7411.0,39
CPT,0756T,HC DIGITIZATION SPECIAL STAIN GRP I MICRO,17.28,10.37,2.94,7411.0,39
CPT,0757T,HC DIGITIZATION SPECIAL STAIN GRP II NON MICRO/ENZYME/CYTO/HISTO,17.28,10.37,2.94,7411.0,39
CPT,0758T,HC DIGITIZATION SPECIAL STAIN HISTOCHEM FRZ TISSUE BLCK,16.0,9.6,2.72,7411.0,39
CPT,0759T,HC DIGITIZATION SPECIAL STAIN GRP III,16.0,9.6,2.72,7411.0,39
CPT,0760T,"HC DIGITIZATION HISTO/CYTOCHEM, PER SPECIMEN, 1ST AB STAIN",16.0,9.6,2.72,7411.0,39
CPT,0761T,"HC DIGITIZATION HISTO/CYTOCHEM, PER SPECIMEN, EA ADD AB STAIN",17.28,10.37,2.94,7411.0,39
CPT,0762T,"HC DIGITIZATION HISTO/CYTOCHEM, PER SPECIMEN, EA MULTIPLEX AB STAIN",16.0,9.6,2.72,7411.0,39
CPT,0763T,"HC DIGITIZATION MORPH/TUMOR HISTO, QUANT/SEMIQUANT PER SPECIMEN, EA PROCEDURE, MANUAL",17.28,10.37,2.94,7411.0,39
CPT,0780T,HC INSTLJ FECAL MICROBIOTA SSP RCT NMA LWR GI TRC,246.3,147.78,41.87,8280.0,53
CPT,0791T,HC MOTR COG VR GAIT TRAIN EA 15,175.92,105.55,29.91,7411.0,40
CPT,0795T,HC TCAT INS 2CHMBR LDLS PM CMPL,35753.9,21452.34,2546.0,48269.91,54
CPT,0796T,HC TCAT INSJ PERM 2CHMBR LDLS PM R ATR PM COMPNT,36439.64,21863.78,6194.74,48269.91,55
CPT,0798T,HC TCAT RMVL PERM DUAL CHAMBER LDLS PM COMPL SYS,6014.0,3608.4,1022.38,7896.23,55
CPT,0801T,HC TCAT RMV&RPL 2CHMBR LDLS PM,35753.9,21452.34,2546.0,48269.91,54
CPT,0802T,HC TCAT RMVL&RPLCMT PERM 2CHMBR LDLS PM R ATR CMPNT,36439.64,21863.78,6194.74,48269.91,55
CPT,0804T,HC PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM,69.2,41.52,11.76,7411.0,55
CPT,0814T,HC PERQ NJX CALCIUM BIOD OSTEOCONDUCTIVE MATRL FEM,8512.35,5107.41,1447.1,7411.0,37
CPT,0823T,HC TCAT INSJ PERM 1CHMBR LDLS PACEMAKER R ATRIAL,35753.9,21452.34,6078.16,48269.91,55
CPT,0825T,HC TCAT RMVL&RPLCMT PERM 1CHMBR LDLS PM R ATRIAL,36439.64,21863.78,6194.74,48269.91,55
CPT,0827T,HC DIGITIZATION GLASS MCRSCP SLD CYTP SMEARS W/INTERPJ,16.0,9.6,2.72,7411.0,39
CPT,0828T,HC DIGITIZATION GLASS MCRSCP SLD CYTP SMPL FLTR METH INTERP,16.0,9.6,2.72,7411.0,39
CPT,0829T,HC DIGITIZATION GLASS MCRSCP SLD CYTP CONCTRJ TQ SMR&INTERP,16.0,9.6,2.72,7411.0,39
CPT,0830T,HC DIGITIZATION GLASS MCRSCP SLD CYTP SLCTV CELL NHNCMNT TQ,16.0,9.6,2.72,7411.0,39
CPT,0831T,HC DIGITIZATION GLASS MCRSCP SLD CYTP CERVICAL OR VAGINAL,16.0,9.6,2.72,7411.0,39
CPT,0832T,HC DIGITIZATION GLASS MCRSCP SLD CYTP SMR OTH SRC SCR&NTRP,16.0,9.6,2.72,7411.0,39
CPT,0833T,HC DIGITIZATION GLASS MCRSCP SLD CYTP SMR OTH SRC PREP SCR,16.0,9.6,2.72,7411.0,39
CPT,0834T,HC DIGITIZATION GLASS MCRSCP SLD CYTP SMR OTH SRC EXTND STD,16.0,9.6,2.72,7411.0,39
CPT,0835T,HC DIGITIZATION GLASS MCRSCP SLD CYTP FNA IMMT 1ST EPSD EA,16.0,9.6,2.72,7411.0,39
CPT,0836T,HC DIGITIZATION GLASS MCRSCP SLD CYTP FNA IMMT EA SEP ADDL,16.0,9.6,2.72,7411.0,39
CPT,0837T,HC DIGITIZATION GLASS MCRSCP SLD CYTP FNA INTERPJ&REPRT,16.0,9.6,2.72,7411.0,39
CPT,0838T,HC DIGITIZATION GLS MCRSCP SLD CNSLT&REPRT REF SLD PREP ELS,16.0,9.6,2.72,7411.0,39
CPT,0839T,HC DIGITIZATION GLS MCRSCP SLD CNSLT&REPRT REF MAT PREP SLD,16.0,9.6,2.72,7411.0,39
CPT,0840T,HC DIGITIZATION GLS MCRSCP SLD FOR CONSLTJ COMPREHENSIVE,16.0,9.6,2.72,7411.0,39
CPT,0841T,HC DIGITIZATION GLS MCRSCP SLD PATH CNSLT DRG SRG 1ST TIS 1,17.28,10.37,2.94,7411.0,39
CPT,0842T,HC DIGITIZATION GLS MCRSCP SLD PATH CNSLT DRG SURG EA ADDL,17.28,10.37,2.94,7411.0,39
CPT,0843T,HC DIGITIZATION GLS MCRSCP SLD PATH CNSLT SURG CYTL XM 1ST,16.0,9.6,2.72,7411.0,39
CPT,0844T,HC DIGITIZATION DGTZ GLS MCRSCP SLD PATH CNSLT SURG CYTL XM EA,16.0,9.6,2.72,7411.0,39
CPT,0845T,HC DIGITIZATION DGTZ GLS MCRSCP SLD IMFLUOR 1ST SINGLE ANTB STN,16.0,9.6,2.72,7411.0,39
CPT,0846T,HC DIGITIZATION DGTZ GLS MCRSCP SLD IMFLUOR EACH ADDL 1 ANTB STN,16.0,9.6,2.72,7411.0,39
CPT,0847T,HC DIGITIZATION DGTZ GLS MCRSCP SLD XM&SLCTN ARCH TIS MOLEC ALYS,16.0,9.6,2.72,7411.0,39
CPT,0848T,HC DIGITIZATION DGTZ GLS MCRSCP SLD ISH 1ST SINGLE PROBE STAIN,17.28,10.37,2.94,7411.0,39
CPT,0849T,HC DIGITIZATION DGTZ GLS MCRSCP SLD ISH EA ADDL 1 PROBE STAIN,17.28,10.37,2.94,7411.0,39
CPT,0850T,HC DIGITIZATION DGTZ GLS MCRSCP SLD ISH EA MULT PROBE STAIN,16.0,9.6,2.72,7411.0,39
CPT,0851T,HC DIGITIZATION DGTZ GLS MCRSCP SLD M/PHMTRC ISH 1ST 1 PROBE STN,16.0,9.6,2.72,7411.0,39
CPT,0852T,HC DIGITIZATION DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA ADD 1PRB STN,16.0,9.6,2.72,7411.0,39
CPT,0853T,HC DIGITIZATION DGTZ GLS MCRSCP SLD M/PHMTRC ISH EA MULT PRB STN,16.0,9.6,2.72,7411.0,39
CPT,0854T,HC DIGITIZATION DGTZ GLS MCRSCP SLD BLOOD SMEAR PERIPHERAL I&R,16.0,9.6,2.72,7411.0,39
CPT,0855T,HC DIGITIZATION DGTZ GLS MCRSCP SLD BONE MARROW SMEAR INTERPJ,16.0,9.6,2.72,7411.0,39
CPT,0856T,HC DIGITIZATION DGTZ GLS MCRSCP SLD ELECTRON MICROSCOPY DX,16.0,9.6,2.72,7411.0,39
CPT,0884T,HC ESPHGSC FLX TRNSORL 1ST TNDSC DILAT RX BALO CATH,9582.74,5749.64,1629.07,13111.9,53
CPT,0885T,HC COLSC FLX TRNSORL 1ST TNDSC DILAT RX BALO CATH,9632.14,5779.28,1637.46,13111.9,53
CPT,0886T,HC SGMDSC FLX TRNSORL 1ST TNDSC DILAT RX BALO CATH,9632.14,5779.28,1637.46,13111.9,53
CPT,0913T,HC PERQ TCAT THER RX DLVR NTRAC RX BALO 1 MAJ C ART,10894.0,6536.4,1851.98,24933.1,53
CPT,0914T,HC PERQ TCAT THER RX DLVR NTRAC RX BALO SEPARATE,29195.92,17517.55,4963.31,24816.53,38
CPT,0915T,HC INSJ PERM CCM-D SYS PG&DUAL TRANSVNS ELTRDS/LDS,61260.7,36756.42,6299.0,67793.59,54
CPT,0926T,HC PROGRAMMING DEVICE EVAL IMPL CCM-D SYS IN PERSON,71.26,42.76,12.11,7411.0,54
CPT,0927T,HC INTERROG DEV EVAL IMPL CCM-D SYSTEM IN PERSON,71.26,42.76,12.11,7411.0,54
CPT,0929T,HC REMOTE INTERROG DEV EVAL CCM-D SYS <90D TECH,71.26,42.76,12.11,7411.0,54
CPT,0930T,HC EPHYS EVAL CCM-D LD 1ST IMPL,2319.6,1391.76,394.33,7411.0,54
CPT,0931T,HC EPHYS EVAL CCM-D LD SEPARATE,2319.6,1391.76,394.33,7411.0,54
CPT,10004,"FINE NEEDLE ASPIRATION BIOPSY, WITHOUT IMAGING GUIDANCE; EACH ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,10004,"HC FNA BX W/O GDN, EA ADDL",351.21,210.73,59.71,7411.0,39
CPT,10005,"FINE NEEDLE ASPIRATION BIOPSY, INCLUDING ULTRASOUND GUIDANCE; FIRST LESION",,,126.87,4345.0,66
CPT,10005,HC FNA BX W/US GDN 1ST LES,2544.95,1526.97,257.6,7411.0,110
CPT,10006,"FINE NEEDLE ASPIRATION BIOPSY, INCLUDING ULTRASOUND GUIDANCE; EACH ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,10006,HC FNA BX W/US GDN EA ADDL,1719.59,1031.75,292.33,7411.0,39
CPT,10007,HC FNA BX W/FLUOR GDN 1ST LES,1802.54,1081.52,194.07,7411.0,55
CPT,10008,"FINE NEEDLE ASPIRATION BIOPSY, INCLUDING FLUOROSCOPIC GUIDANCE; EACH ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,10008,HC FNA BX W/FLUOR GDN EA ADDL,1938.28,1162.97,329.51,7411.0,39
CPT,10009,"FINE NEEDLE ASPIRATION BIOPSY, INCLUDING CT GUIDANCE; FIRST LESION",,,257.6,4345.0,33
CPT,10009,HC FNA BX W/CT GDN 1ST LES,2879.73,1727.84,257.6,7411.0,55
CPT,10010,HC FNA BX W/CT GDN EA ADDL,965.0,579.0,164.05,7411.0,39
CPT,10021,"FINE NEEDLE ASPIRATION BIOPSY, WITHOUT IMAGING GUIDANCE; FIRST LESION",,,51.77,2107.0,66
CPT,10021,HC FNA W/O IMAGE GUIDANCE,912.55,547.53,51.77,7411.0,55
CPT,10021,HC FNA WITHOUT IMAGE,912.55,547.53,51.77,7411.0,55
CPT,10030,HC IMG GUIDE FLUID COLLECT DRAIN BY CATH - SOFT TISSUE,3783.48,2270.09,257.6,7411.0,110
CPT,10030,"IMAGE-GUIDED FLUID COLLECTION DRAINAGE BY CATHETER (EG, ABSCESS, HEMATOMA, SEROMA, LYMPHOCELE, CYST), SOFT TISSUE (EG, EXTREMITY, ABDOMINAL WALL, NECK), PERCUTANEOUS",,,111.0,3167.0,33
CPT,10035,HC PLCMT DEV SOFT TISS - 1ST LESION,2100.78,1260.47,357.13,7411.0,55
CPT,10035,"PLACEMENT OF SOFT TISSUE LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS), PERCUTANEOUS, INCLUDING IMAGING GUIDANCE; FIRST LESION",,,675.79,4779.0,30
CPT,10036,HC PLCMT DEV SOFT TISS - EACH ADD LESION,1463.7,878.22,248.83,7411.0,39
CPT,10060,HC DRAINAGE OF SKIN ABSCESS - SIMPLE,994.45,596.67,65.06,7411.0,55
CPT,10060,HC I&D ABSCESS SIMPLE,994.45,596.67,65.06,7411.0,55
CPT,10060,"INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA); SIMPLE OR SINGLE",,,65.06,2107.0,33
CPT,10061,HC DRAINAGE OF SKIN ABSCESS - COMPLEX,1304.97,782.98,98.28,7411.0,55
CPT,10061,HC I&D ABSCESS COMPLEX,1304.97,782.98,98.28,7411.0,55
CPT,10061,"INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA); COMPLICATED OR MULTIPLE",,,98.28,4345.0,33
CPT,10080,HC DRAINAGE OF PILONIDAL CYST - SIMPLE,1480.17,888.1,174.14,7411.0,55
CPT,10080,HC DRAINAGE PILONIDA CST - SIMPLE,1480.17,888.1,174.14,7411.0,55
CPT,10080,INCISION AND DRAINAGE OF PILONIDAL CYST; SIMPLE,,,111.0,3167.0,33
CPT,10081,HC DRAINAGE OF PILONIDAL CYST - COMPLICATED,3652.61,2191.57,209.3,7411.0,55
CPT,10081,HC DRAINAGE PILONIDA CST - COMPLICATED,3652.61,2191.57,209.3,7411.0,55
CPT,10081,INCISION AND DRAINAGE OF PILONIDAL CYST; COMPLICATED,,,111.0,3167.0,33
CPT,10120,HC REMOVE FOREIGN BODY SIMPLE,1165.03,699.02,86.38,7411.0,55
CPT,10120,"HC REMOVE FOREIGN BODY, SUBCUT TISSUE - SIMPLE",1165.03,699.02,86.38,7411.0,55
CPT,10120,"INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE",,,86.38,2107.0,33
CPT,10121,HC REMOVE FOREIGN BODY COMPLICATED,5350.06,3210.04,486.45,7411.0,55
CPT,10121,"HC REMOVE FOREIGN BODY, SUBCUT TISSUE - COMPLICATED",5350.06,3210.04,486.45,7411.0,55
CPT,10121,"INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; COMPLICATED",,,486.45,4900.18,34
CPT,10140,HC DRAINAGE HEMATMA FLUID COLLECT,5086.48,3051.89,90.81,7411.0,55
CPT,10140,HC I&D HEMATOMA/SEROMA/FLUID,5086.48,3051.89,90.81,7411.0,55
CPT,10140,"INCISION AND DRAINAGE OF HEMATOMA, SEROMA OR FLUID COLLECTION",,,90.81,4016.35,33
CPT,10160,"HC PUNCTURE ASPIRATE ABSCESS, HEMATOMA,CYST",1075.22,645.13,67.83,7411.0,55
CPT,10160,HC PUNCTURE/DRAIN/ASPERATE ABSCESS/LESION,1075.22,645.13,67.83,7411.0,55
CPT,10160,"PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, OR CYST",,,67.83,2107.0,33
CPT,10180,HC I&D COMPLEX PO INFECTION,6410.49,3846.29,815.2,7411.0,55
CPT,10180,HC I&D WOUND INFECTION POST OP,6410.49,3846.29,815.2,7411.0,55
CPT,10180,"INCISION AND DRAINAGE, COMPLEX, POSTOPERATIVE WOUND INFECTION",,,815.2,8278.44,34
CPT,11000,HC DEBRIDE INF SKIN UP TO 10%,1004.08,602.45,28.98,7411.0,55
CPT,11004,"DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA FOR NECROTIZING SOFT TISSUE INFECTION; EXTERNAL GENITALIA AND PERINEUM",,,1016.52,8280.0,10
CPT,11005,"DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA FOR NECROTIZING SOFT TISSUE INFECTION; ABDOMINAL WALL, WITH OR WITHOUT FASCIAL CLOSURE",,,1378.92,8280.0,10
CPT,11005,HC DEBRIDE NECROTIC SKIN/TISSUE ABD WALL,4750.19,2850.11,807.53,7411.0,39
CPT,11006,"DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA FOR NECROTIZING SOFT TISSUE INFECTION; EXTERNAL GENITALIA, PERINEUM AND ABDOMINAL WALL, WITH OR WITHOUT FASCIAL CLOSURE",,,1244.92,8280.0,10
CPT,11008,"REMOVAL OF PROSTHETIC MATERIAL OR MESH, ABDOMINAL WALL FOR INFECTION (EG, FOR CHRONIC OR RECURRENT MESH INFECTION OR NECROTIZING SOFT TISSUE INFECTION) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY",,,484.81,8280.0,10
CPT,11010,"DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/OR AN OPEN DISLOCATION (EG, EXCISIONAL DEBRIDEMENT); SKIN AND SUBCUTANEOUS TISSUES",,,257.6,4779.0,33
CPT,11010,HC DEBRIDE FX - SKIN/SUBQ TISSUE,2881.43,1728.86,257.6,7411.0,55
CPT,11011,"DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/OR AN OPEN DISLOCATION (EG, EXCISIONAL DEBRIDEMENT); SKIN, SUBCUTANEOUS TISSUE, MUSCLE FASCIA, AND MUSCLE",,,257.6,4779.0,33
CPT,11012,"DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/OR AN OPEN DISLOCATION (EG, EXCISIONAL DEBRIDEMENT); SKIN, SUBCUTANEOUS TISSUE, MUSCLE FASCIA, MUSCLE, AND BONE",,,815.2,8278.44,33
CPT,11012,HC DEBRIDE FX - SKIN/SUBQ MUSCLE & BONE,3624.18,2174.51,815.2,7411.0,110
CPT,11042,"DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); FIRST 20 SQ CM OR LESS",,,171.51,4779.0,33
CPT,11042,HC DEBRIDE SUBCUT TISSUE - 1ST 20 SQ CM OR LESS,1686.27,1011.76,171.51,7411.0,110
CPT,11043,"DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE, IF PERFORMED); FIRST 20 SQ CM OR LESS",,,262.63,4779.0,33
CPT,11043,HC DEBRIDE SUBCUT TISSUE/MUSCLE - 1ST 20 SQ CM OR LESS,2255.2,1353.12,262.63,7411.0,110
CPT,11044,"DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); FIRST 20 SQ CM OR LESS",,,566.62,4900.18,33
CPT,11044,HC DEBRIDE BONE - 1ST 20 SQ CM OR LESS,4918.6,2951.16,566.62,7411.0,110
CPT,11045,"DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,11045,HC DEBRIDE SUBCUT TISSUE - EA ADD 20 SQ CM,1524.6,914.76,259.18,7411.0,39
CPT,11045,"HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,EACH ADD 20 SQ CM",1524.6,914.76,259.18,7411.0,34
CPT,11046,"DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCED",,,1896.0,2107.0,3
CPT,11046,HC DEBRIDE SUBCUT TISSUE/MUSCLE - EA ADD 20 SQ CM,1545.61,927.37,262.75,7411.0,73
CPT,11047,"DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROC",,,1896.0,2107.0,3
CPT,11047,HC DEBRIDE BONE - EA ADD 20 SQ CM,2896.67,1738.0,492.43,7411.0,39
CPT,11055,HC PAR/CUT BENIGN HYPERKERATOTIC LESION - SNGLE,476.55,285.93,81.01,7411.0,55
CPT,11055,"PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION (EG, CORN OR CALLUS); SINGLE LESION",,,111.0,2107.0,30
CPT,11056,HC TRIM SKIN LESIONS - 2-4,472.06,283.24,80.25,7411.0,55
CPT,11057,HC TRIM SKIN LESIONS - >4,431.08,258.65,55.65,7411.0,55
CPT,11102,HC TANGENTIAL BIOPSY SKIN SINGLE LESION,448.37,269.02,64.23,7411.0,41
CPT,11102,HC TANGNTL BX SKIN SINGLE LES,448.37,269.02,64.23,7411.0,110
CPT,11102,"TANGENTIAL BIOPSY OF SKIN (EG, SHAVE, SCOOP, SAUCERIZE, CURETTE); SINGLE LESION",,,64.23,2107.0,33
CPT,11103,HC TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,393.56,236.14,66.91,7411.0,29
CPT,11103,HC TANGNTL BX SKIN EA SEP/ADDL,393.56,236.14,66.91,7411.0,73
CPT,11104,HC PUNCH BIOPSY OF SKIN,841.97,505.18,79.46,7411.0,41
CPT,11104,HC PUNCH BX SKIN SINGLE LESION,841.97,505.18,79.46,7411.0,110
CPT,11104,"PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); SINGLE LESION",,,79.46,2107.0,33
CPT,11105,HC PUNCH BIOPSY OF SKIN EACH ADD,378.55,227.13,64.35,7411.0,29
CPT,11105,HC PUNCH BX SKIN EA SEP/ADDL,378.55,227.13,64.35,7411.0,73
CPT,11105,"PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); EACH SEPARATE/ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,11106,HC INCAL BX SKN SINGLE LES,1076.11,645.67,98.83,7411.0,55
CPT,11106,HC INCISIONAL BIOPSY SKIN SINGLE LESION,1076.11,645.67,98.83,7411.0,41
CPT,11106,"INCISIONAL BIOPSY OF SKIN (EG, WEDGE) (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); SINGLE LESION",,,98.83,4345.0,33
CPT,11107,HC INCAL BX SKN EA SEP/ADDL,333.23,199.94,56.65,7411.0,39
CPT,11107,HC INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,333.23,199.94,56.65,7411.0,29
CPT,11200,HC REMOVAL OF SKIN TAGS - UP TO 15,530.97,318.58,90.26,7411.0,55
CPT,11200,HC REMOVE SKIN TAGS - 1-15 LESIONS,530.97,318.58,90.26,7411.0,55
CPT,11200,"REMOVAL OF SKIN TAGS, MULTIPLE FIBROCUTANEOUS TAGS, ANY AREA; UP TO AND INCLUDING 15 LESIONS",,,111.0,2107.0,30
CPT,11305,HC SHV 1 LES S/H/F/G  0.5 CM OR LESS,387.0,232.2,65.79,7411.0,55
CPT,11308,HC SHAVE SKIN LESION >2.0CM,618.2,370.92,105.09,7411.0,55
CPT,11400,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS",,,77.79,4345.0,66
CPT,11401,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.6 TO 1.0 CM",,,89.14,4345.0,33
CPT,11401,HC EXC TR-EXT B9+MARG 0.6 - 1.0 CM,1179.41,707.65,89.14,7411.0,55
CPT,11402,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 1.1 TO 2.0 CM",,,96.62,4345.0,33
CPT,11403,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM",,,105.2,4345.0,33
CPT,11403,HC EXC TR-EXT B9+MARG 2,2443.35,1466.01,105.2,7411.0,55
CPT,11404,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM",,,486.45,4900.18,34
CPT,11406,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER OVER 4.0 CM",,,486.45,4900.18,34
CPT,11406,HC EXC TR-EXT B9+MARG >,6431.1,3858.66,486.45,7411.0,55
CPT,11420,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.5 CM OR LESS",,,74.19,4345.0,33
CPT,11421,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.6 TO 1.0 CM",,,86.66,4345.0,33
CPT,11422,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 1.1 TO 2.0 CM",,,95.79,4345.0,33
CPT,11422,HC EXC H-F-NK-SP B9+MAR - 1.1 - 2.0 CM,2771.94,1663.16,95.79,7411.0,110
CPT,11423,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 2.1 TO 3.0 CM",,,104.38,4345.0,33
CPT,11424,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 3.1 TO 4.0 CM",,,486.45,4900.18,34
CPT,11426,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM",,,815.2,8278.44,34
CPT,11440,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 0.5 CM OR LESS",,,86.38,4345.0,33
CPT,11441,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 0.6 TO 1.0 CM",,,96.06,4345.0,33
CPT,11441,HC EXC FACE-MM B9+MARG - 0.6 - 1.0 CM,1271.09,762.65,96.06,7411.0,55
CPT,11442,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 1.1 TO 2.0 CM",,,103.82,4345.0,33
CPT,11442,HC EXCISE LESION FACE 1.1-2 CM,2264.0,1358.4,103.82,7411.0,55
CPT,11443,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 2.1 TO 3.0 CM",,,114.34,4345.0,33
CPT,11443,HC EXC FACE-MM B9+MARG - 2.1 - 3.0 CM,3435.32,2061.19,114.34,7411.0,55
CPT,11444,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 3.1 TO 4.0 CM",,,486.45,4900.18,34
CPT,11446,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER OVER 4.0 CM",,,815.2,8278.44,34
CPT,11450,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; WITH SIMPLE OR INTERMEDIATE REPAIR",,,815.2,8278.44,34
CPT,11451,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; WITH COMPLEX REPAIR",,,815.2,8278.44,34
CPT,11462,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH SIMPLE OR INTERMEDIATE REPAIR",,,815.2,8278.44,34
CPT,11463,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH COMPLEX REPAIR",,,815.2,8278.44,34
CPT,11470,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, PERIANAL, PERINEAL, OR UMBILICAL; WITH SIMPLE OR INTERMEDIATE REPAIR",,,815.2,8278.44,34
CPT,11471,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, PERIANAL, PERINEAL, OR UMBILICAL; WITH COMPLEX REPAIR",,,815.2,8278.44,34
CPT,11600,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS",,,112.68,4345.0,33
CPT,11601,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 0.6 TO 1.0 CM",,,124.3,4345.0,33
CPT,11602,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 1.1 TO 2.0 CM",,,131.22,4345.0,33
CPT,11603,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM",,,141.47,4345.0,33
CPT,11604,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM",,,257.6,4779.0,33
CPT,11606,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER OVER 4.0 CM",,,486.45,4900.18,34
CPT,11620,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.5 CM OR LESS",,,112.95,4345.0,33
CPT,11620,HC EXC H-F-NK-SP MLG+MA - 0.5CM OR LESS,1640.45,984.27,112.95,7411.0,55
CPT,11621,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.6 TO 1.0 CM",,,124.58,4345.0,33
CPT,11622,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 1.1 TO 2.0 CM",,,133.44,4345.0,33
CPT,11623,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 2.1 TO 3.0 CM",,,111.0,4016.35,33
CPT,11624,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 3.1 TO 4.0 CM",,,486.45,4900.18,34
CPT,11626,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM",,,815.2,8278.44,34
CPT,11640,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 0.5 CM OR LESS",,,116.0,4345.0,33
CPT,11641,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 0.6 TO 1.0 CM",,,127.9,4345.0,33
CPT,11642,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 1.1 TO 2.0 CM",,,138.98,4345.0,33
CPT,11643,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 2.1 TO 3.0 CM",,,152.26,4345.0,33
CPT,11644,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 3.1 TO 4.0 CM",,,486.45,4900.18,34
CPT,11646,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER OVER 4.0 CM",,,815.2,8278.44,34
CPT,11719,HC TRIM NONDYSTRIPHIC NAIL,212.81,127.69,36.18,7411.0,55
CPT,11719,HC TRIM NONDYSTSTOPHIC NAIL(S),212.81,127.69,36.18,7411.0,55
CPT,11720,DEBRIDEMENT OF NAIL(S) BY ANY METHOD(S); 1 TO 5,,,56.3,2107.0,30
CPT,11720,"HC DEBRIDE NAIL, 1-5",311.47,186.88,52.95,7411.0,110
CPT,11721,"HC DEBRIDE NAIL, >6",333.69,200.21,56.3,7411.0,55
CPT,11730,"AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE; SINGLE",,,111.0,2107.0,30
CPT,11730,HC NAIL PLATE AVULSION/SIMPLE/SINGLE,662.97,397.78,112.7,7411.0,110
CPT,11732,"HC NAIL AVULSION, EA ADD NAIL PLATE",407.83,244.7,69.33,7411.0,34
CPT,11732,HC NAIL PLATE AVULSION/EACH ADD,407.83,244.7,69.33,7411.0,39
CPT,11740,HC DRAIN BLOOD UNDER NAIL,317.21,190.33,53.93,7411.0,110
CPT,11750,"EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE (EG, INGROWN OR DEFORMED NAIL), FOR PERMANENT REMOVAL",,,84.71,4345.0,33
CPT,11750,HC EXCISION OF NAIL AND NAIL MATRIX,1692.54,1015.52,84.71,7411.0,41
CPT,11750,HC REMOVAL OF NAIL BED,1692.54,1015.52,84.71,7411.0,55
CPT,11750,HC REMOVAL OF NAIL BED - COMPLEX,1692.54,1015.52,84.71,7411.0,55
CPT,11760,HC REPAIR NAIL BAD,1684.74,1010.84,105.2,7411.0,55
CPT,11760,HC REPAIR OF NAIL BED,1684.74,1010.84,105.2,7411.0,55
CPT,11760,REPAIR OF NAIL BED,,,105.2,2107.0,33
CPT,11762,HC RECONSTRUCT NAIL BED W/GRAF,3443.5,2066.1,148.94,7411.0,55
CPT,11765,"HC EXCISION OF NAIL FOLD, TOE",8518.44,5111.06,387.95,7411.0,55
CPT,11770,EXCISION OF PILONIDAL CYST OR SINUS; SIMPLE,,,815.2,8278.44,34
CPT,11771,EXCISION OF PILONIDAL CYST OR SINUS; EXTENSIVE,,,815.2,8278.44,34
CPT,11772,EXCISION OF PILONIDAL CYST OR SINUS; COMPLICATED,,,815.2,8278.44,34
CPT,11900,HC INJECT INTO SKIN LES,397.95,238.77,67.65,7411.0,55
CPT,11900,"INJECTION, INTRALESIONAL; UP TO AND INCLUDING 7 LESIONS",,,111.0,2107.0,30
CPT,11960,"INSERTION OF TISSUE EXPANDER(S) FOR OTHER THAN BREAST, INCLUDING SUBSEQUENT EXPANSION",,,1457.62,10628.93,34
CPT,11970,REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT,,,2763.0,21355.56,34
CPT,11971,REMOVAL OF TISSUE EXPANDER WITHOUT INSERTION OF IMPLANT,,,815.2,8278.44,34
CPT,11976,HC REMOVAL OF CONTRACEPTIVE,1410.7,846.42,61.74,7411.0,55
CPT,11976,"REMOVAL, IMPLANTABLE CONTRACEPTIVE CAPSULES",,,61.74,4345.0,33
CPT,11981,"INSERTION, DRUG-DELIVERY IMPLANT (IE, BIORESORBABLE, BIODEGRADABLE, NON-BIODEGRADABLE)",,,46.38,2107.0,33
CPT,11982,HC REMOVE DRUG IMPLANT,452.47,271.48,54.42,7411.0,110
CPT,11982,"REMOVAL, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT",,,54.42,2107.0,33
CPT,11983,"REMOVAL WITH REINSERTION, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT",,,76.0,2107.0,33
CPT,12001,"HC REPAIR SUPERFICL WND - NON-FACE, 2.5 CM OR LESS",806.34,483.8,137.08,7411.0,55
CPT,12001,HC SMPL RPR WND FACE/NCK/TRUNK < 2.5 CM,806.34,483.8,137.08,7411.0,55
CPT,12001,"SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 2.5 CM OR LESS",,,111.0,2107.0,30
CPT,12002,"HC REPAIR SUPERFICL WND - NON-FACE, 2.6 - 7.5 CM",801.4,480.84,136.24,7411.0,55
CPT,12002,HC SIMPLE REPAIR WOUND 2.6-7.5 CM,801.4,480.84,136.24,7411.0,55
CPT,12002,"SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 2.6 CM TO 7.5 CM",,,111.0,2107.0,30
CPT,12004,"HC REPAIR SUPERFICL WND - NON-FACE, 7.6 - 12.5 CM",948.43,569.06,161.23,7411.0,55
CPT,12004,"HC SIMPLE REPAIR WOUND - NON-FACE, 7.6-12.5 CM",948.43,569.06,161.23,7411.0,55
CPT,12004,"SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 7.6 CM TO 12.5 CM",,,111.0,2107.0,30
CPT,12005,"HC SIMPLE REPAIR WOUND - NON-FACE, 12.6-20 CM",1241.15,744.69,143.08,7411.0,55
CPT,12005,"SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 12.6 CM TO 20.0 CM",,,143.08,4779.0,33
CPT,12006,"HC SIMPLE REPAIR WOUND - NON-FACE, 20.1-30 CM",1623.61,974.17,143.08,7411.0,55
CPT,12006,"SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 20.1 CM TO 30.0 CM",,,143.08,4779.0,33
CPT,12007,HC REPAIR SIMPLE SUPERFICIAL WOUND > 30CM,1634.59,980.75,74.34,7411.0,55
CPT,12011,"HC REPAIR SUPERFICL WND - FACE, 2.5 CM OR LESS",753.62,452.17,128.12,7411.0,55
CPT,12011,HC SMPL RPR WND FACE/EARS/EYELIDS/LIPS < 2.5 CM,753.62,452.17,128.12,7411.0,55
CPT,12011,"SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 2.5 CM OR LESS",,,111.0,2107.0,30
CPT,12013,"HC REPAIR SUPERFICL WND - FACE, 2.6 - 5 CM",862.0,517.2,146.54,7411.0,55
CPT,12013,HC SIMPLE REPAIR WOUND 2.6-5 CM,862.0,517.2,146.54,7411.0,55
CPT,12014,HC SIMPLE REPAIR WOUND 5.1-7.5 CM,1073.65,644.19,182.52,7411.0,55
CPT,12015,"HC SIMPLE REPAIR WOUND - FACE, 7.6-12.5 CM",988.78,593.27,74.34,7411.0,55
CPT,12016,"HC SIMPLE REPAIR WOUND - FACE, 12.6-20 CM",1459.07,875.44,143.08,7411.0,55
CPT,12017,"HC SIMPLE REPAIR WOUND - FACE, 20.1-30 CM",941.02,564.61,143.08,7411.0,55
CPT,12018,HC SIMPLE RPR FACE > 30CM,981.96,589.18,74.34,7411.0,55
CPT,12020,HC CLOSURE SPLIT WOUND - SIMPLE,2775.07,1665.04,216.8,7411.0,55
CPT,12020,HC TREAT SUPERFICIAL WOUND,2775.07,1665.04,216.8,7411.0,55
CPT,12020,TREATMENT OF SUPERFICIAL WOUND DEHISCENCE; SIMPLE CLOSURE,,,216.8,4345.0,33
CPT,12021,HC TREAT WOUND DEHISC W/PACK,1502.27,901.36,143.08,7411.0,55
CPT,12031,HC INTMD WND REPAIR S/TR - 2.5 CM OR LESS,1175.96,705.58,143.08,7411.0,55
CPT,12031,HC REPAIR INTERIOR WOUND < 2.5 CM,1175.96,705.58,143.08,7411.0,55
CPT,12031,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 2.5 CM OR LESS",,,111.0,2107.0,33
CPT,12032,HC INTMD WND REPAIR S/TR - 2.6 - 7.5 CM,1358.12,814.87,143.08,7411.0,55
CPT,12032,HC REPAIR INTERIOR WOUND 2.6-7.5 CM,1358.12,814.87,143.08,7411.0,55
CPT,12032,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 2.6 CM TO 7.5 CM",,,111.0,2107.0,33
CPT,12034,HC INTMD WND REPAIR S/TR - 7.6 - 12.5 CM,1503.07,901.84,143.08,7411.0,55
CPT,12034,HC REPAIR INTERIOR WOUND 7.6-12.5 CM,1503.07,901.84,143.08,7411.0,55
CPT,12034,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 7.6 CM TO 12.5 CM",,,143.08,4779.0,33
CPT,12035,HC REPAIR INTERIOR WOUND 12.6-20CM,1808.09,1084.85,143.08,7411.0,55
CPT,12035,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 12.6 CM TO 20.0 CM",,,143.08,4779.0,33
CPT,12036,HC REPAIR INTERIOR WOUND 20.1-30 CM,1992.19,1195.31,216.8,7411.0,55
CPT,12036,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 20.1 CM TO 30.0 CM",,,216.8,4779.0,33
CPT,12037,HC REPAIR INTERNAL SCALP > 30 CM,3538.93,2123.36,709.01,7411.0,55
CPT,12037,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); OVER 30.0 CM",,,709.01,5793.18,33
CPT,12041,HC REPAIR INTERNAL WOUND < 2.5 CM,1069.44,641.66,143.08,7411.0,55
CPT,12041,"REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 2.5 CM OR LESS",,,111.0,2107.0,33
CPT,12042,HC REPAIR INTERNAL WOUND 2.6-7.5 CM,1257.25,754.35,143.08,7411.0,55
CPT,12042,"REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 2.6 CM TO 7.5 CM",,,111.0,2107.0,33
CPT,12044,HC REPAIR INTERNAL WOUND 7.6-12.5 CM,1199.43,719.66,216.8,7411.0,55
CPT,12044,"REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 7.6 CM TO 12.5 CM",,,216.8,4779.0,33
CPT,12045,"HC REP/LAYER NON-TRUNK, 12.6 - 20.0 CM",1708.57,1025.14,216.8,7411.0,55
CPT,12045,"REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 12.6 CM TO 20.0 CM",,,216.8,4779.0,33
CPT,12046,HC INTERMEDIATE REPAIR NON TRUNK,1428.36,857.02,216.8,7411.0,55
CPT,12047,HC INTMD RPR NONTRUNK >30CM,6255.69,3753.41,709.01,7411.0,55
CPT,12047,"REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; OVER 30.0 CM",,,709.01,5793.18,33
CPT,12051,HC INTMD WND REPAIR FACE - 2.5 CM OR LESS,1178.77,707.26,143.08,7411.0,55
CPT,12051,"HC REP/LAYER FACE, 2.5 CM OR LESS",1178.77,707.26,143.08,7411.0,55
CPT,12051,"REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 2.5 CM OR LESS",,,111.0,2107.0,33
CPT,12052,HC REPAIR INTERNAL WOUND 2.6-5 CM,1268.46,761.08,143.08,7411.0,55
CPT,12052,"REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 2.6 CM TO 5.0 CM",,,111.0,2107.0,33
CPT,12053,HC REPAIR INTERNAL WOUND 5.1-7.5 CM,1464.7,878.82,143.08,7411.0,55
CPT,12053,"REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 5.1 CM TO 7.5 CM",,,111.0,2107.0,33
CPT,12054,HC REPAIR INTERNAL WOUND 7.6-12.5CM,1536.17,921.7,143.08,7411.0,55
CPT,12055,HC LAYER CLOSURE OF WOUND(S),1769.87,1061.92,143.08,7411.0,55
CPT,12055,"REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 12.6 CM TO 20.0 CM",,,143.08,4779.0,33
CPT,12056,HC INTMD RPR FACE 20.1-30CM,2528.38,1517.03,143.08,7411.0,55
CPT,12057,HC INTMD RPR FACE > 30CM,616.9,370.14,143.08,7411.0,55
CPT,13100,HC CMPLX RPR TRUNK 1.1-2.5CM,2379.75,1427.85,216.8,7411.0,55
CPT,13100,"REPAIR, COMPLEX, TRUNK; 1.1 CM TO 2.5 CM",,,216.8,4779.0,33
CPT,13101,HC REPAIR COMPLEX TRUNK 2.6-7.5 CM,1997.58,1198.55,216.8,7411.0,55
CPT,13101,"HC REPAIR COMPLEX, TRUNK, 2.6 - 7.5 CM",2686.99,1612.19,216.8,7411.0,55
CPT,13101,"REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM",,,216.8,7168.0,33
CPT,13102,"HC REPAIR COMPLEX, TRUNK, EA ADD 5 CM OR LESS",2112.59,1267.55,359.14,7411.0,39
CPT,13102,HC WOUND REPAIR EACH 5 CM TRUNK,1272.35,763.41,216.3,7411.0,34
CPT,13102,"REPAIR, COMPLEX, TRUNK; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,13120,HC WOUND REPAIR OR LESION,1848.38,1109.03,216.8,7411.0,55
CPT,13120,"REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; 1.1 CM TO 2.5 CM",,,216.8,4779.0,33
CPT,13121,"HC REPAIR COMPLEX, SCLP/ARMS/LEGS, 2.6 - 7.5 CM",2141.13,1284.68,216.8,7411.0,55
CPT,13121,HC REPAIR WOUND/LESION > 2.6 CM,2141.13,1284.68,216.8,7411.0,55
CPT,13121,"REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; 2.6 CM TO 7.5 CM",,,216.8,7168.0,33
CPT,13122,"HC REPAIR COMPLEX, SCLP/ARMS/LEGS, EA ADD 5 CM OR LESS",987.81,592.69,167.93,7411.0,39
CPT,13122,HC REPAIR WOUND/LESION ADD 5 CM,987.81,592.69,167.93,7411.0,34
CPT,13122,"REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,13131,HC REAPAIR FACE/HAND/FOOT 1.1-2.5 CM,1776.63,1065.98,143.08,7411.0,55
CPT,13131,"REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; 1.1 CM TO 2.5 CM",,,143.08,4779.0,33
CPT,13132,HC REAPAIR FACE/HAND/FOOT 2.6-7.5 CM,2546.74,1528.04,216.8,7411.0,55
CPT,13132,"HC REPAIR COMPLEX, NON-TRUNK, 2.6 - 7.5 CM",2546.74,1528.04,216.8,7411.0,55
CPT,13132,"REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; 2.6 CM TO 7.5 CM",,,216.8,7168.0,33
CPT,13133,HC COMPLEX WOUND REPAIR TRUNK ADDL 5 CM,1494.14,896.48,254.0,7411.0,34
CPT,13133,"REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,13151,HC COMPLEX WOUND REPAIR 1.1-2.5 CM,2130.41,1278.25,216.8,7411.0,55
CPT,13151,"REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 1.1 CM TO 2.5 CM",,,216.8,7168.0,33
CPT,13152,HC COMPLEX WOUND REPAIR 2.6-7.5 CM,2704.25,1622.55,216.8,7411.0,55
CPT,13152,"HC REPAIR COMPLEX, FACE, 2.6 - 7.5 CM",2704.25,1622.55,216.8,7411.0,55
CPT,13152,"REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 2.6 CM TO 7.5 CM",,,216.8,7168.0,33
CPT,13153,HC COMPLEX WOUND REPAIR FACE ADDL 5 CM,1134.86,680.92,192.93,7411.0,34
CPT,13160,HC LATE CLOSURE OF WOUN,8662.56,5197.54,709.01,7653.72,55
CPT,13160,"SECONDARY CLOSURE OF SURGICAL WOUND OR DEHISCENCE, EXTENSIVE OR COMPLICATED",,,709.01,7653.72,34
CPT,14000,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10 SQ CM OR LESS",,,709.01,5793.18,34
CPT,14001,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10.1 SQ CM TO 30.0 SQ CM",,,709.01,7168.0,34
CPT,14020,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS; DEFECT 10 SQ CM OR LESS",,,709.01,7168.0,34
CPT,14021,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS; DEFECT 10.1 SQ CM TO 30.0 SQ CM",,,709.01,7168.0,34
CPT,14040,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; DEFECT 10 SQ CM OR LESS",,,709.01,5793.18,34
CPT,14040,HC SKIN TISSUE REARRANGEMENT,4716.67,2830.0,709.01,7411.0,55
CPT,14041,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; DEFECT 10.1 SQ CM TO 30.0 SQ CM",,,709.01,7168.0,34
CPT,14060,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS, NOSE, EARS AND/OR LIPS; DEFECT 10 SQ CM OR LESS",,,709.01,7168.0,34
CPT,14060,HC SKIN TISSUE REARRANGEMENT,4977.24,2986.34,709.01,7411.0,55
CPT,14061,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS, NOSE, EARS AND/OR LIPS; DEFECT 10.1 SQ CM TO 30.0 SQ CM",,,709.01,7168.0,34
CPT,14301,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, ANY AREA; DEFECT 30.1 SQ CM TO 60.0 SQ CM",,,1457.62,12700.0,33
CPT,14301,HC SKIN TISSUE REARRANG - 30.1 - 60.0 SQ CM,9897.0,5938.2,1457.62,8887.48,55
CPT,14302,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, ANY AREA; EACH ADDITIONAL 30.0 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,14302,HC SKIN TISSUE REARRANG - EA ADDL 30 SQ CM,5183.5,3110.1,881.2,7411.0,34
CPT,14350,"FILLETED FINGER OR TOE FLAP, INCLUDING PREPARATION OF RECIPIENT SITE",,,709.01,7168.0,34
CPT,15002,"SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ESCHAR, OR SCAR (INCLUDING SUBCUTANEOUS TISSUES), OR INCISIONAL RELEASE OF SCAR CONTRACTURE, TRUNK, ARMS, LEGS; FIRS",,,705.32,5793.18,33
CPT,15003,"SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ESCHAR, OR SCAR (INCLUDING SUBCUTANEOUS TISSUES), OR INCISIONAL RELEASE OF SCAR CONTRACTURE, TRUNK, ARMS, LEGS; EACH",,,1896.0,2107.0,3
CPT,15004,"HC WOUND PREP, F/N/HF/G",1997.34,1198.4,262.63,7411.0,55
CPT,15004,"SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ESCHAR, OR SCAR (INCLUDING SUBCUTANEOUS TISSUES), OR INCISIONAL RELEASE OF SCAR CONTRACTURE, FACE, SCALP, EYELIDS, M",,,262.63,4779.0,33
CPT,15013,"PREPARATION OF SKIN CELL SUSPENSION AUTOGRAFT, REQUIRING ENZYMATIC PROCESSING, MANUAL MECHANICAL DISAGGREGATION OF SKIN CELLS, AND FILTRATION; FIRST 25 SQ CM OR LESS OF HARVESTED SKIN",,,6772.67,15327.63,19
CPT,15040,"HC SKIN GRAFT, HARVEST CULTURED TISSUE",3048.84,1829.3,784.87,7411.0,55
CPT,15050,HC SKIN PINCH GRAFT,1891.0,1134.6,262.63,7411.0,55
CPT,15100,"SPLIT-THICKNESS AUTOGRAFT, TRUNK, ARMS, LEGS; FIRST 100 SQ CM OR LESS, OR 1% OF BODY AREA OF INFANTS AND CHILDREN (EXCEPT 15050)",,,709.01,5793.18,34
CPT,15101,"SPLIT-THICKNESS AUTOGRAFT, TRUNK, ARMS, LEGS; EACH ADDITIONAL 100 SQ CM, OR EACH ADDITIONAL 1% OF BODY AREA OF INFANTS AND CHILDREN, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PR",,,1896.0,2763.0,4
CPT,15110,HC EPIDRM AUTOGRFT TRN,3482.89,2089.73,709.01,7411.0,55
CPT,15111,HC EPID AUTOG TRK/ARM/L EA ADD'L,1856.39,1113.83,315.59,7411.0,29
CPT,15115,HC EPIDRM A-GRFT FACE,2262.44,1357.46,709.01,7411.0,55
CPT,15116,HC EPID AUTOG F/S/F/D EA ADD'L,1024.54,614.72,174.17,7411.0,29
CPT,15120,HC SKIN SPLT A-GRFT FAC/,7572.67,4543.6,1457.62,8887.48,55
CPT,15120,"SPLIT-THICKNESS AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS; FIRST 100 SQ CM OR LESS, OR 1% OF BODY AREA OF INFANTS AND CHILDREN (EXCEPT ",,,1457.62,10628.93,34
CPT,15121,HC AUTOGRAFT FACE <=100SQCM,2687.96,1612.78,456.95,7411.0,34
CPT,15155,"HC CULT EPIDERM GRAFT,F/",5880.19,3528.11,1457.62,8887.48,55
CPT,15200,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, TRUNK; 20 SQ CM OR LESS",,,709.01,7168.0,34
CPT,15201,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, TRUNK; EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,15220,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, SCALP, ARMS, AND/OR LEGS; 20 SQ CM OR LESS",,,709.01,5793.18,34
CPT,15221,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, SCALP, ARMS, AND/OR LEGS; EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,15240,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS, AND/OR FEET; 20 SQ CM OR LESS",,,709.01,7168.0,34
CPT,15240,HC FULL THICK GRFT FACE 20 SQ CM,1672.92,1003.75,585.52,7411.0,55
CPT,15241,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS, AND/OR FEET; EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARAT",,,1896.0,2107.0,3
CPT,15260,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, NOSE, EARS, EYELIDS, AND/OR LIPS; 20 SQ CM OR LESS",,,709.01,5793.18,34
CPT,15260,HC SKIN FULL GRAFT EEN,6456.12,3873.67,709.01,7411.0,55
CPT,15261,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, NOSE, EARS, EYELIDS, AND/OR LIPS; EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDU",,,1896.0,2107.0,3
CPT,15271,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LESS WOUND SURFACE AREA",,,705.32,5793.18,33
CPT,15271,HC SKIN SUB GRAFT TRNK/,4023.26,2413.96,705.32,7411.0,55
CPT,15272,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; EACH ADDITIONAL 25 SQ CM WOUND SURFACE AREA, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE F",,,1896.0,2107.0,3
CPT,15272,HC SKIN SUB GRAFT T/A/L,1265.66,759.4,215.16,7411.0,39
CPT,15273,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA GREATER THAN OR EQUAL TO 100 SQ CM; FIRST 100 SQ CM WOUND SURFACE AREA, OR 1% OF BODY AREA OF INFANTS AND CHILDREN",,,1565.86,10628.93,33
CPT,15273,HC SKIN SUB GRFT T/ARM/,3389.26,2033.56,1220.13,8887.48,55
CPT,15274,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA GREATER THAN OR EQUAL TO 100 SQ CM; EACH ADDITIONAL 100 SQ CM WOUND SURFACE AREA, OR PART THEREOF, OR EACH ADDITIONA",,,1896.0,2107.0,3
CPT,15274,HC SKIN SUB GRFT T/A/L C,1752.09,1051.25,297.86,7411.0,39
CPT,15275,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LES",,,71.16,5793.18,33
CPT,15275,HC SKIN SUB GRAFT FACE/,5023.65,3014.19,71.16,7411.0,55
CPT,15276,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; EACH ADDITIONAL 25 SQ",,,1896.0,2107.0,3
CPT,15276,HC SKIN SUB GRAFT F/N/H,1550.18,930.11,263.53,7411.0,39
CPT,15277,HC SKIN SUB GRFT F/N/HF,3463.66,2078.2,784.87,7411.0,55
CPT,15278,HC SKN SUB GRFT F/N/HF/,1761.85,1057.11,299.51,7411.0,39
CPT,15576,"FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITHOUT TRANSFER; EYELIDS, NOSE, EARS, LIPS, OR INTRAORAL",,,709.01,7168.0,34
CPT,15620,"DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET); AT FOREHEAD, CHEEKS, CHIN, NECK, AXILLAE, GENITALIA, HANDS, OR FEET",,,709.01,7886.0,34
CPT,15630,"DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET); AT EYELIDS, NOSE, EARS, OR LIPS",,,709.01,7168.0,34
CPT,15730,"MIDFACE FLAP (IE, ZYGOMATICOFACIAL FLAP) WITH PRESERVATION OF VASCULAR PEDICLE(S)",,,1457.62,12700.0,33
CPT,15731,"FOREHEAD FLAP WITH PRESERVATION OF VASCULAR PEDICLE (EG, AXIAL PATTERN FLAP, PARAMEDIAN FOREHEAD FLAP)",,,1457.62,10628.93,34
CPT,15733,"MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; HEAD AND NECK WITH NAMED VASCULAR PEDICLE (IE, BUCCINATORS, GENIOGLOSSUS, TEMPORALIS, MASSETER, STERNOCLEIDOMASTOID, LEVATOR SCAPULAE)",,,1457.62,12700.0,33
CPT,15734,"MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; TRUNK",,,1457.62,10628.93,34
CPT,15736,"MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; UPPER EXTREMITY",,,709.01,7168.0,34
CPT,15738,"MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; LOWER EXTREMITY",,,1457.62,10628.93,34
CPT,15740,FLAP; ISLAND PEDICLE REQUIRING IDENTIFICATION AND DISSECTION OF AN ANATOMICALLY NAMED AXIAL VESSEL,,,709.01,5793.18,34
CPT,15756,FREE MUSCLE OR MYOCUTANEOUS FLAP WITH MICROVASCULAR ANASTOMOSIS,,,4032.59,8518.56,10
CPT,15760,"GRAFT; COMPOSITE (EG, FULL THICKNESS OF EXTERNAL EAR OR NASAL ALA), INCLUDING PRIMARY CLOSURE, DONOR AREA",,,709.01,5793.18,34
CPT,15769,"GRAFTING OF AUTOLOGOUS SOFT TISSUE, OTHER, HARVESTED BY DIRECT EXCISION (EG, FAT, DERMIS, FASCIA)",,,1457.62,12700.0,33
CPT,15770,GRAFT; DERMA-FAT-FASCIA,,,1457.62,10628.93,34
CPT,15771,"GRAFTING OF AUTOLOGOUS FAT HARVESTED BY LIPOSUCTION TECHNIQUE TO TRUNK, BREASTS, SCALP, ARMS, AND/OR LEGS; 50 CC OR LESS INJECTATE",,,1457.62,12700.0,33
CPT,15771,HC GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS,8504.99,5102.99,1457.62,8887.48,55
CPT,15772,"GRAFTING OF AUTOLOGOUS FAT HARVESTED BY LIPOSUCTION TECHNIQUE TO TRUNK, BREASTS, SCALP, ARMS, AND/OR LEGS; EACH ADDITIONAL 50 CC INJECTATE, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRI",,,1896.0,2107.0,3
CPT,15773,"GRAFTING OF AUTOLOGOUS FAT HARVESTED BY LIPOSUCTION TECHNIQUE TO FACE, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, AND/OR FEET; 25 CC OR LESS INJECTATE",,,709.01,12700.0,33
CPT,15774,"GRAFTING OF AUTOLOGOUS FAT HARVESTED BY LIPOSUCTION TECHNIQUE TO FACE, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, AND/OR FEET; EACH ADDITIONAL 25 CC INJECTATE, OR PART THEREOF (LIST SEPARAT",,,1896.0,2107.0,3
CPT,15777,"IMPLANTATION OF BIOLOGIC IMPLANT (EG, ACELLULAR DERMAL MATRIX) FOR SOFT TISSUE REINFORCEMENT (IE, BREAST, TRUNK) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,15778,"IMPLANTATION OF ABSORBABLE MESH OR OTHER PROSTHESIS FOR DELAYED CLOSURE OF DEFECT(S) (IE, EXTERNAL GENITALIA, PERINEUM, ABDOMINAL WALL) DUE TO SOFT TISSUE INFECTION OR TRAUMA",,,696.77,8280.0,10
CPT,15781,"DERMABRASION; SEGMENTAL, FACE",,,520.91,4345.0,30
CPT,15793,"HC CHEM PEEL, NONFACIAL DERMAL",639.02,383.41,108.63,7411.0,55
CPT,15820,"BLEPHAROPLASTY, LOWER EYELID;",,,709.01,7168.0,34
CPT,15821,"BLEPHAROPLASTY, LOWER EYELID; WITH EXTENSIVE HERNIATED FAT PAD",,,709.01,7168.0,34
CPT,15823,"BLEPHAROPLASTY, UPPER EYELID; WITH EXCESSIVE SKIN WEIGHTING DOWN LID",,,709.01,8674.0,34
CPT,15824,RHYTIDECTOMY; FOREHEAD,,,709.01,7168.0,34
CPT,15825,"RHYTIDECTOMY; NECK WITH PLATYSMAL TIGHTENING (PLATYSMAL FLAP, P-FLAP)",,,1457.62,10628.93,34
CPT,15829,RHYTIDECTOMY; SUPERFICIAL MUSCULOAPONEUROTIC SYSTEM (SMAS) FLAP,,,1457.62,10628.93,34
CPT,15830,"EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY); ABDOMEN, INFRAUMBILICAL PANNICULECTOMY",,,1845.21,18697.13,34
CPT,15836,"EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY); ARM",,,2763.0,8278.44,31
CPT,15839,"EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY); OTHER AREA",,,2763.0,8278.44,31
CPT,15840,GRAFT FOR FACIAL NERVE PARALYSIS; FREE FASCIA GRAFT (INCLUDING OBTAINING FASCIA),,,1457.62,10628.93,34
CPT,15845,GRAFT FOR FACIAL NERVE PARALYSIS; REGIONAL MUSCLE TRANSFER,,,1457.62,10628.93,34
CPT,15847,"EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY), ABDOMEN (EG, ABDOMINOPLASTY) (INCLUDES UMBILICAL TRANSPOSITION AND FASCIAL PLICATION) (LIST SEPARATELY IN ADDITION TO CODE FOR PR",,,1896.0,2763.0,4
CPT,15851,HC REMOVAL OF SUTURES - DIFF SURGEON,1438.0,862.8,62.29,7411.0,55
CPT,15851,"REMOVAL OF SUTURES OR STAPLES REQUIRING ANESTHESIA (IE, GENERAL ANESTHESIA, MODERATE SEDATION)",,,62.29,4517.58,33
CPT,15852,DRESSING CHANGE (FOR OTHER THAN BURNS) UNDER ANESTHESIA (OTHER THAN LOCAL),,,111.0,2107.0,30
CPT,15853,HC REMOVAL OF SUTURES OR STAPLES NOT REQUIRING ANESTHESIA (LIST SEPARATELY IN ADDITION TO E/M CODE),1449.5,869.7,246.41,7411.0,78
CPT,15853,REMOVAL OF SUTURES OR STAPLES NOT REQUIRING ANESTHESIA (LIST SEPARATELY IN ADDITION TO E/M CODE),,,1896.0,2107.0,3
CPT,15854,HC REMOVAL OF SUTURES AND STAPLES NOT REQUIRING ANESTHESIA (LIST SEPARATELY IN ADDITION TO E/M CODE),1630.69,978.41,277.22,7411.0,78
CPT,15860,"INTRAVENOUS INJECTION OF AGENT (EG, FLUORESCEIN) TO TEST VASCULAR FLOW IN FLAP OR GRAFT",,,111.0,2107.0,30
CPT,15876,SUCTION ASSISTED LIPECTOMY; HEAD AND NECK,,,2763.0,10628.93,31
CPT,15877,SUCTION ASSISTED LIPECTOMY; TRUNK,,,2763.0,10628.93,31
CPT,15878,SUCTION ASSISTED LIPECTOMY; UPPER EXTREMITY,,,1969.05,7168.0,31
CPT,15879,SUCTION ASSISTED LIPECTOMY; LOWER EXTREMITY,,,2763.0,10628.93,31
CPT,15931,"EXCISION, SACRAL PRESSURE ULCER, WITH PRIMARY SUTURE;",,,815.2,8278.44,34
CPT,15933,"EXCISION, SACRAL PRESSURE ULCER, WITH PRIMARY SUTURE; WITH OSTECTOMY",,,815.2,8278.44,34
CPT,15946,"EXCISION, ISCHIAL PRESSURE ULCER, WITH OSTECTOMY, IN PREPARATION FOR MUSCLE OR MYOCUTANEOUS FLAP OR SKIN GRAFT CLOSURE",,,709.01,7886.0,34
CPT,15999,"UNLISTED PROCEDURE, EXCISION PRESSURE ULCER",,,675.79,8280.0,30
CPT,16000,HC LOCAL TREATMENT 1ST DEGREE BURN,551.73,331.04,93.79,7411.0,55
CPT,16020,HC DRESS/DEBRIDE P-THICK - SMALL,788.36,473.02,44.31,7411.0,55
CPT,16020,HC TREATMENT OF SMALL BURNS W/O ANESTHESIA,788.36,473.02,44.31,7411.0,55
CPT,16025,HC DRESS/DEBRIDE P-THICK - MEDIUM,934.38,560.63,85.42,7411.0,55
CPT,16025,HC TREATMENT OF MEDIUM BURNS W/O ANESTHESIA,934.38,560.63,85.42,7411.0,55
CPT,16030,HC DRESS/DEBRIDE P-THICK - LARGE,995.82,597.49,171.51,7411.0,55
CPT,16030,HC TREATMENT OF LARGE BURNS W/O ANESTHESIA,995.82,597.49,171.51,7411.0,55
CPT,16035,HC INCISION BURN SCAB,1156.0,693.6,143.08,7411.0,55
CPT,17000,"DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), PREMALIGNANT LESIONS (EG, ACTINIC KERATOSES); FIRST LESION",,,111.0,2107.0,30
CPT,17000,"HC DESTROY BENIGN LESION, FIRST",266.3,159.78,45.27,7411.0,41
CPT,17000,HC REMOVE PREMALIGNANT LESION,266.3,159.78,45.27,7411.0,55
CPT,17003,"DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), PREMALIGNANT LESIONS (EG, ACTINIC KERATOSES); SECOND THROUGH 14 LESIONS, EACH (LIST SEPARATELY IN ADDI",,,1896.0,2107.0,3
CPT,17003,"HC DESTROY BENIGN LESION, 2 -14",87.86,52.72,14.94,7411.0,29
CPT,17106,HC CAUTERIZATION OF VASCULAR LESIONS,677.36,406.42,143.08,7411.0,55
CPT,17110,"DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), OF BENIGN LESIONS OTHER THAN SKIN TAGS OR CUTANEOUS VASCULAR PROLIFERATIVE LESIONS; UP TO 14 LESIONS",,,111.0,2107.0,30
CPT,17110,HC DESTRUCT BENIGN LESION 1-14,351.64,210.98,59.78,7411.0,55
CPT,17250,"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE (IE, PROUD FLESH)",,,111.0,2107.0,60
CPT,17250,HC CHEMICAL CAUTERIZATION,646.46,387.88,109.9,7411.0,55
CPT,17250,"HC CHEMICAL CAUTERY, TI",646.46,387.88,109.9,7411.0,55
CPT,17266,"DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), TRUNK, ARMS OR LEGS; LESION DIAMETER OVER 4.0 CM",,,120.15,4345.0,33
CPT,17270,"DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), SCALP, NECK, HANDS, FEET, GENITALIA; LESION DIAMETER 0.5 CM OR LESS",,,74.34,2107.0,33
CPT,17999,"HC BIOPSY, SUBCUTANEOUS TISSUE/FAT, PERCUTANEOUS NEEDLE",2516.16,1509.7,191.47,8280.0,53
CPT,17999,HC LASER HAIR REMOVAL (MEDICAL),1070.18,642.11,181.93,7411.0,55
CPT,17999,"HC LPRSCPY, SRGCL, MSCL, MYCTNUS, FSCOCTNUS FLP(S); TRNK (EG CMPNENT SPRTN)",10206.08,6123.65,191.47,7960.74,55
CPT,17999,HC REMOVAL OF SURGICAL DRAIN WITHOUT INCISION REQUIRING ANESTHESIA,1438.0,862.8,191.47,8280.0,53
CPT,17999,HC SKIN TISSUE PROCEDUR,1802.51,1081.51,191.47,7411.0,110
CPT,17999,"UNLISTED PROCEDURE, SKIN, MUCOUS MEMBRANE AND SUBCUTANEOUS TISSUE",,,191.47,8280.0,30
CPT,19000,HC ASPIRATE BREAST CYST,1980.0,1188.0,59.25,7411.0,55
CPT,19000,HC DRAINAGE BREAST LES,1980.0,1188.0,59.25,7411.0,55
CPT,19000,HC MG ASP BRST CYST  LT,1980.0,1188.0,59.25,7411.0,38
CPT,19000,HC MG ASP BRST CYST  RT,1980.0,1188.0,59.25,7411.0,38
CPT,19000,HC PUNCTURE/ASPIRATE BREAST,1980.0,1188.0,59.25,7411.0,55
CPT,19000,HC US ASP BRST CYST  LT,1980.0,1188.0,59.25,7411.0,38
CPT,19000,HC US ASP BRST CYST  RT,1980.0,1188.0,59.25,7411.0,38
CPT,19001,HC DRAINAGE BREAST LESION,817.19,490.31,138.92,7411.0,39
CPT,19001,HC US BREAST CYST ASP ADD LT,817.19,490.31,138.92,7411.0,71
CPT,19001,HC US BREAST CYST ASP ADD RT,817.19,490.31,138.92,7411.0,32
CPT,19020,HC MOSTOTOMY W/ DRAIN ABSCESS,5050.44,3030.26,486.45,7411.0,55
CPT,19020,HC MOSTOTOMY W/DRAIN ABSCESS,4693.19,2815.91,486.45,7411.0,55
CPT,19020,"MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS, DEEP",,,486.45,4900.18,34
CPT,19030,HC INJECTION FOR BREAST,1036.04,621.62,176.13,7411.0,39
CPT,19081,HC BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID - LT,6237.0,3742.2,486.45,7411.0,38
CPT,19081,HC BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID - RT,6237.0,3742.2,486.45,7411.0,38
CPT,19081,"HC BX BRST W/PLCMNT DVC,IMG - FIRST LESION",6237.0,3742.2,486.45,7411.0,110
CPT,19081,HC MG 3D BX BRST STEREO INI BI,6237.0,3742.2,486.45,7411.0,38
CPT,19081,HC MG 3D BX BRST STEREO INI LT,6237.0,3742.2,486.45,7411.0,38
CPT,19081,HC MG 3D BX BRST STEREO INI RT,6237.0,3742.2,486.45,7411.0,38
CPT,19081,HC MG BX BRST STEREO INI BI,6237.0,3742.2,486.45,7411.0,38
CPT,19082,"BIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; EACH ADDITIONAL LESION, I",,,1896.0,2107.0,3
CPT,19082,"HC BX BRST W/PLCMNT DVC,IMG - EA ADD LESION",2232.24,1339.34,379.48,7411.0,39
CPT,19083,"BIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; FIRST LESION, INCLUDING U",,,486.45,7168.0,33
CPT,19083,"HC BX BRST W/PLCMNT DVC,IMG&US - FIRST LESION",5153.43,3092.06,486.45,7411.0,110
CPT,19083,HC US BX BRST INI BI,5153.43,3092.06,486.45,7411.0,38
CPT,19083,HC US BX BRST INI LT,5153.43,3092.06,486.45,7411.0,38
CPT,19083,HC US BX BRST INI RT,5153.43,3092.06,486.45,7411.0,38
CPT,19084,"BIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; EACH ADDITIONAL LESION, I",,,1896.0,2107.0,3
CPT,19084,"HC BX BRST W/PLCMNT DVC,IMG&US - EA ADD LESION",3402.0,2041.2,578.34,7411.0,39
CPT,19085,"HC BX BRST W/PLCMNT DVC,IMG&MR GUIDE - FIRST LESION",5386.5,3231.9,486.45,7411.0,110
CPT,19085,HC MR BX BRST INI BI,5386.5,3231.9,486.45,7411.0,38
CPT,19085,HC MR BX BRST INI LT,5386.5,3231.9,486.45,7411.0,38
CPT,19085,HC MR BX BRST INI RT,5386.5,3231.9,486.45,7411.0,38
CPT,19086,"BIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; EACH ADDITIONAL LESION, I",,,1896.0,2107.0,3
CPT,19086,"HC BX BRST W/PLCMNT DVC,IMG&MR GUIDE - EA ADD LESION",2584.23,1550.54,439.32,7411.0,39
CPT,19100,HC BIOPSY BREAST PERCUT W/O,1741.14,1044.68,486.45,7411.0,55
CPT,19101,"BIOPSY OF BREAST; OPEN, INCISIONAL",,,963.66,10815.49,34
CPT,19101,"HC BIOPSY OF BREAST, OP",7316.68,4390.01,963.66,9442.65,55
CPT,19110,"NIPPLE EXPLORATION, WITH OR WITHOUT EXCISION OF A SOLITARY LACTIFEROUS DUCT OR A PAPILLOMA LACTIFEROUS DUCT",,,963.66,10815.49,34
CPT,19120,"EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TISSUE, DUCT LESION, NIPPLE OR AREOLAR LESION (EXCEPT 19300), OPEN, MALE OR FEMALE, 1 OR MORE LESIONS",,,963.66,10815.49,34
CPT,19120,HC REMOVAL OF BREAST LE,8201.62,4920.97,963.66,9442.65,110
CPT,19125,"EXCISION OF BREAST LESION IDENTIFIED BY PREOPERATIVE PLACEMENT OF RADIOLOGICAL MARKER, OPEN; SINGLE LESION",,,963.66,10815.49,34
CPT,19125,"HC EXCISION, BREAST LES",6158.26,3694.96,963.66,9442.65,55
CPT,19126,"EXCISION OF BREAST LESION IDENTIFIED BY PREOPERATIVE PLACEMENT OF RADIOLOGICAL MARKER, OPEN; EACH ADDITIONAL LESION SEPARATELY IDENTIFIED BY A PREOPERATIVE RADIOLOGICAL MARKER (LIST SEPARATELY IN ADDI",,,1896.0,5619.0,4
CPT,19281,HC MG GUIDE NDL MARK PLCMT INI BI,2999.64,1799.78,509.94,7411.0,38
CPT,19281,HC MG GUIDE NDL MARK PLCMT INI LT,2999.64,1799.78,509.94,7411.0,38
CPT,19281,HC MG GUIDE NDL MARK PLCMT INI RT,2999.64,1799.78,509.94,7411.0,38
CPT,19281,HC PLACE BREAST DEVICE - 1ST LESION,2999.64,1799.78,509.94,7411.0,110
CPT,19281,"PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS), PERCUTANEOUS; FIRST LESION, INCLUDING MAMMOGRAPHIC GUIDANCE",,,1030.92,4345.0,30
CPT,19282,HC HC PLACE BREAST DEVICE - EA AD LESION,1946.07,1167.64,330.83,7411.0,39
CPT,19282,HC PERQ DEVICE PLCMT BREAST LOC EAC ADD LESION - LT,1946.07,1167.64,330.83,7411.0,32
CPT,19282,HC PERQ DEVICE PLCMT BREAST LOC EAC ADD LESION - RT,1946.07,1167.64,330.83,7411.0,32
CPT,19283,HC MG STEREO GUIDE NDL PLC INI BI,3667.77,2200.66,623.52,7411.0,38
CPT,19283,HC MG STEREO GUIDE NDL PLC INI LT,3667.77,2200.66,623.52,7411.0,38
CPT,19283,HC MG STEREO GUIDE NDL PLC INI RT,3667.77,2200.66,623.52,7411.0,38
CPT,19283,HC PLACE BREAST DEVICE - 1ST LESION W/STEREOTAC,3667.77,2200.66,623.52,7411.0,110
CPT,19284,HC PLACE BREAST DEVICE - EA AD LESION W/STEREOT,1606.74,964.04,273.15,7411.0,39
CPT,19285,HC PLACE BREAST DEVICE - 1ST  LESION W/US GUIDE,2869.41,1721.65,487.8,7411.0,110
CPT,19285,HC US GUIDE NDL MARK PLCMT INI BI,2869.41,1721.65,487.8,7411.0,38
CPT,19285,HC US GUIDE NDL MARK PLCMT INI LT,2869.41,1721.65,487.8,7411.0,38
CPT,19285,HC US GUIDE NDL MARK PLCMT INI RT,2869.41,1721.65,487.8,7411.0,38
CPT,19285,"PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS), PERCUTANEOUS; FIRST LESION, INCLUDING ULTRASOUND GUIDANCE",,,675.79,4345.0,30
CPT,19286,HC PLACE BREAST DEVICE - EA AD LESION W/US GUIDE,1785.38,1071.23,303.51,7411.0,39
CPT,19286,"PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS), PERCUTANEOUS; EACH ADDITIONAL LESION, INCLUDING ULTRASOUND GUIDANCE (LIST SEPARATELY IN ADDITION",,,1896.0,2107.0,3
CPT,19287,HC MR GUIDE NDL MARK PLCMT INI LT,3802.6,2281.56,646.44,7411.0,38
CPT,19287,HC MR GUIDE NDL MARK PLCMT INI RT,3802.6,2281.56,646.44,7411.0,38
CPT,19287,HC PERQ BREAST LOC DEVICE PLCMT 1ST LES MR GUID - BI,3802.6,2281.56,646.44,7411.0,53
CPT,19287,HC PLACE BREAST DEVICE - 1ST  LESION W/MR GUIDE,3802.63,2281.58,646.44,7411.0,150
CPT,19288,HC PLACE BREAST DEVICE - EA AD LESION W/MR GUIDE,1405.14,843.08,238.87,7411.0,39
CPT,19300,MASTECTOMY FOR GYNECOMASTIA,,,963.66,10815.49,34
CPT,19301,"MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYLECTOMY, QUADRANTECTOMY, SEGMENTECTOMY);",,,963.66,10815.49,34
CPT,19302,"MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYLECTOMY, QUADRANTECTOMY, SEGMENTECTOMY); WITH AXILLARY LYMPHADENECTOMY",,,1845.21,18697.13,34
CPT,19303,"MASTECTOMY, SIMPLE, COMPLETE",,,1845.21,18697.13,34
CPT,19307,"MASTECTOMY, MODIFIED RADICAL, INCLUDING AXILLARY LYMPH NODES, WITH OR WITHOUT PECTORALIS MINOR MUSCLE, BUT EXCLUDING PECTORALIS MAJOR MUSCLE",,,6336.91,18697.13,30
CPT,19316,MASTOPEXY,,,1845.21,18697.13,34
CPT,19318,BREAST REDUCTION,,,1845.21,18697.13,34
CPT,19325,BREAST AUGMENTATION WITH IMPLANT,,,2281.73,29043.95,34
CPT,19328,REMOVAL OF INTACT BREAST IMPLANT,,,963.66,10815.49,34
CPT,19330,"REMOVAL OF RUPTURED BREAST IMPLANT, INCLUDING IMPLANT CONTENTS (EG, SALINE, SILICONE GEL)",,,963.66,10815.49,34
CPT,19340,"INSERTION OF BREAST IMPLANT ON SAME DAY OF MASTECTOMY (IE, IMMEDIATE)",,,1845.21,18697.13,34
CPT,19342,INSERTION OR REPLACEMENT OF BREAST IMPLANT ON SEPARATE DAY FROM MASTECTOMY,,,2281.73,29043.95,34
CPT,19350,NIPPLE/AREOLA RECONSTRUCTION,,,963.66,10815.49,34
CPT,19357,"TISSUE EXPANDER PLACEMENT IN BREAST RECONSTRUCTION, INCLUDING SUBSEQUENT EXPANSION(S)",,,3879.0,49456.39,34
CPT,19361,BREAST RECONSTRUCTION; WITH LATISSIMUS DORSI FLAP,,,2546.0,8280.0,10
CPT,19370,"REVISION OF PERI-IMPLANT CAPSULE, BREAST, INCLUDING CAPSULOTOMY, CAPSULORRHAPHY, AND/OR PARTIAL CAPSULECTOMY",,,963.66,10815.49,34
CPT,19371,"PERI-IMPLANT CAPSULECTOMY, BREAST, COMPLETE, INCLUDING REMOVAL OF ALL INTRACAPSULAR CONTENTS",,,963.66,10815.49,34
CPT,19380,"REVISION OF RECONSTRUCTED BREAST (EG, SIGNIFICANT REMOVAL OF TISSUE, RE-ADVANCEMENT AND/OR RE-INSET OF FLAPS IN AUTOLOGOUS RECONSTRUCTION OR SIGNIFICANT CAPSULAR REVISION COMBINED WITH SOFT TISSUE EXC",,,1845.21,18697.13,34
CPT,19499,"HC ABLATION, 1 OR MORE BRST LSNS, RADIOFREQ (MCRWV), W/WO IMG GDNC, UNILTRL",14388.0,8632.8,3597.0,11222.64,53
CPT,19499,"HC BIOPSY, BREAST, W/WO PLACEMENT OF LOCALIZATION DEVICE(S), WHEN PERFORMED",4750.0,2850.0,1187.5,9442.65,53
CPT,19499,HC BREAST SURGERY PROCE,3524.35,2114.61,881.09,9442.65,53
CPT,19499,"UNLISTED PROCEDURE, BREAST",,,3736.62,10815.49,30
CPT,20100,EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); NECK,,,514.7,4345.0,30
CPT,20100,HC EXPLORE WOUND NECK,1975.0,1185.0,335.75,7411.0,55
CPT,20101,EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); CHEST,,,1969.05,8280.0,30
CPT,20101,HC EXPLORE WOUND CHEST,3438.99,2063.39,584.63,7411.0,55
CPT,20102,EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); ABDOMEN/FLANK/BACK,,,1969.05,8280.0,30
CPT,20102,HC EXP PENETRAT WND ABD/BACK,4883.07,2929.84,830.12,7411.0,55
CPT,20102,"HC EXPLORE WOUND, ABDOM",4883.07,2929.84,830.12,7411.0,55
CPT,20103,EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); EXTREMITY,,,257.6,4345.0,33
CPT,20103,HC EXP PENTRATE WOUND EXT,2860.06,1716.04,257.6,7411.0,55
CPT,20200,"BIOPSY, MUSCLE; SUPERFICIAL",,,486.45,4900.18,34
CPT,20205,"BIOPSY, MUSCLE; DEEP",,,815.2,8278.44,34
CPT,20205,HC DEEP MUSCLE BIOPSY,5185.1,3111.06,815.2,7411.0,55
CPT,20206,"BIOPSY, MUSCLE, PERCUTANEOUS NEEDLE",,,486.45,4900.18,66
CPT,20206,"HC NEEDLE BIOPSY, MUSCLE",3138.66,1883.2,486.45,7411.0,55
CPT,20220,"BIOPSY, BONE, TROCAR, OR NEEDLE; SUPERFICIAL (EG, ILIUM, STERNUM, SPINOUS PROCESS, RIBS)",,,486.45,4900.18,66
CPT,20220,"HC BONE BIOPSY, TROCAR/ SUPERFICIAL",3098.66,1859.2,486.45,7411.0,110
CPT,20225,"BIOPSY, BONE, TROCAR, OR NEEDLE; DEEP (EG, VERTEBRAL BODY, FEMUR)",,,486.45,4900.18,66
CPT,20225,"HC BONE BIOPSY, TROCAR/DEEP",3774.62,2264.77,486.45,7411.0,55
CPT,20240,"BIOPSY, BONE, OPEN; SUPERFICIAL (EG, STERNUM, SPINOUS PROCESS, RIB, PATELLA, OLECRANON PROCESS, CALCANEUS, TARSAL, METATARSAL, CARPAL, METACARPAL, PHALANX)",,,815.2,8278.44,34
CPT,20240,"HC BONE BIOPSY,EXCISIO",7042.0,4225.2,815.2,7411.0,110
CPT,20245,"BIOPSY, BONE, OPEN; DEEP (EG, HUMERAL SHAFT, ISCHIUM, FEMORAL SHAFT)",,,815.2,8278.44,34
CPT,20251,"BIOPSY, VERTEBRAL BODY, OPEN; LUMBAR OR CERVICAL",,,2398.52,21355.56,34
CPT,20500,HC INJECTION SINUS TRAC,1678.02,1006.81,60.63,7411.0,55
CPT,20501,HC INJECT SINUS TRACT F,1167.54,700.52,198.48,7411.0,39
CPT,20501,INJECTION OF SINUS TRACT; DIAGNOSTIC (SINOGRAM),,,1896.0,2107.0,3
CPT,20520,HC REMOVAL OF FOREIGN BODY,2843.67,1706.2,119.87,7411.0,55
CPT,20520,REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON SHEATH; SIMPLE,,,119.87,4345.0,33
CPT,20525,HC REMOVE FB MUSCLE TENDON SHEATH,5228.06,3136.84,815.2,7411.0,55
CPT,20525,REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON SHEATH; DEEP OR COMPLICATED,,,815.2,8278.44,34
CPT,20526,HC THER INJ.CARP TUNNEL,702.21,421.33,36.54,7411.0,110
CPT,20526,"INJECTION, THERAPEUTIC (EG, LOCAL ANESTHETIC, CORTICOSTEROID), CARPAL TUNNEL",,,36.54,4345.0,33
CPT,20550,HC INJECT TENDON SHEATH TRIGGER,768.23,460.94,23.54,7411.0,55
CPT,20550,HC INJECTION TENDON SHEATH/LI,768.23,460.94,23.54,7411.0,55
CPT,20550,"INJECTION(S); SINGLE TENDON SHEATH, OR LIGAMENT, APONEUROSIS (EG, PLANTAR ""FASCIA"")",,,23.54,4345.0,33
CPT,20551,HC INJ TENDON ORIGIN,718.45,431.07,24.36,7411.0,55
CPT,20551,HC INJECTION TENDON ORIGIN,718.45,431.07,24.36,7411.0,55
CPT,20552,"HC INJECTION TRIGGER POINT, 1",1040.94,624.56,23.26,7411.0,55
CPT,20552,HC TRIGGER POINT INJECTECTION 1 OR 2,1040.94,624.56,23.26,7411.0,55
CPT,20552,"INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), 1 OR 2 MUSCLE(S)",,,23.26,4345.0,66
CPT,20553,HC INJECTION TRIGGER POINT>3,1140.8,684.48,27.13,7411.0,55
CPT,20553,HC TRIGGER POINT INJECTECTION 3 OR MORE,1140.8,684.48,27.13,7411.0,55
CPT,20553,"INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), 3 OR MORE MUSCLES",,,27.13,4345.0,33
CPT,20555,HC PLACE NDL MUSC/TIS F,5854.82,3512.89,995.32,8018.48,55
CPT,20555,PLACEMENT OF NEEDLES OR CATHETERS INTO MUSCLE AND/OR SOFT TISSUE FOR SUBSEQUENT INTERSTITIAL RADIOELEMENT APPLICATION (AT THE TIME OF OR SUBSEQUENT TO THE PROCEDURE),,,2173.78,12700.0,30
CPT,20560,HC NEEDLE INSRT W/O INJECTION 1 OR 2 MUSCLES,215.6,129.36,28.19,7411.0,41
CPT,20561,HC NEEDLE INSRT W/O INJECTION 3+ MUSCLES,219.91,131.95,28.19,7411.0,41
CPT,20600,HC ARTHRO ASPR/INJECT SMJT/BRSA,1004.97,602.98,22.7,7411.0,55
CPT,20600,HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US,1004.97,602.98,22.7,7411.0,120
CPT,20600,HC ASPIR OR INJ OF JOINT SMALL,1004.97,602.98,22.7,7411.0,53
CPT,20600,"HC DRAIN/INJECT, JOINT/SMALL",1004.97,602.98,22.7,7411.0,55
CPT,20604,"HC DRAIN/INJECT SMALL JOINT/BURSA, W US GUID",1345.94,807.56,39.86,7411.0,110
CPT,20605,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US,980.89,588.53,23.54,7411.0,120
CPT,20605,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US - LT,980.89,588.53,23.54,7411.0,106
CPT,20605,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US - RT,980.89,588.53,23.54,7411.0,106
CPT,20605,HC ASPIRA/INJ OF JOINT INTERMEDIA,980.89,588.53,23.54,7411.0,53
CPT,20605,"HC DRAIN/INJECT, JOINT/INTERMEDIATE",980.89,588.53,23.54,7411.0,55
CPT,20605,HC DRAIN/INJECTECT INTMED JOINT/BURS,980.89,588.53,23.54,7411.0,55
CPT,20606,HC ASP JT INTERMED W IMG LT,1845.32,1107.19,42.36,7411.0,38
CPT,20606,"HC DRAIN/INJECT INTERMEDIATE JOINT/BURSA, W US GUID",1845.32,1107.19,42.36,7411.0,110
CPT,20610,HC ARTHR ASP INJ MJ JNT BURS,1192.29,715.37,27.96,7411.0,55
CPT,20610,HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US,1192.29,715.37,27.96,7411.0,120
CPT,20610,HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US - LT,1192.29,715.37,27.96,7411.0,38
CPT,20610,HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US - RT,1192.29,715.37,27.96,7411.0,53
CPT,20610,HC ASPIR/INJ OF MAJOR JOINT OR BURSA,1192.29,715.37,27.96,7411.0,53
CPT,20610,HC BURSA IR JT INJ MAJOR BI OR,1192.29,715.37,27.96,7411.0,40
CPT,20610,HC BURSA OR JT INJ MAJOR BI EXAM,1192.29,715.37,27.96,7411.0,40
CPT,20610,HC BURSA OR JT INJ MAJOR EXAM,1192.29,715.37,27.96,7411.0,55
CPT,20610,HC BURSA OR JT INJ MAJOR OR,1192.29,715.37,27.96,7411.0,53
CPT,20610,"HC DRAIN/INJECT, JOINT/MAJOR",1192.29,715.37,27.96,7411.0,55
CPT,20610,HC DRAIN/INJECTECT MAJOR JOINT/BURSA,1192.29,715.37,27.96,7411.0,55
CPT,20611,"ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); WITH ULTRASOUND GUIDANCE, WITH PERMANENT RECORDING AND REPORTING",,,47.34,2107.0,33
CPT,20611,HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US - RT,1872.6,1123.56,47.34,7411.0,53
CPT,20611,"HC DRAIN/INJECT LARGE JOINT/BURSA, W US GUID",1872.6,1123.56,47.34,7411.0,190
CPT,20612,HC ASP/INJECTION GANGLION CYST,721.78,433.07,30.46,7411.0,55
CPT,20615,ASPIRATION AND INJECTION FOR TREATMENT OF BONE CYST,,,111.0,3167.0,33
CPT,20650,HC INSERT/REMOVE BONE PIN,7388.94,4433.36,1088.27,8018.48,55
CPT,20650,"INSERTION OF WIRE OR PIN WITH APPLICATION OF SKELETAL TRACTION, INCLUDING REMOVAL (SEPARATE PROCEDURE)",,,1088.27,9772.7,34
CPT,20670,HC REMOVE IMPLANT SUPER,4909.67,2945.8,486.45,7411.0,55
CPT,20670,"REMOVAL OF IMPLANT; SUPERFICIAL (EG, BURIED WIRE, PIN OR ROD) (SEPARATE PROCEDURE)",,,486.45,4900.18,34
CPT,20680,HC REMOVAL IMPLANT DEEP,5083.43,3050.06,815.2,7411.0,55
CPT,20680,"REMOVAL OF IMPLANT; DEEP (EG, BURIED WIRE, PIN, SCREW, METAL BAND, NAIL, ROD OR PLATE)",,,815.2,8278.44,34
CPT,20690,"APPLICATION OF A UNIPLANE (PINS OR WIRES IN 1 PLANE), UNILATERAL, EXTERNAL FIXATION SYSTEM",,,2416.0,21355.56,34
CPT,20692,"APPLICATION OF A MULTIPLANE (PINS OR WIRES IN MORE THAN 1 PLANE), UNILATERAL, EXTERNAL FIXATION SYSTEM (EG, ILIZAROV, MONTICELLI TYPE)",,,2763.0,42485.53,34
CPT,20693,"ADJUSTMENT OR REVISION OF EXTERNAL FIXATION SYSTEM REQUIRING ANESTHESIA (EG, NEW PIN[S] OR WIRE[S] AND/OR NEW RING[S] OR BAR[S])",,,2398.52,21355.56,34
CPT,20694,"REMOVAL, UNDER ANESTHESIA, OF EXTERNAL FIXATION SYSTEM",,,593.04,4838.74,34
CPT,20700,"MANUAL PREPARATION AND INSERTION OF DRUG-DELIVERY DEVICE(S), DEEP (EG, SUBFASCIAL) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,20701,"REMOVAL OF DRUG-DELIVERY DEVICE(S), DEEP (EG, SUBFASCIAL) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,20702,"MANUAL PREPARATION AND INSERTION OF DRUG-DELIVERY DEVICE(S), INTRAMEDULLARY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,20703,"REMOVAL OF DRUG-DELIVERY DEVICE(S), INTRAMEDULLARY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,20704,"MANUAL PREPARATION AND INSERTION OF DRUG-DELIVERY DEVICE(S), INTRA-ARTICULAR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,20705,"REMOVAL OF DRUG-DELIVERY DEVICE(S), INTRA-ARTICULAR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,20822,HC REPLANTATION OF DIGIT,2585.08,1551.05,593.04,7411.0,55
CPT,20822,"REPLANTATION, DIGIT, EXCLUDING THUMB (INCLUDES DISTAL TIP TO SUBLIMIS TENDON INSERTION), COMPLETE AMPUTATION",,,593.04,7168.0,33
CPT,20900,"BONE GRAFT, ANY DONOR AREA; MINOR OR SMALL (EG, DOWEL OR BUTTON)",,,2763.0,21355.56,34
CPT,20902,"BONE GRAFT, ANY DONOR AREA; MAJOR OR LARGE",,,2398.52,21355.56,34
CPT,20910,CARTILAGE GRAFT; COSTOCHONDRAL,,,216.8,7168.0,34
CPT,20912,CARTILAGE GRAFT; NASAL SEPTUM,,,1457.62,10628.93,34
CPT,20920,FASCIA LATA GRAFT; BY STRIPPER,,,709.01,7886.0,34
CPT,20922,"FASCIA LATA GRAFT; BY INCISION AND AREA EXPOSURE, COMPLEX OR SHEET",,,709.01,7168.0,34
CPT,20924,"TENDON GRAFT, FROM A DISTANCE (EG, PALMARIS, TOE EXTENSOR, PLANTARIS)",,,3159.44,21355.56,34
CPT,20930,"ALLOGRAFT, MORSELIZED, OR PLACEMENT OF OSTEOPROMOTIVE MATERIAL, FOR SPINE SURGERY ONLY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,20931,"ALLOGRAFT, STRUCTURAL, FOR SPINE SURGERY ONLY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,20936,"AUTOGRAFT FOR SPINE SURGERY ONLY (INCLUDES HARVESTING THE GRAFT); LOCAL (EG, RIBS, SPINOUS PROCESS, OR LAMINAR FRAGMENTS) OBTAINED FROM SAME INCISION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY P",,,6497.0,7219.0,3
CPT,20937,AUTOGRAFT FOR SPINE SURGERY ONLY (INCLUDES HARVESTING THE GRAFT); MORSELIZED (THROUGH SEPARATE SKIN OR FASCIAL INCISION) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,6497.0,7219.0,3
CPT,20950,"HC FLUID PRESSURE, MUSCLE",1231.45,738.87,257.6,7411.0,55
CPT,20956,BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS; ILIAC CREST,,,4636.18,15671.95,29
CPT,20982,"ABLATION THERAPY FOR REDUCTION OR ERADICATION OF 1 OR MORE BONE TUMORS (EG, METASTASIS) INCLUDING ADJACENT SOFT TISSUE WHEN INVOLVED BY TUMOR EXTENSION, PERCUTANEOUS, INCLUDING IMAGING GUIDANCE WHEN P",,,2398.52,37869.5,33
CPT,20982,"HC ABLATE, BONE TUMOR(S",15583.89,9350.33,2398.52,37869.5,55
CPT,20983,"ABLATION THERAPY FOR REDUCTION OR ERADICATION OF 1 OR MORE BONE TUMORS (EG, METASTASIS) INCLUDING ADJACENT SOFT TISSUE WHEN INVOLVED BY TUMOR EXTENSION, PERCUTANEOUS, INCLUDING IMAGING GUIDANCE WHEN P",,,6924.82,21355.56,30
CPT,20983,"HC ABLATION BONE TUMOR, PERQ, 1+, INC IMG GUID",13160.38,7896.23,2237.26,17722.46,55
CPT,20985,"COMPUTER-ASSISTED SURGICAL NAVIGATIONAL PROCEDURE FOR MUSCULOSKELETAL PROCEDURES, IMAGE-LESS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,20999,"HC ABLATION, 1/MORE SFT TSSE LSNS, RADFREQ (MCRWVE), W/WO IMG GDNC, UNILTRL",14388.0,8632.8,235.4,11222.64,53
CPT,20999,"HC ABLATION, PERCUTANEOUS, CRYOABLATION, INCLUDES IMAGING GUIDANCE(FAVA)",3595.04,2157.02,235.4,7411.0,53
CPT,20999,"HC INJECTION, THERAPEUTIC, RADIAL TUNNEL",613.2,367.92,153.3,7411.0,53
CPT,20999,HC IR CT GUIDED TISSUE ABLATION,9952.97,5971.78,235.4,8280.0,51
CPT,20999,HC MUSCULOSKELETAL SURG,4490.04,2694.02,235.4,7411.0,53
CPT,20999,HC TENDON FENESTRATION,590.11,354.07,147.53,8280.0,51
CPT,20999,"UNLISTED PROCEDURE, MUSCULOSKELETAL SYSTEM, GENERAL",,,235.4,8280.0,30
CPT,21010,"ARTHROTOMY, TEMPOROMANDIBULAR JOINT",,,886.62,9350.87,34
CPT,21011,"EXCISION, TUMOR, SOFT TISSUE OF FACE OR SCALP, SUBCUTANEOUS; LESS THAN 2 CM",,,111.0,4016.35,33
CPT,21012,"EXCISION, TUMOR, SOFT TISSUE OF FACE OR SCALP, SUBCUTANEOUS; 2 CM OR GREATER",,,486.45,4779.0,33
CPT,21013,"EXCISION, TUMOR, SOFT TISSUE OF FACE AND SCALP, SUBFASCIAL (EG, SUBGALEAL, INTRAMUSCULAR); LESS THAN 2 CM",,,266.88,4779.0,33
CPT,21014,"EXCISION, TUMOR, SOFT TISSUE OF FACE AND SCALP, SUBFASCIAL (EG, SUBGALEAL, INTRAMUSCULAR); 2 CM OR GREATER",,,815.2,7039.11,33
CPT,21015,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF FACE OR SCALP; LESS THAN 2 CM",,,815.2,8278.44,34
CPT,21016,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF FACE OR SCALP; 2 CM OR GREATER",,,815.2,12700.0,33
CPT,21025,"EXCISION OF BONE (EG, FOR OSTEOMYELITIS OR BONE ABSCESS); MANDIBLE",,,1954.22,17316.39,34
CPT,21026,"EXCISION OF BONE (EG, FOR OSTEOMYELITIS OR BONE ABSCESS); FACIAL BONE(S)",,,1954.22,17316.39,34
CPT,21029,"REMOVAL BY CONTOURING OF BENIGN TUMOR OF FACIAL BONE (EG, FIBROUS DYSPLASIA)",,,886.62,9350.87,34
CPT,21030,EXCISION OF BENIGN TUMOR OR CYST OF MAXILLA OR ZYGOMA BY ENUCLEATION AND CURETTAGE,,,231.72,14507.25,33
CPT,21031,EXCISION OF TORUS MANDIBULARIS,,,217.05,8280.0,33
CPT,21032,EXCISION OF MAXILLARY TORUS PALATINUS,,,204.87,8280.0,33
CPT,21034,EXCISION OF MALIGNANT TUMOR OF MAXILLA OR ZYGOMA,,,1954.22,17316.39,34
CPT,21040,"EXCISION OF BENIGN TUMOR OR CYST OF MANDIBLE, BY ENUCLEATION AND/OR CURETTAGE",,,886.62,9350.87,34
CPT,21044,EXCISION OF MALIGNANT TUMOR OF MANDIBLE;,,,1954.22,17316.39,34
CPT,21045,EXCISION OF MALIGNANT TUMOR OF MANDIBLE; RADICAL RESECTION,,,2139.02,12785.64,29
CPT,21046,"EXCISION OF BENIGN TUMOR OR CYST OF MANDIBLE; REQUIRING INTRA-ORAL OSTEOTOMY (EG, LOCALLY AGGRESSIVE OR DESTRUCTIVE LESION[S])",,,1954.22,17316.39,34
CPT,21047,"EXCISION OF BENIGN TUMOR OR CYST OF MANDIBLE; REQUIRING EXTRA-ORAL OSTEOTOMY AND PARTIAL MANDIBULECTOMY (EG, LOCALLY AGGRESSIVE OR DESTRUCTIVE LESION[S])",,,1954.22,17316.39,34
CPT,21048,"EXCISION OF BENIGN TUMOR OR CYST OF MAXILLA; REQUIRING INTRA-ORAL OSTEOTOMY (EG, LOCALLY AGGRESSIVE OR DESTRUCTIVE LESION[S])",,,1954.22,14507.25,33
CPT,21050,"CONDYLECTOMY, TEMPOROMANDIBULAR JOINT (SEPARATE PROCEDURE)",,,1954.22,17316.39,34
CPT,21060,"HC ED ONLY TMJ,MENISECTOMY,PARTIAL/COMPLETE",8708.3,5224.98,1954.22,14507.25,55
CPT,21070,CORONOIDECTOMY (SEPARATE PROCEDURE),,,1954.22,17316.39,34
CPT,21073,"MANIPULATION OF TEMPOROMANDIBULAR JOINT(S) (TMJ), THERAPEUTIC, REQUIRING AN ANESTHESIA SERVICE (IE, GENERAL OR MONITORED ANESTHESIA CARE)",,,111.0,3777.93,33
CPT,21079,HC PREPARE FACE/ORAL PR,4672.51,2803.51,504.98,7975.81,55
CPT,21082,HC PALATAL AUGMENTATION PROSTH,5191.68,3115.01,519.92,7975.81,41
CPT,21083,HC PALATAL LIFT PROSTH,4049.51,2429.71,688.42,7975.81,41
CPT,21084,HC IMPRESS/PREP SPEECH AID PROSTH,4515.2,2709.12,767.58,7975.81,41
CPT,21084,HC PREPARE FACE/ORAL PR,4515.2,2709.12,767.58,7975.81,55
CPT,21085,IMPRESSION AND CUSTOM PREPARATION; ORAL SURGICAL SPLINT,,,87.58,8280.0,33
CPT,21088,IMPRESSION AND CUSTOM PREPARATION; FACIAL PROSTHESIS,,,1783.05,8568.0,30
CPT,21089,HC ORAL APPLIANCE FITTING AND/OR REMOVAL,2679.06,1607.44,226.03,7411.0,53
CPT,21110,"APPLICATION OF INTERDENTAL FIXATION DEVICE FOR CONDITIONS OTHER THAN FRACTURE OR DISLOCATION, INCLUDES REMOVAL",,,420.64,4345.0,33
CPT,21110,"HC INTERDENTAL FIXATION/NON-FRACTURE,W/REMOVAL",5515.05,3309.03,420.64,7411.0,55
CPT,21116,"HC INJECTION,TMJ FOR ARTHROGRAPHY",381.77,229.06,64.9,7411.0,34
CPT,21120,"GENIOPLASTY; AUGMENTATION (AUTOGRAFT, ALLOGRAFT, PROSTHETIC MATERIAL)",,,4302.0,17316.39,31
CPT,21121,"GENIOPLASTY; SLIDING OSTEOTOMY, SINGLE PIECE",,,886.62,10495.0,34
CPT,21122,"GENIOPLASTY; SLIDING OSTEOTOMIES, 2 OR MORE OSTEOTOMIES (EG, WEDGE EXCISION OR BONE WEDGE REVERSAL FOR ASYMMETRICAL CHIN)",,,1954.22,17316.39,34
CPT,21123,"GENIOPLASTY; SLIDING, AUGMENTATION WITH INTERPOSITIONAL BONE GRAFTS (INCLUDES OBTAINING AUTOGRAFTS)",,,886.62,10495.0,34
CPT,21125,HC AUGMENTATION LOWER JAW,5191.68,3115.01,1869.0,14507.25,41
CPT,21141,"RECONSTRUCTION MIDFACE, LEFORT I; SINGLE PIECE, SEGMENT MOVEMENT IN ANY DIRECTION (EG, FOR LONG FACE SYNDROME), WITHOUT BONE GRAFT",,,2403.35,14507.25,30
CPT,21142,"RECONSTRUCTION MIDFACE, LEFORT I; 2 PIECES, SEGMENT MOVEMENT IN ANY DIRECTION, WITHOUT BONE GRAFT",,,2470.36,14507.25,30
CPT,21143,"RECONSTRUCTION MIDFACE, LEFORT I; 3 OR MORE PIECES, SEGMENT MOVEMENT IN ANY DIRECTION, WITHOUT BONE GRAFT",,,2577.54,14507.25,30
CPT,21145,"RECONSTRUCTION MIDFACE, LEFORT I; SINGLE PIECE, SEGMENT MOVEMENT IN ANY DIRECTION, REQUIRING BONE GRAFTS (INCLUDES OBTAINING AUTOGRAFTS)",,,2816.3,12785.64,29
CPT,21146,"RECONSTRUCTION MIDFACE, LEFORT I; 2 PIECES, SEGMENT MOVEMENT IN ANY DIRECTION, REQUIRING BONE GRAFTS (INCLUDES OBTAINING AUTOGRAFTS) (EG, UNGRAFTED UNILATERAL ALVEOLAR CLEFT)",,,2928.36,12785.64,29
CPT,21147,"RECONSTRUCTION MIDFACE, LEFORT I; 3 OR MORE PIECES, SEGMENT MOVEMENT IN ANY DIRECTION, REQUIRING BONE GRAFTS (INCLUDES OBTAINING AUTOGRAFTS) (EG, UNGRAFTED BILATERAL ALVEOLAR CLEFT OR MULTIPLE OSTEOTO",,,3096.47,12785.64,29
CPT,21172,"RECONSTRUCTION SUPERIOR-LATERAL ORBITAL RIM AND LOWER FOREHEAD, ADVANCEMENT OR ALTERATION, WITH OR WITHOUT GRAFTS (INCLUDES OBTAINING AUTOGRAFTS)",,,5649.47,17316.39,30
CPT,21181,"RECONSTRUCTION BY CONTOURING OF BENIGN TUMOR OF CRANIAL BONES (EG, FIBROUS DYSPLASIA), EXTRACRANIAL",,,1954.22,17316.39,34
CPT,21193,"RECONSTRUCTION OF MANDIBULAR RAMI, HORIZONTAL, VERTICAL, C, OR L OSTEOTOMY; WITHOUT BONE GRAFT",,,5649.47,17316.39,30
CPT,21194,"RECONSTRUCTION OF MANDIBULAR RAMI, HORIZONTAL, VERTICAL, C, OR L OSTEOTOMY; WITH BONE GRAFT (INCLUDES OBTAINING GRAFT)",,,2581.81,14507.25,30
CPT,21196,"RECONSTRUCTION OF MANDIBULAR RAMI AND/OR BODY, SAGITTAL SPLIT; WITH INTERNAL RIGID FIXATION",,,2569.02,14507.25,30
CPT,21198,"OSTEOTOMY, MANDIBLE, SEGMENTAL;",,,1954.22,17316.39,33
CPT,21199,"OSTEOTOMY, MANDIBLE, SEGMENTAL; WITH GENIOGLOSSUS ADVANCEMENT",,,2552.5,17316.39,33
CPT,21206,"OSTEOTOMY, MAXILLA, SEGMENTAL (EG, WASSMUND OR SCHUCHARD)",,,1954.22,17316.39,34
CPT,21208,"OSTEOPLASTY, FACIAL BONES; AUGMENTATION (AUTOGRAFT, ALLOGRAFT, OR PROSTHETIC IMPLANT)",,,2706.07,17316.39,34
CPT,21209,"OSTEOPLASTY, FACIAL BONES; REDUCTION",,,1954.22,17316.39,34
CPT,21210,"GRAFT, BONE; NASAL, MAXILLARY OR MALAR AREAS (INCLUDES OBTAINING GRAFT)",,,1954.22,17316.39,34
CPT,21215,"GRAFT, BONE; MANDIBLE (INCLUDES OBTAINING GRAFT)",,,2788.09,17316.39,34
CPT,21230,"GRAFT; RIB CARTILAGE, AUTOGENOUS, TO FACE, CHIN, NOSE OR EAR (INCLUDES OBTAINING GRAFT)",,,1954.22,17316.39,34
CPT,21235,"GRAFT; EAR CARTILAGE, AUTOGENOUS, TO NOSE OR EAR (INCLUDES OBTAINING GRAFT)",,,1954.22,17316.39,34
CPT,21240,"ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH OR WITHOUT AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,1954.22,17316.39,34
CPT,21242,"ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH ALLOGRAFT",,,1954.22,17316.39,34
CPT,21243,"ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH PROSTHETIC JOINT REPLACEMENT",,,3879.0,58603.99,34
CPT,21244,"RECONSTRUCTION OF MANDIBLE, EXTRAORAL, WITH TRANSOSTEAL BONE PLATE (EG, MANDIBULAR STAPLE BONE PLATE)",,,2688.18,17316.39,34
CPT,21245,"RECONSTRUCTION OF MANDIBLE OR MAXILLA, SUBPERIOSTEAL IMPLANT; PARTIAL",,,2544.14,17316.39,34
CPT,21246,"RECONSTRUCTION OF MANDIBLE OR MAXILLA, SUBPERIOSTEAL IMPLANT; COMPLETE",,,1954.22,17316.39,34
CPT,21248,"RECONSTRUCTION OF MANDIBLE OR MAXILLA, ENDOSTEAL IMPLANT (EG, BLADE, CYLINDER); PARTIAL",,,5384.0,17316.39,31
CPT,21249,"RECONSTRUCTION OF MANDIBLE OR MAXILLA, ENDOSTEAL IMPLANT (EG, BLADE, CYLINDER); COMPLETE",,,5384.0,17316.39,31
CPT,21255,RECONSTRUCTION OF ZYGOMATIC ARCH AND GLENOID FOSSA WITH BONE AND CARTILAGE (INCLUDES OBTAINING AUTOGRAFTS),,,2477.66,14507.25,30
CPT,21256,"RECONSTRUCTION OF ORBIT WITH OSTEOTOMIES (EXTRACRANIAL) AND WITH BONE GRAFTS (INCLUDES OBTAINING AUTOGRAFTS) (EG, MICRO-OPHTHALMIA)",,,5649.47,17316.39,30
CPT,21268,"ORBITAL REPOSITIONING, PERIORBITAL OSTEOTOMIES, UNILATERAL, WITH BONE GRAFTS; COMBINED INTRA- AND EXTRACRANIAL APPROACH",,,3587.97,12785.64,29
CPT,21270,"MALAR AUGMENTATION, PROSTHETIC MATERIAL",,,1954.22,17316.39,34
CPT,21280,MEDIAL CANTHOPEXY (SEPARATE PROCEDURE),,,886.62,9350.87,34
CPT,21282,LATERAL CANTHOPEXY,,,886.62,9350.87,34
CPT,21299,"HC STYLOIDECTOMY, FACIAL BONE (E.G. TEMPORAL, ETC.)",10482.55,6289.53,226.03,8176.39,53
CPT,21299,UNLISTED CRANIOFACIAL AND MAXILLOFACIAL PROCEDURE,,,226.03,8280.0,30
CPT,21315,CLOSED TREATMENT OF NASAL BONE FRACTURE WITH MANIPULATION; WITHOUT STABILIZATION,,,420.64,4817.14,33
CPT,21315,HC CL TREATMENT NOSE FRACTURE W/O MANIP,4721.91,2833.15,420.64,7411.0,55
CPT,21320,CLOSED TREATMENT OF NASAL BONE FRACTURE WITH MANIPULATION; WITH STABILIZATION,,,886.62,9350.87,34
CPT,21320,HC TREAT NOSE FRACTURE,6130.29,3678.17,886.62,7975.81,55
CPT,21335,OPEN TREATMENT OF NASAL FRACTURE; WITH CONCOMITANT OPEN TREATMENT OF FRACTURED SEPTUM,,,886.62,10495.0,34
CPT,21336,"OPEN TREATMENT OF NASAL SEPTAL FRACTURE, WITH OR WITHOUT STABILIZATION",,,1088.27,9772.7,34
CPT,21337,"CLOSED TREATMENT OF NASAL SEPTAL FRACTURE, WITH OR WITHOUT STABILIZATION",,,886.62,9350.87,34
CPT,21337,HC TREAT NASAL SEPTAL,5901.62,3540.97,886.62,7975.81,55
CPT,21339,OPEN TREATMENT OF NASOETHMOID FRACTURE; WITH EXTERNAL FIXATION,,,1954.22,17316.39,34
CPT,21343,OPEN TREATMENT OF DEPRESSED FRONTAL SINUS FRACTURE,,,1877.13,12785.64,29
CPT,21344,"OPEN TREATMENT OF COMPLICATED (EG, COMMINUTED OR INVOLVING POSTERIOR WALL) FRONTAL SINUS FRACTURE, VIA CORONAL OR MULTIPLE APPROACHES",,,2415.53,12785.64,29
CPT,21347,OPEN TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE (LEFORT II TYPE); REQUIRING MULTIPLE OPEN APPROACHES,,,1768.11,14507.25,30
CPT,21355,"PERCUTANEOUS TREATMENT OF FRACTURE OF MALAR AREA, INCLUDING ZYGOMATIC ARCH AND MALAR TRIPOD, WITH MANIPULATION",,,886.62,9350.87,34
CPT,21356,"OPEN TREATMENT OF DEPRESSED ZYGOMATIC ARCH FRACTURE (EG, GILLIES APPROACH)",,,1954.22,17316.39,34
CPT,21360,"OPEN TREATMENT OF DEPRESSED MALAR FRACTURE, INCLUDING ZYGOMATIC ARCH AND MALAR TRIPOD",,,1954.22,17316.39,33
CPT,21365,"OPEN TREATMENT OF COMPLICATED (EG, COMMINUTED OR INVOLVING CRANIAL NERVE FORAMINA) FRACTURE(S) OF MALAR AREA, INCLUDING ZYGOMATIC ARCH AND MALAR TRIPOD; WITH INTERNAL FIXATION AND MULTIPLE SURGICAL AP",,,5649.47,17316.39,30
CPT,21366,"OPEN TREATMENT OF COMPLICATED (EG, COMMINUTED OR INVOLVING CRANIAL NERVE FORAMINA) FRACTURE(S) OF MALAR AREA, INCLUDING ZYGOMATIC ARCH AND MALAR TRIPOD; WITH BONE GRAFTING (INCLUDES OBTAINING GRAFT)",,,2228.55,14507.25,30
CPT,21385,OPEN TREATMENT OF ORBITAL FLOOR BLOWOUT FRACTURE; TRANSANTRAL APPROACH (CALDWELL-LUC TYPE OPERATION),,,5649.47,17316.39,30
CPT,21386,OPEN TREATMENT OF ORBITAL FLOOR BLOWOUT FRACTURE; PERIORBITAL APPROACH,,,5649.47,17316.39,30
CPT,21390,"OPEN TREATMENT OF ORBITAL FLOOR BLOWOUT FRACTURE; PERIORBITAL APPROACH, WITH ALLOPLASTIC OR OTHER IMPLANT",,,1954.22,17316.39,33
CPT,21395,OPEN TREATMENT OF ORBITAL FLOOR BLOWOUT FRACTURE; PERIORBITAL APPROACH WITH BONE GRAFT (INCLUDES OBTAINING GRAFT),,,5649.47,17316.39,30
CPT,21407,"OPEN TREATMENT OF FRACTURE OF ORBIT, EXCEPT BLOWOUT; WITH IMPLANT",,,1954.22,17316.39,33
CPT,21408,"OPEN TREATMENT OF FRACTURE OF ORBIT, EXCEPT BLOWOUT; WITH BONE GRAFTING (INCLUDES OBTAINING GRAFT)",,,5649.47,17316.39,30
CPT,21421,"CLOSED TREATMENT OF PALATAL OR MAXILLARY FRACTURE (LEFORT I TYPE), WITH INTERDENTAL WIRE FIXATION OR FIXATION OF DENTURE OR SPLINT",,,886.62,9350.87,34
CPT,21421,HC TREAT MOUTH ROOF FRACTURE,7295.4,4377.24,886.62,7975.81,55
CPT,21422,OPEN TREATMENT OF PALATAL OR MAXILLARY FRACTURE (LEFORT I TYPE);,,,1155.39,14507.25,30
CPT,21423,"OPEN TREATMENT OF PALATAL OR MAXILLARY FRACTURE (LEFORT I TYPE); COMPLICATED (COMMINUTED OR INVOLVING CRANIAL NERVE FORAMINA), MULTIPLE APPROACHES",,,1353.34,12785.64,29
CPT,21440,HC ALVEOLAR RIDGE FRACTURE-CLOSED TR,8019.87,4811.92,468.98,7975.81,55
CPT,21445,OPEN TREATMENT OF MANDIBULAR OR MAXILLARY ALVEOLAR RIDGE FRACTURE (SEPARATE PROCEDURE),,,2582.38,17316.39,34
CPT,21450,CLOSED TREATMENT OF MANDIBULAR FRACTURE; WITHOUT MANIPULATION,,,250.84,7168.0,33
CPT,21451,HC TREAT LOWER JAW FRAC,6413.0,3847.8,420.64,7411.0,55
CPT,21453,CLOSED TREATMENT OF MANDIBULAR FRACTURE WITH INTERDENTAL FIXATION,,,1954.22,17316.39,34
CPT,21453,HC TREAT LOWER JAW FRACTURE,9679.15,5807.49,1954.22,14507.25,55
CPT,21461,OPEN TREATMENT OF MANDIBULAR FRACTURE; WITHOUT INTERDENTAL FIXATION,,,2640.42,17316.39,34
CPT,21462,OPEN TREATMENT OF MANDIBULAR FRACTURE; WITH INTERDENTAL FIXATION,,,2790.94,17316.39,34
CPT,21465,OPEN TREATMENT OF MANDIBULAR CONDYLAR FRACTURE,,,2620.26,17316.39,34
CPT,21470,"OPEN TREATMENT OF COMPLICATED MANDIBULAR FRACTURE BY MULTIPLE SURGICAL APPROACHES INCLUDING INTERNAL FIXATION, INTERDENTAL FIXATION, AND/OR WIRING OF DENTURES OR SPLINTS",,,5649.47,17316.39,30
CPT,21480,HC RESET DISLOCATED JAW,854.0,512.4,85.32,7411.0,110
CPT,21485,HC TREAT RESET DISLOCATED JAW,5742.23,3445.34,420.64,7411.0,55
CPT,21490,"HC TEMPOROMANDIBULAR DISLOCATION, OPEN REDUCT",4391.86,2635.12,886.62,7975.81,55
CPT,21497,HC INTERDENTAL WIRING,5402.8,3241.68,420.64,7411.0,55
CPT,21499,"UNLISTED MUSCULOSKELETAL PROCEDURE, HEAD",,,226.03,8280.0,30
CPT,21501,HC DRAIN NECK/CHEST LES,4545.12,2727.07,815.2,7411.0,110
CPT,21501,"INCISION AND DRAINAGE, DEEP ABSCESS OR HEMATOMA, SOFT TISSUES OF NECK OR THORAX;",,,815.2,8278.44,34
CPT,21510,"INCISION, DEEP, WITH OPENING OF BONE CORTEX (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), THORAX",,,775.95,8568.0,29
CPT,21550,"BIOPSY, SOFT TISSUE OF NECK OR THORAX",,,486.45,4900.18,33
CPT,21550,HC BIOPSY OF NECK/CHEST,4720.07,2832.04,486.45,7411.0,55
CPT,21552,"EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBCUTANEOUS; 3 CM OR GREATER",,,815.2,12700.0,33
CPT,21554,"EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,815.2,12700.0,33
CPT,21555,"EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBCUTANEOUS; LESS THAN 3 CM",,,486.45,4900.18,34
CPT,21556,"EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,815.2,8278.44,34
CPT,21557,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF NECK OR ANTERIOR THORAX; LESS THAN 5 CM",,,815.2,8280.0,33
CPT,21558,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF NECK OR ANTERIOR THORAX; 5 CM OR GREATER",,,815.2,12700.0,33
CPT,21600,"EXCISION OF RIB, PARTIAL",,,2398.52,21355.56,34
CPT,21601,EXCISION OF CHEST WALL TUMOR INCLUDING RIB(S),,,2772.05,8280.0,30
CPT,21615,EXCISION FIRST AND/OR CERVICAL RIB;,,,1070.73,15671.95,29
CPT,21620,"OSTECTOMY OF STERNUM, PARTIAL",,,884.36,8568.0,29
CPT,21627,STERNAL DEBRIDEMENT,,,943.44,10140.0,29
CPT,21630,RADICAL RESECTION OF STERNUM,,,2157.91,15671.95,29
CPT,21700,HC SCALENUS ANTICUS RESECTION,5163.58,3098.15,1807.25,17722.46,55
CPT,21750,CLOSURE OF MEDIAN STERNOTOMY SEPARATION WITH OR WITHOUT DEBRIDEMENT (SEPARATE PROCEDURE),,,1200.46,15671.95,29
CPT,21899,HC EXCISION OF EXOSTOSIS; RIB(S),4068.52,2441.11,226.03,7411.0,53
CPT,21899,HC NECK/CHEST SURGERY P,5642.64,3385.58,226.03,7411.0,53
CPT,21899,"UNLISTED PROCEDURE, NECK OR THORAX",,,226.03,8280.0,30
CPT,21925,"BIOPSY, SOFT TISSUE OF BACK OR FLANK; DEEP",,,486.45,4900.18,34
CPT,21930,"EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBCUTANEOUS; LESS THAN 3 CM",,,486.45,4900.18,34
CPT,21931,"EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBCUTANEOUS; 3 CM OR GREATER",,,486.45,12700.0,33
CPT,21932,"EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,815.2,10495.0,33
CPT,21933,"EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,815.2,12700.0,33
CPT,21936,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF BACK OR FLANK; 5 CM OR GREATER",,,815.2,12700.0,33
CPT,22010,"INCISION AND DRAINAGE, OPEN, OF DEEP ABSCESS (SUBFASCIAL), POSTERIOR SPINE; CERVICAL, THORACIC, OR CERVICOTHORACIC",,,1688.92,15671.95,29
CPT,22015,"INCISION AND DRAINAGE, OPEN, OF DEEP ABSCESS (SUBFASCIAL), POSTERIOR SPINE; LUMBAR, SACRAL, OR LUMBOSACRAL",,,1668.82,15671.95,29
CPT,22100,"PARTIAL EXCISION OF POSTERIOR VERTEBRAL COMPONENT (EG, SPINOUS PROCESS, LAMINA OR FACET) FOR INTRINSIC BONY LESION, SINGLE VERTEBRAL SEGMENT; CERVICAL",,,6924.82,21355.56,30
CPT,22103,"PARTIAL EXCISION OF POSTERIOR VERTEBRAL COMPONENT (EG, SPINOUS PROCESS, LAMINA OR FACET) FOR INTRINSIC BONY LESION, SINGLE VERTEBRAL SEGMENT; EACH ADDITIONAL SEGMENT (LIST SEPARATELY IN ADDITION TO CO",,,1896.0,12700.0,5
CPT,22110,"PARTIAL EXCISION OF VERTEBRAL BODY, FOR INTRINSIC BONY LESION, WITHOUT DECOMPRESSION OF SPINAL CORD OR NERVE ROOT(S), SINGLE VERTEBRAL SEGMENT; CERVICAL",,,1844.84,15671.95,29
CPT,22112,"PARTIAL EXCISION OF VERTEBRAL BODY, FOR INTRINSIC BONY LESION, WITHOUT DECOMPRESSION OF SPINAL CORD OR NERVE ROOT(S), SINGLE VERTEBRAL SEGMENT; THORACIC",,,1952.03,15671.95,29
CPT,22116,"PARTIAL EXCISION OF VERTEBRAL BODY, FOR INTRINSIC BONY LESION, WITHOUT DECOMPRESSION OF SPINAL CORD OR NERVE ROOT(S), SINGLE VERTEBRAL SEGMENT; EACH ADDITIONAL VERTEBRAL SEGMENT (LIST SEPARATELY IN AD",,,250.93,8280.0,10
CPT,22214,"OSTEOTOMY OF SPINE, POSTERIOR OR POSTEROLATERAL APPROACH, 1 VERTEBRAL SEGMENT; LUMBAR",,,2643.33,15671.95,29
CPT,22220,"OSTEOTOMY OF SPINE, INCLUDING DISCECTOMY, ANTERIOR APPROACH, SINGLE VERTEBRAL SEGMENT; CERVICAL",,,2865.02,15671.95,29
CPT,22315,HC VERTEBRAL BODY FX/CLOSED TREATMENT,5163.58,3098.15,1088.27,8018.48,55
CPT,22318,"OPEN TREATMENT AND/OR REDUCTION OF ODONTOID FRACTURE(S) AND OR DISLOCATION(S) (INCLUDING OS ODONTOIDEUM), ANTERIOR APPROACH, INCLUDING PLACEMENT OF INTERNAL FIXATION; WITHOUT GRAFTING",,,2902.17,27728.96,29
CPT,22510,"HC INJECT VERTEBRAL BODY, THORACIC, IMG GUIDE",7060.56,4236.34,1088.27,8018.48,55
CPT,22510,"HC PERCUT VERTEBROPLAST,THORACIC",7060.56,4236.34,1088.27,8018.48,55
CPT,22510,"PERCUTANEOUS VERTEBROPLASTY (BONE BIOPSY INCLUDED WHEN PERFORMED), 1 VERTEBRAL BODY, UNILATERAL OR BILATERAL INJECTION, INCLUSIVE OF ALL IMAGING GUIDANCE; CERVICOTHORACIC",,,1088.27,12700.0,33
CPT,22511,"HC INJECT VERTEBRAL BODY, LUMBAR, IMG GUIDE",8019.23,4811.54,1088.27,8018.48,55
CPT,22511,"HC PERCUT VERTEBROPLAST,LUMBAR",8019.23,4811.54,1088.27,8018.48,55
CPT,22511,"PERCUTANEOUS VERTEBROPLASTY (BONE BIOPSY INCLUDED WHEN PERFORMED), 1 VERTEBRAL BODY, UNILATERAL OR BILATERAL INJECTION, INCLUSIVE OF ALL IMAGING GUIDANCE; LUMBOSACRAL",,,1088.27,12700.0,33
CPT,22512,"HC INJ VERTEBRAL BODY,IMG GUIDE, EA ADD",4542.6,2725.56,772.24,7411.0,39
CPT,22512,HC PERCUT VERTEBROPLASTY,4542.6,2725.56,772.24,7411.0,39
CPT,22512,"PERCUTANEOUS VERTEBROPLASTY (BONE BIOPSY INCLUDED WHEN PERFORMED), 1 VERTEBRAL BODY, UNILATERAL OR BILATERAL INJECTION, INCLUSIVE OF ALL IMAGING GUIDANCE; EACH ADDITIONAL CERVICOTHORACIC OR LUMBOSACRA",,,1896.0,12700.0,5
CPT,22513,HC PERC KYPHOPLASTY TH,19277.21,11566.33,2398.52,17722.46,55
CPT,22513,"HC PERC VERTEB AUG/KYPHOPLAST, IMG, THOR",19277.21,11566.33,2398.52,17722.46,55
CPT,22513,"PERCUTANEOUS VERTEBRAL AUGMENTATION, INCLUDING CAVITY CREATION (FRACTURE REDUCTION AND BONE BIOPSY INCLUDED WHEN PERFORMED) USING MECHANICAL DEVICE (EG, KYPHOPLASTY), 1 VERTEBRAL BODY, UNILATERAL OR B",,,2398.52,21355.56,66
CPT,22514,"HC PERC KYPHOPLASTY, LU",17384.64,10430.78,2398.52,17722.46,55
CPT,22514,"HC PERC VERTEB AUG/KYPHOPLAST, IMG, LUMBAR",17384.64,10430.78,2398.52,17722.46,55
CPT,22514,"PERCUTANEOUS VERTEBRAL AUGMENTATION, INCLUDING CAVITY CREATION (FRACTURE REDUCTION AND BONE BIOPSY INCLUDED WHEN PERFORMED) USING MECHANICAL DEVICE (EG, KYPHOPLASTY), 1 VERTEBRAL BODY, UNILATERAL OR B",,,2398.52,21355.56,66
CPT,22515,"HC PERC KYPHOPLASTY, AD",12855.9,7713.54,2185.5,10927.51,39
CPT,22515,"HC PERC KYPHOPLASTY, ADD",12855.9,7713.54,2185.5,10927.51,39
CPT,22515,"PERCUTANEOUS VERTEBRAL AUGMENTATION, INCLUDING CAVITY CREATION (FRACTURE REDUCTION AND BONE BIOPSY INCLUDED WHEN PERFORMED) USING MECHANICAL DEVICE (EG, KYPHOPLASTY), 1 VERTEBRAL BODY, UNILATERAL OR B",,,1896.0,8280.0,10
CPT,22551,"ARTHRODESIS, ANTERIOR INTERBODY, INCLUDING DISC SPACE PREPARATION, DISCECTOMY, OSTEOPHYTECTOMY AND DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOTS; CERVICAL BELOW C2",,,6994.58,42485.53,35
CPT,22552,"ARTHRODESIS, ANTERIOR INTERBODY, INCLUDING DISC SPACE PREPARATION, DISCECTOMY, OSTEOPHYTECTOMY AND DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOTS; CERVICAL BELOW C2, EACH ADDITIONAL INTERSPACE (LIST ",,,7711.0,8568.0,3
CPT,22554,"ARTHRODESIS, ANTERIOR INTERBODY TECHNIQUE, INCLUDING MINIMAL DISCECTOMY TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION); CERVICAL BELOW C2",,,6951.48,42485.53,35
CPT,22600,"ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE INTERSPACE; CERVICAL BELOW C2 SEGMENT",,,2282.77,37869.5,31
CPT,22612,"ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE INTERSPACE; LUMBAR (WITH LATERAL TRANSVERSE TECHNIQUE, WHEN PERFORMED)",,,7038.0,46166.33,35
CPT,22614,"ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE INTERSPACE; EACH ADDITIONAL INTERSPACE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,22630,"ARTHRODESIS, POSTERIOR INTERBODY TECHNIQUE, INCLUDING LAMINECTOMY AND/OR DISCECTOMY TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION), SINGLE INTERSPACE, LUMBAR;",,,2789.5,58603.99,32
CPT,22632,"ARTHRODESIS, POSTERIOR INTERBODY TECHNIQUE, INCLUDING LAMINECTOMY AND/OR DISCECTOMY TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION), SINGLE INTERSPACE, LUMBAR; EACH ADDITIONAL INTERSPACE (LIST SE",,,572.52,8280.0,10
CPT,22633,"ARTHRODESIS, COMBINED POSTERIOR OR POSTEROLATERAL TECHNIQUE WITH POSTERIOR INTERBODY TECHNIQUE INCLUDING LAMINECTOMY AND/OR DISCECTOMY SUFFICIENT TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION), ",,,7038.0,58603.99,32
CPT,22634,"ARTHRODESIS, COMBINED POSTERIOR OR POSTEROLATERAL TECHNIQUE WITH POSTERIOR INTERBODY TECHNIQUE INCLUDING LAMINECTOMY AND/OR DISCECTOMY SUFFICIENT TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION), ",,,1896.0,2107.0,3
CPT,22830,EXPLORATION OF SPINAL FUSION,,,1438.6,15671.95,29
CPT,22840,"POSTERIOR NON-SEGMENTAL INSTRUMENTATION (EG, HARRINGTON ROD TECHNIQUE, PEDICLE FIXATION ACROSS 1 INTERSPACE, ATLANTOAXIAL TRANSARTICULAR SCREW FIXATION, SUBLAMINAR WIRING AT C1, FACET SCREW FIXATION) ",,,1896.0,2107.0,3
CPT,22842,"POSTERIOR SEGMENTAL INSTRUMENTATION (EG, PEDICLE FIXATION, DUAL RODS WITH MULTIPLE HOOKS AND SUBLAMINAR WIRES); 3 TO 6 VERTEBRAL SEGMENTS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,22845,ANTERIOR INSTRUMENTATION; 2 TO 3 VERTEBRAL SEGMENTS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,9126.0,10140.0,3
CPT,22846,ANTERIOR INSTRUMENTATION; 4 TO 7 VERTEBRAL SEGMENTS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,1349.08,10140.0,10
CPT,22850,"REMOVAL OF POSTERIOR NONSEGMENTAL INSTRUMENTATION (EG, HARRINGTON ROD)",,,1281.46,15671.95,29
CPT,22852,REMOVAL OF POSTERIOR SEGMENTAL INSTRUMENTATION,,,1230.91,15671.95,29
CPT,22853,"INSERTION OF INTERBODY BIOMECHANICAL DEVICE(S) (EG, SYNTHETIC CAGE, MESH) WITH INTEGRAL ANTERIOR INSTRUMENTATION FOR DEVICE ANCHORING (EG, SCREWS, FLANGES), WHEN PERFORMED, TO INTERVERTEBRAL DISC SPAC",,,1896.0,2107.0,3
CPT,22854,"INSERTION OF INTERVERTEBRAL BIOMECHANICAL DEVICE(S) (EG, SYNTHETIC CAGE, MESH) WITH INTEGRAL ANTERIOR INSTRUMENTATION FOR DEVICE ANCHORING (EG, SCREWS, FLANGES), WHEN PERFORMED, TO VERTEBRAL CORPECTOM",,,1896.0,2107.0,3
CPT,22855,REMOVAL OF ANTERIOR INSTRUMENTATION,,,1960.57,15671.95,29
CPT,22856,"TOTAL DISC ARTHROPLASTY (ARTIFICIAL DISC), ANTERIOR APPROACH, INCLUDING DISCECTOMY WITH END PLATE PREPARATION (INCLUDES OSTEOPHYTECTOMY FOR NERVE ROOT OR SPINAL CORD DECOMPRESSION AND MICRODISSECTION)",,,7038.0,56927.51,33
CPT,22858,"TOTAL DISC ARTHROPLASTY (ARTIFICIAL DISC), ANTERIOR APPROACH, INCLUDING DISCECTOMY WITH END PLATE PREPARATION (INCLUDES OSTEOPHYTECTOMY FOR NERVE ROOT OR SPINAL CORD DECOMPRESSION AND MICRODISSECTION)",,,1896.0,2107.0,3
CPT,22899,HC PERCUTANEOUS SPINAL ARTHODESIS W INST 2 VERT SEGMENTS,6631.2,3978.72,235.4,7411.0,53
CPT,22899,HC PERCUTANEOUS SPINAL ARTHODESIS W INST 3-6 VERT SEGMENTS,6631.2,3978.72,235.4,7411.0,53
CPT,22899,HC PERCUTANEOUS SPINAL ARTHODESIS W INST 7-12 VERT SEGMENTS,6631.2,3978.72,235.4,7411.0,53
CPT,22899,"HC PERCUTANEOUS SPINAL ARTHRODESIS, WITH INSTRUMENTATION;2 VERTEBRAL SEGMENTS",6631.2,3978.72,235.4,7411.0,53
CPT,22899,"HC PERCUTANEOUS SPINAL ARTHRODESIS, WITH INSTRUMENTATION;3-6 VERTEBRAL SEGMENTS",6631.2,3978.72,235.4,7411.0,53
CPT,22899,"HC PERCUTANEOUS SPINAL ARTHRODESIS, WITH INSTRUMENTATION;7-12 VERTEBRAL SEGMENTS",6631.2,3978.72,235.4,7411.0,53
CPT,22899,HC SCLEROTHERAPY OF BONE LESION,13742.41,8245.45,235.4,10719.08,53
CPT,22899,HC SPINE SURGERY PROCED,4645.25,2787.15,235.4,7411.0,53
CPT,22899,"UNLISTED PROCEDURE, SPINE",,,235.4,8280.0,30
CPT,22900,"EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,815.2,8278.44,34
CPT,22901,"EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,815.2,12700.0,33
CPT,22902,"EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBCUTANEOUS; LESS THAN 3 CM",,,486.45,10495.0,33
CPT,22903,"EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBCUTANEOUS; 3 CM OR GREATER",,,815.2,12700.0,33
CPT,22905,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF ABDOMINAL WALL; 5 CM OR GREATER",,,815.2,12700.0,33
CPT,22999,HC ABDOMEN SURGERY PROC,4737.9,2842.74,235.4,7411.0,53
CPT,22999,HC ANTERIOR MOBILIZATION AND DISCONNECTION OF INTRAPELVIC MASS,9499.82,5699.89,235.4,7411.0,53
CPT,22999,"HC BOTOX INJECTION, ABDOMINAL WALL, IN PREPARATION FOR HERNIA REPAIR",1254.91,752.95,235.4,7411.0,53
CPT,22999,"HC CRYOABLATION, BODY WALL MASS",12185.54,7311.32,235.4,9139.16,51
CPT,22999,"HC EVACUATION, HEMATOMA; ABDOMINAL WALL MUSCLE(S)",8087.63,4852.58,235.4,7411.0,53
CPT,22999,HC EXCISION OF PECTUS CARINATUM CARTILAGE,4068.52,2441.11,235.4,7411.0,53
CPT,22999,"HC LPRSCPY, SURGICAL; REPAIR AND/OR PLICATION OF RECTUS DIASTASIS W/WO MESH",19304.31,11582.59,235.4,14478.23,51
CPT,22999,"HC REMOVAL OF MESH OR PROSTHETIC MATERIAL, ABDOMINAL WALL",1123.54,674.12,235.4,7411.0,53
CPT,22999,HC THROMBIN INJECTION INTO THE ABDOMEN,3034.93,1820.96,235.4,8280.0,51
CPT,23030,"INCISION AND DRAINAGE, SHOULDER AREA; DEEP ABSCESS OR HEMATOMA",,,815.2,8278.44,34
CPT,23040,"ARTHROTOMY, GLENOHUMERAL JOINT, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,1088.27,9772.7,34
CPT,23044,"ARTHROTOMY, ACROMIOCLAVICULAR, STERNOCLAVICULAR JOINT, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,1088.27,9772.7,34
CPT,23065,"BIOPSY, SOFT TISSUE OF SHOULDER AREA; SUPERFICIAL",,,114.62,4345.0,33
CPT,23065,"HC BIOPSY,SOFT TISSUE SHOULDER - SUPERFICIAL",2707.42,1624.45,114.62,7411.0,55
CPT,23066,"BIOPSY, SOFT TISSUE OF SHOULDER AREA; DEEP",,,815.2,8278.44,34
CPT,23066,HC BIOPSY SHOULDER TISS,5030.72,3018.43,815.2,7411.0,55
CPT,23071,"EXCISION, TUMOR, SOFT TISSUE OF SHOULDER AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,486.45,12700.0,33
CPT,23073,"EXCISION, TUMOR, SOFT TISSUE OF SHOULDER AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,815.2,12700.0,33
CPT,23075,"EXCISION, TUMOR, SOFT TISSUE OF SHOULDER AREA, SUBCUTANEOUS; LESS THAN 3 CM",,,486.45,4900.18,34
CPT,23076,"EXCISION, TUMOR, SOFT TISSUE OF SHOULDER AREA, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,815.2,8278.44,34
CPT,23078,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF SHOULDER AREA; 5 CM OR GREATER",,,815.2,12700.0,33
CPT,23100,"ARTHROTOMY, GLENOHUMERAL JOINT, INCLUDING BIOPSY",,,1088.27,9772.7,34
CPT,23101,"ARTHROTOMY, ACROMIOCLAVICULAR JOINT OR STERNOCLAVICULAR JOINT, INCLUDING BIOPSY AND/OR EXCISION OF TORN CARTILAGE",,,1088.27,10495.0,34
CPT,23105,"ARTHROTOMY; GLENOHUMERAL JOINT, WITH SYNOVECTOMY, WITH OR WITHOUT BIOPSY",,,2398.52,21355.56,34
CPT,23106,"ARTHROTOMY; STERNOCLAVICULAR JOINT, WITH SYNOVECTOMY, WITH OR WITHOUT BIOPSY",,,1088.27,9772.7,34
CPT,23107,"ARTHROTOMY, GLENOHUMERAL JOINT, WITH JOINT EXPLORATION, WITH OR WITHOUT REMOVAL OF LOOSE OR FOREIGN BODY",,,2398.52,21355.56,34
CPT,23120,CLAVICULECTOMY; PARTIAL,,,1088.27,9772.7,34
CPT,23125,CLAVICULECTOMY; TOTAL,,,1088.27,9772.7,34
CPT,23130,"ACROMIOPLASTY OR ACROMIONECTOMY, PARTIAL, WITH OR WITHOUT CORACOACROMIAL LIGAMENT RELEASE",,,1088.27,9772.7,34
CPT,23140,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF CLAVICLE OR SCAPULA;,,,1088.27,9772.7,34
CPT,23146,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF CLAVICLE OR SCAPULA; WITH ALLOGRAFT,,,2398.52,21355.56,34
CPT,23150,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL HUMERUS;,,,1088.27,9772.7,34
CPT,23155,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL HUMERUS; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT),,,2398.52,21355.56,34
CPT,23156,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL HUMERUS; WITH ALLOGRAFT,,,3122.54,21355.56,34
CPT,23182,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), SCAPULA",,,2398.52,21355.56,34
CPT,23184,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), PROXIMAL HUMERUS",,,2398.52,21355.56,34
CPT,23190,"OSTECTOMY OF SCAPULA, PARTIAL (EG, SUPERIOR MEDIAL ANGLE)",,,1088.27,9772.7,34
CPT,23195,"RESECTION, HUMERAL HEAD",,,2398.52,21355.56,34
CPT,23210,RADICAL RESECTION OF TUMOR; SCAPULA,,,3122.04,15671.95,29
CPT,23220,"RADICAL RESECTION OF TUMOR, PROXIMAL HUMERUS",,,3430.84,15671.95,29
CPT,23330,HC REMOVE FB SHOULDER SUBQ,3788.52,2273.11,257.6,7411.0,55
CPT,23333,HC SHOULDER REMOVE FB/DEEP,2707.42,1624.45,815.2,7411.0,55
CPT,23334,HC REMOVE PROSTHESIS - HUMERAL/GLENOID COMPNT,4681.24,2808.74,815.2,15671.95,55
CPT,23334,"REMOVAL OF PROSTHESIS, INCLUDES DEBRIDEMENT AND SYNOVECTOMY WHEN PERFORMED; HUMERAL OR GLENOID COMPONENT",,,815.2,15671.95,33
CPT,23335,"REMOVAL OF PROSTHESIS, INCLUDES DEBRIDEMENT AND SYNOVECTOMY WHEN PERFORMED; HUMERAL AND GLENOID COMPONENTS (EG, TOTAL SHOULDER)",,,2245.0,15671.95,29
CPT,23350,HC INJ SHOULDER ARTHROGRAPHY CT/MRI ARTHG - BI,857.26,514.36,145.73,7411.0,32
CPT,23350,HC INJ SHOULDER ARTHROGRAPHY CT/MRI ARTHG - LT,857.26,514.36,145.73,7411.0,32
CPT,23350,HC INJ SHOULDER ARTHROGRAPHY CT/MRI ARTHG - RT,857.26,514.36,145.73,7411.0,32
CPT,23350,HC INJECTION SHOULDER XRY,857.26,514.36,145.73,7411.0,39
CPT,23350,HC IR INJ ARTHROGRAM SHOULDER LT,857.26,514.36,145.73,7411.0,32
CPT,23350,HC IR INJ ARTHROGRAM SHOULDER RT,857.26,514.36,145.73,7411.0,32
CPT,23395,"MUSCLE TRANSFER, ANY TYPE, SHOULDER OR UPPER ARM; SINGLE",,,2398.52,21355.56,34
CPT,23400,"SCAPULOPEXY (EG, SPRENGELS DEFORMITY OR FOR PARALYSIS)",,,2398.52,21355.56,34
CPT,23405,"TENOTOMY, SHOULDER AREA; SINGLE TENDON",,,2398.52,21355.56,34
CPT,23410,"REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF (EG, ROTATOR CUFF) OPEN; ACUTE",,,2398.52,21355.56,34
CPT,23412,"REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF (EG, ROTATOR CUFF) OPEN; CHRONIC",,,2398.52,21355.56,36
CPT,23420,"RECONSTRUCTION OF COMPLETE SHOULDER (ROTATOR) CUFF AVULSION, CHRONIC (INCLUDES ACROMIOPLASTY)",,,2398.52,21355.56,34
CPT,23430,TENODESIS OF LONG TENDON OF BICEPS,,,2398.52,21355.56,34
CPT,23450,HC REPAIR SHOULDER CAPS,13450.5,8070.3,3391.14,17722.46,110
CPT,23462,"CAPSULORRHAPHY, ANTERIOR, ANY TYPE; WITH CORACOID PROCESS TRANSFER",,,2398.52,21355.56,34
CPT,23465,"CAPSULORRHAPHY, GLENOHUMERAL JOINT, POSTERIOR, WITH OR WITHOUT BONE BLOCK",,,2398.52,21355.56,34
CPT,23466,"CAPSULORRHAPHY, GLENOHUMERAL JOINT, ANY TYPE MULTIDIRECTIONAL INSTABILITY",,,2398.52,21355.56,34
CPT,23470,"ARTHROPLASTY, GLENOHUMERAL JOINT; HEMIARTHROPLASTY",,,7038.0,42485.53,30
CPT,23472,"ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))",,,2553.79,46166.33,30
CPT,23473,"REVISION OF TOTAL SHOULDER ARTHROPLASTY, INCLUDING ALLOGRAFT WHEN PERFORMED; HUMERAL OR GLENOID COMPONENT",,,7038.0,42485.53,30
CPT,23474,"REVISION OF TOTAL SHOULDER ARTHROPLASTY, INCLUDING ALLOGRAFT WHEN PERFORMED; HUMERAL AND GLENOID COMPONENT",,,3077.59,27728.96,29
CPT,23491,"PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLATE; PROXIMAL HUMERUS",,,2763.0,42485.53,34
CPT,23505,HC TREATMENT CLAVICLE FRACTURE - W/MANIP,4403.86,2642.32,593.04,7411.0,55
CPT,23515,"OPEN TREATMENT OF CLAVICULAR FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
CPT,23520,HC TREAT CLAVICLE DISLOCATION;W/O MANIP,2876.17,1725.7,593.04,7411.0,55
CPT,23525,HC CLS TREATMENT STERNOCLAVICULAR DISLOCATION,1203.6,722.16,85.32,7411.0,55
CPT,23530,"OPEN TREATMENT OF STERNOCLAVICULAR DISLOCATION, ACUTE OR CHRONIC;",,,2398.52,21355.56,34
CPT,23540,HC TREAT CLS AC DSLCT WO/MAN,696.36,417.82,85.32,7411.0,55
CPT,23545,HC TREAT CLAVICLE DISLOCATION - W/MANIP,1375.95,825.57,85.32,7411.0,55
CPT,23550,"OPEN TREATMENT OF ACROMIOCLAVICULAR DISLOCATION, ACUTE OR CHRONIC;",,,2763.0,21355.56,34
CPT,23552,"OPEN TREATMENT OF ACROMIOCLAVICULAR DISLOCATION, ACUTE OR CHRONIC; WITH FASCIAL GRAFT (INCLUDES OBTAINING GRAFT)",,,3196.82,21355.56,34
CPT,23570,HC TREATMENT SCAPULAR FRACTURE CLSD W/O,1096.66,658.0,85.32,7411.0,55
CPT,23575,HC TREAT SHOULDER BLADE,3417.15,2050.29,593.04,7411.0,55
CPT,23585,"OPEN TREATMENT OF SCAPULAR FRACTURE (BODY, GLENOID OR ACROMION) INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
CPT,23600,HC TREAT HUMERUS FRACTURE,812.46,487.48,85.32,7411.0,55
CPT,23605,"CLOSED TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE; WITH MANIPULATION, WITH OR WITHOUT SKELETAL TRACTION",,,593.04,4838.74,33
CPT,23605,HC CL TREATMENT PROX HUM FRACTURE W/MANIP,4759.86,2855.92,593.04,7411.0,55
CPT,23615,"OPEN TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, INCLUDES REPAIR OF TUBEROSITY(S), WHEN PERFORMED;",,,3410.0,42485.53,34
CPT,23616,"OPEN TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, INCLUDES REPAIR OF TUBEROSITY(S), WHEN PERFORMED; WITH PROXIMAL HUMERAL PROSTHETI",,,3410.0,56927.51,34
CPT,23630,"OPEN TREATMENT OF GREATER HUMERAL TUBEROSITY FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,3122.54,21355.56,34
CPT,23650,"CLOSED TREATMENT OF SHOULDER DISLOCATION, WITH MANIPULATION; WITHOUT ANESTHESIA",,,85.32,4345.0,33
CPT,23650,HC CL TREATMENT SHOULDER DISCI W/MAN/W/O,1515.14,909.08,85.32,7411.0,55
CPT,23650,HC TREAT SHOULDER DISLOCATION,1515.14,909.08,85.32,7411.0,55
CPT,23655,"CLOSED TREATMENT OF SHOULDER DISLOCATION, WITH MANIPULATION; REQUIRING ANESTHESIA",,,593.04,4838.74,34
CPT,23655,HC CL TREATMENT SHLDR DISCL W/MANI/W/ANE,5104.38,3062.63,593.04,7411.0,55
CPT,23665,"HC CL TREATMENT/SHLDR DIS,FRACTURE-GRHUM W/MAN",3443.62,2066.17,593.04,7411.0,55
CPT,23670,"OPEN TREATMENT OF SHOULDER DISLOCATION, WITH FRACTURE OF GREATER HUMERAL TUBEROSITY, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2398.52,21355.56,34
CPT,23675,HC CL TREATMENT/SHLDR DIS W/NECK FRACTURE W/MA,2996.38,1797.83,593.04,7411.0,55
CPT,23680,"OPEN TREATMENT OF SHOULDER DISLOCATION, WITH SURGICAL OR ANATOMICAL NECK FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,42485.53,34
CPT,23700,"MANIPULATION UNDER ANESTHESIA, SHOULDER JOINT, INCLUDING APPLICATION OF FIXATION APPARATUS (DISLOCATION EXCLUDED)",,,593.04,4838.74,34
CPT,23929,HC SHOULDER SURGERY PRO,3142.43,1885.46,235.4,7411.0,53
CPT,23929,"UNLISTED PROCEDURE, SHOULDER",,,235.4,8280.0,30
CPT,23930,HC I & D AXILLA,10169.4,6101.64,815.2,7627.05,55
CPT,23930,"INCISION AND DRAINAGE, UPPER ARM OR ELBOW AREA; DEEP ABSCESS OR HEMATOMA",,,815.2,8278.44,34
CPT,23931,HC DRAINAGE OF ARM/ELBOW BURSA,5259.88,3155.93,486.45,7411.0,55
CPT,23935,"INCISION, DEEP, WITH OPENING OF BONE CORTEX (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), HUMERUS OR ELBOW",,,1088.27,9772.7,34
CPT,24065,"BIOPSY, SOFT TISSUE OF UPPER ARM OR ELBOW AREA; SUPERFICIAL",,,149.5,4345.0,33
CPT,24066,"BIOPSY, SOFT TISSUE OF UPPER ARM OR ELBOW AREA; DEEP (SUBFASCIAL OR INTRAMUSCULAR)",,,815.2,8278.44,34
CPT,24071,"EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,815.2,12700.0,33
CPT,24073,"EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,815.2,12700.0,33
CPT,24075,"EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBCUTANEOUS; LESS THAN 3 CM",,,486.45,4900.18,34
CPT,24076,"EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,815.2,8278.44,34
CPT,24077,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF UPPER ARM OR ELBOW AREA; LESS THAN 5 CM",,,815.2,8278.44,34
CPT,24079,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF UPPER ARM OR ELBOW AREA; 5 CM OR GREATER",,,815.2,12700.0,33
CPT,24100,HC BIOPSY SYNOVIUM ELBOW JOINT,6199.54,3719.72,1088.27,9772.7,53
CPT,24101,"ARTHROTOMY, ELBOW; WITH JOINT EXPLORATION, WITH OR WITHOUT BIOPSY, WITH OR WITHOUT REMOVAL OF LOOSE OR FOREIGN BODY",,,1088.27,9772.7,34
CPT,24102,"ARTHROTOMY, ELBOW; WITH SYNOVECTOMY",,,1088.27,9772.7,34
CPT,24105,"EXCISION, OLECRANON BURSA",,,1088.27,9772.7,34
CPT,24110,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, HUMERUS;",,,1088.27,9772.7,34
CPT,24116,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, HUMERUS; WITH ALLOGRAFT",,,2763.0,21355.56,34
CPT,24134,"SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), SHAFT OR DISTAL HUMERUS",,,2398.52,21355.56,34
CPT,24140,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), HUMERUS",,,1088.27,9772.7,34
CPT,24147,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), OLECRANON PROCESS",,,1088.27,9772.7,34
CPT,24149,"RADICAL RESECTION OF CAPSULE, SOFT TISSUE, AND HETEROTOPIC BONE, ELBOW, WITH CONTRACTURE RELEASE (SEPARATE PROCEDURE)",,,2398.52,21355.56,33
CPT,24160,"REMOVAL OF PROSTHESIS, INCLUDES DEBRIDEMENT AND SYNOVECTOMY WHEN PERFORMED; HUMERAL AND ULNAR COMPONENTS",,,1088.27,9772.7,34
CPT,24200,HC IR FB RMV UP ARM SUBQ LT,2074.48,1244.69,123.47,7411.0,38
CPT,24200,HC REMOVAL OF ARM FOREI,3764.62,2258.77,123.47,7411.0,55
CPT,24200,"REMOVAL OF FOREIGN BODY, UPPER ARM OR ELBOW AREA; SUBCUTANEOUS",,,123.47,4345.0,33
CPT,24220,HC DX INJ ARTHROGRAM ELBOW BI,663.35,398.01,112.77,7411.0,32
CPT,24220,HC DX INJ ARTHROGRAM ELBOW LT,663.35,398.01,112.77,7411.0,32
CPT,24220,HC DX INJ ARTHROGRAM ELBOW RT,663.35,398.01,112.77,7411.0,32
CPT,24220,HC INJ ARTHROGRAM ELBOW - LT,663.35,398.01,112.77,7411.0,32
CPT,24220,HC INJ ARTHROGRAM ELBOW - RT,663.35,398.01,112.77,7411.0,32
CPT,24220,HC INJECTION FOR ELBOW,1281.41,768.85,217.84,7411.0,39
CPT,24220,HC IR INJ ARTHROGRAM ELBOW BI,663.35,398.01,112.77,7411.0,32
CPT,24301,"MUSCLE OR TENDON TRANSFER, ANY TYPE, UPPER ARM OR ELBOW, SINGLE (EXCLUDING 24320-24331)",,,2398.52,21355.56,34
CPT,24340,TENODESIS OF BICEPS TENDON AT ELBOW (SEPARATE PROCEDURE),,,2398.52,21355.56,34
CPT,24341,"REPAIR, TENDON OR MUSCLE, UPPER ARM OR ELBOW, EACH TENDON OR MUSCLE, PRIMARY OR SECONDARY (EXCLUDES ROTATOR CUFF)",,,2398.52,21355.56,34
CPT,24342,"REINSERTION OF RUPTURED BICEPS OR TRICEPS TENDON, DISTAL, WITH OR WITHOUT TENDON GRAFT",,,2398.52,21355.56,36
CPT,24343,HC REPAIR ELBOW LAT LIGAMENT,6826.82,4096.09,1088.27,8018.48,55
CPT,24343,"REPAIR LATERAL COLLATERAL LIGAMENT, ELBOW, WITH LOCAL TISSUE",,,1088.27,9772.7,33
CPT,24344,"RECONSTRUCTION LATERAL COLLATERAL LIGAMENT, ELBOW, WITH TENDON GRAFT (INCLUDES HARVESTING OF GRAFT)",,,3133.75,21355.56,33
CPT,24345,HC REPR ELBW MED LIGMNT,8199.06,4919.44,2398.52,17722.46,55
CPT,24357,"TENOTOMY, ELBOW, LATERAL OR MEDIAL (EG, EPICONDYLITIS, TENNIS ELBOW, GOLFER'S ELBOW); PERCUTANEOUS",,,1088.27,12700.0,33
CPT,24358,"TENOTOMY, ELBOW, LATERAL OR MEDIAL (EG, EPICONDYLITIS, TENNIS ELBOW, GOLFER'S ELBOW); DEBRIDEMENT, SOFT TISSUE AND/OR BONE, OPEN",,,1088.27,12700.0,33
CPT,24359,"TENOTOMY, ELBOW, LATERAL OR MEDIAL (EG, EPICONDYLITIS, TENNIS ELBOW, GOLFER'S ELBOW); DEBRIDEMENT, SOFT TISSUE AND/OR BONE, OPEN WITH TENDON REPAIR OR REATTACHMENT",,,1088.27,12700.0,33
CPT,24360,"ARTHROPLASTY, ELBOW; WITH MEMBRANE (EG, FASCIAL)",,,3104.56,21355.56,34
CPT,24363,"ARTHROPLASTY, ELBOW; WITH DISTAL HUMERUS AND PROXIMAL ULNAR PROSTHETIC REPLACEMENT (EG, TOTAL ELBOW)",,,5384.0,56927.51,34
CPT,24366,"ARTHROPLASTY, RADIAL HEAD; WITH IMPLANT",,,3879.0,42485.53,34
CPT,24370,"REVISION OF TOTAL ELBOW ARTHROPLASTY, INCLUDING ALLOGRAFT WHEN PERFORMED; HUMERAL OR ULNAR COMPONENT",,,6614.18,42485.53,33
CPT,24371,"REVISION OF TOTAL ELBOW ARTHROPLASTY, INCLUDING ALLOGRAFT WHEN PERFORMED; HUMERAL AND ULNAR COMPONENT",,,7038.0,56927.51,33
CPT,24400,"OSTEOTOMY, HUMERUS, WITH OR WITHOUT INTERNAL FIXATION",,,2398.52,21355.56,34
CPT,24430,"REPAIR OF NONUNION OR MALUNION, HUMERUS; WITHOUT GRAFT (EG, COMPRESSION TECHNIQUE)",,,2763.0,42485.53,34
CPT,24435,"REPAIR OF NONUNION OR MALUNION, HUMERUS; WITH ILIAC OR OTHER AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,3410.0,42485.53,34
CPT,24498,"PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING), WITH OR WITHOUT METHYLMETHACRYLATE, HUMERAL SHAFT",,,2763.0,42485.53,34
CPT,24500,HC TREAT HUMERAL SHAFT FRACTURE,776.83,466.1,85.32,7411.0,55
CPT,24505,HC CLSD TRMT OF HUMERAL SHAFT FRA,2582.54,1549.52,593.04,7411.0,55
CPT,24515,"OPEN TREATMENT OF HUMERAL SHAFT FRACTURE WITH PLATE/SCREWS, WITH OR WITHOUT CERCLAGE",,,3410.0,42485.53,34
CPT,24516,"TREATMENT OF HUMERAL SHAFT FRACTURE, WITH INSERTION OF INTRAMEDULLARY IMPLANT, WITH OR WITHOUT CERCLAGE AND/OR LOCKING SCREWS",,,3410.0,42485.53,34
CPT,24530,HC TREAT HUMERUS FRACTURE,1039.88,623.93,85.32,7411.0,55
CPT,24535,HC CL TREATMENT HUM FRACTURE W/O MANIP,4021.94,2413.16,593.04,7411.0,55
CPT,24538,HC ER TREAT HUMEREUS FRACTURE,11218.62,6731.17,2398.52,17722.46,55
CPT,24545,HC TREAT OPEN HUMERUS FRACTURE,21088.34,12653.0,3410.0,32603.53,55
CPT,24545,"OPEN TREATMENT OF HUMERAL SUPRACONDYLAR OR TRANSCONDYLAR FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED; WITHOUT INTERCONDYLAR EXTENSION",,,3410.0,42485.53,34
CPT,24546,"OPEN TREATMENT OF HUMERAL SUPRACONDYLAR OR TRANSCONDYLAR FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED; WITH INTERCONDYLAR EXTENSION",,,3879.0,56927.51,34
CPT,24565,HC HUMERAL CLOSED TREATMENT TREATMENTMENT,3408.92,2045.35,593.04,7411.0,55
CPT,24575,"OPEN TREATMENT OF HUMERAL EPICONDYLAR FRACTURE, MEDIAL OR LATERAL, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,42485.53,34
CPT,24577,HC CLOSED TREATMENT HUMERAL CONDYL FRACTURE,2558.24,1534.94,593.04,7411.0,55
CPT,24579,"OPEN TREATMENT OF HUMERAL CONDYLAR FRACTURE, MEDIAL OR LATERAL, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,42485.53,34
CPT,24586,HC TREATMENT PERIARTICULAR FRACTURE/DISLOC ELB,23181.35,13908.81,3410.0,32603.53,55
CPT,24586,OPEN TREATMENT OF PERIARTICULAR FRACTURE AND/OR DISLOCATION OF THE ELBOW (FRACTURE DISTAL HUMERUS AND PROXIMAL ULNA AND/OR PROXIMAL RADIUS);,,,3410.0,42485.53,34
CPT,24600,HC CL TREATMENT ELBOW DISCL W/O ANES,1146.21,687.73,85.32,7411.0,55
CPT,24605,HC CL TREATMENT ELBOW DISCL W/ ANES,5795.68,3477.41,593.04,7411.0,55
CPT,24615,HC TREAT ELBOW DISLOCAT,12154.86,7292.92,2763.0,17722.46,55
CPT,24615,OPEN TREATMENT OF ACUTE OR CHRONIC ELBOW DISLOCATION,,,2763.0,21355.56,34
CPT,24620,HC CL TREATMENT MONTEGGIA FRACTURE ELBOW W/MAN,4478.5,2687.1,593.04,7411.0,55
CPT,24635,"OPEN TREATMENT OF MONTEGGIA TYPE OF FRACTURE DISLOCATION AT ELBOW (FRACTURE PROXIMAL END OF ULNA WITH DISLOCATION OF RADIAL HEAD), INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
CPT,24640,HC CL TREATMENT RADIAL HEAD SUB ELBOW W/,1045.6,627.36,49.0,7411.0,55
CPT,24655,HC CL TREATMENT RADIAL HEAD/NECK FRACTURE W/MA,2971.43,1782.86,593.04,7411.0,55
CPT,24665,"OPEN TREATMENT OF RADIAL HEAD OR NECK FRACTURE, INCLUDES INTERNAL FIXATION OR RADIAL HEAD EXCISION, WHEN PERFORMED;",,,2398.52,21355.56,34
CPT,24666,"OPEN TREATMENT OF RADIAL HEAD OR NECK FRACTURE, INCLUDES INTERNAL FIXATION OR RADIAL HEAD EXCISION, WHEN PERFORMED; WITH RADIAL HEAD PROSTHETIC REPLACEMENT",,,3410.0,42485.53,34
CPT,24675,"CLOSED TREATMENT OF ULNAR FRACTURE, PROXIMAL END (EG, OLECRANON OR CORONOID PROCESS[ES]); WITH MANIPULATION",,,593.04,4838.74,33
CPT,24675,HC CLSD TRMT OF ULNAR FRACTURE,2797.58,1678.55,593.04,7411.0,55
CPT,24685,"OPEN TREATMENT OF ULNAR FRACTURE, PROXIMAL END (EG, OLECRANON OR CORONOID PROCESS[ES]), INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
CPT,24935,"STUMP ELONGATION, UPPER EXTREMITY",,,6924.82,21355.56,30
CPT,24999,"HC MICROFRACTURE OF OSTEOCHONDRAL DEFECT, ELBOW (E.G. CAPITELLUM)",7163.52,4298.11,235.4,8280.0,51
CPT,24999,HC UPPER ARM/ELBOW SURG,737.46,442.48,184.37,7411.0,53
CPT,25000,"INCISION, EXTENSOR TENDON SHEATH, WRIST (EG, DE QUERVAINS DISEASE)",,,593.04,10032.0,36
CPT,25001,"HC INCISION,FLEXOR TENDON SHEATH,WRIST",5163.58,3098.15,1088.27,8018.48,55
CPT,25028,"INCISION AND DRAINAGE, FOREARM AND/OR WRIST; DEEP ABSCESS OR HEMATOMA",,,1088.27,9772.7,34
CPT,25065,"BIOPSY, SOFT TISSUE OF FOREARM AND/OR WRIST; SUPERFICIAL",,,149.5,4345.0,33
CPT,25066,"BIOPSY, SOFT TISSUE OF FOREARM AND/OR WRIST; DEEP (SUBFASCIAL OR INTRAMUSCULAR)",,,815.2,8278.44,34
CPT,25071,"EXCISION, TUMOR, SOFT TISSUE OF FOREARM AND/OR WRIST AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,486.45,12700.0,33
CPT,25073,"EXCISION, TUMOR, SOFT TISSUE OF FOREARM AND/OR WRIST AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 3 CM OR GREATER",,,815.2,12700.0,33
CPT,25075,"EXCISION, TUMOR, SOFT TISSUE OF FOREARM AND/OR WRIST AREA, SUBCUTANEOUS; LESS THAN 3 CM",,,486.45,4900.18,34
CPT,25076,"EXCISION, TUMOR, SOFT TISSUE OF FOREARM AND/OR WRIST AREA, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 3 CM",,,486.45,7168.0,34
CPT,25077,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF FOREARM AND/OR WRIST AREA; LESS THAN 3 CM",,,815.2,8278.44,34
CPT,25078,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF FOREARM AND/OR WRIST AREA; 3 CM OR GREATER",,,815.2,12700.0,33
CPT,25085,"CAPSULOTOMY, WRIST (EG, CONTRACTURE)",,,1088.27,9772.7,34
CPT,25107,"ARTHROTOMY, DISTAL RADIOULNAR JOINT INCLUDING REPAIR OF TRIANGULAR CARTILAGE, COMPLEX",,,1088.27,9772.7,34
CPT,25110,"EXCISION, LESION OF TENDON SHEATH, FOREARM AND/OR WRIST",,,593.04,7168.0,34
CPT,25111,"EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); PRIMARY",,,593.04,7168.0,34
CPT,25111,HC REMOVE WRIST TENDON,2585.08,1551.05,593.04,7411.0,55
CPT,25112,"EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); RECURRENT",,,593.04,7886.0,34
CPT,25115,"RADICAL EXCISION OF BURSA, SYNOVIA OF WRIST, OR FOREARM TENDON SHEATHS (EG, TENOSYNOVITIS, FUNGUS, TBC, OR OTHER GRANULOMAS, RHEUMATOID ARTHRITIS); FLEXORS",,,593.04,7886.0,34
CPT,25116,"RADICAL EXCISION OF BURSA, SYNOVIA OF WRIST, OR FOREARM TENDON SHEATHS (EG, TENOSYNOVITIS, FUNGUS, TBC, OR OTHER GRANULOMAS, RHEUMATOID ARTHRITIS); EXTENSORS, WITH OR WITHOUT TRANSPOSITION OF DORSAL R",,,1088.27,9772.7,34
CPT,25118,"SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST, SINGLE COMPARTMENT;",,,593.04,4838.74,34
CPT,25120,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING HEAD OR NECK OF RADIUS AND OLECRANON PROCESS);,,,1088.27,9772.7,34
CPT,25126,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING HEAD OR NECK OF RADIUS AND OLECRANON PROCESS); WITH ALLOGRAFT,,,1088.27,9772.7,34
CPT,25150,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE (EG, FOR OSTEOMYELITIS); ULNA",,,1088.27,9772.7,34
CPT,25151,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE (EG, FOR OSTEOMYELITIS); RADIUS",,,1088.27,9772.7,34
CPT,25170,"RADICAL RESECTION OF TUMOR, RADIUS OR ULNA",,,6093.0,21355.56,30
CPT,25210,CARPECTOMY; 1 BONE,,,1088.27,9772.7,34
CPT,25215,CARPECTOMY; ALL BONES OF PROXIMAL ROW,,,1088.27,9772.7,34
CPT,25240,"EXCISION DISTAL ULNA PARTIAL OR COMPLETE (EG, DARRACH TYPE OR MATCHED RESECTION)",,,1088.27,9772.7,34
CPT,25246,HC DX INJ ARTHROGRAM WRIST BI,868.64,521.18,147.67,7411.0,32
CPT,25246,HC DX INJ ARTHROGRAM WRIST LT,868.64,521.18,147.67,7411.0,32
CPT,25246,HC DX INJ ARTHROGRAM WRIST RT,868.64,521.18,147.67,7411.0,32
CPT,25246,HC INJECTION FOR WRIST,868.64,521.18,147.67,7411.0,39
CPT,25248,HC REMOVE FOREARM FOREIGN BODY,8849.52,5309.71,593.04,7411.0,55
CPT,25259,"MANIPULATION, WRIST, UNDER ANESTHESIA",,,593.04,7168.0,33
CPT,25260,HC REPAIR TENDON/MUSCLE ARM/WRIST,12037.75,7222.65,1088.27,9028.31,55
CPT,25260,"REPAIR, TENDON OR MUSCLE, FLEXOR, FOREARM AND/OR WRIST; PRIMARY, SINGLE, EACH TENDON OR MUSCLE",,,1088.27,9772.7,34
CPT,25270,"REPAIR, TENDON OR MUSCLE, EXTENSOR, FOREARM AND/OR WRIST; PRIMARY, SINGLE, EACH TENDON OR MUSCLE",,,1088.27,9772.7,34
CPT,25280,"LENGTHENING OR SHORTENING OF FLEXOR OR EXTENSOR TENDON, FOREARM AND/OR WRIST, SINGLE, EACH TENDON",,,1088.27,9772.7,34
CPT,25290,"TENOTOMY, OPEN, FLEXOR OR EXTENSOR TENDON, FOREARM AND/OR WRIST, SINGLE, EACH TENDON",,,1088.27,9772.7,34
CPT,25295,"TENOLYSIS, FLEXOR OR EXTENSOR TENDON, FOREARM AND/OR WRIST, SINGLE, EACH TENDON",,,1088.27,9772.7,34
CPT,25310,"TENDON TRANSPLANTATION OR TRANSFER, FLEXOR OR EXTENSOR, FOREARM AND/OR WRIST, SINGLE; EACH TENDON",,,1088.27,9772.7,34
CPT,25312,"TENDON TRANSPLANTATION OR TRANSFER, FLEXOR OR EXTENSOR, FOREARM AND/OR WRIST, SINGLE; WITH TENDON GRAFT(S) (INCLUDES OBTAINING GRAFT), EACH TENDON",,,1088.27,9772.7,34
CPT,25320,"CAPSULORRHAPHY OR RECONSTRUCTION, WRIST, OPEN (EG, CAPSULODESIS, LIGAMENT REPAIR, TENDON TRANSFER OR GRAFT) (INCLUDES SYNOVECTOMY, CAPSULOTOMY AND OPEN REDUCTION) FOR CARPAL INSTABILITY",,,2398.52,21355.56,34
CPT,25332,"ARTHROPLASTY, WRIST, WITH OR WITHOUT INTERPOSITION, WITH OR WITHOUT EXTERNAL OR INTERNAL FIXATION",,,1088.27,9772.7,34
CPT,25337,"RECONSTRUCTION FOR STABILIZATION OF UNSTABLE DISTAL ULNA OR DISTAL RADIOULNAR JOINT, SECONDARY BY SOFT TISSUE STABILIZATION (EG, TENDON TRANSFER, TENDON GRAFT OR WEAVE, OR TENODESIS) WITH OR WITHOUT O",,,3136.09,21355.56,34
CPT,25350,"OSTEOTOMY, RADIUS; DISTAL THIRD",,,2763.0,21355.56,34
CPT,25390,"OSTEOPLASTY, RADIUS OR ULNA; SHORTENING",,,2763.0,21355.56,34
CPT,25400,"REPAIR OF NONUNION OR MALUNION, RADIUS OR ULNA; WITHOUT GRAFT (EG, COMPRESSION TECHNIQUE)",,,2763.0,21355.56,34
CPT,25405,"REPAIR OF NONUNION OR MALUNION, RADIUS OR ULNA; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,3310.55,21355.56,34
CPT,25420,"REPAIR OF NONUNION OR MALUNION, RADIUS AND ULNA; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,3410.0,21355.56,34
CPT,25446,HC WRIST/ARTHROPLASTY TOTAL,30316.98,18190.19,5384.0,46166.33,55
CPT,25447,"ARTHROPLASTY, INTERCARPAL OR CARPOMETACARPAL JOINTS; INTERPOSITION (EG, TENDON)",,,1088.27,9772.7,34
CPT,25448,"ARTHROPLASTY, INTERCARPAL OR CARPOMETACARPAL JOINTS; SUSPENSION, INCLUDING TRANSFER OR TRANSPLANT OF TENDON, WITH INTERPOSITION, WHEN PERFORMED",,,3122.56,7066.86,19
CPT,25449,"REVISION OF ARTHROPLASTY, INCLUDING REMOVAL OF IMPLANT, WRIST JOINT",,,2398.52,21355.56,34
CPT,25455,HC ED ONLY RADIUS DISTAL & ULNA EPIPHYSEAL ARREST,5163.58,3098.15,1088.27,8018.48,55
CPT,25490,"PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLATE; RADIUS",,,2398.52,21355.56,34
CPT,25500,"HC CLOSED TREATMENT, FRACTURE RADIAL SHAFT",896.21,537.73,85.32,7411.0,55
CPT,25505,HC CL TREATMENT RAD SHAFT FRACTURE W/O MANI,3527.88,2116.73,593.04,7411.0,55
CPT,25515,"OPEN TREATMENT OF RADIAL SHAFT FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
CPT,25520,HC TREAT FRACTURE RADIUS,3081.67,1849.0,593.04,7411.0,55
CPT,25526,"OPEN TREATMENT OF RADIAL SHAFT FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, AND OPEN TREATMENT OF DISTAL RADIOULNAR JOINT DISLOCATION (GALEAZZI FRACTURE/ DISLOCATION), INCLUDES INTERNAL FIXAT",,,3122.54,21355.56,34
CPT,25530,HC TREATMENT RADIAL SHAFT FRACTURE,988.82,593.29,85.32,7411.0,55
CPT,25535,CLOSED TREATMENT OF ULNAR SHAFT FRACTURE; WITH MANIPULATION,,,85.32,4345.0,33
CPT,25535,HC TREATMENT FRACTURE OF ULNA W/MANIPULATION,2247.78,1348.67,85.32,7411.0,55
CPT,25545,"OPEN TREATMENT OF ULNAR SHAFT FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
CPT,25560,HC TREAT RADIAL/ULNAR SHAFT FX,1192.17,715.3,85.32,7411.0,55
CPT,25565,CLOSED TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES; WITH MANIPULATION,,,593.04,4838.74,33
CPT,25565,HC CL TREATMENT RAD SHAFT FRACTURE W/MANI,3046.19,1827.71,593.04,7411.0,55
CPT,25574,"OPEN TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES, WITH INTERNAL FIXATION, WHEN PERFORMED; OF RADIUS OR ULNA",,,2763.0,21355.56,34
CPT,25575,"OPEN TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES, WITH INTERNAL FIXATION, WHEN PERFORMED; OF RADIUS AND ULNA",,,2763.0,21355.56,34
CPT,25600,"CLOSED TREATMENT OF DISTAL RADIAL FRACTURE (EG, COLLES OR SMITH TYPE) OR EPIPHYSEAL SEPARATION, INCLUDES CLOSED TREATMENT OF FRACTURE OF ULNAR STYLOID, WHEN PERFORMED; WITHOUT MANIPULATION",,,85.32,2107.0,33
CPT,25600,HC CL TREATMENT DIS RAD FRACTURE W/O MANI,1123.63,674.18,85.32,7411.0,55
CPT,25605,"CLOSED TREATMENT OF DISTAL RADIAL FRACTURE (EG, COLLES OR SMITH TYPE) OR EPIPHYSEAL SEPARATION, INCLUDES CLOSED TREATMENT OF FRACTURE OF ULNAR STYLOID, WHEN PERFORMED; WITH MANIPULATION",,,593.04,7168.0,33
CPT,25605,HC CL TREATMENT RAD/ULN SHAFT FRACTURE W/MANI,3422.6,2053.56,593.04,7411.0,55
CPT,25606,HC PERCUT FIXAT DISTAL RAD,6611.8,3967.08,1088.27,8018.48,55
CPT,25606,PERCUTANEOUS SKELETAL FIXATION OF DISTAL RADIAL FRACTURE OR EPIPHYSEAL SEPARATION,,,1088.27,9772.7,34
CPT,25607,"OPEN TREATMENT OF DISTAL RADIAL EXTRA-ARTICULAR FRACTURE OR EPIPHYSEAL SEPARATION, WITH INTERNAL FIXATION",,,3444.15,21355.56,34
CPT,25608,OPEN TREATMENT OF DISTAL RADIAL INTRA-ARTICULAR FRACTURE OR EPIPHYSEAL SEPARATION; WITH INTERNAL FIXATION OF 2 FRAGMENTS,,,3437.38,21355.56,34
CPT,25609,HC TREATMENT FRACTURE RADIAL 3+ FRA,11442.99,6865.79,3452.56,17722.46,55
CPT,25609,OPEN TREATMENT OF DISTAL RADIAL INTRA-ARTICULAR FRACTURE OR EPIPHYSEAL SEPARATION; WITH INTERNAL FIXATION OF 3 OR MORE FRAGMENTS,,,3452.56,21355.56,34
CPT,25622,HC TREAT CARPAL SCAPHOID FX,905.39,543.23,85.32,7411.0,55
CPT,25624,HC TREAT WRIST BONE FRACTURE,3546.87,2128.12,593.04,7411.0,55
CPT,25628,"OPEN TREATMENT OF CARPAL SCAPHOID (NAVICULAR) FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2398.52,21355.56,34
CPT,25635,HC CL TREATMENT CARPAL BONE FRACTURE W/MANIP,2468.85,1481.31,593.04,7411.0,55
CPT,25650,CLOSED TREATMENT OF ULNAR STYLOID FRACTURE,,,85.32,2107.0,33
CPT,25650,HC TREATMENT ULNAR STYLOID FRACTURE,1175.92,705.55,85.32,7411.0,55
CPT,25651,HC PERCUT FIXAT ULNAR STY,5163.58,3098.15,1088.27,8018.48,55
CPT,25651,PERCUTANEOUS SKELETAL FIXATION OF ULNAR STYLOID FRACTURE,,,1088.27,9772.7,33
CPT,25652,OPEN TREATMENT OF ULNAR STYLOID FRACTURE,,,3121.14,21355.56,33
CPT,25660,"CLOSED TREATMENT OF RADIOCARPAL OR INTERCARPAL DISLOCATION, 1 OR MORE BONES, WITH MANIPULATION",,,85.32,4345.0,33
CPT,25660,HC TREAT WRIST DISLOCAT,891.65,534.99,85.32,7411.0,110
CPT,25675,HC TREAT WRIST DISLOCAT,1502.69,901.61,85.32,7411.0,55
CPT,25675,HC TREAT WRIST DISLOCATION,1502.69,901.61,85.32,7411.0,55
CPT,25680,"CLOSED TREATMENT OF TRANS-SCAPHOPERILUNAR TYPE OF FRACTURE DISLOCATION, WITH MANIPULATION",,,85.32,4779.0,33
CPT,25685,OPEN TREATMENT OF TRANS-SCAPHOPERILUNAR TYPE OF FRACTURE DISLOCATION,,,2398.52,21355.56,34
CPT,25690,HC TREAT WRIST DISLOCATION,4921.06,2952.64,593.04,7411.0,55
CPT,25695,OPEN TREATMENT OF LUNATE DISLOCATION,,,2398.52,21355.56,34
CPT,25800,"ARTHRODESIS, WRIST; COMPLETE, WITHOUT BONE GRAFT (INCLUDES RADIOCARPAL AND/OR INTERCARPAL AND/OR CARPOMETACARPAL JOINTS)",,,3282.53,21355.56,34
CPT,25820,"ARTHRODESIS, WRIST; LIMITED, WITHOUT BONE GRAFT (EG, INTERCARPAL OR RADIOCARPAL)",,,3282.76,21355.56,34
CPT,25825,"ARTHRODESIS, WRIST; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,3318.03,21355.56,34
CPT,25909,"AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; RE-AMPUTATION",,,4302.0,21355.56,30
CPT,25999,HC CARPECTOMY WITH CAPITATE IMPLANT RESURFACING (HEMI-ARTHROPLASTY),10859.29,6515.57,235.4,8470.25,53
CPT,25999,"UNLISTED PROCEDURE, FOREARM OR WRIST",,,235.4,8280.0,30
CPT,26010,DRAINAGE OF FINGER ABSCESS; SIMPLE,,,74.34,2107.0,33
CPT,26010,HC DRAIN FINGER ABSCESS SIMPLE,870.42,522.25,74.34,7411.0,55
CPT,26010,HC DRAINAGE FINGER ABSC - SIMPLE,870.42,522.25,74.34,7411.0,55
CPT,26011,"DRAINAGE OF FINGER ABSCESS; COMPLICATED (EG, FELON)",,,486.45,4900.18,34
CPT,26011,HC I&D FELON,4126.38,2475.83,486.45,7411.0,55
CPT,26020,"DRAINAGE OF TENDON SHEATH, DIGIT AND/OR PALM, EACH",,,1088.27,9772.7,34
CPT,26037,"DECOMPRESSIVE FASCIOTOMY, HAND (EXCLUDES 26035)",,,1088.27,9772.7,33
CPT,26040,"HC FASCIOTOMY, PALMAR - PERCUTANEOUS",2585.08,1551.05,593.04,7411.0,55
CPT,26045,"FASCIOTOMY, PALMAR (EG, DUPUYTREN'S CONTRACTURE); OPEN, PARTIAL",,,1088.27,9772.7,34
CPT,26055,"TENDON SHEATH INCISION (EG, FOR TRIGGER FINGER)",,,593.04,4838.74,34
CPT,26070,HC EXPLORE/TREAT HAND JOINT,2585.08,1551.05,593.04,7411.0,55
CPT,26075,"ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF LOOSE OR FOREIGN BODY; METACARPOPHALANGEAL JOINT, EACH",,,1088.27,9772.7,34
CPT,26080,"ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF LOOSE OR FOREIGN BODY; INTERPHALANGEAL JOINT, EACH",,,593.04,7886.0,34
CPT,26080,HC EXPLORE/TREAT FINGER,3246.0,1947.6,593.04,7411.0,55
CPT,26111,"EXCISION, TUMOR OR VASCULAR MALFORMATION, SOFT TISSUE OF HAND OR FINGER, SUBCUTANEOUS; 1.5 CM OR GREATER",,,486.45,12700.0,33
CPT,26113,"EXCISION, TUMOR, SOFT TISSUE, OR VASCULAR MALFORMATION, OF HAND OR FINGER, SUBFASCIAL (EG, INTRAMUSCULAR); 1.5 CM OR GREATER",,,486.45,12700.0,33
CPT,26115,"EXCISION, TUMOR OR VASCULAR MALFORMATION, SOFT TISSUE OF HAND OR FINGER, SUBCUTANEOUS; LESS THAN 1.5 CM",,,486.45,4900.18,34
CPT,26116,"EXCISION, TUMOR, SOFT TISSUE, OR VASCULAR MALFORMATION, OF HAND OR FINGER, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 1.5 CM",,,486.45,4900.18,34
CPT,26117,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF HAND OR FINGER; LESS THAN 3 CM",,,815.2,8278.44,34
CPT,26121,"FASCIECTOMY, PALM ONLY, WITH OR WITHOUT Z-PLASTY, OTHER LOCAL TISSUE REARRANGEMENT, OR SKIN GRAFTING (INCLUDES OBTAINING GRAFT)",,,1088.27,9772.7,34
CPT,26123,"FASCIECTOMY, PARTIAL PALMAR WITH RELEASE OF SINGLE DIGIT INCLUDING PROXIMAL INTERPHALANGEAL JOINT, WITH OR WITHOUT Z-PLASTY, OTHER LOCAL TISSUE REARRANGEMENT, OR SKIN GRAFTING (INCLUDES OBTAINING GRAF",,,1088.27,9772.7,34
CPT,26125,"FASCIECTOMY, PARTIAL PALMAR WITH RELEASE OF SINGLE DIGIT INCLUDING PROXIMAL INTERPHALANGEAL JOINT, WITH OR WITHOUT Z-PLASTY, OTHER LOCAL TISSUE REARRANGEMENT, OR SKIN GRAFTING (INCLUDES OBTAINING GRAF",,,1896.0,3410.0,4
CPT,26135,"SYNOVECTOMY, METACARPOPHALANGEAL JOINT INCLUDING INTRINSIC RELEASE AND EXTENSOR HOOD RECONSTRUCTION, EACH DIGIT",,,1088.27,9772.7,34
CPT,26140,"SYNOVECTOMY, PROXIMAL INTERPHALANGEAL JOINT, INCLUDING EXTENSOR RECONSTRUCTION, EACH INTERPHALANGEAL JOINT",,,593.04,4838.74,34
CPT,26145,"SYNOVECTOMY, TENDON SHEATH, RADICAL (TENOSYNOVECTOMY), FLEXOR TENDON, PALM AND/OR FINGER, EACH TENDON",,,593.04,7168.0,34
CPT,26160,"EXCISION OF LESION OF TENDON SHEATH OR JOINT CAPSULE (EG, CYST, MUCOUS CYST, OR GANGLION), HAND OR FINGER",,,593.04,7168.0,34
CPT,26170,"EXCISION OF TENDON, PALM, FLEXOR OR EXTENSOR, SINGLE, EACH TENDON",,,593.04,7168.0,34
CPT,26180,"EXCISION OF TENDON, FINGER, FLEXOR OR EXTENSOR, EACH TENDON",,,593.04,7168.0,34
CPT,26185,"SESAMOIDECTOMY, THUMB OR FINGER (SEPARATE PROCEDURE)",,,593.04,7886.0,34
CPT,26200,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF METACARPAL;,,,593.04,4838.74,34
CPT,26205,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF METACARPAL; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT),,,2398.52,21355.56,34
CPT,26210,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL, MIDDLE, OR DISTAL PHALANX OF FINGER;",,,593.04,4838.74,34
CPT,26215,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL, MIDDLE, OR DISTAL PHALANX OF FINGER; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,1088.27,9772.7,34
CPT,26236,"HC PARTIAL REMOVAL,FING",3958.11,2374.87,593.04,7411.0,55
CPT,26236,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS); DISTAL PHALANX OF FINGER",,,593.04,7168.0,34
CPT,26320,REMOVAL OF IMPLANT FROM FINGER OR HAND,,,486.45,4900.18,34
CPT,26340,"MANIPULATION, FINGER JOINT, UNDER ANESTHESIA, EACH JOINT",,,593.04,4838.74,33
CPT,26350,HC REPAIR FINGER/HAND TENDON,8261.5,4956.9,1088.27,8018.48,55
CPT,26350,"REPAIR OR ADVANCEMENT, FLEXOR TENDON, NOT IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH (EG, NO MAN'S LAND); PRIMARY OR SECONDARY WITHOUT FREE GRAFT, EACH TENDON",,,1088.27,9772.7,34
CPT,26352,"REPAIR OR ADVANCEMENT, FLEXOR TENDON, NOT IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH (EG, NO MAN'S LAND); SECONDARY WITH FREE GRAFT (INCLUDES OBTAINING GRAFT), EACH TENDON",,,2398.52,21355.56,34
CPT,26356,"REPAIR OR ADVANCEMENT, FLEXOR TENDON, IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH (EG, NO MAN'S LAND); PRIMARY, WITHOUT FREE GRAFT, EACH TENDON",,,1088.27,9772.7,34
CPT,26357,"REPAIR OR ADVANCEMENT, FLEXOR TENDON, IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH (EG, NO MAN'S LAND); SECONDARY, WITHOUT FREE GRAFT, EACH TENDON",,,1088.27,9772.7,34
CPT,26370,"REPAIR OR ADVANCEMENT OF PROFUNDUS TENDON, WITH INTACT SUPERFICIALIS TENDON; PRIMARY, EACH TENDON",,,1088.27,9772.7,34
CPT,26372,"REPAIR OR ADVANCEMENT OF PROFUNDUS TENDON, WITH INTACT SUPERFICIALIS TENDON; SECONDARY WITH FREE GRAFT (INCLUDES OBTAINING GRAFT), EACH TENDON",,,2398.52,21355.56,34
CPT,26390,"EXCISION FLEXOR TENDON, WITH IMPLANTATION OF SYNTHETIC ROD FOR DELAYED TENDON GRAFT, HAND OR FINGER, EACH ROD",,,3201.95,21355.56,34
CPT,26392,"REMOVAL OF SYNTHETIC ROD AND INSERTION OF FLEXOR TENDON GRAFT, HAND OR FINGER (INCLUDES OBTAINING GRAFT), EACH ROD",,,2398.52,21355.56,34
CPT,26410,HC REPAIR EXT TENDON HAND,4872.66,2923.6,593.04,7411.0,55
CPT,26410,"REPAIR, EXTENSOR TENDON, HAND, PRIMARY OR SECONDARY; WITHOUT FREE GRAFT, EACH TENDON",,,593.04,7168.0,34
CPT,26418,"HC REPAIR FINGER TENDON, W/O FREE GRAFT, EA",6010.86,3606.52,593.04,7411.0,55
CPT,26418,"REPAIR, EXTENSOR TENDON, FINGER, PRIMARY OR SECONDARY; WITHOUT FREE GRAFT, EACH TENDON",,,593.04,7886.0,34
CPT,26420,"REPAIR, EXTENSOR TENDON, FINGER, PRIMARY OR SECONDARY; WITH FREE GRAFT (INCLUDES OBTAINING GRAFT) EACH TENDON",,,1088.27,9772.7,34
CPT,26426,"REPAIR OF EXTENSOR TENDON, CENTRAL SLIP, SECONDARY (EG, BOUTONNIERE DEFORMITY); USING LOCAL TISSUE(S), INCLUDING LATERAL BAND(S), EACH FINGER",,,1088.27,9772.7,34
CPT,26428,"REPAIR OF EXTENSOR TENDON, CENTRAL SLIP, SECONDARY (EG, BOUTONNIERE DEFORMITY); WITH FREE GRAFT (INCLUDES OBTAINING GRAFT), EACH FINGER",,,1088.27,9772.7,34
CPT,26432,"CLOSED TREATMENT OF DISTAL EXTENSOR TENDON INSERTION, WITH OR WITHOUT PERCUTANEOUS PINNING (EG, MALLET FINGER)",,,593.04,7168.0,34
CPT,26433,HC REPAIR FINGER TENDON,5902.0,3541.2,1088.27,8018.48,55
CPT,26433,"REPAIR OF EXTENSOR TENDON, DISTAL INSERTION, PRIMARY OR SECONDARY; WITHOUT GRAFT (EG, MALLET FINGER)",,,1088.27,9772.7,34
CPT,26434,"REPAIR OF EXTENSOR TENDON, DISTAL INSERTION, PRIMARY OR SECONDARY; WITH FREE GRAFT (INCLUDES OBTAINING GRAFT)",,,1088.27,9772.7,34
CPT,26437,"REALIGNMENT OF EXTENSOR TENDON, HAND, EACH TENDON",,,1088.27,9772.7,34
CPT,26440,"TENOLYSIS, FLEXOR TENDON; PALM OR FINGER, EACH TENDON",,,593.04,7168.0,34
CPT,26442,"TENOLYSIS, FLEXOR TENDON; PALM AND FINGER, EACH TENDON",,,1088.27,9772.7,34
CPT,26445,"TENOLYSIS, EXTENSOR TENDON, HAND OR FINGER, EACH TENDON",,,1088.27,9772.7,34
CPT,26449,"TENOLYSIS, COMPLEX, EXTENSOR TENDON, FINGER, INCLUDING FOREARM, EACH TENDON",,,1088.27,9772.7,34
CPT,26460,"TENOTOMY, EXTENSOR, HAND OR FINGER, OPEN, EACH TENDON",,,593.04,7168.0,34
CPT,26476,"LENGTHENING OF TENDON, EXTENSOR, HAND OR FINGER, EACH TENDON",,,1088.27,9772.7,34
CPT,26477,"SHORTENING OF TENDON, EXTENSOR, HAND OR FINGER, EACH TENDON",,,1088.27,9772.7,34
CPT,26478,"LENGTHENING OF TENDON, FLEXOR, HAND OR FINGER, EACH TENDON",,,1088.27,9772.7,34
CPT,26480,"TRANSFER OR TRANSPLANT OF TENDON, CARPOMETACARPAL AREA OR DORSUM OF HAND; WITHOUT FREE GRAFT, EACH TENDON",,,1088.27,9772.7,34
CPT,26483,"TRANSFER OR TRANSPLANT OF TENDON, CARPOMETACARPAL AREA OR DORSUM OF HAND; WITH FREE TENDON GRAFT (INCLUDES OBTAINING GRAFT), EACH TENDON",,,1088.27,9772.7,34
CPT,26485,"TRANSFER OR TRANSPLANT OF TENDON, PALMAR; WITHOUT FREE TENDON GRAFT, EACH TENDON",,,1088.27,9772.7,34
CPT,26489,"TRANSFER OR TRANSPLANT OF TENDON, PALMAR; WITH FREE TENDON GRAFT (INCLUDES OBTAINING GRAFT), EACH TENDON",,,1088.27,9772.7,34
CPT,26497,TRANSFER OF TENDON TO RESTORE INTRINSIC FUNCTION; RING AND SMALL FINGER,,,1088.27,9772.7,34
CPT,26516,"CAPSULODESIS, METACARPOPHALANGEAL JOINT; SINGLE DIGIT",,,1407.66,9772.7,34
CPT,26520,"CAPSULECTOMY OR CAPSULOTOMY; METACARPOPHALANGEAL JOINT, EACH JOINT",,,1088.27,9772.7,34
CPT,26525,"CAPSULECTOMY OR CAPSULOTOMY; INTERPHALANGEAL JOINT, EACH JOINT",,,593.04,7168.0,34
CPT,26535,HC REVISE FINGER JOINT,8097.75,4858.65,1088.27,8018.48,55
CPT,26536,"ARTHROPLASTY, INTERPHALANGEAL JOINT; WITH PROSTHETIC IMPLANT, EACH JOINT",,,3290.94,21355.56,34
CPT,26540,HC REPAIR COLLATERAL LIGAMENT MCP/IP JT,5389.24,3233.54,1088.27,8018.48,55
CPT,26540,"REPAIR OF COLLATERAL LIGAMENT, METACARPOPHALANGEAL OR INTERPHALANGEAL JOINT",,,1088.27,9772.7,34
CPT,26541,"RECONSTRUCTION, COLLATERAL LIGAMENT, METACARPOPHALANGEAL JOINT, SINGLE; WITH TENDON OR FASCIAL GRAFT (INCLUDES OBTAINING GRAFT)",,,1088.27,10495.0,34
CPT,26542,"RECONSTRUCTION, COLLATERAL LIGAMENT, METACARPOPHALANGEAL JOINT, SINGLE; WITH LOCAL TISSUE (EG, ADDUCTOR ADVANCEMENT)",,,1088.27,9772.7,34
CPT,26545,"RECONSTRUCTION, COLLATERAL LIGAMENT, INTERPHALANGEAL JOINT, SINGLE, INCLUDING GRAFT, EACH JOINT",,,1088.27,9772.7,34
CPT,26546,"REPAIR NON-UNION, METACARPAL OR PHALANX (INCLUDES OBTAINING BONE GRAFT WITH OR WITHOUT EXTERNAL OR INTERNAL FIXATION)",,,2398.52,21355.56,34
CPT,26548,"REPAIR AND RECONSTRUCTION, FINGER, VOLAR PLATE, INTERPHALANGEAL JOINT",,,1088.27,9772.7,34
CPT,26560,REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; WITH SKIN FLAPS,,,593.04,4838.74,34
CPT,26565,"OSTEOTOMY; METACARPAL, EACH",,,1088.27,9772.7,34
CPT,26591,HC REPAIR MUSCLES OF HAND,5163.58,3098.15,1088.27,8018.48,55
CPT,26591,"REPAIR, INTRINSIC MUSCLES OF HAND, EACH MUSCLE",,,1088.27,9772.7,34
CPT,26600,HC TREAT METACAR FX W/O MAN - EA,865.2,519.12,85.32,7411.0,55
CPT,26605,"CLOSED TREATMENT OF METACARPAL FRACTURE, SINGLE; WITH MANIPULATION, EACH BONE",,,85.32,4779.0,33
CPT,26605,HC TREATMENT METACARPAL FRACTURE - SNGL W MANIP,1513.74,908.24,85.32,7411.0,55
CPT,26608,"PERCUTANEOUS SKELETAL FIXATION OF METACARPAL FRACTURE, EACH BONE",,,1088.27,9772.7,34
CPT,26615,"OPEN TREATMENT OF METACARPAL FRACTURE, SINGLE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH BONE",,,1088.27,10140.0,34
CPT,26641,HC TREAT THUMB DISLOCATION,1197.86,718.72,85.32,7411.0,55
CPT,26645,HC TREATMENT CLS CMC FRACTURE THMB W/MAN,3010.01,1806.01,593.04,7411.0,55
CPT,26650,"PERCUTANEOUS SKELETAL FIXATION OF CARPOMETACARPAL FRACTURE DISLOCATION, THUMB (BENNETT FRACTURE), WITH MANIPULATION",,,1088.27,9772.7,34
CPT,26665,"OPEN TREATMENT OF CARPOMETACARPAL FRACTURE DISLOCATION, THUMB (BENNETT FRACTURE), INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,1088.27,10140.0,34
CPT,26670,HC CL TREATMENT/CARPOMETACARPAL DIS W/MA,1017.59,610.55,85.32,7411.0,55
CPT,26700,HC TREAT KNUCKLE DISLOCATION,913.23,547.94,85.32,7411.0,55
CPT,26715,"OPEN TREATMENT OF METACARPOPHALANGEAL DISLOCATION, SINGLE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,1088.27,9772.7,34
CPT,26720,"HC FRACT,CLOSED PHALANGEAL W/O MA",819.8,491.88,85.32,7411.0,55
CPT,26725,"CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, FINGER OR THUMB; WITH MANIPULATION, WITH OR WITHOUT SKIN OR SKELETAL TRACTION, EACH",,,85.32,2107.0,33
CPT,26725,HC CL TREATMENT PHAL SHAFT FRACTURE W/MANI,1188.57,713.14,85.32,7411.0,55
CPT,26727,"PERCUTANEOUS SKELETAL FIXATION OF UNSTABLE PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, FINGER OR THUMB, WITH MANIPULATION, EACH",,,1088.27,10495.0,34
CPT,26735,"HC TREATMENT OF FINGER OR THUMB, EACH",8625.81,5175.49,1088.27,8018.48,55
CPT,26735,"OPEN TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, FINGER OR THUMB, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH",,,1088.27,9772.7,34
CPT,26740,"CLOSED TREATMENT OF ARTICULAR FRACTURE, INVOLVING METACARPOPHALANGEAL OR INTERPHALANGEAL JOINT; WITHOUT MANIPULATION, EACH",,,85.32,2107.0,33
CPT,26742,"CLOSED TREATMENT OF ARTICULAR FRACTURE, INVOLVING METACARPOPHALANGEAL OR INTERPHALANGEAL JOINT; WITH MANIPULATION, EACH",,,593.04,4838.74,33
CPT,26742,HC CL TREATMENT ART FRACTURE JOINT W/MANI,3013.33,1808.0,593.04,7411.0,55
CPT,26746,HC TREATMENT FINGER FRACTURE,8339.0,5003.4,1088.27,8018.48,55
CPT,26746,"OPEN TREATMENT OF ARTICULAR FRACTURE, INVOLVING METACARPOPHALANGEAL OR INTERPHALANGEAL JOINT, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH",,,1088.27,9772.7,34
CPT,26750,HC TREATMENT CLS DST FRACTURE FNG WO/MAN,711.36,426.82,85.32,7411.0,55
CPT,26755,"CLOSED TREATMENT OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB; WITH MANIPULATION, EACH",,,85.32,2107.0,33
CPT,26755,HC CL TREATMENT DIS PHAL FINGER FRACTURE W/MAN,1176.26,705.76,85.32,7411.0,55
CPT,26756,"PERCUTANEOUS SKELETAL FIXATION OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB, EACH",,,1088.27,9772.7,34
CPT,26765,HC TREAT FINGER FRACTURE-EACH,9562.74,5737.64,1088.27,8018.48,55
CPT,26765,"OPEN TREATMENT OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH",,,1088.27,9772.7,34
CPT,26770,HC CL TREATMENT JOINT DISC/W/MANI/W/O AN,1047.01,628.21,85.32,7411.0,55
CPT,26775,HC TREAT FINGER DISLOCATION,3710.36,2226.22,99.86,7411.0,55
CPT,26776,"PERCUTANEOUS SKELETAL FIXATION OF INTERPHALANGEAL JOINT DISLOCATION, SINGLE, WITH MANIPULATION",,,1088.27,9772.7,34
CPT,26785,HC TREAT OPEN FINGER DISLOCATION,5793.69,3476.21,1088.27,8018.48,55
CPT,26785,"OPEN TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, SINGLE",,,1088.27,9772.7,34
CPT,26842,"ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, WITH OR WITHOUT INTERNAL FIXATION; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,2398.52,21355.56,34
CPT,26843,"ARTHRODESIS, CARPOMETACARPAL JOINT, DIGIT, OTHER THAN THUMB, EACH;",,,2763.0,21355.56,34
CPT,26844,"ARTHRODESIS, CARPOMETACARPAL JOINT, DIGIT, OTHER THAN THUMB, EACH; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,2763.0,21355.56,34
CPT,26850,"ARTHRODESIS, METACARPOPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION;",,,2398.52,21355.56,34
CPT,26852,"ARTHRODESIS, METACARPOPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,2398.52,21355.56,34
CPT,26860,"ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION;",,,1088.27,9772.7,34
CPT,26861,"ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; EACH ADDITIONAL INTERPHALANGEAL JOINT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2416.0,4
CPT,26862,"ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,1088.27,9772.7,34
CPT,26910,"AMPUTATION, METACARPAL, WITH FINGER OR THUMB (RAY AMPUTATION), SINGLE, WITH OR WITHOUT INTEROSSEOUS TRANSFER",,,1088.27,9772.7,34
CPT,26910,HC AMPUTATE METACARPAL BONE,8747.92,5248.75,1088.27,8018.48,55
CPT,26951,"AMPUTATION, FINGER OR THUMB, PRIMARY OR SECONDARY, ANY JOINT OR PHALANX, SINGLE, INCLUDING NEURECTOMIES; WITH DIRECT CLOSURE",,,1088.27,9772.7,34
CPT,26951,"HC AMPUTATE FING/THMB,JT/PHAL,1,W CLOS",6443.32,3865.99,1088.27,8018.48,55
CPT,26952,"AMPUTATION, FINGER OR THUMB, PRIMARY OR SECONDARY, ANY JOINT OR PHALANX, SINGLE, INCLUDING NEURECTOMIES; WITH LOCAL ADVANCEMENT FLAPS (V-Y, HOOD)",,,1088.27,9772.7,34
CPT,26952,"HC AMPUTATE FING/THMB,JT,PHAL,1,W,FLAP",7414.49,4448.69,1088.27,8018.48,55
CPT,26989,HC HAND/FINGER SURGERY,502.4,301.44,125.6,7411.0,53
CPT,26989,"HC OPN TRTMNT OF CARPOMETACARPAL DISLCTN, THMB; INC INTRNL FXTN, WHN PRFRMD",11972.54,7183.52,235.4,9338.58,53
CPT,26989,"HC REPAIR OF VOLAR PLATE, METACARPOPHALANGEAL JOINT",7030.64,4218.38,235.4,7411.0,53
CPT,26989,"UNLISTED PROCEDURE, HANDS OR FINGERS",,,235.4,8280.0,30
CPT,26990,HC CT ABS PEL HIP HEMAT LT,4447.71,2668.63,1088.27,9772.7,38
CPT,26990,"INCISION AND DRAINAGE, PELVIS OR HIP JOINT AREA; DEEP ABSCESS OR HEMATOMA",,,1088.27,9772.7,34
CPT,27033,"ARTHROTOMY, HIP, INCLUDING EXPLORATION OR REMOVAL OF LOOSE OR FOREIGN BODY",,,2398.52,21355.56,34
CPT,27041,"BIOPSY, SOFT TISSUE OF PELVIS AND HIP AREA; DEEP, SUBFASCIAL OR INTRAMUSCULAR",,,486.45,4900.18,33
CPT,27043,"EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,815.2,12700.0,33
CPT,27043,HC EXC HIP/PELVIS LES S,8733.0,5239.8,815.2,7411.0,55
CPT,27045,"EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,815.2,12700.0,33
CPT,27047,"EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBCUTANEOUS; LESS THAN 3 CM",,,815.2,8278.44,34
CPT,27048,"EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,815.2,8278.44,34
CPT,27052,"ARTHROTOMY, WITH BIOPSY; HIP JOINT",,,593.04,7168.0,34
CPT,27054,"ARTHROTOMY WITH SYNOVECTOMY, HIP JOINT",,,1202.28,8280.0,29
CPT,27059,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF PELVIS AND HIP AREA; 5 CM OR GREATER",,,815.2,12700.0,33
CPT,27062,EXCISION; TROCHANTERIC BURSA OR CALCIFICATION,,,1088.27,9772.7,34
CPT,27066,"EXCISION OF BONE CYST OR BENIGN TUMOR, WING OF ILIUM, SYMPHYSIS PUBIS, OR GREATER TROCHANTER OF FEMUR; DEEP (SUBFASCIAL), INCLUDES AUTOGRAFT, WHEN PERFORMED",,,1088.27,9772.7,34
CPT,27071,"PARTIAL EXCISION, WING OF ILIUM, SYMPHYSIS PUBIS, OR GREATER TROCHANTER OF FEMUR, (CRATERIZATION, SAUCERIZATION) (EG, OSTEOMYELITIS OR BONE ABSCESS); DEEP (SUBFASCIAL OR INTRAMUSCULAR)",,,1624.36,10140.0,29
CPT,27078,RADICAL RESECTION OF TUMOR; ISCHIAL TUBEROSITY AND GREATER TROCHANTER OF FEMUR,,,3636.69,15671.95,29
CPT,27086,HC RMV FB PELVIS/HIP SUBQ,3490.44,2094.26,815.2,7411.0,55
CPT,27090,REMOVAL OF HIP PROSTHESIS; (SEPARATE PROCEDURE),,,1458.1,15671.95,29
CPT,27091,"REMOVAL OF HIP PROSTHESIS; COMPLICATED, INCLUDING TOTAL HIP PROSTHESIS, METHYLMETHACRYLATE WITH OR WITHOUT INSERTION OF SPACER",,,2805.94,27728.96,29
CPT,27093,HC DX INJ ARTHRO HIP WO ANES BI,1015.34,609.2,172.61,7411.0,32
CPT,27093,HC DX INJ ARTHRO HIP WO ANES LT,1015.34,609.2,172.61,7411.0,32
CPT,27093,HC DX INJ ARTHRO HIP WO ANES RT,1015.34,609.2,172.61,7411.0,32
CPT,27093,HC INJ ARTHROGRAM HIP W/O ANESTHESIA - BI,1015.34,609.2,172.61,7411.0,32
CPT,27093,HC INJ ARTHROGRAM HIP W/O ANESTHESIA - LT,1015.34,609.2,172.61,7411.0,32
CPT,27093,HC INJ ARTHROGRAM HIP W/O ANESTHESIA - RT,1015.34,609.2,172.61,7411.0,32
CPT,27093,HC INJECTION HIP X-RAY,1015.34,609.2,172.61,7411.0,39
CPT,27093,INJECTION PROCEDURE FOR HIP ARTHROGRAPHY; WITHOUT ANESTHESIA,,,1896.0,2107.0,3
CPT,27095,"HC INJECTION HIP ARTHROGRAM,ANESTH",2017.55,1210.53,342.98,7411.0,39
CPT,27096,HC INJ SI JNT ARTHRGRPHY&/ANES/STROID W/IMG THRPEUTIC,1583.81,950.29,111.0,7411.0,150
CPT,27096,"INJECTION PROCEDURE FOR SACROILIAC JOINT, ANESTHETIC/STEROID, WITH IMAGE GUIDANCE (FLUOROSCOPY OR CT) INCLUDING ARTHROGRAPHY WHEN PERFORMED",,,111.0,2107.0,10
CPT,27122,"ACETABULOPLASTY; RESECTION, FEMORAL HEAD (EG, GIRDLESTONE PROCEDURE)",,,1934.37,15671.95,29
CPT,27125,"HEMIARTHROPLASTY, HIP, PARTIAL (EG, FEMORAL STEM PROSTHESIS, BIPOLAR ARTHROPLASTY)",,,1992.24,27728.96,29
CPT,27130,"ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT (TOTAL HIP ARTHROPLASTY), WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT",,,7038.0,42485.53,32
CPT,27132,"CONVERSION OF PREVIOUS HIP SURGERY TO TOTAL HIP ARTHROPLASTY, WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT",,,2943.59,27728.96,29
CPT,27134,"REVISION OF TOTAL HIP ARTHROPLASTY; BOTH COMPONENTS, WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT",,,3366.89,29741.0,31
CPT,27137,"REVISION OF TOTAL HIP ARTHROPLASTY; ACETABULAR COMPONENT ONLY, WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT",,,2587.29,29741.0,31
CPT,27138,"REVISION OF TOTAL HIP ARTHROPLASTY; FEMORAL COMPONENT ONLY, WITH OR WITHOUT ALLOGRAFT",,,2688.4,29741.0,31
CPT,27187,"PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLATE, FEMORAL NECK AND PROXIMAL FEMUR",,,1744.96,15671.95,29
CPT,27197,"HC CLOSED TREATMENT OF PELIVC RING FRACTURE, W/OUT MANIP",403.14,241.88,85.32,7411.0,55
CPT,27217,"OPEN TREATMENT OF ANTERIOR PELVIC BONE FRACTURE AND/OR DISLOCATION FOR FRACTURE PATTERNS THAT DISRUPT THE PELVIC RING, UNILATERAL, INCLUDES INTERNAL FIXATION, WHEN PERFORMED (INCLUDES PUBIC SYMPHYSIS ",,,1526.91,8280.0,10
CPT,27222,HC TREAT HIP SOCKET FRACTURE,5707.15,3424.29,235.4,7411.0,54
CPT,27226,"OPEN TREATMENT OF POSTERIOR OR ANTERIOR ACETABULAR WALL FRACTURE, WITH INTERNAL FIXATION",,,1855.81,15671.95,29
CPT,27227,"OPEN TREATMENT OF ACETABULAR FRACTURE(S) INVOLVING ANTERIOR OR POSTERIOR (ONE) COLUMN, OR A FRACTURE RUNNING TRANSVERSELY ACROSS THE ACETABULUM, WITH INTERNAL FIXATION",,,2920.44,15671.95,29
CPT,27232,HC CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ,3277.16,1966.3,557.12,7411.0,54
CPT,27235,"PERCUTANEOUS SKELETAL FIXATION OF FEMORAL FRACTURE, PROXIMAL END, NECK",,,6497.0,21355.56,30
CPT,27236,"OPEN TREATMENT OF FEMORAL FRACTURE, PROXIMAL END, NECK, INTERNAL FIXATION OR PROSTHETIC REPLACEMENT",,,2100.65,15671.95,29
CPT,27238,HC TREAT INT/PER/SUBTROCH FS,2229.12,1337.47,593.04,7411.0,55
CPT,27240,HC CL TREATMENT FEMORAL FRACTURE W MANIP,5914.9,3548.94,1005.53,7411.0,54
CPT,27245,"TREATMENT OF INTERTROCHANTERIC, PERITROCHANTERIC, OR SUBTROCHANTERIC FEMORAL FRACTURE; WITH INTRAMEDULLARY IMPLANT, WITH OR WITHOUT INTERLOCKING SCREWS AND/OR CERCLAGE",,,2161.56,15671.95,29
CPT,27250,HC TREAT HIP LOCATION,1082.78,649.67,85.32,7411.0,55
CPT,27252,HC CLOSED TREATMENT HIP DISLOCATION,5742.42,3445.45,593.04,7411.0,55
CPT,27257,HC TREATMENT HIP DISLOC W/MAN W/ANES,7708.9,4625.34,593.04,7411.0,55
CPT,27265,HC TREAT POST HIP ARTHROPLASTY DISLOCATION,1483.23,889.94,85.32,7411.0,55
CPT,27266,HC CL TREATMENT POST HIP DISCL W/ANES,5472.83,3283.7,593.04,7411.0,55
CPT,27268,HC CLOSED TREATMENT THIGH FRACTURE W/MANIPU,5839.52,3503.71,992.72,7411.0,54
CPT,27275,"MANIPULATION, HIP JOINT, REQUIRING GENERAL ANESTHESIA",,,593.04,4838.74,34
CPT,27299,HC GLUTEUS MEDIUS REPAIR; OPEN,9811.23,5886.74,235.4,7652.76,53
CPT,27299,HC MECH REMOV TUNNELED CV CATH,5723.32,3433.99,235.4,8280.0,51
CPT,27299,"HC OPEN REPAIR OF GLUTEUS MEDIUS AND MINIMUS TENDON, INCLUDING DEBRIDEMENT, WHEN PERFORMED",8651.7,5191.02,235.4,7411.0,53
CPT,27299,HC PELVIS/HIP JOINT SUR,7105.7,4263.42,235.4,7411.0,53
CPT,27299,HC PERCUTANEOUS TENOTOMY WITH ULTRASOUND DESTRUCTION OF CALCIFICATIONS OR DISEASED TENDON OF ABDUCTORS AND EXTENSORS,5459.38,3275.63,235.4,7411.0,53
CPT,27299,"HC PROXIMAL FMRL OSTEOCHNDRPLSTY W HIP LABRAL RPR W/WO ACETABULOPLASTY, OPN",16719.97,10031.98,235.4,13041.58,53
CPT,27299,HC PROXIMAL HAMSTRING REPAIR,5555.61,3333.37,235.4,7411.0,53
CPT,27299,"HC REPAIR OF ILIOTIBIAL BAND, OPEN",7767.73,4660.64,235.4,8280.0,51
CPT,27301,HC DRAIN THIGH/KNEE LES,6011.43,3606.86,815.2,7411.0,55
CPT,27301,HC I&D DEEP ABSCESS THIGH/KN,6011.43,3606.86,815.2,7411.0,55
CPT,27301,"INCISION AND DRAINAGE, DEEP ABSCESS, BURSA, OR HEMATOMA, THIGH OR KNEE REGION",,,815.2,8278.44,34
CPT,27303,"INCISION, DEEP, WITH OPENING OF BONE CORTEX, FEMUR OR KNEE (EG, OSTEOMYELITIS OR BONE ABSCESS)",,,1122.5,8568.0,29
CPT,27310,"ARTHROTOMY, KNEE, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY (EG, INFECTION)",,,1088.27,9772.7,34
CPT,27323,"BIOPSY, SOFT TISSUE OF THIGH OR KNEE AREA; SUPERFICIAL",,,486.45,4900.18,34
CPT,27323,"HC BIOPSY, THIGH SOFT T",5537.79,3322.67,486.45,7411.0,55
CPT,27324,"BIOPSY, SOFT TISSUE OF THIGH OR KNEE AREA; DEEP (SUBFASCIAL OR INTRAMUSCULAR)",,,815.2,8278.44,34
CPT,27327,"EXCISION, TUMOR, SOFT TISSUE OF THIGH OR KNEE AREA, SUBCUTANEOUS; LESS THAN 3 CM",,,486.45,4900.18,34
CPT,27328,"EXCISION, TUMOR, SOFT TISSUE OF THIGH OR KNEE AREA, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,815.2,8278.44,34
CPT,27329,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF THIGH OR KNEE AREA; LESS THAN 5 CM",,,815.2,8278.44,34
CPT,27330,"ARTHROTOMY, KNEE; WITH SYNOVIAL BIOPSY ONLY",,,1088.27,9772.7,34
CPT,27331,"ARTHROTOMY, KNEE; INCLUDING JOINT EXPLORATION, BIOPSY, OR REMOVAL OF LOOSE OR FOREIGN BODIES",,,1088.27,9772.7,34
CPT,27332,"HC ARTHROTOMY, WITH EXCISION OF SEMILUNAR CARTILAGE KNEE",5163.58,3098.15,1088.27,8018.48,55
CPT,27334,"ARTHROTOMY, WITH SYNOVECTOMY, KNEE; ANTERIOR OR POSTERIOR",,,1088.27,9772.7,34
CPT,27335,"ARTHROTOMY, WITH SYNOVECTOMY, KNEE; ANTERIOR AND POSTERIOR INCLUDING POPLITEAL AREA",,,2398.52,21355.56,34
CPT,27337,"EXCISION, TUMOR, SOFT TISSUE OF THIGH OR KNEE AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,815.2,12700.0,33
CPT,27339,"EXCISION, TUMOR, SOFT TISSUE OF THIGH OR KNEE AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,815.2,12700.0,33
CPT,27340,"EXCISION, PREPATELLAR BURSA",,,1088.27,9772.7,34
CPT,27345,"EXCISION OF SYNOVIAL CYST OF POPLITEAL SPACE (EG, BAKER'S CYST)",,,1088.27,9772.7,34
CPT,27347,"EXCISION OF LESION OF MENISCUS OR CAPSULE (EG, CYST, GANGLION), KNEE",,,1088.27,9772.7,34
CPT,27350,PATELLECTOMY OR HEMIPATELLECTOMY,,,2398.52,21355.56,34
CPT,27355,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF FEMUR;,,,1088.27,9772.7,34
CPT,27356,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF FEMUR; WITH ALLOGRAFT,,,3410.0,42485.53,34
CPT,27357,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF FEMUR; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT),,,3122.54,21355.56,34
CPT,27358,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF FEMUR; WITH INTERNAL FIXATION (LIST IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,1896.0,3879.0,4
CPT,27360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE, FEMUR, PROXIMAL TIBIA AND/OR FIBULA (EG, OSTEOMYELITIS OR BONE ABSCESS)",,,1088.27,9772.7,34
CPT,27364,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF THIGH OR KNEE AREA; 5 CM OR GREATER",,,815.2,12700.0,33
CPT,27365,"RADICAL RESECTION OF TUMOR, FEMUR OR KNEE",,,3122.56,10140.0,29
CPT,27369,HC NJX CNTRST KNE ARTHG/CT/MRI,952.18,571.31,161.87,7411.0,39
CPT,27369,INJECTION PROCEDURE FOR CONTRAST KNEE ARTHROGRAPHY OR CONTRAST ENHANCED CT/MRI KNEE ARTHROGRAPHY,,,1896.0,2107.0,3
CPT,27372,HC REMOVE FB THIGH/KNEE DEEP,6915.0,4149.0,815.2,7411.0,55
CPT,27372,"REMOVAL OF FOREIGN BODY, DEEP, THIGH REGION OR KNEE AREA",,,815.2,10495.0,34
CPT,27380,SUTURE OF INFRAPATELLAR TENDON; PRIMARY,,,1804.0,21355.56,34
CPT,27381,"SUTURE OF INFRAPATELLAR TENDON; SECONDARY RECONSTRUCTION, INCLUDING FASCIAL OR TENDON GRAFT",,,2763.0,21355.56,34
CPT,27385,HC REPAIR OF THIGH MUSC,11212.84,6727.7,2398.52,17722.46,55
CPT,27385,SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; PRIMARY,,,2398.52,21355.56,34
CPT,27386,"SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; SECONDARY RECONSTRUCTION, INCLUDING FASCIAL OR TENDON GRAFT",,,2398.52,21355.56,34
CPT,27403,"ARTHROTOMY WITH MENISCUS REPAIR, KNEE",,,3122.54,21355.56,34
CPT,27422,"RECONSTRUCTION OF DISLOCATING PATELLA; WITH EXTENSOR REALIGNMENT AND/OR MUSCLE ADVANCEMENT OR RELEASE (EG, CAMPBELL, GOLDWAITE TYPE PROCEDURE)",,,2398.52,21355.56,34
CPT,27424,RECONSTRUCTION OF DISLOCATING PATELLA; WITH PATELLECTOMY,,,2398.52,21355.56,34
CPT,27425,"LATERAL RETINACULAR RELEASE, OPEN",,,1088.27,10495.0,34
CPT,27430,"QUADRICEPSPLASTY (EG, BENNETT OR THOMPSON TYPE)",,,2398.52,21355.56,34
CPT,27435,"CAPSULOTOMY, POSTERIOR CAPSULAR RELEASE, KNEE",,,1088.27,9772.7,34
CPT,27437,"ARTHROPLASTY, PATELLA; WITHOUT PROSTHESIS",,,2398.52,21355.56,34
CPT,27438,"ARTHROPLASTY, PATELLA; WITH PROSTHESIS",,,3879.0,42485.53,36
CPT,27446,"ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL OR LATERAL COMPARTMENT",,,7038.0,42485.53,35
CPT,27447,"ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)",,,7038.0,42485.53,32
CPT,27450,"OSTEOTOMY, FEMUR, SHAFT OR SUPRACONDYLAR; WITH FIXATION",,,1784.56,15671.95,29
CPT,27454,"OSTEOTOMY, MULTIPLE, WITH REALIGNMENT ON INTRAMEDULLARY ROD, FEMORAL SHAFT (EG, SOFIELD TYPE PROCEDURE)",,,2276.06,15671.95,29
CPT,27465,"OSTEOPLASTY, FEMUR; SHORTENING (EXCLUDING 64876)",,,2202.36,15671.95,29
CPT,27470,"REPAIR, NONUNION OR MALUNION, FEMUR, DISTAL TO HEAD AND NECK; WITHOUT GRAFT (EG, COMPRESSION TECHNIQUE)",,,2067.16,15671.95,29
CPT,27472,"REPAIR, NONUNION OR MALUNION, FEMUR, DISTAL TO HEAD AND NECK; WITH ILIAC OR OTHER AUTOGENOUS BONE GRAFT (INCLUDES OBTAINING GRAFT)",,,2218.19,15671.95,29
CPT,27486,"REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; 1 COMPONENT",,,2469.14,27728.96,29
CPT,27487,"REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; FEMORAL AND ENTIRE TIBIAL COMPONENT",,,3089.76,37869.5,31
CPT,27488,"REMOVAL OF PROSTHESIS, INCLUDING TOTAL KNEE PROSTHESIS, METHYLMETHACRYLATE WITH OR WITHOUT INSERTION OF SPACER, KNEE",,,2109.78,27728.96,29
CPT,27495,"PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING, OR WIRING) WITH OR WITHOUT METHYLMETHACRYLATE, FEMUR",,,1980.05,15671.95,29
CPT,27500,HC TREATMENT FEMURAL SHAFT FRACTURE,2203.49,1322.09,85.32,7411.0,55
CPT,27502,HC CL TREATMENT FEMORAL SHAFT FRACTURE,5228.04,3136.82,593.04,7411.0,55
CPT,27503,HC ER TREAT THIGH FRACTURE,2316.2,1389.72,593.04,7411.0,55
CPT,27508,HC CL TREATMENT/FEMORAL FRACTURE W/O MAN,837.94,502.76,85.32,7411.0,55
CPT,27509,HC TREAT THIGH FRACTURE,11218.62,6731.17,2763.0,17722.46,55
CPT,27509,"PERCUTANEOUS SKELETAL FIXATION OF FEMORAL FRACTURE, DISTAL END, MEDIAL OR LATERAL CONDYLE, OR SUPRACONDYLAR OR TRANSCONDYLAR, WITH OR WITHOUT INTERCONDYLAR EXTENSION, OR DISTAL FEMORAL EPIPHYSEAL SEPA",,,2763.0,21355.56,34
CPT,27510,"HC CL TREATMENT FEM TREATMENT/DIS,MED,LAT,W/O M",4138.74,2483.24,593.04,7411.0,55
CPT,27517,HC TREAT THIGH FX GROWT,3230.64,1938.38,593.04,7411.0,55
CPT,27520,HC TREAT KNEECAP FRACTURE,1001.0,600.6,85.32,7411.0,55
CPT,27524,"OPEN TREATMENT OF PATELLAR FRACTURE, WITH INTERNAL FIXATION AND/OR PARTIAL OR COMPLETE PATELLECTOMY AND SOFT TISSUE REPAIR",,,2398.52,21355.56,33
CPT,27532,HC TREATMENT KNEE FRACTURE,5678.04,3406.82,1088.27,8018.48,55
CPT,27535,"OPEN TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); UNICONDYLAR, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,1578.68,15671.95,29
CPT,27536,"OPEN TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); BICONDYLAR, WITH OR WITHOUT INTERNAL FIXATION",,,2088.47,15671.95,29
CPT,27538,HC TREAT KNEE FRACTURE,2160.0,1296.0,85.32,7411.0,55
CPT,27540,"OPEN TREATMENT OF INTERCONDYLAR SPINE(S) AND/OR TUBEROSITY FRACTURE(S) OF THE KNEE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,1427.64,15671.95,29
CPT,27550,HC CLOSED TREATMENT KNEE DISLOC W/O ANES,1361.75,817.05,85.32,7411.0,55
CPT,27552,HC CL TREATMENT KNEE DISLOC REQ ANESTH,4320.14,2592.08,593.04,7411.0,55
CPT,27560,HC TREAT KNEECAP DISLOCATION,1357.02,814.21,85.32,7411.0,55
CPT,27562,HC TREATMENT OF PATTELLAR DISLOC,3403.38,2042.03,85.32,7411.0,55
CPT,27570,HC FIXATION OF KNEE JNT,2960.4,1776.24,593.04,7411.0,55
CPT,27570,MANIPULATION OF KNEE JOINT UNDER GENERAL ANESTHESIA (INCLUDES APPLICATION OF TRACTION OR OTHER FIXATION DEVICES),,,593.04,4838.74,34
CPT,27590,"AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL;",,,1397.8,17847.0,29
CPT,27594,"AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; SECONDARY CLOSURE OR SCAR REVISION",,,1088.27,9772.7,34
CPT,27596,"AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; RE-AMPUTATION",,,1262.58,10140.0,29
CPT,27599,HC  REMOVAL AND REINSERTION OF HARDWARE,10698.26,6418.96,235.4,8344.64,53
CPT,27599,"HC ARTHROPLASTY, KNEE, PATELLOFEMORAL",21546.0,12927.6,235.4,16805.88,53
CPT,27599,HC FEMUR/KNEE UNLISTED PROCEDURE,5593.68,3356.21,235.4,7411.0,53
CPT,27599,HC ILIOTIBAL BAND REPAIR/RECONSTRUCTION W MESH/GRAFT (EG: HERNIATION),9906.62,5943.97,235.4,8280.0,51
CPT,27599,HC MANIPULATION OF KNEE JOINT UNDER OTHER ANESTHESIA (NOT GENERAL),2960.4,1776.24,235.4,7411.0,53
CPT,27599,HC OPEN EXCISION OF TIBIAL TUBERCLE OSSICLE,6601.79,3961.07,235.4,7411.0,53
CPT,27599,"HC TENDON DEBRIDEMENT/RELEASE, KNEE (E.G. POPLITEUS)",6300.74,3780.44,235.4,7411.0,53
CPT,27599,"HC TROCHLEOPLASTY, KNEE",8007.87,4804.72,235.4,7411.0,53
CPT,27600,HC DECOMPRESSN LOW LEG,5680.5,3408.3,1088.27,8018.48,55
CPT,27602,"DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/OR LATERAL, AND POSTERIOR COMPARTMENT(S)",,,1088.27,9772.7,34
CPT,27602,HC DECOMPRESSN LOW LEG,11813.87,7088.32,1088.27,9214.82,55
CPT,27603,HC DRAIN LOWER LEG LESI,7646.92,4588.15,815.2,7411.0,55
CPT,27603,HC I&D ABSCESS LEG/ANKLE DEE,7646.92,4588.15,815.2,7411.0,55
CPT,27603,"INCISION AND DRAINAGE, LEG OR ANKLE; DEEP ABSCESS OR HEMATOMA",,,815.2,8278.44,34
CPT,27606,"TENOTOMY, PERCUTANEOUS, ACHILLES TENDON (SEPARATE PROCEDURE); GENERAL ANESTHESIA",,,1088.27,9772.7,34
CPT,27607,"INCISION (EG, OSTEOMYELITIS OR BONE ABSCESS), LEG OR ANKLE",,,1088.27,9772.7,34
CPT,27613,"BIOPSY, SOFT TISSUE OF LEG OR ANKLE AREA; SUPERFICIAL",,,139.54,4345.0,33
CPT,27614,"BIOPSY, SOFT TISSUE OF LEG OR ANKLE AREA; DEEP (SUBFASCIAL OR INTRAMUSCULAR)",,,815.2,8278.44,34
CPT,27615,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF LEG OR ANKLE AREA; LESS THAN 5 CM",,,815.2,8278.44,34
CPT,27616,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF LEG OR ANKLE AREA; 5 CM OR GREATER",,,815.2,12700.0,33
CPT,27618,"EXCISION, TUMOR, SOFT TISSUE OF LEG OR ANKLE AREA, SUBCUTANEOUS; LESS THAN 3 CM",,,486.45,4900.18,34
CPT,27619,"EXCISION, TUMOR, SOFT TISSUE OF LEG OR ANKLE AREA, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,815.2,8278.44,34
CPT,27620,"ARTHROTOMY, ANKLE, WITH JOINT EXPLORATION, WITH OR WITHOUT BIOPSY, WITH OR WITHOUT REMOVAL OF LOOSE OR FOREIGN BODY",,,1088.27,9772.7,34
CPT,27632,"EXCISION, TUMOR, SOFT TISSUE OF LEG OR ANKLE AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,815.2,12700.0,33
CPT,27634,"EXCISION, TUMOR, SOFT TISSUE OF LEG OR ANKLE AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,815.2,12700.0,33
CPT,27635,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TIBIA OR FIBULA;",,,1088.27,9772.7,34
CPT,27638,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TIBIA OR FIBULA; WITH ALLOGRAFT",,,2398.52,21355.56,34
CPT,27640,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY), BONE (EG, OSTEOMYELITIS); TIBIA",,,1088.27,9772.7,34
CPT,27641,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY), BONE (EG, OSTEOMYELITIS); FIBULA",,,1088.27,9772.7,34
CPT,27645,RADICAL RESECTION OF TUMOR; TIBIA,,,3122.56,10140.0,29
CPT,27646,RADICAL RESECTION OF TUMOR; FIBULA,,,2701.79,10140.0,29
CPT,27648,HC DX INJ ARTHROGRAM ANKLE BI,675.51,405.31,114.84,7411.0,32
CPT,27648,HC DX INJ ARTHROGRAM ANKLE LT,675.51,405.31,114.84,7411.0,32
CPT,27648,HC DX INJ ARTHROGRAM ANKLE RT,675.51,405.31,114.84,7411.0,32
CPT,27648,HC INJ ARTHROGRAM ANKLE - BI,675.51,405.31,114.84,7411.0,32
CPT,27648,HC INJ ARTHROGRAM ANKLE - LT,675.51,405.31,114.84,7411.0,32
CPT,27648,HC INJ ARTHROGRAM ANKLE - RT,675.51,405.31,114.84,7411.0,32
CPT,27650,"REPAIR, PRIMARY, OPEN OR PERCUTANEOUS, RUPTURED ACHILLES TENDON;",,,2398.52,21355.56,36
CPT,27658,"REPAIR, FLEXOR TENDON, LEG; PRIMARY, WITHOUT GRAFT, EACH TENDON",,,1088.27,9772.7,34
CPT,27659,"REPAIR, FLEXOR TENDON, LEG; SECONDARY, WITH OR WITHOUT GRAFT, EACH TENDON",,,2398.52,21355.56,34
CPT,27664,"REPAIR, EXTENSOR TENDON, LEG; PRIMARY, WITHOUT GRAFT, EACH TENDON",,,2398.52,21355.56,34
CPT,27675,"REPAIR, DISLOCATING PERONEAL TENDONS; WITHOUT FIBULAR OSTEOTOMY",,,1088.27,9772.7,34
CPT,27680,"TENOLYSIS, FLEXOR OR EXTENSOR TENDON, LEG AND/OR ANKLE; SINGLE, EACH TENDON",,,1088.27,9772.7,34
CPT,27685,"LENGTHENING OR SHORTENING OF TENDON, LEG OR ANKLE; SINGLE TENDON (SEPARATE PROCEDURE)",,,1088.27,9772.7,34
CPT,27687,"GASTROCNEMIUS RECESSION (EG, STRAYER PROCEDURE)",,,1088.27,9772.7,34
CPT,27691,"TRANSFER OR TRANSPLANT OF SINGLE TENDON (WITH MUSCLE REDIRECTION OR REROUTING); DEEP (EG, ANTERIOR TIBIAL OR POSTERIOR TIBIAL THROUGH INTEROSSEOUS SPACE, FLEXOR DIGITORUM LONGUS, FLEXOR HALLUCIS LONGU",,,2398.52,21355.56,34
CPT,27695,"REPAIR, PRIMARY, DISRUPTED LIGAMENT, ANKLE; COLLATERAL",,,2416.0,21355.56,34
CPT,27698,"REPAIR, SECONDARY, DISRUPTED LIGAMENT, ANKLE, COLLATERAL (EG, WATSON-JONES PROCEDURE)",,,2416.0,21355.56,34
CPT,27705,OSTEOTOMY; TIBIA,,,2416.0,21355.56,34
CPT,27709,OSTEOTOMY; TIBIA AND FIBULA,,,2416.0,42485.53,34
CPT,27720,"REPAIR OF NONUNION OR MALUNION, TIBIA; WITHOUT GRAFT, (EG, COMPRESSION TECHNIQUE)",,,3466.1,21355.56,33
CPT,27724,"REPAIR OF NONUNION OR MALUNION, TIBIA; WITH ILIAC OR OTHER AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,2222.47,15671.95,29
CPT,27742,"HC TIBIA/FIBULA/FEMUR,PROX/DISTAL-EPIPHYSIODE",5163.58,3098.15,1088.27,8018.48,55
CPT,27745,"PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLATE, TIBIA",,,2763.0,21355.56,34
CPT,27750,HC TREAT TIBAL FRACTURE,1262.32,757.39,85.32,7411.0,55
CPT,27752,"CLOSED TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE); WITH MANIPULATION, WITH OR WITHOUT SKELETAL TRACTION",,,593.04,4838.74,33
CPT,27752,HC CL TREATMENT TIBIAL SHAFT TREATMENT W/MANI,5101.89,3061.13,593.04,7411.0,55
CPT,27756,"PERCUTANEOUS SKELETAL FIXATION OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE) (EG, PINS OR SCREWS)",,,2763.0,21355.56,34
CPT,27759,"TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE) BY INTRAMEDULLARY IMPLANT, WITH OR WITHOUT INTERLOCKING SCREWS AND/OR CERCLAGE",,,3410.0,42485.53,34
CPT,27760,CLOSED TREATMENT OF MEDIAL MALLEOLUS FRACTURE; WITHOUT MANIPULATION,,,85.32,4345.0,33
CPT,27762,HC CLO TRE OF MEDIAL MALLEOL FRACTURE,5021.28,3012.77,593.04,7411.0,55
CPT,27766,"OPEN TREATMENT OF MEDIAL MALLEOLUS FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2398.52,21355.56,34
CPT,27768,CLOSED TREATMENT OF POSTERIOR MALLEOLUS FRACTURE; WITH MANIPULATION,,,850.02,4838.74,33
CPT,27768,HC CLS TREATMENT PSTR MALLEOLUS FRACTURE W MAN,4369.68,2621.81,850.02,7411.0,55
CPT,27781,CLOSED TREATMENT OF PROXIMAL FIBULA OR SHAFT FRACTURE; WITH MANIPULATION,,,593.04,4838.74,33
CPT,27781,"HC CL TREATMENT/PRX FIB OR SHFT FRACTURE,W/MAN",5047.8,3028.68,593.04,7411.0,55
CPT,27784,"OPEN TREATMENT OF PROXIMAL FIBULA OR SHAFT FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2398.52,21355.56,34
CPT,27786,HC TREATMENT DISTAL FIBULAR FX,1021.89,613.13,85.32,7411.0,55
CPT,27788,CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS); WITH MANIPULATION,,,85.32,4345.0,33
CPT,27788,HC CL TREATMENT DISTAL FIB FRACTURE W/MANI,1618.87,971.32,85.32,7411.0,55
CPT,27792,"OPEN TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS), INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
CPT,27808,HC REDUCTION ANKLE,1198.92,719.35,85.32,7411.0,55
CPT,27810,"CLOSED TREATMENT OF BIMALLEOLAR ANKLE FRACTURE (EG, LATERAL AND MEDIAL MALLEOLI, OR LATERAL AND POSTERIOR MALLEOLI OR MEDIAL AND POSTERIOR MALLEOLI); WITH MANIPULATION",,,593.04,4838.74,33
CPT,27810,HC CL TREATMENT BIMAL ANKLE FRACTURE W/MANI,2759.64,1655.78,593.04,7411.0,55
CPT,27814,"OPEN TREATMENT OF BIMALLEOLAR ANKLE FRACTURE (EG, LATERAL AND MEDIAL MALLEOLI, OR LATERAL AND POSTERIOR MALLEOLI, OR MEDIAL AND POSTERIOR MALLEOLI), INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
CPT,27816,HC TREATMENT TRIMALLEOLAR ANKLE FX,1188.72,713.23,85.32,7411.0,55
CPT,27818,HC CL TREATMENT TRIMAL ANKLE FRACTURE W/MANI,2609.56,1565.74,593.04,7411.0,55
CPT,27822,HC TREATMENT ANKLE FRACTURE,11104.53,6662.72,2763.0,17722.46,55
CPT,27822,"OPEN TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, MEDIAL AND/OR LATERAL MALLEOLUS; WITHOUT FIXATION OF POSTERIOR LIP",,,2763.0,21355.56,34
CPT,27823,"OPEN TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, MEDIAL AND/OR LATERAL MALLEOLUS; WITH FIXATION OF POSTERIOR LIP",,,2763.0,21355.56,34
CPT,27825,HC CLSD TRMT OF DISTAL TIBIA,4620.15,2772.09,593.04,7411.0,55
CPT,27827,HC ER TREAT LOWER LEG FRACTURE,21509.76,12905.86,2763.0,32603.53,55
CPT,27827,"OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTICULAR SURFACE/PORTION OF DISTAL TIBIA (EG, PILON OR TIBIAL PLAFOND), WITH INTERNAL FIXATION, WHEN PERFORMED; OF TIBIA ONLY",,,2763.0,42485.53,34
CPT,27828,HC ER TREAT LOWER LEG FRACTURE,21088.34,12653.0,3410.0,32603.53,55
CPT,27828,"OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTICULAR SURFACE/PORTION OF DISTAL TIBIA (EG, PILON OR TIBIAL PLAFOND), WITH INTERNAL FIXATION, WHEN PERFORMED; OF BOTH TIBIA AND FIBULA",,,3410.0,42485.53,34
CPT,27829,"OPEN TREATMENT OF DISTAL TIBIOFIBULAR JOINT (SYNDESMOSIS) DISRUPTION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2416.0,21355.56,34
CPT,27830,HC CLOSED RX PROX TIB/FIB DISLOC,800.0,480.0,85.32,7411.0,55
CPT,27840,HC TREAT ANKLE DISLOCATION,1613.26,967.96,85.32,7411.0,55
CPT,27842,HC CLO TRE OF ANKLE DISLOC,5938.65,3563.19,785.98,7411.0,55
CPT,27870,"ARTHRODESIS, ANKLE, OPEN",,,3410.0,42485.53,34
CPT,27880,"AMPUTATION, LEG, THROUGH TIBIA AND FIBULA;",,,1601.83,17847.0,29
CPT,27884,"AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; SECONDARY CLOSURE OR SCAR REVISION",,,1088.27,9772.7,34
CPT,27886,"AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; RE-AMPUTATION",,,1150.52,10140.0,29
CPT,27899,HC LEG/ANKLE SURGERY PR,3838.28,2302.97,235.4,7411.0,53
CPT,27899,"HC PERCUTANEOUS TENOTOMY W ULTRASOUND, LOWER LEG/ANKLE, SINGLE TENDON",11363.73,6818.24,235.4,8863.71,53
CPT,27899,HC UNLISTED PROCEDURE LEG/ANKLE,3914.76,2348.86,235.4,7411.0,53
CPT,28001,HC I&D BURSA FOOT,3024.12,1814.47,82.5,7411.0,55
CPT,28003,HC TREATMENT FOOT INFEC,6342.0,3805.2,1088.27,8018.48,55
CPT,28005,"INCISION, BONE CORTEX (EG, OSTEOMYELITIS OR BONE ABSCESS), FOOT",,,1088.27,9772.7,34
CPT,28010,"HC INCISION OF TOE TENDON - PERC, SINGLE",3831.65,2298.99,100.5,7411.0,55
CPT,28010,"TENOTOMY, PERCUTANEOUS, TOE; SINGLE TENDON",,,100.5,8280.0,33
CPT,28035,"RELEASE, TARSAL TUNNEL (POSTERIOR TIBIAL NERVE DECOMPRESSION)",,,659.94,7886.0,34
CPT,28039,"EXCISION, TUMOR, SOFT TISSUE OF FOOT OR TOE, SUBCUTANEOUS; 1.5 CM OR GREATER",,,815.2,8278.44,33
CPT,28041,"EXCISION, TUMOR, SOFT TISSUE OF FOOT OR TOE, SUBFASCIAL (EG, INTRAMUSCULAR); 1.5 CM OR GREATER",,,815.2,8278.44,33
CPT,28043,"EXCISION, TUMOR, SOFT TISSUE OF FOOT OR TOE, SUBCUTANEOUS; LESS THAN 1.5 CM",,,486.45,4900.18,34
CPT,28045,"EXCISION, TUMOR, SOFT TISSUE OF FOOT OR TOE, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 1.5 CM",,,815.2,8278.44,34
CPT,28046,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF FOOT OR TOE; LESS THAN 3 CM",,,815.2,8278.44,34
CPT,28047,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF FOOT OR TOE; 3 CM OR GREATER",,,815.2,12700.0,33
CPT,28054,ARTHROTOMY WITH BIOPSY; INTERPHALANGEAL JOINT,,,1088.27,9772.7,34
CPT,28090,"EXCISION OF LESION, TENDON, TENDON SHEATH, OR CAPSULE (INCLUDING SYNOVECTOMY) (EG, CYST OR GANGLION); FOOT",,,593.04,7168.0,34
CPT,28100,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TALUS OR CALCANEUS;",,,1088.27,9772.7,34
CPT,28102,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TALUS OR CALCANEUS; WITH ILIAC OR OTHER AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,2763.0,21355.56,34
CPT,28104,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TARSAL OR METATARSAL, EXCEPT TALUS OR CALCANEUS;",,,1088.27,9772.7,34
CPT,28108,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, PHALANGES OF FOOT",,,593.04,4838.74,34
CPT,28110,"OSTECTOMY, PARTIAL EXCISION, FIFTH METATARSAL HEAD (BUNIONETTE) (SEPARATE PROCEDURE)",,,1088.27,9772.7,34
CPT,28120,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS OR BOSSING); TALUS OR CALCANEUS",,,1088.27,10495.0,34
CPT,28122,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS OR BOSSING); TARSAL OR METATARSAL BONE, EXCEPT TALUS OR CALCANEUS",,,1088.27,9772.7,34
CPT,28124,HC PARTIAL REMOVAL TOE,5204.89,3122.93,238.37,8018.48,55
CPT,28124,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS OR BOSSING); PHALANX OF TOE",,,238.37,8018.48,33
CPT,28173,HC ED ONLY METATARSAL RADICAL RESECTION,5163.58,3098.15,1088.27,8018.48,55
CPT,28190,HC REMOTE MONITOR PHYSIOL PARAM SETUP,2310.13,1386.08,138.98,7411.0,41
CPT,28190,HC REMOVAL OF FOOT FOREIGN BODY,2310.13,1386.08,138.98,7411.0,110
CPT,28190,"REMOVAL OF FOREIGN BODY, FOOT; SUBCUTANEOUS",,,138.98,4345.0,33
CPT,28192,HC REMOVAL OF FOREIGN BODY FOOT - DEEP,4788.9,2873.34,486.45,7411.0,55
CPT,28192,"REMOVAL OF FOREIGN BODY, FOOT; DEEP",,,486.45,4900.18,34
CPT,28200,"REPAIR, TENDON, FLEXOR, FOOT; PRIMARY OR SECONDARY, WITHOUT FREE GRAFT, EACH TENDON",,,1088.27,9772.7,34
CPT,28208,HC REPAIR FOOT TENDON,5782.99,3469.79,1088.27,8018.48,55
CPT,28230,"TENOTOMY, OPEN, TENDON FLEXOR; FOOT, SINGLE OR MULTIPLE TENDON(S) (SEPARATE PROCEDURE)",,,221.76,8280.0,33
CPT,28232,"TENOTOMY, OPEN, TENDON FLEXOR; TOE, SINGLE TENDON (SEPARATE PROCEDURE)",,,203.76,8280.0,33
CPT,28234,"TENOTOMY, OPEN, EXTENSOR, FOOT OR TOE, EACH TENDON",,,593.04,4838.74,34
CPT,28250,"DIVISION OF PLANTAR FASCIA AND MUSCLE (EG, STEINDLER STRIPPING) (SEPARATE PROCEDURE)",,,1088.27,9772.7,34
CPT,28264,"CAPSULOTOMY, MIDTARSAL (EG, HEYMAN TYPE PROCEDURE)",,,593.04,8568.0,34
CPT,28264,HC MIDTARSAL CAPSULOTOMY (HEYMAN),2585.08,1551.05,593.04,7411.0,55
CPT,28285,"CORRECTION, HAMMERTOE (EG, INTERPHALANGEAL FUSION, PARTIAL OR TOTAL PHALANGECTOMY)",,,1088.27,10032.0,36
CPT,28289,"HALLUX RIGIDUS CORRECTION WITH CHEILECTOMY, DEBRIDEMENT AND CAPSULAR RELEASE OF THE FIRST METATARSOPHALANGEAL JOINT; WITHOUT IMPLANT",,,1088.27,9772.7,34
CPT,28292,"CORRECTION, HALLUX VALGUS WITH BUNIONECTOMY, WITH SESAMOIDECTOMY WHEN PERFORMED; WITH RESECTION OF PROXIMAL PHALANX BASE, WHEN PERFORMED, ANY METHOD",,,1088.27,10032.0,36
CPT,28292,HC CORRECTION OF BUNION,10590.0,6354.0,1088.27,10032.0,56
CPT,28295,"CORRECTION, HALLUX VALGUS WITH BUNIONECTOMY, WITH SESAMOIDECTOMY WHEN PERFORMED; WITH PROXIMAL METATARSAL OSTEOTOMY, ANY METHOD",,,1088.27,9772.7,34
CPT,28296,"CORRECTION, HALLUX VALGUS WITH BUNIONECTOMY, WITH SESAMOIDECTOMY WHEN PERFORMED; WITH DISTAL METATARSAL OSTEOTOMY, ANY METHOD",,,1088.27,10032.0,36
CPT,28298,"CORRECTION, HALLUX VALGUS WITH BUNIONECTOMY, WITH SESAMOIDECTOMY WHEN PERFORMED; WITH PROXIMAL PHALANX OSTEOTOMY, ANY METHOD",,,3103.16,21355.56,34
CPT,28299,"CORRECTION, HALLUX VALGUS WITH BUNIONECTOMY, WITH SESAMOIDECTOMY WHEN PERFORMED; WITH DOUBLE OSTEOTOMY, ANY METHOD",,,3132.58,21355.56,36
CPT,28300,"OSTEOTOMY; CALCANEUS (EG, DWYER OR CHAMBERS TYPE PROCEDURE), WITH OR WITHOUT INTERNAL FIXATION",,,2416.0,21355.56,34
CPT,28306,"OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, METATARSAL; FIRST METATARSAL",,,2398.52,21355.56,34
CPT,28308,"OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, METATARSAL; OTHER THAN FIRST METATARSAL, EACH",,,1088.27,9772.7,34
CPT,28310,"OSTEOTOMY, SHORTENING, ANGULAR OR ROTATIONAL CORRECTION; PROXIMAL PHALANX, FIRST TOE (SEPARATE PROCEDURE)",,,2398.52,21355.56,34
CPT,28315,"SESAMOIDECTOMY, FIRST TOE (SEPARATE PROCEDURE)",,,1088.27,9772.7,34
CPT,28320,"REPAIR, NONUNION OR MALUNION; TARSAL BONES",,,3410.0,42485.53,34
CPT,28405,HC TREATMENT OF HEEL FRACTURE,9610.44,5766.26,85.32,7411.0,55
CPT,28415,"OPEN TREATMENT OF CALCANEAL FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED;",,,2763.0,21355.56,34
CPT,28435,HC CL TREATMENT TALUS FRACTURE W/MANI,3073.18,1843.91,593.04,7411.0,55
CPT,28436,HC TALUS FX/PERCUT SKELETAL FIXAT W/MANIPULAT,11218.62,6731.17,2416.0,17722.46,55
CPT,28445,"OPEN TREATMENT OF TALUS FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
CPT,28446,"HC OPEN OSTEOCHONDRAL AUTOGRAFT,TALUS",11218.62,6731.17,3122.54,17722.46,55
CPT,28450,"TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT MANIPULATION, EACH",,,85.32,2107.0,33
CPT,28455,HC TARSAL BONE FRACTURE W/MANIPULATI,1746.45,1047.87,139.26,7411.0,55
CPT,28465,"OPEN TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS), INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH",,,2763.0,21355.56,34
CPT,28470,"CLOSED TREATMENT OF METATARSAL FRACTURE; WITHOUT MANIPULATION, EACH",,,85.32,2107.0,33
CPT,28475,"CLOSED TREATMENT OF METATARSAL FRACTURE; WITH MANIPULATION, EACH",,,85.32,2107.0,33
CPT,28475,HC TREAT METATARSAL FRACTURE W MANIP,967.16,580.3,85.32,7411.0,55
CPT,28476,"PERCUTANEOUS SKELETAL FIXATION OF METATARSAL FRACTURE, WITH MANIPULATION, EACH",,,1088.27,9772.7,34
CPT,28485,"OPEN TREATMENT OF METATARSAL FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH",,,3227.18,21355.56,34
CPT,28490,HC TREATMENT GRTOE FRACTURE CLSD WO MAN,731.69,439.01,79.18,7411.0,55
CPT,28495,HC TREAT BIG TOE FRACTURE W MANIPULATION,1009.99,605.99,85.32,7411.0,55
CPT,28505,HC TREAT BIG TOE FRACTU,5796.86,3478.12,1088.27,8018.48,55
CPT,28505,"OPEN TREATMENT OF FRACTURE, GREAT TOE, PHALANX OR PHALANGES, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,1088.27,9772.7,34
CPT,28510,HC TREATMENT CLSD FRACTURE NOT GRTOE WO,633.46,380.08,62.85,7411.0,55
CPT,28515,HC TREATMENT OF TOE FRACTURE W/MANIP,1330.6,798.36,85.32,7411.0,55
CPT,28530,HC TREAT SESAMOID BONE,409.68,245.81,69.65,7411.0,55
CPT,28540,HC CLOSED RX TARSAL DISLOCATION,726.0,435.6,85.32,7411.0,55
CPT,28545,HC TARSAL DISLOCATION/TREAT CLOSED W/ANESTHES,5267.28,3160.37,1088.27,8018.48,55
CPT,28570,HC TREATMENT CLS TLT JNT DSL WO/AN,1345.15,807.09,85.32,7411.0,55
CPT,28575,HC TREAT FOOT DISLOCATI,6414.49,3848.69,1088.27,8018.48,55
CPT,28600,HC TREATMENT CLS TMT JNT DSLCT WO,1222.82,733.69,85.32,7411.0,55
CPT,28605,HC TREAT FOOT DISLOCATI,409.68,245.81,85.32,7411.0,55
CPT,28615,"OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
CPT,28630,HC TREAT TOE DISLOCATION,893.58,536.15,70.6,7411.0,55
CPT,28635,HC TREATMENT OF TOE DISLOCATION W/ANESTHESIA,3274.27,1964.56,593.04,7411.0,55
CPT,28636,"PERCUTANEOUS SKELETAL FIXATION OF METATARSOPHALANGEAL JOINT DISLOCATION, WITH MANIPULATION",,,1088.27,9772.7,34
CPT,28645,"OPEN TREATMENT OF METATARSOPHALANGEAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,1088.27,9772.7,34
CPT,28660,HC CLO TREAT OF INTERPHALANGEAL JOINT,997.63,598.58,59.25,7411.0,55
CPT,28665,HC TREAT TOE DISLOCATION REQ ANESTH,3106.51,1863.91,99.86,7411.0,55
CPT,28666,HC REDUCE IP DISLOCATION W MANIP,5163.58,3098.15,1088.27,8018.48,55
CPT,28705,ARTHRODESIS; PANTALAR,,,3410.0,56927.51,34
CPT,28715,ARTHRODESIS; TRIPLE,,,3410.0,42485.53,34
CPT,28725,ARTHRODESIS; SUBTALAR,,,3410.0,42485.53,34
CPT,28730,"ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, MULTIPLE OR TRANSVERSE;",,,3410.0,42485.53,34
CPT,28737,"ARTHRODESIS, WITH TENDON LENGTHENING AND ADVANCEMENT, MIDTARSAL, TARSAL NAVICULAR-CUNEIFORM (EG, MILLER TYPE PROCEDURE)",,,3879.0,42485.53,34
CPT,28740,"ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, SINGLE JOINT",,,3410.0,21355.56,34
CPT,28750,"ARTHRODESIS, GREAT TOE; METATARSOPHALANGEAL JOINT",,,3410.0,21355.56,34
CPT,28805,"AMPUTATION, FOOT; TRANSMETATARSAL",,,3122.56,9772.7,30
CPT,28810,"AMPUTATION, METATARSAL, WITH TOE, SINGLE",,,1088.27,9772.7,34
CPT,28820,"AMPUTATION, TOE; METATARSOPHALANGEAL JOINT",,,1088.27,9772.7,34
CPT,28820,HC AMPUTATION OF TOE,4857.53,2914.52,1088.27,8018.48,55
CPT,28825,"AMPUTATION, TOE; INTERPHALANGEAL JOINT",,,1088.27,9772.7,34
CPT,28825,HC PARTIAL AMPUTATION TOE,5148.19,3088.91,1088.27,8018.48,55
CPT,28899,"HC ARTHRECTOMY, FOOT JOINT(S), W/WO REMOVAL OF OSTEOPHYTES",12938.34,7763.0,235.4,10091.91,53
CPT,28899,HC CAPSLRHPHY; METATRSPHALNGL JOINT W/WO TENRHPHY OR LGMNT RPR SNGL JOINT,5786.45,3471.87,235.4,7411.0,53
CPT,28899,"HC CPSLRRHPH; MTTRSPHLNGL JOINT W/WO TNRRHPH OR LGMNT RPAIR, SNGL JOINT",5280.03,3168.02,235.4,8280.0,51
CPT,28899,"HC DECOMPRESSION FASCIOTOMIES, FOOT, DORSAL, MULTIPLE AREAS",4629.16,2777.5,235.4,7411.0,53
CPT,28899,HC HEMI-IMPLANT IN LESSER METATARSOPHALANGEAL JOINT,10466.77,6280.06,235.4,8164.08,53
CPT,28899,"HC INTERPOSITION ARTHROPLASTY, METATARSOPHALANGEAL JOINT; EACH JOINT",4772.8,2863.68,235.4,7411.0,53
CPT,28899,HC MPJ COLLATERAL LIGAMENT REPAIR W/ MICROFX TOE,5786.45,3471.87,235.4,7411.0,53
CPT,28899,"HC PLANTAR PLATE REPAIR, TOE(S)",5280.03,3168.02,235.4,7411.0,53
CPT,28899,HC SUBCHONDRAL DRILLING METATARSOPHALANGEAL JOINT,5460.0,3276.0,235.4,7411.0,53
CPT,29049,HC CAST FIGURE EIGHT APPLY,463.7,278.22,50.66,7411.0,55
CPT,29055,HC CAST SHLDR SPICA APPLY,463.7,278.22,99.86,7411.0,55
CPT,29058,HC CAST VELPEAU PLASTER APPL,463.7,278.22,56.75,7411.0,55
CPT,29065,HC CAST ARM LONG APPLY,669.0,401.4,49.28,7411.0,55
CPT,29075,HC CAST ARM SHORT APPLY,551.89,331.13,45.13,7411.0,55
CPT,29085,HC CAST HAND LOW F-ARM APPLY,613.47,368.08,48.73,7411.0,55
CPT,29105,HC APPLY LONG ARM SPLINT,647.54,388.52,40.14,7411.0,110
CPT,29105,HC APPLY LONG ARM SPLINT (29105),647.54,388.52,40.14,7411.0,55
CPT,29125,APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC,,,111.0,2107.0,30
CPT,29125,HC APPLY FOREARM SPLINT - STATIC,618.19,370.91,105.09,7411.0,110
CPT,29125,HC APPLY SHORT ARM SPLINT - STATIC (29125),618.19,370.91,105.09,7411.0,55
CPT,29126,HC APPLY FOREARM SPLINT - DYNAMIC (29126),668.47,401.08,112.0,7411.0,55
CPT,29126,HC SPLINT ARM SHORT DYNAMIC,666.32,399.79,113.27,7411.0,55
CPT,29130,HC APPLICATION OF FINGER SPLINT,532.61,319.57,90.54,7411.0,55
CPT,29130,HC APPLY FINGER SPLINT - STATIC,532.61,319.57,90.54,7411.0,55
CPT,29130,HC APPLY FINGER SPLINT - STATIC (29130),532.61,319.57,90.54,7411.0,55
CPT,29131,HC APPLY FINGER SPLINT - DYNAMIC,332.68,199.61,56.3,7411.0,55
CPT,29131,HC APPLY FINGER SPLINT - DYNAMIC (29131),332.68,199.61,56.3,7411.0,55
CPT,29200,HC STRAPPING THORAX,377.25,226.35,15.78,7411.0,55
CPT,29240,HC STRAPPING SHOULDER,438.18,262.91,74.49,7411.0,55
CPT,29260,HC STRAPPING ELBOW/WRIST,358.79,215.27,56.3,7411.0,55
CPT,29280,HC STRAPPING HAND/FINGER,361.0,216.6,56.3,7411.0,55
CPT,29305,HC CAST HIP SPICA 1 LEG APPL,1492.15,895.29,99.86,7411.0,55
CPT,29345,HC CAST LEG LONG APPLY,774.18,464.51,63.67,7411.0,55
CPT,29355,HC CAST LEG LONG W/WALKER AP,645.62,387.37,64.78,7411.0,55
CPT,29358,HC CAST BRACE LEG LONG APPLY,625.0,375.0,81.94,7411.0,55
CPT,29365,HC CAST CYLINDER APPLY,718.46,431.08,60.35,7411.0,55
CPT,29405,HC APPLY SHORT LEG CAST,662.22,397.33,39.03,7411.0,110
CPT,29425,APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES); WALKING OR AMBULATORY TYPE,,,35.99,2107.0,33
CPT,29425,HC APPLY SHORT LEG CAST - WALKING,810.65,486.39,35.99,7411.0,55
CPT,29425,"HC APPLY SHORT LEG CAST, WALKING",810.65,486.39,35.99,7411.0,55
CPT,29445,HC APPLY LEG CAST RIGID BILATERAL,975.52,585.31,49.94,7411.0,30
CPT,29445,HC APPLY RIGID LEG CAST,975.52,585.31,49.94,7411.0,55
CPT,29505,APPLICATION OF LONG LEG SPLINT (THIGH TO ANKLE OR TOES),,,48.45,2107.0,33
CPT,29505,"HC APPLICATION, LONG LEG SPLINT",775.13,465.08,48.45,7411.0,55
CPT,29515,APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT),,,34.33,2107.0,33
CPT,29515,"HC APPLICATION, LOWER LEG SPLINT",687.27,412.36,34.33,7411.0,55
CPT,29515,HC APPLY LOW LEG SPLINT,687.27,412.36,34.33,7411.0,55
CPT,29515,HC FOOT SPLINT (29515),687.27,412.36,34.33,7411.0,55
CPT,29520,HC STRAPPING HIP,234.56,140.74,39.88,7411.0,55
CPT,29530,HC STRAPPING KNEE,360.56,216.34,61.3,7411.0,55
CPT,29540,HC STRAPPING ANKLE/FOOT,431.44,258.86,10.8,7411.0,55
CPT,29550,HC STRAPPING TOES,407.16,244.3,56.3,7411.0,55
CPT,29580,HC APPLICATION OF UNNA BOOT BILAT,552.9,331.74,33.12,7411.0,30
CPT,29580,HC APPLY PASTE BOOT,552.9,331.74,33.12,7411.0,55
CPT,29580,"HC BOOT,UNNA/STRAPPING (29580)",552.9,331.74,33.12,7411.0,55
CPT,29581,HC APPLY MULTLAY COMPRS,818.93,491.36,51.75,7411.0,55
CPT,29581,HC APPLY MULTLAYER VENOUS WOUND C (29581),818.93,491.36,51.75,7411.0,55
CPT,29581,HC MULTILAYER COMPRESSION,818.93,491.36,51.75,7411.0,41
CPT,29581,HC MULTILAYER COMPRESSION BILAT,818.93,491.36,51.75,7411.0,60
CPT,29581,HC MULTILAYER COMPRESSION BILATERAL,818.93,491.36,51.75,7411.0,30
CPT,29700,"HC REMOVE BOOT/BODY CAST,GAUNTLET",614.72,368.83,31.56,7411.0,55
CPT,29705,HC CAST RMV/BIVALV ARM/LEG,450.98,270.59,27.13,7411.0,55
CPT,29710,HC REMOVAL/REVISE CAST,665.0,399.0,54.26,7411.0,55
CPT,29730,HC CAST WINDOWING,392.28,235.37,27.69,7411.0,55
CPT,29740,HC CAST WEDGING,419.97,251.98,42.91,7411.0,55
CPT,29750,HC CAST WEDGING CLUBFOOT,463.7,278.22,78.83,7411.0,55
CPT,29799,HC CASTING/STRAPPING PROCEDURE,737.46,442.48,155.08,7411.0,53
CPT,29805,"ARTHROSCOPY, SHOULDER, DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL BIOPSY (SEPARATE PROCEDURE)",,,1088.27,12343.0,34
CPT,29806,"ARTHROSCOPY, SHOULDER, SURGICAL; CAPSULORRHAPHY",,,2398.52,21355.56,34
CPT,29807,"ARTHROSCOPY, SHOULDER, SURGICAL; REPAIR OF SLAP LESION",,,2398.52,21355.56,36
CPT,29819,"ARTHROSCOPY, SHOULDER, SURGICAL; WITH REMOVAL OF LOOSE BODY OR FOREIGN BODY",,,1088.27,12343.0,34
CPT,29821,"ARTHROSCOPY, SHOULDER, SURGICAL; SYNOVECTOMY, COMPLETE",,,1088.27,12343.0,34
CPT,29822,"ARTHROSCOPY, SHOULDER, SURGICAL; DEBRIDEMENT, LIMITED, 1 OR 2 DISCRETE STRUCTURES (EG, HUMERAL BONE, HUMERAL ARTICULAR CARTILAGE, GLENOID BONE, GLENOID ARTICULAR CARTILAGE, BICEPS TENDON, BICEPS ANCHO",,,1088.27,12343.0,36
CPT,29823,"ARTHROSCOPY, SHOULDER, SURGICAL; DEBRIDEMENT, EXTENSIVE, 3 OR MORE DISCRETE STRUCTURES (EG, HUMERAL BONE, HUMERAL ARTICULAR CARTILAGE, GLENOID BONE, GLENOID ARTICULAR CARTILAGE, BICEPS TENDON, BICEPS ",,,1088.27,12343.0,36
CPT,29824,"ARTHROSCOPY, SHOULDER, SURGICAL; DISTAL CLAVICULECTOMY INCLUDING DISTAL ARTICULAR SURFACE (MUMFORD PROCEDURE)",,,1088.27,12343.0,34
CPT,29825,"ARTHROSCOPY, SHOULDER, SURGICAL; WITH LYSIS AND RESECTION OF ADHESIONS, WITH OR WITHOUT MANIPULATION",,,1088.27,12343.0,34
CPT,29826,"ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROMIOPLASTY, WITH CORACOACROMIAL LIGAMENT (IE, ARCH) RELEASE, WHEN PERFORMED (LIST SEPARATELY IN ADDITION TO CODE FOR",,,1896.0,12343.0,6
CPT,29827,"ARTHROSCOPY, SHOULDER, SURGICAL; WITH ROTATOR CUFF REPAIR",,,2398.52,21355.56,36
CPT,29828,"ARTHROSCOPY, SHOULDER, SURGICAL; BICEPS TENODESIS",,,2398.52,21355.56,34
CPT,29848,"ENDOSCOPY, WRIST, SURGICAL, WITH RELEASE OF TRANSVERSE CARPAL LIGAMENT",,,593.04,12700.0,36
CPT,29855,"ARTHROSCOPICALLY AIDED TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); UNICONDYLAR, INCLUDES INTERNAL FIXATION, WHEN PERFORMED (INCLUDES ARTHROSCOPY)",,,3631.7,21355.56,34
CPT,29861,"ARTHROSCOPY, HIP, SURGICAL; WITH REMOVAL OF LOOSE BODY OR FOREIGN BODY",,,2398.52,21355.56,34
CPT,29862,"ARTHROSCOPY, HIP, SURGICAL; WITH DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY), ABRASION ARTHROPLASTY, AND/OR RESECTION OF LABRUM",,,2398.52,21355.56,34
CPT,29866,"ARTHROSCOPY, KNEE, SURGICAL; OSTEOCHONDRAL AUTOGRAFT(S) (EG, MOSAICPLASTY) (INCLUDES HARVESTING OF THE AUTOGRAFT[S])",,,2398.52,21355.56,34
CPT,29870,"ARTHROSCOPY, KNEE, DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL BIOPSY (SEPARATE PROCEDURE)",,,1088.27,12343.0,34
CPT,29871,"ARTHROSCOPY, KNEE, SURGICAL; FOR INFECTION, LAVAGE AND DRAINAGE",,,1088.27,12343.0,34
CPT,29873,"ARTHROSCOPY, KNEE, SURGICAL; WITH LATERAL RELEASE",,,1088.27,12343.0,34
CPT,29875,"ARTHROSCOPY, KNEE, SURGICAL; SYNOVECTOMY, LIMITED (EG, PLICA OR SHELF RESECTION) (SEPARATE PROCEDURE)",,,1088.27,12343.0,34
CPT,29876,"ARTHROSCOPY, KNEE, SURGICAL; SYNOVECTOMY, MAJOR, 2 OR MORE COMPARTMENTS (EG, MEDIAL OR LATERAL)",,,1088.27,12343.0,34
CPT,29877,"ARTHROSCOPY, KNEE, SURGICAL; DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY)",,,1088.27,12343.0,34
CPT,29879,"ARTHROSCOPY, KNEE, SURGICAL; ABRASION ARTHROPLASTY (INCLUDES CHONDROPLASTY WHERE NECESSARY) OR MULTIPLE DRILLING OR MICROFRACTURE",,,1088.27,12343.0,34
CPT,29880,"ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL AND LATERAL, INCLUDING ANY MENISCAL SHAVING) INCLUDING DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY), SAME OR SEPARATE COMPARTMENT(S",,,1088.27,12343.0,36
CPT,29881,"ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING ANY MENISCAL SHAVING) INCLUDING DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY), SAME OR SEPARATE COMPARTMENT(S)",,,1088.27,12343.0,36
CPT,29882,"ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCUS REPAIR (MEDIAL OR LATERAL)",,,1088.27,12343.0,34
CPT,29883,"ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCUS REPAIR (MEDIAL AND LATERAL)",,,1088.27,12343.0,34
CPT,29884,"ARTHROSCOPY, KNEE, SURGICAL; WITH LYSIS OF ADHESIONS, WITH OR WITHOUT MANIPULATION (SEPARATE PROCEDURE)",,,1088.27,12343.0,34
CPT,29887,"ARTHROSCOPY, KNEE, SURGICAL; DRILLING FOR INTACT OSTEOCHONDRITIS DISSECANS LESION WITH INTERNAL FIXATION",,,2398.52,21355.56,34
CPT,29888,ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE LIGAMENT REPAIR/AUGMENTATION OR RECONSTRUCTION,,,3300.05,21355.56,36
CPT,29897,"ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOINTS), SURGICAL; DEBRIDEMENT, LIMITED",,,1088.27,12343.0,34
CPT,29898,"ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOINTS), SURGICAL; DEBRIDEMENT, EXTENSIVE",,,1088.27,12343.0,34
CPT,29999,"HC ARTHRO, KNEE, SURG; DEBRD OF CYCLOPS LESION &OR NOTCHPLSTY",8007.87,4804.72,235.4,12343.0,53
CPT,29999,"HC ARTHROSCOPY, ANKLE; DIAGNOSTIC",7426.78,4456.07,235.4,12343.0,53
CPT,29999,"HC ARTHROSCOPY, HIP, SURGICAL; ACETABULAR RIM DECOMHCESSION OF SUBSPINE REGION",9811.23,5886.74,235.4,12343.0,53
CPT,29999,"HC ARTHROSCOPY, HIP, SURGICAL; GLUTEUS MINIMUS REPAIR",9811.23,5886.74,235.4,12343.0,53
CPT,29999,"HC ARTHROSCOPY, HIP, SURGICAL; ILIOPSOAS RECESSION",8890.71,5334.43,235.4,12343.0,53
CPT,29999,"HC ARTHROSCOPY, KNEE, SURGICAL; DEBRIDEMENT OF PATELLAR TENDON",7854.1,4712.46,235.4,12343.0,53
CPT,29999,"HC ARTHROSCOPY, KNEE, SURGICAL; EXCISION OF GANGLION CYST",6608.72,3965.23,235.4,12343.0,53
CPT,29999,"HC ARTHROSCOPY, KNEE, SURGICAL; INJECTION OF BIOCARTILAGE, BONE ASPIRATE, OR BONE SUBSTITUTE INTO CHONDRAL DEFECT AND/OR KNEE SUBCHONDROPLASTY",10433.86,6260.32,235.4,12343.0,53
CPT,29999,"HC ARTHROSCOPY, KNEE, SURGICAL; MENISCAL TREPHINATION",5310.44,3186.26,235.4,12343.0,53
CPT,29999,"HC ARTHROSCOPY, KNEE, SURGICAL; RECONSTRUCTION OF MEDIAL PATELLOFEMORAL LIGAMENT",11662.45,6997.47,235.4,12343.0,53
CPT,29999,"HC ARTHROSCOPY, SHOULDER, SURGICAL, CORACOCLAVICULAR AND/OR SHOULDER LIGAMENT RECONSTRUCTION",13871.62,8322.97,235.4,12343.0,53
CPT,29999,"HC ARTHROSCOPY, SHOULDER, SURGICAL; CORACOPLASTY",8739.55,5243.73,235.4,12343.0,53
CPT,29999,"HC ARTHROSCOPY, SHOULDER, SURGICAL; SUPERIOR CAPSULAR RECONSTRUCTION",22847.45,13708.47,235.4,17821.01,53
CPT,29999,"HC ARTHROSCOPY, SHOULDER, TREATMENT OF GREATER HUMERAL TUBEROSITY FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",8134.29,4880.57,235.4,12343.0,53
CPT,29999,"HC ARTHROSCOPY, WRIST, SURGICAL, SCAPHOLUNATE AND/OR OTHER LIGAMENT THERMAL PLASTY/REPAIR",11212.84,6727.7,235.4,12343.0,53
CPT,29999,"HC ARTHRSCPY, HIP, SRGCL; GLUTEUS MINMUS / GLUTEUS MXMUS /OR MEDIUS RPR",8134.29,4880.57,235.4,12343.0,53
CPT,29999,HC ENDOSCOPIC GASTROCNEMIUS RECESSION,6743.35,4046.01,235.4,12343.0,53
CPT,29999,"UNLISTED PROCEDURE, ARTHROSCOPY",,,235.4,12343.0,31
CPT,30000,"HC DRAINAGE ABSS HEMA,NASAL,INTER",1502.46,901.48,87.58,7411.0,55
CPT,30020,HC I&D NASAL SEPTUM,1302.4,781.44,180.23,7411.0,55
CPT,30100,"BIOPSY, INTRANASAL",,,88.87,4345.0,33
CPT,30110,"EXCISION, NASAL POLYP(S), SIMPLE",,,154.21,8280.0,33
CPT,30117,"EXCISION OR DESTRUCTION (EG, LASER), INTRANASAL LESION; INTERNAL APPROACH",,,886.62,9350.87,34
CPT,30118,"EXCISION OR DESTRUCTION (EG, LASER), INTRANASAL LESION; EXTERNAL APPROACH (LATERAL RHINOTOMY)",,,886.62,9350.87,34
CPT,30130,"EXCISION INFERIOR TURBINATE, PARTIAL OR COMPLETE, ANY METHOD",,,886.62,9350.87,34
CPT,30140,"SUBMUCOUS RESECTION INFERIOR TURBINATE, PARTIAL OR COMPLETE, ANY METHOD",,,886.62,9350.87,34
CPT,30150,RHINECTOMY; PARTIAL,,,1954.22,17316.39,34
CPT,30160,RHINECTOMY; TOTAL,,,1954.22,17316.39,34
CPT,30220,"INSERTION, NASAL SEPTAL PROSTHESIS (BUTTON)",,,420.64,7168.0,33
CPT,30300,HC REMOVE NASAL FOREIGN BODY,502.04,301.22,85.35,7411.0,55
CPT,30300,"REMOVAL FOREIGN BODY, INTRANASAL; OFFICE TYPE PROCEDURE",,,111.0,2107.0,30
CPT,30310,"REMOVAL FOREIGN BODY, INTRANASAL; REQUIRING GENERAL ANESTHESIA",,,886.62,9350.87,34
CPT,30320,HC REMOVE NASAL F.B.,7313.78,4388.27,420.64,7411.0,55
CPT,30410,"RHINOPLASTY, PRIMARY; COMPLETE, EXTERNAL PARTS INCLUDING BONY PYRAMID, LATERAL AND ALAR CARTILAGES, AND/OR ELEVATION OF NASAL TIP",,,1954.22,17316.39,34
CPT,30420,"RHINOPLASTY, PRIMARY; INCLUDING MAJOR SEPTAL REPAIR",,,1954.22,17316.39,34
CPT,30430,"RHINOPLASTY, SECONDARY; MINOR REVISION (SMALL AMOUNT OF NASAL TIP WORK)",,,1954.22,17316.39,34
CPT,30450,"RHINOPLASTY, SECONDARY; MAJOR REVISION (NASAL TIP WORK AND OSTEOTOMIES)",,,1954.22,17316.39,34
CPT,30462,"RHINOPLASTY FOR NASAL DEFORMITY SECONDARY TO CONGENITAL CLEFT LIP AND/OR PALATE, INCLUDING COLUMELLAR LENGTHENING; TIP, SEPTUM, OSTEOTOMIES",,,1954.22,17316.39,34
CPT,30465,"REPAIR OF NASAL VESTIBULAR STENOSIS (EG, SPREADER GRAFTING, LATERAL NASAL WALL RECONSTRUCTION)",,,1954.22,17316.39,34
CPT,30469,"REPAIR OF NASAL VALVE COLLAPSE WITH LOW ENERGY, TEMPERATURE-CONTROLLED (IE, RADIOFREQUENCY) SUBCUTANEOUS/SUBMUCOSAL REMODELING",,,2843.09,19062.62,33
CPT,30520,"SEPTOPLASTY OR SUBMUCOUS RESECTION, WITH OR WITHOUT CARTILAGE SCORING, CONTOURING OR REPLACEMENT WITH GRAFT",,,886.62,9350.87,34
CPT,30560,LYSIS INTRANASAL SYNECHIA,,,187.22,4779.0,33
CPT,30580,REPAIR FISTULA; OROMAXILLARY (COMBINE WITH 31030 IF ANTROTOMY IS INCLUDED),,,1954.22,17316.39,34
CPT,30600,REPAIR FISTULA; ORONASAL,,,1954.22,17316.39,34
CPT,30801,"ABLATION, SOFT TISSUE OF INFERIOR TURBINATES, UNILATERAL OR BILATERAL, ANY METHOD (EG, ELECTROCAUTERY, RADIOFREQUENCY ABLATION, OR TISSUE VOLUME REDUCTION); SUPERFICIAL",,,420.64,4817.14,34
CPT,30901,"CONTROL NASAL HEMORRHAGE, ANTERIOR, SIMPLE (LIMITED CAUTERY AND/OR PACKING) ANY METHOD",,,111.0,2107.0,30
CPT,30901,"HC CONTROL NOSEBLEED, ANT, COMPLE",769.49,461.69,126.97,7411.0,55
CPT,30903,HC CONTROL NOSE BLEED ANT CMPLX,683.43,410.06,46.68,7411.0,55
CPT,30903,"HC CONTROL OF NOSEBLEED - ANTERIOR, COMPLEX",683.43,410.06,46.68,7411.0,55
CPT,30905,"CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH POSTERIOR NASAL PACKS AND/OR CAUTERY, ANY METHOD; INITIAL",,,46.68,4345.0,33
CPT,30905,"HC CONTROL NOSEBLEED, POSTERIOR",766.95,460.17,46.68,7411.0,55
CPT,30905,"HC CONTROL OF NOSEBLEED - POSTERIOR, INITIAL",766.95,460.17,46.68,7411.0,55
CPT,30906,HC CNTRL NOSEBLEED PST SUBS,751.29,450.77,87.58,7411.0,55
CPT,30915,LIGATION ARTERIES; ETHMOIDAL,,,1118.22,9893.47,34
CPT,30930,"FRACTURE NASAL INFERIOR TURBINATE(S), THERAPEUTIC",,,886.62,9350.87,34
CPT,30999,HC BILATERAL ENDOSCOPIC ABLATION OF POSTERIOR NASAL NERVE,6902.73,4141.64,226.03,7411.0,53
CPT,30999,HC REMOVAL OF NASAL FB W/O INC,465.36,279.22,116.34,7411.0,53
CPT,30999,HC TURBINOPLASTY,4950.45,2970.27,226.03,7411.0,53
CPT,30999,"UNLISTED PROCEDURE, NOSE",,,226.03,8280.0,30
CPT,31030,"SINUSOTOMY, MAXILLARY (ANTROTOMY); RADICAL (CALDWELL-LUC) WITHOUT REMOVAL OF ANTROCHOANAL POLYPS",,,1954.22,17316.39,34
CPT,31032,"SINUSOTOMY, MAXILLARY (ANTROTOMY); RADICAL (CALDWELL-LUC) WITH REMOVAL OF ANTROCHOANAL POLYPS",,,1954.22,17316.39,34
CPT,31040,"PTERYGOMAXILLARY FOSSA SURGERY, ANY APPROACH",,,1954.22,14507.25,33
CPT,31070,"SINUSOTOMY FRONTAL; EXTERNAL, SIMPLE (TREPHINE OPERATION)",,,1954.22,17316.39,34
CPT,31075,"SINUSOTOMY FRONTAL; TRANSORBITAL, UNILATERAL (FOR MUCOCELE OR OSTEOMA, LYNCH TYPE)",,,1954.22,17316.39,34
CPT,31080,"SINUSOTOMY FRONTAL; OBLITERATIVE WITHOUT OSTEOPLASTIC FLAP, BROW INCISION (INCLUDES ABLATION)",,,1954.22,17316.39,34
CPT,31085,"SINUSOTOMY FRONTAL; OBLITERATIVE, WITH OSTEOPLASTIC FLAP, CORONAL INCISION",,,2767.16,17316.39,34
CPT,31201,"ETHMOIDECTOMY; INTRANASAL, TOTAL",,,420.64,8674.0,34
CPT,31205,"ETHMOIDECTOMY; EXTRANASAL, TOTAL",,,886.62,9350.87,34
CPT,31225,MAXILLECTOMY; WITHOUT ORBITAL EXENTERATION,,,2546.0,8280.0,10
CPT,31231,HC NASAL ENDOSCOPY UNI OR BILAT,782.64,469.58,68.14,7411.0,55
CPT,31231,"HC NASAL ENDOSCOPY, DX",782.64,469.58,68.14,7411.0,55
CPT,31231,"NASAL ENDOSCOPY, DIAGNOSTIC, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE)",,,68.14,2107.0,33
CPT,31233,HC ED ONLY NASAL/SINUS DX MAXILLARY SINUSOCOPY,760.76,456.46,155.59,7411.0,55
CPT,31237,HC NASAL/SINUS ENDOSCOP,3206.62,1923.97,525.71,7411.0,55
CPT,31237,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH BIOPSY, POLYPECTOMY OR DEBRIDEMENT (SEPARATE PROCEDURE)",,,525.71,5107.28,34
CPT,31238,HC NASAL/SINUS ENDOSCOP - SURGICAL W HEMORRHAGE CNTRL,4787.65,2872.59,525.71,7411.0,55
CPT,31238,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH CONTROL OF NASAL HEMORRHAGE",,,525.71,5107.28,34
CPT,31239,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH DACRYOCYSTORHINOSTOMY",,,1062.24,10484.77,34
CPT,31240,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH CONCHA BULLOSA RESECTION",,,525.71,5107.28,34
CPT,31241,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH LIGATION OF SPHENOPALATINE ARTERY",,,1698.61,8280.0,30
CPT,31243,HB NASAL/SINUS NDSC DSTRJ CRYOABLATION PST NSL NRV,11159.42,6695.65,1897.1,14507.25,55
CPT,31243,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH DESTRUCTION BY CRYOABLATION, POSTERIOR NASAL NERVE",,,5649.47,14507.25,23
CPT,31253,"NASAL/SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; TOTAL (ANTERIOR AND POSTERIOR), INCLUDING FRONTAL SINUS EXPLORATION, WITH REMOVAL OF TISSUE FROM FRONTAL SINUS, WHEN PERFORMED",,,1630.12,19422.09,33
CPT,31254,"NASAL/SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; PARTIAL (ANTERIOR)",,,1630.12,19422.09,34
CPT,31255,"NASAL/SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; TOTAL (ANTERIOR AND POSTERIOR)",,,1630.12,19422.09,34
CPT,31256,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH MAXILLARY ANTROSTOMY;",,,1062.24,10484.77,34
CPT,31257,"NASAL/SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; TOTAL (ANTERIOR AND POSTERIOR), INCLUDING SPHENOIDOTOMY",,,1630.12,19422.09,34
CPT,31259,"NASAL/SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; TOTAL (ANTERIOR AND POSTERIOR), INCLUDING SPHENOIDOTOMY, WITH REMOVAL OF TISSUE FROM THE SPHENOID SINUS",,,1630.12,19422.09,34
CPT,31267,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH MAXILLARY ANTROSTOMY; WITH REMOVAL OF TISSUE FROM MAXILLARY SINUS",,,1630.12,19422.09,34
CPT,31276,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH FRONTAL SINUS EXPLORATION, INCLUDING REMOVAL OF TISSUE FROM FRONTAL SINUS, WHEN PERFORMED",,,1630.12,19422.09,34
CPT,31287,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH SPHENOIDOTOMY;",,,1630.12,19422.09,34
CPT,31288,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH SPHENOIDOTOMY; WITH REMOVAL OF TISSUE FROM THE SPHENOID SINUS",,,1630.12,19422.09,34
CPT,31290,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH REPAIR OF CEREBROSPINAL FLUID LEAK; ETHMOID REGION",,,1998.32,8280.0,11
CPT,31291,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH REPAIR OF CEREBROSPINAL FLUID LEAK; SPHENOID REGION",,,2128.67,8280.0,11
CPT,31293,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH ORBITAL DECOMPRESSION; MEDIAL AND INFERIOR WALL",,,6106.0,19422.09,31
CPT,31294,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH OPTIC NERVE DECOMPRESSION",,,6106.0,19422.09,31
CPT,31295,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH DILATION (EG, BALLOON DILATION); MAXILLARY SINUS OSTIUM, TRANSNASAL OR VIA CANINE FOSSA",,,1349.92,16955.09,34
CPT,31296,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH DILATION (EG, BALLOON DILATION); FRONTAL SINUS OSTIUM",,,1358.22,16955.09,34
CPT,31297,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH DILATION (EG, BALLOON DILATION); SPHENOID SINUS OSTIUM",,,1346.6,16955.09,34
CPT,31298,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH DILATION (EG, BALLOON DILATION); FRONTAL AND SPHENOID SINUS OSTIA",,,1630.12,16955.09,33
CPT,31299,"UNLISTED PROCEDURE, ACCESSORY SINUSES",,,226.03,8280.0,30
CPT,31370,PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); HORIZONTAL,,,2546.0,8280.0,10
CPT,31400,"ARYTENOIDECTOMY OR ARYTENOIDOPEXY, EXTERNAL APPROACH",,,1954.22,17316.39,34
CPT,31500,HC INSERT EMERGENCY AIR,1179.82,707.89,87.58,7411.0,55
CPT,31500,HC INTUBATION ENDOTRACHEAL,1179.82,707.89,87.58,7411.0,55
CPT,31500,"HC INTUBATION, ENDOTRACHEAL",1179.82,707.89,87.58,7411.0,110
CPT,31500,"INTUBATION, ENDOTRACHEAL, EMERGENCY PROCEDURE",,,87.58,4345.0,33
CPT,31502,HC CHANGE OF WINDPIPE AIRWAY,973.2,583.92,87.58,7411.0,55
CPT,31502,HC CHANGE WINDPIPE AIRW,973.2,583.92,87.58,7411.0,55
CPT,31502,TRACHEOTOMY TUBE CHANGE PRIOR TO ESTABLISHMENT OF FISTULA TRACT,,,87.58,4345.0,66
CPT,31505,HC DIAG. LARYNGOSCOPY,542.52,325.51,56.2,7411.0,55
CPT,31505,"HC LARYNGOSCOPY, INDIRECT",542.52,325.51,56.2,7411.0,55
CPT,31510,HC LARYNGOSCOPY W/BIOPSY,5933.95,3560.37,1062.24,9276.93,55
CPT,31510,"LARYNGOSCOPY, INDIRECT; WITH BIOPSY",,,1062.24,10484.77,34
CPT,31513,"LARYNGOSCOPY, INDIRECT; WITH VOCAL CORD INJECTION",,,155.59,4779.0,33
CPT,31520,"LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; DIAGNOSTIC, NEWBORN",,,111.0,2107.0,33
CPT,31525,HC DIAGNOSTIC LARYNGOSCOPY DIR EX NB,4134.52,2480.71,525.71,7411.0,55
CPT,31525,HC DIAGNOSTIC LARYNGOSCOPY EXCL,4134.52,2480.71,525.71,7411.0,55
CPT,31525,"LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; DIAGNOSTIC, EXCEPT NEWBORN",,,525.71,5107.28,68
CPT,31526,HC DIAGNOSTIC LARYNGOSCOPY W/OP,3113.1,1867.86,525.71,7411.0,55
CPT,31526,"LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; DIAGNOSTIC, WITH OPERATING MICROSCOPE OR TELESCOPE",,,525.71,5107.28,34
CPT,31527,"LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; WITH INSERTION OF OBTURATOR",,,1062.24,10484.77,34
CPT,31528,"LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; WITH DILATION, INITIAL",,,1062.24,10484.77,34
CPT,31529,"LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; WITH DILATION, SUBSEQUENT",,,1062.24,10484.77,34
CPT,31530,HC LARYNGOSCOPY W/FB REMOVAL,6357.45,3814.47,525.71,7411.0,55
CPT,31530,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH FOREIGN BODY REMOVAL;",,,525.71,5107.28,34
CPT,31531,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH FOREIGN BODY REMOVAL; WITH OPERATING MICROSCOPE OR TELESCOPE",,,1062.24,10484.77,34
CPT,31535,HC LARYNGOSCOPY W/BIOPSY,5394.5,3236.7,1062.24,9276.93,55
CPT,31535,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH BIOPSY;",,,1062.24,10484.77,34
CPT,31536,HC LARYNGOSCOPY W/BIOPSY,5394.5,3236.7,1062.24,9276.93,55
CPT,31536,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH BIOPSY; WITH OPERATING MICROSCOPE OR TELESCOPE",,,1062.24,10484.77,34
CPT,31540,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH EXCISION OF TUMOR AND/OR STRIPPING OF VOCAL CORDS OR EPIGLOTTIS;",,,1062.24,10484.77,34
CPT,31541,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH EXCISION OF TUMOR AND/OR STRIPPING OF VOCAL CORDS OR EPIGLOTTIS; WITH OPERATING MICROSCOPE OR TELESCOPE",,,1062.24,10484.77,34
CPT,31545,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH OPERATING MICROSCOPE OR TELESCOPE, WITH SUBMUCOSAL REMOVAL OF NON-NEOPLASTIC LESION(S) OF VOCAL CORD; RECONSTRUCTION WITH LOCAL TISSUE FLAP(S)",,,1062.24,10484.77,34
CPT,31546,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH OPERATING MICROSCOPE OR TELESCOPE, WITH SUBMUCOSAL REMOVAL OF NON-NEOPLASTIC LESION(S) OF VOCAL CORD; RECONSTRUCTION WITH GRAFT(S) (INCLUDES OBTAINING AUTOGRAFT)",,,1630.12,19422.09,34
CPT,31552,"LARYNGOPLASTY; FOR LARYNGEAL STENOSIS, WITH GRAFT, WITHOUT INDWELLING STENT PLACEMENT, AGE 12 YEARS OR OLDER",,,1954.22,17316.39,33
CPT,31554,"LARYNGOPLASTY; FOR LARYNGEAL STENOSIS, WITH GRAFT, WITH INDWELLING STENT PLACEMENT, AGE 12 YEARS OR OLDER",,,1954.22,17316.39,33
CPT,31560,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH ARYTENOIDECTOMY;",,,1630.12,19422.09,34
CPT,31561,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH ARYTENOIDECTOMY; WITH OPERATING MICROSCOPE OR TELESCOPE",,,1630.12,19422.09,34
CPT,31570,HC LARYNGOSCOPE W/VC IN,5737.88,3442.73,1062.24,9276.93,55
CPT,31570,"LARYNGOSCOPY, DIRECT, WITH INJECTION INTO VOCAL CORD(S), THERAPEUTIC;",,,1062.24,10484.77,34
CPT,31571,HC LARYNGOSCOP W/VC INJ,6531.23,3918.74,1062.24,9276.93,55
CPT,31571,"LARYNGOSCOPY, DIRECT, WITH INJECTION INTO VOCAL CORD(S), THERAPEUTIC; WITH OPERATING MICROSCOPE OR TELESCOPE",,,1062.24,10484.77,68
CPT,31572,HC LARYNGOSCOPY ABLATION/DEST OF LESION(S) W/LASER,12367.8,7420.68,1062.24,9646.88,55
CPT,31572,"LARYNGOSCOPY, FLEXIBLE; WITH ABLATION OR DESTRUCTION OF LESION(S) WITH LASER, UNILATERAL",,,1062.24,10495.0,99
CPT,31573,HC LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI,6137.56,3682.54,160.85,7411.0,55
CPT,31573,"LARYNGOSCOPY, FLEXIBLE; WITH THERAPEUTIC INJECTION(S) (EG, CHEMODENERVATION AGENT OR CORTICOSTEROID, INJECTED PERCUTANEOUS, TRANSORAL, OR VIA ENDOSCOPE CHANNEL), UNILATERAL",,,160.85,10495.0,33
CPT,31574,HC LARYNGOSCOPY FLEX W/INJECTION AGMNTJ UNI,5804.56,3482.74,525.71,7411.0,110
CPT,31574,"LARYNGOSCOPY, FLEXIBLE; WITH INJECTION(S) FOR AUGMENTATION (EG, PERCUTANEOUS, TRANSORAL), UNILATERAL",,,525.71,10495.0,33
CPT,31575,HC DIAGNOSTIC LARYNGOSCOPY,750.46,450.28,68.14,7411.0,110
CPT,31575,"LARYNGOSCOPY, FLEXIBLE; DIAGNOSTIC",,,68.14,2107.0,33
CPT,31576,HC LARYNGOSCOPY W/BIOPSY,5560.44,3336.26,525.71,7411.0,110
CPT,31576,"LARYNGOSCOPY, FLEXIBLE; WITH BIOPSY(IES)",,,525.71,5107.28,34
CPT,31577,"HC LARYNGOSCOPY, FLEX SCOPE, REMV F.B.",1333.44,800.06,155.59,7411.0,55
CPT,31577,"LARYNGOSCOPY, FLEXIBLE; WITH REMOVAL OF FOREIGN BODY(S)",,,155.59,4779.0,33
CPT,31579,HC DIAGNOSTIC LARYNGOSCOPY - W STROBOSCOPY,1142.39,685.43,104.65,7411.0,110
CPT,31580,"LARYNGOPLASTY; FOR LARYNGEAL WEB, WITH INDWELLING KEEL OR STENT INSERTION",,,1954.22,17316.39,34
CPT,31591,"HC LARYNGOPLASTY MEDIALIZATION, UNILATERAL",9721.13,5832.68,1954.22,14507.25,55
CPT,31591,"LARYNGOPLASTY, MEDIALIZATION, UNILATERAL",,,1954.22,17316.39,33
CPT,31599,HC LARYNGOSCOPY WITH REDUCTION OF ARYTENOID DISLOCATION,8512.3,5107.38,226.03,7411.0,53
CPT,31599,"HC LARYNGOSCOPY,DIRECT, INJCTN ARYTENOID/LARYNX, AGMENTTN,W/ OR W/O MCRSCP",6531.23,3918.74,226.03,7411.0,53
CPT,31599,"UNLISTED PROCEDURE, LARYNX",,,226.03,8280.0,30
CPT,31600,HC INCISION OF WINDPIPE,8760.12,5256.07,1489.22,7975.81,110
CPT,31600,"TRACHEOSTOMY, PLANNED (SEPARATE PROCEDURE);",,,3164.04,9350.87,30
CPT,31603,HC INCISION OF WINDPIPE,4390.6,2634.36,420.64,7411.0,55
CPT,31603,HC INCISION OF WINDPIPE (BRONCHOSCOPY),4390.6,2634.36,420.64,7411.0,55
CPT,31603,HC TRACHEOSTOMY TRANSTRACHEA,4390.6,2634.36,420.64,7411.0,55
CPT,31605,HC CHRICOTHYROTOMY,3527.61,2116.57,87.58,7411.0,55
CPT,31611,"CONSTRUCTION OF TRACHEOESOPHAGEAL FISTULA AND SUBSEQUENT INSERTION OF AN ALARYNGEAL SPEECH PROSTHESIS (EG, VOICE BUTTON, BLOM-SINGER PROSTHESIS)",,,886.62,9350.87,34
CPT,31613,"TRACHEOSTOMA REVISION; SIMPLE, WITHOUT FLAP ROTATION",,,886.62,9350.87,34
CPT,31614,"TRACHEOSTOMA REVISION; COMPLEX, WITH FLAP ROTATION",,,1954.22,17316.39,34
CPT,31615,HC VISUALIZATION WINDPIPE,3210.7,1926.42,187.22,7411.0,110
CPT,31615,TRACHEOBRONCHOSCOPY THROUGH ESTABLISHED TRACHEOSTOMY INCISION,,,187.22,4345.0,34
CPT,31622,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; DIAGNOSTIC, WITH CELL WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,525.71,5107.28,68
CPT,31623,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRUSHING OR PROTECTED BRUSHINGS",,,525.71,5107.28,68
CPT,31624,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRONCHIAL ALVEOLAR LAVAGE",,,525.71,5107.28,102
CPT,31625,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRONCHIAL OR ENDOBRONCHIAL BIOPSY(S), SINGLE OR MULTIPLE SITES",,,525.71,5107.28,68
CPT,31626,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH PLACEMENT OF FIDUCIAL MARKERS, SINGLE OR MULTIPLE",,,1630.12,19422.09,66
CPT,31627,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH COMPUTER-ASSISTED, IMAGE-GUIDED NAVIGATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE[S])",,,1896.0,2107.0,9
CPT,31628,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL LUNG BIOPSY(S), SINGLE LOBE",,,1062.24,10484.77,102
CPT,31629,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL NEEDLE ASPIRATION BIOPSY(S), TRACHEA, MAIN STEM AND/OR LOBAR BRONCHUS(I)",,,1062.24,10484.77,102
CPT,31630,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRACHEAL/BRONCHIAL DILATION OR CLOSED REDUCTION OF FRACTURE",,,1062.24,10484.77,68
CPT,31631,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH PLACEMENT OF TRACHEAL STENT(S) (INCLUDES TRACHEAL/BRONCHIAL DILATION AS REQUIRED)",,,1630.12,19422.09,34
CPT,31632,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL LUNG BIOPSY(S), EACH ADDITIONAL LOBE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,4779.0,10
CPT,31633,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL NEEDLE ASPIRATION BIOPSY(S), EACH ADDITIONAL LOBE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY",,,1896.0,4779.0,10
CPT,31634,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BALLOON OCCLUSION, WITH ASSESSMENT OF AIR LEAK, WITH ADMINISTRATION OF OCCLUSIVE SUBSTANCE (EG, FIBRIN GLUE), IF ",,,1630.12,19422.09,66
CPT,31635,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH REMOVAL OF FOREIGN BODY",,,525.71,5107.28,68
CPT,31636,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH PLACEMENT OF BRONCHIAL STENT(S) (INCLUDES TRACHEAL/BRONCHIAL DILATION AS REQUIRED), INITIAL BRONCHUS",,,2416.0,19422.09,34
CPT,31637,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; EACH ADDITIONAL MAJOR BRONCHUS STENTED (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1804.0,4345.0,6
CPT,31638,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH REVISION OF TRACHEAL OR BRONCHIAL STENT INSERTED AT PREVIOUS SESSION (INCLUDES TRACHEAL/BRONCHIAL DILATION AS REQ",,,1630.12,19422.09,68
CPT,31640,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH EXCISION OF TUMOR",,,1062.24,10484.77,68
CPT,31641,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH DESTRUCTION OF TUMOR OR RELIEF OF STENOSIS BY ANY METHOD OTHER THAN EXCISION (EG, LASER THERAPY, CRYOTHERAPY)",,,1062.24,10484.77,102
CPT,31645,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH THERAPEUTIC ASPIRATION OF TRACHEOBRONCHIAL TREE, INITIAL",,,525.71,5107.28,68
CPT,31646,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH THERAPEUTIC ASPIRATION OF TRACHEOBRONCHIAL TREE, SUBSEQUENT, SAME HOSPITAL STAY",,,155.59,4345.0,68
CPT,31647,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BALLOON OCCLUSION, WHEN PERFORMED, ASSESSMENT OF AIR LEAK, AIRWAY SIZING, AND INSERTION OF BRONCHIAL VALVE(S), IN",,,2295.85,19422.09,33
CPT,31648,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH REMOVAL OF BRONCHIAL VALVE(S), INITIAL LOBE",,,1062.24,10495.0,66
CPT,31649,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH REMOVAL OF BRONCHIAL VALVE(S), EACH ADDITIONAL LOBE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,525.71,7168.0,33
CPT,31652,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH ENDOBRONCHIAL ULTRASOUND (EBUS) GUIDED TRANSTRACHEAL AND/OR TRANSBRONCHIAL SAMPLING (EG, ASPIRATION[S]/BIOPSY[IES",,,1062.24,12700.0,66
CPT,31653,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH ENDOBRONCHIAL ULTRASOUND (EBUS) GUIDED TRANSTRACHEAL AND/OR TRANSBRONCHIAL SAMPLING (EG, ASPIRATION[S]/BIOPSY[IES",,,1062.24,12700.0,99
CPT,31654,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSENDOSCOPIC ENDOBRONCHIAL ULTRASOUND (EBUS) DURING BRONCHOSCOPIC DIAGNOSTIC OR THERAPEUTIC INTERVENTION(S) FO",,,1896.0,4779.0,15
CPT,31720,HC NASOTRACHEAL SUCTIONING,463.83,278.3,78.85,7411.0,110
CPT,31725,HC BRONCHOSCOPY THERAPY BEDSIDE,1573.85,944.31,139.48,8280.0,37
CPT,31750,TRACHEOPLASTY; CERVICAL,,,1954.22,17316.39,34
CPT,31755,"TRACHEOPLASTY; TRACHEOPHARYNGEAL FISTULIZATION, EACH STAGE",,,1954.22,17316.39,34
CPT,31775,BRONCHOPLASTY; EXCISION STENOSIS AND ANASTOMOSIS,,,2465.47,8280.0,10
CPT,31780,EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS; CERVICAL,,,2089.08,8280.0,10
CPT,31820,HC CLOSURE WINDPIPE LES,5334.54,3200.72,886.62,7975.81,55
CPT,31820,SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WITHOUT PLASTIC REPAIR,,,886.62,9350.87,34
CPT,31825,SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WITH PLASTIC REPAIR,,,886.62,9350.87,34
CPT,31830,REVISION OF TRACHEOSTOMY SCAR,,,886.62,9350.87,34
CPT,31899,HC BRONCHOSCOPY BALLOON DILATION,2010.45,1206.27,190.49,8280.0,51
CPT,31899,HC EXCHANGE OF TRACHEAL TUBE,901.11,540.67,190.49,7411.0,53
CPT,31899,HC EXCISION OF SUPERFICIAL TRACHEOSTOMY LESIONS AND/OR GRANULATION TISSUE,722.39,433.43,180.6,7411.0,53
CPT,31899,"UNLISTED PROCEDURE, TRACHEA, BRONCHI",,,190.49,8280.0,30
CPT,32100,"HC THORACOTOMY,MAJOR,EXPLOR/BIOPSY",3408.62,2045.17,579.47,7411.0,39
CPT,32110,HC THORACOTOMY,7589.86,4553.92,1290.28,7411.0,39
CPT,32141,"THORACOTOMY; WITH RESECTION-PLICATION OF BULLAE, INCLUDES ANY PLEURAL PROCEDURE WHEN PERFORMED",,,2546.0,8280.0,10
CPT,32160,HC OPEN CHEST HEART MASSAGE,5766.13,3459.68,980.24,7411.0,39
CPT,32400,HC BX PLEURA PERCUTANEOUS NEEDLE - LT,3613.17,2167.9,486.45,7411.0,76
CPT,32400,HC BX PLEURA PERCUTANEOUS NEEDLE - RT,3613.17,2167.9,486.45,7411.0,38
CPT,32400,HC IR BX PLEURA PERC RT,3613.17,2167.9,486.45,7411.0,38
CPT,32400,HC NEEDLE BIOPSY CHEST LINI,3613.17,2167.9,486.45,7411.0,55
CPT,32405,"HC BIOPSY, LUNG/MEDIAST",2951.0,1770.6,501.67,7411.0,39
CPT,32405,HC BX LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE - LT,2951.0,1770.6,501.67,7411.0,37
CPT,32405,HC BX LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE - RT,2951.0,1770.6,501.67,7411.0,37
CPT,32405,HC CT BX LUNG MEDIASTINUM BI,2951.0,1770.6,501.67,7411.0,37
CPT,32405,HC CT BX LUNG MEDIASTINUM LT,2951.0,1770.6,501.67,7411.0,37
CPT,32405,HC IR BX LUNG MEDIASTINUM RT,2951.0,1770.6,501.67,7411.0,37
CPT,32408,"CORE NEEDLE BIOPSY, LUNG OR MEDIASTINUM, PERCUTANEOUS, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,486.45,10495.0,33
CPT,32408,HC BIOPSY LUNG MEDIASTINUM  W/ GUIDANCE,5105.52,3063.31,486.45,10495.0,53
CPT,32550,HC INSERT PLEURAL CATH,7541.1,4524.66,1551.5,8570.48,110
CPT,32550,HC INSERT PLEURAL CATH (BRONCHOSCOPY),7541.1,4524.66,1551.5,8570.48,55
CPT,32550,HC IR TUNL CATH INS PLEURAL BI,7541.1,4524.66,1551.5,12700.0,38
CPT,32550,HC IR TUNL CATH INS PLEURAL LT,7541.1,4524.66,1551.5,12700.0,38
CPT,32550,HC IR TUNL CATH INS PLEURAL RT,7541.1,4524.66,1551.5,12700.0,78
CPT,32550,INSERTION OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF,,,1551.5,12700.0,33
CPT,32551,HC CT THORACOSTOMY W TUBE LT,3058.83,1835.3,520.0,7411.0,38
CPT,32551,HC CT THORACOSTOMY W TUBE RT,3058.83,1835.3,520.0,7411.0,38
CPT,32551,HC INSERTION CHEST TUBE,3058.83,1835.3,520.0,7411.0,55
CPT,32551,HC INSERTION CHEST TUBE (BRONCHOSCOPY),3058.83,1835.3,520.0,7411.0,55
CPT,32551,HC INSERTION OF CHEST TUBE,3058.83,1835.3,520.0,7411.0,55
CPT,32551,HC IR THORACOSTOMY W TUBE LT,3058.83,1835.3,520.0,7411.0,38
CPT,32551,HC IR THORACOSTOMY W TUBE RT,3058.83,1835.3,520.0,7411.0,38
CPT,32551,"TUBE THORACOSTOMY, INCLUDES CONNECTION TO DRAINAGE SYSTEM (EG, WATER SEAL), WHEN PERFORMED, OPEN (SEPARATE PROCEDURE)",,,1502.26,5823.13,30
CPT,32552,HC REMOVE LUNG CATHETER,1491.63,894.98,223.75,7411.0,55
CPT,32552,REMOVAL OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF,,,111.0,3167.0,66
CPT,32553,HC CHEST SURGERY PROCEDU (BRONCHOSCOPY),4129.09,2477.45,522.73,7411.0,55
CPT,32553,HC INS MARK THOR FOR RT,4129.09,2477.45,522.73,7411.0,55
CPT,32554,HC IR THORACENTESIS WO IMAGE RT,2245.45,1347.27,223.75,7411.0,38
CPT,32554,"HC THORACENTESIS,ASPIRAT PLEURL SPACE W/O IMG",2245.45,1347.27,223.75,7411.0,110
CPT,32554,"HC THORACENTESIS,ASPIRAT PLEURL SPACE W/O IMG (BRONCHOSCOPY)",2245.45,1347.27,223.75,7411.0,55
CPT,32555,HC IR THORACENTESIS W IMAGE LT,2351.37,1410.82,223.75,7411.0,38
CPT,32555,HC IR THORACENTESIS W IMAGE RT,2351.37,1410.82,223.75,7411.0,38
CPT,32555,HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,2351.37,1410.82,223.75,7411.0,55
CPT,32555,HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING - BI,2351.37,1410.82,223.75,7411.0,38
CPT,32555,HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING - LT,2351.37,1410.82,223.75,7411.0,38
CPT,32555,HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING - RT,2351.37,1410.82,223.75,7411.0,38
CPT,32555,HC THORACENTESIS W/IMG,2351.37,1410.82,223.75,7411.0,55
CPT,32555,HC THORACENTESIS W/IMG (BRONCHOSCOPY),2351.37,1410.82,223.75,7411.0,55
CPT,32555,HC US THORACENTESIS W IMAGE BI,2351.37,1410.82,223.75,7411.0,38
CPT,32555,HC US THORACENTESIS W IMAGE LT,2351.37,1410.82,223.75,7411.0,38
CPT,32555,HC US THORACENTESIS W IMAGE RT,2351.37,1410.82,223.75,7411.0,38
CPT,32555,"THORACENTESIS, NEEDLE OR CATHETER, ASPIRATION OF THE PLEURAL SPACE; WITH IMAGING GUIDANCE",,,223.75,4345.0,33
CPT,32556,HC PLEURAL DRAINAGE W/O IMAGING GUIDANCE,4249.78,2549.87,564.97,7411.0,55
CPT,32556,HC PLEURAL DRAINAGE W/O IMG,4249.78,2549.87,564.97,7411.0,55
CPT,32556,"PLEURAL DRAINAGE, PERCUTANEOUS, WITH INSERTION OF INDWELLING CATHETER; WITHOUT IMAGING GUIDANCE",,,564.97,5559.92,33
CPT,32557,HC CT THORCENT W TUBE W IMAGE BI,3731.7,2239.02,446.27,7411.0,38
CPT,32557,HC IR THORCENT W TUBE W IMAGE LT,3731.7,2239.02,446.27,7411.0,38
CPT,32557,HC IR THORCENT W TUBE W IMAGE RT,3731.7,2239.02,446.27,7411.0,38
CPT,32557,HC PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING - BI,3731.7,2239.02,446.27,7411.0,38
CPT,32557,HC PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING - LT,3731.7,2239.02,446.27,7411.0,38
CPT,32557,HC PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING - RT,3731.7,2239.02,446.27,7411.0,38
CPT,32557,HC PLEURAL DRAINAGE W/ IMG,3731.7,2239.02,446.27,7411.0,55
CPT,32557,"HC PLEURAL DRAINAGE,W/IMAGING GUIDANCE",3731.7,2239.02,446.27,7411.0,55
CPT,32557,HC US THORCENT W TUBE W IMAGE BI,3731.7,2239.02,446.27,7411.0,38
CPT,32557,HC US THORCENT W TUBE W IMAGE LT,3731.7,2239.02,446.27,7411.0,38
CPT,32557,HC US THORCENT W TUBE W IMAGE RT,3731.7,2239.02,446.27,7411.0,38
CPT,32557,"PLEURAL DRAINAGE, PERCUTANEOUS, WITH INSERTION OF INDWELLING CATHETER; WITH IMAGING GUIDANCE",,,446.27,5823.13,33
CPT,32560,HC TREAT LUNG LINING CH,1895.09,1137.05,322.17,7411.0,55
CPT,32561,HC LYSE CHEST FIBRIN IN,1901.04,1140.62,323.18,7411.0,55
CPT,32561,"INSTILLATION(S), VIA CHEST TUBE/CATHETER, AGENT FOR FIBRINOLYSIS (EG, FIBRINOLYTIC AGENT FOR BREAK UP OF MULTILOCULATED EFFUSION); INITIAL DAY",,,598.65,4345.0,30
CPT,32562,HC LYSE CHEST FIBRIN SU,1496.87,898.12,254.47,7411.0,55
CPT,32601,"THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); LUNGS, PERICARDIAL SAC, MEDIASTINAL OR PLEURAL SPACE, WITHOUT BIOPSY",,,5769.43,17256.34,30
CPT,32604,"THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); PERICARDIAL SAC, WITH BIOPSY",,,7038.0,25500.18,30
CPT,32606,"THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); MEDIASTINAL SPACE, WITH BIOPSY",,,5769.43,17256.34,30
CPT,32607,"THORACOSCOPY; WITH DIAGNOSTIC BIOPSY(IES) OF LUNG INFILTRATE(S) (EG, WEDGE, INCISIONAL), UNILATERAL",,,7711.0,25500.18,30
CPT,32608,"THORACOSCOPY; WITH DIAGNOSTIC BIOPSY(IES) OF LUNG NODULE(S) OR MASS(ES) (EG, WEDGE, INCISIONAL), UNILATERAL",,,7711.0,25500.18,30
CPT,32609,THORACOSCOPY; WITH BIOPSY(IES) OF PLEURA,,,5769.43,17256.34,30
CPT,32650,"THORACOSCOPY, SURGICAL; WITH PLEURODESIS (EG, MECHANICAL OR CHEMICAL)",,,1168.79,17847.0,10
CPT,32651,"THORACOSCOPY, SURGICAL; WITH PARTIAL PULMONARY DECORTICATION",,,1924.64,17847.0,10
CPT,32659,"THORACOSCOPY, SURGICAL; WITH CREATION OF PERICARDIAL WINDOW OR PARTIAL RESECTION OF PERICARDIAL SAC FOR DRAINAGE",,,1285.13,8280.0,10
CPT,32661,"THORACOSCOPY, SURGICAL; WITH EXCISION OF PERICARDIAL CYST, TUMOR, OR MASS",,,1395.37,8280.0,10
CPT,32662,"THORACOSCOPY, SURGICAL; WITH EXCISION OF MEDIASTINAL CYST, TUMOR, OR MASS",,,1568.34,8280.0,10
CPT,32664,"THORACOSCOPY, SURGICAL; WITH THORACIC SYMPATHECTOMY",,,1489.16,8280.0,10
CPT,32666,"THORACOSCOPY, SURGICAL; WITH THERAPEUTIC WEDGE RESECTION (EG, MASS, NODULE), INITIAL UNILATERAL",,,1529.35,8280.0,10
CPT,32667,"THORACOSCOPY, SURGICAL; WITH THERAPEUTIC WEDGE RESECTION (EG, MASS OR NODULE), EACH ADDITIONAL RESECTION, IPSILATERAL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,276.52,8280.0,10
CPT,32669,"THORACOSCOPY, SURGICAL; WITH REMOVAL OF A SINGLE LUNG SEGMENT (SEGMENTECTOMY)",,,2362.55,8280.0,10
CPT,32673,"THORACOSCOPY, SURGICAL; WITH RESECTION OF THYMUS, UNILATERAL OR BILATERAL",,,2132.93,8280.0,10
CPT,32674,"THORACOSCOPY, SURGICAL; WITH MEDIASTINAL AND REGIONAL LYMPHADENECTOMY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,380.05,8280.0,10
CPT,32940,"PNEUMONOLYSIS, EXTRAPERIOSTEAL, INCLUDING FILLING OR PACKING PROCEDURES",,,2157.28,8280.0,10
CPT,32960,HC THERAPEUTIC PNEUMOTHORAX,1353.04,811.82,230.02,7411.0,110
CPT,32994,"ABLATION THERAPY FOR REDUCTION OR ERADICATION OF 1 OR MORE PULMONARY TUMOR(S) INCLUDING PLEURA OR CHEST WALL WHEN INVOLVED BY TUMOR EXTENSION, PERCUTANEOUS, INCLUDING IMAGING GUIDANCE WHEN PERFORMED, ",,,7038.0,25500.18,30
CPT,32994,HC ABLATION THERAPY 1+ PULM TUMORS PERQ CRYOABLATION,12589.5,7553.7,2140.22,25500.18,55
CPT,32998,HC ABLATION THERAPY 1 OR MORE PULM TUMOR RF LT,10798.89,6479.33,1835.81,17256.34,38
CPT,32998,HC ABLATION THERAPY 1 OR MORE PULM TUMOR RF RT,10798.89,6479.33,1835.81,17256.34,38
CPT,32998,HC CT ABL RF LUNG LT,10798.89,6479.33,1835.81,17256.34,38
CPT,32998,HC PERQ RF ABLATE TREATMENT,10798.89,6479.33,1835.81,14293.73,55
CPT,32999,HC BILATERAL INTRATHORACIC LAVAGE,2832.25,1699.35,598.65,7411.0,53
CPT,32999,HC CHEST SURGERY PROCEDU,3618.76,2171.26,598.65,7411.0,53
CPT,32999,HC THORACOSCOPY; WITH RESECTIO OF CHEST WALL-PLEURAL MASS,10962.67,6577.6,598.65,8550.88,53
CPT,32999,"UNLISTED PROCEDURE, LUNGS AND PLEURA",,,598.65,8280.0,30
CPT,33016,HC PERICARDIOCENTESIS W/IMG GUIDANCE,5269.82,3161.89,446.27,7411.0,110
CPT,33016,"HC ULT/GUIDE,INTRAUT FETAL TRS/CO",5269.82,3161.89,446.27,7411.0,55
CPT,33017,HC PERICARDIAL DRAINAGE 6YR+ W/O COGENIAL CARDIAC ANOMALY,5269.82,3161.89,895.87,17181.0,78
CPT,33018,"HC PERICARDIAL DRAINAGE, UNDER 6YRS, W/COGENIAL CARDIAC ANOMALY",2949.74,1769.84,501.46,17181.0,78
CPT,33019,HC PERICARDIAL DRAINAGE W/INSERTION OF INDWELLING CATHETER,5379.32,3227.59,914.48,17181.0,78
CPT,33020,HC INCISION OF HEART SAC,2387.92,1432.75,405.95,7411.0,39
CPT,33025,HC INCIS HEART SAC WINDW FOR DRAIN,5269.82,3161.89,895.87,8280.0,37
CPT,33206,HC INSERTION HEART PACE - ATRIAL (EP LAB),28728.35,17237.01,6235.66,26452.82,55
CPT,33207,HC INSERTION HEART PACE - VENTRICULAR,26646.17,15987.7,6299.0,26452.82,55
CPT,33207,HC INSERTION HEART PACE - VENTRICULAR (EP LAB),26646.17,15987.7,6299.0,26452.82,55
CPT,33208,HC INSERTION HEART PACE - ATRIAL AND VENTRICULAR (EP LAB),37795.82,22677.49,6299.0,28346.87,55
CPT,33210,HC INSERT TEMPORARY TRANSVEN PACEMAKER,12922.92,7753.75,3320.59,21045.99,55
CPT,33210,HC INSERTION HEART ELE,12922.92,7753.75,3320.59,21045.99,55
CPT,33210,HC INSERTION HEART ELE (EP LAB),12922.92,7753.75,3320.59,21045.99,55
CPT,33211,HC INSERT HEART ELECTRO,15896.5,9537.9,5113.52,21045.99,110
CPT,33212,HC INSERTION PULSE GEN - SINGEL LEAD,17812.91,10687.75,2763.0,21045.99,55
CPT,33213,HC INSERTION PULSE GEN - DUAL LEADS,19894.6,11936.76,2763.0,26452.82,55
CPT,33213,HC INSERTION PULSE GEN - DUAL LEADS (EP LAB),19894.6,11936.76,2763.0,26452.82,55
CPT,33214,HC UPGRADE OF PACEMAKER,23234.45,13940.67,6299.0,26452.82,55
CPT,33214,HC UPGRADE OF PACEMAKER (EP LAB),23234.45,13940.67,6299.0,26452.82,55
CPT,33215,HC REPOS PACING-LEAD,9511.19,5706.71,1118.22,7896.23,55
CPT,33216,HC INSERT LEAD PACE-DEFI - SINGLE,17999.25,10799.55,4538.3,21045.99,55
CPT,33216,HC INSERT LEAD PACE-DEFI - SINGLE (EP LAB),17999.25,10799.55,4538.3,21045.99,55
CPT,33217,HC INSERT LEAD PACE-DEFI - 2 ELECTRODES,19315.96,11589.58,5845.58,21045.99,55
CPT,33218,HC REPAIR LEAD PACE-DEF,11258.36,6755.02,1425.44,9728.21,55
CPT,33220,HC REPAIR LEAD PACE-DEF,6421.81,3853.09,1904.58,9728.21,55
CPT,33221,HC INSERT PULSE GEN MULT,33144.02,19886.41,6299.0,48269.91,55
CPT,33222,"HC REVISE POCKET, PACEMAKER",6691.74,4015.04,709.01,7411.0,55
CPT,33223,"HC REVISE POCKET,PACING",7643.76,4586.26,709.01,7411.0,55
CPT,33224,HC INSERT PACING LEAD,34227.6,20536.56,6252.51,26452.82,55
CPT,33224,HC INSERT PACING LEAD (EP LAB),34227.6,20536.56,6252.51,26452.82,55
CPT,33225,HC LVENTRIC PACING LEAD,30799.72,18479.83,5235.95,26179.76,34
CPT,33225,HC LVENTRIC PACING LEAD (EP LAB),30799.72,18479.83,5235.95,26179.76,34
CPT,33226,HC REPOS.L VENTRIC LEAD,10646.92,6388.15,1118.22,7985.19,55
CPT,33227,HC REMOVE&REPLACE PM G,30368.24,18220.94,5259.03,22776.18,55
CPT,33228,HC REMOVE&REPLACE PM GEN D,31179.6,18707.76,6289.66,26452.82,55
CPT,33228,HC REMOVE&REPLACE PM GEN D (EP LAB),31179.6,18707.76,6289.66,26452.82,55
CPT,33229,HC REMOVE&REPLACE PM GEN M,33039.51,19823.71,6299.0,48269.91,55
CPT,33229,HC REMOVE&REPLACE PM GEN M (EP LAB),33039.51,19823.71,6299.0,48269.91,55
CPT,33230,HC INSRT PULSE GEN W/D,47305.6,28383.36,6299.0,58392.49,54
CPT,33231,HC INSRT PULSE GEN W/MU,52144.61,31286.77,6299.0,81499.55,54
CPT,33233,HC REMOVE PACEMAKER,11714.19,7028.51,2416.0,21045.99,55
CPT,33233,HC REMOVE PACEMAKER (EP LAB),11714.19,7028.51,2416.0,21045.99,55
CPT,33234,HC REMOVE PACEMAKER (EP LAB),11310.69,6786.41,1906.8,9728.21,55
CPT,33234,"HC REMV TRANSVEN PACER ELECTRODE, 1 LEAD",11310.69,6786.41,1906.8,9728.21,55
CPT,33234,"REMOVAL OF TRANSVENOUS PACEMAKER ELECTRODE(S); SINGLE LEAD SYSTEM, ATRIAL OR VENTRICULAR",,,1906.8,10652.92,33
CPT,33235,HC REMOVE PACEMAKER ELE,9435.8,5661.48,1870.58,9728.21,55
CPT,33235,HC REMOVE PACEMAKER ELE (EP LAB),9435.8,5661.48,1870.58,9728.21,55
CPT,33235,REMOVAL OF TRANSVENOUS PACEMAKER ELECTRODE(S); DUAL LEAD SYSTEM,,,1870.58,10652.92,33
CPT,33236,"REMOVAL OF PERMANENT EPICARDIAL PACEMAKER AND ELECTRODES BY THORACOTOMY; SINGLE LEAD SYSTEM, ATRIAL OR VENTRICULAR",,,1364.91,8280.0,10
CPT,33240,HC INSERT PULSE GENERATO,52770.05,31662.03,6299.0,58392.49,54
CPT,33240,HC INSERT PULSE GENERATO (EP LAB),52770.05,31662.03,6299.0,58392.49,55
CPT,33241,HC REMOVE PULSE GENERAT,9978.95,5987.37,1425.44,9728.21,55
CPT,33241,HC REMOVE PULSE GENERAT (EP LAB),9978.95,5987.37,1425.44,9728.21,55
CPT,33243,REMOVAL OF SINGLE OR DUAL CHAMBER IMPLANTABLE DEFIBRILLATOR ELECTRODE(S); BY THORACOTOMY,,,2417.36,8568.0,10
CPT,33244,"HC REMOVE ELTRD, TRANSV (EP LAB)",11635.24,6981.14,1977.99,9728.21,55
CPT,33249,HC INSER/REPOS SINGLE,72208.16,43324.9,6299.0,81499.55,55
CPT,33249,HC INSER/REPOS SINGLE (EP LAB),72208.16,43324.9,6299.0,81499.55,55
CPT,33262,HC REMOVE&REPLACE CVD GEN S,63445.88,38067.53,6299.0,58392.49,54
CPT,33262,HC REMOVE&REPLACE CVD GEN S (EP LAB),63445.88,38067.53,6299.0,58392.49,55
CPT,33263,HC REMOVE&REPLACE CVD GEN D,73210.62,43926.37,6299.0,58392.49,54
CPT,33263,HC REMOVE&REPLACE CVD GEN D (EP LAB),73210.62,43926.37,6299.0,58392.49,55
CPT,33264,HC REMOVE&REPLACE CVD GEN M,73984.58,44390.75,6299.0,81499.55,54
CPT,33264,HC REMOVE&REPLACE CVD GEN M (EP LAB),73984.58,44390.75,6299.0,81499.55,55
CPT,33270,HC INS/REP SUBQ DEFIBRILLLATOR,93099.87,55859.92,6299.0,81499.55,55
CPT,33271,HC INSJ SUBQ IMPLTBL DFB ELCTRD,20222.6,12133.56,6075.14,21045.99,54
CPT,33272,HC RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE,12553.5,7532.1,2134.09,9728.21,54
CPT,33273,HC REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB,6167.16,3700.3,1425.44,9728.21,55
CPT,33274,HC TCAT INSJ/RPL PERM LDLS PM,48879.6,29327.76,6299.0,48269.91,55
CPT,33275,"HC TRANSCATH REMOVAL OF LEADLESS PACEMAKER, RV",6879.0,4127.4,1169.43,7896.23,54
CPT,33276,HC INSERTION PHRENIC NERVE STIMULATOR SYSTEM,93596.86,56158.12,6299.0,117001.3,53
CPT,33277,HC INSJ PHRENIC NRV STIMULATOR TRANSVNS SENSING LD,21904.76,13142.86,1896.0,18619.05,37
CPT,33278,HC REMOVAL PHRENIC NERVE STIMULATOR SYSTEM,21239.53,12743.72,1518.53,15929.65,53
CPT,33279,HC RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD,13281.09,7968.65,1912.42,9960.82,53
CPT,33280,HC RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY,6385.14,3831.08,1518.53,8428.94,53
CPT,33281,HC REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD,12770.28,7662.17,1518.53,9577.71,53
CPT,33285,HC INSJ SUBQ CAR RHYTHM MNTR,14200.7,8520.42,5112.25,21045.99,55
CPT,33285,"INSERTION, SUBCUTANEOUS CARDIAC RHYTHM MONITOR, INCLUDING PROGRAMMING",,,5760.21,27281.4,33
CPT,33286,HC RMVL SUBQ CAR RHYTHM MNTR,4602.91,2761.75,257.6,7411.0,110
CPT,33287,HC RMVL&RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR,57401.5,34440.9,6299.0,76924.35,53
CPT,33288,HC RMVL&RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD,58842.99,35305.79,6299.0,44132.24,53
CPT,33289,HC TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR,38324.97,22994.98,6299.0,72000.42,54
CPT,33300,HC REPAIR HEART WOUND,19945.95,11967.57,3390.81,16954.06,39
CPT,33305,HC REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS,20803.89,12482.335,1308.94,28821.9,74
CPT,33320,SUTURE REPAIR OF AORTA OR GREAT VESSELS; WITHOUT SHUNT OR CARDIOPULMONARY BYPASS,,,1860.06,8280.0,10
CPT,33340,"HC PERQ TRNSCATH LAA CLOSURE, W/ENDOCARDIAL IMPLANT",34640.97,20784.58,2546.0,29444.82,38
CPT,33340,"HC THH ONLY - PERQ TRNSCATH LAA CLOSURE, W/ENDOCARDIAL IMPLANT ADD ON",34640.97,20784.58,1401.45,29444.82,37
CPT,33361,HC REPLACE AORTIC VALVE PERQ FEMORAL ARTERY APPROACH,54267.42,32560.45,2404.57,46127.31,37
CPT,33361,HC REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH,54267.42,32560.45,6299.0,46127.31,39
CPT,33361,HC THH ONLY - REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH,54267.42,32560.45,2404.57,46127.31,37
CPT,33362,HC REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH,65290.43,39174.26,2546.0,55496.87,37
CPT,33363,HC REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH,49163.52,29498.11,2546.0,41788.99,37
CPT,33364,HC REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH,42565.82,25539.49,2546.0,36180.95,37
CPT,33365,HC REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH,46822.4,28093.44,2546.0,39799.04,37
CPT,33366,HC AORTA(TAVR/TAVI) TRANSAORTIC EXPOSURE,42565.82,25539.49,2546.0,36180.95,37
CPT,33367,HC REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH,6874.05,4124.43,1113.98,8280.0,37
CPT,33370,HC TRANSCATHETER PLACEMENT&SBSQ REMOVAL CEPD PERQ,13711.7,8227.02,1896.0,11654.94,37
CPT,33418,"HC TRANSCATH MITRAL VALVE REPAIR, PERC APPROACH, INITIAL PROSTHESIS",45333.07,27199.84,6299.0,38533.11,39
CPT,33419,"HC TRANSCATH MITRAL VALVE REPAIR, PERC APPROACH, ADDL PROSTHESIS",29949.24,17969.54,5091.37,25456.85,34
CPT,33463,HC VALVULOPLASTY TRICUSPID,25871.87,15523.12,2546.0,21991.09,37
CPT,33477,HC TRANSCATH PULMONARY VALVE IMPLANTATION PRQ APPROACH,49992.44,29995.46,2419.18,42493.57,37
CPT,33735,ATRIAL SEPTECTOMY OR SEPTOSTOMY; CLOSED HEART (BLALOCK-HANLON TYPE OPERATION),,,2288.24,8280.0,10
CPT,33741,HC TAS CONGENITAL CARDIAC ANOMALIES ANY METHOD,12807.21,7684.33,1995.76,10886.13,38
CPT,33745,HC TIS CRTJ ST CONGENITAL CARDIAC ANOMAL 1ST SHUNT,12807.21,7684.33,2177.23,17181.0,38
CPT,33746,HC TIS CRTJ ST CONGENITAL CARDIAC ANOMAL EA ADDL,10910.64,6546.38,1104.71,17181.0,38
CPT,33863,"ASCENDING AORTA GRAFT, WITH CARDIOPULMONARY BYPASS, WITH AORTIC ROOT REPLACEMENT USING VALVED CONDUIT AND CORONARY RECONSTRUCTION (EG, BENTALL)",,,2546.0,11758.19,10
CPT,33880,HC ENDOVASC TAA REINCL SUBCL,14474.42,8684.65,2460.65,12303.26,37
CPT,33880,HC IR ART THOR ENDO REP W LT SUB,14474.42,8684.65,2460.65,12303.26,37
CPT,33881,HC IR ART THOR ENDO REP WO SUB,4318.41,2591.05,734.13,8280.0,37
CPT,33883,HC TEVAR PROX EXT INITIAL,3052.86,1831.72,518.99,7411.0,38
CPT,33883,HCDLYD PLMT PROX XTN PROSTH NOT COV LSA ORIGIN,3052.86,1831.72,518.99,8280.0,37
CPT,33884,HC TEVAR PROX EXT EACH ADD,3375.25,2025.15,573.79,7411.0,38
CPT,33886,HC DLYD PLMT DSTL XTN PROSTH LVL LSA TO CELIAC ART,2348.35,1409.01,399.22,8280.0,37
CPT,33895,HC EVASC ST RPR COARCJ THRC/AA XCRSG MAJ SIDE BRNCH,37310.0,22386.0,1380.14,31713.5,37
CPT,33900,HC IR PERQ P-ART REVSC 1 NM NT UNI,20672.68,12403.61,5338.09,37896.66,53
CPT,33900,HC PERQ P-ART REVSC 1 NM NT UNI,20672.68,12403.61,5338.09,27252.71,54
CPT,33901,HC IR PERQ P-ART REVSC 1 NM NT BI,20672.68,12403.61,5338.09,37896.66,53
CPT,33901,HC PERQ P-ART REVSC 1 NM NT BI,20672.68,12403.61,5338.09,27252.71,54
CPT,33902,HC IR PERQ P-ART REVSC 1 ABNOR UNI,33452.34,20071.4,5338.09,61324.03,53
CPT,33902,HC PERQ P-ART REVSC 1 ABNOR UNI,33452.34,20071.4,5338.09,43439.01,54
CPT,33903,HC IR PERQ P-ART REVSC 1 ABNOR BI,20672.68,12403.61,5338.09,37896.66,53
CPT,33903,HC PERQ P-ART REVSC 1 ABNOR BI,20672.68,12403.61,5338.09,27252.71,54
CPT,33904,HC IR PERQ P-ART REVSC EACH ADDL,15736.7,9442.02,1896.0,13376.19,37
CPT,33904,HC PERQ P-ART REVSC EACH ADDL,15736.7,9442.02,1896.0,13376.19,38
CPT,33945,"HEART TRANSPLANT, WITH OR WITHOUT RECIPIENT CARDIECTOMY",,,2546.0,18184.76,10
CPT,33946,HC ECMO/ECLS INITIATION VENO-VENOUS,7561.45,4536.87,547.54,8280.0,75
CPT,33947,HC ECMO/ECLS INITIATION ARTERY,7201.38,4320.83,607.23,8280.0,37
CPT,33947,HC ECMO/ECLS INITIATION VENO-ARTERIAL,7201.38,4320.83,607.23,8280.0,37
CPT,33948,HC ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS,3781.62,2268.97,420.86,8280.0,37
CPT,33948,HC ECMO/ECLS DAILY MANAGEMENT W PUMP EXCHANGE VENO-VENOUS,18137.84,10882.7,420.86,15417.16,37
CPT,33948,HC ECMO/ECLS DAILY MGMT-VENOUS,3781.62,2268.97,420.86,8280.0,37
CPT,33949,HC ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL,3781.62,2268.97,409.28,8280.0,37
CPT,33949,HC ECMO/ECLS DAILY MANAGEMENT W PUMP EXCHANGE VENO-ARTERIAL,18137.84,10882.7,409.28,15417.16,37
CPT,33949,HC ECMO/ECLS DAILY MGMT ARTERY,3781.62,2268.97,409.28,8280.0,37
CPT,33952,HC ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS & OLDER PERQ,15894.95,9536.97,757.07,13510.71,37
CPT,33952,HC ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ,15894.95,9536.97,2546.0,13510.71,38
CPT,33954,HC ECMO/ECLS INSJ PRPH OPN 6+ YO,2189.46,1313.68,372.21,8280.0,37
CPT,33956,HC ECMO/ECLS INSERT CTR 6+ YO,2168.99,1301.39,368.73,8280.0,37
CPT,33958,HC ECMO/ECLS REPO PRPH PRC 6+ YO,18068.42,10841.05,327.07,15358.16,37
CPT,33958,HC ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS & OLDER,18068.42,10841.05,327.07,15358.16,37
CPT,33962,HC ECMO/ECLS REPO PRPH OPN 6+ YO,1589.0,953.4,270.13,8280.0,37
CPT,33964,HC ECMO/ECLS REPO CTR 6+ YO,1747.9,1048.74,297.14,8280.0,37
CPT,33966,ECMO/ECLS INSERT CTR 0-5 YO,3164.44,1898.66,420.86,8280.0,37
CPT,33966,ECMO/ECLS REM PRPH PRC 0-5 YO,3164.44,1898.66,420.86,8280.0,37
CPT,33966,ECMO/ECLS REM PRPH PRC 6+ YO,3164.44,1898.66,420.86,8280.0,37
CPT,33966,ECMO/ECLS REMOVE CTR 0-5 YO,3164.44,1898.66,420.86,8280.0,37
CPT,33966,ECMO/ECLS REPO CTR 0-5 YO,3164.44,1898.66,420.86,8280.0,37
CPT,33966,ECMO/ECLS REPO CTR 6+ YO,3164.44,1898.66,420.86,8280.0,37
CPT,33966,ECMO/ECLS REPO PRPH OPN 0-5 YO,3164.44,1898.66,420.86,8280.0,37
CPT,33966,ECMO/ECLS REPO PRPH OPN 6+ YO,3164.44,1898.66,420.86,8280.0,37
CPT,33966,ECMO/ECLS REPO PRPH PRC 0-5 YO,3164.44,1898.66,420.86,8280.0,37
CPT,33966,ECMO/ECLS REPO PRPH PRC 6+ YO,3164.44,1898.66,420.86,8280.0,37
CPT,33966,HC ECMO/ECLS INITIATION ARTERY,3164.44,1898.66,420.86,8280.0,37
CPT,33966,HC ECMO/ECLS INSERT CTR 6+ YO,3164.44,1898.66,420.86,8280.0,37
CPT,33966,HC ECMO/ECLS INSJ PRPH OPN 0-5 YO,3164.44,1898.66,420.86,8280.0,37
CPT,33966,HC ECMO/ECLS INSJ PRPH OPN 6+ YO,3164.44,1898.66,420.86,8280.0,37
CPT,33966,HC ECMO/ECLS REM PRPH OPN 6+ YO,3164.44,1898.66,420.86,8280.0,37
CPT,33966,HC ECMO/ECLS REM PRPH PRC 6+ YO,3164.44,1898.66,420.86,8280.0,37
CPT,33966,HC ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS & OLDER,3164.44,1898.66,420.86,8280.0,37
CPT,33967,HC INSERT IA PERCUT DVC,9268.2,5560.92,460.46,41767.0,37
CPT,33968,HC REMOVE INTRA-AORTIC,3771.56,2262.94,641.17,41767.0,38
CPT,33975,"HC VENTRICULAR ASSIST DEVICE,IMPLANT - 1 VENTRICLE",12110.21,7266.13,2058.74,10293.68,38
CPT,33984,HC ECMO/ECLS REM PRPH OPN 6+ YO,3134.1,1880.46,502.47,8280.0,37
CPT,33984,HC ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS & OLDER,3134.1,1880.46,502.47,8280.0,37
CPT,33986,HC ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS & OLDER,2323.49,1394.09,394.99,8280.0,37
CPT,33990,"HC INSERT PERQ VAD W/IMAGING; LEFT HEART, ARTERIAL ACCESS ONLY",14831.5,8898.9,2521.36,12606.77,38
CPT,33991,"HC INSERT PERQ VAD TRNSPTAL W/IMAGE; LEFT HEART, ARTERIAL & VENOUS ACCESS W/ TRANSEPTAL PUNC",12218.25,7330.95,1107.88,10385.51,37
CPT,33992,"HC REMOVAL PERCUTANEOUS VAD DISTINCT SESSION FROM INSERT; LEFT HEART, ARTERIAL OR ARTERIAL &VENOUS CAN(S)",8107.85,4864.71,1378.33,7411.0,38
CPT,33992,HC REMOVE VENT ASST DVICE SEPARTE FROM INSERT,8107.85,4864.71,1378.33,7411.0,38
CPT,33993,"HC REPOSITION PERQ VAD, RIGHT OR LEFT HEART, W/IMAGING DISTINCT SESSION FROM INSERT",8098.43,4859.06,310.01,8280.0,37
CPT,33995,HC INSJ PERQ VAD W/RS&I R HEART VENOUS ACCESS ONLY,19260.53,11556.32,652.31,16371.45,37
CPT,33997,HC REMOVAL PERQ R HEART VAD VENOUS CANNULA SEP INSJ,7721.76,4633.06,289.92,8280.0,37
CPT,33999,HC BALLOON PERICARDIOTOMY,1280.7,768.42,320.18,7411.0,52
CPT,33999,HC CARDIAC ASSIST VENOUS SUPPORT,11233.54,6740.12,598.65,8762.16,53
CPT,33999,HC CARDIAC SURGERY PROC,1280.7,768.42,320.18,7411.0,53
CPT,33999,"HC CEREBRAL EMBOLIC PROJECTION DEVICE, FOR PROCEDURES OTHER THAN TAVR",12696.02,7617.61,598.65,9522.01,52
CPT,33999,"HC INSERT AZYGOUS VEIN COIL, CARDIAC VENOUS SYSTEM (HIGH DEFIB THRESHOLD)",29333.07,17599.84,598.65,21999.8,52
CPT,33999,"HC INSERT PERQ VAD W/IMAGING; RIGHT HEART, ARTERY ACCESS ONLY",15440.54,9264.32,598.65,11580.41,51
CPT,33999,HC INSERT VAD VENOUS ACCESS,11458.68,6875.21,598.65,8937.77,53
CPT,33999,HC INSRT NW/RPLCMNT PRMNNT PCMKR W TRNSVNS ELCTRD LV LD FR LFT VNTRCL PCNG,37088.01,22252.81,598.65,27816.01,53
CPT,33999,HC INTRACARDIAC CATHETHER ABLATION OF WATCHMAN LEAK,19891.72,11935.03,598.65,14918.79,52
CPT,33999,HC LAA EXCLUSION PERCUTANEOUS,6084.0,3650.4,598.65,7411.0,53
CPT,33999,"HC LEFT HEART CATHETERIZATION WITH STENTING OF LVAD & CEREBRAL PROTECTION, INCLUDING ANGIOPLASTY WHEN PERFORMED",47351.91,28411.15,598.65,35513.93,52
CPT,33999,HC LFT HRT CATHTRZTN WTH STENTNG LVAD&CERBRL PRTCTN (+ ANGIOPLSTY IF PRFMD),47351.29,28410.77,598.65,35513.47,52
CPT,33999,HC MECHANICAL THROMBECTOMY VIA ANGIOVAC SYSTEM IN HEART CHAMBERS/VALVES (VENOUS),9996.74,5998.04,598.65,7797.46,53
CPT,33999,HC OPEN POCKET AND TIGHTEN SET SCREWS,7293.0,4375.8,598.65,7411.0,53
CPT,33999,HC PERC TRANSCATH PSEUDO-/ANEURYSM REPAIR W/ PRTCTN DVC (INS/REM/RAD I&I),45935.09,27561.05,598.65,34451.32,51
CPT,33999,HC PERCUTAN LAA CLOSUR PLUG FLUOROSTRANS CATHETER ANGIO RADIOLO SUPRVIS,32991.4,19794.84,598.65,24743.55,51
CPT,33999,HC PERCUTANEOUS CLOSURE OF LAAO LEAK,26393.12,15835.87,598.65,19794.84,52
CPT,33999,HC PERCUTANEOUS CLOSURE OF LEFT ATRIAL APPENDAGE OCCLUSION (LAAO) LEAK VIA RADIOFREQUENCY ABLATION,90209.08,54125.45,598.65,67656.81,52
CPT,33999,HC PERCUTANEOUS SEPTAL MYOMOTOMY (SESAME PROCEDURE),37005.16,22203.1,598.65,27753.87,52
CPT,33999,"HC PLACEMENT OF CLOSURE DEVICE, PERI-WATCHMAN LEAK",30547.59,18328.55,598.65,22910.69,52
CPT,33999,HC PR INSERT VAD ARTERY ACCESS UNLISTED,12432.09,7459.25,598.65,9324.07,52
CPT,33999,HC RELOCATION OF SUBCUTANEOUS CARDIAC RHYTHM MONITOR,14125.56,8475.34,598.65,10594.17,52
CPT,33999,"HC REMOVAL OF TEMPORARY PACEMAKER WIRE, OPEN",10551.74,6331.04,598.65,8230.36,53
CPT,33999,HC REPLACE AORTIC VALVE TRANSCAVAL APPROACH,40281.88,24169.13,598.65,30211.41,53
CPT,33999,HC REPOSITIONING OF EXTRAVASCULAR ICD GENERATOR,7643.76,4586.26,598.65,7411.0,52
CPT,33999,HC REVISION OF SKIN POCKET FOR IMPLANTABLE DEFIBRILLATOR; WITHOUT RELOCATION,6066.25,3639.75,598.65,7411.0,53
CPT,33999,HC STANDALONE TRANSCATHETER PLACEMENT&SUBSEQUENT REMOVAL OF CEPD(S),12696.02,7617.61,598.65,9522.01,51
CPT,33999,HC STENTING IF LVAD OUTFLOW GRAFT,28152.15,16891.29,598.65,21114.11,52
CPT,33999,HC TAVR W/ PROS VALVE TRANSCAROTID APPROACH,42565.82,25539.49,598.65,31924.37,51
CPT,33999,"HC THORACOSCOPY, SURGICAL; LEFT ATRIAL APPENDAGE OCCLUSION",30547.59,18328.55,598.65,22910.69,52
CPT,33999,HC TMVR WITH LAMPOON,24784.75,14870.85,598.65,18588.56,52
CPT,33999,HC TRANS-CAROTID TRANSCATHETER AORTIC VALVE REPLACEMENT,19590.48,11754.29,598.65,14692.86,51
CPT,33999,HC TRANSCATHETHER AORTIC VALVE REPLACEMENT WITH A PROSTHETIC VALVE; CAROTID APPROACH,42565.82,25539.49,598.65,31924.37,51
CPT,34101,HC REMOVAL ARTERY CLOT,11205.38,6723.23,1904.91,13613.39,55
CPT,34201,HC REMOVAL ARTERY CLOT,13648.66,8189.2,2320.27,13613.39,55
CPT,34203,HC REMOVAL LEG ART CLOT,11199.93,6719.96,1903.99,13613.39,55
CPT,34701,HC EVASC RPR A-AO NDGFT,8298.9,4979.34,1410.81,8280.0,37
CPT,34702,HC EVASC RPR A-AO NDGFT RPT,6949.17,4169.5,1181.36,8280.0,37
CPT,34703,HC EVASC RPR A-UNILAC NDGFT,5408.37,3245.02,919.42,8280.0,37
CPT,34704,HC EVASC RPR A-UNILAC NDGFT RPT,4446.41,2667.85,755.89,8653.64,37
CPT,34705,HC EVASC RPR A-BI-ILIAC NDGFT,20514.57,12308.74,2546.0,17437.38,37
CPT,34706,HC EVASC RPR A-BI-ILIAC RPT,10552.36,6331.42,1793.9,8969.51,37
CPT,34707,HC ENDOVASCULAR REPAIR ILIO-ILIAC ENDOGRAFT,14021.41,8412.85,2383.64,11918.2,39
CPT,34707,HC EVASC RPR ILIO-ILIAC NDGFT,14021.41,8412.85,2036.7,11918.2,37
CPT,34708,HC EVASC RPR ILIO-ILIAC RPT,14993.55,8996.13,2546.0,12744.52,37
CPT,34709,HC PLMT XTN PROSTH EVASC RPR,5534.49,3320.69,571.3,8280.0,37
CPT,34710,HC DLYD PLMT XTN PROSTH 1ST VSL,5497.69,3298.61,934.61,8280.0,37
CPT,34711,HC DLYD PLMT XTN PROSTH EA ADDL,2300.59,1380.35,391.1,8280.0,37
CPT,34712,HC TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS&I,13545.0,8127.0,1208.99,11513.25,37
CPT,34713,HC PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT,5644.24,3386.54,959.52,7411.0,32
CPT,34717,HC ENDOVSCLR RPR OF ILLIAC ARTERY DRING AORTO-ILIAC ARTERY ENDGRFT PLCMNT,8077.24,4846.34,1373.13,17181.0,39
CPT,34718,HC ENDOVSCLR RPR OF ILLIAC ARTERY N/DRING AORTO-ILIAC ARTRY ENDGRFT PLCMNT,8723.42,5234.05,1482.98,17181.0,39
CPT,34812,HC IR FEM ART EXPOSE FOR GRAFT,2903.73,1742.24,365.43,8280.0,37
CPT,34813,HC IR FEM FEM GRAFT PLCMT,359.16,215.5,61.06,8280.0,37
CPT,34820,HC EXPOSE ILIAC FOR STENT GRAFT,8951.35,5370.81,1521.73,7608.65,38
CPT,34833,HC IR ART ILIAC EXPOSE FOR GRAFT,1948.82,1169.29,331.3,8280.0,37
CPT,34834,HC IR BRACH ART EXPOSE FOR GRAFT,359.0,215.4,61.03,8280.0,37
CPT,34841,"HC ENDOVASCULAR REPAIR OF VISCERAL AORTA, 1 GRAFT",17069.99,10241.99,1826.96,14509.49,37
CPT,34841,HC FENESTRATED AAA 1 VISCERAL,17069.99,10241.99,2546.0,14509.49,38
CPT,34842,"HC ENDOVASCULAR REPAIR OF VISCERAL AORTA, 2 GRAFTS",22404.36,13442.62,1826.96,19043.71,37
CPT,34842,HC FEN AAA 2 VISC LIMBS,22404.36,13442.62,2546.0,19043.71,38
CPT,34843,"HC ENDOVASCULAR REPAIR OF VISCERAL AORTA, 3 GRAFTS",23277.27,13966.36,1826.96,19785.68,37
CPT,34843,HC FEN AAA 3 VISCERAL LIMBS,23277.27,13966.36,2546.0,19785.68,38
CPT,34844,"HC ENDOVASCULAR REPAIR OF VISCERAL AORTA, 4 OR MORE GRAFTS",27156.8,16294.08,1826.96,23083.28,37
CPT,34844,HC FEN AAA 4 VISCERAL LIMBS,27156.8,16294.08,2546.0,23083.28,38
CPT,34845,HC VISCER & INFRARENAL ABD 1 PRO,18651.65,11190.99,2546.0,15853.9,38
CPT,34846,"HC ENDOVASCULAR REPAIR OF VISCERAL AORTA & INFRARENAL ABD AORTA, 2 PROSTH",23538.74,14123.24,1826.96,20007.93,37
CPT,34846,HC FEVAR GRAFT 2 VISC 2 LIMBS,23538.74,14123.24,2546.0,20007.93,38
CPT,34847,"HC ENDOVASCULAR REPAIR OF VISCERAL AORTA & INFRARENAL ABD AORTA, 3 PROSTH",27600.85,16560.51,1826.96,23460.72,37
CPT,34847,HC FEVAR GRAFT 3 VISC 2 LIMBS,27600.85,16560.51,2546.0,23460.72,38
CPT,34848,"HC ENDOVASCULAR REPAIR OF VISCERAL AORTA & INFRARENAL ABD AORTA, 4 OR MORE PROSTH",32640.38,19584.23,1826.96,27744.32,37
CPT,34848,HC FEVAR GRAFT 4 VISC 2 LIMBS,32640.38,19584.23,2546.0,27744.32,38
CPT,35011,HC REPAIR DEFECT ARTERY,10509.92,6305.95,1786.69,13613.39,55
CPT,35045,"DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND GRAFT INSERTION, WITH OR WITHOUT PATCH GRAFT; FOR ANEURYSM, PSEUDOANEURYSM, AND ASSOCIATED OCCLUSIVE DISEASE, RADIAL OR UL",,,5310.35,16408.4,30
CPT,35131,HC IR ILIAC REP ANEURYSM,3614.43,2168.66,614.45,8280.0,37
CPT,35141,HC IR FEM REP ANEURYSM,1989.61,1193.77,338.23,8280.0,37
CPT,35201,HC REPAIR BLOOD VESSEL,7836.86,4702.12,1332.27,13613.39,55
CPT,35206,HC REPAIR BLOOD VESSEL,9522.78,5713.67,1618.87,7896.23,55
CPT,35206,HC REPAIR BLOOD VESSEL - UPPER EX,9522.78,5713.67,1618.87,7896.23,55
CPT,35206,"REPAIR BLOOD VESSEL, DIRECT; UPPER EXTREMITY",,,3013.28,9893.47,30
CPT,35207,HC REPAIR BLOOD VESSEL,7032.8,4219.68,1118.22,7896.23,55
CPT,35207,HC REPAIR BLOOD VESSEL HAND/FINGER,7032.8,4219.68,1118.22,7896.23,55
CPT,35207,"REPAIR BLOOD VESSEL, DIRECT; HAND, FINGER",,,1118.22,9893.47,34
CPT,35226,HC REPAIR BLOOD VESSEL,3057.26,1834.36,519.73,7411.0,55
CPT,35226,HC REPAIR BLOOD VESSEL-LOWER,3057.26,1834.36,519.73,7411.0,55
CPT,35226,"REPAIR BLOOD VESSEL, DIRECT; LOWER EXTREMITY",,,675.79,8280.0,30
CPT,35286,HC REPAIR BLOOD VESSEL,9726.73,5836.04,1653.54,13613.39,55
CPT,35321,HC RECHANNELING ARTERY,9990.19,5994.11,1698.33,13613.39,55
CPT,35351,HC THROMBOENDARTEMY ILIAC BILAT,5882.58,3529.55,1000.04,8280.0,37
CPT,35351,HC THROMBOENDARTEMY ILIAC SINGLE,5882.58,3529.55,1000.04,8280.0,37
CPT,35355,HC IR ILIOFEMORAL THROMBOENDARTER,2241.6,1344.96,381.07,8280.0,37
CPT,35371,HC COMMON FEMORAL THROMBOENENDART,5526.06,3315.64,939.43,8280.0,37
CPT,35371,HC THROMBOENDARTECTMY FEMORAL COMMON,5526.06,3315.64,939.43,8280.0,37
CPT,35656,HC BYP OTH/THN VEIN FEMORAL-POPLITEAL,5904.0,3542.4,1003.68,7411.0,38
CPT,35701,"EXPLORATION NOT FOLLOWED BY SURGICAL REPAIR, ARTERY; NECK (EG, CAROTID, SUBCLAVIAN)",,,998.86,8280.0,10
CPT,35702,"EXPLORATION NOT FOLLOWED BY SURGICAL REPAIR, ARTERY; UPPER EXTREMITY (EG, AXILLARY, BRACHIAL, RADIAL, ULNAR)",,,724.79,8280.0,10
CPT,35703,"EXPLORATION NOT FOLLOWED BY SURGICAL REPAIR, ARTERY; LOWER EXTREMITY (EG, COMMON FEMORAL, DEEP FEMORAL, SUPERFICIAL FEMORAL, POPLITEAL, TIBIAL, PERONEAL)",,,735.74,8280.0,10
CPT,35800,"EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; NECK",,,1269.27,12018.16,29
CPT,35820,"EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; CHEST",,,2546.0,8280.0,10
CPT,35840,"EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; ABDOMEN",,,2109.78,8280.0,10
CPT,35860,"EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; EXTREMITY",,,3013.28,9893.47,30
CPT,35875,HC REMOVE FRAGT CLOT,11935.06,7161.04,1939.15,13613.39,55
CPT,35876,THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT (OTHER THAN HEMODIALYSIS GRAFT OR FISTULA); WITH REVISION OF ARTERIAL OR VENOUS GRAFT,,,1939.15,16408.4,34
CPT,35884,"REVISION, FEMORAL ANASTOMOSIS OF SYNTHETIC ARTERIAL BYPASS GRAFT IN GROIN, OPEN; WITH AUTOGENOUS VEIN PATCH GRAFT",,,5310.35,16408.4,30
CPT,36000,HC PLACE NEEDLE IN VEIN – ONLY FOR CATH LAB USE,356.25,213.75,60.56,7411.0,32
CPT,36000,HC POCUS PLACE NEEDLE IN VEIN,356.25,213.75,60.56,7411.0,32
CPT,36002,HC INJ PSEUDOANEURYSM EXT LT,1690.12,1014.07,223.75,7411.0,78
CPT,36002,HC INJ PX PRQ TX EXTREMITY PSEUDOANEURYSM,1690.12,1014.07,223.75,7411.0,55
CPT,36002,HC INJ PX PRQ TX EXTREMITY PSEUDOANEURYSM - LT,1690.12,1014.07,223.75,7411.0,38
CPT,36002,HC INJ PX PRQ TX EXTREMITY PSEUDOANEURYSM - RT,1690.12,1014.07,223.75,7411.0,38
CPT,36002,HC PERC PSEUDOANEURYSM INJ,1690.12,1014.07,223.75,7411.0,55
CPT,36002,HC PSEUDOANEURYSM INJ BILAT,1690.12,1014.07,223.75,7411.0,80
CPT,36002,HC PSEUDOANEURYSM INJ LT,1690.12,1014.07,223.75,7411.0,80
CPT,36002,HC PSEUDOANEURYSM INJ RT,1690.12,1014.07,223.75,7411.0,80
CPT,36002,HC US INJ PSEUDOANEURYSM EXT LT,1690.12,1014.07,223.75,7411.0,38
CPT,36002,HC US INJ PSEUDOANEURYSM EXT RT,1690.12,1014.07,223.75,7411.0,38
CPT,36005,HC INJ VENOGRAM EXT LT,3097.26,1858.36,526.53,7411.0,32
CPT,36005,HC INJ VENOGRAM EXT RT,3097.26,1858.36,526.53,7411.0,32
CPT,36005,HC INJECTION EXT VENOGRAPHY,3097.26,1858.36,526.53,7411.0,72
CPT,36005,HC IR INJ VENOGRAM EXT BI,3097.26,1858.36,526.53,7411.0,32
CPT,36005,HC IR INJ VENOGRAM EXT LT,3097.26,1858.36,526.53,7411.0,32
CPT,36005,HC IR INJ VENOGRAM EXT RT,3097.26,1858.36,526.53,7411.0,32
CPT,36010,HC PLACE CATH VEIN - SUPERIOR/INFERIOR,3462.0,2077.2,588.54,7411.0,39
CPT,36010,"INTRODUCTION OF CATHETER, SUPERIOR OR INFERIOR VENA CAVA",,,1896.0,2107.0,3
CPT,36011,HC IR CATH VEN 1ST ORDER LT,5046.45,3027.87,857.9,7411.0,32
CPT,36011,HC IR CATH VEN 1ST ORDER RT,5046.45,3027.87,857.9,7411.0,32
CPT,36011,HC PLACE CATH VEIN,5046.45,3027.87,857.9,7411.0,33
CPT,36011,HC PLACE CATH VEIN - 1ST ORDER BRANCH,5046.45,3027.87,857.9,7411.0,39
CPT,36011,HC SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH BI,5046.45,3027.87,857.9,7411.0,32
CPT,36012,HC CATH VEN 2ND ORDER LT,4677.07,2806.24,795.1,7411.0,71
CPT,36012,HC PLACE CATH VEIN,4677.07,2806.24,795.1,7411.0,34
CPT,36012,HC PLACE CATH VEIN - 2ND ORDER BRANCH,4677.07,2806.24,795.1,7411.0,39
CPT,36012,HC SLCTV CATH PLMT VEN SYS 1ST 2ND ORDER/>SLCTV BRANCH BI,4677.07,2806.24,795.1,7411.0,32
CPT,36012,HC SLCTV CATH PLMT VEN SYS 1ST 2ND ORDER/>SLCTV BRANCH LT,4677.07,2806.24,795.1,7411.0,32
CPT,36013,HC PLACE CATH ARTERY,2362.4,1417.44,401.61,7411.0,39
CPT,36014,HC IR CATH PULM ART 1ST ORDER BI,3470.39,2082.23,589.97,7411.0,32
CPT,36014,HC IR CATH PULM ART 1ST ORDER LT,3470.39,2082.23,589.97,7411.0,32
CPT,36014,HC IR CATH PULM ART 1ST ORDER RT,3470.39,2082.23,589.97,7411.0,32
CPT,36014,HC PLACE CATH ARTERY - PULMONARY,3470.39,2082.23,589.97,7411.0,39
CPT,36015,HC IR CATH PULM ART 2ND ORDER LT,2430.57,1458.34,413.2,7411.0,32
CPT,36015,HC IR CATH PULM ART 2ND ORDER RT,2430.57,1458.34,413.2,7411.0,32
CPT,36015,"HC PLACE CATH ARTERY - PULMONARY,SUB OR SUBSEG",2430.57,1458.34,413.2,7411.0,39
CPT,36100,HC PLACE CATH CAROT/VERT ART,1621.8,973.08,275.71,7411.0,39
CPT,36140,HC ACCESS EXTREMITY ART LT,3224.38,1934.63,548.14,7411.0,32
CPT,36140,HC ACCESS EXTREMITY ART RT,3224.38,1934.63,548.14,7411.0,32
CPT,36140,HC ESTABLISH ACC ARTERY - EXTREMITY,3224.38,1934.63,548.14,7411.0,72
CPT,36140,HC IR INTRO NDL EXT ART BI,3224.38,1934.63,548.14,7411.0,32
CPT,36140,HC IR INTRO NDL EXT ART LT,3224.38,1934.63,548.14,7411.0,32
CPT,36140,HC IR INTRO NDL EXT ART RT,3224.38,1934.63,548.14,7411.0,32
CPT,36160,HC ESTABLISH ACC AORTA,2601.58,1560.95,442.27,7411.0,39
CPT,36200,HC FEMORAL ILIAC ARTERIOGRAPHY LT,4329.44,2597.66,736.0,7411.0,32
CPT,36200,HC FEMORAL ILIAC ARTERIOGRAPHY RT,4329.44,2597.66,736.0,7411.0,32
CPT,36200,"HC INTRO CATH, AORTA",4329.44,2597.66,736.0,7411.0,39
CPT,36200,HC PLACE CATH AORTA,4329.44,2597.66,736.0,7411.0,33
CPT,36215,HC CATH PLC THOR BRACH SEL 1ST LT,4809.48,2885.69,817.61,7411.0,32
CPT,36215,HC CATH PLC THOR BRACH SEL 1ST RT,4809.48,2885.69,817.61,7411.0,32
CPT,36215,HC IR CATH ART BRCHCEP 1ST ORD LT,4809.48,2885.69,817.61,7411.0,32
CPT,36215,HC IR CATH ART CAR 1ST ORD LT,4809.48,2885.69,817.61,7411.0,32
CPT,36215,HC IR CATH ART SUBCLAV 1ST ORD LT,4809.48,2885.69,817.61,7411.0,32
CPT,36215,HC IR CATH ART THOR 1ST ORD BI,4809.48,2885.69,817.61,7411.0,32
CPT,36215,HC IR CATH ART THOR 1ST ORD LT,4809.48,2885.69,817.61,7411.0,32
CPT,36215,HC IR CATH ART THOR 1ST ORD RT,4809.48,2885.69,817.61,7411.0,32
CPT,36215,"HC PLACE CATH ART,THORAC/BRACHIO EA 1ST BRANCH",4809.48,2885.69,817.61,7411.0,72
CPT,36215,HC SLCTV CATH 1ST ORD THRC/BRCH/CPHLC BRNCH RT,4809.48,2885.69,817.61,7411.0,32
CPT,36216,HC CATH PLC THOR BRACH 2ND ADD RT,4446.09,2667.65,755.84,7411.0,71
CPT,36216,HC CATH PLC THOR BRACH 2ND INI LT,4446.09,2667.65,755.84,7411.0,32
CPT,36216,HC CATH PLC THOR BRACH 2ND INI RT,4446.09,2667.65,755.84,7411.0,32
CPT,36216,HC IR CATH ART BRCHCEP 2ND ORD LT,4446.09,2667.65,755.84,7411.0,32
CPT,36216,HC IR CATH ART CAR 2ND ORD LT,4446.09,2667.65,755.84,7411.0,32
CPT,36216,HC IR CATH ART CAR 2ND ORD RT,4446.09,2667.65,755.84,7411.0,32
CPT,36216,HC IR CATH ART SUBCLAV 2ND ORD LT,4446.09,2667.65,755.84,7411.0,32
CPT,36216,HC IR CATH ART SUBCLAV 2ND ORD RT,4446.09,2667.65,755.84,7411.0,32
CPT,36216,HC IR CATH ART THOR 2ND ORD RT,4446.09,2667.65,755.84,7411.0,32
CPT,36216,"HC PLACE CATH ART,THORAC/BRACHIO INT 2ND ORDER",4446.09,2667.65,755.84,7411.0,72
CPT,36216,HC SLCTV CATH 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH,4446.09,2667.65,755.84,7411.0,32
CPT,36216,HC SLCTV CATH 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH LT,4446.09,2667.65,755.84,7411.0,32
CPT,36217,HC CATH PLC THOR BRACH 3RD ADD RT,5613.29,3367.97,954.26,7411.0,71
CPT,36217,HC CATH PLC THOR BRACH 3RD INI LT,5613.29,3367.97,954.26,7411.0,32
CPT,36217,HC CATH PLC THOR BRACH 3RD INI RT,5613.29,3367.97,954.26,7411.0,32
CPT,36217,HC IR CATH ART BRCHCEP 3RD ORD LT,5613.29,3367.97,954.26,7411.0,32
CPT,36217,HC IR CATH ART BRCHCEP 3RD ORD RT,5613.29,3367.97,954.26,7411.0,71
CPT,36217,HC IR CATH ART CAR 3RD ORD LT,5613.29,3367.97,954.26,7411.0,32
CPT,36217,HC IR CATH ART CAR 3RD ORD RT,5613.29,3367.97,954.26,7411.0,32
CPT,36217,HC IR CATH ART SUBCLAV 3RD ORD LT,5613.29,3367.97,954.26,7411.0,32
CPT,36217,HC IR CATH ART SUBCLAV 3RD ORD RT,5613.29,3367.97,954.26,7411.0,32
CPT,36217,"HC PLACE CATH ART,THOR/BRACH INIT 3RD ORDER",5613.29,3367.97,954.26,7411.0,72
CPT,36217,HC SLCTV CATH 3RD+ ORD SLCTV THRC/BRACH/CPHLC BRANCH LT,5613.29,3367.97,954.26,7411.0,32
CPT,36217,HC SLCTV CATH 3RD+ ORD SLCTV THRC/BRACH/CPHLC BRANCH RT,5613.29,3367.97,954.26,7411.0,32
CPT,36218,HC CATH THORAC BRACIO ADD 2ND LT,2470.24,1482.14,419.94,7411.0,32
CPT,36218,HC IR CATH ART BRCHCEP EA ADD LT,2470.24,1482.14,419.94,7411.0,32
CPT,36218,HC IR CATH ART BRCHCEP EA ADD RT,2470.24,1482.14,419.94,7411.0,32
CPT,36218,HC IR CATH ART SUBCLAV EA ADD LT,2470.24,1482.14,419.94,7411.0,32
CPT,36218,HC IR CATH ART SUBCLAV EA ADD RT,2470.24,1482.14,419.94,7411.0,32
CPT,36218,HC IR CATH ART THOR EA ADD RT,2470.24,1482.14,419.94,7411.0,32
CPT,36218,"HC PLACE CATH ART,THOR/BRACH INIT ADD ORDER",2470.24,1482.14,419.94,7411.0,72
CPT,36218,HC SLCTV CATH 3RD+ ORD SLCTV THRC/BRCH/CPHLC BRNCH LT,2470.24,1482.14,419.94,7411.0,32
CPT,36221,"HC CATH PLACEMENT, THORACIC AORTA NON-SELECT",9163.35,5498.01,1557.77,7896.23,55
CPT,36221,"HC CATH PLACMNT,THORACIC AORTA NON-SELECT",9163.35,5498.01,1557.77,7896.23,54
CPT,36222,"HC CATH PLACMNT,CAROTID/INNOMINATE - CERVICOCE",11220.8,6732.48,1907.54,8415.6,54
CPT,36222,HC IR CATH COM CAR INOM EXTCRN BI,11220.8,6732.48,1907.54,9893.47,38
CPT,36222,HC IR CATH COM CAR INOM EXTCRN LT,11220.8,6732.48,1907.54,9893.47,38
CPT,36222,HC IR CATH COM CAR INOM EXTCRN RT,11220.8,6732.48,1907.54,9893.47,38
CPT,36222,HC SEL COM CAR INNOM CERV BI,11220.8,6732.48,1907.54,9893.47,78
CPT,36222,HC SEL COM CAR INNOM CERV LT,11220.8,6732.48,1907.54,9893.47,78
CPT,36222,HC SEL COM CAR INNOM CERV RT,11220.8,6732.48,1907.54,9893.47,78
CPT,36223,"HC CATH PLACEMENT, CAROTID/INNONMINATE - EXTRAC",15302.25,9181.35,2601.38,13613.39,55
CPT,36223,"HC CATH PLACMNT,CAROTID/INNOMINATE - EXTRAC",15302.25,9181.35,2601.38,13613.39,54
CPT,36223,HC IR CATH COM CAR INOM INTCRL BI,15302.25,9181.35,2601.38,16408.4,38
CPT,36223,HC IR CATH COM CAR INOM INTCRL LT,15302.25,9181.35,2601.38,16408.4,38
CPT,36223,HC IR CATH COM CAR INOM INTCRL RT,15302.25,9181.35,2601.38,16408.4,38
CPT,36223,HC SEL COM CAR INNOM CERVCERBL BI,15302.25,9181.35,2601.38,16408.4,78
CPT,36223,HC SEL COM CAR INNOM CERVCERBL LT,15302.25,9181.35,2601.38,16408.4,78
CPT,36223,HC SEL COM CAR INNOM CERVCERBL RT,15302.25,9181.35,2601.38,16408.4,78
CPT,36224,"HC CATH PLACEMENT, INTERNAL CAROTID ARTERY",20885.46,12531.28,3550.53,16290.66,55
CPT,36224,"HC CATH PLACMNT,INTERNAL CAROTID ARTERY",20885.46,12531.28,3550.53,15664.09,54
CPT,36224,HC IR CATH INT CAR INTCRL BI,20885.46,12531.28,3550.53,17752.64,38
CPT,36224,HC IR CATH INT CAR INTCRL LT,20885.46,12531.28,3550.53,17752.64,38
CPT,36224,HC IR CATH INT CAR INTCRL RT,20885.46,12531.28,3550.53,17752.64,38
CPT,36224,HC SEL INT CAR CERVCERBL BI,20885.46,12531.28,3550.53,17752.64,78
CPT,36224,HC SEL INT CAR CERVCERBL LT,20885.46,12531.28,3550.53,17752.64,78
CPT,36224,HC SEL INT CAR CERVCERBL RT,20885.46,12531.28,3550.53,17752.64,78
CPT,36224,"SELECTIVE CATHETER PLACEMENT, INTERNAL CAROTID ARTERY, UNILATERAL, WITH ANGIOGRAPHY OF THE IPSILATERAL INTRACRANIAL CAROTID CIRCULATION AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND INTERPRETATION, ",,,5310.35,16408.4,30
CPT,36225,"HC CATH PLACMNT,SUBCLAVIAN/INNOMINATE ARTERY",11220.8,6732.48,1907.54,8415.6,54
CPT,36225,HC IR CATH SUBCLV INNOM VERT BI,11220.8,6732.48,1907.54,9893.47,38
CPT,36225,HC IR CATH SUBCLV INNOM VERT LT,11220.8,6732.48,1907.54,9893.47,38
CPT,36225,HC IR CATH SUBCLV INNOM VERT RT,11220.8,6732.48,1907.54,9893.47,38
CPT,36225,HC SEL SUBCLV INNOM VERT BI,11220.8,6732.48,1907.54,9893.47,78
CPT,36225,HC SEL SUBCLV INNOM VERT LT,11220.8,6732.48,1907.54,9893.47,78
CPT,36225,HC SEL SUBCLV INNOM VERT RT,11220.8,6732.48,1907.54,9893.47,78
CPT,36226,"HC CATH PLACEMENT, VERTEBRAL ARTERY",17918.04,10750.82,3046.07,13976.07,55
CPT,36226,"HC CATH PLACMNT,VERTEBRAL ARTERY",17918.04,10750.82,3046.07,13613.39,54
CPT,36226,HC IR CATH VERT W ANGIO BI,17918.04,10750.82,3046.07,16408.4,78
CPT,36226,HC IR CATH VERT W ANGIO LT,17918.04,10750.82,3046.07,16408.4,38
CPT,36226,HC IR CATH VERT W ANGIO RT,17918.04,10750.82,3046.07,16408.4,38
CPT,36226,HC SEL VERT BI,17918.04,10750.82,3046.07,16408.4,78
CPT,36226,HC SEL VERT LT,17918.04,10750.82,3046.07,16408.4,78
CPT,36226,HC SEL VERT RT,17918.04,10750.82,3046.07,16408.4,78
CPT,36226,"SELECTIVE CATHETER PLACEMENT, VERTEBRAL ARTERY, UNILATERAL, WITH ANGIOGRAPHY OF THE IPSILATERAL VERTEBRAL CIRCULATION AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND INTERPRETATION, INCLUDES ANGIOGRAP",,,5310.35,16408.4,30
CPT,36227,"HC CATH PLACMNT,EXTERNAL CAROTID ARTERY",5753.82,3452.29,978.15,7411.0,33
CPT,36227,HC IR CATH EXT CAR W ANGIO BI,5753.82,3452.29,978.15,8280.0,32
CPT,36227,HC IR CATH EXT CAR W ANGIO LT,5753.82,3452.29,978.15,8280.0,32
CPT,36227,HC IR CATH EXT CAR W ANGIO RT,5753.82,3452.29,978.15,8280.0,32
CPT,36227,HC PLACE CATH EXTERNAL CAROTID ARTERY,5753.82,3452.29,978.15,7411.0,39
CPT,36227,HC SEL EXT CAR BI,5753.82,3452.29,978.15,8280.0,71
CPT,36227,HC SEL EXT CAR LT,5753.82,3452.29,978.15,8280.0,71
CPT,36228,HC IR CATH INTCRL W ANGIO LT,3821.91,2293.15,649.72,8280.0,32
CPT,36228,HC IR CATH INTCRL W ANGIO RT,3821.91,2293.15,649.72,8280.0,32
CPT,36228,HC PLACE CATH INTRACRAN,3821.91,2293.15,649.72,7411.0,39
CPT,36228,HC SEL INT CAR VERT EA BRANCH BI,3821.91,2293.15,649.72,8280.0,32
CPT,36228,HC SEL INT CAR VERT EA BRANCH RT,3821.91,2293.15,649.72,8280.0,71
CPT,36245,HC CATH ART ABD LOW EXT 1ST LT,6207.74,3724.64,1055.32,7411.0,32
CPT,36245,HC CATH ART ABD LOW EXT 1ST RT,6207.74,3724.64,1055.32,7411.0,71
CPT,36245,HC IR CATH LWR EXT 1ST ORD LT,6207.74,3724.64,1055.32,7411.0,32
CPT,36245,HC IR CATH LWR EXT 1ST ORD RT,6207.74,3724.64,1055.32,7411.0,32
CPT,36245,HC IR CATH RENAL 1ST ORD LT,6207.74,3724.64,1055.32,7411.0,32
CPT,36245,HC IR CATH RENAL 1ST ORD RT,6207.74,3724.64,1055.32,7411.0,32
CPT,36245,"HC PLACE CATH ART,ABD/PEL/LOW EXT AS 1ST BRANCH",6207.74,3724.64,1055.32,7411.0,39
CPT,36245,"HC PLACE CATH ART,ABD/PEL/LOW EXT EA 1ST BRANCH",6207.74,3724.64,1055.32,7411.0,33
CPT,36245,HC SLCTV CATH 1ST ORD ABDL/PEL/LOW EXT ART BRANCH BI,6207.74,3724.64,1055.32,7411.0,32
CPT,36246,HC CATH ART ABD LOW EXT 2ND LT,5898.75,3539.25,1002.79,7411.0,32
CPT,36246,HC CATH ART ABD LOW EXT 2ND RT,5898.75,3539.25,1002.79,7411.0,32
CPT,36246,HC IR CATH LWR EXT 2ND ORD LT,5898.75,3539.25,1002.79,7411.0,32
CPT,36246,HC IR CATH LWR EXT 2ND ORD RT,5898.75,3539.25,1002.79,7411.0,32
CPT,36246,"HC PLACE CATH ART,ABD/PEL/LOW EXT INIT 2ND ORDER",5898.75,3539.25,1002.79,7411.0,73
CPT,36246,HC SLCTV CATH 2ND ORD ABDL/PEL/LOW EXT ART BRANCH,5898.75,3539.25,1002.79,7411.0,32
CPT,36246,HC SLCTV CATH 2ND ORD ABDL/PEL/LOW EXT ART BRANCH BI,5898.75,3539.25,1002.79,7411.0,32
CPT,36247,HC CATH ART ABD LOW EXT ADD3RD LT,6706.97,4024.18,1140.18,7411.0,71
CPT,36247,HC CATH ART ABD LOW EXT SEL3RD LT,6706.97,4024.18,1140.18,7411.0,32
CPT,36247,HC CATH ART ABD LOW EXT SEL3RD RT,6706.97,4024.18,1140.18,7411.0,32
CPT,36247,HC IR CATH LWR EXT 3RD ORD LT,6706.97,4024.18,1140.18,7411.0,32
CPT,36247,HC IR CATH LWR EXT 3RD ORD RT,6706.97,4024.18,1140.18,7411.0,32
CPT,36247,HC IR CATH RENAL 3RD ORD LT,6706.97,4024.18,1140.18,7411.0,32
CPT,36247,HC IR CATH RENAL 3RD ORD RT,6706.97,4024.18,1140.18,7411.0,32
CPT,36247,"HC PLACE CATH ART,ABD/PEL/LOW EXT INIT 3RD ORDER",6706.97,4024.18,1140.18,7411.0,72
CPT,36247,HC SLCTV CATH 3RD ORD ABDL/PEL/LOW EXT ART BRANCH,6706.97,4024.18,1140.18,7411.0,32
CPT,36247,HC SLCTV CATH 3RD ORD ABDL/PEL/LOW EXT ART BRANCH BI,6706.97,4024.18,1140.18,7411.0,32
CPT,36248,HC CATH ART ABD LOW EXT ADD 2NDLT,2800.81,1680.49,476.14,7411.0,71
CPT,36248,HC CATH ART ABD LOW EXT ADD 2NDRT,2800.81,1680.49,476.14,7411.0,32
CPT,36248,HC IR CATH CELIAC MES ADD LT,2800.81,1680.49,476.14,7411.0,32
CPT,36248,HC IR CATH CELIAC MES ADD RT,2800.81,1680.49,476.14,7411.0,32
CPT,36248,HC IR CATH ILIAC FEM ADD LT,2800.81,1680.49,476.14,7411.0,32
CPT,36248,HC IR CATH LWR EXT ADD RT,2800.81,1680.49,476.14,7411.0,32
CPT,36248,"HC PLACE CATH ART,ABD/PEL/LOW EXT ADD ORDER",2800.81,1680.49,476.14,7411.0,72
CPT,36248,HC SLCTV CATH 2ND+ ORD ABDL/PEL/LOW EXT ART BRANCH ADD BI,2800.81,1680.49,476.14,7411.0,32
CPT,36248,HC SLCTV CATH 2ND+ ORD ABDL/PEL/LOW EXT ART BRANCH ADD LT,2800.81,1680.49,476.14,7411.0,32
CPT,36248,HC SLCTV CATH EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH,2800.81,1680.49,476.14,7411.0,32
CPT,36251,HC CATH RENAL COMP 1ST ORD LT,8132.73,4879.64,1382.56,9893.47,78
CPT,36251,HC CATH RENAL COMP 1ST ORD RT,8132.73,4879.64,1382.56,9893.47,78
CPT,36251,HC INS CATH REN 1ST UNIL,8132.73,4879.64,1382.56,7896.23,54
CPT,36251,HC IR CATH RENAL COMP 1ST ORD LT,8132.73,4879.64,1382.56,9893.47,38
CPT,36251,HC IR CATH RENAL COMP 1ST ORD RT,8132.73,4879.64,1382.56,9893.47,93
CPT,36251,HC IR INS CATH REN 1ST UNIL,8132.73,4879.64,1382.56,7896.23,55
CPT,36252,HC INS CATH REN 1ST BILA,10192.52,6115.51,1732.73,7896.23,54
CPT,36252,HC IR INS CATH REN 1ST BILA,10192.52,6115.51,1732.73,7950.17,55
CPT,36252,HC SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BI,10192.52,6115.51,1732.73,9893.47,53
CPT,36253,HC CATH RENAL COMP SUPRSEL RT,9214.9,5528.94,1566.53,16408.4,78
CPT,36253,HC INS CATH REN ART 2ND+,9214.9,5528.94,1566.53,13613.39,54
CPT,36253,HC IR CATH RENAL COMP SUPRSEL LT,9214.9,5528.94,1566.53,16408.4,38
CPT,36253,HC IR INS CATH REN ART 2ND+,9214.9,5528.94,1566.53,13613.39,55
CPT,36253,HC SUPRSEL CATH RENAL ARTERY 2ND+ ORDER S&I RT,9214.9,5528.94,1566.53,16408.4,38
CPT,36254,HC INS CATH REN ART 2ND+,5542.66,3325.6,942.25,7896.23,54
CPT,36254,HC IR INS CATH REN ART 2ND+,5542.66,3325.6,942.25,7896.23,55
CPT,36260,"INSERTION OF IMPLANTABLE INTRA-ARTERIAL INFUSION PUMP (EG, FOR CHEMOTHERAPY OF LIVER)",,,1939.15,16408.4,34
CPT,36299,HC INJCTN PROC. FOR PERCTNS TRTMNT OF ANRYSM/PSDOANRSM OTHER THAN EXTREMITY,1564.93,938.96,391.23,7411.0,30
CPT,36299,HC NON-RA TRACER ID OF SENTINL NODE,1191.08,714.65,297.77,7411.0,30
CPT,36299,HC VESSEL INJECTION PROCEDURE UNLISTED,1747.0,1048.2,436.75,7411.0,37
CPT,36400,HC MUSCULOSKELETAL SURGERY,182.0,109.2,30.94,7411.0,34
CPT,36406,"HC MIDLINE INSERTION <3 Y/O, OTHER VEIN",2723.76,1634.26,463.04,7411.0,39
CPT,36410,HC MIDLINE INSERTION >3 Y/O,2308.84,1385.3,392.5,7411.0,39
CPT,36410,"HC VENIPUNC NEED PHYS SKILL,DX OR RX",2308.84,1385.3,392.5,7411.0,39
CPT,36410,HC VENIPUNCTURE > 3YRS DIAG/THERA,2308.84,1385.3,392.5,7411.0,34
CPT,36415,COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE,,,8.87,21.19,66
CPT,36415,"HC (LABCORP/QUEST/CPL) VENIPUNCTURE,COLLECTION OF BLOOD",47.75,28.65,8.12,7411.0,50
CPT,36415,HC ALCOHOL BLOOD DRAW,47.75,28.65,8.12,7411.0,50
CPT,36415,HC BLOOD COLLECTION,47.75,28.65,8.12,7411.0,50
CPT,36415,"HC SA-VENIPUNCTURE, COLLECTION OF BLOOD",47.75,28.65,8.12,7411.0,50
CPT,36415,"HC VENIPUNCTURE,COLLECTION OF BLOOD",47.75,28.65,8.12,7411.0,250
CPT,36416,"COLLECTION OF CAPILLARY BLOOD SPECIMEN (EG, FINGER, HEEL, EAR STICK)",,,,,0
CPT,36416,HC CAPILLARY BLOOD DRAW,40.0,24.0,6.8,7411.0,34
CPT,36416,HC COLLECTION CAPILLARY BLOOD SPECIMEN,40.0,24.0,6.8,7411.0,34
CPT,36430,HC BLOOD TRANSFUSION SERVICE,1831.52,1098.91,30.73,7411.0,55
CPT,36430,"HC TRANSFUSION,  BLOOD OR BLOOD COMPONENTS",1831.52,1098.91,30.73,7411.0,55
CPT,36440,HC PUSH TRANSFUSION BLOOD 2 YR/UNDER,1665.1,999.06,283.07,7411.0,55
CPT,36450,"HC EXCHANGE TRANSFUSION, NEWBORN",809.42,485.65,164.3,7411.0,55
CPT,36455,HC BL EXCHANGE/TRANSFUSE OTHER THAN NEWBORN,1437.92,862.75,164.3,7411.0,55
CPT,36460,"TRANSFUSION, INTRAUTERINE, FETAL",,,421.02,4345.0,30
CPT,36465,HC NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN,3430.72,2058.43,709.01,12700.0,53
CPT,36466,HC NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS,3430.72,2058.43,709.01,12700.0,53
CPT,36481,"HC INSERT CATHETER,VEIN",3740.67,2244.4,635.91,7411.0,39
CPT,36481,PERCUTANEOUS PORTAL VEIN CATHETERIZATION BY ANY METHOD,,,1896.0,2107.0,3
CPT,36482,HC ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN,13848.5,8309.1,2354.24,13613.39,55
CPT,36483,HC ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN,7952.25,4771.35,1351.88,7411.0,39
CPT,36500,HC INSERT CATHETER VEIN,2999.73,1799.84,509.95,7411.0,39
CPT,36500,HC IR CATH VEN BLOOD SAMP BI,2999.73,1799.84,509.95,7411.0,32
CPT,36510,HC CATH UMB VEIN DIAGNOSTIC/TREATMENT NB,1135.31,681.19,193.0,7411.0,34
CPT,36510,"HC CATH, VEIN UMBILICAL NEWBORN",1135.31,681.19,193.0,7411.0,39
CPT,36511,"HC THERA APHERESIS,WHITE BLOOD CE",5579.33,3347.6,564.62,7411.0,55
CPT,36512,"HC THERA APHERESIS, RED BLOOD CELL",6518.19,3910.91,564.62,7411.0,55
CPT,36513,"HC THERA APHRESIS, PLATELET",4487.9,2692.74,164.3,7411.0,55
CPT,36514,HC THERA PLASMA EXCHANGE,5910.01,3546.01,564.62,7411.0,55
CPT,36516,"HC APHERESIS, SELECTIVE",9657.01,5794.21,1462.04,11464.28,55
CPT,36522,HC PHOTOPHERESIS EXTRACORPOREAL,16188.84,9713.3,1674.15,12141.63,55
CPT,36555,HC INSERT NON-TUNNEL CV - YOUNGER THAN 5 YRS,3893.7,2336.22,1118.22,7896.23,55
CPT,36555,HC INSERT NONTUNNEL CV CATH,3893.7,2336.22,1118.22,7896.23,55
CPT,36556,HC INS NONTUNNL CVC 5YR+,4146.65,2487.99,1118.22,7896.23,55
CPT,36556,HC INSERT NON-TUNNEL CV - AGE 5 YRS AND OLDER,4146.65,2487.99,1118.22,7896.23,55
CPT,36556,INSERTION OF NON-TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER; AGE 5 YEARS OR OLDER,,,1118.22,7896.23,68
CPT,36557,HC INSERT TUNNELED CATH - YOUNGER THAN 5 YRS,4769.95,2861.97,1717.18,13613.39,55
CPT,36558,HC INSERT TUNNELED CATH,8020.11,4812.07,1118.22,7896.23,55
CPT,36558,HC INSERT TUNNELED CATH - AGE 5 YRS AND OLDER,8020.11,4812.07,1118.22,7896.23,55
CPT,36558,"INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP; AGE 5 YEARS OR OLDER",,,1118.22,9893.47,68
CPT,36561,HC INSERT TUNNELED DEVICE - AGE 5 YRS AND OLDER,9117.57,5470.54,1118.22,7896.23,110
CPT,36561,"INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT; AGE 5 YEARS OR OLDER",,,1118.22,9893.47,68
CPT,36565,HC INSERT TUNNELED CATH,6853.39,4112.03,1118.22,7896.23,55
CPT,36566,HC INSERT TUNNELED CATH,10660.95,6396.57,1939.15,13613.39,55
CPT,36566,"INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, REQUIRING 2 CATHETERS VIA 2 SEPARATE VENOUS ACCESS SITES; WITH SUBCUTANEOUS PORT(S)",,,1939.15,16408.4,34
CPT,36568,HC INSERT PICC CATH - YOUNGER THAN 5 YRS,4384.8,2630.88,446.27,7411.0,55
CPT,36568,HC PICC INSERTION < 5 YEARS,4384.8,2630.88,446.27,7411.0,55
CPT,36569,HC INSERT PICC CATH - AGE 5 YRS AND OLDER,3465.72,2079.43,446.27,7411.0,55
CPT,36569,HC PICC LINE > 5 YEARS,3465.72,2079.43,446.27,7411.0,55
CPT,36571,HC INSERT PICVAD CATH,6521.55,3912.93,1118.22,7896.23,55
CPT,36571,"INSERTION OF PERIPHERALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT; AGE 5 YEARS OR OLDER",,,1118.22,9893.47,34
CPT,36572,"HC INSERT PICC, INCL IMG GUIDANCE & SUPERVISION, < 5 YRS AGE",6309.36,3785.62,223.75,7411.0,55
CPT,36573,HC INSERT PICC CATH >5YO W/ IMAGE,4987.44,2992.46,446.27,7411.0,110
CPT,36573,"HC INSERT PICC, INCL IMG GUIDANCE & SUPERVISION, 5+ YRS AGE",4987.44,2992.46,446.27,7411.0,55
CPT,36573,"INSERTION OF PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER (PICC), WITHOUT SUBCUTANEOUS PORT OR PUMP, INCLUDING ALL IMAGING GUIDANCE, IMAGE DOCUMENTATION, AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION A",,,446.27,9542.0,33
CPT,36575,HC REPAIR CV ACCESS CATH,2048.74,1229.24,223.75,7411.0,110
CPT,36576,HC REPAIR CV ACCESS DEVICE,4454.03,2672.42,446.27,7411.0,55
CPT,36576,"REPAIR OF CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT OR PUMP, CENTRAL OR PERIPHERAL INSERTION SITE",,,446.27,5823.13,68
CPT,36578,"HC REPLACE TUNNELED CV, CATH ONLY",6281.5,3768.9,1501.07,7896.23,55
CPT,36580,HC REPLACE CVAD CATH,4316.99,2590.19,605.62,7411.0,55
CPT,36581,"HC REPLACE TUNNELED CV, COMPLETE",7368.3,4420.98,1477.77,7896.23,110
CPT,36581,"REPLACEMENT, COMPLETE, OF A TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP, THROUGH SAME VENOUS ACCESS",,,1477.77,9893.47,68
CPT,36582,"HC REPLACE TUNNELED CV, COMPLETE W/PORT",8698.95,5219.37,1118.22,7896.23,55
CPT,36582,"REPLACEMENT, COMPLETE, OF A TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT, THROUGH SAME VENOUS ACCESS",,,1118.22,9893.47,68
CPT,36583,HC IR CVAD TUNL EXCH W PUMP,7401.63,4440.98,2664.59,16408.4,53
CPT,36584,HC REPLACE PICC CATH,4363.24,2617.94,446.27,7411.0,110
CPT,36585,HC REPLACE PICVAD CATH,5149.77,3089.86,1118.22,7896.23,55
CPT,36589,HC REMOVE CENTRAL CATHETER,3463.45,2078.07,223.75,7411.0,55
CPT,36589,HC REMOVE TUNNELED CAT,3463.45,2078.07,223.75,7411.0,55
CPT,36589,"REMOVAL OF TUNNELED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP",,,223.75,4345.0,68
CPT,36590,HC REMOVAL TUNNELED CV CATH,4331.88,2599.13,446.27,7411.0,53
CPT,36590,HC REMOVE TUNNELED CATH,4331.88,2599.13,446.27,7411.0,110
CPT,36590,"REMOVAL OF TUNNELED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT OR PUMP, CENTRAL OR PERIPHERAL INSERTION",,,446.27,4345.0,34
CPT,36591,HC BLOOD COLLECTION OFF VENOUS ACCESS DEVICE (PORT A CATH ACCESS),337.19,202.31,57.32,7411.0,55
CPT,36591,HC COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,337.19,202.31,10.0,7411.0,110
CPT,36592,"COLLECTION OF BLOOD SPECIMEN USING ESTABLISHED CENTRAL OR PERIPHERAL CATHETER, VENOUS, NOT OTHERWISE SPECIFIED",,,111.0,2107.0,30
CPT,36592,HC COLLECT BLOOD FROM CATHETER VENOUS NOS,320.05,192.03,54.41,7411.0,110
CPT,36592,HC COLLECT BLOOD FROM PICC,320.05,192.03,10.0,7411.0,55
CPT,36593,HC DECLOT VASCULAR DEV,1059.88,635.93,26.3,7411.0,55
CPT,36593,HC DECLOT VASCULAR DEVICE,1059.88,635.93,26.3,7411.0,55
CPT,36595,HC MECH REMOV TUN CATH,5323.24,3193.94,1452.4,7896.23,55
CPT,36596,HC MECH REMOV TUN CATH,2342.1,1405.26,446.27,7411.0,55
CPT,36597,HC REPOSITION VENOUS CATH,2536.15,1521.69,446.27,7411.0,55
CPT,36598,"CONTRAST INJECTION(S) FOR RADIOLOGIC EVALUATION OF EXISTING CENTRAL VENOUS ACCESS DEVICE, INCLUDING FLUOROSCOPY, IMAGE DOCUMENTATION AND REPORT",,,79.46,4345.0,33
CPT,36598,"HC INJECTION W/FLUOR, EVAL CV",1160.23,696.14,79.46,7411.0,55
CPT,36600,"ARTERIAL PUNCTURE, WITHDRAWAL OF BLOOD FOR DIAGNOSIS",,,111.0,2107.0,30
CPT,36600,HC ARTERIAL PUNCTURE BY LAB,212.5,127.5,36.12,7411.0,55
CPT,36600,HC ARTERIAL PUNCTURE WITHDRAWAL OF BLOOD,212.5,127.5,10.0,7411.0,55
CPT,36600,"HC ARTERIAL PUNCTURE, WITHDRAWL OF BLOOD",212.5,127.5,36.12,7411.0,55
CPT,36600,HC ARTERIAL PUNCTURE/WITHDRAWAL/B,212.5,127.5,36.12,7411.0,55
CPT,36620,HC ARTERIAL CATH,1160.05,696.03,197.21,7411.0,34
CPT,36620,"HC INSERT CATH,ART,PERCUT,SHORTTERM",1160.05,696.03,197.21,7411.0,39
CPT,36625,"HC INSERT CATH,ART,CUTDOWN,SHORTTERM",601.13,360.68,102.19,7411.0,39
CPT,36660,"HC INSERT CATH, UMBILICAL ARTERY",1622.72,973.63,275.86,7411.0,39
CPT,36680,"HC INSERT NEEDLE, BONE",769.99,461.99,130.9,7411.0,55
CPT,36680,HC NDL PLACEMENT INTRAOS INF,769.99,461.99,130.9,7411.0,55
CPT,36815,"INSERTION OF CANNULA FOR HEMODIALYSIS, OTHER PURPOSE (SEPARATE PROCEDURE); ARTERIOVENOUS, EXTERNAL REVISION, OR CLOSURE",,,1939.15,16408.4,34
CPT,36831,HC OPEN THROMBECT AV,11497.88,6898.73,1939.15,13613.39,55
CPT,36831,"THROMBECTOMY, OPEN, ARTERIOVENOUS FISTULA WITHOUT REVISION, AUTOGENOUS OR NONAUTOGENOUS DIALYSIS GRAFT (SEPARATE PROCEDURE)",,,1939.15,16408.4,34
CPT,36832,HC AV FISTULA REVISION,17857.94,10714.76,1939.15,13929.19,55
CPT,36833,HC AV FISTULA REVISION,12900.54,7740.32,1939.15,13613.39,55
CPT,36833,"REVISION, OPEN, ARTERIOVENOUS FISTULA; WITH THROMBECTOMY, AUTOGENOUS OR NONAUTOGENOUS DIALYSIS GRAFT (SEPARATE PROCEDURE)",,,1939.15,16408.4,34
CPT,36836,HC IR PRQ AV FSTL CRTJ UXTR 1 ACS,28350.0,17010.0,1939.15,61324.03,53
CPT,36836,HC PRQ AV FSTL CRTJ UXTR 1 ACS,28350.0,17010.0,1939.15,43439.01,54
CPT,36837,HC IR PRQ AV FSTL CRT UXTR SEP ACS,26892.5,16135.5,1939.15,61324.03,53
CPT,36837,HC PRQ AV FSTL CRT UXTR SEP ACS,26892.5,16135.5,1939.15,43439.01,54
CPT,36860,HC EXTERNAL CANNULA DECLOTTING,2341.44,1404.86,446.27,7411.0,53
CPT,36901,"HC CATH/NEEDLE DIALYSIS CIR, W/ANGIO",5324.38,3194.63,446.27,7411.0,109
CPT,36901,HC IR CATH INTRO DIALYSIS CIR BI,5324.38,3194.63,111.0,7411.0,38
CPT,36901,HC IR CATH INTRO DIALYSIS CIR LT,5324.38,3194.63,111.0,7411.0,38
CPT,36901,HC IR CATH INTRO DIALYSIS CIR RT,5324.38,3194.63,111.0,7411.0,38
CPT,36902,"HC CATH/NEEDLE DIALYSIS CIR, W/ANGIO & BLLN ANGIOPLAST",20527.59,12316.55,1764.89,16011.52,109
CPT,36902,"INTRODUCTION OF NEEDLE(S) AND/OR CATHETER(S), DIALYSIS CIRCUIT, WITH DIAGNOSTIC ANGIOGRAPHY OF THE DIALYSIS CIRCUIT, INCLUDING ALL DIRECT PUNCTURE(S) AND CATHETER PLACEMENT(S), INJECTION(S) OF CONTRAS",,,1764.89,17685.46,33
CPT,36903,"HC CATH/NEEDLE DIALYSIS CIR, W/ANGIO/BLLN ANGIOPLAST/STENT",48061.72,28837.03,5270.09,37488.14,109
CPT,36903,"INTRODUCTION OF NEEDLE(S) AND/OR CATHETER(S), DIALYSIS CIRCUIT, WITH DIAGNOSTIC ANGIOGRAPHY OF THE DIALYSIS CIRCUIT, INCLUDING ALL DIRECT PUNCTURE(S) AND CATHETER PLACEMENT(S), INJECTION(S) OF CONTRAS",,,5270.09,35373.27,33
CPT,36904,HC THROMBECTOMY DIALYSIS CIR W/ANGIO,15470.4,9282.24,2362.78,14159.18,109
CPT,36905,HC THROMBECTOMY DIALYSIS CIR W/ANGIO & BLLN ANGIOPLAST,32727.24,19636.34,4535.02,27252.71,109
CPT,36906,HC THROMBECTOMY DIALYSIS CIR W/ANGIO & BLLN ANGIOPLAST/STENT,51865.7,31119.42,6299.0,43439.01,109
CPT,36906,"PERCUTANEOUS TRANSLUMINAL MECHANICAL THROMBECTOMY AND/OR INFUSION FOR THROMBOLYSIS, DIALYSIS CIRCUIT, ANY METHOD, INCLUDING ALL IMAGING AND RADIOLOGICAL SUPERVISION AND INTERPRETATION, DIAGNOSTIC ANGI",,,7038.0,56905.69,33
CPT,36907,"HC BLLN ANGIOPLAST CENTRAL DIALYSIS SGMT, THRU DIALYSIS CIR",12570.49,7542.29,1896.0,10684.92,72
CPT,36908,HC TRANSCATHETER STENT PLMT CTR DIALYSIS SEG,17993.68,10796.21,1896.0,15294.63,72
CPT,36908,"TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT(S), CENTRAL DIALYSIS SEGMENT, PERFORMED THROUGH DIALYSIS CIRCUIT, INCLUDING ALL IMAGING AND RADIOLOGICAL SUPERVISION AND INTERPRETATION REQUIRED TO PERFO",,,1896.0,2107.0,3
CPT,36909,HC DIALYSIS CIRCUIT EMBOLJ,18070.23,10842.14,3071.94,15359.7,39
CPT,37182,HC INSERT HEPATIC SHUNT,16257.47,9754.48,2763.77,39592.62,54
CPT,37182,"INSERTION OF TRANSVENOUS INTRAHEPATIC PORTOSYSTEMIC SHUNT(S) (TIPS) (INCLUDES VENOUS ACCESS, HEPATIC AND PORTAL VEIN CATHETERIZATION, PORTOGRAPHY WITH HEMODYNAMIC EVALUATION, INTRAHEPATIC TRACT FORMAT",,,1448.96,39592.62,29
CPT,37183,HC TIPS REVISION,18697.16,11218.3,3178.52,14583.78,55
CPT,37183,"REVISION OF TRANSVENOUS INTRAHEPATIC PORTOSYSTEMIC SHUNT(S) (TIPS) (INCLUDES VENOUS ACCESS, HEPATIC AND PORTAL VEIN CATHETERIZATION, PORTOGRAPHY WITH HEMODYNAMIC EVALUATION, INTRAHEPATIC TRACT RECANNU",,,5431.62,17847.0,30
CPT,37184,HC PRIM ART M-THRMBC 1ST VSL,10890.34,6534.2,3920.52,43439.01,55
CPT,37184,"PRIMARY PERCUTANEOUS TRANSLUMINAL MECHANICAL THROMBECTOMY, NONCORONARY, NON-INTRACRANIAL, ARTERIAL OR ARTERIAL BYPASS GRAFT, INCLUDING FLUOROSCOPIC GUIDANCE AND INTRAPROCEDURAL PHARMACOLOGICAL THROMBO",,,5429.55,43439.01,33
CPT,37185,HC PRIM ART M-THROMBECT,8646.11,5187.67,1469.84,7411.0,39
CPT,37185,"PRIMARY PERCUTANEOUS TRANSLUMINAL MECHANICAL THROMBECTOMY, NONCORONARY, NON-INTRACRANIAL, ARTERIAL OR ARTERIAL BYPASS GRAFT, INCLUDING FLUOROSCOPIC GUIDANCE AND INTRAPROCEDURAL PHARMACOLOGICAL THROMBO",,,1896.0,2107.0,3
CPT,37186,HC SEC ART M-THROMBECT,7752.67,4651.6,1317.95,7411.0,39
CPT,37187,HC VENOUS THROMBECTOMY,11846.54,7107.92,4264.75,27252.71,55
CPT,37187,"PERCUTANEOUS TRANSLUMINAL MECHANICAL THROMBECTOMY, VEIN(S), INCLUDING INTRAPROCEDURAL PHARMACOLOGICAL THROMBOLYTIC INJECTIONS AND FLUOROSCOPIC GUIDANCE",,,5348.63,27252.71,66
CPT,37188,HC VENOUS M-THROMBECTOM,7785.35,4671.21,1544.74,7896.23,55
CPT,37191,HC INS ENDOVAS VENA CAV,12017.97,7210.78,2043.05,13613.39,55
CPT,37191,HC VENA CAVA FILTER INSERTION,12017.97,7210.78,2043.05,13613.39,55
CPT,37191,"INSERTION OF INTRAVASCULAR VENA CAVA FILTER, ENDOVASCULAR APPROACH INCLUDING VASCULAR ACCESS, VESSEL SELECTION, AND RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGIN",,,5310.35,16408.4,30
CPT,37192,HC REDO ENDOVAS VENA CA,8283.76,4970.26,1408.24,7896.23,55
CPT,37193,HC REM ENDOVAS VENA CAV,10328.17,6196.9,1755.79,8055.97,55
CPT,37193,"RETRIEVAL (REMOVAL) OF INTRAVASCULAR VENA CAVA FILTER, ENDOVASCULAR APPROACH INCLUDING VASCULAR ACCESS, VESSEL SELECTION, AND RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, ",,,3013.28,9893.47,30
CPT,37195,HC THROMBOLYTIC TREATMENT STR,1699.57,1019.74,288.93,7411.0,55
CPT,37197,HC TRANSCATHETER RETRIEVAL,9338.16,5602.9,1118.22,7896.23,55
CPT,37197,"TRANSCATHETER RETRIEVAL, PERCUTANEOUS, OF INTRAVASCULAR FOREIGN BODY (EG, FRACTURED VENOUS OR ARTERIAL CATHETER), INCLUDES RADIOLOGICAL SUPERVISION AND INTERPRETATION, AND IMAGING GUIDANCE (ULTRASOUND",,,1118.22,12700.0,33
CPT,37200,HC TRANSCATHETER BIOPSY,7143.21,4285.93,1939.15,13613.39,55
CPT,37200,TRANSCATHETER BIOPSY,,,1939.15,16408.4,33
CPT,37211,HC IR TRNSCATH  LYSIS ART INI BI,8936.2,5361.72,2532.26,16408.4,38
CPT,37211,HC IR TRNSCATH  LYSIS ART INI LT,8936.2,5361.72,2532.26,16408.4,38
CPT,37211,HC IR TRNSCATH  LYSIS ART INI RT,8936.2,5361.72,2532.26,16408.4,38
CPT,37211,"HC TRANSCATHETER THERAPY,ARTERIAL INFU",8936.2,5361.72,2532.26,13613.39,55
CPT,37212,HC IR TRNSCATH  LYSIS VEN INI BI,7537.94,4522.76,1518.93,9893.47,38
CPT,37212,HC IR TRNSCATH  LYSIS VEN INI LT,7537.94,4522.76,1518.93,9893.47,38
CPT,37212,HC IR TRNSCATH  LYSIS VEN INI RT,7537.94,4522.76,1518.93,9893.47,38
CPT,37212,"HC TRANSCATHETER THERAPY,VENOUS INFU",7537.94,4522.76,1518.93,7896.23,110
CPT,37213,"HC TRANSCATHETER THERAPY,ARTERIAL /VENOUS IN",8266.75,4960.05,1405.35,7896.23,55
CPT,37214,"HC TRANSCATHETER THERAPY,REMOVAL CLOSURE ANY",9048.21,5428.93,1538.2,7896.23,55
CPT,37215,HC TRANSCATH STENT CCA W/EPS LT,22171.21,13302.73,1779.06,18845.53,37
CPT,37215,HC TRANSCATH STENT CCA W/EPS RT,22171.21,13302.73,1779.06,18845.53,37
CPT,37215,"HC TRANSCATH STENT, CCA",22171.21,13302.73,3769.11,18845.53,39
CPT,37216,"HC TRANSCATH STENT, CCA",16145.24,9687.14,2744.69,13723.45,39
CPT,37216,"TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT(S), CERVICAL CAROTID ARTERY, OPEN OR PERCUTANEOUS, INCLUDING ANGIOPLASTY, WHEN PERFORMED, AND RADIOLOGICAL SUPERVISION AND INTERPRETATION; WITHOUT DISTAL",,,1783.95,8280.0,10
CPT,37218,HC TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE,16886.85,10132.11,2870.76,14353.82,39
CPT,37220,HC ILIAC REVASC,21276.79,12766.07,3617.05,18085.27,38
CPT,37220,HC ILIAC W ANGPLAS BI,21276.79,12766.07,3617.05,18085.27,38
CPT,37220,HC ILIAC W ANGPLAS LT,21276.79,12766.07,3617.05,18085.27,78
CPT,37220,HC ILIAC W ANGPLAS RT,21276.79,12766.07,3617.05,18085.27,78
CPT,37220,HC IR ILIAC W ANGPLAS BI,21276.79,12766.07,3617.05,18085.27,38
CPT,37220,HC IR ILIAC W ANGPLAS LT,21276.79,12766.07,3617.05,18085.27,38
CPT,37220,HC IR ILIAC W ANGPLAS RT,21276.79,12766.07,3617.05,18085.27,38
CPT,37221,HC ILIAC REVASC W/STENT - INITIAL VESSEL,40091.98,24055.19,6299.0,34078.18,79
CPT,37221,HC ILIAC W STENT BI,40091.98,24055.19,6299.0,35373.27,38
CPT,37221,HC ILIAC W STENT LT,40091.98,24055.19,6299.0,35373.27,78
CPT,37221,HC ILIAC W STENT RT,40091.98,24055.19,6299.0,35373.27,78
CPT,37221,HC IR ILIAC W STENT BI,40091.98,24055.19,6299.0,35373.27,38
CPT,37221,HC IR ILIAC W STENT LT,40091.98,24055.19,6299.0,35373.27,38
CPT,37221,HC IR ILIAC W STENT RT,40091.98,24055.19,6299.0,35373.27,38
CPT,37222,HC ILIAC ADD VSL W ANGPLAS LT,17389.59,10433.75,2956.23,14781.15,71
CPT,37222,HC ILIAC ADD VSL W ANGPLAS RT,17389.59,10433.75,2956.23,14781.15,71
CPT,37222,HC ILIAC REVASC ADD-ON,17389.59,10433.75,2956.23,14781.15,72
CPT,37223,HC ILIAC ADD VSL W STENT LT,23985.53,14391.32,4077.54,20387.7,71
CPT,37223,HC ILIAC ADD VSL W STENT RT,23985.53,14391.32,4077.54,20387.7,32
CPT,37223,HC ILIAC REVASC W/STENT - EA ADD VESSEL,23985.53,14391.32,4077.54,20387.7,72
CPT,37224,HC FEM/POPL REVAS W/TLA,28124.2,16874.52,4781.11,23905.57,79
CPT,37224,HC FEMPOP W ANGPLAS LT,28124.2,16874.52,4781.11,23905.57,78
CPT,37224,HC FEMPOP W ANGPLAS RT,28124.2,16874.52,4781.11,23905.57,78
CPT,37224,HC IR FEMPOP W ANGPLAS BI,28124.2,16874.52,4781.11,23905.57,38
CPT,37224,HC IR FEMPOP W ANGPLAS LT,28124.2,16874.52,4781.11,23905.57,38
CPT,37224,HC IR FEMPOP W ANGPLAS RT,28124.2,16874.52,4781.11,23905.57,38
CPT,37225,HC FEM/POPL REVAS W/ATH,44172.48,26503.49,6299.0,43439.01,39
CPT,37225,HC FEMPOP W ANGPLAS W ATHER LT,44172.48,26503.49,6299.0,43439.01,78
CPT,37225,HC FEMPOP W ANGPLAS W ATHER RT,44172.48,26503.49,6299.0,43439.01,78
CPT,37225,HC IR FEMPOP W ANGPLAS W ATHER LT,44172.48,26503.49,6299.0,43439.01,38
CPT,37225,HC IR FEMPOP W ANGPLAS W ATHER RT,44172.48,26503.49,6299.0,43439.01,38
CPT,37225,HC REVSC OPN/PRQ FEM/POP W/ATHRC/ANGIOP SM VSL UNILATERAL,44172.48,26503.49,6299.0,43439.01,38
CPT,37226,HC FEM/POPL REVAS W/STENT,42046.91,25228.15,6299.0,35739.87,79
CPT,37226,HC FEMPOP W STENT LT,42046.91,25228.15,6299.0,35739.87,78
CPT,37226,HC FEMPOP W STENT RT,42046.91,25228.15,6299.0,35739.87,78
CPT,37226,HC IR FEMPOP W STENT LT,42046.91,25228.15,6299.0,35739.87,38
CPT,37226,HC IR FEMPOP W STENT RT,42046.91,25228.15,6299.0,35739.87,38
CPT,37226,HC REVSC OPN/PRQ W/STENT/ANGIOP SM VSL BI,42046.91,25228.15,6299.0,35739.87,38
CPT,37227,HC FEM/POPL REVAS W/STENT/ATH,81835.93,49101.56,6299.0,69560.54,38
CPT,37227,HC FEMPOP W STENT AND ATHER LT,81835.93,49101.56,6299.0,69560.54,78
CPT,37227,HC FEMPOP W STENT AND ATHER RT,81835.93,49101.56,6299.0,69560.54,78
CPT,37227,HC IR FEMPOP W STENT AND ATHER LT,81835.93,49101.56,6299.0,69560.54,38
CPT,37227,HC IR FEMPOP W STENT AND ATHER RT,81835.93,49101.56,6299.0,69560.54,38
CPT,37227,HC REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIO SM VSL BI,81835.93,49101.56,6299.0,69560.54,38
CPT,37228,HC IR TBPRNL W ANGPLAS LT,30648.97,18389.38,5210.32,35373.27,38
CPT,37228,HC IR TBPRNL W ANGPLAS RT,30648.97,18389.38,5210.32,35373.27,38
CPT,37228,HC REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY BI,30648.97,18389.38,5210.32,35373.27,38
CPT,37228,HC TBPRNL W ANGPLAS BI,30648.97,18389.38,5210.32,35373.27,38
CPT,37228,HC TBPRNL W ANGPLAS LT,30648.97,18389.38,5210.32,35373.27,78
CPT,37228,HC TBPRNL W ANGPLAS RT,30648.97,18389.38,5210.32,35373.27,78
CPT,37228,HC TIB/PER REVASC W/TLA,30648.97,18389.38,5210.32,27252.71,79
CPT,37229,HC ATHERECTOMY TBPRNL RT INI,46540.68,27924.41,6299.0,56905.69,38
CPT,37229,HC IR TBPRNL W ANGPLAS W ATHER BI,46540.68,27924.41,6299.0,56905.69,38
CPT,37229,HC IR TBPRNL W ANGPLAS W ATHER LT,46540.68,27924.41,6299.0,56905.69,38
CPT,37229,HC IR TBPRNL W ANGPLAS W ATHER RT,46540.68,27924.41,6299.0,56905.69,38
CPT,37229,HC TBPRNL W ANGPLAS W ATHER LT,46540.68,27924.41,6299.0,56905.69,78
CPT,37229,HC TBPRNL W ANGPLAS W ATHER RT,46540.68,27924.41,6299.0,56905.69,78
CPT,37229,HC TIB/PER REVASC W/ATH,46540.68,27924.41,6299.0,43439.01,39
CPT,37230,HC IR TBPRNL W STENT LT,46400.94,27840.56,6299.0,56905.69,38
CPT,37230,HC REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP SM VSL BI,46400.94,27840.56,6299.0,56905.69,38
CPT,37230,HC REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP SM VSL RT,46400.94,27840.56,6299.0,56905.69,38
CPT,37230,HC TBPRNL W STENT LT,46400.94,27840.56,6299.0,56905.69,78
CPT,37230,HC TBPRNL W STENT RT,46400.94,27840.56,6299.0,56905.69,78
CPT,37230,HC TIB/PER REVASC W/STENT PLCMNT,46400.94,27840.56,6299.0,43439.01,39
CPT,37231,HC IR TBPRNL W STENT AND ATHER LT,56284.8,33770.88,6299.0,56905.69,38
CPT,37231,HC REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL BI,56284.8,33770.88,6299.0,56905.69,38
CPT,37231,HC REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL RT,56284.8,33770.88,6299.0,56905.69,38
CPT,37231,HC TBPRNL W STENT AND ATHER LT,56284.8,33770.88,6299.0,56905.69,78
CPT,37231,HC TBPRNL W STENT AND ATHER RT,56284.8,33770.88,6299.0,56905.69,78
CPT,37231,HC TIB/PER REVASC W/STENT PLCMNT&ARTHRECTMY,56284.8,33770.88,6299.0,47842.08,39
CPT,37232,HC TIB/PER REVASC ADD-O,16946.04,10167.62,2880.83,14404.13,72
CPT,37233,HC TIB/PER REVASC W/ATH,34331.47,20598.88,5836.35,29181.75,72
CPT,37234,HC REVSC OPN/PRG TIB/PE,18491.22,11094.73,3143.51,15717.54,33
CPT,37234,HC STENT TBPRNL RT ADD,18491.22,11094.73,3143.51,15717.54,33
CPT,37235,HC TIB/PER REVASC STNT&,18464.5,11078.7,3138.97,15694.83,33
CPT,37236,HC TRANSCATH PLAC INTRAVASCULAR STENT - INITIAL ARTERY,27999.58,16799.75,5004.56,27252.71,55
CPT,37236,HC TRNSCATH STNT ART INI LT,27999.58,16799.75,5004.56,35373.27,38
CPT,37236,HC TRNSCATH STNT ART INI RT,27999.58,16799.75,5004.56,35373.27,38
CPT,37236,"TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S) (EXCEPT LOWER EXTREMITY ARTERY(S) FOR OCCLUSIVE DISEASE, CERVICAL CAROTID, EXTRACRANIAL VERTEBRAL OR INTRATHORACIC CAROTID, INTRACRANIAL, OR CORONA",,,5004.56,35373.27,33
CPT,37237,HC TRANSCATH PLAC INTRAVASCULAR STENT - EA ADD ARTERY,15697.36,9418.42,2668.55,13342.76,39
CPT,37237,HC TRNSCATH STNT ART EA ADD LT,15697.36,9418.42,2668.55,13342.76,32
CPT,37237,HC TRNSCATH STNT ART EA ADD RT,15697.36,9418.42,2668.55,13342.76,32
CPT,37238,HC TRANSCATH PLAC INTRAVASCULAR STENT - INTL VEIN,27812.84,16687.7,5114.71,35373.27,108
CPT,37238,HC TRNSCATH STNT VEN INI LT,27812.84,16687.7,5114.71,35373.27,91
CPT,37238,HC TRNSCATH STNT VEN INI RT,27812.84,16687.7,5114.71,35373.27,91
CPT,37239,HC TRANSCATH PLAC INTRAVASCULAR STENT - EA ADD VEIN,18243.75,10946.25,3101.44,15507.19,39
CPT,37239,HC TRNSCATH STNT VEN EA ADD LT,18243.75,10946.25,3101.44,15507.19,32
CPT,37239,HC TRNSCATH STNT VEN EA ADD RT,18243.75,10946.25,3101.44,15507.19,32
CPT,37241,HC VASCULAR EMBOLIZATION/OCCLUSION - VENOUS,28176.51,16905.91,4545.56,27252.71,55
CPT,37241,"VASCULAR EMBOLIZATION OR OCCLUSION, INCLUSIVE OF ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGING GUIDANCE NECESSARY TO COMPLETE THE INTERVENTION; VENOUS, OTHE",,,4545.56,27252.71,66
CPT,37242,HC VASCULAR EMBOLIZATION/OCCLUSION - ARTERIAL,26767.56,16060.54,5195.63,43439.01,55
CPT,37242,"VASCULAR EMBOLIZATION OR OCCLUSION, INCLUSIVE OF ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGING GUIDANCE NECESSARY TO COMPLETE THE INTERVENTION; ARTERIAL, OT",,,5195.63,43439.01,66
CPT,37243,"HC VASCULAR EMBOLIZATION/OCCLUSION - TUMORS,ISCHEMIA",26767.56,16060.54,3491.58,27252.71,55
CPT,37243,"VASCULAR EMBOLIZATION OR OCCLUSION, INCLUSIVE OF ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGING GUIDANCE NECESSARY TO COMPLETE THE INTERVENTION; FOR TUMORS, ",,,3491.58,35373.27,33
CPT,37244,HC VASCULAR EMBOLIZATION/OCCLUSION - ARTERIAL/VENOUS,25045.66,15027.4,4257.76,27252.71,110
CPT,37244,"VASCULAR EMBOLIZATION OR OCCLUSION, INCLUSIVE OF ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGING GUIDANCE NECESSARY TO COMPLETE THE INTERVENTION; FOR ARTERIAL",,,7038.0,35373.27,30
CPT,37246,"HC BLLN ANGIOPLAST NOT LOW EXTRM,COR,PULM,DIAL CIR, 1ST",21191.89,12715.13,2300.22,16529.67,109
CPT,37246,HC IR PTA ARTERIES INITIAL LT,21191.89,12715.13,2300.22,18013.11,38
CPT,37246,HC IR PTA ARTERIES INITIAL RT,21191.89,12715.13,2300.22,18013.11,78
CPT,37246,HC TRLUML BAL ANGIOP LT,21191.89,12715.13,2300.22,18013.11,78
CPT,37246,HC TRLUML BALO ANGIOP 1ST ARTERY BI,21191.89,12715.13,2300.22,18013.11,38
CPT,37247,"HC BLLN ANGIOPLAST NOT LOW EXTRM,COR,PULM,DIAL CIR, EA ADDL",11978.02,7186.81,1896.0,10181.32,33
CPT,37247,"HC IR BLLN ANGIOPLAST NOT LOW EXTRM,COR,PULM,DIAL CIR, EA ADDL",11978.02,7186.81,2036.26,10181.32,39
CPT,37248,"HC BLLN ANGIOPLAST NOT DIAL CIR, 1ST",17222.9,10333.74,1764.89,14159.18,54
CPT,37248,"HC IR BLLN ANGIOPLAST NOT DIAL CIR, 1ST",17222.9,10333.74,1764.89,14159.18,55
CPT,37248,"TRANSLUMINAL BALLOON ANGIOPLASTY (EXCEPT DIALYSIS CIRCUIT), OPEN OR PERCUTANEOUS, INCLUDING ALL IMAGING AND RADIOLOGICAL SUPERVISION AND INTERPRETATION NECESSARY TO PERFORM THE ANGIOPLASTY WITHIN THE ",,,1764.89,17685.46,33
CPT,37249,"HC BLLN ANGIOPLAST NOT DIAL CIR, EA ADDL",8109.28,4865.57,1378.58,7411.0,33
CPT,37249,"HC IR BLLN ANGIOPLAST NOT DIAL CIR, EA ADDL",8109.28,4865.57,1378.58,7411.0,39
CPT,37252,"HC INTRAVASCULAR ULTRASOUND, NONCORONARY, INITIAL",9175.77,5505.46,1559.88,7799.4,33
CPT,37252,"HC IR INTRAVASCULAR ULTRASOUND, NONCORONARY, INITIAL",9175.77,5505.46,1559.88,7799.4,39
CPT,37252,"INTRAVASCULAR ULTRASOUND (NONCORONARY VESSEL) DURING DIAGNOSTIC EVALUATION AND/OR THERAPEUTIC INTERVENTION, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION; INITIAL NONCORONARY VESSEL (LIST SEPA",,,1896.0,2107.0,6
CPT,37253,"HC INTRAVASCULAR ULTRASOUND, NONCORONARY, EA ADDL",7266.67,4360.0,1235.33,7411.0,32
CPT,37253,"INTRAVASCULAR ULTRASOUND (NONCORONARY VESSEL) DURING DIAGNOSTIC EVALUATION AND/OR THERAPEUTIC INTERVENTION, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION; EACH ADDITIONAL NONCORONARY VESSEL (L",,,1896.0,2107.0,3
CPT,37254,HC REVSC EVASC IVT ANGIOP UNI SF LES 1ST VSL,21276.79,12766.07,2869.66,15957.59,53
CPT,37255,HC REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL,17389.59,10433.75,2956.23,14781.15,38
CPT,37256,HC REVSC EVASC IVT ANGIOP UNI CPLX LES 1ST VSL,31915.18,19149.11,2869.66,23936.38,53
CPT,37257,HC REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL,26084.38,15650.63,4434.34,22171.72,38
CPT,37258,HC REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL,40091.98,24055.19,6132.14,30068.99,53
CPT,37259,HC REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL,34331.47,20598.88,5836.35,29181.75,38
CPT,37260,HC REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL,60137.97,36082.78,6132.14,45103.48,53
CPT,37261,HC REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL,51497.2,30898.32,6299.0,43772.62,38
CPT,37262,HC INTRAVASCULAR LITHOTRIPSY IVT WITHIN SAME ARTERY,20634.8,12380.88,3507.92,17539.58,38
CPT,37263,HC REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL,28124.2,16874.52,3036.54,21093.15,53
CPT,37264,HC REVSC EVASC FPVT ANGIOP UNI SF LES EA ADDL VSL,42186.3,25311.78,6299.0,35858.36,38
CPT,37265,HC REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL,42186.3,25311.78,3036.54,31639.72,53
CPT,37266,HC REVSC EVASC FPVT ANGIOP UNI CPLX LES EA ADDL VSL,42186.3,25311.78,6299.0,35858.36,38
CPT,37267,HC REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL,42046.91,25228.15,6299.0,31535.18,53
CPT,37268,HC REVSC EVASC FPVT ST PLMT UNI SF LES EA ADDL VSL,63070.36,37842.22,6299.0,53609.81,38
CPT,37269,HC REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL,63070.36,37842.22,6299.0,47302.77,53
CPT,37270,HC REVSC EVASC FPVT ST PLMT UNI CPLX LES EA ADD VSL,63070.36,37842.22,6299.0,53609.81,38
CPT,37271,HC REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL,44172.48,26503.49,6299.0,39592.62,53
CPT,37272,HC REVSC EVASC FPVT ATHRC UNI SF LES EA ADDL VSL,66258.72,39755.23,6299.0,56319.91,38
CPT,37273,HC REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL,66258.72,39755.23,6299.0,49694.04,53
CPT,37274,HC REVSC EVASC FPVT ATHRC UNI CPLX LES EA ADDL VSL,66258.72,39755.23,6299.0,56319.91,38
CPT,37275,HC REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL,81835.93,49101.56,6299.0,61376.95,53
CPT,37276,HC REVSC EVASC FPVT ST ATHRC UNI SF LES EA ADDL VSL,122753.89,73652.33,6299.0,104340.81,38
CPT,37277,HC REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL,122753.89,73652.33,6299.0,92065.42,53
CPT,37278,HC REVSC EVSC FPVT ST ATHRC UNI CPLX LES EA ADD VSL,122753.89,73652.33,6299.0,104340.81,38
CPT,37279,HC INTRAVASCULAR LITHOTRIPSY FPVT W/IN SAME ARTERY,20634.8,12380.88,3507.92,17539.58,38
CPT,37280,HC REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL,30648.97,18389.38,5662.36,24933.1,53
CPT,37281,HC REVSC EVASC TPVT ANGIOP UNI SF LES EA ADDL VSL,16946.04,10167.62,2880.83,14404.13,38
CPT,37282,HC REVSC EVASC TPVT ANGIOP UNI CPLX LES 1ST VSL,45973.45,27584.07,5662.36,34480.09,53
CPT,37283,HC REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADDL VSL,25419.06,15251.44,4321.24,21606.2,38
CPT,37284,HC REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL,46400.94,27840.56,6299.0,39592.62,53
CPT,37285,HC REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL,18491.22,11094.73,3143.51,15717.54,38
CPT,37286,HC REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL,69601.41,41760.85,6299.0,52201.06,53
CPT,37287,HC REVSC EVASC TPVT ST PLMT UNI CPLX LES EA ADD VSL,27736.83,16642.1,4715.26,23576.31,38
CPT,37288,HC REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL,46540.68,27924.41,6299.0,39592.62,53
CPT,37289,HC REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL,51497.2,30898.32,6299.0,43772.62,38
CPT,37290,HC REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL,69811.02,41886.61,6299.0,52358.26,53
CPT,37291,HC REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL,51497.2,30898.32,6299.0,43772.62,38
CPT,37292,HC REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL,56284.8,33770.88,6299.0,42213.6,53
CPT,37293,HC REVSC EVASC TPVT ST ATHRC UNI SF LES EA ADDL VSL,18464.5,11078.7,3138.97,15694.83,38
CPT,37294,HC REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL,84427.2,50656.32,6299.0,63320.4,53
CPT,37295,HC REVSC EVSC TPVT ST ATHRC UNI CPLX LES EA ADD VSL,27696.75,16618.05,4708.45,23542.24,38
CPT,37296,HC REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL,17389.59,10433.75,5662.36,24933.1,53
CPT,37297,HC REVSC EVASC IMVT ANGIOP UNI SF LES EA ADDL VSL,17389.59,10433.75,2956.23,14781.15,38
CPT,37298,HC REVSC EVASC IMVT ANGIOP UNI CPLX LES 1ST VSL,31915.18,19149.11,5662.36,24933.1,53
CPT,37299,HC REVSC EVASC IMVT ANGIOP UNI CPLX LES EA ADDL VSL,31915.18,19149.11,5425.58,27127.9,38
CPT,37565,"HC LIGATION,EXTERNAL JUGULAR VEIN",2260.25,1356.15,384.24,7896.23,55
CPT,37607,HC LIGATION OF A-V FIST,10608.57,6365.14,1118.22,8274.68,110
CPT,37607,LIGATION OR BANDING OF ANGIOACCESS ARTERIOVENOUS FISTULA,,,1118.22,9893.47,34
CPT,37609,"LIGATION OR BIOPSY, TEMPORAL ARTERY",,,486.45,4900.18,34
CPT,37615,HC LIGATION NECK ARTERY,6014.0,3608.4,1022.38,7896.23,55
CPT,37617,HC LIGATION OF ABDOMEN ARTERY,3667.0,2200.2,623.39,12018.16,54
CPT,37618,HC LIGATION OF EXTREMITY ARTER,19149.66,11489.8,3255.44,16277.21,39
CPT,37618,"LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTURE); EXTREMITY",,,676.66,8280.0,10
CPT,37785,HC LIGATION/EXCISE VARICOSE VEINS,5303.35,3182.01,1118.22,7896.23,55
CPT,37799,HC A/V GRAFT ATHERECTOMY,4541.42,2724.85,598.65,7411.0,53
CPT,37799,HC ARTERIAL INFUSION CATHETER IN THE HEPATIC ARTERY FOR CHEMO,6181.19,3708.71,598.65,8280.0,51
CPT,37799,HC ARTERIAL LINE DRAW,296.34,177.8,74.08,7411.0,53
CPT,37799,"HC BREAK UP OF FIBRIN SHEATH W/BALLOON, VENOUS",6152.83,3691.7,598.65,7411.0,53
CPT,37799,"HC CEREBRAL EMBOLIC PROTECTION, SENTINEL W/TAVR",10992.23,6595.34,598.65,8280.0,51
CPT,37799,HC CLOSURE OF AV FISTULA WITH EXCISION OF ANEURYSM,25089.55,15053.73,598.65,19569.85,53
CPT,37799,HC CNTRL VENOUS CTHTR SCTN THRMCTM W RMVL/RNSRTN/RPSTN XSTNG CVC,2342.1,1405.26,585.52,7411.0,53
CPT,37799,HC COMPL RPLCMT PICC RS&I,2812.28,1687.37,598.65,8280.0,51
CPT,37799,"HC DIR RPR OF ANEUR, PSEUDOANEUR, OR EXC AND GRAFT INS, W/WO PATCH GRAFT",3614.43,2168.66,598.65,8280.0,51
CPT,37799,HC EXCISION NON-INFECTED VASCULAR GRAFT; EXTREMITY,5519.68,3311.81,598.65,7411.0,53
CPT,37799,"HC FIBRIN SHEATH BY BALLOON CATHETER, VENOUS",4694.21,2816.53,598.65,7411.0,53
CPT,37799,HC INSERT VAD ARTERY ACCESS UNLISTED,5747.0,3448.2,598.65,7411.0,52
CPT,37799,HC INTERNAL CAROTID ANGIOPLASTY W/ DISTAL PROTECTION,15645.79,9387.47,598.65,11734.34,51
CPT,37799,HC INTRAVASCULAR US NONCORONARY RS&I INTIAL STANDALONE,6609.05,3965.43,598.65,7411.0,52
CPT,37799,"HC LIGATION OF OTHER VEIN, LOWER LIMB",5266.67,3160.0,598.65,7411.0,53
CPT,37799,HC MECH REMOV TUNNELED CV CATH,5723.32,3433.99,598.65,8280.0,51
CPT,37799,HC MECHANICAL THROMBECTOMY VIA ANGIOVAC SYSTEM OF VENA CAVA/NON-LOWER EXTREMITY VEINS,9996.84,5998.1,598.65,7797.54,53
CPT,37799,HC OPEN AX EXPOSURE/ GRFT PLCMENT,1703.52,1022.11,425.88,7411.0,53
CPT,37799,HC OPEN BRACHIAL ARTERY EXPOSURE FOR HEART CATHETERIZATION ACCESS,14563.89,8738.33,598.65,10922.92,52
CPT,37799,HC REMOVAL OF SHEATH/CATHETER FROM ARTERY W/WO CLOSURE,3126.08,1875.65,598.65,7411.0,52
CPT,37799,HC REPAIR OF MEDIPORT,3570.65,2142.39,598.65,7411.0,53
CPT,37799,HC REPAIR/RESECTION OF PSEUDOANEURYSM(S) OF THE FOOT,7514.61,4508.77,598.65,7411.0,53
CPT,37799,"HC REPOSITION OF INTRA-AORTIC BALLOON ASSIST DEVICE, PERCUTANEOUS",3591.96,2155.18,598.65,8280.0,51
CPT,37799,HC RMVL OF INTRA-AORTIC BLLN ASST DVCE NCLDNG RPAIR OF AXIL. ARTR W/WO GRFT,10838.41,6503.05,598.65,8128.81,91
CPT,37799,"HC SELECTIVE CATHETER PLACEMENT, VENOUS SYSTEM, SUPERIOR PULMONARY VEIN",4672.64,2803.58,598.65,8280.0,51
CPT,37799,"HC THROMBOENDARTERECTOMY, INCLUDING PATH GRAFT, IF PERFORMED; RADIAL",9990.19,5994.11,598.65,7492.64,52
CPT,37799,HC TRNSCTR PLCM CRTD STNT OPN OR PRC W/O DSTL MBLC PRTCTN TRTM PSDO/ANRSM,19995.68,11997.41,598.65,15596.63,53
CPT,37799,"HC VENOPLASTY, BALLOON, RELEASE OF FIBRIN SHEATH",6152.83,3691.7,598.65,8280.0,103
CPT,37799,"HC VENOUS LASER ATHERECTOMY, COMMON ILIACT VEIN",29602.43,17761.46,598.65,22201.82,52
CPT,38115,REPAIR OF RUPTURED SPLEEN (SPLENORRHAPHY) WITH OR WITHOUT PARTIAL SPLENECTOMY,,,2255.96,8280.0,10
CPT,38120,"LAPAROSCOPY, SURGICAL, SPLENECTOMY",,,7373.0,30034.8,30
CPT,38129,"UNLISTED LAPAROSCOPY PROCEDURE, SPLEEN",,,5769.43,17256.34,30
CPT,38200,HC INJECTION PROCEDURE FOR SPLENOPORTOGRAPHY,1637.87,982.72,278.44,7411.0,32
CPT,38204,HC MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUIS,6959.92,4175.95,1183.19,7411.0,31
CPT,38205,HC PBSC ACQUISITION INTL,9218.75,5531.25,1567.19,7835.94,32
CPT,38205,"HC PROG CELL HARVEST,TRANSPLANT,ALLOGENIC",9218.75,5531.25,1567.19,7835.94,32
CPT,38206,"BLOOD-DERIVED HEMATOPOIETIC PROGENITOR CELL HARVESTING FOR TRANSPLANTATION, PER COLLECTION; AUTOLOGOUS",,,564.62,8280.0,33
CPT,38206,HC HRVST AUTO STEM CELL,7440.99,4464.59,564.62,7411.0,55
CPT,38207,HC MARROW FREEZE & STORAGE AUTO,5869.29,3521.57,35.0,7411.0,55
CPT,38207,HC MARROW FREEZE & STORAGE DONOR,5869.29,3521.57,421.02,7411.0,53
CPT,38207,HC PERIPH BLD STEM FRZ&STR DONOR,5869.29,3521.57,421.02,7411.0,53
CPT,38207,HC TRANS PREP CELLS CRYOPRESERVATION & STORAGE,5869.29,3521.57,35.0,7411.0,165
CPT,38212,HC TRANS PREP RBC REMOVAL AUTO,3005.3,1803.18,35.0,7411.0,55
CPT,38212,HC TRANS PREP RBC REMOVAL DNR,3005.3,1803.18,35.0,7411.0,55
CPT,38213,HC TRAN PREP PLATELET REMOVE AUTO,2378.53,1427.12,35.0,7411.0,55
CPT,38213,HC TRANS PREP PLATELET REMOVE DNR,2378.53,1427.12,35.0,7411.0,55
CPT,38214,HC TRANS PREP PLASMA REMOVE AUTO,2405.55,1443.33,35.0,7411.0,55
CPT,38214,HC TRNSPLNT PREP HEMAT PROG CELLS,2405.55,1443.33,408.94,7411.0,51
CPT,38215,HC IR CELL CONCENTRATION,2382.95,1429.77,405.1,7411.0,54
CPT,38220,DIAGNOSTIC BONE MARROW; ASPIRATION(S),,,92.74,4345.0,33
CPT,38220,HC BONE MARROW ASPIRATION,2294.27,1376.56,92.74,7411.0,110
CPT,38220,HC BONE MARROW ASPIRATION(S),2294.27,1376.56,92.74,7411.0,53
CPT,38221,DIAGNOSTIC BONE MARROW; BIOPSY(IES),,,95.79,4345.0,33
CPT,38221,HC BONE MARROW BIOPSY,2252.63,1351.58,95.79,7411.0,110
CPT,38222,DIAGNOSTIC BONE MARROW; BIOPSY(IES) AND ASPIRATION(S),,,815.2,8278.44,33
CPT,38222,HC DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS,4358.58,2615.15,815.2,7411.0,55
CPT,38225,HC CAR-T THERAPY HARVESTING OF BLOOD DERIVED T LMPHOCYTES,6142.46,3685.48,1044.22,7411.0,39
CPT,38226,HC CAR-T THERAPY PREPARATION OF BLOOD DERIVED T LMPHOCYTES FOR TRANSPORTATION,6137.11,3682.27,1043.31,7411.0,39
CPT,38227,HC CAR-T THERAPY RECEIPT & PREPARATION OF CAR-T CELLS FOR ADMINISTRATION,4866.65,2919.99,827.33,7411.0,39
CPT,38228,HC CAR-T THERAPY AUTOLOGOUS CELL ADMINISTRATION,4698.54,2819.12,315.22,7411.0,54
CPT,38230,BONE MARROW HARVESTING FOR TRANSPLANTATION; ALLOGENEIC,,,564.62,8280.0,33
CPT,38230,HC BONE MARROW HARVEST ALLOGEN,7757.0,4654.2,564.62,7411.0,51
CPT,38232,BONE MARROW HARVESTING FOR TRANSPLANTATION; AUTOLOGOUS,,,1674.15,13631.55,33
CPT,38240,HC BN MARROW/STM TRANSPLT ALLO,47061.0,28236.6,6299.0,135853.66,46
CPT,38240,HC HPC ALLOGENIC TRANSPLANTATION,47061.0,28236.6,6299.0,135853.66,46
CPT,38240,OP Allo-Related Transplant,,,,,0
CPT,38240,OP Allo-Unrelated Transplant,,,,,0
CPT,38240,OP Mini Allo Transplant,,,,,0
CPT,38241,HC BONE MARROW/STEM TRA,15000.0,9000.0,564.62,12750.0,55
CPT,38242,HC LYMPHOCYTE INFUSE TRANSPLANT,5647.73,3388.64,564.62,8280.0,94
CPT,38500,"BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, SUPERFICIAL",,,963.66,10815.49,34
CPT,38500,"HC BIOPSY/REMOVAL, LYMP",6892.23,4135.34,963.66,9442.65,55
CPT,38505,"BIOPSY OR EXCISION OF LYMPH NODE(S); BY NEEDLE, SUPERFICIAL (EG, CERVICAL, INGUINAL, AXILLARY)",,,486.45,4900.18,33
CPT,38505,HC BX/EXC LYMPH NODE NEEDLE SUPERFICIAL - BI,3839.39,2303.63,486.45,7411.0,38
CPT,38505,HC BX/EXC LYMPH NODE NEEDLE SUPERFICIAL - LT,3839.39,2303.63,486.45,7411.0,38
CPT,38505,HC BX/EXC LYMPH NODE NEEDLE SUPERFICIAL - RT,3839.39,2303.63,486.45,7411.0,38
CPT,38505,HC IR BX LYMPH NODE LT,3839.39,2303.63,486.45,7411.0,38
CPT,38505,HC IR BX LYMPH NODE RT,3839.39,2303.63,486.45,7411.0,38
CPT,38505,"HC NEEDLE BIOPSY, LYMPH",3839.39,2303.63,486.45,7411.0,55
CPT,38505,HC US BX LYMPH NODE BI,3839.39,2303.63,486.45,7411.0,38
CPT,38505,HC US BX LYMPH NODE LT,3839.39,2303.63,486.45,7411.0,38
CPT,38505,HC US BX LYMPH NODE RT,3839.39,2303.63,486.45,7411.0,38
CPT,38510,"BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, DEEP CERVICAL NODE(S)",,,963.66,10815.49,34
CPT,38510,"HC BIOPSY/REMOVAL, LYMP - NEEDLE",6633.13,3979.88,963.66,9442.65,55
CPT,38525,"BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, DEEP AXILLARY NODE(S)",,,963.66,10815.49,34
CPT,38525,"HC BIOPSY/REMOVAL, LYMP - OPEN, DEEP",6994.24,4196.54,963.66,9442.65,55
CPT,38530,"BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, INTERNAL MAMMARY NODE(S)",,,963.66,10815.49,34
CPT,38531,"BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, INGUINOFEMORAL NODE(S)",,,3736.62,10815.49,30
CPT,38562,LIMITED LYMPHADENECTOMY FOR STAGING (SEPARATE PROCEDURE); PELVIC AND PARA-AORTIC,,,1247.96,17652.85,29
CPT,38570,"LAPAROSCOPY, SURGICAL; WITH RETROPERITONEAL LYMPH NODE SAMPLING (BIOPSY), SINGLE OR MULTIPLE",,,1888.85,17256.34,34
CPT,38571,"LAPAROSCOPY, SURGICAL; WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY",,,3110.01,30034.8,34
CPT,38572,"LAPAROSCOPY, SURGICAL; WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PERI-AORTIC LYMPH NODE SAMPLING (BIOPSY), SINGLE OR MULTIPLE",,,3110.01,30034.8,34
CPT,38573,"LAPAROSCOPY, SURGICAL; WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PERI-AORTIC LYMPH NODE SAMPLING, PERITONEAL WASHINGS, PERITONEAL BIOPSY(IES), OMENTECTOMY, AND DIAPHRAGMATIC WASHINGS, INCLUDING ",,,3110.01,30034.8,33
CPT,38589,"HC LAPAROSCOPY; W ABD LYMPH NODE SAMPLING (BIOPSY), SINGLE OR MULTIPLE, OTHER THAN RETROPERITONEAL",17480.98,10488.59,4370.24,14293.73,53
CPT,38589,"UNLISTED LAPAROSCOPY PROCEDURE, LYMPHATIC SYSTEM",,,5769.43,17256.34,30
CPT,38700,SUPRAHYOID LYMPHADENECTOMY,,,1845.21,18697.13,33
CPT,38720,CERVICAL LYMPHADENECTOMY (COMPLETE),,,4302.0,29043.95,30
CPT,38724,CERVICAL LYMPHADENECTOMY (MODIFIED RADICAL NECK DISSECTION),,,2537.96,8280.0,10
CPT,38740,AXILLARY LYMPHADENECTOMY; SUPERFICIAL,,,1888.85,17256.34,34
CPT,38745,AXILLARY LYMPHADENECTOMY; COMPLETE,,,1888.85,17256.34,34
CPT,38747,"ABDOMINAL LYMPHADENECTOMY, REGIONAL, INCLUDING CELIAC, GASTRIC, PORTAL, PERIPANCREATIC, WITH OR WITHOUT PARA-AORTIC AND VENA CAVAL NODES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,473.23,8280.0,10
CPT,38760,"INGUINOFEMORAL LYMPHADENECTOMY, SUPERFICIAL, INCLUDING CLOQUET'S NODE (SEPARATE PROCEDURE)",,,1845.21,18697.13,34
CPT,38790,HC INJECTION FOR LYMPHATIC XRAY,3081.27,1848.76,523.82,7411.0,39
CPT,38790,INJECTION PROCEDURE; LYMPHANGIOGRAPHY,,,1896.0,2107.0,3
CPT,38792,HB RA TRACER ID OF SENTINL NODE,2469.78,1481.87,381.51,7411.0,110
CPT,38792,INJECTION PROCEDURE; RADIOACTIVE TRACER FOR IDENTIFICATION OF SENTINEL NODE,,,381.51,4345.0,60
CPT,38794,"CANNULATION, THORACIC DUCT",,,1896.0,2107.0,3
CPT,38794,HC ACCESS THORACIC LYMPH DUCT,653.44,392.06,111.08,7411.0,39
CPT,38900,HC INTRAOPERATIVE IDENTIFICATION OF SENTINEL LYMPH NODE,780.35,468.21,132.66,7411.0,39
CPT,38900,"INTRAOPERATIVE IDENTIFICATION (EG, MAPPING) OF SENTINEL LYMPH NODE(S) INCLUDES INJECTION OF NON-RADIOACTIVE DYE, WHEN PERFORMED (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,38999,"HC ABLATION, 1 OR MORE LYMPH NODES, CRYOABLATION, W/WO IMAGING GUIDANCE",9998.97,5999.38,421.02,8280.0,51
CPT,38999,"HC ABLATION, 1 OR MORE LYMPH NODES, RADIOFREQ (MICROWAVE), W/WO IMG GDANC",14388.0,8632.8,421.02,11222.64,53
CPT,38999,"HC ABLTN, 1+ LYMPH NDS, PERCUTANEOUS, ETHNL INJCTN, W/WO IMGNG GDNCE",15539.04,9323.42,421.02,11654.28,51
CPT,38999,HC BLOOD/LYMPH SYSTEM,3015.12,1809.07,421.02,7411.0,53
CPT,38999,HC CRYOABLATION OF CERVICAL LYMPH NODE,12185.54,7311.32,421.02,9139.16,51
CPT,38999,HC DRAINAGE OF LYMPHOCELE W/WO LIGATION OF LYMPHATIC CHANNELS,13942.35,8365.41,421.02,10875.03,53
CPT,38999,"UNLISTED PROCEDURE, HEMIC OR LYMPHATIC SYSTEM",,,421.02,8280.0,30
CPT,39000,"MEDIASTINOTOMY WITH EXPLORATION, DRAINAGE, REMOVAL OF FOREIGN BODY, OR BIOPSY; CERVICAL APPROACH",,,874.61,8280.0,10
CPT,39010,"MEDIASTINOTOMY WITH EXPLORATION, DRAINAGE, REMOVAL OF FOREIGN BODY, OR BIOPSY; TRANSTHORACIC APPROACH, INCLUDING EITHER TRANSTHORACIC OR MEDIAN STERNOTOMY",,,1384.4,8280.0,10
CPT,39401,"MEDIASTINOSCOPY; INCLUDES BIOPSY(IES) OF MEDIASTINAL MASS (EG, LYMPHOMA), WHEN PERFORMED",,,5769.43,17256.34,30
CPT,39402,"MEDIASTINOSCOPY; WITH LYMPH NODE BIOPSY(IES) (EG, LUNG CANCER STAGING)",,,5769.43,17256.34,30
CPT,39501,"REPAIR, LACERATION OF DIAPHRAGM, ANY APPROACH",,,1501.33,8280.0,10
CPT,39545,"IMBRICATION OF DIAPHRAGM FOR EVENTRATION, TRANSTHORACIC OR TRANSABDOMINAL, PARALYTIC OR NONPARALYTIC",,,1565.9,8280.0,10
CPT,39560,"RESECTION, DIAPHRAGM; WITH SIMPLE REPAIR (EG, PRIMARY SUTURE)",,,1411.81,8280.0,10
CPT,39599,"HC REPAIR, MORGAGNI HERNIA, OPEN; INCARCERATD, STRANGULATD, OR COMPLICATD",10912.61,6547.57,2728.15,9275.72,37
CPT,39599,"UNLISTED PROCEDURE, DIAPHRAGM",,,1826.96,8280.0,10
CPT,40490,BIOPSY OF LIP,,,64.23,2107.0,33
CPT,40500,"VERMILIONECTOMY (LIP SHAVE), WITH MUCOSAL ADVANCEMENT",,,886.62,9350.87,34
CPT,40510,EXCISION OF LIP; TRANSVERSE WEDGE EXCISION WITH PRIMARY CLOSURE,,,886.62,9350.87,34
CPT,40520,EXCISION OF LIP; V-EXCISION WITH PRIMARY DIRECT LINEAR CLOSURE,,,886.62,9350.87,34
CPT,40525,"EXCISION OF LIP; FULL THICKNESS, RECONSTRUCTION WITH LOCAL FLAP (EG, ESTLANDER OR FAN)",,,886.62,9350.87,34
CPT,40527,"EXCISION OF LIP; FULL THICKNESS, RECONSTRUCTION WITH CROSS LIP FLAP (ABBE-ESTLANDER)",,,1954.22,17316.39,34
CPT,40530,"RESECTION OF LIP, MORE THAN ONE-FOURTH, WITHOUT RECONSTRUCTION",,,886.62,9350.87,34
CPT,40650,HC REPAIR VERMILLION ONLY,2859.3,1715.58,187.22,7411.0,55
CPT,40650,"REPAIR LIP, FULL THICKNESS; VERMILION ONLY",,,187.22,7168.0,33
CPT,40652,HC REPAIR VERMILLION UP TO 1/2 HG,2585.65,1551.39,187.22,7411.0,55
CPT,40654,HC REPAIR LIP - UP TO HALF VERTICAL HEIGHT,3213.45,1928.07,420.64,7411.0,55
CPT,40654,"REPAIR LIP, FULL THICKNESS; OVER ONE-HALF VERTICAL HEIGHT, OR COMPLEX",,,420.64,7168.0,33
CPT,40720,"PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; SECONDARY, BY RECREATION OF DEFECT AND RECLOSURE",,,886.62,10495.0,34
CPT,40761,"PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; WITH CROSS LIP PEDICLE FLAP (ABBE-ESTLANDER TYPE), INCLUDING SECTIONING AND INSERTING OF PEDICLE",,,1954.22,17316.39,34
CPT,40799,HC LIP SURGERY PROCEDURE,722.75,433.65,180.69,7411.0,53
CPT,40800,HC DRAIN MOUTH LESION - SIMPLE,1444.87,866.92,131.78,7411.0,55
CPT,40800,HC DRAINAGE OF MOUTH LESION - SIMPLE,1444.87,866.92,131.78,7411.0,55
CPT,40801,"DRAINAGE OF ABSCESS, CYST, HEMATOMA, VESTIBULE OF MOUTH; COMPLICATED",,,187.22,4779.0,34
CPT,40801,HC MOUTH LESION DRAIN,2911.14,1746.68,187.22,7411.0,55
CPT,40804,HC REMOVE FB EMBED MOUTH SMPLE,1153.33,692.0,196.07,7411.0,55
CPT,40805,"HC REMOVAL,FB MOUTH",2926.0,1755.6,150.61,7411.0,55
CPT,40808,"BIOPSY, VESTIBULE OF MOUTH",,,107.7,2107.0,33
CPT,40810,"EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITHOUT REPAIR",,,137.59,8280.0,33
CPT,40812,"EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITH SIMPLE REPAIR",,,164.45,8280.0,33
CPT,40819,"EXCISION OF FRENUM, LABIAL OR BUCCAL (FRENUMECTOMY, FRENULECTOMY, FRENECTOMY)",,,420.64,4817.14,34
CPT,40819,HC EXCISE LIP/CHEEK FOL,3282.61,1969.57,420.64,7411.0,55
CPT,40830,HC CLS LAC MOUTH <2.6,872.0,523.2,87.58,7411.0,55
CPT,40831,HC CLS LAB VENT MOUTH >2.5,2505.92,1503.55,187.22,7411.0,55
CPT,40845,"VESTIBULOPLASTY; COMPLEX (INCLUDING RIDGE EXTENSION, MUSCLE REPOSITIONING)",,,1954.22,17316.39,34
CPT,41000,HC DRAINAGE OF MOUTH LESION - COMPLICATED,2614.16,1568.5,83.33,7411.0,55
CPT,41005,HC DRAIN MOUTH LESION - SUBLINGUAL/SUPERFICIAL,2627.0,1576.2,87.58,7411.0,55
CPT,41007,HC DRAIN MOUTH LESION,5036.04,3021.62,420.64,7411.0,55
CPT,41008,HC DRAIN MOUTH LESION,3825.66,2295.4,886.62,7975.81,110
CPT,41009,HC DRAIN MOUTH LESION,973.04,583.82,187.22,7411.0,55
CPT,41010,HC INCISION TONGUE FOLD,1939.64,1163.78,420.64,7411.0,55
CPT,41010,INCISION OF LINGUAL FRENUM (FRENOTOMY),,,420.64,4817.14,34
CPT,41015,"EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF MOUTH; SUBLINGUAL",,,187.22,4345.0,33
CPT,41016,"EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF MOUTH; SUBMENTAL",,,1804.0,17316.39,34
CPT,41016,HC DRAIN MOUTH LESION,11303.16,6781.9,1804.0,14507.25,55
CPT,41017,"EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF MOUTH; SUBMANDIBULAR",,,886.62,9350.87,34
CPT,41017,HC DRAIN MOUTH LESION - COMPLICATED,4021.0,2412.6,886.62,7975.81,55
CPT,41018,"EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF MOUTH; MASTICATOR SPACE",,,420.64,4817.14,34
CPT,41018,HC DRAIN MOUTH LESION,2174.82,1304.89,420.64,7411.0,55
CPT,41100,BIOPSY OF TONGUE; ANTERIOR TWO-THIRDS,,,111.3,4345.0,33
CPT,41108,BIOPSY OF FLOOR OF MOUTH,,,104.93,4345.0,33
CPT,41110,EXCISION OF LESION OF TONGUE WITHOUT CLOSURE,,,142.3,7975.81,33
CPT,41112,EXCISION OF LESION OF TONGUE WITH CLOSURE; ANTERIOR TWO-THIRDS,,,886.62,9350.87,34
CPT,41113,EXCISION OF LESION OF TONGUE WITH CLOSURE; POSTERIOR ONE-THIRD,,,886.62,9350.87,34
CPT,41115,EXCISION OF LINGUAL FRENUM (FRENECTOMY),,,162.23,4345.0,33
CPT,41116,"EXCISION, LESION OF FLOOR OF MOUTH",,,886.62,9350.87,34
CPT,41120,GLOSSECTOMY; LESS THAN ONE-HALF TONGUE,,,1954.22,17316.39,34
CPT,41130,GLOSSECTOMY; HEMIGLOSSECTOMY,,,2319.91,8280.0,10
CPT,41135,"GLOSSECTOMY; PARTIAL, WITH UNILATERAL RADICAL NECK DISSECTION",,,3832.21,8280.0,10
CPT,41150,"GLOSSECTOMY; COMPOSITE PROCEDURE WITH RESECTION FLOOR OF MOUTH AND MANDIBULAR RESECTION, WITHOUT RADICAL NECK DISSECTION",,,2546.0,8280.0,10
CPT,41250,HC REPAIR TONGUE LACERATION,976.76,586.06,166.05,7411.0,55
CPT,41251,HC LACERATION TONGUE POS 2.5CM,840.2,504.12,87.58,7411.0,55
CPT,41252,HC REPAIR MOUTH/TONGUE >2.5,2043.44,1226.06,87.58,7411.0,55
CPT,41252,"REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX",,,87.58,4779.0,34
CPT,41520,"FRENOPLASTY (SURGICAL REVISION OF FRENUM, EG, WITH Z-PLASTY)",,,886.62,9350.87,34
CPT,41599,"HC INJ, INTRALESIONAL; TONGUE/ FLOOR OF MOUTH, UP TO N INCLUDE 7 LESIONS",395.09,237.05,98.77,7411.0,53
CPT,41599,HC TONGUE/MOUTH PROCEDURE UNLISTED,405.74,243.44,101.44,7411.0,53
CPT,41599,"UNLISTED PROCEDURE, TONGUE, FLOOR OF MOUTH",,,226.03,8280.0,30
CPT,41800,"DRAINAGE OF ABSCESS, CYST, HEMATOMA FROM DENTOALVEOLAR STRUCTURES",,,126.97,4345.0,30
CPT,41800,HC DRAIN GUM LESION,814.34,488.6,126.97,7411.0,55
CPT,41800,HC DRAINAGE OF GUM LESION,814.34,488.6,126.97,7411.0,55
CPT,41806,REMOVAL OF EMBEDDED FOREIGN BODY FROM DENTOALVEOLAR STRUCTURES; BONE,,,259.41,4345.0,33
CPT,41820,"GINGIVECTOMY, EXCISION GINGIVA, EACH QUADRANT",,,886.62,7975.81,33
CPT,41823,"EXCISION OF OSSEOUS TUBEROSITIES, DENTOALVEOLAR STRUCTURES",,,617.85,14507.25,30
CPT,41825,"EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE), DENTOALVEOLAR STRUCTURES; WITHOUT REPAIR",,,139.54,8280.0,33
CPT,41826,"EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE), DENTOALVEOLAR STRUCTURES; WITH SIMPLE REPAIR",,,179.4,8280.0,33
CPT,41874,"ALVEOLOPLASTY, EACH QUADRANT (SPECIFY)",,,222.86,8280.0,33
CPT,41899,HC DENTAL SURGERY PROCEDURE,737.46,442.48,125.37,7411.0,55
CPT,41899,"UNLISTED PROCEDURE, DENTOALVEOLAR STRUCTURES",,,226.03,8280.0,30
CPT,42000,HC I&D PALATE OF MOUTH,1069.44,641.66,87.58,7411.0,55
CPT,42100,"BIOPSY OF PALATE, UVULA",,,164.67,4345.0,30
CPT,42104,"EXCISION, LESION OF PALATE, UVULA; WITHOUT CLOSURE",,,126.8,7975.81,33
CPT,42106,"EXCISION, LESION OF PALATE, UVULA; WITH SIMPLE PRIMARY CLOSURE",,,147.84,7975.81,33
CPT,42107,"EXCISION, LESION OF PALATE, UVULA; WITH LOCAL FLAP CLOSURE",,,1954.22,17316.39,34
CPT,42120,RESECTION OF PALATE OR EXTENSIVE RESECTION OF LESION,,,1954.22,17316.39,34
CPT,42140,"UVULECTOMY, EXCISION OF UVULA",,,886.62,9350.87,34
CPT,42145,"PALATOPHARYNGOPLASTY (EG, UVULOPALATOPHARYNGOPLASTY, UVULOPHARYNGOPLASTY)",,,1954.22,17316.39,34
CPT,42180,HC REPAIR PALATE,1009.58,605.75,187.22,7411.0,55
CPT,42180,"REPAIR, LACERATION OF PALATE; UP TO 2 CM",,,187.22,4345.0,33
CPT,42205,"PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE OF ALVEOLAR RIDGE; SOFT TISSUE ONLY",,,886.62,9350.87,34
CPT,42210,"PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE OF ALVEOLAR RIDGE; WITH BONE GRAFT TO ALVEOLAR RIDGE (INCLUDES OBTAINING GRAFT)",,,3113.11,17316.39,34
CPT,42220,PALATOPLASTY FOR CLEFT PALATE; SECONDARY LENGTHENING PROCEDURE,,,1954.22,17316.39,34
CPT,42225,PALATOPLASTY FOR CLEFT PALATE; ATTACHMENT PHARYNGEAL FLAP,,,1954.22,17316.39,33
CPT,42235,"REPAIR OF ANTERIOR PALATE, INCLUDING VOMER FLAP",,,1954.22,17316.39,34
CPT,42280,HC MAXILLARY IMPRESJ PALATAL PROSTHESIS,973.04,583.82,165.42,7411.0,55
CPT,42299,HC PALATE/UVULA SURGERY,405.74,243.44,101.44,7411.0,53
CPT,42299,"UNLISTED PROCEDURE, PALATE, UVULA",,,226.03,8280.0,30
CPT,42300,HC DRAIN SALIVARY GLAND,5189.52,3113.71,420.64,7411.0,110
CPT,42330,HC REMOVE SALIVARY STON,4061.4,2436.84,121.82,7975.81,55
CPT,42330,HC SIALOLITHOTOMY/SIMPLE,4061.4,2436.84,121.82,7975.81,55
CPT,42330,"SIALOLITHOTOMY; SUBMANDIBULAR (SUBMAXILLARY), SUBLINGUAL OR PAROTID, UNCOMPLICATED, INTRAORAL",,,121.82,8280.0,33
CPT,42335,"SIALOLITHOTOMY; SUBMANDIBULAR (SUBMAXILLARY), COMPLICATED, INTRAORAL",,,252.76,7975.81,33
CPT,42400,BIOPSY OF SALIVARY GLAND; NEEDLE,,,57.58,4345.0,66
CPT,42400,"HC BIOPSY SALIVARY GLAND, NEEDLE",1909.84,1145.9,57.58,7411.0,55
CPT,42405,BIOPSY OF SALIVARY GLAND; INCISIONAL,,,420.64,4817.14,34
CPT,42408,EXCISION OF SUBLINGUAL SALIVARY CYST (RANULA),,,886.62,9350.87,34
CPT,42409,HC SALIVARY CYST MARSUPIALIZE/RANULA,4391.86,2635.12,886.62,7975.81,55
CPT,42410,"EXCISION OF PAROTID TUMOR OR PAROTID GLAND; LATERAL LOBE, WITHOUT NERVE DISSECTION",,,1954.22,17316.39,34
CPT,42415,"EXCISION OF PAROTID TUMOR OR PAROTID GLAND; LATERAL LOBE, WITH DISSECTION AND PRESERVATION OF FACIAL NERVE",,,1954.22,17316.39,34
CPT,42420,"EXCISION OF PAROTID TUMOR OR PAROTID GLAND; TOTAL, WITH DISSECTION AND PRESERVATION OF FACIAL NERVE",,,1954.22,17316.39,34
CPT,42440,EXCISION OF SUBMANDIBULAR (SUBMAXILLARY) GLAND,,,1954.22,17316.39,34
CPT,42450,EXCISION OF SUBLINGUAL GLAND,,,1954.22,17316.39,34
CPT,42500,HC REPAIR SALIVARY DUCT SIMPLE,10745.62,6447.37,1954.22,14507.25,55
CPT,42500,"PLASTIC REPAIR OF SALIVARY DUCT, SIALODOCHOPLASTY; PRIMARY OR SIMPLE",,,1954.22,17316.39,34
CPT,42505,"PLASTIC REPAIR OF SALIVARY DUCT, SIALODOCHOPLASTY; SECONDARY OR COMPLICATED",,,1954.22,17316.39,34
CPT,42550,HC DX INJ SIALOGRAPHY BI,698.9,419.34,118.81,7411.0,32
CPT,42550,HC DX INJ SIALOGRAPHY LT,698.9,419.34,118.81,7411.0,32
CPT,42550,HC DX INJ SIALOGRAPHY RT,698.9,419.34,118.81,7411.0,32
CPT,42550,HC INJECTION FOR SALIVAY XRAY,698.9,419.34,118.81,7411.0,39
CPT,42699,"HC PERCUTANEOUS ABLATION OF SUBMANDIBULAR GLAND, UNILATERAL",2365.55,1419.33,226.03,8280.0,51
CPT,42699,"HC PERCUTANEOUS ABLATION OF SUBMANDIBULAR GLANDS, BILATERAL",4731.1,2838.66,226.03,8280.0,51
CPT,42699,HC SALIVARY SURG PROC,443.7,266.22,110.92,7411.0,53
CPT,42700,HC DRAIN TONSIL ABSCESS,2423.03,1453.82,87.58,7411.0,55
CPT,42700,HC DRAINAGE OF TONSIL ABSCESS,2423.03,1453.82,87.58,7411.0,55
CPT,42700,INCISION AND DRAINAGE ABSCESS; PERITONSILLAR,,,87.58,4345.0,33
CPT,42800,BIOPSY; OROPHARYNX,,,85.54,8280.0,33
CPT,42800,HC BX OF THROAT,2830.32,1698.19,85.54,7411.0,55
CPT,42804,"BIOPSY; NASOPHARYNX, VISIBLE LESION, SIMPLE",,,886.62,9350.87,34
CPT,42806,"BIOPSY; NASOPHARYNX, SURVEY FOR UNKNOWN PRIMARY LESION",,,886.62,9350.87,34
CPT,42808,"EXCISION OR DESTRUCTION OF LESION OF PHARYNX, ANY METHOD",,,886.62,9350.87,34
CPT,42809,HC REMOVE PHARYNX FOREIGN BODY,766.67,460.0,130.33,7411.0,55
CPT,42810,"EXCISION BRANCHIAL CLEFT CYST OR VESTIGE, CONFINED TO SKIN AND SUBCUTANEOUS TISSUES",,,886.62,9350.87,34
CPT,42815,"EXCISION BRANCHIAL CLEFT CYST, VESTIGE, OR FISTULA, EXTENDING BENEATH SUBCUTANEOUS TISSUES AND/OR INTO PHARYNX",,,1954.22,17316.39,34
CPT,42820,TONSILLECTOMY AND ADENOIDECTOMY; YOUNGER THAN AGE 12,,,1954.22,17316.39,34
CPT,42821,TONSILLECTOMY AND ADENOIDECTOMY; AGE 12 OR OVER,,,886.62,9350.87,34
CPT,42826,"TONSILLECTOMY, PRIMARY OR SECONDARY; AGE 12 OR OVER",,,886.62,9350.87,34
CPT,42830,"ADENOIDECTOMY, PRIMARY; YOUNGER THAN AGE 12",,,886.62,9350.87,34
CPT,42831,"ADENOIDECTOMY, PRIMARY; AGE 12 OR OVER",,,886.62,9350.87,34
CPT,42842,"RADICAL RESECTION OF TONSIL, TONSILLAR PILLARS, AND/OR RETROMOLAR TRIGONE; WITHOUT CLOSURE",,,4302.0,17316.39,30
CPT,42870,"EXCISION OR DESTRUCTION LINGUAL TONSIL, ANY METHOD (SEPARATE PROCEDURE)",,,1954.22,17316.39,34
CPT,42890,LIMITED PHARYNGECTOMY,,,1954.22,17316.39,34
CPT,42950,PHARYNGOPLASTY (PLASTIC OR RECONSTRUCTIVE OPERATION ON PHARYNX),,,1954.22,17316.39,34
CPT,42960,"CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, POST-TONSILLECTOMY); SIMPLE",,,187.22,4345.0,33
CPT,42960,HC CNTRL OROPHARYNG HEM SMPL,1137.21,682.33,187.22,7411.0,55
CPT,42961,"CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, POST-TONSILLECTOMY); COMPLICATED, REQUIRING HOSPITALIZATION",,,729.66,8280.0,10
CPT,42975,"DRUG-INDUCED SLEEP ENDOSCOPY, WITH DYNAMIC EVALUATION OF VELUM, PHARYNX, TONGUE BASE, AND LARYNX FOR EVALUATION OF SLEEP-DISORDERED BREATHING, FLEXIBLE, DIAGNOSTIC",,,68.14,4204.56,33
CPT,42975,HC DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX,408.15,244.89,68.14,7411.0,53
CPT,42999,HC LARYNGOSCOPY WITH INCISION & DRAINAGE OF RETROPHARYNGEAL SPACE,3848.36,2309.02,226.03,7411.0,53
CPT,42999,HC THROAT SURGERY PROCEDURE,3203.38,1922.03,226.03,7411.0,53
CPT,42999,"HC TRANSORAL REPAIR OF ORAL CUTANEOUS FISTULA, NECK/FACE/OTHER",8149.68,4889.81,226.03,7411.0,53
CPT,42999,"UNLISTED PROCEDURE, PHARYNX, ADENOIDS, OR TONSILS",,,226.03,8280.0,30
CPT,43030,CRICOPHARYNGEAL MYOTOMY,,,1954.22,17316.39,33
CPT,43122,"PARTIAL ESOPHAGECTOMY, THORACOABDOMINAL OR ABDOMINAL APPROACH, WITH OR WITHOUT PROXIMAL GASTRECTOMY; WITH ESOPHAGOGASTROSTOMY, WITH OR WITHOUT PYLOROPLASTY",,,2546.0,9534.97,10
CPT,43130,"DIVERTICULECTOMY OF HYPOPHARYNX OR ESOPHAGUS, WITH OR WITHOUT MYOTOMY; CERVICAL APPROACH",,,1954.22,17316.39,66
CPT,43180,"ESOPHAGOSCOPY, RIGID, TRANSORAL WITH DIVERTICULECTOMY OF HYPOPHARYNX OR CERVICAL ESOPHAGUS (EG, ZENKER'S DIVERTICULUM), WITH CRICOPHARYNGEAL MYOTOMY, INCLUDES USE OF TELESCOPE OR OPERATING MICROSCOPE ",,,1954.22,17316.39,33
CPT,43191,"ESOPHAGOSCOPY, RIGID, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING WHEN PERFORMED (SEPARATE PROCEDURE)",,,564.97,7168.0,66
CPT,43192,"ESOPHAGOSCOPY, RIGID, TRANSORAL; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE",,,564.97,8674.0,33
CPT,43193,"ESOPHAGOSCOPY, RIGID, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE",,,564.97,8674.0,33
CPT,43194,"ESOPHAGOSCOPY, RIGID, TRANSORAL; WITH REMOVAL OF FOREIGN BODY(S)",,,564.97,8674.0,33
CPT,43195,"ESOPHAGOSCOPY, RIGID, TRANSORAL; WITH BALLOON DILATION (LESS THAN 30 MM DIAMETER)",,,1119.26,10706.72,33
CPT,43196,"ESOPHAGOSCOPY, RIGID, TRANSORAL; WITH INSERTION OF GUIDE WIRE FOLLOWED BY DILATION OVER GUIDE WIRE",,,1119.26,10706.72,33
CPT,43197,"ESOPHAGOSCOPY, FLEXIBLE, TRANSNASAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,111.85,7168.0,33
CPT,43198,"ESOPHAGOSCOPY, FLEXIBLE, TRANSNASAL; WITH BIOPSY, SINGLE OR MULTIPLE",,,119.87,7168.0,33
CPT,43200,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,334.95,4345.0,68
CPT,43201,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE",,,564.97,5559.92,68
CPT,43202,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE",,,564.97,5559.92,68
CPT,43206,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH OPTICAL ENDOMICROSCOPY",,,564.97,8674.0,33
CPT,43210,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ESOPHAGOGASTRIC FUNDOPLASTY, PARTIAL OR COMPLETE, INCLUDES DUODENOSCOPY WHEN PERFORMED",,,4032.46,30034.8,33
CPT,43212,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH PLACEMENT OF ENDOSCOPIC STENT (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,2667.54,17067.56,66
CPT,43214,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH DILATION OF ESOPHAGUS WITH BALLOON (30 MM DIAMETER OR LARGER) (INCLUDES FLUOROSCOPIC GUIDANCE, WHEN PERFORMED)",,,564.97,8674.0,66
CPT,43215,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF FOREIGN BODY(S)",,,564.97,5559.92,68
CPT,43220,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC BALLOON DILATION (LESS THAN 30 MM DIAMETER)",,,564.97,5559.92,68
CPT,43226,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH INSERTION OF GUIDE WIRE FOLLOWED BY PASSAGE OF DILATOR(S) OVER GUIDE WIRE",,,564.97,5559.92,68
CPT,43231,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH ENDOSCOPIC ULTRASOUND EXAMINATION",,,564.97,5559.92,34
CPT,43233,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DILATION OF ESOPHAGUS WITH BALLOON (30 MM DIAMETER OR LARGER) (INCLUDES FLUOROSCOPIC GUIDANCE, WHEN PERFORMED)",,,564.97,8674.0,66
CPT,43235,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,334.95,4345.0,102
CPT,43236,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE",,,334.95,4779.0,68
CPT,43237,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED TO THE ESOPHAGUS, STOMACH OR DUODENUM, AND ADJACENT STRUCTURES",,,564.97,5559.92,68
CPT,43238,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC ULTRASOUND-GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S), (INCLUDES ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED T",,,564.97,5559.92,102
CPT,43239,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE",,,334.95,4779.0,102
CPT,43240,HC ESOPHAGOGASTRODUODENOSCOPY; WITH PANCREATIC NECROSECTOMY,1168.0,700.8,420.48,14118.49,53
CPT,43241,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH INSERTION OF INTRALUMINAL TUBE OR CATHETER",,,564.97,5559.92,68
CPT,43242,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC ULTRASOUND-GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S) (INCLUDES ENDOSCOPIC ULTRASOUND EXAMINATION OF THE ESO",,,564.97,5559.92,68
CPT,43243,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH INJECTION SCLEROSIS OF ESOPHAGEAL/GASTRIC VARICES",,,564.97,5559.92,68
CPT,43244,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BAND LIGATION OF ESOPHAGEAL/GASTRIC VARICES",,,564.97,5559.92,34
CPT,43245,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DILATION OF GASTRIC/DUODENAL STRICTURE(S) (EG, BALLOON, BOUGIE)",,,564.97,5559.92,68
CPT,43246,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DIRECTED PLACEMENT OF PERCUTANEOUS GASTROSTOMY TUBE",,,564.97,5559.92,68
CPT,43247,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF FOREIGN BODY(S)",,,334.95,4779.0,68
CPT,43248,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH INSERTION OF GUIDE WIRE FOLLOWED BY PASSAGE OF DILATOR(S) THROUGH ESOPHAGUS OVER GUIDE WIRE",,,334.95,4779.0,68
CPT,43249,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC BALLOON DILATION OF ESOPHAGUS (LESS THAN 30 MM DIAMETER)",,,564.97,5559.92,68
CPT,43250,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS",,,564.97,5559.92,34
CPT,43251,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,564.97,5559.92,68
CPT,43252,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH OPTICAL ENDOMICROSCOPY",,,1119.26,10706.72,66
CPT,43253,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC ULTRASOUND-GUIDED TRANSMURAL INJECTION OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (EG, ANESTHETIC, NEUROLYTIC AGENT) OR FIDUCIAL MA",,,564.97,8674.0,33
CPT,43254,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ENDOSCOPIC MUCOSAL RESECTION",,,564.97,7168.0,66
CPT,43255,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH CONTROL OF BLEEDING, ANY METHOD",,,564.97,5559.92,102
CPT,43257,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DELIVERY OF THERMAL ENERGY TO THE MUSCLE OF LOWER ESOPHAGEAL SPHINCTER AND/OR GASTRIC CARDIA, FOR TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE",,,2763.0,10706.72,31
CPT,43259,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ENDOSCOPIC ULTRASOUND EXAMINATION, INCLUDING THE ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM OR A SURGICALLY ALTERED STOMACH WHERE THE JEJUNUM IS ",,,564.97,7168.0,68
CPT,43260,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,1119.26,10706.72,34
CPT,43261,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH BIOPSY, SINGLE OR MULTIPLE",,,1119.26,10706.72,34
CPT,43262,ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH SPHINCTEROTOMY/PAPILLOTOMY,,,1119.26,10706.72,34
CPT,43264,ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH REMOVAL OF CALCULI/DEBRIS FROM BILIARY/PANCREATIC DUCT(S),,,1119.26,10706.72,34
CPT,43265,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH DESTRUCTION OF CALCULI, ANY METHOD (EG, MECHANICAL, ELECTROHYDRAULIC, LITHOTRIPSY)",,,1686.17,17067.56,34
CPT,43266,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH PLACEMENT OF ENDOSCOPIC STENT (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,2720.08,17067.56,66
CPT,43270,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,564.97,8674.0,66
CPT,43273,HC ENDOSCOPIC PANCREAT,5223.33,3134.0,887.97,12700.0,32
CPT,43274,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH PLACEMENT OF ENDOSCOPIC STENT INTO BILIARY OR PANCREATIC DUCT, INCLUDING PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED, INCL",,,2216.5,17067.56,33
CPT,43275,ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH REMOVAL OF FOREIGN BODY(S) OR STENT(S) FROM BILIARY/PANCREATIC DUCT(S),,,1119.26,12700.0,33
CPT,43276,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH REMOVAL AND EXCHANGE OF STENT(S), BILIARY OR PANCREATIC DUCT, INCLUDING PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED, INCLU",,,2250.66,17067.56,33
CPT,43277,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH TRANS-ENDOSCOPIC BALLOON DILATION OF BILIARY/PANCREATIC DUCT(S) OR OF AMPULLA (SPHINCTEROPLASTY), INCLUDING SPHINCTEROTOMY, WHEN PERFORMED, ",,,1119.26,12700.0,33
CPT,43278,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S), INCLUDING PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED",,,1119.26,12700.0,33
CPT,43279,"LAPAROSCOPY, SURGICAL, ESOPHAGOMYOTOMY (HELLER TYPE), WITH FUNDOPLASTY, WHEN PERFORMED",,,2277.28,10140.0,10
CPT,43280,"LAPAROSCOPY, SURGICAL, ESOPHAGOGASTRIC FUNDOPLASTY (EG, NISSEN, TOUPET PROCEDURES)",,,7373.0,30034.8,30
CPT,43281,"LAPAROSCOPY, SURGICAL, REPAIR OF PARAESOPHAGEAL HERNIA, INCLUDES FUNDOPLASTY, WHEN PERFORMED; WITHOUT IMPLANTATION OF MESH",,,7038.0,30034.8,30
CPT,43282,"LAPAROSCOPY, SURGICAL, REPAIR OF PARAESOPHAGEAL HERNIA, INCLUDES FUNDOPLASTY, WHEN PERFORMED; WITH IMPLANTATION OF MESH",,,7038.0,30034.8,60
CPT,43283,"LAPAROSCOPY, SURGICAL, ESOPHAGEAL LENGTHENING PROCEDURE (EG, COLLIS GASTROPLASTY OR WEDGE GASTROPLASTY) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,280.17,8280.0,10
CPT,43284,"LAPAROSCOPY, SURGICAL, ESOPHAGEAL SPHINCTER AUGMENTATION PROCEDURE, PLACEMENT OF SPHINCTER AUGMENTATION DEVICE (IE, MAGNETIC BAND), INCLUDING CRUROPLASTY WHEN PERFORMED",,,7038.0,30034.8,60
CPT,43285,REMOVAL OF ESOPHAGEAL SPHINCTER AUGMENTATION DEVICE,,,5769.43,17256.34,30
CPT,43289,"UNLISTED LAPAROSCOPY PROCEDURE, ESOPHAGUS",,,5769.43,17256.34,30
CPT,43305,"ESOPHAGOPLASTY (PLASTIC REPAIR OR RECONSTRUCTION), CERVICAL APPROACH; WITH REPAIR OF TRACHEOESOPHAGEAL FISTULA",,,1906.35,8280.0,10
CPT,43420,CLOSURE OF ESOPHAGOSTOMY OR FISTULA; CERVICAL APPROACH,,,3164.04,9350.87,30
CPT,43425,CLOSURE OF ESOPHAGOSTOMY OR FISTULA; TRANSTHORACIC OR TRANSABDOMINAL APPROACH,,,2536.13,8280.0,10
CPT,43450,"DILATION OF ESOPHAGUS, BY UNGUIDED SOUND OR BOUGIE, SINGLE OR MULTIPLE PASSES",,,334.95,4345.0,34
CPT,43450,HC DILATE ESOPHAGUS,2473.61,1484.17,334.95,7411.0,53
CPT,43453,"DILATION OF ESOPHAGUS, OVER GUIDE WIRE",,,564.97,5559.92,34
CPT,43453,HC DILATE ESOPHAGUS,2735.83,1641.5,564.97,7411.0,53
CPT,43460,HC ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE,4312.6,2587.56,733.14,7411.0,39
CPT,43497,HC TRANSORAL LOWER ESOPHAGEAL MYOTOMY,7049.22,4229.53,1198.37,14118.49,53
CPT,43497,"LOWER ESOPHAGEAL MYOTOMY, TRANSORAL (IE, PERORAL ENDOSCOPIC MYOTOMY [POEM])",,,4302.0,14118.49,30
CPT,43499,"HC NASO- /ORO-ESPHAGL TB PLCMT,NEDNG PHYSN'S STILL,+ FLURSCPC GUDNC IF DONE",737.55,442.53,184.39,8280.0,51
CPT,43499,"UNLISTED PROCEDURE, ESOPHAGUS",,,865.56,8280.0,60
CPT,43520,"PYLOROMYOTOMY, CUTTING OF PYLORIC MUSCLE (FREDET-RAMSTEDT TYPE OPERATION)",,,1215.08,8280.0,10
CPT,43610,"EXCISION, LOCAL; ULCER OR BENIGN TUMOR OF STOMACH",,,1736.42,8280.0,10
CPT,43611,"EXCISION, LOCAL; MALIGNANT TUMOR OF STOMACH",,,2166.43,8280.0,10
CPT,43621,"GASTRECTOMY, TOTAL; WITH ROUX-EN-Y RECONSTRUCTION",,,2546.0,8490.25,10
CPT,43632,"GASTRECTOMY, PARTIAL, DISTAL; WITH GASTROJEJUNOSTOMY",,,2546.0,8280.0,10
CPT,43633,"GASTRECTOMY, PARTIAL, DISTAL; WITH ROUX-EN-Y RECONSTRUCTION",,,2546.0,8280.0,10
CPT,43635,VAGOTOMY WHEN PERFORMED WITH PARTIAL DISTAL GASTRECTOMY (LIST SEPARATELY IN ADDITION TO CODE[S] FOR PRIMARY PROCEDURE),,,198.56,8280.0,10
CPT,43644,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; WITH GASTRIC BYPASS AND ROUX-EN-Y GASTROENTEROSTOMY (ROUX LIMB 150 CM OR LESS)",,,3059.91,22539.0,11
CPT,43645,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; WITH GASTRIC BYPASS AND SMALL INTESTINE RECONSTRUCTION TO LIMIT ABSORPTION",,,3274.92,22539.0,11
CPT,43647,"LAPAROSCOPY, SURGICAL; IMPLANTATION OR REPLACEMENT OF GASTRIC NEUROSTIMULATOR ELECTRODES, ANTRUM",,,10456.25,33745.27,30
CPT,43648,"LAPAROSCOPY, SURGICAL; REVISION OR REMOVAL OF GASTRIC NEUROSTIMULATOR ELECTRODES, ANTRUM",,,7711.0,25500.18,30
CPT,43651,"LAPAROSCOPY, SURGICAL; TRANSECTION OF VAGUS NERVES, TRUNCAL",,,5769.43,17256.34,30
CPT,43653,"LAPAROSCOPY, SURGICAL; GASTROSTOMY, WITHOUT CONSTRUCTION OF GASTRIC TUBE (EG, STAMM PROCEDURE) (SEPARATE PROCEDURE)",,,1888.85,17256.34,34
CPT,43659,HC LAPAROSCOPIC GASTROJEJUNOSTOMY,15203.45,9122.07,2584.59,17256.34,53
CPT,43659,HC LAPAROSCOPIC PARTIAL GASTRECTOMY WITH GASTROCUTANEOUS FISTULA TAKEDOWN,6106.0,3663.6,1038.02,17256.34,53
CPT,43659,"UNLISTED LAPAROSCOPY PROCEDURE, STOMACH",,,5769.43,17256.34,30
CPT,43752,HC INSERT NASO/ORO GI TUBE,706.27,423.76,111.0,7411.0,53
CPT,43752,HC NASAL/OROGASTRIC W/STENT,706.27,423.76,112.34,7411.0,55
CPT,43752,HC NG TUBE PLACEMENT BY PHYSICIAN,706.27,423.76,112.34,7411.0,55
CPT,43752,"NASO- OR ORO-GASTRIC TUBE PLACEMENT, REQUIRING PHYSICIAN'S SKILL AND FLUOROSCOPIC GUIDANCE (INCLUDES FLUOROSCOPY, IMAGE DOCUMENTATION AND REPORT)",,,111.0,2107.0,66
CPT,43753,HC GASTRIC INTUBAT LAVAGE FOR TRT,842.72,505.63,143.26,7411.0,55
CPT,43754,HC NG INTUBATION MD DIAGNOST,517.08,310.25,87.9,7411.0,55
CPT,43761,HC GASTRIC FEED TUBE REPOSITION,2152.7,1291.62,110.15,7411.0,55
CPT,43761,HC REPOSITION GASTRO TU,2152.7,1291.62,110.15,7411.0,106
CPT,43761,"REPOSITIONING OF A NASO- OR ORO-GASTRIC FEEDING TUBE, THROUGH THE DUODENUM FOR ENTERIC NUTRITION",,,110.15,4345.0,34
CPT,43762,"HC REMOVE/REPLACE GTUBE, PERC,  NO REVISION TO GASTRONOMY TRACT",1375.24,825.14,110.15,7411.0,108
CPT,43762,"REPLACEMENT OF GASTROSTOMY TUBE, PERCUTANEOUS, INCLUDES REMOVAL, WHEN PERFORMED, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE; NOT REQUIRING REVISION OF GASTROSTOMY TRACT",,,110.15,4345.0,66
CPT,43763,"HC REMOVE/REPLACE GTUBE, PERC,  REVISION TO GASTRONOMY TRACT",1043.22,625.93,110.15,7411.0,55
CPT,43770,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; PLACEMENT OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE (EG, GASTRIC BAND AND SUBCUTANEOUS PORT COMPONENTS)",,,10144.36,30034.8,31
CPT,43772,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; REMOVAL OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE COMPONENT ONLY",,,3679.39,22539.0,31
CPT,43773,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; REMOVAL AND REPLACEMENT OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE COMPONENT ONLY",,,5769.43,22539.0,31
CPT,43774,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; REMOVAL OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE AND SUBCUTANEOUS PORT COMPONENTS",,,3679.39,22539.0,31
CPT,43775,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; LONGITUDINAL GASTRECTOMY (IE, SLEEVE GASTRECTOMY)",,,1970.93,22539.0,11
CPT,43800,PYLOROPLASTY,,,1643.86,8280.0,10
CPT,43830,"GASTROSTOMY, OPEN; WITHOUT CONSTRUCTION OF GASTRIC TUBE (EG, STAMM PROCEDURE) (SEPARATE PROCEDURE)",,,1831.27,8280.0,30
CPT,43830,HC PLACE GASTRO TUBE,8180.82,4908.49,1390.74,8280.0,53
CPT,43840,"GASTRORRHAPHY, SUTURE OF PERFORATED DUODENAL OR GASTRIC ULCER, WOUND, OR INJURY",,,2402.13,8327.04,58
CPT,43845,"GASTRIC RESTRICTIVE PROCEDURE WITH PARTIAL GASTRECTOMY, PYLORUS-PRESERVING DUODENOILEOSTOMY AND ILEOILEOSTOMY (50 TO 100 CM COMMON CHANNEL) TO LIMIT ABSORPTION (BILIOPANCREATIC DIVERSION WITH DUODENAL",,,3441.19,22539.0,11
CPT,43846,"GASTRIC RESTRICTIVE PROCEDURE, WITH GASTRIC BYPASS FOR MORBID OBESITY; WITH SHORT LIMB (150 CM OR LESS) ROUX-EN-Y GASTROENTEROSTOMY",,,2863.2,22539.0,11
CPT,43860,"REVISION OF GASTROJEJUNAL ANASTOMOSIS (GASTROJEJUNOSTOMY) WITH RECONSTRUCTION, WITH OR WITHOUT PARTIAL GASTRECTOMY OR INTESTINE RESECTION; WITHOUT VAGOTOMY",,,2546.0,8280.0,10
CPT,43887,"GASTRIC RESTRICTIVE PROCEDURE, OPEN; REMOVAL OF SUBCUTANEOUS PORT COMPONENT ONLY",,,709.01,19305.0,33
CPT,43888,"GASTRIC RESTRICTIVE PROCEDURE, OPEN; REMOVAL AND REPLACEMENT OF SUBCUTANEOUS PORT COMPONENT ONLY",,,1457.62,19305.0,33
CPT,43999,HC EGD W/ CLOSURE FISTULA/PERFORATION,5004.07,3002.44,865.56,8280.0,51
CPT,43999,HC EGD WITH FISTULA CLIPPING,2548.98,1529.39,637.25,8280.0,51
CPT,43999,HC ENDOSCOPIC CLOSURE OF GASTROSTOMY/-OSTOMY FISTULA W/ DEVICE,2089.28,1253.57,522.32,8280.0,51
CPT,43999,HC FLEXIBLE SIGMOIDOSCOPY WITH PADLOCK CLIP PLACEMENT,2566.38,1539.83,641.6,8280.0,51
CPT,43999,HC REPLACEMENT OF LONG GASTROINTESTINAL TUBE,1644.44,986.66,411.11,8280.0,51
CPT,43999,HC STOMACH SURGERY PROC,2498.5,1499.1,624.62,8280.0,104
CPT,43999,"UNLISTED PROCEDURE, STOMACH",,,865.56,8280.0,30
CPT,44005,ENTEROLYSIS (FREEING OF INTESTINAL ADHESION) (SEPARATE PROCEDURE),,,1934.37,8280.0,10
CPT,44020,"ENTEROTOMY, SMALL INTESTINE, OTHER THAN DUODENUM; FOR EXPLORATION, BIOPSY(S), OR FOREIGN BODY REMOVAL",,,1720.59,8280.0,10
CPT,44050,"REDUCTION OF VOLVULUS, INTUSSUSCEPTION, INTERNAL HERNIA, BY LAPAROTOMY",,,1651.77,8280.0,10
CPT,44055,"CORRECTION OF MALROTATION BY LYSIS OF DUODENAL BANDS AND/OR REDUCTION OF MIDGUT VOLVULUS (EG, LADD PROCEDURE)",,,2546.0,8280.0,10
CPT,44110,"EXCISION OF 1 OR MORE LESIONS OF SMALL OR LARGE INTESTINE NOT REQUIRING ANASTOMOSIS, EXTERIORIZATION, OR FISTULIZATION; SINGLE ENTEROTOMY",,,1500.11,8280.0,10
CPT,44120,"ENTERECTOMY, RESECTION OF SMALL INTESTINE; SINGLE RESECTION AND ANASTOMOSIS",,,2160.95,8280.0,10
CPT,44121,"ENTERECTOMY, RESECTION OF SMALL INTESTINE; EACH ADDITIONAL RESECTION AND ANASTOMOSIS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,428.79,8280.0,10
CPT,44143,"COLECTOMY, PARTIAL; WITH END COLOSTOMY AND CLOSURE OF DISTAL SEGMENT (HARTMANN TYPE PROCEDURE)",,,2546.0,8280.0,10
CPT,44180,"LAPAROSCOPY, SURGICAL, ENTEROLYSIS (FREEING OF INTESTINAL ADHESION) (SEPARATE PROCEDURE)",,,5769.43,17256.34,30
CPT,44186,"HC LAP, JEJUNOSTOMY",9497.46,5698.48,1614.57,17256.34,53
CPT,44186,"LAPAROSCOPY, SURGICAL; JEJUNOSTOMY (EG, FOR DECOMPRESSION OR FEEDING)",,,5769.43,17256.34,30
CPT,44187,"LAPAROSCOPY, SURGICAL; ILEOSTOMY OR JEJUNOSTOMY, NON-TUBE",,,1941.69,8280.0,10
CPT,44188,"LAPAROSCOPY, SURGICAL, COLOSTOMY OR SKIN LEVEL CECOSTOMY",,,2159.74,8280.0,10
CPT,44202,"LAPAROSCOPY, SURGICAL; ENTERECTOMY, RESECTION OF SMALL INTESTINE, SINGLE RESECTION AND ANASTOMOSIS",,,2444.16,8568.0,10
CPT,44203,"LAPAROSCOPY, SURGICAL; EACH ADDITIONAL SMALL INTESTINE RESECTION AND ANASTOMOSIS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,423.9,8568.0,10
CPT,44204,"LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS",,,2717.01,8568.0,20
CPT,44205,"LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH REMOVAL OF TERMINAL ILEUM WITH ILEOCOLOSTOMY",,,2360.73,8280.0,10
CPT,44207,"LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS, WITH COLOPROCTOSTOMY (LOW PELVIC ANASTOMOSIS)",,,2546.0,8280.0,10
CPT,44208,"LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS, WITH COLOPROCTOSTOMY (LOW PELVIC ANASTOMOSIS) WITH COLOSTOMY",,,2546.0,8280.0,10
CPT,44213,"LAPAROSCOPY, SURGICAL, MOBILIZATION (TAKE-DOWN) OF SPLENIC FLEXURE PERFORMED IN CONJUNCTION WITH PARTIAL COLECTOMY (LIST SEPARATELY IN ADDITION TO PRIMARY PROCEDURE)",,,331.93,8280.0,10
CPT,44227,"LAPAROSCOPY, SURGICAL, CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE, WITH RESECTION AND ANASTOMOSIS",,,2546.0,8280.0,10
CPT,44238,"UNLISTED LAPAROSCOPY PROCEDURE, INTESTINE (EXCEPT RECTUM)",,,5769.43,17256.34,30
CPT,44312,REVISION OF ILEOSTOMY; SIMPLE (RELEASE OF SUPERFICIAL SCAR) (SEPARATE PROCEDURE),,,1457.62,10628.93,34
CPT,44340,REVISION OF COLOSTOMY; SIMPLE (RELEASE OF SUPERFICIAL SCAR) (SEPARATE PROCEDURE),,,1457.62,10628.93,34
CPT,44345,REVISION OF COLOSTOMY; COMPLICATED (RECONSTRUCTION IN-DEPTH) (SEPARATE PROCEDURE),,,1853.98,8280.0,29
CPT,44346,REVISION OF COLOSTOMY; WITH REPAIR OF PARACOLOSTOMY HERNIA (SEPARATE PROCEDURE),,,2087.25,8280.0,29
CPT,44360,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDU",,,564.97,5559.92,34
CPT,44361,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH BIOPSY, SINGLE OR MULTIPLE",,,564.97,5559.92,34
CPT,44364,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,564.97,5559.92,34
CPT,44365,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY",,,564.97,5559.92,68
CPT,44366,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPOLAR CAUTERY, LASER, HEATER PROBE, STAPLER",,,564.97,5559.92,34
CPT,44369,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS, B",,,564.97,5559.92,34
CPT,44372,HC REVISION OF JEJUNOSTOMY,3624.0,2174.4,564.97,7411.0,55
CPT,44372,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH PLACEMENT OF PERCUTANEOUS JEJUNOSTOMY TUBE",,,564.97,5559.92,68
CPT,44373,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH CONVERSION OF PERCUTANEOUS GASTROSTOMY TUBE TO PERCUTANEOUS JEJUNOSTOMY TUBE",,,564.97,5559.92,68
CPT,44376,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE)",,,564.97,5559.92,34
CPT,44377,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; WITH BIOPSY, SINGLE OR MULTIPLE",,,564.97,5559.92,68
CPT,44378,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPOLAR CAUTERY, LASER, HEATER PROBE, STAPLER, PL",,,564.97,5559.92,34
CPT,44380,"ILEOSCOPY, THROUGH STOMA; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,334.95,4345.0,34
CPT,44381,"ILEOSCOPY, THROUGH STOMA; WITH TRANSENDOSCOPIC BALLOON DILATION",,,564.97,7886.0,33
CPT,44382,"ILEOSCOPY, THROUGH STOMA; WITH BIOPSY, SINGLE OR MULTIPLE",,,334.95,4345.0,34
CPT,44385,"ENDOSCOPIC EVALUATION OF SMALL INTESTINAL POUCH (EG, KOCK POUCH, ILEAL RESERVOIR [S OR J]); DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,328.5,4345.0,68
CPT,44386,"ENDOSCOPIC EVALUATION OF SMALL INTESTINAL POUCH (EG, KOCK POUCH, ILEAL RESERVOIR [S OR J]); WITH BIOPSY, SINGLE OR MULTIPLE",,,328.5,4345.0,68
CPT,44388,"COLONOSCOPY THROUGH STOMA; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,328.5,4345.0,68
CPT,44389,"COLONOSCOPY THROUGH STOMA; WITH BIOPSY, SINGLE OR MULTIPLE",,,429.26,4345.0,34
CPT,44391,"COLONOSCOPY THROUGH STOMA; WITH CONTROL OF BLEEDING, ANY METHOD",,,429.26,4345.0,34
CPT,44392,"COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS",,,429.26,4345.0,34
CPT,44394,"COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,429.26,4345.0,34
CPT,44405,COLONOSCOPY THROUGH STOMA; WITH TRANSENDOSCOPIC BALLOON DILATION,,,429.26,7886.0,33
CPT,44500,"HC ER INTRO, GASTR TUBE",1726.66,1036.0,334.95,7411.0,55
CPT,44500,HC INS NASO-INTESTINAL TUBE,1726.66,1036.0,334.95,7411.0,106
CPT,44500,"INTRODUCTION OF LONG GASTROINTESTINAL TUBE (EG, MILLER-ABBOTT) (SEPARATE PROCEDURE)",,,334.95,4345.0,33
CPT,44604,"SUTURE OF LARGE INTESTINE (COLORRHAPHY) FOR PERFORATED ULCER, DIVERTICULUM, WOUND, INJURY OR RUPTURE (SINGLE OR MULTIPLE PERFORATIONS); WITHOUT COLOSTOMY",,,1870.42,8280.0,10
CPT,44615,"INTESTINAL STRICTUROPLASTY (ENTEROTOMY AND ENTERORRHAPHY) WITH OR WITHOUT DILATION, FOR INTESTINAL OBSTRUCTION",,,1896.62,8280.0,10
CPT,44620,"CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE;",,,1531.17,8280.0,10
CPT,44625,"CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE; WITH RESECTION AND ANASTOMOSIS OTHER THAN COLORECTAL",,,1792.46,8280.0,10
CPT,44650,HC FISTULA CLOSURE,2427.92,1456.75,412.75,8280.0,37
CPT,44680,INTESTINAL PLICATION (SEPARATE PROCEDURE),,,1892.34,8280.0,10
CPT,44799,HC ENTEROCUTANEOUS FISTULA PLUG PLACEMENT,1684.13,1010.48,421.03,8280.0,51
CPT,44799,HC MACE DILATION,1148.42,689.05,287.11,8280.0,51
CPT,44799,HC PUSH ENTEROSCOPY W/ SUBMUCOSAL INJECTION AND ENTEROCUTANEOUS FISTULA CLOSURE,5049.91,3029.95,865.56,8280.0,51
CPT,44799,HC RETROGRADE SINGLE BALLOON ENTEROSCOPY WITH SUBMUCOSAL INJECTION,239.37,143.62,59.84,8280.0,51
CPT,44799,HC SINGLE BALLOON ENTEROSCOPY WITH SUBMUCOSAL INJECTION INCLUDING ILEUM,3326.4,1995.84,831.6,8280.0,51
CPT,44799,HC SINGLE BALLOON ENTEROSCOPY WITH SUBMUCOSAL INJECTION NOT INCLUDING ILEUM,2719.03,1631.42,679.76,8280.0,51
CPT,44799,HC UNLISTED PROC INTEST,3055.95,1833.57,763.99,7411.0,53
CPT,44799,"UNLISTED PROCEDURE, SMALL INTESTINE",,,865.56,8280.0,30
CPT,44820,EXCISION OF LESION OF MESENTERY (SEPARATE PROCEDURE),,,1478.19,8280.0,10
CPT,44950,APPENDECTOMY;,,,5254.78,18741.87,30
CPT,44970,"LAPAROSCOPY, SURGICAL, APPENDECTOMY",,,5769.43,17256.34,30
CPT,44979,"HC LAPAROSCOPY, SURGICAL; APPENDECTOMY WHEN DONE FOR INDICATED PURPOSE AT TIME OF OTHER MAJOR PROCEDURE",4816.81,2890.09,1204.2,14293.73,53
CPT,44979,"UNLISTED LAPAROSCOPY PROCEDURE, APPENDIX",,,5769.43,17256.34,30
CPT,45000,HC DRAIN PELVIC ABSCESS,2690.75,1614.45,429.26,7411.0,53
CPT,45005,"HC INCISE AND DRAIN ABCESS,RECTUM",3833.16,2299.9,429.26,7411.0,55
CPT,45005,"INCISION AND DRAINAGE OF SUBMUCOSAL ABSCESS, RECTUM",,,429.26,4779.0,34
CPT,45020,"INCISION AND DRAINAGE OF DEEP SUPRALEVATOR, PELVIRECTAL, OR RETRORECTAL ABSCESS",,,939.93,8368.72,34
CPT,45100,"BIOPSY OF ANORECTAL WALL, ANAL APPROACH (EG, CONGENITAL MEGACOLON)",,,939.93,8368.72,34
CPT,45100,HC BIOPSY OF RECTUM,3144.02,1886.41,939.93,8368.72,53
CPT,45116,"PROCTECTOMY, PARTIAL, WITH ANASTOMOSIS; TRANSSACRAL APPROACH ONLY (KRASKE TYPE)",,,2546.0,8280.0,10
CPT,45130,"EXCISION OF RECTAL PROCIDENTIA, WITH ANASTOMOSIS; PERINEAL APPROACH",,,1916.11,8280.0,10
CPT,45150,HC DIVISION OF STRICTURE OF RECTUM,1928.54,1157.12,429.26,7411.0,55
CPT,45160,"EXCISION OF RECTAL TUMOR BY PROCTOTOMY, TRANSSACRAL OR TRANSCOCCYGEAL APPROACH",,,939.93,8368.72,34
CPT,45171,"EXCISION OF RECTAL TUMOR, TRANSANAL APPROACH; NOT INCLUDING MUSCULARIS PROPRIA (IE, PARTIAL THICKNESS)",,,939.93,8674.0,66
CPT,45172,"EXCISION OF RECTAL TUMOR, TRANSANAL APPROACH; INCLUDING MUSCULARIS PROPRIA (IE, FULL THICKNESS)",,,939.93,12700.0,33
CPT,45190,"DESTRUCTION OF RECTAL TUMOR (EG, ELECTRODESICCATION, ELECTROSURGERY, LASER ABLATION, LASER RESECTION, CRYOSURGERY) TRANSANAL APPROACH",,,939.93,12700.0,34
CPT,45300,HC PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX,2750.5,1650.3,82.5,7411.0,55
CPT,45300,HC RECTUM REPAIR VIA PROCTOSCOPY OR ANOSCOPY,2750.5,1650.3,82.5,7411.0,53
CPT,45300,"PROCTOSIGMOIDOSCOPY, RIGID; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE)",,,82.5,4345.0,33
CPT,45305,"PROCTOSIGMOIDOSCOPY, RIGID; WITH BIOPSY, SINGLE OR MULTIPLE",,,429.26,4345.0,68
CPT,45317,"PROCTOSIGMOIDOSCOPY, RIGID; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPOLAR CAUTERY, LASER, HEATER PROBE, STAPLER, PLASMA COAGULATOR)",,,429.26,4345.0,34
CPT,45330,"SIGMOIDOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,130.67,4345.0,66
CPT,45331,"SIGMOIDOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE",,,328.5,4345.0,66
CPT,45332,"SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF FOREIGN BODY(S)",,,429.26,4345.0,66
CPT,45333,"SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS",,,328.5,4345.0,34
CPT,45334,"SIGMOIDOSCOPY, FLEXIBLE; WITH CONTROL OF BLEEDING, ANY METHOD",,,429.26,4345.0,68
CPT,45335,"SIGMOIDOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE",,,328.5,4345.0,33
CPT,45338,"SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,429.26,4345.0,34
CPT,45340,"SIGMOIDOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC BALLOON DILATION",,,429.26,4345.0,68
CPT,45341,"SIGMOIDOSCOPY, FLEXIBLE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION",,,328.5,4345.0,68
CPT,45342,"SIGMOIDOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC ULTRASOUND GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S)",,,429.26,4345.0,34
CPT,45346,"SIGMOIDOSCOPY, FLEXIBLE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,429.26,7886.0,66
CPT,45347,"SIGMOIDOSCOPY, FLEXIBLE; WITH PLACEMENT OF ENDOSCOPIC STENT (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,2769.5,17067.56,33
CPT,45349,"SIGMOIDOSCOPY, FLEXIBLE; WITH ENDOSCOPIC MUCOSAL RESECTION",,,939.93,8368.72,33
CPT,45350,"SIGMOIDOSCOPY, FLEXIBLE; WITH BAND LIGATION(S) (EG, HEMORRHOIDS)",,,429.26,7886.0,33
CPT,45378,"COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,328.5,4779.0,68
CPT,45379,"COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF FOREIGN BODY(S)",,,429.26,4779.0,34
CPT,45380,"COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE",,,429.26,4779.0,68
CPT,45381,"COLONOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE",,,429.26,4779.0,68
CPT,45382,"COLONOSCOPY, FLEXIBLE; WITH CONTROL OF BLEEDING, ANY METHOD",,,429.26,4779.0,34
CPT,45384,"COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS",,,429.26,4779.0,34
CPT,45385,"COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,429.26,4779.0,68
CPT,45386,"COLONOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC BALLOON DILATION",,,429.26,4779.0,34
CPT,45388,"COLONOSCOPY, FLEXIBLE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,429.26,7886.0,66
CPT,45389,"COLONOSCOPY, FLEXIBLE; WITH ENDOSCOPIC STENT PLACEMENT (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,2801.85,17067.56,33
CPT,45390,"COLONOSCOPY, FLEXIBLE; WITH ENDOSCOPIC MUCOSAL RESECTION",,,939.93,8368.72,33
CPT,45391,"COLONOSCOPY, FLEXIBLE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED TO THE RECTUM, SIGMOID, DESCENDING, TRANSVERSE, OR ASCENDING COLON AND CECUM, AND ADJACENT STRUCTURES",,,429.26,4779.0,34
CPT,45398,"COLONOSCOPY, FLEXIBLE; WITH BAND LIGATION(S) (EG, HEMORRHOIDS)",,,429.26,7886.0,33
CPT,45399,HC EXCISION OF SUPERFICIAL OSTOMY/STOMA LESIONS,2358.82,1415.29,589.71,7411.0,53
CPT,45399,HC SURGICAL COLONOSCOPY,2615.17,1569.1,653.79,8674.0,51
CPT,45399,"UNLISTED PROCEDURE, COLON",,,887.49,8674.0,30
CPT,45400,"LAPAROSCOPY, SURGICAL; PROCTOPEXY (FOR PROLAPSE)",,,2007.47,8280.0,10
CPT,45402,"LAPAROSCOPY, SURGICAL; PROCTOPEXY (FOR PROLAPSE), WITH SIGMOID RESECTION",,,2546.0,8280.0,10
CPT,45499,"UNLISTED LAPAROSCOPY PROCEDURE, RECTUM",,,5769.43,17256.34,30
CPT,45500,PROCTOPLASTY; FOR STENOSIS,,,939.93,8368.72,34
CPT,45505,PROCTOPLASTY; FOR PROLAPSE OF MUCOUS MEMBRANE,,,939.93,8368.72,34
CPT,45541,"PROCTOPEXY (EG, FOR PROLAPSE); PERINEAL APPROACH",,,939.93,8368.72,33
CPT,45560,REPAIR OF RECTOCELE (SEPARATE PROCEDURE),,,939.93,8368.72,34
CPT,45900,HC REDUCE PROCIDENTIA W/ANES,2344.37,1406.62,328.5,7411.0,55
CPT,45900,HC REDUCE RECTAL PROLAP,1782.78,1069.67,328.5,7411.0,53
CPT,45900,REDUCTION OF PROCIDENTIA (SEPARATE PROCEDURE) UNDER ANESTHESIA,,,328.5,4345.0,33
CPT,45905,DILATION OF ANAL SPHINCTER (SEPARATE PROCEDURE) UNDER ANESTHESIA OTHER THAN LOCAL,,,429.26,4345.0,34
CPT,45910,DILATION OF RECTAL STRICTURE (SEPARATE PROCEDURE) UNDER ANESTHESIA OTHER THAN LOCAL,,,429.26,4345.0,34
CPT,45915,HC FECAL DISIMPACTION,4308.26,2584.96,429.26,7411.0,96
CPT,45915,REMOVAL OF FECAL IMPACTION OR FOREIGN BODY (SEPARATE PROCEDURE) UNDER ANESTHESIA,,,429.26,4345.0,33
CPT,45990,"ANORECTAL EXAM, SURGICAL, REQUIRING ANESTHESIA (GENERAL, SPINAL, OR EPIDURAL), DIAGNOSTIC",,,939.93,8368.72,33
CPT,45999,"HC FORENSIC EXAM, MALE W/ DIGITAL PHOTO",2671.77,1603.06,667.94,7411.0,53
CPT,45999,HC RECTAL SURGERY,1618.4,971.04,404.6,7411.0,53
CPT,45999,"UNLISTED PROCEDURE, RECTUM",,,887.49,8280.0,30
CPT,46020,PLACEMENT OF SETON,,,939.93,8368.72,34
CPT,46030,"REMOVAL OF ANAL SETON, OTHER MARKER",,,429.26,4345.0,33
CPT,46040,HC INCISE RECTAL ABSCES,5446.16,3267.7,429.26,7411.0,53
CPT,46040,HC INCISION OF RECTAL ABSCESS,5446.16,3267.7,429.26,7411.0,55
CPT,46040,INCISION AND DRAINAGE OF ISCHIORECTAL AND/OR PERIRECTAL ABSCESS (SEPARATE PROCEDURE),,,429.26,7168.0,34
CPT,46045,"INCISION AND DRAINAGE OF INTRAMURAL, INTRAMUSCULAR, OR SUBMUCOSAL ABSCESS, TRANSANAL, UNDER ANESTHESIA",,,939.93,8368.72,34
CPT,46050,HC I&D PERIANAL ABSCESS,2616.36,1569.82,328.5,7411.0,55
CPT,46050,HC INCISE ANAL ABSSCESS,2616.36,1569.82,328.5,7411.0,53
CPT,46050,HC INCISION OF ANAL ABSCESS,2616.36,1569.82,328.5,7411.0,55
CPT,46050,"INCISION AND DRAINAGE, PERIANAL ABSCESS, SUPERFICIAL",,,328.5,4345.0,33
CPT,46060,HC INCISE RECTAL ABSCES,8598.6,5159.16,939.93,7411.0,55
CPT,46060,"INCISION AND DRAINAGE OF ISCHIORECTAL OR INTRAMURAL ABSCESS, WITH FISTULECTOMY OR FISTULOTOMY, SUBMUSCULAR, WITH OR WITHOUT PLACEMENT OF SETON",,,939.93,8368.72,34
CPT,46080,"SPHINCTEROTOMY, ANAL, DIVISION OF SPHINCTER (SEPARATE PROCEDURE)",,,939.93,8368.72,34
CPT,46083,HC INCISE EXT HEMORRHOID,1033.37,620.02,110.15,7411.0,55
CPT,46083,HC INCISE EXTERNAL HEMORRHOID,1033.37,620.02,110.15,7411.0,55
CPT,46083,"INCISION OF THROMBOSED HEMORRHOID, EXTERNAL",,,110.15,4345.0,33
CPT,46200,"FISSURECTOMY, INCLUDING SPHINCTEROTOMY, WHEN PERFORMED",,,939.93,8368.72,34
CPT,46220,"EXCISION OF SINGLE EXTERNAL PAPILLA OR TAG, ANUS",,,429.26,4345.0,34
CPT,46221,HC LIGATION HEMORRHOIDS,424.33,254.6,152.76,7411.0,53
CPT,46221,"HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S)",,,163.62,4345.0,33
CPT,46230,"EXCISION OF MULTIPLE EXTERNAL PAPILLAE OR TAGS, ANUS",,,939.93,8368.72,34
CPT,46250,"HEMORRHOIDECTOMY, EXTERNAL, 2 OR MORE COLUMNS/GROUPS",,,939.93,8368.72,34
CPT,46255,HC HEMORRHOIDECTOMY,8725.08,5235.05,939.93,7411.0,55
CPT,46255,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SINGLE COLUMN/GROUP;",,,939.93,8368.72,34
CPT,46257,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SINGLE COLUMN/GROUP; WITH FISSURECTOMY",,,939.93,8368.72,34
CPT,46258,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SINGLE COLUMN/GROUP; WITH FISTULECTOMY, INCLUDING FISSURECTOMY, WHEN PERFORMED",,,939.93,8368.72,34
CPT,46260,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS;",,,939.93,8368.72,34
CPT,46261,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS; WITH FISSURECTOMY",,,939.93,8368.72,34
CPT,46262,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS; WITH FISTULECTOMY, INCLUDING FISSURECTOMY, WHEN PERFORMED",,,939.93,8368.72,34
CPT,46270,SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); SUBCUTANEOUS,,,939.93,8368.72,34
CPT,46275,SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); INTERSPHINCTERIC,,,939.93,8368.72,34
CPT,46280,"SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); TRANSSPHINCTERIC, SUPRASPHINCTERIC, EXTRASPHINCTERIC OR MULTIPLE, INCLUDING PLACEMENT OF SETON, WHEN PERFORMED",,,939.93,8368.72,34
CPT,46285,SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); SECOND STAGE,,,939.93,8368.72,34
CPT,46288,CLOSURE OF ANAL FISTULA WITH RECTAL ADVANCEMENT FLAP,,,939.93,8368.72,34
CPT,46288,HC REPAIR ANAL FISTULA,4855.84,2913.5,939.93,7411.0,55
CPT,46320,"EXCISION OF THROMBOSED HEMORRHOID, EXTERNAL",,,125.69,4345.0,33
CPT,46320,HC REMOVAL OF HEMORRHOID CLOT,4976.65,2985.99,125.69,7411.0,55
CPT,46320,HC REMOVE CLOT HEMORRHO,4976.65,2985.99,125.69,7411.0,53
CPT,46500,HC INJECTION SCLEROSING SOLUTION HEMORRHOIDS,4877.0,2926.2,210.13,7411.0,55
CPT,46505,CHEMODENERVATION OF INTERNAL ANAL SPHINCTER,,,429.26,4345.0,33
CPT,46600,"ANOSCOPY; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,111.0,2107.0,60
CPT,46600,HC ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD,598.07,358.84,101.67,7411.0,55
CPT,46606,"ANOSCOPY; WITH BIOPSY, SINGLE OR MULTIPLE",,,201.27,8280.0,66
CPT,46607,"ANOSCOPY; WITH HIGH-RESOLUTION MAGNIFICATION (HRA) (EG, COLPOSCOPE, OPERATING MICROSCOPE) AND CHEMICAL AGENT ENHANCEMENT, WITH BIOPSY, SINGLE OR MULTIPLE",,,1141.99,7886.0,30
CPT,46608,HC ANOSCOPY W/ FOREIGN BODY REMOVAL,3370.23,2022.14,328.5,7411.0,55
CPT,46610,"ANOSCOPY; WITH REMOVAL OF SINGLE TUMOR, POLYP, OR OTHER LESION BY HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY",,,939.93,8368.72,34
CPT,46615,"ANOSCOPY; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS, BIPOLAR CAUTERY OR SNARE TECHNIQUE",,,939.93,8368.72,34
CPT,46700,"ANOPLASTY, PLASTIC OPERATION FOR STRICTURE; ADULT",,,939.93,8368.72,34
CPT,46706,HC REPR OF ANAL FISTULA,4855.94,2913.56,939.93,8368.72,53
CPT,46750,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE OR PROLAPSE; ADULT",,,939.93,8368.72,34
CPT,46753,GRAFT (THIERSCH OPERATION) FOR RECTAL INCONTINENCE AND/OR PROLAPSE,,,939.93,8368.72,34
CPT,46760,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; MUSCLE TRANSPLANT",,,939.93,8368.72,34
CPT,46761,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; LEVATOR MUSCLE IMBRICATION (PARK POSTERIOR ANAL REPAIR)",,,939.93,8368.72,34
CPT,46910,"DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; ELECTRODESICCATION",,,160.02,8280.0,33
CPT,46917,"DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; LASER SURGERY",,,939.93,8368.72,34
CPT,46922,"DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; SURGICAL EXCISION",,,939.93,8368.72,68
CPT,46924,"DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), EXTENSIVE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY)",,,939.93,8368.72,34
CPT,46930,"DESTRUCTION OF INTERNAL HEMORRHOID(S) BY THERMAL ENERGY (EG, INFRARED COAGULATION, CAUTERY, RADIOFREQUENCY)",,,130.95,8674.0,33
CPT,46940,"CURETTAGE OR CAUTERY OF ANAL FISSURE, INCLUDING DILATION OF ANAL SPHINCTER (SEPARATE PROCEDURE); INITIAL",,,147.28,8280.0,33
CPT,46945,"HEMORRHOIDECTOMY, INTERNAL, BY LIGATION OTHER THAN RUBBER BAND; SINGLE HEMORRHOID COLUMN/GROUP, WITHOUT IMAGING GUIDANCE",,,939.93,8280.0,33
CPT,46946,"HEMORRHOIDECTOMY, INTERNAL, BY LIGATION OTHER THAN RUBBER BAND; 2 OR MORE HEMORRHOID COLUMNS/GROUPS, WITHOUT IMAGING GUIDANCE",,,939.93,8368.72,34
CPT,46947,"HEMORRHOIDOPEXY (EG, FOR PROLAPSING INTERNAL HEMORRHOIDS) BY STAPLING",,,2648.89,10495.0,31
CPT,46948,"HEMORRHOIDECTOMY, INTERNAL, BY TRANSANAL HEMORRHOIDAL DEARTERIALIZATION, 2 OR MORE HEMORRHOID COLUMNS/GROUPS, INCLUDING ULTRASOUND GUIDANCE, WITH MUCOPEXY, WHEN PERFORMED",,,939.93,10495.0,33
CPT,46999,"HC BIOPSY OF ANUS, EXTERNAL",1572.01,943.21,393.0,8280.0,51
CPT,46999,"UNLISTED PROCEDURE, ANUS",,,887.49,8280.0,30
CPT,47000,"BIOPSY OF LIVER, NEEDLE; PERCUTANEOUS",,,486.45,4900.18,68
CPT,47000,HC NEEDLE BIOPSY LIVER,3698.8,2219.28,486.45,7411.0,108
CPT,47001,"BIOPSY OF LIVER, NEEDLE; WHEN DONE FOR INDICATED PURPOSE AT TIME OF OTHER MAJOR PROCEDURE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,47001,"HC NEEDLE BIOPSY, LIVER",3924.54,2354.72,667.17,7411.0,39
CPT,47100,"BIOPSY OF LIVER, WEDGE",,,1492.2,8280.0,10
CPT,47120,"HEPATECTOMY, RESECTION OF LIVER; PARTIAL LOBECTOMY",,,2546.0,8721.83,10
CPT,47300,MARSUPIALIZATION OF CYST OR ABSCESS OF LIVER,,,1997.72,8280.0,10
CPT,47370,"LAPAROSCOPY, SURGICAL, ABLATION OF 1 OR MORE LIVER TUMOR(S); RADIOFREQUENCY",,,7038.0,30034.8,30
CPT,47371,"LAPAROSCOPY, SURGICAL, ABLATION OF 1 OR MORE LIVER TUMOR(S); CRYOSURGICAL",,,7038.0,30034.8,30
CPT,47379,"HC LPSCPY SGCL; BPSY OF LIVR, NDL, WN DNE FR INDCTD PRPSES, TIM OTHR MJR PRCDR",5826.24,3495.74,1456.56,14293.73,53
CPT,47379,"UNLISTED LAPAROSCOPIC PROCEDURE, LIVER",,,5769.43,17256.34,30
CPT,47382,"ABLATION, 1 OR MORE LIVER TUMOR(S), PERCUTANEOUS, RADIOFREQUENCY",,,1888.85,17256.34,33
CPT,47382,HC IR PERCUT ABLATE LIVER,13615.33,8169.2,1888.85,14293.73,55
CPT,47382,HC PERCUT ABLATE LIVER,13615.33,8169.2,1888.85,17256.34,53
CPT,47383,"ABLATION, 1 OR MORE LIVER TUMOR(S), PERCUTANEOUS, CRYOABLATION",,,2813.82,25500.18,33
CPT,47383,"HC ABLATION, 1+ LIVER TUMOR, PERQ, CRYOABLATION",14303.0,8581.8,2813.82,25500.18,55
CPT,47399,"HC ABLATION, 1 OR MORE LIVER LSTION, PRCTNEOUS, ETHNL INJCTN, W/WO IMG GDNC",5005.19,3003.11,675.79,8280.0,51
CPT,47399,HC ALCOHOL ABLATION OF THE LIVER,2252.9,1351.74,563.23,7411.0,53
CPT,47399,HC LIVER SURGERY PROCED,4616.81,2770.09,675.79,8280.0,51
CPT,47399,"UNLISTED PROCEDURE, LIVER",,,675.79,8280.0,30
CPT,47420,"CHOLEDOCHOTOMY OR CHOLEDOCHOSTOMY WITH EXPLORATION, DRAINAGE, OR REMOVAL OF CALCULUS, WITH OR WITHOUT CHOLECYSTOTOMY; WITHOUT TRANSDUODENAL SPHINCTEROTOMY OR SPHINCTEROPLASTY",,,2369.24,8280.0,10
CPT,47490,"CHOLECYSTOSTOMY, PERCUTANEOUS, COMPLETE PROCEDURE, INCLUDING IMAGING GUIDANCE, CATHETER PLACEMENT, CHOLECYSTOGRAM WHEN PERFORMED, AND RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,3416.88,11100.34,30
CPT,47490,HC CHOLECYSTOSTOMY PRQ W IMG & PLMT,5938.2,3562.92,1009.49,8570.48,55
CPT,47531,"HC INJ FOR CHOLANGIOGRAM, INCLUDES IMAG GUIDANCE AND S&I, EXISTING ACCESS",4029.38,2417.63,684.99,11100.34,53
CPT,47531,"HC IR INJ FOR CHOLANGIOGRAM, INCL IMAG GUIDANCE AND S&I, EXISTING ACCESS",4029.38,2417.63,684.99,8570.48,110
CPT,47531,"INJECTION PROCEDURE FOR CHOLANGIOGRAPHY, PERCUTANEOUS, COMPLETE DIAGNOSTIC PROCEDURE INCLUDING IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND INTE",,,3416.88,11100.34,30
CPT,47532,"HC INJ FOR CHOLANGIOGRAM, INCLUDES IMAG GUIDANCE AND S&I, NEW ACCESS",6787.97,4072.78,1153.95,12700.0,53
CPT,47532,"HC IR INJ FOR CHOLANGIOGRAM, INCL IMAG GUIDANCE AND S&I, NEW ACCESS",6787.97,4072.78,1153.95,8570.48,55
CPT,47532,"INJECTION PROCEDURE FOR CHOLANGIOGRAPHY, PERCUTANEOUS, COMPLETE DIAGNOSTIC PROCEDURE INCLUDING IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND INTE",,,3416.88,12700.0,30
CPT,47533,"HC IR PLACEMENT OF BILIARY DRAINAGE CATH, EXTERNAL",7037.46,4222.48,1151.54,8570.48,55
CPT,47533,"HC PLACEMENT OF BILIARY DRAINAGE CATH, EXTERNAL",7037.46,4222.48,1151.54,12700.0,53
CPT,47533,"PLACEMENT OF BILIARY DRAINAGE CATHETER, PERCUTANEOUS, INCLUDING DIAGNOSTIC CHOLANGIOGRAPHY WHEN PERFORMED, IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY), AND ALL ASSOCIATED RADIOLOGICAL SUPERVI",,,1151.54,12700.0,33
CPT,47534,"HC IR PLACEMENT OF BILIARY DRAINAGE CATH, INTERNAL-EXTERNAL",8316.15,4989.69,1151.54,8570.48,55
CPT,47534,"HC PLACEMENT OF BILIARY DRAINAGE CATH, INTERNAL-EXTERNAL",8316.15,4989.69,1151.54,12700.0,53
CPT,47534,"PLACEMENT OF BILIARY DRAINAGE CATHETER, PERCUTANEOUS, INCLUDING DIAGNOSTIC CHOLANGIOGRAPHY WHEN PERFORMED, IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY), AND ALL ASSOCIATED RADIOLOGICAL SUPERVI",,,1151.54,12700.0,33
CPT,47535,"CONVERSION OF EXTERNAL BILIARY DRAINAGE CATHETER TO INTERNAL-EXTERNAL BILIARY DRAINAGE CATHETER, PERCUTANEOUS, INCLUDING DIAGNOSTIC CHOLANGIOGRAPHY WHEN PERFORMED, IMAGING GUIDANCE (EG, FLUOROSCOPY), ",,,1151.54,12700.0,33
CPT,47535,HC CONVERSION OF EXTERNAL BILIARY DRAINAGE CATH,8161.45,4896.87,1151.54,12700.0,53
CPT,47535,HC IR CONVERSION OF EXTERNAL BILIARY DRAINAGE CATH,8161.45,4896.87,1151.54,8570.48,55
CPT,47536,"EXCHANGE OF BILIARY DRAINAGE CATHETER (EG, EXTERNAL, INTERNAL-EXTERNAL, OR CONVERSION OF INTERNAL-EXTERNAL TO EXTERNAL ONLY), PERCUTANEOUS, INCLUDING DIAGNOSTIC CHOLANGIOGRAPHY WHEN PERFORMED, IMAGING",,,1151.54,12700.0,33
CPT,47536,HC EXCHANGE OF BILIARY DRAINAGE CATH,7130.94,4278.56,1151.54,12700.0,53
CPT,47536,HC IR EXCHANGE OF BILIARY DRAINAGE CATH,7130.94,4278.56,1151.54,8570.48,55
CPT,47537,HC REMOVAL BILIARY DRG CATH,2301.36,1380.82,334.95,7411.0,55
CPT,47537,"REMOVAL OF BILIARY DRAINAGE CATHETER, PERCUTANEOUS, REQUIRING FLUOROSCOPIC GUIDANCE (EG, WITH CONCURRENT INDWELLING BILIARY STENTS), INCLUDING DIAGNOSTIC CHOLANGIOGRAPHY WHEN PERFORMED, IMAGING GUIDAN",,,334.95,4345.0,33
CPT,47538,"HC IR PLCMT STENT BILE DUCT, PERC, EA STENT, EXISTING ACCESS",13608.0,8164.8,2858.51,14293.73,55
CPT,47538,"HC PLCMT STENT BILE DUCT, PERC, EA STENT, EXISTING ACCESS",13608.0,8164.8,2858.51,17256.34,53
CPT,47538,"PLACEMENT OF STENT(S) INTO A BILE DUCT, PERCUTANEOUS, INCLUDING DIAGNOSTIC CHOLANGIOGRAPHY, IMAGING GUIDANCE (EG, FLUOROSCOPY AND/OR ULTRASOUND), BALLOON DILATION, CATHETER EXCHANGE(S) AND CATHETER RE",,,2858.51,17256.34,33
CPT,47539,"HC IR PLCMT STENT BILE DUCT, PERC, EA STENT, NEW ACCESS, W/O BILIARY CATH",10141.96,6085.18,2559.08,14293.73,55
CPT,47539,"HC PLCMT STENT BILE DUCT, PERC, EA STENT, NEW ACCESS, W/O BILIARY CATH",10141.96,6085.18,2559.08,17256.34,53
CPT,47540,"HC IR PLCMT STENT BILE DUCT, PERC, EA STENT, NEW ACCESS, W/ BILIARY CATH",11804.99,7082.99,2787.88,14293.73,55
CPT,47540,"HC PLCMT STENT BILE DUCT, PERC, EA STENT, NEW ACCESS, W/ BILIARY CATH",11804.99,7082.99,2787.88,17256.34,53
CPT,47541,HC PLMT ACCESS BIL TREE SM BWL - NEW ACCESS,5343.16,3205.9,1151.54,18741.87,55
CPT,47542,"BALLOON DILATION OF BILIARY DUCT(S) OR OF AMPULLA (SPHINCTEROPLASTY), PERCUTANEOUS, INCLUDING IMAGING GUIDANCE (EG, FLUOROSCOPY), AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND INTERPRETATION, EACH D",,,1896.0,2107.0,3
CPT,47542,HC BALLOON DILATE BILIARY DUCT/AMPULLA - EACH DUCT,3111.21,1866.73,528.91,7411.0,39
CPT,47543,"ENDOLUMINAL BIOPSY(IES) OF BILIARY TREE, PERCUTANEOUS, ANY METHOD(S) (EG, BRUSH, FORCEPS, AND/OR NEEDLE), INCLUDING IMAGING GUIDANCE (EG, FLUOROSCOPY), AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND ",,,1896.0,2107.0,3
CPT,47543,"HC ENDOLUMINAL BX BILIARY TREE, ANY METHOD, SINGLE OR MULTIPLE",4380.08,2628.05,744.61,7411.0,39
CPT,47544,HC REMOVAL OF CALCULI/DEBRIS FROM BILI DUCTS/GALLBLADDER,3316.09,1989.65,563.74,7411.0,32
CPT,47544,"REMOVAL OF CALCULI/DEBRIS FROM BILIARY DUCT(S) AND/OR GALLBLADDER, PERCUTANEOUS, INCLUDING DESTRUCTION OF CALCULI BY ANY METHOD (EG, MECHANICAL, ELECTROHYDRAULIC, LITHOTRIPSY) WHEN PERFORMED, IMAGING ",,,1896.0,2107.0,3
CPT,47553,"HC BILIARY ENDOSCOPY PERCUT,BIOPSY",5253.6,3152.16,1151.54,18741.87,53
CPT,47554,"HC BILIARY ENDOSCOPY,PERCUT,W/REM, STONE(S)",12471.55,7482.93,1888.85,25500.18,53
CPT,47555,HC BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT,4460.4,2676.24,1559.13,13982.14,53
CPT,47562,"LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY",,,1888.85,17256.34,33
CPT,47563,"LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY",,,1888.85,17256.34,33
CPT,47564,HC LAP.CHOLECYSTECTOMY,11063.32,6637.99,1888.85,25500.18,53
CPT,47564,"LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH EXPLORATION OF COMMON DUCT",,,1888.85,25500.18,33
CPT,47579,"HC LAPAROSCOPY, SURGICAL; CHOLCYSTSTMY INCLDNG CHOLANGIOGRAPHY, WHEN PRFRMD",15821.34,9492.8,3955.34,17256.34,51
CPT,47579,"UNLISTED LAPAROSCOPY PROCEDURE, BILIARY TRACT",,,5769.43,17256.34,30
CPT,47600,CHOLECYSTECTOMY;,,,1886.26,8280.0,10
CPT,47999,"HC ABLATION, BILIARY STRICTURE, PERCUTANEOUS, RADIOFREQUENCY",12606.79,7564.07,865.56,9455.09,53
CPT,47999,HC BILE TRACT SURGERY (GI),4140.91,2484.55,865.56,8280.0,51
CPT,47999,HC BILIARY TRACT EMBOLIZATION,26154.62,15692.77,865.56,19615.97,51
CPT,47999,HC ERCP THE GSTRSTMY TRCT TO RMNNT STMCH WI BILIARY SPHINCTEROTOMY/CNNULTN,7537.29,4522.37,865.56,8280.0,51
CPT,47999,HC HEPATIC OR LIVER DENERVATION,11042.46,6625.48,865.56,8281.84,51
CPT,47999,HC RFA OF BILIARY STRICTURE,12606.79,7564.07,865.56,9455.09,51
CPT,47999,HC SGL BLOON ENTRSCPY ERCP W BLOON DILATION AND STONE REMOVAL (ALT ANATOMY),5273.11,3163.87,865.56,8280.0,51
CPT,47999,HC SINGLE BALLOON ENTEROSCOPY ERCP W SPHINCTEROTOMY ONLY (ALTERED ANATOMY),4113.99,2468.39,865.56,8280.0,51
CPT,47999,HC SINGLE BALLOON ENTEROSCOPY ERCP W STENT AND STONE REMOVAL (ALT ANATOMY),5624.91,3374.95,865.56,8280.0,51
CPT,47999,HC SINGLE BALLOON ENTEROSCOPY ERCP W STONE REMOVAL ONLY (ALTERED ANATOMY),4067.97,2440.78,865.56,8280.0,51
CPT,47999,HC SINGLE BALLOON ENTEROSCOPY ERCP WITH DILATION ONLY (ALTERED ANATOMY),4113.99,2468.39,865.56,8280.0,51
CPT,47999,HC SINGLE BALLOON ENTEROSCOPY ERCP WITH STENT EXCHANGE (ALTERED ANATOMY),9462.63,5677.58,865.56,8280.0,51
CPT,47999,HC SINGLE BALLOON ENTEROSCOPY ERCP WITH STENT PLACEMENT (ALTERED ANATOMY),4465.79,2679.47,865.56,8280.0,51
CPT,47999,HC SINGLE BALLOON ENTEROSCOPY ERCP WITH STENT REMOVAL (ALTERED ANATOMY),16800.79,10080.47,865.56,12600.59,51
CPT,47999,HC SNGL BLOON ENTEROSCOPY ERCP W SPHINCTERTMY AND STONE RMOVL (ALT ANATOMY),5250.1,3150.06,865.56,8280.0,51
CPT,48100318,HC IVUS ADD W/O CORS,4330.61,2598.37,736.2,7411.0,38
CPT,48102,"BIOPSY OF PANCREAS, PERCUTANEOUS NEEDLE",,,486.45,4900.18,34
CPT,48102,HC NEEDLE BIOPSY OF PANCREAS,3621.78,2173.07,486.45,7411.0,55
CPT,48102,"HC NEEDLE BIOPSY, PANCREAS",3621.78,2173.07,486.45,7411.0,53
CPT,48105,RESECTION OR DEBRIDEMENT OF PANCREAS AND PERIPANCREATIC TISSUE FOR ACUTE NECROTIZING PANCREATITIS,,,2546.0,10606.68,10
CPT,48140,"PANCREATECTOMY, DISTAL SUBTOTAL, WITH OR WITHOUT SPLENECTOMY; WITHOUT PANCREATICOJEJUNOSTOMY",,,2546.0,8280.0,10
CPT,48999,"HC ERCP GSTRSTMY TRCT TO RMNNT STMCH W PNCRTC SPHNCTRTMY/CNNLTN, PNCRTSCPY",10996.31,6597.79,675.79,8280.0,51
CPT,48999,HC ERCP NECROSECTOMY,3314.45,1988.67,675.79,8280.0,51
CPT,48999,HC PANCREAS UNLISTED SURGERY PROCEDURE,3548.91,2129.35,675.79,7411.0,53
CPT,49000,"EXPLORATORY LAPAROTOMY, EXPLORATORY CELIOTOMY WITH OR WITHOUT BIOPSY(S) (SEPARATE PROCEDURE)",,,1359.42,8280.0,10
CPT,49002,REOPENING OF RECENT LAPAROTOMY,,,1847.9,8280.0,10
CPT,49010,"EXPLORATION, RETROPERITONEAL AREA WITH OR WITHOUT BIOPSY(S) (SEPARATE PROCEDURE)",,,1638.37,13982.14,29
CPT,49020,HC CT ABSCESS DRAIN PERITONE,2667.94,1600.76,453.55,8280.0,37
CPT,49082,ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC); WITHOUT IMAGING GUIDANCE,,,334.95,4345.0,66
CPT,49082,HC ABD PARACENTESIS,2136.21,1281.73,334.95,7411.0,55
CPT,49082,HC ABD PARACENTESIS W/O IMAGING,2136.21,1281.73,334.95,7411.0,55
CPT,49083,ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC); WITH IMAGING GUIDANCE,,,334.95,4345.0,66
CPT,49083,HC ABD PARACENTESIS W/I,2711.82,1627.09,334.95,7411.0,55
CPT,49083,HC ABD PARACENTESIS W/IMAGIN,2711.82,1627.09,334.95,7411.0,55
CPT,49083,HC ABD PARACENTESIS WITH IMAGING,2711.82,1627.09,334.95,7411.0,55
CPT,49084,HC PERITONEAL LAVAGE,2664.88,1598.93,334.95,7411.0,55
CPT,49084,HC PERITONEOAL LAVAGE W/IMAGING,2664.88,1598.93,334.95,7411.0,55
CPT,49084,"PERITONEAL LAVAGE, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,334.95,4345.0,66
CPT,49180,"BIOPSY, ABDOMINAL OR RETROPERITONEAL MASS, PERCUTANEOUS NEEDLE",,,486.45,4900.18,68
CPT,49180,"HC BIOPSY, ABDM MASS",3202.69,1921.61,486.45,7411.0,53
CPT,49180,"HC IR BIOPSY, ABDM MASS",3202.69,1921.61,486.45,7411.0,55
CPT,49185,HC SCLEROTX FLUID COLLECTION,2816.66,1690.0,478.83,7411.0,55
CPT,49185,"SCLEROTHERAPY OF A FLUID COLLECTION (EG, LYMPHOCELE, CYST, OR SEROMA), PERCUTANEOUS, INCLUDING CONTRAST INJECTION(S), SCLEROSANT INJECTION(S), DIAGNOSTIC STUDY, IMAGING GUIDANCE (EG, ULTRASOUND, FLUOR",,,1030.92,10495.0,60
CPT,49186,"EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL (IE, PERITONEAL, MESENTERIC, RETROPERITONEAL), PRIMARY OR SECONDARY TUMOR(S) OR CYST(S), SUM OF THE MAXIMUM LENGTH OF TUMOR(S) OR CYST(S); 5 CM OR LESS",,,,,0
CPT,49187,"EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL (IE, PERITONEAL, MESENTERIC, RETROPERITONEAL), PRIMARY OR SECONDARY TUMOR(S) OR CYST(S), SUM OF THE MAXIMUM LENGTH OF TUMOR(S) OR CYST(S); 5.1 TO 10 CM",,,,,0
CPT,49188,"EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL (IE, PERITONEAL, MESENTERIC, RETROPERITONEAL), PRIMARY OR SECONDARY TUMOR(S) OR CYST(S), SUM OF THE MAXIMUM LENGTH OF TUMOR(S) OR CYST(S); 10.1 TO 20 CM",,,,,0
CPT,49203,"EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL TUMORS, CYSTS OR ENDOMETRIOMAS, 1 OR MORE PERITONEAL, MESENTERIC, OR RETROPERITONEAL PRIMARY OR SECONDARY TUMORS; LARGEST TUMOR 5 CM DIAMETER OR LESS",,,2113.45,8280.0,10
CPT,49204,"EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL TUMORS, CYSTS OR ENDOMETRIOMAS, 1 OR MORE PERITONEAL, MESENTERIC, OR RETROPERITONEAL PRIMARY OR SECONDARY TUMORS; LARGEST TUMOR 5.1-10.0 CM DIAMETER",,,2703.02,10140.0,10
CPT,49205,"EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL TUMORS, CYSTS OR ENDOMETRIOMAS, 1 OR MORE PERITONEAL, MESENTERIC, OR RETROPERITONEAL PRIMARY OR SECONDARY TUMORS; LARGEST TUMOR GREATER THAN 10.0 CM DIAM",,,3109.26,10140.0,10
CPT,49215,EXCISION OF PRESACRAL OR SACROCOCCYGEAL TUMOR,,,2546.0,8280.0,10
CPT,49250,"UMBILECTOMY, OMPHALECTOMY, EXCISION OF UMBILICUS (SEPARATE PROCEDURE)",,,1151.54,11100.34,34
CPT,49255,"OMENTECTOMY, EPIPLOECTOMY, RESECTION OF OMENTUM (SEPARATE PROCEDURE)",,,1396.58,13982.14,29
CPT,49320,"LAPAROSCOPY, ABDOMEN, PERITONEUM, AND OMENTUM, DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE)",,,1888.85,17256.34,34
CPT,49321,"LAPAROSCOPY, SURGICAL; WITH BIOPSY (SINGLE OR MULTIPLE)",,,1888.85,17256.34,34
CPT,49322,"LAPAROSCOPY, SURGICAL; WITH ASPIRATION OF CAVITY OR CYST (EG, OVARIAN CYST) (SINGLE OR MULTIPLE)",,,1888.85,17256.34,34
CPT,49323,"LAPAROSCOPY, SURGICAL; WITH DRAINAGE OF LYMPHOCELE TO PERITONEAL CAVITY",,,5769.43,17256.34,30
CPT,49324,"LAPAROSCOPY, SURGICAL; WITH INSERTION OF TUNNELED INTRAPERITONEAL CATHETER",,,1888.85,17256.34,33
CPT,49325,"LAPAROSCOPY, SURGICAL; WITH REVISION OF PREVIOUSLY PLACED INTRAPERITONEAL CANNULA OR CATHETER, WITH REMOVAL OF INTRALUMINAL OBSTRUCTIVE MATERIAL IF PERFORMED",,,1888.85,17256.34,33
CPT,49327,"LAPAROSCOPY, SURGICAL; WITH PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION THERAPY GUIDANCE (EG, FIDUCIAL MARKERS, DOSIMETER), INTRA-ABDOMINAL, INTRAPELVIC, AND/OR RETROPERITONEUM, INCLUDING IMAGIN",,,1896.0,12700.0,5
CPT,49329,HC LAPAROSCOPIC LYSIS OF ABDOMINAL OR PELVIC ADHESIONS (NOT INTESTINE),10782.94,6469.76,2695.74,17256.34,51
CPT,49329,"HC LAPAROSCOPY, ABDOMEN, PERITONEUM, AND OMENTUM; WITH TREATMENT OF HEMORRHAGE (INCLUDING POST-OPERATIVE)",9886.66,5932.0,2471.66,14293.73,53
CPT,49329,"HC LAPAROSCOPY, SURGICAL, LAVAGE OR DRAINAGE OF ABDOMEN, PERITONEUM, AND/OR OMENTUM",10363.52,6218.11,2590.88,14293.73,53
CPT,49329,"HC LAPAROSCOPY, SURGICAL; REMOVAL OF IUD",11037.92,6622.75,2759.48,14293.73,53
CPT,49329,"HC LAPAROSCOPY, SURGICAL; REMOVAL OF MESH",11026.05,6615.63,2756.51,14293.73,53
CPT,49329,"UNLISTED LAPAROSCOPY PROCEDURE, ABDOMEN, PERITONEUM AND OMENTUM",,,5769.43,17256.34,30
CPT,49400,HC DX INJ PERITNL AIR OR CM,885.81,531.49,150.59,7411.0,32
CPT,49402,REMOVAL OF PERITONEAL FOREIGN BODY FROM PERITONEAL CAVITY,,,1151.54,11100.34,34
CPT,49405,HC IMG-GUIDE FLUID COLLCT DRAIN BY CATH - VISCERAL,4732.07,2839.24,804.45,7411.0,55
CPT,49405,"IMAGE-GUIDED FLUID COLLECTION DRAINAGE BY CATHETER (EG, ABSCESS, HEMATOMA, SEROMA, LYMPHOCELE, CYST); VISCERAL (EG, KIDNEY, LIVER, SPLEEN, LUNG/MEDIASTINUM), PERCUTANEOUS",,,1576.16,12700.0,30
CPT,49406,HC IMG-GUIDE FLUID COLLCT DRAIN BY CATH - PERITONEAL,5088.64,3053.18,486.45,7411.0,110
CPT,49406,"IMAGE-GUIDED FLUID COLLECTION DRAINAGE BY CATHETER (EG, ABSCESS, HEMATOMA, SEROMA, LYMPHOCELE, CYST); PERITONEAL OR RETROPERITONEAL, PERCUTANEOUS",,,486.45,12700.0,66
CPT,49407,HC IMG-GUIDE FLUID COLLCT DRAIN BY CATH - TRANS VAGINAL/RECTAL,4489.17,2693.5,486.45,7411.0,55
CPT,49407,"IMAGE-GUIDED FLUID COLLECTION DRAINAGE BY CATHETER (EG, ABSCESS, HEMATOMA, SEROMA, LYMPHOCELE, CYST); PERITONEAL OR RETROPERITONEAL, TRANSVAGINAL OR TRANSRECTAL",,,486.45,7168.0,33
CPT,49411,HC INS MARK ABD/PEL FOR,3334.63,2000.78,296.23,7411.0,55
CPT,49411,"PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION THERAPY GUIDANCE (EG, FIDUCIAL MARKERS, DOSIMETER), PERCUTANEOUS, INTRA-ABDOMINAL, INTRA-PELVIC (EXCEPT PROSTATE), AND/OR RETROPERITONEUM, SINGLE OR M",,,296.23,4779.0,66
CPT,49418,HC INSERTION TUNNELED CATHETER W/PORT,9458.69,5675.21,1151.54,8570.48,55
CPT,49418,"INSERTION OF TUNNELED INTRAPERITONEAL CATHETER (EG, DIALYSIS, INTRAPERITONEAL CHEMOTHERAPY INSTILLATION, MANAGEMENT OF ASCITES), COMPLETE PROCEDURE, INCLUDING IMAGING GUIDANCE, CATHETER PLACEMENT, CON",,,1151.54,12700.0,33
CPT,49419,HC INSRT ABD CATHCHEMO,9376.23,5625.74,1804.0,16408.4,53
CPT,49421,HC INSERT ABDOM DRAIN,7762.44,4657.46,1151.54,11100.34,53
CPT,49422,HC REMOVE PERM CANNULA,7383.35,4430.01,1118.22,9893.47,53
CPT,49422,REMOVAL OF TUNNELED INTRAPERITONEAL CATHETER,,,1118.22,9893.47,68
CPT,49423,EXCHANGE OF PREVIOUSLY PLACED ABSCESS OR CYST DRAINAGE CATHETER UNDER RADIOLOGICAL GUIDANCE (SEPARATE PROCEDURE),,,564.97,8280.0,33
CPT,49423,HC DRAINAGE CATHETER EXCHANGE,3761.34,2256.8,564.97,7411.0,55
CPT,49423,HC EXCHANGE DRAIN CATH,3761.34,2256.8,564.97,8280.0,53
CPT,49424,CONTRAST INJECTION FOR ASSESSMENT OF ABSCESS OR CYST VIA PREVIOUSLY PLACED DRAINAGE CATHETER OR TUBE (SEPARATE PROCEDURE),,,1896.0,2107.0,3
CPT,49424,"HC ASSESS CYST, CONTRAS",1164.12,698.47,197.9,7411.0,32
CPT,49424,"HC IR ASSESS CYST, CONTRAS",1164.12,698.47,197.9,7411.0,39
CPT,49425,INSERTION OF PERITONEAL-VENOUS SHUNT,,,1269.9,8280.0,10
CPT,49427,"HC SHUNT,EVAL.OF PREV.PLACED PERIT ONEALVENOU",549.15,329.49,93.36,7411.0,73
CPT,49429,REMOVAL OF PERITONEAL-VENOUS SHUNT,,,1118.22,9893.47,33
CPT,49440,HC PLACE GASTROSTOMY,3193.13,1915.88,564.97,7411.0,55
CPT,49440,"INSERTION OF GASTROSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,564.97,5559.92,66
CPT,49441,HC PLACE DUOD/JEJ TUBE,3837.77,2302.66,564.97,7411.0,55
CPT,49441,"INSERTION OF DUODENOSTOMY OR JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,564.97,5559.92,66
CPT,49446,"CONVERSION OF GASTROSTOMY TUBE TO GASTRO-JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,564.97,5559.92,99
CPT,49446,HC CHANGE G-TUBE TO G-J,3082.91,1849.75,564.97,7411.0,55
CPT,49450,HC REPLACE G/C TUBE PER,1867.74,1120.64,334.95,7411.0,55
CPT,49450,HC REPLACE GI TUBE,1867.74,1120.64,334.95,7411.0,55
CPT,49450,"REPLACEMENT OF GASTROSTOMY OR CECOSTOMY (OR OTHER COLONIC) TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,334.95,4345.0,33
CPT,49451,HC REPLACE DUOD/JEJ TUBE,2257.56,1354.54,334.95,7411.0,110
CPT,49451,"REPLACEMENT OF DUODENOSTOMY OR JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,334.95,4345.0,66
CPT,49452,HC REPLACE G-J TUBE PER,2667.42,1600.45,334.95,7411.0,55
CPT,49452,HC REPLACE GJ TUBE,2667.42,1600.45,334.95,7411.0,55
CPT,49452,"REPLACEMENT OF GASTRO-JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,334.95,4345.0,66
CPT,49460,HC FIX G/COLON TUBE W/D,1269.15,761.49,334.95,7411.0,55
CPT,49465,"CONTRAST INJECTION(S) FOR RADIOLOGICAL EVALUATION OF EXISTING GASTROSTOMY, DUODENOSTOMY, JEJUNOSTOMY, GASTRO-JEJUNOSTOMY, OR CECOSTOMY (OR OTHER COLONIC) TUBE, FROM A PERCUTANEOUS APPROACH INCLUDING I",,,111.0,2107.0,60
CPT,49465,HC FLUORO EXAM OF G/CO,1045.04,627.02,177.66,7411.0,55
CPT,49465,HC INJECTION FOR TUBE CHECK,1045.04,627.02,177.66,7411.0,110
CPT,49505,HC PRP I/HERN INIT REDU,10351.2,6210.72,1151.54,8570.48,55
CPT,49505,"REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE",,,1151.54,11100.34,34
CPT,49507,"REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED",,,1151.54,12700.0,34
CPT,49520,"REPAIR RECURRENT INGUINAL HERNIA, ANY AGE; REDUCIBLE",,,1151.54,11100.34,34
CPT,49521,"REPAIR RECURRENT INGUINAL HERNIA, ANY AGE; INCARCERATED OR STRANGULATED",,,1151.54,18741.87,34
CPT,49540,REPAIR LUMBAR HERNIA,,,1888.85,17256.34,34
CPT,49553,"REPAIR INITIAL FEMORAL HERNIA, ANY AGE; INCARCERATED OR STRANGULATED",,,1151.54,12700.0,34
CPT,49585,"HC RPR UMBIL HERN, REDU",9876.59,5925.95,1679.02,8395.1,78
CPT,49587,"HC RPR UMBIL HERN, BLOC",9409.82,5645.89,1599.67,8033.0,39
CPT,49591,"REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE, EPIGASTRIC, INCISIONAL, VENTRAL, UMBILICAL, SPIGELIAN), ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), INITIAL, INCLUDING IMPLANTATION OF MESH OR OTHER PRO",,,1151.54,12644.69,33
CPT,49592,"REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE, EPIGASTRIC, INCISIONAL, VENTRAL, UMBILICAL, SPIGELIAN), ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), INITIAL, INCLUDING IMPLANTATION OF MESH OR OTHER PRO",,,1151.54,18607.38,33
CPT,49593,"REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE, EPIGASTRIC, INCISIONAL, VENTRAL, UMBILICAL, SPIGELIAN), ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), INITIAL, INCLUDING IMPLANTATION OF MESH OR OTHER PRO",,,1151.54,13982.14,33
CPT,49594,"REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE, EPIGASTRIC, INCISIONAL, VENTRAL, UMBILICAL, SPIGELIAN), ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), INITIAL, INCLUDING IMPLANTATION OF MESH OR OTHER PRO",,,1151.54,18607.38,33
CPT,49595,"REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE, EPIGASTRIC, INCISIONAL, VENTRAL, UMBILICAL, SPIGELIAN), ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), INITIAL, INCLUDING IMPLANTATION OF MESH OR OTHER PRO",,,1151.54,13982.14,33
CPT,49596,"REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE, EPIGASTRIC, INCISIONAL, VENTRAL, UMBILICAL, SPIGELIAN), ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), INITIAL, INCLUDING IMPLANTATION OF MESH OR OTHER PRO",,,1857.63,12700.0,10
CPT,49613,"REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE, EPIGASTRIC, INCISIONAL, VENTRAL, UMBILICAL, SPIGELIAN), ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), RECURRENT, INCLUDING IMPLANTATION OF MESH OR OTHER P",,,1888.85,12644.69,33
CPT,49614,"REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE, EPIGASTRIC, INCISIONAL, VENTRAL, UMBILICAL, SPIGELIAN), ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), RECURRENT, INCLUDING IMPLANTATION OF MESH OR OTHER P",,,1888.85,18607.38,33
CPT,49615,"REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE, EPIGASTRIC, INCISIONAL, VENTRAL, UMBILICAL, SPIGELIAN), ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), RECURRENT, INCLUDING IMPLANTATION OF MESH OR OTHER P",,,1888.85,13982.14,33
CPT,49616,"REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE, EPIGASTRIC, INCISIONAL, VENTRAL, UMBILICAL, SPIGELIAN), ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), RECURRENT, INCLUDING IMPLANTATION OF MESH OR OTHER P",,,1559.8,12700.0,10
CPT,49617,"REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE, EPIGASTRIC, INCISIONAL, VENTRAL, UMBILICAL, SPIGELIAN), ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), RECURRENT, INCLUDING IMPLANTATION OF MESH OR OTHER P",,,1606.7,10140.0,10
CPT,49618,"REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE, EPIGASTRIC, INCISIONAL, VENTRAL, UMBILICAL, SPIGELIAN), ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), RECURRENT, INCLUDING IMPLANTATION OF MESH OR OTHER P",,,2251.1,12700.0,10
CPT,49621,"REPAIR OF PARASTOMAL HERNIA, ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), INITIAL OR RECURRENT, INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS, WHEN PERFORMED; REDUCIBLE",,,1346.63,10140.0,10
CPT,49623,"REMOVAL OF TOTAL OR NEAR TOTAL NON-INFECTED MESH OR OTHER PROSTHESIS AT THE TIME OF INITIAL OR RECURRENT ANTERIOR ABDOMINAL HERNIA REPAIR OR PARASTOMAL HERNIA REPAIR, ANY APPROACH (IE, OPEN, LAPAROSCO",,,1896.0,2107.0,3
CPT,49650,"LAPAROSCOPY, SURGICAL; REPAIR INITIAL INGUINAL HERNIA",,,1888.85,17256.34,34
CPT,49651,"LAPAROSCOPY, SURGICAL; REPAIR RECURRENT INGUINAL HERNIA",,,1888.85,17256.34,34
CPT,49659,"HC LAPAROSCOPY, SRGCL; REPAIR FEMORL HERNIA, ANY AGE; INCARCERATED/STRNGLTD",9494.18,5696.51,2373.55,14293.73,53
CPT,49659,"HC LAPAROSCOPY, SURGICAL; REPAIR LUMBAR HERNIA",11397.2,6838.32,2849.3,14293.73,53
CPT,49659,"UNLISTED LAPAROSCOPY PROCEDURE, HERNIOPLASTY, HERNIORRHAPHY, HERNIOTOMY",,,5769.43,17256.34,30
CPT,49906,FREE OMENTAL FLAP WITH MICROVASCULAR ANASTOMOSIS,,,2546.0,8280.0,10
CPT,49999,HC ALCOHOL SCLEROTHERPY OF ABDOMINAL WALL,2816.66,1690.0,704.16,8280.0,51
CPT,49999,HC CT GUIDED GASTROSTOMY TUBE PLACEMENT,3076.32,1845.79,769.08,8280.0,51
CPT,49999,HC ETHANOL ABLATION FOR AN ABDOMINAL CYST,2483.83,1490.3,620.96,8280.0,51
CPT,49999,HC INCISIONAL BX OF UMBILICAL MASS,1076.11,645.67,269.03,7411.0,53
CPT,49999,"HC INJCTN, ABDMNL ABSCSS/FSTLA, W SFT TSSE SUB (AMNFX) W/WO IMG GDNC/CNTRST",4277.63,2566.58,865.56,7411.0,53
CPT,49999,"HC INSRTN OF GSTRSTMY TUB, PRCTNS, W CT GDNC, CNTRST INJCTN, IMG DOC N RPRT",3076.32,1845.79,769.08,7411.0,53
CPT,49999,"UNLISTED PROCEDURE, ABDOMEN, PERITONEUM AND OMENTUM",,,865.56,8280.0,30
CPT,50080,"PERCUTANEOUS NEPHROLITHOTOMY OR PYELOLITHOTOMY, LITHOTRIPSY, STONE EXTRACTION, ANTEGRADE URETEROSCOPY, ANTEGRADE STENT PLACEMENT AND NEPHROSTOMY TUBE PLACEMENT, WHEN PERFORMED, INCLUDING IMAGING GUIDA",,,3322.27,28802.51,33
CPT,50081,HC REMOVE KIDNEY STONE,16857.64,10114.58,3322.27,22821.27,55
CPT,50081,"PERCUTANEOUS NEPHROLITHOTOMY OR PYELOLITHOTOMY, LITHOTRIPSY, STONE EXTRACTION, ANTEGRADE URETEROSCOPY, ANTEGRADE STENT PLACEMENT AND NEPHROSTOMY TUBE PLACEMENT, WHEN PERFORMED, INCLUDING IMAGING GUIDA",,,3322.27,28802.51,33
CPT,50200,HC BIOPSY OF KIDNEY,3625.85,2175.51,486.45,7411.0,55
CPT,50200,HC IR BX RENAL PERC LT,3625.85,2175.51,486.45,7411.0,38
CPT,50200,HC IR BX RENAL PERC RT,3625.85,2175.51,486.45,7411.0,38
CPT,50200,HC RENAL BX PRQ TROCAR/NEEDLE - BI,3625.85,2175.51,486.45,7411.0,38
CPT,50200,HC RENAL BX PRQ TROCAR/NEEDLE - LT,3625.85,2175.51,486.45,7411.0,38
CPT,50200,HC RENAL BX PRQ TROCAR/NEEDLE - RT,3625.85,2175.51,486.45,7411.0,38
CPT,50200,HC US BX RENAL PERC BI,3625.85,2175.51,486.45,7411.0,38
CPT,50200,HC US BX RENAL PERC LT,3625.85,2175.51,486.45,7411.0,38
CPT,50200,HC US BX RENAL PERC RT,3625.85,2175.51,486.45,7411.0,38
CPT,50200,"RENAL BIOPSY; PERCUTANEOUS, BY TROCAR OR NEEDLE",,,486.45,4900.18,34
CPT,50220,"NEPHRECTOMY, INCLUDING PARTIAL URETERECTOMY, ANY OPEN APPROACH INCLUDING RIB RESECTION;",,,1846.68,8280.0,10
CPT,50230,"NEPHRECTOMY, INCLUDING PARTIAL URETERECTOMY, ANY OPEN APPROACH INCLUDING RIB RESECTION; RADICAL, WITH REGIONAL LYMPHADENECTOMY AND/OR VENA CAVAL THROMBECTOMY",,,2260.22,8280.0,10
CPT,50240,"NEPHRECTOMY, PARTIAL",,,2335.75,8280.0,10
CPT,50370,REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT,,,2124.4,8280.0,10
CPT,50382,"HC CHANGE URETER STENT,",4625.43,2775.26,652.8,7411.0,55
CPT,50382,HC IR URETRL STENT EXCH PERC BI,4625.43,2775.26,652.8,7411.0,38
CPT,50382,HC IR URETRL STENT EXCH PERC RT,4625.43,2775.26,652.8,7411.0,38
CPT,50382,HC RMVL AND RPLCMT INTLY DWELLING URETERAL STENT PRQ LT,4625.43,2775.26,652.8,7411.0,38
CPT,50384,HC IR URETRL STENT RMV LT,3853.02,2311.81,652.8,7411.0,38
CPT,50384,HC RMVL INDWELLING URETERAL STENT PRQ BI,3853.02,2311.81,652.8,7411.0,38
CPT,50384,HC RMVL INDWELLING URETERAL STENT PRQ RT,3853.02,2311.81,652.8,7411.0,38
CPT,50386,"REMOVAL (VIA SNARE/CAPTURE) OF INTERNALLY DWELLING URETERAL STENT VIA TRANSURETHRAL APPROACH, WITHOUT USE OF CYSTOSCOPY, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,545.39,5045.72,33
CPT,50387,HC CHANGE URETER STENT,4263.18,2557.91,652.8,7411.0,55
CPT,50387,HC IR TUBE TRANSNEPH STNT EXCH BI,4263.18,2557.91,652.8,7411.0,38
CPT,50387,HC IR TUBE TRANSNEPH STNT EXCH LT,4263.18,2557.91,652.8,7411.0,38
CPT,50387,HC IR TUBE TRANSNEPH STNT EXCH RT,4263.18,2557.91,652.8,7411.0,38
CPT,50387,"REMOVAL AND REPLACEMENT OF EXTERNALLY ACCESSIBLE NEPHROURETERAL CATHETER (EG, EXTERNAL/INTERNAL STENT) REQUIRING FLUOROSCOPIC GUIDANCE, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,652.8,6324.43,33
CPT,50389,HC IR NEPHRO TUBE REM W FLUOR BI,2810.6,1686.36,238.15,7411.0,38
CPT,50389,HC IR NEPHRO TUBE REM W FLUOR LT,2810.6,1686.36,238.15,7411.0,38
CPT,50389,HC IR NEPHRO TUBE REM W FLUOR RT,2810.6,1686.36,238.15,7411.0,38
CPT,50389,HC REMOVE RENAL TUBE,2810.6,1686.36,238.15,7411.0,55
CPT,50389,"REMOVAL OF NEPHROSTOMY TUBE, REQUIRING FLUOROSCOPIC GUIDANCE (EG, WITH CONCURRENT INDWELLING URETERAL STENT)",,,238.15,4345.0,33
CPT,50390,HC ASP RENAL CYST PERCUTANEOUS BI,2866.55,1719.93,257.6,7411.0,38
CPT,50390,HC DRAIN KIDNEY LESION,2866.55,1719.93,257.6,7411.0,55
CPT,50390,HC IR ASP RENAL CYST LT,2866.55,1719.93,257.6,7411.0,38
CPT,50390,HC IR ASP RENAL CYST RT,2866.55,1719.93,257.6,7411.0,38
CPT,50391,HC IR SCLERA RENL PEL VIA CATH LT,1258.98,755.39,41.53,7411.0,40
CPT,50396,HC MEASURE KIDNEY PRESSU,1339.98,803.99,238.15,7411.0,55
CPT,50430,HC IR INJ NEPH WWO URETR NEW BI,2553.64,1532.18,434.12,7411.0,38
CPT,50430,HC IR INJ NEPH WWO URETR NEW LT,2553.64,1532.18,434.12,7411.0,38
CPT,50430,HC IR INJ NEPH WWO URETR NEW RT,2553.64,1532.18,434.12,7411.0,38
CPT,50430,"INJECTION PROCEDURE FOR ANTEGRADE NEPHROSTOGRAM AND/OR URETEROGRAM, COMPLETE DIAGNOSTIC PROCEDURE INCLUDING IMAGING GUIDANCE (EG, ULTRASOUND AND FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGICAL SUPERVISIO",,,665.45,7168.0,30
CPT,50431,HC CT INJ NEPH WWO URETR EXIST BI,2615.39,1569.23,444.62,7411.0,38
CPT,50431,"HC INJ PROC, ANTEGRADE NEPHROSTOGRAM/URETEROGRAM, EXISTING ACCESS",2615.39,1569.23,444.62,7411.0,110
CPT,50431,HC IR INJ NEPH WWO URETR EXIST BI,2615.39,1569.23,444.62,7411.0,38
CPT,50431,HC IR INJ NEPH WWO URETR EXIST LT,2615.39,1569.23,444.62,7411.0,38
CPT,50431,HC IR INJ NEPH WWO URETR EXIST RT,2615.39,1569.23,444.62,7411.0,38
CPT,50431,"INJECTION PROCEDURE FOR ANTEGRADE NEPHROSTOGRAM AND/OR URETEROGRAM, COMPLETE DIAGNOSTIC PROCEDURE INCLUDING IMAGING GUIDANCE (EG, ULTRASOUND AND FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGICAL SUPERVISIO",,,665.45,7168.0,30
CPT,50432,HC CT CATH NEPHRO PLACEMENT LT,7953.93,4772.36,652.8,10495.0,38
CPT,50432,HC CT CATH NEPHRO PLACEMENT RT,7953.93,4772.36,652.8,10495.0,38
CPT,50432,HC IR CATH NEPHRO PLACEMENT BI,7953.93,4772.36,652.8,10495.0,38
CPT,50432,HC IR CATH NEPHRO PLACEMENT LT,7953.93,4772.36,652.8,10495.0,38
CPT,50432,HC IR CATH NEPHRO PLACEMENT RT,7953.93,4772.36,652.8,10495.0,38
CPT,50432,"HC PLCMT OF NEPHROSTOMY CATH, PERC",7953.93,4772.36,652.8,7411.0,55
CPT,50432,"PLACEMENT OF NEPHROSTOMY CATHETER, PERCUTANEOUS, INCLUDING DIAGNOSTIC NEPHROSTOGRAM AND/OR URETEROGRAM WHEN PERFORMED, IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGI",,,652.8,10495.0,33
CPT,50433,HC IR CATH NEPHROURET PLACE BI,6368.04,3820.82,1142.9,10776.19,38
CPT,50433,HC IR CATH NEPHROURET PLACE LT,6368.04,3820.82,1142.9,10776.19,38
CPT,50433,HC IR CATH NEPHROURET PLACE RT,6368.04,3820.82,1142.9,10776.19,38
CPT,50433,"HC PLMT NEPHROURETERAL CATHETER, NEW ACCESS",6368.04,3820.82,1142.9,8636.11,55
CPT,50434,HC IR CATH CNVERT TO NEPHOURET BI,7112.47,4267.48,652.8,7411.0,38
CPT,50434,HC IR CATH CNVERT TO NEPHOURET LT,7112.47,4267.48,652.8,7411.0,38
CPT,50434,HC IR CATH CNVERT TO NEPHOURET RT,7112.47,4267.48,652.8,7411.0,38
CPT,50435,"EXCHANGE NEPHROSTOMY CATHETER, PERCUTANEOUS, INCLUDING DIAGNOSTIC NEPHROSTOGRAM AND/OR URETEROGRAM WHEN PERFORMED, IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGICAL ",,,652.8,7168.0,33
CPT,50435,HC EXCHANGE NEPHROSTOMY CATHETER,4380.22,2628.13,652.8,7411.0,110
CPT,50435,HC IR TUBE CHG NEPHROSTOMY BI,4380.22,2628.13,652.8,7411.0,38
CPT,50435,HC IR TUBE CHG NEPHROSTOMY LT,4380.22,2628.13,652.8,7411.0,38
CPT,50435,HC IR TUBE CHG NEPHROSTOMY RT,4380.22,2628.13,652.8,7411.0,38
CPT,50436,"DILATION OF EXISTING TRACT, PERCUTANEOUS, FOR AN ENDOUROLOGIC PROCEDURE INCLUDING IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND INTERPRETATION, W",,,1142.9,12700.0,33
CPT,50436,HC DILAT XST TRC NDURLGC PX,12824.74,7694.84,1142.9,10003.3,55
CPT,50437,"DILATION OF EXISTING TRACT, PERCUTANEOUS, FOR AN ENDOUROLOGIC PROCEDURE INCLUDING IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND INTERPRETATION, W",,,1142.9,10776.19,33
CPT,50541,"LAPAROSCOPY, SURGICAL; ABLATION OF RENAL CYSTS",,,7373.0,25500.18,30
CPT,50542,"LAPAROSCOPY, SURGICAL; ABLATION OF RENAL MASS LESION(S), INCLUDING INTRAOPERATIVE ULTRASOUND GUIDANCE AND MONITORING, WHEN PERFORMED",,,7038.0,30034.8,30
CPT,50543,"LAPAROSCOPY, SURGICAL; PARTIAL NEPHRECTOMY",,,7038.0,30034.8,30
CPT,50544,"LAPAROSCOPY, SURGICAL; PYELOPLASTY",,,7373.0,30034.8,30
CPT,50545,"LAPAROSCOPY, SURGICAL; RADICAL NEPHRECTOMY (INCLUDES REMOVAL OF GEROTA'S FASCIA AND SURROUNDING FATTY TISSUE, REMOVAL OF REGIONAL LYMPH NODES, AND ADRENALECTOMY)",,,2361.34,8280.0,10
CPT,50546,"LAPAROSCOPY, SURGICAL; NEPHRECTOMY, INCLUDING PARTIAL URETERECTOMY",,,2122.57,8280.0,10
CPT,50548,"LAPAROSCOPY, SURGICAL; NEPHRECTOMY WITH TOTAL URETERECTOMY",,,2374.72,8280.0,10
CPT,50549,"HC LAPAROSCOPY, SURGICAL; PYELOLITHOTOMY (W/WO URETEROSCOPIC ASSISTANCE)",6485.56,3891.34,1102.55,14293.73,55
CPT,50549,"UNLISTED LAPAROSCOPY PROCEDURE, RENAL",,,5769.43,17256.34,30
CPT,50561,"RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE; WITH REMOVAL OF FOREIGN BODY OR CALCULU",,,1689.43,15106.88,34
CPT,50590,HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE,21819.84,13091.9,1142.9,16364.88,54
CPT,50590,HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON),6000.0,3600.0,1142.9,14478.0,54
CPT,50590,"LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE",,,1142.9,14478.0,36
CPT,50592,"ABLATION, 1 OR MORE RENAL TUMOR(S), PERCUTANEOUS, UNILATERAL, RADIOFREQUENCY",,,1888.85,17256.34,33
CPT,50592,HC ABLTJ 1/> RENAL TUMOR PRQ RF UNI - LT,11582.46,6949.48,1888.85,17256.34,38
CPT,50592,HC ABLTJ 1/> RENAL TUMOR PRQ RF UNI - RT,11582.46,6949.48,1888.85,17256.34,76
CPT,50592,HC IR ABL RF RENAL LT,11582.46,6949.48,1888.85,17256.34,38
CPT,50592,HC PERC RF ABLATE RENAL,11582.46,6949.48,1888.85,14293.73,55
CPT,50593,"ABLATION, RENAL TUMOR(S), UNILATERAL, PERCUTANEOUS, CRYOTHERAPY",,,4645.39,30034.8,33
CPT,50593,HC ABLATION RENAL TUMOR CRYO RT,21730.83,13038.5,4645.39,30034.8,38
CPT,50593,HC CT ABL CRYO RENAL LT,21730.83,13038.5,4645.39,30034.8,38
CPT,50593,HC CT ABL CRYO RENAL RT,21730.83,13038.5,4645.39,30034.8,38
CPT,50593,HC IR ABL CRYO RENAL LT,21730.83,13038.5,4645.39,30034.8,38
CPT,50606,HC IR BIOPSY URETER AND/OR RENAL PELVIS,3620.89,2172.53,615.55,7411.0,39
CPT,50684,HC INJECTION FOR URETER XRAY,1402.48,841.49,238.42,7411.0,39
CPT,50684,INJECTION PROCEDURE FOR URETEROGRAPHY OR URETEROPYELOGRAPHY THROUGH URETEROSTOMY OR INDWELLING URETERAL CATHETER,,,1896.0,2107.0,3
CPT,50688,HC CHANGE OF URETER TUB,4571.01,2742.61,652.8,7411.0,55
CPT,50688,HC IR URETRL TUBE CHG BI,4571.01,2742.61,652.8,7411.0,38
CPT,50688,HC IR URETRL TUBE CHG LT,4571.01,2742.61,652.8,7411.0,38
CPT,50688,HC IR URETRL TUBE CHG RT,4571.01,2742.61,652.8,7411.0,38
CPT,50690,HC INJECTION FOR URETER XRAY,858.68,515.21,145.98,7411.0,39
CPT,50693,HC IR URETRL STENT PLCMT BI,7433.69,4460.21,1142.9,12700.0,38
CPT,50693,HC IR URETRL STENT PLCMT LT,7433.69,4460.21,1142.9,12700.0,38
CPT,50693,HC IR URETRL STENT PLCMT RT,7433.69,4460.21,1142.9,12700.0,38
CPT,50694,HC IR URETRL STENT NEW ACCESS BI,7849.6,4709.76,1142.9,12700.0,38
CPT,50694,HC IR URETRL STENT NEW ACCESS LT,7849.6,4709.76,1142.9,12700.0,38
CPT,50694,HC IR URETRL STENT NEW ACCESS RT,7849.6,4709.76,1142.9,12700.0,38
CPT,50695,HC IR URETRL STENT W SEP CATH BI,10080.0,6048.0,1493.34,12700.0,38
CPT,50695,HC IR URETRL STENT W SEP CATH LT,10080.0,6048.0,1493.34,12700.0,38
CPT,50695,HC IR URETRL STENT W SEP CATH RT,10080.0,6048.0,1493.34,12700.0,38
CPT,50705,HC URETERAL EMBOLIZATION/OCCL,6149.0,3689.4,1045.33,7411.0,39
CPT,50706,"BALLOON DILATION, URETERAL STRICTURE, INCLUDING IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND INTERPRETATION (LIST SEPARATELY IN ADDITION TO CODE",,,1896.0,2107.0,6
CPT,50706,HC BALLOON DILATE URTRL STRIX,5206.23,3123.74,885.06,7411.0,39
CPT,50715,"URETEROLYSIS, WITH OR WITHOUT REPOSITIONING OF URETER FOR RETROPERITONEAL FIBROSIS",,,2146.94,8280.0,10
CPT,50727,REVISION OF URINARY-CUTANEOUS ANASTOMOSIS (ANY TYPE UROSTOMY);,,,1142.9,10776.19,33
CPT,50760,HC DILATION URETRL STRCTR,4999.0,2999.4,849.83,8280.0,37
CPT,50760,URETEROURETEROSTOMY,,,1987.98,8280.0,10
CPT,50770,"TRANSURETEROURETEROSTOMY, ANASTOMOSIS OF URETER TO CONTRALATERAL URETER",,,2031.21,8280.0,10
CPT,50947,"LAPAROSCOPY, SURGICAL; URETERONEOCYSTOSTOMY WITH CYSTOSCOPY AND URETERAL STENT PLACEMENT",,,1888.85,25500.18,34
CPT,50948,"LAPAROSCOPY, SURGICAL; URETERONEOCYSTOSTOMY WITHOUT CYSTOSCOPY AND URETERAL STENT PLACEMENT",,,3110.01,30034.8,34
CPT,50949,"UNLISTED LAPAROSCOPY PROCEDURE, URETER",,,5769.43,17256.34,30
CPT,50951,"URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE;",,,1142.9,10776.19,34
CPT,50955,HC URETER ENDOSCOPY BIOPSY,9494.54,5696.72,1689.43,12818.21,55
CPT,50955,"URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE; WITH BIOPSY",,,1689.43,15106.88,34
CPT,51040,"CYSTOSTOMY, CYSTOTOMY WITH DRAINAGE",,,652.8,7886.0,34
CPT,51040,HC INCISE & DRAIN BLADD,7911.69,4747.01,652.8,7411.0,55
CPT,51045,"CYSTOTOMY, WITH INSERTION OF URETERAL CATHETER OR STENT (SEPARATE PROCEDURE)",,,652.8,7886.0,33
CPT,51050,"CYSTOLITHOTOMY, CYSTOTOMY WITH REMOVAL OF CALCULUS, WITHOUT VESICAL NECK RESECTION",,,1689.43,15106.88,34
CPT,51100,HC ASPIRATE BLADDER BY NEEDLE,1557.76,934.66,36.54,7411.0,55
CPT,51101,HC ASPIRATE BLADDER TROCAR,1796.66,1078.0,98.83,7411.0,55
CPT,51102,ASPIRATION OF BLADDER; WITH INSERTION OF SUPRAPUBIC CATHETER,,,652.8,6324.43,66
CPT,51102,HC DRAIN BL W/CATH INSE,6454.45,3872.67,652.8,7411.0,55
CPT,51102,HC DRAIN BL W/CATH INSERTION,6454.45,3872.67,652.8,7411.0,55
CPT,51500,"EXCISION OF URACHAL CYST OR SINUS, WITH OR WITHOUT UMBILICAL HERNIA REPAIR",,,1888.85,17256.34,34
CPT,51525,"CYSTOTOMY; FOR EXCISION OF BLADDER DIVERTICULUM, SINGLE OR MULTIPLE (SEPARATE PROCEDURE)",,,1512.9,8280.0,10
CPT,51550,"CYSTECTOMY, PARTIAL; SIMPLE",,,1699.28,8280.0,10
CPT,51555,"CYSTECTOMY, PARTIAL; COMPLICATED (EG, POSTRADIATION, PREVIOUS SURGERY, DIFFICULT LOCATION)",,,2234.64,8280.0,10
CPT,51590,"CYSTECTOMY, COMPLETE, WITH URETEROILEAL CONDUIT OR SIGMOID BLADDER, INCLUDING INTESTINE ANASTOMOSIS;",,,2546.0,8280.0,10
CPT,51595,"CYSTECTOMY, COMPLETE, WITH URETEROILEAL CONDUIT OR SIGMOID BLADDER, INCLUDING INTESTINE ANASTOMOSIS; WITH BILATERAL PELVIC LYMPHADENECTOMY, INCLUDING EXTERNAL ILIAC, HYPOGASTRIC, AND OBTURATOR NODES",,,2546.0,8280.0,10
CPT,51596,"CYSTECTOMY, COMPLETE, WITH CONTINENT DIVERSION, ANY OPEN TECHNIQUE, USING ANY SEGMENT OF SMALL AND/OR LARGE INTESTINE TO CONSTRUCT NEOBLADDER",,,2546.0,8770.74,10
CPT,51600,HC CYSTO CATH PLACEMENT INJ,1300.0,780.0,221.0,7411.0,34
CPT,51600,HC INJECTION FOR BLADDER XRAY,1300.0,780.0,221.0,7411.0,39
CPT,51600,INJECTION PROCEDURE FOR CYSTOGRAPHY OR VOIDING URETHROCYSTOGRAPHY,,,1896.0,2107.0,3
CPT,51605,"HC INJECT/PLACE CHAIN,BLADDER XRAY",1905.54,1143.32,323.94,7411.0,39
CPT,51610,HC CYSTOSCOPY&TREATMENT - W STENT INSERT,1008.37,605.02,171.42,7411.0,34
CPT,51610,HC INJ FOR BLADDER XRAY,1008.37,605.02,171.42,7411.0,34
CPT,51610,HC INJECTION FOR BLADDER XRAY,1008.37,605.02,171.42,7411.0,39
CPT,51610,HC INJECTION RETRO URETHROCYSTOGRA,1008.37,605.02,171.42,7411.0,34
CPT,51610,INJECTION PROCEDURE FOR RETROGRADE URETHROCYSTOGRAPHY,,,1896.0,2107.0,3
CPT,51700,"BLADDER IRRIGATION, SIMPLE, LAVAGE AND/OR INSTILLATION",,,44.3,2107.0,33
CPT,51700,"HC BLADDER IRRIGATION, SIMPLE",893.09,535.85,44.3,7411.0,55
CPT,51700,HC IRRIGATION BLADDER,893.09,535.85,44.3,7411.0,55
CPT,51701,HC INSERT BLADDER CATHETER,395.21,237.13,67.19,7411.0,55
CPT,51701,HC STRAIGHT CATH,395.21,237.13,67.19,7411.0,55
CPT,51701,HC STRAIGHT CATH INSERTED,395.21,237.13,67.19,7411.0,55
CPT,51702,HC INSERT FOLEY CATHETER,500.62,300.37,85.11,7411.0,55
CPT,51702,HC INSERT TEMP BLADDER CATHETER,500.62,300.37,85.11,7411.0,55
CPT,51702,HC INSERT URINARY CATHETER,500.62,300.37,85.11,7411.0,55
CPT,51702,"INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; SIMPLE (EG, FOLEY)",,,111.0,2107.0,60
CPT,51703,HC INSERT BLADDER CATHETER - COMPLICATED,681.03,408.62,57.79,7411.0,55
CPT,51703,HC INSERT URETHAL CATHETER-COMPLICATION,681.03,408.62,57.79,7411.0,55
CPT,51703,"INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; COMPLICATED (EG, ALTERED ANATOMY, FRACTURED CATHETER/BALLOON)",,,57.79,4345.0,33
CPT,51705,CHANGE OF CYSTOSTOMY TUBE; SIMPLE,,,51.77,4345.0,66
CPT,51705,HC CHANGE OF BLADDER TUBE,886.6,531.96,51.77,7411.0,110
CPT,51710,HC CHANGE BLADDER TUBE,2004.38,1202.63,238.15,7411.0,110
CPT,51715,ENDOSCOPIC INJECTION OF IMPLANT MATERIAL INTO THE SUBMUCOSAL TISSUES OF THE URETHRA AND/OR BLADDER NECK,,,1561.68,10776.19,34
CPT,51720,BLADDER INSTILLATION OF ANTICARCINOGENIC AGENT (INCLUDING RETENTION TIME),,,44.85,4345.0,34
CPT,51720,HC TREAT BLADDER LESION,965.05,579.03,44.85,7411.0,55
CPT,51784,"HC SPHINCTER,ANAL/URETHRAL,EMG,OT",678.34,407.0,22.14,7411.0,55
CPT,51785,"HC SPHINCTER ANAL/URETHRAL EMG,AN",809.88,485.93,110.15,7411.0,55
CPT,51798,HC POST VOID RESIDUAL BLADDER SCAN,321.05,192.63,54.58,7411.0,55
CPT,51798,HC UROLOGY BLADDER SCANNER,321.05,192.63,54.58,7411.0,55
CPT,51798,HC US MEASUREMENT OF BLADDER CAPACITY OR POST VOID RESIDUAL,321.05,192.63,54.58,7411.0,55
CPT,51840,"ANTERIOR VESICOURETHROPEXY, OR URETHROPEXY (EG, MARSHALL-MARCHETTI-KRANTZ, BURCH); SIMPLE",,,1175.48,10804.29,29
CPT,51860,"CYSTORRHAPHY, SUTURE OF BLADDER WOUND, INJURY OR RUPTURE; SIMPLE",,,4302.0,22821.27,30
CPT,51865,"CYSTORRHAPHY, SUTURE OF BLADDER WOUND, INJURY OR RUPTURE; COMPLICATED",,,1580.5,8280.0,10
CPT,51990,"LAPAROSCOPY, SURGICAL; URETHRAL SUSPENSION FOR STRESS INCONTINENCE",,,5769.43,17256.34,30
CPT,51992,"LAPAROSCOPY, SURGICAL; SLING OPERATION FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC)",,,2594.39,17256.34,34
CPT,51999,"UNLISTED LAPAROSCOPY PROCEDURE, BLADDER",,,5769.43,17256.34,30
CPT,52000,CYSTOURETHROSCOPY (SEPARATE PROCEDURE),,,238.15,4345.0,34
CPT,52000,HC CYSTOSCOPY,2785.38,1671.23,238.15,7411.0,110
CPT,52001,CYSTOURETHROSCOPY WITH IRRIGATION AND EVACUATION OF MULTIPLE OBSTRUCTING CLOTS,,,1142.9,10776.19,33
CPT,52005,"CYSTOURETHROSCOPY, WITH URETERAL CATHETERIZATION, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE;",,,652.8,6324.43,34
CPT,52007,"CYSTOURETHROSCOPY, WITH URETERAL CATHETERIZATION, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE; WITH BRUSH BIOPSY OF URETER AND/OR RENAL PELVIS",,,1142.9,10776.19,34
CPT,52204,"CYSTOURETHROSCOPY, WITH BIOPSY(S)",,,652.8,6324.43,34
CPT,52214,"CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) OF TRIGONE, BLADDER NECK, PROSTATIC FOSSA, URETHRA, OR PERIURETHRAL GLANDS",,,1142.9,8636.11,34
CPT,52224,"CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) OR TREATMENT OF MINOR (LESS THAN 0.5 CM) LESION(S) WITH OR WITHOUT BIOPSY",,,1142.9,8636.11,34
CPT,52234,"CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) AND/OR RESECTION OF; SMALL BLADDER TUMOR(S) (0.5 UP TO 2.0 CM)",,,1142.9,10776.19,34
CPT,52235,"CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) AND/OR RESECTION OF; MEDIUM BLADDER TUMOR(S) (2.0 TO 5.0 CM)",,,1142.9,10776.19,34
CPT,52240,"CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) AND/OR RESECTION OF; LARGE BLADDER TUMOR(S)",,,1689.43,15106.88,34
CPT,52260,"CYSTOURETHROSCOPY, WITH DILATION OF BLADDER FOR INTERSTITIAL CYSTITIS; GENERAL OR CONDUCTION (SPINAL) ANESTHESIA",,,652.8,6324.43,34
CPT,52275,"CYSTOURETHROSCOPY, WITH INTERNAL URETHROTOMY; MALE",,,652.8,6324.43,34
CPT,52276,CYSTOURETHROSCOPY WITH DIRECT VISION INTERNAL URETHROTOMY,,,652.8,7168.0,34
CPT,52281,"CYSTOURETHROSCOPY, WITH CALIBRATION AND/OR DILATION OF URETHRAL STRICTURE OR STENOSIS, WITH OR WITHOUT MEATOTOMY, WITH OR WITHOUT INJECTION PROCEDURE FOR CYSTOGRAPHY, MALE OR FEMALE",,,652.8,6324.43,34
CPT,52281,HC CYSTOSCOPY AND TREAT - W CALIB/DILAT STRICTURE,5663.52,3398.11,652.8,7411.0,55
CPT,52281,HC CYSTOURETHROSCOPY W/CALIBRAT,5663.52,3398.11,652.8,7411.0,55
CPT,52284,"CYSTOURETHROSCOPY, WITH MECHANICAL URETHRAL DILATION AND URETHRAL THERAPEUTIC DRUG DELIVERY BY DRUG-COATED BALLOON CATHETER FOR URETHRAL STRICTURE OR STENOSIS, MALE, INCLUDING FLUOROSCOPY, WHEN PERFOR",,,4302.0,12818.21,23
CPT,52287,"CYSTOURETHROSCOPY, WITH INJECTION(S) FOR CHEMODENERVATION OF THE BLADDER",,,652.8,8674.0,33
CPT,52310,"CYSTOURETHROSCOPY, WITH REMOVAL OF FOREIGN BODY, CALCULUS, OR URETERAL STENT FROM URETHRA OR BLADDER (SEPARATE PROCEDURE); SIMPLE",,,652.8,6324.43,33
CPT,52310,HC CYSTOSCOPY AND TREATMENT,4431.9,2659.14,652.8,7411.0,55
CPT,52315,"CYSTOURETHROSCOPY, WITH REMOVAL OF FOREIGN BODY, CALCULUS, OR URETERAL STENT FROM URETHRA OR BLADDER (SEPARATE PROCEDURE); COMPLICATED",,,652.8,6324.43,34
CPT,52317,LITHOLAPAXY: CRUSHING OR FRAGMENTATION OF CALCULUS BY ANY MEANS IN BLADDER AND REMOVAL OF FRAGMENTS; SIMPLE OR SMALL (LESS THAN 2.5 CM),,,1142.9,10776.19,34
CPT,52318,LITHOLAPAXY: CRUSHING OR FRAGMENTATION OF CALCULUS BY ANY MEANS IN BLADDER AND REMOVAL OF FRAGMENTS; COMPLICATED OR LARGE (OVER 2.5 CM),,,1142.9,10776.19,34
CPT,52320,CYSTOURETHROSCOPY (INCLUDING URETERAL CATHETERIZATION); WITH REMOVAL OF URETERAL CALCULUS,,,1142.9,10776.19,34
CPT,52330,"CYSTOURETHROSCOPY (INCLUDING URETERAL CATHETERIZATION); WITH MANIPULATION, WITHOUT REMOVAL OF URETERAL CALCULUS",,,1142.9,10776.19,34
CPT,52332,"CYSTOURETHROSCOPY, WITH INSERTION OF INDWELLING URETERAL STENT (EG, GIBBONS OR DOUBLE-J TYPE)",,,1142.9,10776.19,34
CPT,52332,HC CYSTOSCOPY&TREATMENT - W STENT INSERT,7238.05,4342.83,1142.9,8636.11,55
CPT,52334,HC IR NEPHROSTOMY PERC RETRO RT,5228.27,3136.96,1142.9,10776.19,38
CPT,52341,"CYSTOURETHROSCOPY; WITH TREATMENT OF URETERAL STRICTURE (EG, BALLOON DILATION, LASER, ELECTROCAUTERY, AND INCISION)",,,1142.9,10776.19,34
CPT,52342,"CYSTOURETHROSCOPY; WITH TREATMENT OF URETEROPELVIC JUNCTION STRICTURE (EG, BALLOON DILATION, LASER, ELECTROCAUTERY, AND INCISION)",,,1142.9,10776.19,34
CPT,52344,"CYSTOURETHROSCOPY WITH URETEROSCOPY; WITH TREATMENT OF URETERAL STRICTURE (EG, BALLOON DILATION, LASER, ELECTROCAUTERY, AND INCISION)",,,1142.9,10776.19,34
CPT,52345,"CYSTOURETHROSCOPY WITH URETEROSCOPY; WITH TREATMENT OF URETEROPELVIC JUNCTION STRICTURE (EG, BALLOON DILATION, LASER, ELECTROCAUTERY, AND INCISION)",,,1142.9,10776.19,34
CPT,52351,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; DIAGNOSTIC",,,1142.9,10776.19,34
CPT,52352,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH REMOVAL OR MANIPULATION OF CALCULUS (URETERAL CATHETERIZATION IS INCLUDED)",,,1142.9,10776.19,34
CPT,52353,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH LITHOTRIPSY (URETERAL CATHETERIZATION IS INCLUDED)",,,1689.43,15106.88,34
CPT,52354,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH BIOPSY AND/OR FULGURATION OF URETERAL OR RENAL PELVIC LESION",,,1689.43,15106.88,34
CPT,52355,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH RESECTION OF URETERAL OR RENAL PELVIC TUMOR",,,1689.43,15106.88,34
CPT,52356,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH LITHOTRIPSY INCLUDING INSERTION OF INDWELLING URETERAL STENT (EG, GIBBONS OR DOUBLE-J TYPE)",,,1689.43,15106.88,33
CPT,52356,HC CYSTO W/URETEROSC &/OR PYELESC - INSRT STNT,7913.7,4748.22,1689.43,12818.21,55
CPT,52500,TRANSURETHRAL RESECTION OF BLADDER NECK (SEPARATE PROCEDURE),,,1142.9,10776.19,34
CPT,52597,"TRANSURETHRAL ROBOTIC-ASSISTED WATERJET RESECTION OF PROSTATE, INCLUDING INTRAOPERATIVE PLANNING, ULTRASOUND GUIDANCE, CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE, INCLUDING VASECTOMY, MEATOTOMY, CYST",,,5559.85,20445.64,22
CPT,52601,"TRANSURETHRAL ELECTROSURGICAL RESECTION OF PROSTATE, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR DILATION, AND INTERNAL ",,,1689.43,15106.88,34
CPT,52630,"TRANSURETHRAL RESECTION; RESIDUAL OR REGROWTH OF OBSTRUCTIVE PROSTATE TISSUE INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR",,,1689.43,15106.88,34
CPT,52640,TRANSURETHRAL RESECTION; OF POSTOPERATIVE BLADDER NECK CONTRACTURE,,,1142.9,10776.19,34
CPT,52648,"LASER VAPORIZATION OF PROSTATE, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR DILATION, INTERNAL URETHROTOMY AND TRANSURET",,,1689.43,15106.88,34
CPT,53060,HC DRAIN ABSCESS URETHR,3612.26,2167.36,614.08,7411.0,55
CPT,53200,BIOPSY OF URETHRA,,,652.8,6324.43,34
CPT,53210,"URETHRECTOMY, TOTAL, INCLUDING CYSTOSTOMY; FEMALE",,,1142.9,10776.19,34
CPT,53215,"URETHRECTOMY, TOTAL, INCLUDING CYSTOSTOMY; MALE",,,1689.43,15106.88,34
CPT,53230,EXCISION OF URETHRAL DIVERTICULUM (SEPARATE PROCEDURE); FEMALE,,,1689.43,15106.88,34
CPT,53260,"EXCISION OR FULGURATION; URETHRAL POLYP(S), DISTAL URETHRA",,,1142.9,8636.11,34
CPT,53265,EXCISION OR FULGURATION; URETHRAL CARUNCLE,,,652.8,6324.43,34
CPT,53270,EXCISION OR FULGURATION; SKENE'S GLANDS,,,1142.9,8636.11,34
CPT,53275,EXCISION OR FULGURATION; URETHRAL PROLAPSE,,,1142.9,8636.11,34
CPT,53400,"URETHROPLASTY; FIRST STAGE, FOR FISTULA, DIVERTICULUM, OR STRICTURE (EG, JOHANNSEN TYPE)",,,1689.43,15106.88,34
CPT,53440,"SLING OPERATION FOR CORRECTION OF MALE URINARY INCONTINENCE (EG, FASCIA OR SYNTHETIC)",,,2416.0,31800.16,34
CPT,53445,"INSERTION OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER, INCLUDING PLACEMENT OF PUMP, RESERVOIR, AND CUFF",,,1804.0,62739.04,34
CPT,53446,"REMOVAL OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER, INCLUDING PUMP, RESERVOIR, AND CUFF",,,1689.43,15106.88,34
CPT,53447,"REMOVAL AND REPLACEMENT OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER INCLUDING PUMP, RESERVOIR, AND CUFF AT THE SAME OPERATIVE SESSION",,,1804.0,62739.04,34
CPT,53500,"URETHROLYSIS, TRANSVAGINAL, SECONDARY, OPEN, INCLUDING CYSTOURETHROSCOPY (EG, POSTSURGICAL OBSTRUCTION, SCARRING)",,,3363.99,10776.19,30
CPT,53600,"HC DILATE URETHRA STRIC - MALE,SOUND, INITIAL",857.98,514.79,34.88,7411.0,55
CPT,53605,HC DILATE URETHRA STRIC,6241.78,3745.07,1142.9,8636.11,55
CPT,53620,HC DILATE URETHRA STRIC,2311.48,1386.89,92.46,7411.0,55
CPT,53660,HC DILATE FEM URETHRA INITIAL,341.0,204.6,39.59,7411.0,55
CPT,53899,HC EXAM UNDER ANESTHESIA; MALE GENITALIA (INCLUDING URETHRA),5708.06,3424.84,238.44,7411.0,53
CPT,53899,"HC EXCISION OR FULGURATION; OTHER URETHRAL LESION, TUMOR, OR MASS",4892.93,2935.76,238.44,7411.0,53
CPT,53899,"HC LPRSCPY, SRGCL; EXCSION OF URACHAL CYST OR SINUS W/WO UMBILCAL HRNIA RPR",11034.31,6620.59,238.44,8606.76,53
CPT,53899,"HC PERCUTANEOUS NEEDLE BIOPSY, BLADDER",3357.27,2014.36,238.44,8280.0,51
CPT,53899,HC PERINEAL INCISIONAL EXPLORATION,4892.93,2935.76,238.44,7411.0,53
CPT,53899,HC UROLOGY SGY PROC UNLISTED,4888.94,2933.36,238.44,7411.0,53
CPT,53899,HC UROLOGY SURGERY PROC,5385.72,3231.43,238.44,7411.0,53
CPT,53899,"UNLISTED PROCEDURE, URINARY SYSTEM",,,238.44,8280.0,30
CPT,54001,HC SLITTING OF PREPUCE,4601.68,2761.01,652.8,7411.0,55
CPT,54001,"SLITTING OF PREPUCE, DORSAL OR LATERAL (SEPARATE PROCEDURE); EXCEPT NEWBORN",,,652.8,6324.43,34
CPT,54060,"DESTRUCTION OF LESION(S), PENIS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; SURGICAL EXCISION",,,709.01,5793.18,34
CPT,54100,BIOPSY OF PENIS; (SEPARATE PROCEDURE),,,486.45,4900.18,34
CPT,54120,AMPUTATION OF PENIS; PARTIAL,,,1142.9,10776.19,34
CPT,54150,"CIRCUMCISION, USING CLAMP OR OTHER DEVICE WITH REGIONAL DORSAL PENILE OR RING BLOCK",,,652.8,6324.43,34
CPT,54150,HC CIRCUMCISION W/BLOCK,2370.06,1422.04,652.8,7411.0,55
CPT,54150,HC CIRCUMCISION W/O BLOCK,2370.06,1422.04,652.8,7411.0,40
CPT,54160,"HC CIRCUMCISION, NEONAT",3775.96,2265.58,238.15,7411.0,55
CPT,54161,"CIRCUMCISION, SURGICAL EXCISION OTHER THAN CLAMP, DEVICE, OR DORSAL SLIT; OLDER THAN 28 DAYS OF AGE",,,652.8,6324.43,34
CPT,54162,LYSIS OR EXCISION OF PENILE POST-CIRCUMCISION ADHESIONS,,,652.8,6324.43,34
CPT,54163,HC REPAIR CIRCUMCISION,3424.38,2054.63,652.8,7411.0,55
CPT,54164,FRENULOTOMY OF PENIS,,,652.8,6324.43,34
CPT,54220,HC IRRIGATION CORPORA CAVERNOSA,1072.69,643.61,110.15,7411.0,55
CPT,54235,HC PENILE INJECTION,889.87,533.92,35.16,7411.0,55
CPT,54300,"PLASTIC OPERATION OF PENIS FOR STRAIGHTENING OF CHORDEE (EG, HYPOSPADIAS), WITH OR WITHOUT MOBILIZATION OF URETHRA",,,1142.9,10776.19,34
CPT,54312,"HC ED ONLY URETHROPLASTY/2ND STAGE HYPOSPAD,REPAIR",5761.0,3456.6,1142.9,8636.11,55
CPT,54360,PLASTIC OPERATION ON PENIS TO CORRECT ANGULATION,,,1142.9,10776.19,34
CPT,54400,INSERTION OF PENILE PROSTHESIS; NON-INFLATABLE (SEMI-RIGID),,,2763.0,62739.04,31
CPT,54405,"INSERTION OF MULTI-COMPONENT, INFLATABLE PENILE PROSTHESIS, INCLUDING PLACEMENT OF PUMP, CYLINDERS, AND RESERVOIR",,,2763.0,62739.04,31
CPT,54408,"REPAIR OF COMPONENT(S) OF A MULTI-COMPONENT, INFLATABLE PENILE PROSTHESIS",,,2763.0,15106.88,31
CPT,54410,"REMOVAL AND REPLACEMENT OF ALL COMPONENT(S) OF A MULTI-COMPONENT, INFLATABLE PENILE PROSTHESIS AT THE SAME OPERATIVE SESSION",,,2763.0,62739.04,31
CPT,54420,HC REVISION OF PENIS,6741.12,4044.67,1142.9,8636.11,55
CPT,54430,"CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT (PRIAPISM OPERATION), UNILATERAL OR BILATERAL",,,1128.58,8280.0,10
CPT,54430,HC CORPORA CAVER-SPONGIOSA SHUNT,7228.99,4337.39,1228.93,7411.0,39
CPT,54435,"CORPORA CAVERNOSA-GLANS PENIS FISTULIZATION (EG, BIOPSY NEEDLE, WINTER PROCEDURE, RONGEUR, OR PUNCH) FOR PRIAPISM",,,1142.9,10776.19,34
CPT,54435,HC REVISION OF PENIS,6241.78,3745.07,1142.9,8636.11,55
CPT,54437,REPAIR OF TRAUMATIC CORPOREAL TEAR(S),,,1142.9,10776.19,33
CPT,54440,PLASTIC OPERATION OF PENIS FOR INJURY,,,1142.9,10776.19,34
CPT,54450,FORESKIN MANIPULATION INCLUDING LYSIS OF PREPUTIAL ADHESIONS AND STRETCHING,,,110.15,4345.0,33
CPT,54450,HC FOESKIN MANIPULATION,1234.52,740.71,110.15,7411.0,55
CPT,54512,EXCISION OF EXTRAPARENCHYMAL LESION OF TESTIS,,,1142.9,10776.19,34
CPT,54520,"ORCHIECTOMY, SIMPLE (INCLUDING SUBCAPSULAR), WITH OR WITHOUT TESTICULAR PROSTHESIS, SCROTAL OR INGUINAL APPROACH",,,1142.9,10776.19,34
CPT,54522,"ORCHIECTOMY, PARTIAL",,,1142.9,10776.19,34
CPT,54530,"ORCHIECTOMY, RADICAL, FOR TUMOR; INGUINAL APPROACH",,,1151.54,11100.34,34
CPT,54600,HC REDUCE TESTIS TORSIO,8965.07,5379.04,1142.9,8636.11,55
CPT,54600,"REDUCTION OF TORSION OF TESTIS, SURGICAL, WITH OR WITHOUT FIXATION OF CONTRALATERAL TESTIS",,,1142.9,10776.19,34
CPT,54640,"ORCHIOPEXY, INGUINAL OR SCROTAL APPROACH",,,1151.54,11100.34,34
CPT,54660,INSERTION OF TESTICULAR PROSTHESIS (SEPARATE PROCEDURE),,,2416.0,15106.88,34
CPT,54670,SUTURE OR REPAIR OF TESTICULAR INJURY,,,1142.9,8636.11,34
CPT,54690,"LAPAROSCOPY, SURGICAL; ORCHIECTOMY",,,1888.85,17256.34,34
CPT,54700,HC DRAINAGE OF SCROTUM,7130.03,4278.02,652.8,7411.0,55
CPT,54700,"INCISION AND DRAINAGE OF EPIDIDYMIS, TESTIS AND/OR SCROTAL SPACE (EG, ABSCESS OR HEMATOMA)",,,652.8,6324.43,34
CPT,54830,EXCISION OF LOCAL LESION OF EPIDIDYMIS,,,1142.9,8636.11,34
CPT,54840,"EXCISION OF SPERMATOCELE, WITH OR WITHOUT EPIDIDYMECTOMY",,,652.8,7886.0,34
CPT,54860,EPIDIDYMECTOMY; UNILATERAL,,,1142.9,8636.11,34
CPT,55000,HC DRAINAGE OF HYDROCEL,1220.02,732.01,54.26,7411.0,55
CPT,55000,"HC DRAINAGE OF HYDROCEL, TUNICA",1220.02,732.01,54.26,7411.0,55
CPT,55040,EXCISION OF HYDROCELE; UNILATERAL,,,1151.54,11100.34,34
CPT,55041,EXCISION OF HYDROCELE; BILATERAL,,,1151.54,11100.34,34
CPT,55100,DRAINAGE OF SCROTAL WALL ABSCESS,,,486.45,4900.18,34
CPT,55100,HC DRAIN SCROTUM ABSCES,3329.81,1997.89,486.45,7411.0,55
CPT,55100,HC I&D SCROTAL ABCESS,3329.81,1997.89,486.45,7411.0,55
CPT,55110,SCROTAL EXPLORATION,,,1142.9,10776.19,34
CPT,55250,"VASECTOMY, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE), INCLUDING POSTOPERATIVE SEMEN EXAMINATION(S)",,,652.8,6324.43,34
CPT,55520,EXCISION OF LESION OF SPERMATIC CORD (SEPARATE PROCEDURE),,,1142.9,10776.19,34
CPT,55530,EXCISION OF VARICOCELE OR LIGATION OF SPERMATIC VEINS FOR VARICOCELE; (SEPARATE PROCEDURE),,,1142.9,10776.19,34
CPT,55550,"LAPAROSCOPY, SURGICAL, WITH LIGATION OF SPERMATIC VEINS FOR VARICOCELE",,,1888.85,17256.34,34
CPT,55559,"HC LAPAROSCOPY, SURGICAL; VASECTOMY",6602.4,3961.44,1650.6,14293.73,53
CPT,55559,"UNLISTED LAPAROSCOPY PROCEDURE, SPERMATIC CORD",,,5769.43,17256.34,30
CPT,55700,"BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH",,,2850.0,6324.43,22
CPT,55700,HC BIOPSY OF PROSTATE,4378.44,2627.06,744.33,7411.0,40
CPT,55706,"BIOPSIES, PROSTATE, NEEDLE, TRANSPERINEAL, STEREOTACTIC TEMPLATE GUIDED SATURATION SAMPLING, INCLUDING IMAGING GUIDANCE",,,1142.9,10776.19,33
CPT,55707,"BIOPSY, PROSTATE, TRANSRECTAL, ULTRASOUND-GUIDED (IE, SEXTANT, ULTRASOUND-LOCALIZED DISCRETE LESION[S])",,,1378.42,7613.24,22
CPT,55707,HC BIOPSY PROSTATE TRANSRECTAL ULTRASOUND-GUIDED,4378.44,2627.06,1378.42,7613.24,54
CPT,55708,"BIOPSY, PROSTATE, TRANSRECTAL, ULTRASOUND-GUIDED (IE, SEXTANT) WITH MRI-FUSION-GUIDANCE, FIRST TARGETED LESION",,,3363.99,47686.05,22
CPT,55708,HC BX PROSTATE TRANSRECTAL US GID W/MRI FUS GDN 1ST,4378.44,2627.06,1576.24,47686.05,54
CPT,55709,HC BX PROSTATE TRANSPERINEAL ULTRASOUND-GUIDED,4378.44,2627.06,1378.42,7613.24,54
CPT,55710,"BIOPSY, PROSTATE, TRANSPERINEAL, ULTRASOUND-GUIDED (IE, SEXTANT) WITH MRI-FUSION-GUIDANCE BIOPSY, FIRST TARGETED LESION",,,1378.42,7613.24,22
CPT,55710,HC BX PROSTATE TRANSPERINEAL US GID W/MRI FUS GDN 1,4378.44,2627.06,1378.42,7613.24,54
CPT,55711,HC BX PROSTATE TRANSRECTAL MRI-US GID TRGT LES 1ST,4378.44,2627.06,1378.42,7613.24,54
CPT,55712,"BIOPSY, PROSTATE, TRANSPERINEAL, MRI-ULTRASOUND-FUSION GUIDED, TARGETED LESION(S) ONLY, FIRST TARGETED LESION",,,1378.42,7613.24,22
CPT,55712,HC BX PROSTATE TPRNL MRI-US GID TRGT LES 1ST,4378.44,2627.06,1378.42,7613.24,54
CPT,55713,HC BX PROSTATE IN-BORE CT/MRI BX ADDL TRGT LES 1ST,4378.44,2627.06,1576.24,11580.39,54
CPT,55714,HC BX PROSTATE IN-BORE CT/MRI TRGT LES ONLY 1ST,4378.44,2627.06,1576.24,11580.39,54
CPT,55715,"BIOPSY, PROSTATE, EACH ADDITIONAL, MRI-ULTRASOUND FUSION OR IN-BORE CT- OR MRI-GUIDED TARGETED LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,,,0
CPT,55715,HC BX PROSTATE EA ADDL MRI-US FUSION/IN-BORE CT/MRI,4378.44,2627.06,744.33,7411.0,39
CPT,55720,HC IR DRAIN PROSTATIC ABSCESS,3766.82,2260.09,1142.9,8636.11,53
CPT,55845,"PROSTATECTOMY, RETROPUBIC RADICAL, WITH OR WITHOUT NERVE SPARING; WITH BILATERAL PELVIC LYMPHADENECTOMY, INCLUDING EXTERNAL ILIAC, HYPOGASTRIC, AND OBTURATOR NODES",,,2404.57,8280.0,10
CPT,55866,"LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INCLUDING NERVE SPARING, INCLUDES ROBOTIC ASSISTANCE, WHEN PERFORMED;",,,7038.0,30034.8,30
CPT,55867,"LAPAROSCOPY, SURGICAL PROSTATECTOMY, SIMPLE SUBTOTAL (INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, VASECTOMY, MEATOTOMY, URETHRAL CALIBRATION AND/OR DILATION, AND INTERNAL URETHROTOMY), INCLUDES ROBOT",,,7038.0,32441.66,30
CPT,55868,"LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INCLUDING NERVE SPARING, INCLUDES ROBOTIC ASSISTANCE, WHEN PERFORMED; WITH LYMPH NODE BIOPSY(IES) (LIMITED PELVIC LYMPHADENECTOMY)",,,10144.36,22958.28,19
CPT,55869,"LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INCLUDING NERVE SPARING, INCLUDES ROBOTIC ASSISTANCE, WHEN PERFORMED; WITH BILATERAL PELVIC LYMPHADENECTOMY, INCLUDING EXTERNAL ILIAC, HYPOGAST",,,10144.36,22958.28,19
CPT,55874,HC TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX,9967.81,5980.69,2405.54,12818.21,55
CPT,55874,"TRANSPERINEAL PLACEMENT OF BIODEGRADABLE MATERIAL, PERI-PROSTATIC, SINGLE OR MULTIPLE INJECTION(S), INCLUDING IMAGE GUIDANCE, WHEN PERFORMED",,,2405.54,15106.88,33
CPT,55875,"TRANSPERINEAL PLACEMENT OF NEEDLES OR CATHETERS INTO PROSTATE FOR INTERSTITIAL RADIOELEMENT APPLICATION, WITH OR WITHOUT CYSTOSCOPY",,,1689.43,15106.88,34
CPT,55876,HC PLACE RT DEVICE/MARK,4877.63,2926.58,70.87,7411.0,55
CPT,55876,"PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION THERAPY GUIDANCE (EG, FIDUCIAL MARKERS, DOSIMETER), PROSTATE (VIA NEEDLE, ANY APPROACH), SINGLE OR MULTIPLE",,,70.87,4345.0,66
CPT,55880,"ABLATION OF MALIGNANT PROSTATE TISSUE, TRANSRECTAL, WITH HIGH INTENSITY-FOCUSED ULTRASOUND (HIFU), INCLUDING ULTRASOUND GUIDANCE",,,4302.0,22821.27,30
CPT,55880,HC TRANSRECTAL ABLTJ MAL PRST8 TISSUE HIFU W/US,8463.24,5077.94,1438.75,22821.27,53
CPT,55899,"HC BIOPSY, SEMINAL VESICLE(S); NEEDLE, SINGLE OR MULTIPLE, ANY APPROACH",3250.05,1950.03,238.44,7411.0,53
CPT,55899,HC CYSTOURETHROSCOPY; WITH REMOVAL OF PROSTATE CALCULUS,6485.56,3891.34,238.44,7411.0,53
CPT,55899,HC EXCISION OF SCROTAL MASS,3832.62,2299.57,238.44,7411.0,53
CPT,55899,HC GENITAL SURGERY PROCEDURE,3474.86,2084.92,238.44,7411.0,53
CPT,55899,HC TRANSURETHRAL RESECTION OF PROSTATE LESION,11107.8,6664.68,238.44,8664.08,53
CPT,55899,"UNLISTED PROCEDURE, MALE GENITAL SYSTEM",,,238.44,8280.0,30
CPT,55920,PLACEMENT OF NEEDLES OR CATHETERS INTO PELVIC ORGANS AND/OR GENITALIA (EXCEPT PROSTATE) FOR SUBSEQUENT INTERSTITIAL RADIOELEMENT APPLICATION,,,4773.99,15249.4,30
CPT,56405,HC I & D VULVA/PERINEU,1153.73,692.24,75.58,7411.0,55
CPT,56405,HC I&D OF VULVA/PERINEUM,1153.73,692.24,75.58,7411.0,55
CPT,56405,INCISION AND DRAINAGE OF VULVA OR PERINEAL ABSCESS,,,75.58,4779.0,33
CPT,56420,HC DRAIN ABSCESS GLAND,849.69,509.81,70.52,7411.0,55
CPT,56420,HC DRAINAGE OF GLAND ABSCESS,849.69,509.81,70.52,7411.0,55
CPT,56420,INCISION AND DRAINAGE OF BARTHOLIN'S GLAND ABSCESS,,,70.52,4345.0,33
CPT,56440,HC MANSUP BARTHOLINS CYST,4740.69,2844.41,1063.52,7744.8,55
CPT,56440,MARSUPIALIZATION OF BARTHOLIN'S GLAND CYST,,,1063.52,8918.22,34
CPT,56441,LYSIS OF LABIAL ADHESIONS,,,1063.52,8918.22,34
CPT,56501,"DESTRUCTION OF LESION(S), VULVA; SIMPLE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY)",,,111.02,8280.0,33
CPT,56515,"DESTRUCTION OF LESION(S), VULVA; EXTENSIVE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY)",,,709.01,7168.0,34
CPT,56605,BIOPSY OF VULVA OR PERINEUM (SEPARATE PROCEDURE); 1 LESION,,,44.85,4345.0,33
CPT,56605,HC BIOPSY VULVA/PERINEUM - 1 LESION,1355.89,813.53,44.85,7411.0,55
CPT,56606,BIOPSY OF VULVA OR PERINEUM (SEPARATE PROCEDURE); EACH SEPARATE ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,1896.0,2107.0,3
CPT,56620,VULVECTOMY SIMPLE; PARTIAL,,,1063.52,8918.22,34
CPT,56625,VULVECTOMY SIMPLE; COMPLETE,,,1063.52,10495.0,34
CPT,56630,"VULVECTOMY, RADICAL, PARTIAL;",,,1660.31,10804.29,29
CPT,56631,"VULVECTOMY, RADICAL, PARTIAL; WITH UNILATERAL INGUINOFEMORAL LYMPHADENECTOMY",,,2099.44,17847.0,10
CPT,56633,"VULVECTOMY, RADICAL, COMPLETE;",,,2153.63,17847.0,10
CPT,56700,PARTIAL HYMENECTOMY OR REVISION OF HYMENAL RING,,,1063.52,8918.22,34
CPT,56740,EXCISION OF BARTHOLIN'S GLAND OR CYST,,,1063.52,8918.22,34
CPT,56810,HC REPAIR OF PERINEUM,5475.81,3285.49,1063.52,7744.8,55
CPT,56810,"PERINEOPLASTY, REPAIR OF PERINEUM, NONOBSTETRICAL (SEPARATE PROCEDURE)",,,1063.52,8918.22,34
CPT,56820,COLPOSCOPY OF THE VULVA;,,,55.1,2107.0,33
CPT,56820,HC SANE EXAM OF VULVA,150.0,90.0,54.0,7411.0,55
CPT,56821,COLPOSCOPY OF THE VULVA; WITH BIOPSY(S),,,72.54,4345.0,33
CPT,57000,COLPOTOMY; WITH EXPLORATION,,,1063.52,8918.22,34
CPT,57000,HC EXPLORATION VAGINA,4647.74,2788.64,1063.52,7744.8,55
CPT,57061,"DESTRUCTION OF VAGINAL LESION(S); SIMPLE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY)",,,98.83,8280.0,33
CPT,57061,HC DESTROY VAG LESIONS,5840.0,3504.0,98.83,7744.8,55
CPT,57065,"DESTRUCTION OF VAGINAL LESION(S); EXTENSIVE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY)",,,1063.52,8918.22,34
CPT,57100,BIOPSY OF VAGINAL MUCOSA; SIMPLE (SEPARATE PROCEDURE),,,47.06,4345.0,33
CPT,57100,HC BIOPSY OF VAGINA,2872.47,1723.48,47.06,7411.0,55
CPT,57100,HC BIOPSY OF VAGINAL MUCOSA-SIMPLE,2872.47,1723.48,47.06,7411.0,55
CPT,57105,"BIOPSY OF VAGINAL MUCOSA; EXTENSIVE, REQUIRING SUTURE (INCLUDING CYSTS)",,,1063.52,8918.22,34
CPT,57106,"VAGINECTOMY, PARTIAL REMOVAL OF VAGINAL WALL;",,,3089.29,8918.22,30
CPT,57120,COLPOCLEISIS (LE FORT TYPE),,,1526.99,15249.4,33
CPT,57130,EXCISION OF VAGINAL SEPTUM,,,1063.52,8918.22,34
CPT,57135,EXCISION OF VAGINAL CYST OR TUMOR,,,1063.52,8918.22,34
CPT,57150,HC VAGINA IRRIGATION/APPLICATION MED,384.0,230.4,56.3,7411.0,55
CPT,57155,HC INSERT UTERI TANDEMS,8668.93,5201.36,1526.99,12321.66,55
CPT,57155,INSERTION OF UTERINE TANDEM AND/OR VAGINAL OVOIDS FOR CLINICAL BRACHYTHERAPY,,,1526.99,15249.4,33
CPT,57156,HC INS VAG BRACHY TREATMENT DEV,1612.07,967.24,116.74,7411.0,55
CPT,57160,HC INSERT PESSARY/OTHER,367.08,220.25,33.5,7411.0,55
CPT,57200,"COLPORRHAPHY, SUTURE OF INJURY OF VAGINA (NONOBSTETRICAL)",,,1063.52,8918.22,34
CPT,57200,HC COLPORRHAPHY INJECTECT VAGINAL,6513.21,3907.93,1063.52,7744.8,55
CPT,57210,"COLPOPERINEORRHAPHY, SUTURE OF INJURY OF VAGINA AND/OR PERINEUM (NONOBSTETRICAL)",,,1063.52,8918.22,34
CPT,57230,PLASTIC REPAIR OF URETHROCELE,,,1063.52,8918.22,34
CPT,57240,"ANTERIOR COLPORRHAPHY, REPAIR OF CYSTOCELE WITH OR WITHOUT REPAIR OF URETHROCELE, INCLUDING CYSTOURETHROSCOPY, WHEN PERFORMED",,,1526.99,15249.4,34
CPT,57250,"POSTERIOR COLPORRHAPHY, REPAIR OF RECTOCELE WITH OR WITHOUT PERINEORRHAPHY",,,1526.99,15249.4,34
CPT,57260,"COMBINED ANTEROPOSTERIOR COLPORRHAPHY, INCLUDING CYSTOURETHROSCOPY, WHEN PERFORMED;",,,1526.99,15249.4,34
CPT,57265,"COMBINED ANTEROPOSTERIOR COLPORRHAPHY, INCLUDING CYSTOURETHROSCOPY, WHEN PERFORMED; WITH ENTEROCELE REPAIR",,,1526.99,15249.4,34
CPT,57268,"REPAIR OF ENTEROCELE, VAGINAL APPROACH (SEPARATE PROCEDURE)",,,1526.99,15249.4,34
CPT,57270,"REPAIR OF ENTEROCELE, ABDOMINAL APPROACH (SEPARATE PROCEDURE)",,,1402.67,8280.0,10
CPT,57280,"COLPOPEXY, ABDOMINAL APPROACH",,,1660.92,8280.0,10
CPT,57282,"COLPOPEXY, VAGINAL; EXTRA-PERITONEAL APPROACH (SACROSPINOUS, ILIOCOCCYGEUS)",,,7038.0,23931.85,30
CPT,57283,"COLPOPEXY, VAGINAL; INTRA-PERITONEAL APPROACH (UTEROSACRAL, LEVATOR MYORRHAPHY)",,,7038.0,23931.85,30
CPT,57287,"REMOVAL OR REVISION OF SLING FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC)",,,1063.52,8918.22,33
CPT,57288,"SLING OPERATION FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC)",,,2067.78,15249.4,34
CPT,57295,REVISION (INCLUDING REMOVAL) OF PROSTHETIC VAGINAL GRAFT; VAGINAL APPROACH,,,1063.52,8918.22,33
CPT,57300,CLOSURE OF RECTOVAGINAL FISTULA; VAGINAL OR TRANSANAL APPROACH,,,1063.52,8918.22,34
CPT,57308,"CLOSURE OF RECTOVAGINAL FISTULA; TRANSPERINEAL APPROACH, WITH PERINEAL BODY RECONSTRUCTION, WITH OR WITHOUT LEVATOR PLICATION",,,1155.99,8280.0,10
CPT,57320,CLOSURE OF VESICOVAGINAL FISTULA; VAGINAL APPROACH,,,1526.99,15249.4,33
CPT,57330,CLOSURE OF VESICOVAGINAL FISTULA; TRANSVESICAL AND VAGINAL APPROACH,,,6497.0,23931.85,30
CPT,57400,DILATION OF VAGINA UNDER ANESTHESIA (OTHER THAN LOCAL),,,1063.52,8918.22,34
CPT,57410,HC PELVIC EXAMINATION,1782.78,1069.67,641.8,7744.8,55
CPT,57410,PELVIC EXAMINATION UNDER ANESTHESIA (OTHER THAN LOCAL),,,1063.52,8918.22,34
CPT,57415,HC REMOVE VAGINAL FOREIGN BODY,8729.42,5237.65,1063.52,7744.8,55
CPT,57415,REMOVAL OF IMPACTED VAGINAL FOREIGN BODY (SEPARATE PROCEDURE) UNDER ANESTHESIA (OTHER THAN LOCAL),,,1063.52,8918.22,34
CPT,57420,"COLPOSCOPY OF THE ENTIRE VAGINA, WITH CERVIX IF PRESENT;",,,57.86,4345.0,33
CPT,57421,"COLPOSCOPY OF THE ENTIRE VAGINA, WITH CERVIX IF PRESENT; WITH BIOPSY(S) OF VAGINA/CERVIX",,,76.14,4345.0,33
CPT,57425,"LAPAROSCOPY, SURGICAL, COLPOPEXY (SUSPENSION OF VAGINAL APEX)",,,7038.0,30034.8,30
CPT,57426,"REVISION (INCLUDING REMOVAL) OF PROSTHETIC VAGINAL GRAFT, LAPAROSCOPIC APPROACH",,,2276.8,23931.85,33
CPT,57452,COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA;,,,56.75,4345.0,33
CPT,57452,HC SANE EXAMINER FEE,233.0,139.8,56.75,7411.0,55
CPT,57454,COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH BIOPSY(S) OF THE CERVIX AND ENDOCERVICAL CURETTAGE,,,65.06,4345.0,33
CPT,57455,COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH BIOPSY(S) OF THE CERVIX,,,70.04,4345.0,33
CPT,57460,COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH LOOP ELECTRODE BIOPSY(S) OF THE CERVIX,,,174.42,8280.0,33
CPT,57461,COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH LOOP ELECTRODE CONIZATION OF THE CERVIX,,,185.22,7744.8,33
CPT,57500,"BIOPSY OF CERVIX, SINGLE OR MULTIPLE, OR LOCAL EXCISION OF LESION, WITH OR WITHOUT FULGURATION (SEPARATE PROCEDURE)",,,91.36,4345.0,33
CPT,57500,HC BIOPSY OF CERVIX,2114.23,1268.54,91.36,7411.0,110
CPT,57505,ENDOCERVICAL CURETTAGE (NOT DONE AS PART OF A DILATION AND CURETTAGE),,,91.91,4345.0,33
CPT,57510,CAUTERY OF CERVIX; ELECTRO OR THERMAL,,,79.18,8280.0,33
CPT,57511,"CAUTERY OF CERVIX; CRYOCAUTERY, INITIAL OR REPEAT",,,104.93,4345.0,33
CPT,57520,"CONIZATION OF CERVIX, WITH OR WITHOUT FULGURATION, WITH OR WITHOUT DILATION AND CURETTAGE, WITH OR WITHOUT REPAIR; COLD KNIFE OR LASER",,,1063.52,8918.22,34
CPT,57522,"CONIZATION OF CERVIX, WITH OR WITHOUT FULGURATION, WITH OR WITHOUT DILATION AND CURETTAGE, WITH OR WITHOUT REPAIR; LOOP ELECTRODE EXCISION",,,1063.52,8918.22,34
CPT,57530,"TRACHELECTOMY (CERVICECTOMY), AMPUTATION OF CERVIX (SEPARATE PROCEDURE)",,,1526.99,15249.4,34
CPT,57558,DILATION AND CURETTAGE OF CERVICAL STUMP,,,1063.52,8918.22,34
CPT,57700,"CERCLAGE OF UTERINE CERVIX, NONOBSTETRICAL",,,1804.0,8918.22,31
CPT,57720,"TRACHELORRHAPHY, PLASTIC REPAIR OF UTERINE CERVIX, VAGINAL APPROACH",,,1063.52,8918.22,34
CPT,57800,"DILATION OF CERVICAL CANAL, INSTRUMENTAL (SEPARATE PROCEDURE)",,,39.86,7744.8,33
CPT,57800,HC DILATION OF CERVICAL CANAL,7859.45,4715.67,39.86,7744.8,55
CPT,58100,"ENDOMETRIAL SAMPLING (BIOPSY) WITH OR WITHOUT ENDOCERVICAL SAMPLING (BIOPSY), WITHOUT CERVICAL DILATION, ANY METHOD (SEPARATE PROCEDURE)",,,45.96,2107.0,66
CPT,58100,HC BIOPSY UTERUS LINING,662.77,397.66,45.96,7411.0,55
CPT,58100,HC BX UTERUS LINING,613.68,368.21,45.96,7411.0,55
CPT,58120,"DILATION AND CURETTAGE, DIAGNOSTIC AND/OR THERAPEUTIC (NONOBSTETRICAL)",,,1063.52,8918.22,34
CPT,58120,HC DILATION AND CURETTA,6916.78,4150.07,1063.52,7744.8,55
CPT,58140,"MYOMECTOMY, EXCISION OF FIBROID TUMOR(S) OF UTERUS, 1 TO 4 INTRAMURAL MYOMA(S) WITH TOTAL WEIGHT OF 250 G OR LESS AND/OR REMOVAL OF SURFACE MYOMAS; ABDOMINAL APPROACH",,,1594.52,8280.0,10
CPT,58145,"MYOMECTOMY, EXCISION OF FIBROID TUMOR(S) OF UTERUS, 1 TO 4 INTRAMURAL MYOMA(S) WITH TOTAL WEIGHT OF 250 G OR LESS AND/OR REMOVAL OF SURFACE MYOMAS; VAGINAL APPROACH",,,1063.52,8918.22,34
CPT,58146,"MYOMECTOMY, EXCISION OF FIBROID TUMOR(S) OF UTERUS, 5 OR MORE INTRAMURAL MYOMAS AND/OR INTRAMURAL MYOMAS WITH TOTAL WEIGHT GREATER THAN 250 G, ABDOMINAL APPROACH",,,1982.49,8280.0,10
CPT,58150,"TOTAL ABDOMINAL HYSTERECTOMY (CORPUS AND CERVIX), WITH OR WITHOUT REMOVAL OF TUBE(S), WITH OR WITHOUT REMOVAL OF OVARY(S);",,,1772.37,8280.0,10
CPT,58180,"SUPRACERVICAL ABDOMINAL HYSTERECTOMY (SUBTOTAL HYSTERECTOMY), WITH OR WITHOUT REMOVAL OF TUBE(S), WITH OR WITHOUT REMOVAL OF OVARY(S)",,,1668.22,8280.0,10
CPT,58260,"VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS;",,,1526.99,15249.4,33
CPT,58262,"VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOVAL OF TUBE(S), AND/OR OVARY(S)",,,1526.99,15249.4,33
CPT,58263,"VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOVAL OF TUBE(S), AND/OR OVARY(S), WITH REPAIR OF ENTEROCELE",,,4773.99,15249.4,30
CPT,58270,"VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REPAIR OF ENTEROCELE",,,4773.99,15249.4,30
CPT,58285,"VAGINAL HYSTERECTOMY, RADICAL (SCHAUTA TYPE OPERATION)",,,2546.0,8280.0,10
CPT,58291,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,4773.99,15249.4,30
CPT,58300,HC INTRAUTERINE DEVICE (IUD) INSERTION,631.38,378.83,107.33,7411.0,39
CPT,58300,INSERTION OF INTRAUTERINE DEVICE (IUD),,,93.8,2107.0,10
CPT,58301,HC REMOVAL OF IUD,805.59,483.35,51.22,7411.0,55
CPT,58301,HC REMOVE DEVICE INTRA,805.59,483.35,51.22,7411.0,55
CPT,58301,REMOVAL OF INTRAUTERINE DEVICE (IUD),,,51.22,4345.0,33
CPT,58340,CATHETERIZATION AND INTRODUCTION OF SALINE OR CONTRAST MATERIAL FOR SALINE INFUSION SONOHYSTEROGRAPHY (SIS) OR HYSTEROSALPINGOGRAPHY,,,1896.0,2107.0,3
CPT,58340,HC CATH/INJECT FOR HYSTROSONOGRAM,883.44,530.06,150.18,7411.0,34
CPT,58340,HC CATH/INJECT HYSTEROSALPINGOGRAM,883.44,530.06,150.18,7411.0,39
CPT,58350,"CHROMOTUBATION OF OVIDUCT, INCLUDING MATERIALS",,,4773.99,15249.4,31
CPT,58353,"ENDOMETRIAL ABLATION, THERMAL, WITHOUT HYSTEROSCOPIC GUIDANCE",,,1526.99,15249.4,34
CPT,58400,"UTERINE SUSPENSION, WITH OR WITHOUT SHORTENING OF ROUND LIGAMENTS, WITH OR WITHOUT SHORTENING OF SACROUTERINE LIGAMENTS; (SEPARATE PROCEDURE)",,,773.51,8280.0,10
CPT,58542,"LAPAROSCOPY, SURGICAL, SUPRACERVICAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,3110.01,30034.8,33
CPT,58544,"LAPAROSCOPY, SURGICAL, SUPRACERVICAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,9126.0,30034.8,30
CPT,58545,"LAPAROSCOPY, SURGICAL, MYOMECTOMY, EXCISION; 1 TO 4 INTRAMURAL MYOMAS WITH TOTAL WEIGHT OF 250 G OR LESS AND/OR REMOVAL OF SURFACE MYOMAS",,,1888.85,17256.34,34
CPT,58546,"LAPAROSCOPY, SURGICAL, MYOMECTOMY, EXCISION; 5 OR MORE INTRAMURAL MYOMAS AND/OR INTRAMURAL MYOMAS WITH TOTAL WEIGHT GREATER THAN 250 G",,,3110.01,30034.8,34
CPT,58548,"LAPAROSCOPY, SURGICAL, WITH RADICAL HYSTERECTOMY, WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY), WITH REMOVAL OF TUBE(S) AND OVARY(S), IF PERFORMED",,,3353.48,8568.0,10
CPT,58550,"LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS;",,,1888.85,17256.34,34
CPT,58552,"LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,3110.01,30034.8,33
CPT,58553,"LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G;",,,3110.01,30034.8,33
CPT,58554,"LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,3110.01,30034.8,33
CPT,58555,"HYSTEROSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE)",,,1063.52,8918.22,34
CPT,58558,"HYSTEROSCOPY, SURGICAL; WITH SAMPLING (BIOPSY) OF ENDOMETRIUM AND/OR POLYPECTOMY, WITH OR WITHOUT D & C",,,1063.52,8918.22,34
CPT,58560,"HYSTEROSCOPY, SURGICAL; WITH DIVISION OR RESECTION OF INTRAUTERINE SEPTUM (ANY METHOD)",,,1526.99,15249.4,34
CPT,58561,"HYSTEROSCOPY, SURGICAL; WITH REMOVAL OF LEIOMYOMATA",,,1526.99,15249.4,34
CPT,58562,"HYSTEROSCOPY, SURGICAL; WITH REMOVAL OF IMPACTED FOREIGN BODY",,,1063.52,8918.22,34
CPT,58563,"HYSTEROSCOPY, SURGICAL; WITH ENDOMETRIAL ABLATION (EG, ENDOMETRIAL RESECTION, ELECTROSURGICAL ABLATION, THERMOABLATION)",,,1526.99,15249.4,34
CPT,58570,"LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS;",,,3110.01,30034.8,33
CPT,58571,"LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,3110.01,30034.8,33
CPT,58572,"LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G;",,,9126.0,30034.8,30
CPT,58573,"LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,3110.01,30034.8,33
CPT,58575,"LAPAROSCOPY, SURGICAL, TOTAL HYSTERECTOMY FOR RESECTION OF MALIGNANCY (TUMOR DEBULKING), WITH OMENTECTOMY INCLUDING SALPINGO-OOPHORECTOMY, UNILATERAL OR BILATERAL, WHEN PERFORMED",,,3315.12,8280.0,10
CPT,58578,"UNLISTED LAPAROSCOPY PROCEDURE, UTERUS",,,5769.43,17256.34,30
CPT,58579,"UNLISTED HYSTEROSCOPY PROCEDURE, UTERUS",,,192.94,8280.0,30
CPT,58600,"LIGATION OR TRANSECTION OF FALLOPIAN TUBE(S), ABDOMINAL OR VAGINAL APPROACH, UNILATERAL OR BILATERAL",,,1063.52,8918.22,33
CPT,58660,"LAPAROSCOPY, SURGICAL; WITH LYSIS OF ADHESIONS (SALPINGOLYSIS, OVARIOLYSIS) (SEPARATE PROCEDURE)",,,1888.85,17256.34,34
CPT,58661,"LAPAROSCOPY, SURGICAL; WITH REMOVAL OF ADNEXAL STRUCTURES (PARTIAL OR TOTAL OOPHORECTOMY AND/OR SALPINGECTOMY)",,,1888.85,17256.34,34
CPT,58662,"LAPAROSCOPY, SURGICAL; WITH FULGURATION OR EXCISION OF LESIONS OF THE OVARY, PELVIC VISCERA, OR PERITONEAL SURFACE BY ANY METHOD",,,1888.85,17256.34,34
CPT,58670,"LAPAROSCOPY, SURGICAL; WITH FULGURATION OF OVIDUCTS (WITH OR WITHOUT TRANSECTION)",,,1888.85,17256.34,34
CPT,58673,"LAPAROSCOPY, SURGICAL; WITH SALPINGOSTOMY (SALPINGONEOSTOMY)",,,1888.85,25500.18,34
CPT,58674,"LAPAROSCOPY, SURGICAL, ABLATION OF UTERINE FIBROID(S) INCLUDING INTRAOPERATIVE ULTRASOUND GUIDANCE AND MONITORING, RADIOFREQUENCY",,,3110.01,30034.8,33
CPT,58679,"UNLISTED LAPAROSCOPY PROCEDURE, OVIDUCT, OVARY",,,5769.43,17256.34,30
CPT,58700,"SALPINGECTOMY, COMPLETE OR PARTIAL, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE)",,,1362.46,8280.0,10
CPT,58720,"SALPINGO-OOPHORECTOMY, COMPLETE OR PARTIAL, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE)",,,1298.51,8568.0,10
CPT,58740,"LYSIS OF ADHESIONS (SALPINGOLYSIS, OVARIOLYSIS)",,,1555.54,8280.0,10
CPT,58900,HC BIOPSY OF OVARY(S),7736.64,4641.98,1063.52,7744.8,55
CPT,58925,"OVARIAN CYSTECTOMY, UNILATERAL OR BILATERAL",,,4773.99,15249.4,30
CPT,58940,"OOPHORECTOMY, PARTIAL OR TOTAL, UNILATERAL OR BILATERAL;",,,932.47,8280.0,10
CPT,58950,"RESECTION (INITIAL) OF OVARIAN, TUBAL OR PRIMARY PERITONEAL MALIGNANCY WITH BILATERAL SALPINGO-OOPHORECTOMY AND OMENTECTOMY;",,,2008.07,8280.0,10
CPT,58956,"BILATERAL SALPINGO-OOPHORECTOMY WITH TOTAL OMENTECTOMY, TOTAL ABDOMINAL HYSTERECTOMY FOR MALIGNANCY",,,2435.02,8280.0,10
CPT,58999,HC CERVICAL MASS MANUAL REMOVAL,2114.23,1268.54,192.94,7411.0,53
CPT,58999,HC EXCISION OF VAGINAL CUFF MASS (E.G. GRANULATION TISSUE),5838.25,3502.95,192.94,7411.0,53
CPT,58999,HC GENITAL SURGERY PROC,2204.33,1322.6,192.94,7411.0,53
CPT,58999,HC REDUCTION OF INVERTED/INCARCERATED UTERUS,6432.52,3859.51,192.94,7411.0,53
CPT,58999,HC VAGINAL CUFF REVISION,5101.67,3061.0,192.94,7411.0,53
CPT,58999,"UNLISTED PROCEDURE, FEMALE GENITAL SYSTEM (NONOBSTETRICAL)",,,192.94,8280.0,30
CPT,59000,"HC AMNIOCENTESIS, DIAGN",1461.0,876.6,49.56,7411.0,55
CPT,59001,"HC AMNIOCENTESIS, THERA",1121.53,672.92,116.74,7411.0,55
CPT,59020,HC FETAL CONTRACTION STRESS TEST,1038.84,623.3,27.13,7411.0,110
CPT,59025,HC FETAL NON-STRESS TEST,929.75,557.85,15.78,7411.0,55
CPT,59025,HC NON STRESS TEST,929.75,557.85,15.78,7411.0,55
CPT,59070,HC TRANSABDOMINAL AMNIOINFUSION W/ULTRSND,843.92,506.35,143.47,7411.0,53
CPT,59120,"SURGICAL TREATMENT OF ECTOPIC PREGNANCY; TUBAL OR OVARIAN, REQUIRING SALPINGECTOMY AND/OR OOPHORECTOMY, ABDOMINAL OR VAGINAL APPROACH",,,1403.27,8280.0,10
CPT,59136,"SURGICAL TREATMENT OF ECTOPIC PREGNANCY; INTERSTITIAL, UTERINE PREGNANCY WITH PARTIAL RESECTION OF UTERUS",,,1551.28,8280.0,10
CPT,59150,LAPAROSCOPIC TREATMENT OF ECTOPIC PREGNANCY; WITHOUT SALPINGECTOMY AND/OR OOPHORECTOMY,,,1888.85,17256.34,33
CPT,59151,LAPAROSCOPIC TREATMENT OF ECTOPIC PREGNANCY; WITH SALPINGECTOMY AND/OR OOPHORECTOMY,,,1888.85,17256.34,33
CPT,59160,"CURETTAGE, POSTPARTUM",,,1063.52,8918.22,34
CPT,59160,HC D& C AFTER DELIVERY,5736.64,3441.98,1063.52,7744.8,55
CPT,59200,HC INSERT CERVICAL DILATOR,1139.52,683.71,193.72,7411.0,55
CPT,59200,HC INSERT CERVICAL DILATOR - MECHANICAL,1139.52,683.71,193.72,7411.0,55
CPT,59200,HC INSERT CERVICAL DILATOR - MEDICINAL,1139.52,683.71,193.72,7411.0,55
CPT,59200,"INSERTION OF CERVICAL DILATOR (EG, LAMINARIA, PROSTAGLANDIN) (SEPARATE PROCEDURE)",,,95.15,4345.0,30
CPT,59300,"EPISIOTOMY OR VAGINAL REPAIR, BY OTHER THAN ATTENDING",,,189.08,8280.0,30
CPT,59300,HC EPISIOTOMY VAG REPAIR NO DELIVERY,6297.62,3778.57,189.08,8280.0,53
CPT,59300,HC EPISIOTOMY VAG REPR,6297.62,3778.57,1070.6,7744.8,55
CPT,59320,"CERCLAGE OF CERVIX, DURING PREGNANCY; VAGINAL",,,1063.52,8918.22,34
CPT,59320,HC REVISION OF CERVIX,6424.6,3854.76,1063.52,7744.8,55
CPT,59409,HC VAGINAL DELIVERY,5237.25,3142.35,890.33,7744.8,55
CPT,59410,VAGINAL DELIVERY ONLY (WITH OR WITHOUT EPISIOTOMY AND/OR FORCEPS); INCLUDING POSTPARTUM CARE,,,1823.53,3852.07,5
CPT,59412,"EXTERNAL CEPHALIC VERSION, WITH OR WITHOUT TOCOLYSIS",,,3089.29,8918.22,30
CPT,59412,HC EXT CEPHALIC VERSION,5219.63,3131.78,887.34,7744.8,110
CPT,59414,DELIVERY OF PLACENTA (SEPARATE PROCEDURE),,,1063.52,8918.22,33
CPT,59414,HC DELIVER PLACENTA,5225.23,3135.14,1063.52,7744.8,55
CPT,59414,HC ER DELIVER PLACENTA,5225.23,3135.14,1063.52,7744.8,55
CPT,59514,HC CESAREAN DELIVERY ONLY,9708.18,5824.91,1650.39,8251.95,39
CPT,59515,HC CESAREAN DELIVERY+POSTPARTUM CARE,5873.22,3523.93,998.45,7411.0,39
CPT,59612,HC VBAC DELIVERY ONLY,6950.12,4170.07,1181.52,7744.8,55
CPT,59812,HC TREATMENT OF MISCARRIAGE,7448.28,4468.97,1063.52,7744.8,55
CPT,59812,HC TRT OF MISCARRIAGE,7448.28,4468.97,1063.52,7744.8,55
CPT,59812,"TREATMENT OF INCOMPLETE ABORTION, ANY TRIMESTER, COMPLETED SURGICALLY",,,1063.52,8918.22,34
CPT,59820,HC CARE OF MISCARRIAGE,6367.55,3820.53,1063.52,7744.8,55
CPT,59820,"TREATMENT OF MISSED ABORTION, COMPLETED SURGICALLY; FIRST TRIMESTER",,,1063.52,8918.22,34
CPT,59821,"TREATMENT OF MISSED ABORTION, COMPLETED SURGICALLY; SECOND TRIMESTER",,,1063.52,8918.22,34
CPT,59830,"TREATMENT OF SEPTIC ABORTION, COMPLETED SURGICALLY",,,777.16,8280.0,10
CPT,59840,HC INDUCED ABORTION D&C,6075.2,3645.12,1063.52,7744.8,55
CPT,59841,"INDUCED ABORTION, BY DILATION AND EVACUATION",,,1063.52,8918.22,34
CPT,59855,HC INDUCED AB BY VAG SUPPOS,3329.99,1997.99,566.1,7411.0,39
CPT,59870,UTERINE EVACUATION AND CURETTAGE FOR HYDATIDIFORM MOLE,,,1063.52,8918.22,34
CPT,59871,HC REMVE CERCLAGE SUTUR UNDER CONSCIOUS SEDATION,5053.65,3032.19,1063.52,7744.8,55
CPT,59897,"HC ULTRASOUND GUIDED INJECTION OF GESTATIONAL SAC, ECTOPIC PREGNANCY",821.35,492.81,192.94,7411.0,53
CPT,59899,HC BAKRI BALLOON PLACEMENT,340.64,204.38,85.16,7411.0,53
CPT,59899,HC INCISION AND DRAINAGE OF VULVAR HEMATOMA; OBSTECTRICAL/POSTPARTUM,2676.8,1606.08,192.94,7411.0,53
CPT,59899,HC JADA SYSTEM PLACEMENT,7448.28,4468.97,192.94,7411.0,53
CPT,59899,HC LYSIS OF VAGINAL ADHESION,6443.26,3865.96,192.94,7411.0,53
CPT,59899,HC MATERNITY CARE PROCE,326.6,195.96,81.65,7411.0,53
CPT,59899,HC REDUCTION OF INCARCERATED UTERUS IN MATERNITY CARE AND/OR DELIVERY,8302.92,4981.75,192.94,7411.0,53
CPT,60100,"BIOPSY THYROID, PERCUTANEOUS CORE NEEDLE",,,42.63,4345.0,33
CPT,60100,HC BIOPSY OF THYROID,2140.51,1284.31,42.63,7411.0,55
CPT,60200,"EXCISION OF CYST OR ADENOMA OF THYROID, OR TRANSECTION OF ISTHMUS",,,1888.85,17256.34,34
CPT,60210,"PARTIAL THYROID LOBECTOMY, UNILATERAL; WITH OR WITHOUT ISTHMUSECTOMY",,,1888.85,17256.34,33
CPT,60220,"TOTAL THYROID LOBECTOMY, UNILATERAL; WITH OR WITHOUT ISTHMUSECTOMY",,,1888.85,17256.34,33
CPT,60225,"TOTAL THYROID LOBECTOMY, UNILATERAL; WITH CONTRALATERAL SUBTOTAL LOBECTOMY, INCLUDING ISTHMUSECTOMY",,,1888.85,17256.34,33
CPT,60240,"THYROIDECTOMY, TOTAL OR COMPLETE",,,1888.85,17256.34,33
CPT,60252,"THYROIDECTOMY, TOTAL OR SUBTOTAL FOR MALIGNANCY; WITH LIMITED NECK DISSECTION",,,5649.47,17316.39,30
CPT,60254,"THYROIDECTOMY, TOTAL OR SUBTOTAL FOR MALIGNANCY; WITH RADICAL NECK DISSECTION",,,2932.01,8280.0,10
CPT,60260,"THYROIDECTOMY, REMOVAL OF ALL REMAINING THYROID TISSUE FOLLOWING PREVIOUS REMOVAL OF A PORTION OF THYROID",,,5649.47,17316.39,30
CPT,60270,"THYROIDECTOMY, INCLUDING SUBSTERNAL THYROID; STERNAL SPLIT OR TRANSTHORACIC APPROACH",,,2402.13,8280.0,10
CPT,60271,"THYROIDECTOMY, INCLUDING SUBSTERNAL THYROID; CERVICAL APPROACH",,,5649.47,17316.39,30
CPT,60280,EXCISION OF THYROGLOSSAL DUCT CYST OR SINUS;,,,1888.85,17256.34,34
CPT,60281,EXCISION OF THYROGLOSSAL DUCT CYST OR SINUS; RECURRENT,,,1888.85,17256.34,34
CPT,60300,"ASPIRATION AND/OR INJECTION, THYROID CYST",,,59.52,3167.0,33
CPT,60300,HC ASPIR/INJECTION THYROID CYS,1388.81,833.29,59.52,7411.0,55
CPT,60500,PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROID(S);,,,1954.22,17316.39,33
CPT,60502,PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROID(S); RE-EXPLORATION,,,5649.47,17316.39,30
CPT,60512,PARATHYROID AUTOTRANSPLANTATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,1896.0,2107.0,3
CPT,60521,"THYMECTOMY, PARTIAL OR TOTAL; STERNAL SPLIT OR TRANSTHORACIC APPROACH, WITHOUT RADICAL MEDIASTINAL DISSECTION (SEPARATE PROCEDURE)",,,1973.97,8280.0,10
CPT,60540,"ADRENALECTOMY, PARTIAL OR COMPLETE, OR EXPLORATION OF ADRENAL GLAND WITH OR WITHOUT BIOPSY, TRANSABDOMINAL, LUMBAR OR DORSAL (SEPARATE PROCEDURE);",,,1880.78,8280.0,10
CPT,60605,EXCISION OF CAROTID BODY TUMOR; WITH EXCISION OF CAROTID ARTERY,,,2546.0,8280.0,10
CPT,60650,"LAPAROSCOPY, SURGICAL, WITH ADRENALECTOMY, PARTIAL OR COMPLETE, OR EXPLORATION OF ADRENAL GLAND WITH OR WITHOUT BIOPSY, TRANSABDOMINAL, LUMBAR OR DORSAL",,,2101.87,8568.0,10
CPT,60659,HC MWA OF ADRENAL GLAND,10914.97,6548.98,2728.74,14293.73,53
CPT,60660,HC ABLTJ 1/+THYROID NODULE 1 LOBE/ISTHMUS PERQ RF,5660.0,3396.0,962.2,7411.0,52
CPT,60699,"HC ABLATION, 1 OR MORE LYMPH NODES, CRYOABLATION, W/WO IMAGING GUIDANCE",12185.54,7311.32,3046.39,17256.34,51
CPT,60699,"HC ABLTN =1 ADRNL GLND LSNS RDFRQNCY (MCRWVE), W/WO IMGNG GDNCE, UNLTRL",10914.97,6548.98,2728.74,17256.34,51
CPT,60699,"HC ABLTN, 1/MORE ADRNL GLND LSN, CRYOABLTN/CRYOTHRP, W/WO IMGNG GDNC UNLTRL",12606.79,7564.07,3151.7,17256.34,51
CPT,60699,HC ENDOCRINE SURGERY PR,6670.8,4002.48,1667.7,14293.73,53
CPT,60699,HC US GUIDED ETHANOL INJECTION,25138.58,15083.15,5769.43,18853.94,51
CPT,61050,HC REMOVE BRAIN CANAL FL,1697.2,1018.32,108.15,7411.0,55
CPT,61055,CISTERNAL OR LATERAL CERVICAL (C1-C2) PUNCTURE; WITH INJECTION OF MEDICATION OR OTHER SUBSTANCE FOR DIAGNOSIS OR TREATMENT,,,108.15,4345.0,33
CPT,61055,HC INJ.INTO BRAIN CANAL,1817.81,1090.69,108.15,7411.0,55
CPT,61070,HC BRAIN CANAL SHUNT,1735.95,1041.57,262.86,7411.0,55
CPT,61070,HC BRAIN CANAL SHUNT PR,1735.95,1041.57,262.86,7411.0,55
CPT,61070,PUNCTURE OF SHUNT TUBING OR RESERVOIR FOR ASPIRATION OR INJECTION PROCEDURE,,,262.86,4345.0,33
CPT,61107,"HC INTRACRANIAL PRESS, MONITORING",3185.84,1911.5,541.59,7411.0,78
CPT,61210,"HC EXTERNAL VENTRICULOSTOMY, BURR HOLE",9453.26,5671.96,1607.05,8035.27,39
CPT,61210,"HC PIERCE SKULL,IMPLANT",9453.26,5671.96,1607.05,8035.27,39
CPT,61330,"DECOMPRESSION OF ORBIT ONLY, TRANSCRANIAL APPROACH",,,3164.04,9350.87,30
CPT,61333,"EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH), WITH REMOVAL OF LESION",,,2546.0,8280.0,10
CPT,61500,CRANIECTOMY; WITH EXCISION OF TUMOR OR OTHER BONE LESION OF SKULL,,,2327.21,10140.0,10
CPT,61501,CRANIECTOMY; FOR OSTEOMYELITIS,,,2020.26,8280.0,10
CPT,61510,"CRANIECTOMY, TREPHINATION, BONE FLAP CRANIOTOMY; FOR EXCISION OF BRAIN TUMOR, SUPRATENTORIAL, EXCEPT MENINGIOMA",,,2546.0,8280.0,10
CPT,61590,"INFRATEMPORAL PRE-AURICULAR APPROACH TO MIDDLE CRANIAL FOSSA (PARAPHARYNGEAL SPACE, INFRATEMPORAL AND MIDLINE SKULL BASE, NASOPHARYNX), WITH OR WITHOUT DISARTICULATION OF THE MANDIBLE, INCLUDING PAROT",,,2546.0,11345.21,10
CPT,61591,"INFRATEMPORAL POST-AURICULAR APPROACH TO MIDDLE CRANIAL FOSSA (INTERNAL AUDITORY MEATUS, PETROUS APEX, TENTORIUM, CAVERNOUS SINUS, PARASELLAR AREA, INFRATEMPORAL FOSSA) INCLUDING MASTOIDECTOMY, RESECT",,,2546.0,11470.02,10
CPT,61592,"ORBITOCRANIAL ZYGOMATIC APPROACH TO MIDDLE CRANIAL FOSSA (CAVERNOUS SINUS AND CAROTID ARTERY, CLIVUS, BASILAR ARTERY OR PETROUS APEX) INCLUDING OSTEOTOMY OF ZYGOMA, CRANIOTOMY, EXTRA- OR INTRADURAL EL",,,2546.0,11908.73,10
CPT,61605,"RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF INFRATEMPORAL FOSSA, PARAPHARYNGEAL SPACE, PETROUS APEX; EXTRADURAL",,,2546.0,8280.0,10
CPT,61616,"RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF BASE OF POSTERIOR CRANIAL FOSSA, JUGULAR FORAMEN, FORAMEN MAGNUM, OR C1-C3 VERTEBRAL BODIES; INTRADURAL, INCLUDING DURAL REPAIR, W",,,2546.0,12518.56,10
CPT,61623,HC ENDOVASC TEMP VESSEL,20893.2,12535.92,3551.84,27252.71,55
CPT,61624,HC TRANSCATH OCCLUSION - CENTRL NRVS SYST,14907.32,8944.39,2534.24,39592.62,54
CPT,61624,"TRANSCATHETER PERMANENT OCCLUSION OR EMBOLIZATION (EG, FOR TUMOR DESTRUCTION, TO ACHIEVE HEMOSTASIS, TO OCCLUDE A VASCULAR MALFORMATION), INCLUDING ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INT",,,2053.15,39592.62,58
CPT,61626,HC TCAT PERM OCCLS/EMBOLJ PERQ NON-CNS HEAD/NECK,20712.98,12427.79,3521.21,27252.71,55
CPT,61626,"TRANSCATHETER PERMANENT OCCLUSION OR EMBOLIZATION (EG, FOR TUMOR DESTRUCTION, TO ACHIEVE HEMOSTASIS, TO OCCLUDE A VASCULAR MALFORMATION), INCLUDING ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INT",,,7038.0,35373.27,30
CPT,61630,HC INTERCRANIAL ANGIOPL,8108.77,4865.26,1378.49,7411.0,39
CPT,61635,HC INTRACRANIAL BALLOON ANGIOPLSTY W/STENT,20064.4,12038.64,2546.0,17054.74,113
CPT,61640,HC IR DILATATION BALLOON PERC INI,15434.33,9260.6,853.3,13119.18,37
CPT,61641,HC IR DILAT IC VSPSM EA VSL SM TER,2784.83,1670.9,299.65,7411.0,37
CPT,61642,HC IR CATH ART THROM DIFF EA ADD,7204.26,4322.56,599.31,7411.0,37
CPT,61642,HC IR DILAT IC VSPSM EA DIFF TER,7204.26,4322.56,599.31,7411.0,37
CPT,61645,"HC PERQ ART M-THROMBECT & INFUSTION, INTRACRANIAL, ANY METHOD",12599.25,7559.55,2141.87,10709.36,39
CPT,61650,"ENDOVASCULAR INTRACRANIAL PROLONGED ADMINISTRATION OF PHARMACOLOGIC AGENT(S) OTHER THAN FOR THROMBOLYSIS, ARTERIAL, INCLUDING CATHETER PLACEMENT, DIAGNOSTIC ANGIOGRAPHY, AND IMAGING GUIDANCE; INITIAL ",,,980.59,8280.0,10
CPT,61650,"HC ENDOVASCULAR INTRACRAN PROLONGED ADMIN, RX AGENT, INITIAL",12002.66,7201.6,2040.45,10202.26,39
CPT,61651,"HC ENDOVASCULAR INTRACRAN PROLONGED ADMIN, RX AGENT, EA ADDL",4672.06,2803.24,794.25,7411.0,39
CPT,61710,"SURGERY OF ANEURYSM, VASCULAR MALFORMATION OR CAROTID-CAVERNOUS FISTULA; BY INTRA-ARTERIAL EMBOLIZATION, INJECTION PROCEDURE, OR BALLOON CATHETER",,,2546.0,8280.0,10
CPT,61781,"STEREOTACTIC COMPUTER-ASSISTED (NAVIGATIONAL) PROCEDURE; CRANIAL, INTRADURAL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,61782,"STEREOTACTIC COMPUTER-ASSISTED (NAVIGATIONAL) PROCEDURE; CRANIAL, EXTRADURAL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,6
CPT,61783,STEREOTACTIC COMPUTER-ASSISTED (NAVIGATIONAL) PROCEDURE; SPINAL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,1896.0,2107.0,3
CPT,61880,REVISION OR REMOVAL OF INTRACRANIAL NEUROSTIMULATOR ELECTRODES,,,1499.71,11240.15,33
CPT,61885,"INSERTION OR REPLACEMENT OF CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, DIRECT OR INDUCTIVE COUPLING; WITH CONNECTION TO A SINGLE ELECTRODE ARRAY",,,2416.0,68827.53,34
CPT,61886,"INSERTION OR REPLACEMENT OF CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, DIRECT OR INDUCTIVE COUPLING; WITH CONNECTION TO 2 OR MORE ELECTRODE ARRAYS",,,2763.0,103953.9,34
CPT,61888,REVISION OR REMOVAL OF CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER,,,1804.0,33745.27,34
CPT,61891,REVISION OR REPLACEMENT OF SKULL-MOUNTED CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER WITH CONNECTION TO DEPTH AND/OR CORTICAL STRIP ELECTRODE ARRAY(S),,,16062.0,66646.37,23
CPT,62120,"REPAIR OF ENCEPHALOCELE, SKULL VAULT, INCLUDING CRANIOPLASTY",,,2546.0,8280.0,10
CPT,62121,"CRANIOTOMY FOR REPAIR OF ENCEPHALOCELE, SKULL BASE",,,2546.0,8280.0,10
CPT,62140,CRANIOPLASTY FOR SKULL DEFECT; UP TO 5 CM DIAMETER,,,1824.14,8280.0,10
CPT,62141,CRANIOPLASTY FOR SKULL DEFECT; LARGER THAN 5 CM DIAMETER,,,2021.48,8280.0,10
CPT,62180,HC ESTABLISH BRAIN CAVITY SHUNT,4042.71,2425.63,687.26,7411.0,39
CPT,62180,HC VENTRICULOCISTERNOSTOMY,4042.71,2425.63,687.26,8280.0,37
CPT,62201,"VENTRICULOCISTERNOSTOMY, THIRD VENTRICLE; STEREOTACTIC, NEUROENDOSCOPIC METHOD",,,2155.46,8280.0,10
CPT,62225,"REPLACEMENT OR IRRIGATION, VENTRICULAR CATHETER",,,1804.0,19667.17,34
CPT,62264,HC EPIDURAL LYSIS 1 DAY,3623.71,2174.23,340.77,7411.0,55
CPT,62267,HC INDERDISCAL PERQ ASPI,2887.34,1732.4,257.6,7411.0,55
CPT,62267,"PERCUTANEOUS ASPIRATION WITHIN THE NUCLEUS PULPOSUS, INTERVERTEBRAL DISC, OR PARAVERTEBRAL TISSUE FOR DIAGNOSTIC PURPOSES",,,257.6,4345.0,33
CPT,62270,HC SPINAL FLUID TAP - DIAGNOSTIC,1956.09,1173.65,262.86,7411.0,55
CPT,62270,"HC SPINAL FLUID TAP, DIAGNOSTIC",1956.09,1173.65,262.86,7411.0,55
CPT,62272,HC DRAIN CEREBRO SPINAL,1988.25,1192.95,262.86,7411.0,110
CPT,62273,HC INJECT EPIDURAL PATCH,2983.9,1790.34,262.86,7411.0,110
CPT,62281,"HC EPIDURAL,CERVICAL OR THORACIC/INJ.NEUROLYT",2173.87,1304.32,340.77,7411.0,55
CPT,62282,HC TRT SPINAL CANAL LES,2789.44,1673.66,340.77,7411.0,55
CPT,62284,HC INJECTION FOR MYELOGRAM,2112.89,1267.73,359.19,7411.0,39
CPT,62284,"INJECTION PROCEDURE FOR MYELOGRAPHY AND/OR COMPUTED TOMOGRAPHY, LUMBAR",,,1896.0,2107.0,3
CPT,62287,HC PERCUTANEOUS DISKECT,8869.55,5321.73,659.94,7411.0,55
CPT,62290,HC INJECT SPINE DISK X-,3359.25,2015.55,571.07,7411.0,39
CPT,62291,HC DISCOGRAPHY CRV/THOR EA LEVEL,1458.8,875.28,248.0,7411.0,71
CPT,62302,"HC MYELOGRAPHY LUMBAR INJ, INC RAD SUP AND INT, CERV",2716.11,1629.67,461.74,7411.0,55
CPT,62302,"MYELOGRAPHY VIA LUMBAR INJECTION, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION; CERVICAL",,,748.12,7886.0,30
CPT,62303,"HC MYELOGRAPHY LUMBAR INJ, INC RAD SUP AND INT,  THORACIC",3697.18,2218.31,628.52,7411.0,55
CPT,62304,"HC MYELOGRAPHY LUMBAR INJ, INC RAD SUP AND INT, LUMBOSACRAL",3205.05,1923.03,544.86,7411.0,55
CPT,62304,"MYELOGRAPHY VIA LUMBAR INJECTION, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION; LUMBOSACRAL",,,748.12,7886.0,30
CPT,62305,"HC MYELOGRAPHY LUMBAR INJ, INC RAD SUP AND INT, 2+ REGIONS",4035.44,2421.26,686.02,7411.0,55
CPT,62305,"MYELOGRAPHY VIA LUMBAR INJECTION, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION; 2 OR MORE REGIONS (EG, LUMBAR/THORACIC, CERVICAL/THORACIC, LUMBAR/CERVICAL, LUMBAR/THORACIC/CERVICAL)",,,748.12,7886.0,30
CPT,62320,"HC NJX DX/THER SUST EPIDURAL/SUBRACH CER/THORACIC,NO IM GUID",2186.24,1311.74,262.86,7411.0,55
CPT,62321,"HC NJX DX/THER SUST EPIDURAL/SUBRACH CER/THORACIC, W IM GUID",3389.57,2033.74,262.86,7411.0,55
CPT,62321,"INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (EG, ANESTHETIC, ANTISPASMODIC, OPIOID, STEROID, OTHER SOLUTION), NOT INCLUDING NEUROLYTIC SUBSTANCES, INCLUDING NEEDLE OR CATHETER PLACEMENT, I",,,262.86,4345.0,34
CPT,62322,"HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W/O GUIDANCE",2418.06,1450.84,262.86,7411.0,55
CPT,62323,"HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID",3137.53,1882.52,262.86,7411.0,55
CPT,62323,"INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (EG, ANESTHETIC, ANTISPASMODIC, OPIOID, STEROID, OTHER SOLUTION), NOT INCLUDING NEUROLYTIC SUBSTANCES, INCLUDING NEEDLE OR CATHETER PLACEMENT, I",,,262.86,4345.0,34
CPT,62324,"HC INJ/INFUS,CERV/THORAC,W/CATH, W/O GUIDANCE",2644.52,1586.71,340.77,7411.0,55
CPT,62325,"HC INJ/INFUS,CERV/THORAC,W/CATH, W IM GUID",3181.45,1908.87,340.77,7411.0,55
CPT,62326,"HC NJX INFUS/BOLUS DX/SBST EDRL/SUBRACH LUM/SACRL,W/O GUIDANCE",2489.87,1493.92,340.77,7411.0,55
CPT,62327,"HC NJX INFUS/BOLUS DX/SBST EDRL/SUBRACH LUM/SACRL,W IM GUID",3509.58,2105.75,340.77,7411.0,55
CPT,62328,HC DX LMBR SPI PNXR W/FLUOR/CT,2821.46,1692.88,262.86,7411.0,53
CPT,62329,HC DX LMBR SPI PNXR CSF FLUOR/CT,2027.03,1216.22,262.86,7411.0,53
CPT,62350,HC IMPLANT SPINAL CANAL,5747.17,3448.3,2068.98,18954.06,55
CPT,62367,HC ANALYZE SPINE INFUSI - W/O REPROGRAM,849.85,509.91,144.47,7411.0,55
CPT,62368,HC ANALYZE SPINE INFUSI - W REPROGRAM,1010.17,606.1,171.73,7411.0,55
CPT,62369,HC ANAL SP INF PMP W/RE,717.6,430.56,121.99,7411.0,55
CPT,62370,HC ANAL SP INF PMP W/MD,1321.0,792.6,224.57,7411.0,55
CPT,63005,"LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA EQUINA, WITHOUT FACETECTOMY, FORAMINOTOMY OR DISCECTOMY (EG, SPINAL STENOSIS), 1 OR 2 VERTEBRAL SEGMENTS; LUMBAR, EXCEPT F",,,2398.52,21355.56,33
CPT,63011,HC ED ONLY LAMINECTOMY/SACRAL/CORD DECOMPRESS 1-2 SEG,11218.62,6731.17,1907.17,17722.46,55
CPT,63012,"LAMINECTOMY WITH REMOVAL OF ABNORMAL FACETS AND/OR PARS INTER-ARTICULARIS WITH DECOMPRESSION OF CAUDA EQUINA AND NERVE ROOTS FOR SPONDYLOLISTHESIS, LUMBAR (GILL TYPE PROCEDURE)",,,6924.82,21355.56,32
CPT,63020,"LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISC; 1 INTERSPACE, CERVICAL",,,2398.52,21355.56,33
CPT,63030,"LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISC; 1 INTERSPACE, LUMBAR",,,2398.52,21355.56,35
CPT,63035,"LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISC; EACH ADDITIONAL INTERSPACE, CERVICAL OR",,,1896.0,12700.0,5
CPT,63042,"LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISC, REEXPLORATION, SINGLE INTERSPACE; LUMBA",,,2398.52,21355.56,33
CPT,63043,"LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISC, REEXPLORATION, SINGLE INTERSPACE; EACH ",,,6497.0,12700.0,5
CPT,63044,"LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISC, REEXPLORATION, SINGLE INTERSPACE; EACH ",,,6497.0,12700.0,5
CPT,63045,"LAMINECTOMY, FACETECTOMY AND FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD, CAUDA EQUINA AND/OR NERVE ROOT[S], [EG, SPINAL OR LATERAL RECESS STENOSIS]), SINGLE VERTEBRAL SEGM",,,2398.52,21355.56,35
CPT,63046,"LAMINECTOMY, FACETECTOMY AND FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD, CAUDA EQUINA AND/OR NERVE ROOT[S], [EG, SPINAL OR LATERAL RECESS STENOSIS]), SINGLE VERTEBRAL SEGM",,,2398.52,21355.56,33
CPT,63047,"LAMINECTOMY, FACETECTOMY AND FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD, CAUDA EQUINA AND/OR NERVE ROOT[S], [EG, SPINAL OR LATERAL RECESS STENOSIS]), SINGLE VERTEBRAL SEGM",,,2398.52,21355.56,35
CPT,63048,"LAMINECTOMY, FACETECTOMY AND FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD, CAUDA EQUINA AND/OR NERVE ROOT[S], [EG, SPINAL OR LATERAL RECESS STENOSIS]), SINGLE VERTEBRAL SEGM",,,1896.0,12700.0,5
CPT,63052,"LAMINECTOMY, FACETECTOMY, OR FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD, CAUDA EQUINA AND/OR NERVE ROOT[S] [EG, SPINAL OR LATERAL RECESS STENOSIS]), DURING POSTERIOR INTER",,,1896.0,12700.0,5
CPT,63053,"LAMINECTOMY, FACETECTOMY, OR FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD, CAUDA EQUINA AND/OR NERVE ROOT[S] [EG, SPINAL OR LATERAL RECESS STENOSIS]), DURING POSTERIOR INTER",,,1896.0,12700.0,5
CPT,63055,"TRANSPEDICULAR APPROACH WITH DECOMPRESSION OF SPINAL CORD, EQUINA AND/OR NERVE ROOT(S) (EG, HERNIATED INTERVERTEBRAL DISC), SINGLE SEGMENT; THORACIC",,,2398.52,21355.56,33
CPT,63057,"TRANSPEDICULAR APPROACH WITH DECOMPRESSION OF SPINAL CORD, EQUINA AND/OR NERVE ROOT(S) (EG, HERNIATED INTERVERTEBRAL DISC), SINGLE SEGMENT; EACH ADDITIONAL SEGMENT, THORACIC OR LUMBAR (LIST SEPARATELY",,,1896.0,2107.0,3
CPT,63064,"COSTOVERTEBRAL APPROACH WITH DECOMPRESSION OF SPINAL CORD OR NERVE ROOT(S) (EG, HERNIATED INTERVERTEBRAL DISC), THORACIC; SINGLE SEGMENT",,,6924.82,21355.56,30
CPT,63075,"DISCECTOMY, ANTERIOR, WITH DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOT(S), INCLUDING OSTEOPHYTECTOMY; CERVICAL, SINGLE INTERSPACE",,,6924.82,21355.56,32
CPT,63081,"VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, ANTERIOR APPROACH WITH DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOT(S); CERVICAL, SINGLE SEGMENT",,,3114.74,10140.0,10
CPT,63266,"LAMINECTOMY FOR EXCISION OR EVACUATION OF INTRASPINAL LESION OTHER THAN NEOPLASM, EXTRADURAL; THORACIC",,,6924.82,21355.56,30
CPT,63267,"LAMINECTOMY FOR EXCISION OR EVACUATION OF INTRASPINAL LESION OTHER THAN NEOPLASM, EXTRADURAL; LUMBAR",,,4302.0,21355.56,30
CPT,63277,"LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; EXTRADURAL, LUMBAR",,,2762.69,17847.0,10
CPT,63650,HC IMPLANT NEUROELECTRODE - EPIDURAL,12577.0,7546.2,2416.0,16942.33,55
CPT,63662,"REMOVAL OF SPINAL NEUROSTIMULATOR ELECTRODE PLATE/PADDLE(S) PLACED VIA LAMINOTOMY OR LAMINECTOMY, INCLUDING FLUOROSCOPY, WHEN PERFORMED",,,1499.71,11240.15,33
CPT,63664,"REVISION INCLUDING REPLACEMENT, WHEN PERFORMED, OF SPINAL NEUROSTIMULATOR ELECTRODE PLATE/PADDLE(S) PLACED VIA LAMINOTOMY OR LAMINECTOMY, INCLUDING FLUOROSCOPY, WHEN PERFORMED",,,7423.93,68827.53,33
CPT,63688,"REVISION OR REMOVAL OF IMPLANTED SPINAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, WITH DETACHABLE CONNECTION TO ELECTRODE ARRAY",,,1804.0,11240.15,34
CPT,64400,HC INJECTION TRIGEMINAL NERVE,1313.52,788.11,67.55,7411.0,55
CPT,64400,"HC NBLOCK INJECTION, TRIGEMIN",1313.52,788.11,67.55,7411.0,55
CPT,64402,HC INJECTION FACIAL NERVE,778.33,467.0,132.32,7411.0,39
CPT,64405,HC INJECTION OCCIPITAL NERVE,1601.07,960.64,30.18,7411.0,55
CPT,64405,"HC NBLOCK INJECTION, OCCIPITAL",1601.07,960.64,30.18,7411.0,55
CPT,64405,"HC NBLOCK INJECTION, OCCIPITAL (OR)",1601.07,960.64,30.18,7411.0,110
CPT,64405,HC OCCIPITAL NERVE BLOCK BI EXAM,1601.07,960.64,30.18,7411.0,30
CPT,64405,HC OCCIPITAL NERVE BLOCK BI OR,1601.07,960.64,30.18,7411.0,30
CPT,64415,"HC NBLOCK INJ, BRACHIAL PLEXUS, SINGL W/GUIDANCE",2982.52,1789.51,340.77,7411.0,55
CPT,64415,"HC NBLOCK INJECTION, BRACHIAL",2982.52,1789.51,340.77,7411.0,55
CPT,64415,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; BRACHIAL PLEXUS, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,340.77,4345.0,33
CPT,64416,"HC NERVE BLOCK BRACHIAL PLEXUS, CONT W/ GUIDANCE",2324.35,1394.61,340.77,7411.0,55
CPT,64417,"HC NBLOCK INJ, AXILLARY W/ GUIDANCE",1875.95,1125.57,340.77,7411.0,55
CPT,64417,"HC NBLOCK INJECTION, AXILLARY",1875.95,1125.57,340.77,7411.0,55
CPT,64418,"HC NBLOCK INJ, SUPRASCA",2310.0,1386.0,38.76,7411.0,55
CPT,64418,"HC NBLOCK INJECTION, SUPRASCA",2310.0,1386.0,38.76,7411.0,55
CPT,64420,HC INTERCOSTAL BLOCK SINGLE BI,2053.71,1232.23,262.86,7411.0,30
CPT,64420,"HC NBLOCK INJ, INTERCOSTAL NRVE,SNGL",2053.71,1232.23,262.86,7411.0,55
CPT,64420,"HC NBLOCK INJECTION, INTERCOSTAL NRVE,SNGL",2053.71,1232.23,262.86,7411.0,55
CPT,64420,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; INTERCOSTAL NERVE, SINGLE LEVEL",,,262.86,4345.0,33
CPT,64421,HC INTERCOSTAL BLOCK MULTIPLE BI,2409.18,1445.51,340.77,7411.0,30
CPT,64421,"HC NBLOCK INJECTION, INTERCOSTAL NRVS,MLTPLE",2409.18,1445.51,340.77,7411.0,55
CPT,64421,HC REGIONAL NERVE BLOCK,2409.18,1445.51,340.77,7411.0,55
CPT,64421,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; INTERCOSTAL NERVE, EACH ADDITIONAL LEVEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,340.77,4345.0,34
CPT,64425,"HC NBLOCK INJECTION, ILIO-ING",1581.94,949.16,61.74,7411.0,55
CPT,64425,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; ILIOINGUINAL, ILIOHYPOGASTRIC NERVES",,,61.74,4345.0,33
CPT,64430,"HC NBLOCK INJ, PUDENDAL",1805.09,1083.05,340.77,7411.0,55
CPT,64430,"HC NBLOCK INJECTION, PUDENDAL",1805.09,1083.05,340.77,7411.0,55
CPT,64435,"HC NBLOCK INJ, PARACERV",1121.4,672.84,43.19,7411.0,55
CPT,64445,HC INJECTION SCIATIC NERVE SINGLE,3203.39,1922.03,73.64,7411.0,55
CPT,64445,"HC NBLOCK INJ, SCIATIC W/GUIDANCE",3203.39,1922.03,73.64,7411.0,55
CPT,64445,HC SCIATIC NERVE BLOCK BI,3203.39,1922.03,73.64,7411.0,30
CPT,64445,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; SCIATIC NERVE, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,73.64,4345.0,33
CPT,64447,"HC NBLOCK INJECTION FEMORAL, SINGLE",4363.94,2618.36,39.86,7411.0,55
CPT,64447,"HC NBLOCK INJECTION FEMORAL, SINGLE W GUIDANCE",4363.94,2618.36,39.86,7411.0,55
CPT,64447,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; FEMORAL NERVE, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,39.86,4345.0,33
CPT,64448,"HC BLOCK INJ FEM,CONT",2627.8,1576.68,443.63,7411.0,55
CPT,64448,"HC BLOCK INJ FEM,CONTW/GUIDANCE",2627.8,1576.68,443.63,7411.0,55
CPT,64449,"HC NBLOCK INJECTION, LUMBAR",2593.09,1555.85,340.77,7411.0,55
CPT,64450,HC INJECTION FOR NERVE BLOCK,1898.54,1139.12,39.31,7411.0,55
CPT,64450,"HC NBLOCK, OTHER PERIPHERAL",1898.54,1139.12,39.31,7411.0,55
CPT,64450,"HC NBLOCK, OTHER PERIPHERAL OR",1898.54,1139.12,39.31,7411.0,55
CPT,64450,HC NERVE BLOCK BI,1898.54,1139.12,39.31,7411.0,40
CPT,64450,HC NERVE BLOCK OR BI,1898.54,1139.12,39.31,7411.0,40
CPT,64450,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; OTHER PERIPHERAL NERVE OR BRANCH",,,39.31,4345.0,33
CPT,64451,HC AA&/STRD NRV NRVTG SI JT,1374.96,824.98,262.86,7411.0,53
CPT,64451,"HC INJECT, ANES AGENT(S) AND/OR STEROID - SI JOINT, WITH IMAG GUIDANCE",1374.96,824.98,262.86,7411.0,55
CPT,64454,"HC INJECT, ANES AGENT(S) AND/OR STEROID - GENICULAR NRVE BRAN, W/ IMAG GUID",1717.62,1030.57,139.81,7411.0,55
CPT,64454,HC NJX AA&/STRD GNCLR NRV BRNCH,1717.62,1030.57,139.81,7411.0,53
CPT,64454,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GENICULAR NERVE BRANCHES, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,139.81,4345.0,33
CPT,64455,HC INJECTION PLANTAR DIGITAL NERVE,716.39,429.83,17.99,7411.0,55
CPT,64455,"HC N BLOCK, OTHER PERIPH",716.39,429.83,17.99,7411.0,55
CPT,64455,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; PLANTAR COMMON DIGITAL NERVE(S) (EG, MORTON'S NEUROMA)",,,17.99,2107.0,33
CPT,64461,HC PVB THORACIC SINGLE INJECTION SITE W/IMG GID,1701.71,1021.03,262.86,7411.0,55
CPT,64462,"HC PVB THORACIC SINGLE INJECTION SITE W/IMG GID, EA ADDL",1688.66,1013.2,287.07,7411.0,39
CPT,64466,HC THORACIC FASCIAL PLANE BLOCK UNI INJECTION W/ IM GUID,2714.24,1628.54,461.42,7411.0,78
CPT,64467,HC THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION W/ IM GUID,2202.3,1321.38,374.39,7411.0,39
CPT,64468,HC THORACIC FASCIAL PLANE BLOCK BI INJECTION W/IM GUID,5078.62,3047.17,863.37,7411.0,39
CPT,64473,HC LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION W/ IM GUID,1324.5,794.7,225.16,7411.0,78
CPT,64473,"LOWER EXTREMITY FASCIAL PLANE BLOCK, UNILATERAL; BY INJECTION(S), INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,,,0
CPT,64479,"HC INJECTION FORAMEN EPIDURAL - CERV/THORACIC, SINGLE",3408.9,2045.34,340.77,7411.0,55
CPT,64479,HC SNRB TRANS CRV/THOR SNGL LV BI,3408.9,2045.34,340.77,7411.0,40
CPT,64480,"HC INJECTION FORAMEN EPIDURAL - CERV/THORACIC,EA ADD LVL",2137.65,1282.59,363.4,7411.0,39
CPT,64480,"HC INJECTION FORAMEN EPIDURAL; CERV/THORACIC,EA ADD LVL BI",2137.65,1282.59,363.4,7411.0,39
CPT,64480,HC SNRB TRANS CRV/THOR EA ADD BI,2137.65,1282.59,363.4,7411.0,29
CPT,64483,HC INJECTION EPI L/S 1 LEVEL,3751.66,2251.0,340.77,7411.0,55
CPT,64483,HC INJECTION FORAMEN EPIDURAL - LUMB/SACR SNGL LVL,3751.66,2251.0,340.77,7411.0,55
CPT,64483,HC SNRB TRANS LUMB/SAC SNGL LV BI,3751.66,2251.0,340.77,7411.0,40
CPT,64484,HC INJECTION FORAMEN EPIDURAL - LUMB/SACR EA ADD LVL,2235.06,1341.04,379.96,7411.0,39
CPT,64484,HC SNRB TRANS LUMB/SAC EA ADD BI,2235.06,1341.04,379.96,7411.0,39
CPT,64486,HC TAP BLOCK UNILATERAL INJECT,2714.24,1628.54,41.42,7411.0,73
CPT,64486,"TRANSVERSUS ABDOMINIS PLANE (TAP) BLOCK (ABDOMINAL PLANE BLOCK, RECTUS SHEATH BLOCK) UNILATERAL; BY INJECTION(S) (INCLUDES IMAGING GUIDANCE, WHEN PERFORMED)",,,41.42,2107.0,6
CPT,64488,HC TAP BLOCK BILATERAL BY INJECTION(S),4875.48,2925.29,51.26,7411.0,39
CPT,64488,"TRANSVERSUS ABDOMINIS PLANE (TAP) BLOCK (ABDOMINAL PLANE BLOCK, RECTUS SHEATH BLOCK) BILATERAL; BY INJECTIONS (INCLUDES IMAGING GUIDANCE, WHEN PERFORMED)",,,51.26,2107.0,6
CPT,64490,HC FACET CRV/THOR LEVEL 1 BI,3659.91,2195.95,340.77,7411.0,68
CPT,64490,HC INJECTION DX/THER PARAVERT FACET JT CERV/THOR 1 LEVEL,3659.91,2195.95,340.77,7411.0,55
CPT,64490,HC INJECTION PARAVERTEBRAL F JNT C - SINGLE LVL BI,3659.91,2195.95,340.77,7411.0,55
CPT,64490,"HC PARA NERVE INJ,CERV/THORA/SING",3659.91,2195.95,340.77,7411.0,53
CPT,64490,"INJECTION(S), DIAGNOSTIC OR THERAPEUTIC AGENT, PARAVERTEBRAL FACET (ZYGAPOPHYSEAL) JOINT (OR NERVES INNERVATING THAT JOINT) WITH IMAGE GUIDANCE (FLUOROSCOPY OR CT), CERVICAL OR THORACIC; SINGLE LEVEL",,,340.77,4345.0,34
CPT,64491,HC FACET CRV/THOR LEVEL 2 BI,1885.68,1131.41,320.57,7411.0,61
CPT,64491,HC INJECTION DX/THER PARAVERT FACET JT CERV/THOR 2ND LEVEL,1885.68,1131.41,320.57,7411.0,39
CPT,64491,HC INJECTION PARAVERTEBRAL F JNT C; SECOND LVL BI,1885.68,1131.41,320.57,7411.0,39
CPT,64491,"HC PARA NERVE INJ,CERV/THOR/2LEVE",1885.68,1131.41,320.57,7411.0,32
CPT,64492,HC FACET CRV/THOR LEVEL 3,2017.63,1210.58,343.0,7411.0,39
CPT,64492,HC FACET CRV/THOR LEVEL 3 BI,2017.63,1210.58,343.0,7411.0,61
CPT,64492,HC INJECTION DX/THER PARAVERT FACET JT CERV/THOR 3RD LEVEL,2017.63,1210.58,343.0,7411.0,39
CPT,64492,HC INJECTION PARAVERTEBRAL F JNT C; THIRD AND ADD LVL BI,2017.63,1210.58,343.0,7411.0,39
CPT,64492,"HC PARA NERVE INJ,CERV/THOR/3RD",2017.63,1210.58,343.0,7411.0,32
CPT,64493,HC CT INJ FACET JT LS 1 LVL BI,3609.74,2165.84,340.77,7411.0,38
CPT,64493,HC FACET LUMB/SAC LEVEL 1,3609.74,2165.84,340.77,7411.0,30
CPT,64493,HC FACET LUMB/SAC LEVEL 1 BI,3609.74,2165.84,340.77,7411.0,38
CPT,64493,HC INJECTION DX/THER PARAVERT FACET JT LMBR/SAC 1 LEVEL,3609.74,2165.84,340.77,7411.0,55
CPT,64493,HC INJECTION PARAVERTEBRAL F JNT L,3609.74,2165.84,340.77,7411.0,55
CPT,64493,"HC PARA NERVE INJ,LUMBAR/SACRAL/SINGLE",3609.74,2165.84,340.77,7411.0,53
CPT,64494,HC CT INJ FACET JT LS 2 LVL BI,1610.54,966.32,273.79,7411.0,32
CPT,64494,HC FACET LUMB/SAC LEVEL 2 BI,1610.54,966.32,273.79,7411.0,61
CPT,64494,HC INJECTION DX/THER PARAVERT FACET JT LMBR/SAC 2ND LEVEL,1610.54,966.32,273.79,7411.0,39
CPT,64494,HC INJECTION PARAVERTEBRAL F JNT C,1610.54,966.32,273.79,7411.0,39
CPT,64494,"HC PARA NERVE INJ,LUMBAR/SACRAL/2",1610.54,966.32,273.79,7411.0,32
CPT,64495,HC CT INJ FACET JT LS 3 LVL BI,1405.38,843.23,238.91,7411.0,32
CPT,64495,HC FACET LUMB/SAC LEVEL 3 BI,1405.38,843.23,238.91,7411.0,61
CPT,64495,HC INJECTION DX/THER PARAVERT FACET JT LMBR/SAC 3RD LEVEL,1405.38,843.23,238.91,7411.0,39
CPT,64495,HC INJECTION PARAVERTEBRAL F JNT L,1405.38,843.23,238.91,7411.0,39
CPT,64495,"HC PARA NERVE INJ,LUMBAR/SACRAL/3",1405.38,843.23,238.91,7411.0,32
CPT,64505,"HC NBLOCK, SPENOPALATIN",1271.52,762.91,70.6,7411.0,110
CPT,64505,HC SPHENOPALATINE GANGLION BLK BI,1271.52,762.91,70.6,7411.0,30
CPT,64510,"HC NBLOCK, STELLATE GAN",2543.49,1526.09,340.77,7411.0,110
CPT,64517,"HC NBLOCK INJECTION, HYPOGAS",3289.92,1973.95,340.77,7411.0,55
CPT,64520,HC LUMBAR SYMPATHETIC BLOCK BI,3465.35,2079.21,340.77,7411.0,30
CPT,64520,"HC NBLOCK, LUMBAR/THORA",3465.35,2079.21,340.77,7411.0,55
CPT,64520,"HC NERVE BLOCK, LUMBAR/THORA",3465.35,2079.21,340.77,7411.0,55
CPT,64530,"HC NBLOCK INJ, CELIAC",3692.62,2215.57,340.77,7411.0,55
CPT,64530,"HC NBLOCK INJECTION, CELIAC",3692.62,2215.57,340.77,7411.0,55
CPT,64530,"INJECTION, ANESTHETIC AGENT; CELIAC PLEXUS, WITH OR WITHOUT RADIOLOGIC MONITORING",,,340.77,4345.0,34
CPT,64555,HC IMPLANT NEUROELECTRODE - PERIPHERAL NERVE,9382.33,5629.4,3377.64,16942.33,55
CPT,64561,"PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY; SACRAL NERVE (TRANSFORAMINAL PLACEMENT) INCLUDING IMAGE GUIDANCE, IF PERFORMED",,,2763.0,22088.05,34
CPT,64568,"OPEN IMPLANTATION OF CRANIAL NERVE (EG, VAGUS NERVE) NEUROSTIMULATOR ELECTRODE ARRAY AND PULSE GENERATOR",,,7038.0,103953.9,33
CPT,64570,HC REMOVE VAGUS N ELETR,11105.04,6663.02,1996.58,16502.12,55
CPT,64570,"REMOVAL OF CRANIAL NERVE (EG, VAGUS NERVE) NEUROSTIMULATOR ELECTRODE ARRAY AND PULSE GENERATOR",,,1996.58,19667.17,33
CPT,64581,OPEN IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY; SACRAL NERVE (TRANSFORAMINAL PLACEMENT),,,2763.0,22088.05,34
CPT,64582,HC OPEN IMPLTJ HPGLSL NRV NSTIM RA PG&RESPIR SENSOR,60126.96,36076.18,6299.0,107326.62,53
CPT,64582,"OPEN IMPLANTATION OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ARRAY, PULSE GENERATOR, AND DISTAL RESPIRATORY SENSOR ELECTRODE OR ELECTRODE ARRAY",,,7038.0,107326.62,33
CPT,64583,HC REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG&RESPIR SNR,22966.76,13780.06,6299.0,40995.67,53
CPT,64583,"REVISION OR REPLACEMENT OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ARRAY AND DISTAL RESPIRATORY SENSOR ELECTRODE OR ELECTRODE ARRAY, INCLUDING CONNECTION TO EXISTING PULSE GENERATOR",,,6472.62,40995.67,33
CPT,64584,"REMOVAL OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ARRAY, PULSE GENERATOR, AND DISTAL RESPIRATORY SENSOR ELECTRODE OR ELECTRODE ARRAY",,,1996.58,20791.5,33
CPT,64585,REVISION OR REMOVAL OF PERIPHERAL NEUROSTIMULATOR ELECTRODE ARRAY,,,1499.71,11240.15,34
CPT,64590,"INSERTION OR REPLACEMENT OF PERIPHERAL, SACRAL, OR GASTRIC NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, REQUIRING POCKET CREATION AND CONNECTION BETWEEN ELECTRODE ARRAY AND PULSE GENERATOR OR RECEIVER",,,2416.0,68827.53,34
CPT,64595,"REVISION OR REMOVAL OF PERIPHERAL, SACRAL, OR GASTRIC NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, WITH DETACHABLE CONNECTION TO ELECTRODE ARRAY",,,1804.0,11240.15,34
CPT,64600,HC INJECTION TRT NERVE - TRIGEMINAL,5848.1,3508.86,340.77,7411.0,55
CPT,64605,HC INJECTION TRT NERVE,4654.55,2792.73,659.94,7411.0,55
CPT,64611,HC CHEMODENERV SALIV GL,1678.0,1006.8,67.55,7411.0,55
CPT,64612,"CHEMODENERVATION OF MUSCLE(S); MUSCLE(S) INNERVATED BY FACIAL NERVE, UNILATERAL (EG, FOR BLEPHAROSPASM, HEMIFACIAL SPASM)",,,64.78,4345.0,33
CPT,64612,"HC DESTROY NERVE, FACE",1120.82,672.49,64.78,7411.0,55
CPT,64615,"HC NERVE DESTRUC,CHEMODENERV/MUSCLE(S) FACIAL",928.1,556.86,59.25,7411.0,55
CPT,64616,"CHEMODENERVATION OF MUSCLE(S); NECK MUSCLE(S), EXCLUDING MUSCLES OF THE LARYNX, UNILATERAL (EG, FOR CERVICAL DYSTONIA, SPASMODIC TORTICOLLIS)",,,57.3,2107.0,33
CPT,64616,"HC NERVE DESTRUC,CHEMODENERVATION/NECK MUSCLES",1348.07,808.84,57.3,7411.0,55
CPT,64617,"CHEMODENERVATION OF MUSCLE(S); LARYNX, UNILATERAL, PERCUTANEOUS (EG, FOR SPASMODIC DYSPHONIA), INCLUDES GUIDANCE BY NEEDLE ELECTROMYOGRAPHY, WHEN PERFORMED",,,74.47,3167.0,33
CPT,64617,"HC NERVE DESTRUC,CHEMODENERVATION/LARYNX",1124.97,674.98,74.47,7411.0,110
CPT,64620,HC INJECTION TRT NERVE - INTERCOSTAL,3413.2,2047.92,340.77,7411.0,55
CPT,64624,"HC DESTRUC BY NEUROLYTIC AGENT, GENICULAR NERVE BRANCHES INCL IMAG GUIDANCE",4334.04,2600.42,659.94,7411.0,55
CPT,64624,HC DSTRJ NULYT AGT GNCLR NRV W/IMG,4334.04,2600.42,538.55,7411.0,53
CPT,64625,"HC RADIOFREQ ABLATION, SI JOINT, WITH IMAG GUID (IE, FLUORO OR CT)",4084.73,2450.84,659.94,7411.0,55
CPT,64625,HC RF ABLTJ NRV NRVTG SI JT W/IMG,4084.73,2450.84,659.94,10495.0,53
CPT,64628,HC THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC,25186.58,15111.95,6299.0,44958.05,53
CPT,64629,HC THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC,17256.41,10353.85,1896.0,14667.95,37
CPT,64632,"HC N BLOCK INJECTION,COMMON D",757.9,454.74,36.82,7411.0,55
CPT,64633,HC DESTROY CERV/THOR FAC,4200.08,2520.05,659.94,7411.0,55
CPT,64633,HC FACET NEURO CRV/THOR SNGL BI,4200.08,2520.05,659.94,7411.0,40
CPT,64634,HC DESTROY C/TH FACET J,2623.22,1573.93,445.95,7411.0,39
CPT,64634,HC FACET NEURO CRV/THOR EA ADD BI,2623.22,1573.93,445.95,7411.0,39
CPT,64635,"DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE(S), WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT); LUMBAR OR SACRAL, SINGLE FACET JOINT",,,659.94,8674.0,68
CPT,64635,HC DESTROY LUMB/SAC FAC,5169.8,3101.88,659.94,7411.0,55
CPT,64635,HC FACET NEURO LUMB/SAC SNG LV BI,5169.8,3101.88,659.94,7411.0,40
CPT,64636,"DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE(S), WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT); LUMBAR OR SACRAL, EACH ADDITIONAL FACET JOINT (LIST SEPARATELY IN ADDITION TO CODE FOR P",,,1896.0,2362.0,8
CPT,64636,HC DESTROY L/S FACET JN,2189.43,1313.66,372.2,7411.0,39
CPT,64636,HC FACET NEURO LUMB/SAC ADD LV BI,2189.43,1313.66,372.2,7411.0,39
CPT,64640,DESTRUCTION BY NEUROLYTIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH,,,145.34,4345.0,33
CPT,64640,HC INJECTION TRT NERVE - OTHER PERIPHERAL,3287.82,1972.69,145.34,7411.0,55
CPT,64640,HC NEUROLYTIC OTHER PERIPH BI-LA,3287.82,1972.69,145.34,7411.0,30
CPT,64642,CHEMODENERVATION OF ONE EXTREMITY; 1-4 MUSCLE(S),,,68.66,3167.0,66
CPT,64642,HC CHEMODENERVATION 1 EXTREMITY - 1-4 MUSCLES,1702.35,1021.41,68.66,7411.0,55
CPT,64643,HC CHEMODENERVATION EA ADD EXTREMITY - 1-4 MUSCLES,775.58,465.35,131.85,7411.0,39
CPT,64644,HC CHEMODENERVATION 1 EXTREMITY - 5 OR MORE MUSCLES,1701.45,1020.87,85.54,7411.0,55
CPT,64645,HC CHEMODENERVATION EA ADD EXTREMITY - 5 OR MORE MUSCLES,773.07,463.84,131.42,7411.0,39
CPT,64646,CHEMODENERVATION OF TRUNK MUSCLE(S); 1-5 MUSCLE(S),,,68.66,3167.0,66
CPT,64646,HC CHEMODENERVATION 1 TRUNK - 1-5MUSCLES,1610.1,966.06,68.66,7411.0,55
CPT,64647,CHEMODENERVATION OF TRUNK MUSCLE(S); 6 OR MORE MUSCLES,,,75.3,3167.0,33
CPT,64647,HC CHEMODENERVATION 1 TRUNK - 6 OR MORE,976.52,585.91,75.3,7411.0,55
CPT,64680,HC INJECTION TRT NERVE - CELIAC PLEXUS,5528.82,3317.29,340.77,7411.0,55
CPT,64681,"DESTRUCTION BY NEUROLYTIC AGENT, WITH OR WITHOUT RADIOLOGIC MONITORING; SUPERIOR HYPOGASTRIC PLEXUS",,,340.77,4779.0,34
CPT,64702,"NEUROPLASTY; DIGITAL, 1 OR BOTH, SAME DIGIT",,,659.94,6138.08,34
CPT,64704,NEUROPLASTY; NERVE OF HAND OR FOOT,,,659.94,6138.08,34
CPT,64708,"NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG, OPEN; OTHER THAN SPECIFIED",,,659.94,6138.08,34
CPT,64712,"NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG, OPEN; SCIATIC NERVE",,,659.94,6138.08,34
CPT,64713,"NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG, OPEN; BRACHIAL PLEXUS",,,659.94,6138.08,34
CPT,64714,"NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG, OPEN; LUMBAR PLEXUS",,,659.94,6138.08,34
CPT,64716,NEUROPLASTY AND/OR TRANSPOSITION; CRANIAL NERVE (SPECIFY),,,659.94,7168.0,34
CPT,64718,NEUROPLASTY AND/OR TRANSPOSITION; ULNAR NERVE AT ELBOW,,,659.94,6138.08,34
CPT,64719,NEUROPLASTY AND/OR TRANSPOSITION; ULNAR NERVE AT WRIST,,,659.94,6138.08,34
CPT,64721,NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL,,,659.94,10032.0,36
CPT,64727,"INTERNAL NEUROLYSIS, REQUIRING USE OF OPERATING MICROSCOPE (LIST SEPARATELY IN ADDITION TO CODE FOR NEUROPLASTY) (NEUROPLASTY INCLUDES EXTERNAL NEUROLYSIS)",,,1804.0,2107.0,4
CPT,64740,TRANSECTION OR AVULSION OF; LINGUAL NERVE,,,659.94,6138.08,34
CPT,64742,"TRANSECTION OR AVULSION OF; FACIAL NERVE, DIFFERENTIAL OR COMPLETE",,,659.94,6138.08,34
CPT,64771,"TRANSECTION OR AVULSION OF OTHER CRANIAL NERVE, EXTRADURAL",,,659.94,6138.08,34
CPT,64772,"TRANSECTION OR AVULSION OF OTHER SPINAL NERVE, EXTRADURAL",,,659.94,6138.08,34
CPT,64774,"EXCISION OF NEUROMA; CUTANEOUS NERVE, SURGICALLY IDENTIFIABLE",,,659.94,6138.08,34
CPT,64776,"EXCISION OF NEUROMA; DIGITAL NERVE, 1 OR BOTH, SAME DIGIT",,,659.94,7168.0,34
CPT,64778,"EXCISION OF NEUROMA; DIGITAL NERVE, EACH ADDITIONAL DIGIT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2416.0,4
CPT,64782,"EXCISION OF NEUROMA; HAND OR FOOT, EXCEPT DIGITAL NERVE",,,659.94,7168.0,34
CPT,64783,"EXCISION OF NEUROMA; HAND OR FOOT, EACH ADDITIONAL NERVE, EXCEPT SAME DIGIT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2416.0,4
CPT,64784,"EXCISION OF NEUROMA; MAJOR PERIPHERAL NERVE, EXCEPT SCIATIC",,,659.94,7168.0,34
CPT,64786,EXCISION OF NEUROMA; SCIATIC NERVE,,,1996.58,19667.17,34
CPT,64787,IMPLANTATION OF NERVE END INTO BONE OR MUSCLE (LIST SEPARATELY IN ADDITION TO NEUROMA EXCISION),,,1896.0,2416.0,4
CPT,64788,EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA; CUTANEOUS NERVE,,,659.94,7168.0,34
CPT,64790,EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA; MAJOR PERIPHERAL NERVE,,,659.94,7168.0,34
CPT,64792,EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA; EXTENSIVE (INCLUDING MALIGNANT TYPE),,,1996.58,19667.17,34
CPT,64820,"SYMPATHECTOMY; DIGITAL ARTERIES, EACH DIGIT",,,659.94,8280.0,33
CPT,64821,SYMPATHECTOMY; RADIAL ARTERY,,,1088.27,9772.7,34
CPT,64822,SYMPATHECTOMY; ULNAR ARTERY,,,1088.27,9772.7,33
CPT,64831,HC REPAIR OF DIGITAL NERVE,9950.27,5970.16,659.94,7462.7,55
CPT,64831,"SUTURE OF DIGITAL NERVE, HAND OR FOOT; 1 NERVE",,,659.94,7886.0,34
CPT,64832,"SUTURE OF DIGITAL NERVE, HAND OR FOOT; EACH ADDITIONAL DIGITAL NERVE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1804.0,2107.0,4
CPT,64834,"SUTURE OF 1 NERVE; HAND OR FOOT, COMMON SENSORY NERVE",,,1996.58,19667.17,34
CPT,64857,"SUTURE OF MAJOR PERIPHERAL NERVE, ARM OR LEG, EXCEPT SCIATIC; WITHOUT TRANSPOSITION",,,1996.58,19667.17,34
CPT,64864,SUTURE OF FACIAL NERVE; EXTRACRANIAL,,,1996.58,19667.17,34
CPT,64886,"NERVE GRAFT (INCLUDES OBTAINING GRAFT), HEAD OR NECK; MORE THAN 4 CM LENGTH",,,2416.0,19667.17,34
CPT,64890,"NERVE GRAFT (INCLUDES OBTAINING GRAFT), SINGLE STRAND, HAND OR FOOT; UP TO 4 CM LENGTH",,,2416.0,19667.17,34
CPT,64898,"NERVE GRAFT (INCLUDES OBTAINING GRAFT), MULTIPLE STRANDS (CABLE), ARM OR LEG; MORE THAN 4 CM LENGTH",,,1996.58,19667.17,34
CPT,64905,NERVE PEDICLE TRANSFER; FIRST STAGE,,,1996.58,19667.17,34
CPT,64910,"NERVE REPAIR; WITH SYNTHETIC CONDUIT OR VEIN ALLOGRAFT (EG, NERVE TUBE), EACH NERVE",,,3104.96,19667.17,33
CPT,64912,"NERVE REPAIR; WITH NERVE ALLOGRAFT, EACH NERVE, FIRST STRAND (CABLE)",,,3093.88,19667.17,33
CPT,64913,"NERVE REPAIR; WITH NERVE ALLOGRAFT, EACH ADDITIONAL STRAND (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,64999,"HC ABLATION, LUMBAR SYMPATHETIC CHAIN, RADIOFREQUENCY W/WO IMAGING GUIDANCE",3967.95,2380.77,292.93,8280.0,51
CPT,64999,"HC ABLTION, BILATRL MEDIAL BRANCH NERVES, RADIOFREQUENCY W/WO IMAGNG GDNCE",13742.41,8245.45,292.93,10306.81,51
CPT,64999,"HC ABLTN, GANGLION IMPAR, PERCTNS, ETHNL INJECTION, W/WO IMGNG GDNCE",5443.93,3266.36,292.93,8280.0,51
CPT,64999,HC APP OF TPCL TRNSCTNS CAPSCN OR OTHER DRUG NRV PTCH + MONITORING QUTENZA,325.0,195.0,81.25,7411.0,39
CPT,64999,HC ASPIRATION SYNOVIAL CYST; FACET JOINT,3183.19,1909.91,292.93,8280.0,51
CPT,64999,HC BILATERAL ENDOSCOPIC ABLATION OF THE VIDIAN NERVE,5852.76,3511.66,292.93,7411.0,53
CPT,64999,HC ERECTOR SPINAE PLANE (ESP) BLOCK,1547.01,928.21,292.93,7411.0,106
CPT,64999,HC GANGLION IMPAR BLOCK,2475.0,1485.0,292.93,7411.0,53
CPT,64999,HC GANGLION IMPAR NERVE BLOCK,1312.46,787.48,292.93,8280.0,104
CPT,64999,HC INFILTRATION BETWEEN POPLITEAL ARTERY AND CAPSULE OF THE KNEE IPACK,1441.93,865.16,292.93,7411.0,53
CPT,64999,"HC INJCS ANES AGNTS + STEROID SNSRY PSTRR ARTIC NERVES, KNEE (SPANK)",4329.3,2597.58,292.93,7411.0,53
CPT,64999,"HC INJCT(S), ANSTHTC AGENT(S) AND/OR STEROID; PECS I (BTWN PEC MAJOR/MINOR)",1547.01,928.21,292.93,7411.0,53
CPT,64999,HC INJCTN(S) ANES AGENT(S) AND/OR STEROID; SERRATUS ANTERIOR PLANE (SAP),1674.2,1004.52,292.93,7411.0,53
CPT,64999,"HC INJCTN/ANES/STEROID; SINGLE/MULTI LVL SPINE W/WO IMG, CERVICAL/THORACIC",3006.09,1803.65,292.93,7411.0,53
CPT,64999,"HC INJCTN/ANES/STEROID; SINGLE/MULTI LVL SPINE W/WO IMG, LUMBAR/SACRAL",3721.89,2233.13,292.93,7411.0,53
CPT,64999,HC INJCTS ANES AGNTS + STRD PECS II (BTWN PEC MJR/MNR & PEC MNR/SERRTS ANT),1674.2,1004.52,292.93,7411.0,53
CPT,64999,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; FASCIA ILIACA",4329.3,2597.58,292.93,7411.0,53
CPT,64999,HC INSERTION OF SKULL SCREW FIDUCIAL PIN(S),14226.4,8535.84,292.93,11096.59,53
CPT,64999,HC LUMBAR SYNOVIAL CYST DRAINAGE,567.64,340.58,141.91,7411.0,53
CPT,64999,"HC NBLOCK INJECTION, CERVICAL",1538.48,923.09,292.93,7411.0,53
CPT,64999,"HC NBLOCK INJECTION, FACIAL",778.33,467.0,194.58,7411.0,53
CPT,64999,"HC NBLOCK INJECTION, PHRENIC",1318.0,790.8,292.93,7411.0,53
CPT,64999,"HC NERVE WRAPPING, SINGLE NERVE",8424.78,5054.87,292.93,7411.0,53
CPT,64999,HC NERVOUS SYSTEM SURG,3641.28,2184.77,292.93,7411.0,53
CPT,64999,HC PENG BLOCK,1674.2,1004.52,292.93,7411.0,53
CPT,64999,HC PERCUTANEOUS ASPIRATION OF MENINGOCELE/PSEUDOMENINGOCELE,4077.66,2446.6,292.93,8280.0,51
CPT,64999,HC QUADRATUS LUMBORUM BLOCK (QLB),2714.24,1628.54,292.93,7411.0,53
CPT,64999,HC REMOVAL OF OMMAYA RESERVOIR,7957.29,4774.37,292.93,7411.0,53
CPT,64999,"HC RFA, NERVE, SYMPATHETIC NERVE, OTHER UNSPECIFIED",4875.5,2925.3,299.1,7411.0,39
CPT,64999,HC SPLANCHIC NERVE BLOCK,567.64,340.58,141.91,7411.0,53
CPT,64999,HC TRNSCTHTR PLCMNT TRNSVRS SGMD VNS SINUS STNT INC BLN ANGPLSTY IF PRFRMD,14893.5,8936.1,292.93,11170.12,51
CPT,64999,HC VENTRICULOSTOMY-UNLISTED PROC,4879.05,2927.43,292.93,7411.0,53
CPT,65101,ENUCLEATION OF EYE; WITHOUT IMPLANT,,,1103.42,11163.6,34
CPT,65105,"ENUCLEATION OF EYE; WITH IMPLANT, MUSCLES ATTACHED TO IMPLANT",,,1103.42,11163.6,34
CPT,65140,"INSERTION OF OCULAR IMPLANT SECONDARY; AFTER ENUCLEATION, MUSCLES ATTACHED TO IMPLANT",,,1103.42,11163.6,34
CPT,65205,HC REMOVE FOREIGN BODY EXERNAL - EYE,639.64,383.78,108.74,7411.0,55
CPT,65205,"REMOVAL OF FOREIGN BODY, EXTERNAL EYE; CONJUNCTIVAL SUPERFICIAL",,,111.0,2107.0,30
CPT,65210,HC REMOVE EMBEDDED FOREIGN BODY CONJUNCT,698.7,419.22,118.78,7411.0,55
CPT,65220,HC REMOVE FOREIGN BODY CORNEAL W/O ANESTESIA,725.11,435.07,123.27,7411.0,55
CPT,65222,HC REMOVE FOREIGN BODY CORNEAL W/ANESTESIA,603.68,362.21,102.63,7411.0,55
CPT,65222,"REMOVAL OF FOREIGN BODY, EXTERNAL EYE; CORNEAL, WITH SLIT LAMP",,,111.0,2107.0,30
CPT,65235,HC REMOVE FOREIGN BODY INTRAOCULAR,5203.01,3121.81,849.94,7411.0,55
CPT,65270,HC REPAIR OF EYE WOUND - CONJUCTIVA,3308.74,1985.24,698.3,7411.0,55
CPT,65270,"REPAIR OF LACERATION; CONJUNCTIVA, WITH OR WITHOUT NONPERFORATING LACERATION SCLERA, DIRECT CLOSURE",,,698.3,6908.66,34
CPT,65275,"REPAIR OF LACERATION; CORNEA, NONPERFORATING, WITH OR WITHOUT REMOVAL FOREIGN BODY",,,1103.42,11163.6,34
CPT,65280,"REPAIR OF LACERATION; CORNEA AND/OR SCLERA, PERFORATING, NOT INVOLVING UVEAL TISSUE",,,1533.49,13631.44,34
CPT,65285,"REPAIR OF LACERATION; CORNEA AND/OR SCLERA, PERFORATING, WITH REPOSITION OR RESECTION OF UVEAL TISSUE",,,1533.49,13631.44,34
CPT,65400,"EXCISION OF LESION, CORNEA (KERATECTOMY, LAMELLAR, PARTIAL), EXCEPT PTERYGIUM",,,335.22,4345.0,34
CPT,65730,KERATOPLASTY (CORNEAL TRANSPLANT); PENETRATING (EXCEPT IN APHAKIA OR PSEUDOPHAKIA),,,1533.49,13631.44,34
CPT,65800,HC DRAINAGE OF EYE,3040.03,1824.02,849.94,7411.0,55
CPT,65820,HC RELIEVE INNER EYE PRESSURE,6576.03,3945.62,1533.49,10072.14,55
CPT,65855,HC LASER SURGERY OF EYE,2312.3,1387.38,109.35,7411.0,55
CPT,65855,HC SLT LASER TRABECULOPLASTY BI,2312.3,1387.38,109.35,7411.0,30
CPT,66183,HC INSERT ANTERIOR AQUEOUS DRAIN DEVICE,7165.2,4299.12,2229.18,10072.14,55
CPT,66761,HC IRIDOTOMY/IRRIDECTOMY LASER,2870.42,1722.25,153.38,7411.0,55
CPT,66761,HC REVISION OF IRIS,2870.42,1722.25,153.38,7411.0,55
CPT,66821,"DISCISSION OF SECONDARY MEMBRANOUS CATARACT (OPACIFIED POSTERIOR LENS CAPSULE AND/OR ANTERIOR HYALOID); LASER SURGERY (EG, YAG LASER) (1 OR MORE STAGES)",,,208.33,4779.0,33
CPT,66821,HC AFTER CATARACT LASER,2288.51,1373.11,208.33,7411.0,55
CPT,66821,HC YAG LASER POSTERIOR CAPSULE BI,2288.51,1373.11,208.33,7411.0,40
CPT,66940,HC EXTRACTION OF LENS,4205.38,2523.23,849.94,7411.0,55
CPT,66985,"INSERTION OF INTRAOCULAR LENS PROSTHESIS (SECONDARY IMPLANT), NOT ASSOCIATED WITH CONCURRENT CATARACT REMOVAL",,,849.94,9542.0,34
CPT,66999,HC EYE PROCEDURE UNLISTED,3773.58,2264.15,943.39,7411.0,53
CPT,66999,HC YAG ANT CAPSULOTOMY (ANT CAPSULAR OPACIFICATION INVOLVING VISUAL AXIS),1834.62,1100.77,458.65,7411.0,53
CPT,67028,HC INJECTION EYE DRUG,1375.17,825.1,48.45,7411.0,110
CPT,67036,"VITRECTOMY, MECHANICAL, PARS PLANA APPROACH;",,,1533.49,13631.44,34
CPT,67040,"VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH ENDOLASER PANRETINAL PHOTOCOAGULATION",,,1533.49,13631.44,34
CPT,67041,"VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH REMOVAL OF PRERETINAL CELLULAR MEMBRANE (EG, MACULAR PUCKER)",,,1533.49,13631.44,33
CPT,67042,"VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH REMOVAL OF INTERNAL LIMITING MEMBRANE OF RETINA (EG, FOR REPAIR OF MACULAR HOLE, DIABETIC MACULAR EDEMA), INCLUDES, IF PERFORMED, INTRAOCULAR TAMPONAD",,,1533.49,13631.44,33
CPT,67108,"REPAIR OF RETINAL DETACHMENT; WITH VITRECTOMY, ANY METHOD, INCLUDING, WHEN PERFORMED, AIR OR GAS TAMPONADE, FOCAL ENDOLASER PHOTOCOAGULATION, CRYOTHERAPY, DRAINAGE OF SUBRETINAL FLUID, SCLERAL BUCKLIN",,,1533.49,13631.44,34
CPT,67113,"REPAIR OF COMPLEX RETINAL DETACHMENT (EG, PROLIFERATIVE VITREORETINOPATHY, STAGE C-1 OR GREATER, DIABETIC TRACTION RETINAL DETACHMENT, RETINOPATHY OF PREMATURITY, RETINAL TEAR OF GREATER THAN 90 DEGRE",,,1533.49,13631.44,33
CPT,67228,HC TREAT RETINOPATHY,2624.71,1574.83,142.3,7411.0,55
CPT,67229,HC TR RETINAL LES PRETER,2894.38,1736.63,208.33,7411.0,55
CPT,67343,RELEASE OF EXTENSIVE SCAR TISSUE WITHOUT DETACHING EXTRAOCULAR MUSCLE (SEPARATE PROCEDURE),,,698.3,10495.0,34
CPT,67346,BIOPSY OF EXTRAOCULAR MUSCLE,,,1103.42,11163.6,34
CPT,67399,"UNLISTED PROCEDURE, EXTRAOCULAR MUSCLE",,,302.91,8280.0,30
CPT,67400,"ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); FOR EXPLORATION, WITH OR WITHOUT BIOPSY",,,1103.42,11163.6,34
CPT,67405,ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH DRAINAGE ONLY,,,698.3,7886.0,34
CPT,67412,ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH REMOVAL OF LESION,,,698.3,8674.0,34
CPT,67413,ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH REMOVAL OF FOREIGN BODY,,,698.3,8674.0,34
CPT,67414,ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH REMOVAL OF BONE FOR DECOMPRESSION,,,1103.42,11163.6,33
CPT,67420,"ORBITOTOMY WITH BONE FLAP OR WINDOW, LATERAL APPROACH (EG, KROENLEIN); WITH REMOVAL OF LESION",,,1103.42,11163.6,34
CPT,67445,"ORBITOTOMY WITH BONE FLAP OR WINDOW, LATERAL APPROACH (EG, KROENLEIN); WITH REMOVAL OF BONE FOR DECOMPRESSION",,,1103.42,11163.6,34
CPT,67550,ORBITAL IMPLANT (IMPLANT OUTSIDE MUSCLE CONE); INSERTION,,,1103.42,11163.6,34
CPT,67560,ORBITAL IMPLANT (IMPLANT OUTSIDE MUSCLE CONE); REMOVAL OR REVISION,,,1103.42,11163.6,34
CPT,67599,HC ER ORBIT SURGERY PROCEDURE,558.06,334.84,139.51,7411.0,53
CPT,67599,"UNLISTED PROCEDURE, ORBIT",,,302.91,8280.0,30
CPT,67700,HC DRAIN EYELID ABSCESS,2950.71,1770.43,108.29,7411.0,110
CPT,67715,CANTHOTOMY (SEPARATE PROCEDURE),,,698.3,6908.66,34
CPT,67715,HC CANTHOTOMY OF THE EYE,5728.42,3437.05,698.3,7411.0,55
CPT,67808,"EXCISION OF CHALAZION; UNDER GENERAL ANESTHESIA AND/OR REQUIRING HOSPITALIZATION, SINGLE OR MULTIPLE",,,698.3,6908.66,34
CPT,67825,"CORRECTION OF TRICHIASIS; EPILATION BY OTHER THAN FORCEPS (EG, BY ELECTROSURGERY, CRYOTHERAPY, LASER SURGERY)",,,67.27,4345.0,33
CPT,67830,CORRECTION OF TRICHIASIS; INCISION OF LID MARGIN,,,335.22,4779.0,34
CPT,67840,EXCISION OF LESION OF EYELID (EXCEPT CHALAZION) WITHOUT CLOSURE OR WITH SIMPLE DIRECT CLOSURE,,,169.43,4345.0,33
CPT,67850,DESTRUCTION OF LESION OF LID MARGIN (UP TO 1 CM),,,125.97,4345.0,33
CPT,67875,"TEMPORARY CLOSURE OF EYELIDS BY SUTURE (EG, FROST SUTURE)",,,335.22,4345.0,33
CPT,67882,"HC REVISION EYELID, XPOSITN TARSAL PLATE",4117.32,2470.39,698.3,7411.0,55
CPT,67900,"REPAIR OF BROW PTOSIS (SUPRACILIARY, MID-FOREHEAD OR CORONAL APPROACH)",,,698.3,7886.0,34
CPT,67901,"REPAIR OF BLEPHAROPTOSIS; FRONTALIS MUSCLE TECHNIQUE WITH SUTURE OR OTHER MATERIAL (EG, BANKED FASCIA)",,,698.3,8674.0,34
CPT,67904,"REPAIR OF BLEPHAROPTOSIS; (TARSO) LEVATOR RESECTION OR ADVANCEMENT, EXTERNAL APPROACH",,,698.3,7886.0,34
CPT,67911,CORRECTION OF LID RETRACTION,,,698.3,7168.0,34
CPT,67912,"CORRECTION OF LAGOPHTHALMOS, WITH IMPLANTATION OF UPPER EYELID LID LOAD (EG, GOLD WEIGHT)",,,698.3,7168.0,34
CPT,67914,REPAIR OF ECTROPION; SUTURE,,,698.3,7168.0,34
CPT,67917,"REPAIR OF ECTROPION; EXTENSIVE (EG, TARSAL STRIP OPERATIONS)",,,698.3,7886.0,34
CPT,67922,REPAIR OF ENTROPION; THERMOCAUTERIZATION,,,192.14,8280.0,33
CPT,67923,REPAIR OF ENTROPION; EXCISION TARSAL WEDGE,,,698.3,7886.0,34
CPT,67924,"REPAIR OF ENTROPION; EXTENSIVE (EG, TARSAL STRIP OR CAPSULOPALPEBRAL FASCIA REPAIRS OPERATION)",,,698.3,7886.0,34
CPT,67930,"SUTURE OF RECENT WOUND, EYELID, INVOLVING LID MARGIN, TARSUS, AND/OR PALPEBRAL CONJUNCTIVA DIRECT CLOSURE; PARTIAL THICKNESS",,,194.07,8674.0,33
CPT,67935,HC REPAIR EYELID WOUND - FULL THICKNESS,3872.04,2323.22,698.3,7411.0,55
CPT,67935,"SUTURE OF RECENT WOUND, EYELID, INVOLVING LID MARGIN, TARSUS, AND/OR PALPEBRAL CONJUNCTIVA DIRECT CLOSURE; FULL THICKNESS",,,698.3,6908.66,34
CPT,67938,HC REMOVE EYELID FOREIGN BODY,894.61,536.77,108.29,7411.0,55
CPT,67950,CANTHOPLASTY (RECONSTRUCTION OF CANTHUS),,,698.3,6908.66,34
CPT,67961,"EXCISION AND REPAIR OF EYELID, INVOLVING LID MARGIN, TARSUS, CONJUNCTIVA, CANTHUS, OR FULL THICKNESS, MAY INCLUDE PREPARATION FOR SKIN GRAFT OR PEDICLE FLAP WITH ADJACENT TISSUE TRANSFER OR REARRANGEM",,,698.3,7168.0,34
CPT,67966,"EXCISION AND REPAIR OF EYELID, INVOLVING LID MARGIN, TARSUS, CONJUNCTIVA, CANTHUS, OR FULL THICKNESS, MAY INCLUDE PREPARATION FOR SKIN GRAFT OR PEDICLE FLAP WITH ADJACENT TISSUE TRANSFER OR REARRANGEM",,,698.3,7168.0,34
CPT,67971,"RECONSTRUCTION OF EYELID, FULL THICKNESS BY TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM OPPOSING EYELID; UP TO TWO-THIRDS OF EYELID, 1 STAGE OR FIRST STAGE",,,698.3,7168.0,34
CPT,67973,"RECONSTRUCTION OF EYELID, FULL THICKNESS BY TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM OPPOSING EYELID; TOTAL EYELID, LOWER, 1 STAGE OR FIRST STAGE",,,698.3,7168.0,34
CPT,67975,"RECONSTRUCTION OF EYELID, FULL THICKNESS BY TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM OPPOSING EYELID; SECOND STAGE",,,698.3,7168.0,34
CPT,67999,"UNLISTED PROCEDURE, EYELIDS",,,302.91,8280.0,30
CPT,68020,"INCISION OF CONJUNCTIVA, DRAINAGE OF CYST",,,55.92,8280.0,33
CPT,68100,BIOPSY OF CONJUNCTIVA,,,108.53,7168.0,33
CPT,68110,"EXCISION OF LESION, CONJUNCTIVA; UP TO 1 CM",,,140.09,5788.85,33
CPT,68200,SUBCONJUNCTIVAL INJECTION,,,111.0,2107.0,30
CPT,68320,CONJUNCTIVOPLASTY; WITH CONJUNCTIVAL GRAFT OR EXTENSIVE REARRANGEMENT,,,698.3,7886.0,34
CPT,68325,CONJUNCTIVOPLASTY; WITH BUCCAL MUCOUS MEMBRANE GRAFT (INCLUDES OBTAINING GRAFT),,,1103.42,11163.6,34
CPT,68326,"CONJUNCTIVOPLASTY, RECONSTRUCTION CUL-DE-SAC; WITH CONJUNCTIVAL GRAFT OR EXTENSIVE REARRANGEMENT",,,1103.42,11163.6,34
CPT,68328,"CONJUNCTIVOPLASTY, RECONSTRUCTION CUL-DE-SAC; WITH BUCCAL MUCOUS MEMBRANE GRAFT (INCLUDES OBTAINING GRAFT)",,,698.3,7886.0,34
CPT,68330,"REPAIR OF SYMBLEPHARON; CONJUNCTIVOPLASTY, WITHOUT GRAFT",,,849.94,7886.0,34
CPT,68335,REPAIR OF SYMBLEPHARON; WITH FREE GRAFT CONJUNCTIVA OR BUCCAL MUCOUS MEMBRANE (INCLUDES OBTAINING GRAFT),,,1103.42,11163.6,34
CPT,68340,"REPAIR OF SYMBLEPHARON; DIVISION OF SYMBLEPHARON, WITH OR WITHOUT INSERTION OF CONFORMER OR CONTACT LENS",,,698.3,7886.0,34
CPT,68399,"UNLISTED PROCEDURE, CONJUNCTIVA",,,302.91,8280.0,30
CPT,68400,HC INCISION DRAINAGE TEAR GLAND,1589.0,953.4,270.13,7411.0,55
CPT,68420,"INCISION, DRAINAGE OF LACRIMAL SAC (DACRYOCYSTOTOMY OR DACRYOCYSTOSTOMY)",,,204.59,8674.0,33
CPT,68440,SNIP INCISION OF LACRIMAL PUNCTUM,,,54.26,4345.0,33
CPT,68510,BIOPSY OF LACRIMAL GLAND,,,698.3,6908.66,34
CPT,68525,BIOPSY OF LACRIMAL SAC,,,698.3,6908.66,34
CPT,68530,"REMOVAL OF FOREIGN BODY OR DACRYOLITH, LACRIMAL PASSAGES",,,108.29,2107.0,33
CPT,68700,PLASTIC REPAIR OF CANALICULI,,,698.3,6908.66,34
CPT,68720,DACRYOCYSTORHINOSTOMY (FISTULIZATION OF LACRIMAL SAC TO NASAL CAVITY),,,1103.42,11163.6,34
CPT,68750,CONJUNCTIVORHINOSTOMY (FISTULIZATION OF CONJUNCTIVA TO NASAL CAVITY); WITH INSERTION OF TUBE OR STENT,,,1103.42,11163.6,34
CPT,68801,"DILATION OF LACRIMAL PUNCTUM, WITH OR WITHOUT IRRIGATION",,,111.0,2107.0,30
CPT,68810,"PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION;",,,108.29,4345.0,33
CPT,68811,"PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION; REQUIRING GENERAL ANESTHESIA",,,698.3,6908.66,34
CPT,68815,"PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION; WITH INSERTION OF TUBE OR STENT",,,698.3,6908.66,34
CPT,68816,"PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION; WITH TRANSLUMINAL BALLOON CATHETER DILATION",,,698.3,8674.0,33
CPT,68841,HC INSJ RX ELUTING IMPLT PUNCTAL DILAT LAC CANAL EA,4287.84,2572.7,550.33,7411.0,53
CPT,69000,HC DRAIN EXTERNAL EAR LESION,1641.15,984.69,107.14,7411.0,55
CPT,69005,"DRAINAGE EXTERNAL EAR, ABSCESS OR HEMATOMA; COMPLICATED",,,113.23,8280.0,33
CPT,69005,HC DRAIN EXTERNAL EAR-COMPLICATED,5903.29,3541.97,113.23,7411.0,55
CPT,69020,HC I&D EXTERNAL AUDITORY CANAL,5542.89,3325.73,147.56,7411.0,55
CPT,69100,BIOPSY EXTERNAL EAR,,,54.82,4345.0,33
CPT,69105,BIOPSY EXTERNAL AUDITORY CANAL,,,94.96,8280.0,33
CPT,69110,"EXCISION EXTERNAL EAR; PARTIAL, SIMPLE REPAIR",,,815.2,8278.44,34
CPT,69120,EXCISION EXTERNAL EAR; COMPLETE AMPUTATION,,,1954.22,17316.39,34
CPT,69145,"EXCISION SOFT TISSUE LESION, EXTERNAL AUDITORY CANAL",,,815.2,8278.44,34
CPT,69150,RADICAL EXCISION EXTERNAL AUDITORY CANAL LESION; WITHOUT NECK DISSECTION,,,1954.22,17316.39,33
CPT,69200,HC CLEAR OUTER EAR CANA,467.99,280.79,79.56,7411.0,55
CPT,69200,HC CLEAR OUTER EAR CANAL W/O ANESTHESIA,467.99,280.79,79.56,7411.0,55
CPT,69205,HC CLEAR OUTER EAR CANA,3817.04,2290.22,486.45,7411.0,55
CPT,69209,HC REMOVE IMPACTED EAR WAX UNI,358.89,215.33,56.3,7411.0,55
CPT,69210,HC REMOVE IMPACTED CERUMEN,327.18,196.31,55.62,7411.0,55
CPT,69210,HC REMOVE IMPACTED EAR WAX,327.18,196.31,55.62,7411.0,55
CPT,69210,"REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL",,,56.3,2107.0,30
CPT,69300,"OTOPLASTY, PROTRUDING EAR, WITH OR WITHOUT SIZE REDUCTION",,,886.62,9350.87,34
CPT,69310,"RECONSTRUCTION OF EXTERNAL AUDITORY CANAL (MEATOPLASTY) (EG, FOR STENOSIS DUE TO INJURY, INFECTION) (SEPARATE PROCEDURE)",,,1954.22,17316.39,34
CPT,69399,HC EXTERNAL EAR PROCEDURE,722.75,433.65,180.69,7411.0,53
CPT,69399,"UNLISTED PROCEDURE, EXTERNAL EAR",,,111.0,2107.0,30
CPT,69420,MYRINGOTOMY INCLUDING ASPIRATION AND/OR EUSTACHIAN TUBE INFLATION,,,87.58,4345.0,33
CPT,69421,MYRINGOTOMY INCLUDING ASPIRATION AND/OR EUSTACHIAN TUBE INFLATION REQUIRING GENERAL ANESTHESIA,,,886.62,9350.87,34
CPT,69424,VENTILATING TUBE REMOVAL REQUIRING GENERAL ANESTHESIA,,,81.12,7975.81,33
CPT,69436,"TYMPANOSTOMY (REQUIRING INSERTION OF VENTILATING TUBE), GENERAL ANESTHESIA",,,420.64,7168.0,34
CPT,69501,TRANSMASTOID ANTROTOMY (SIMPLE MASTOIDECTOMY),,,1954.22,17316.39,34
CPT,69502,MASTOIDECTOMY; COMPLETE,,,1954.22,17316.39,34
CPT,69535,"RESECTION TEMPORAL BONE, EXTERNAL APPROACH",,,2546.0,9869.48,10
CPT,69631,"TYMPANOPLASTY WITHOUT MASTOIDECTOMY (INCLUDING CANALPLASTY, ATTICOTOMY AND/OR MIDDLE EAR SURGERY), INITIAL OR REVISION; WITHOUT OSSICULAR CHAIN RECONSTRUCTION",,,1954.22,17316.39,34
CPT,69632,"TYMPANOPLASTY WITHOUT MASTOIDECTOMY (INCLUDING CANALPLASTY, ATTICOTOMY AND/OR MIDDLE EAR SURGERY), INITIAL OR REVISION; WITH OSSICULAR CHAIN RECONSTRUCTION (EG, POSTFENESTRATION)",,,1954.22,17316.39,34
CPT,69633,"TYMPANOPLASTY WITHOUT MASTOIDECTOMY (INCLUDING CANALPLASTY, ATTICOTOMY AND/OR MIDDLE EAR SURGERY), INITIAL OR REVISION; WITH OSSICULAR CHAIN RECONSTRUCTION AND SYNTHETIC PROSTHESIS (EG, PARTIAL OSSICU",,,1954.22,17316.39,34
CPT,69641,"TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBRANE REPAIR); WITHOUT OSSICULAR CHAIN RECONSTRUCTION",,,1954.22,17316.39,34
CPT,69642,"TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBRANE REPAIR); WITH OSSICULAR CHAIN RECONSTRUCTION",,,1954.22,17316.39,34
CPT,69643,"TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBRANE REPAIR); WITH INTACT OR RECONSTRUCTED WALL, WITHOUT OSSICULAR CHAIN RECONSTRUCTION",,,1954.22,17316.39,34
CPT,69644,"TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBRANE REPAIR); WITH INTACT OR RECONSTRUCTED CANAL WALL, WITH OSSICULAR CHAIN RECONSTRUCTION",,,1954.22,17316.39,34
CPT,69645,"TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBRANE REPAIR); RADICAL OR COMPLETE, WITHOUT OSSICULAR CHAIN RECONSTRUCTION",,,1954.22,17316.39,34
CPT,69646,"TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBRANE REPAIR); RADICAL OR COMPLETE, WITH OSSICULAR CHAIN RECONSTRUCTION",,,1954.22,17316.39,34
CPT,69660,"STAPEDECTOMY OR STAPEDOTOMY WITH REESTABLISHMENT OF OSSICULAR CONTINUITY, WITH OR WITHOUT USE OF FOREIGN MATERIAL;",,,1954.22,17316.39,34
CPT,69666,REPAIR OVAL WINDOW FISTULA,,,886.62,9350.87,34
CPT,69667,REPAIR ROUND WINDOW FISTULA,,,886.62,9350.87,34
CPT,69705,HC SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI,3435.6,2061.36,1236.82,14507.25,55
CPT,69706,HC SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI,5153.4,3092.04,1855.22,14507.25,55
CPT,69714,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, SKULL; WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR",,,7038.0,42485.53,34
CPT,69716,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, SKULL; WITH MAGNETIC TRANSCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR, WITHIN THE MASTOID AND/OR RESULTING IN REMOVAL OF LESS THAN 100 SQ MM SURFACE AREA O",,,6263.3,44958.05,33
CPT,69725,"DECOMPRESSION FACIAL NERVE, INTRATEMPORAL; INCLUDING MEDIAL TO GENICULATE GANGLION",,,5649.47,17316.39,30
CPT,69726,HC REMOVAL ENTIRE OI IMPLT SKL PERQ ATTACHMENT ESP,6168.06,3700.84,1088.27,11546.0,53
CPT,69729,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, SKULL; WITH MAGNETIC TRANSCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR, OUTSIDE OF THE MASTOID AND RESULTING IN REMOVAL OF GREATER THAN OR EQUAL TO 100 SQ M",,,6263.3,46581.65,33
CPT,69801,"LABYRINTHOTOMY, WITH PERFUSION OF VESTIBULOACTIVE DRUG(S), TRANSCANAL",,,124.3,8674.0,34
CPT,69930,"COCHLEAR DEVICE IMPLANTATION, WITH OR WITHOUT MASTOIDECTOMY",,,5384.0,118196.7,34
CPT,69949,HC EXPLANTATION OF COCHLEAR IMPLANT ELECTRODE COIL AND/OR RECEIVER,28524.99,17114.99,226.03,22249.49,53
CPT,69949,"UNLISTED PROCEDURE, INNER EAR",,,226.03,8280.0,30
CPT,69990,"MICROSURGICAL TECHNIQUES, REQUIRING USE OF OPERATING MICROSCOPE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
CPT,70015,"HC CISTERNOGRAPHY,POSITIVE CON,RA",2227.2,1336.32,166.4,7411.0,55
CPT,70030,HC DX EYE FB BI,460.0,276.0,32.75,7411.0,40
CPT,70030,HC EYE FOR DETECTION OF FOREIGN B,460.0,276.0,32.75,7411.0,55
CPT,70100,HC MANDIBLE PARTIAL < 4 VIEW,201.87,121.12,39.09,7411.0,55
CPT,70110,"HC MANDIBLE X-RAY - COMPLETE,MINIMU",302.04,181.22,43.78,7411.0,55
CPT,70120,HC MASTOID < 3 V / SIDE,322.35,193.41,38.43,7411.0,55
CPT,70130,"HC MASTOID, COMPLETE SERIES",396.9,238.14,62.15,7411.0,55
CPT,70140,HC FACIAL BONES < 3 VIEWS,201.87,121.12,32.08,7411.0,55
CPT,70150,"HC FACIAL BONES, COMPLETE SERIES",469.66,281.8,47.45,7411.0,55
CPT,70160,"HC NASAL BONES,X-RAY - COMPLETE",429.82,257.89,37.76,7411.0,55
CPT,70190,HC DX OPTIC FORAMINA BI,231.21,138.73,37.76,7411.0,40
CPT,70200,"HC ORBITS, UP TO 4 VIEWS",258.88,155.33,48.11,7411.0,55
CPT,70210,HC SINUSES PARANASAL <3 VIEW,253.04,151.82,32.41,7411.0,55
CPT,70220,HC SINUSES-PARANASAL COMPLET,546.74,328.04,37.76,7411.0,55
CPT,70240,HC XR SELLA TURCICA,154.13,92.48,33.08,7411.0,55
CPT,70250,HC SKULL 1 VEIW,462.56,277.54,36.09,7411.0,55
CPT,70260,"HC SKULL, COMPLETE SERIES",584.6,350.76,44.78,7411.0,55
CPT,70300,HC TEETH X-RAY - SINGLE VIEW,116.34,69.8,13.03,7411.0,55
CPT,70310,"HC TEETH, PARTIAL X-RAY, LESS THA",253.62,152.17,40.76,7411.0,55
CPT,70320,HC FULL MOUTH X-RAY OF TEETH,340.89,204.53,53.46,7411.0,55
CPT,70328,HC DX TMJ LT,192.82,115.69,34.75,7411.0,40
CPT,70328,HC DX TMJ RT,192.82,115.69,34.75,7411.0,55
CPT,70328,"HC TMJ,X-RAY,OPEN & CLOSED MOUTH - UNILATERAL",192.82,115.69,34.75,7411.0,55
CPT,70330,"HC TMJ,X-RAY,OPEN & CLOSED MOUTH - BILATERAL",796.34,477.8,53.13,7411.0,55
CPT,70332,HC DX ARTHROGRAM TMJ BI SI,425.58,255.35,82.86,7411.0,80
CPT,70332,HC DX ARTHROGRAM TMJ LT SI,425.58,255.35,82.86,7411.0,80
CPT,70332,HC DX ARTHROGRAM TMJ RT SI,425.58,255.35,82.86,7411.0,80
CPT,70336,HC MRI TMJ,2764.61,1658.77,227.71,7411.0,55
CPT,70355,HC ORTHOPANTOGRAM,365.36,219.22,18.38,7411.0,55
CPT,70360,HC NECK SOFT TISSUE X-RAY,319.82,191.89,31.41,7411.0,55
CPT,70371,HC PHARYNGEAL/SPEECH EVAL VIDEO,878.44,527.06,109.6,7411.0,55
CPT,70380,HC DX SALIVARY GLAND,207.07,124.24,37.76,7411.0,55
CPT,70390,HC SIALOGRAM SALIVARY GLANDS,492.93,295.76,115.94,7411.0,55
CPT,70450,HC CT HEAD/BRAIN SCAN W/O CONTRAST,3178.59,1907.15,99.77,7411.0,55
CPT,70460,HC HEAD/BRAIN CT SCAN W/CONTRAST,2802.32,1681.39,152.36,7411.0,55
CPT,70470,HC CT HEAD W/O&W CONTRAST,3403.14,2041.88,167.39,7411.0,55
CPT,70471,HC CTA HEAD&NECK C+ W/NONCONTRAST IMG&POST-PXESSING,11751.19,7050.71,332.94,8813.39,54
CPT,70472,HC CT CERE PRFUJ ALYS C+ W/CT/CTA SAME ANATOMY,2462.46,1477.48,152.36,7411.0,39
CPT,70473,HC CT CERE PRFUJ ALYS C+ W/O CT/CTA SAME ANATOMY,2462.46,1477.48,167.39,7411.0,54
CPT,70480,HC CT ORBITS W/O CONTRAST,2798.1,1678.86,99.77,7411.0,55
CPT,70481,HC ORBIT/SELLA/POSTER.FOSSA/EAR C,2573.05,1543.83,167.39,7411.0,55
CPT,70482,"HC ORBIT/SELLA/POSTER,FOSSA/EAR C",2605.77,1563.46,167.39,7411.0,55
CPT,70486,HC CT MAXILLOFACIAL AREA SCAN W/O,2840.9,1704.54,99.77,7411.0,55
CPT,70487,HC MAXILLOFACIAL AREA CT SCAN W/C,3340.68,2004.41,156.38,7411.0,55
CPT,70488,"HC MAXILLOFACIAL AREA CT SCAN, W",3180.33,1908.2,167.39,7411.0,55
CPT,70490,HC SOFT TISSUE NECK CT SCAN W/O C,2566.11,1539.67,99.77,7411.0,55
CPT,70491,HC SOFT TISSUE NECK CT SCAN W/CON,3306.97,1984.18,167.39,7411.0,55
CPT,70492,HC SOFT TISSUE NECK CT SCAN W & W,3851.7,2311.02,167.39,7411.0,55
CPT,70496,"HC CT ANGIO,HEAD,W/CONTRAST",5907.07,3544.24,167.39,7411.0,55
CPT,70498,"HC CT ANGIO,NECK,W/WO CONTRAST MA",5844.12,3506.47,167.39,7411.0,55
CPT,70540,HC MRI ORBIT/FC/NCK W/O CONT,4252.5,2551.5,227.71,7411.0,55
CPT,70542,HC MRI ORBIT/FC/NK W/CONTRAS,2867.9,1720.74,276.66,7411.0,55
CPT,70543,HC MRI ORBIT/FC/NK W/O&W CON,6152.52,3691.51,332.94,7411.0,55
CPT,70544,HC MRA HEAD W/O CONTRAST,4458.1,2674.86,222.2,7411.0,55
CPT,70545,HC MRA HEAD W/CONTRAST,2923.24,1753.94,234.23,7411.0,55
CPT,70546,HC MRA HEAD W/O&W/CONTRAST,5103.0,3061.8,332.94,7411.0,55
CPT,70547,HC MRA NECK W/O CONTRAST,4184.28,2510.57,222.54,7411.0,55
CPT,70548,HC MRA NECK W/CONTRAST,4919.42,2951.65,253.6,7411.0,55
CPT,70549,HC MRA NECK W/O&W CONTRAST,5569.31,3341.59,332.94,7411.0,55
CPT,70551,"HC BRAIN W/O DYE, MRI",3649.76,2189.86,202.15,7411.0,55
CPT,70552,"HC BRAIN W/DYE, MRI",3708.26,2224.96,278.66,7411.0,55
CPT,70553,"HC BRAIN W/O&W DYE, MRI",5248.52,3149.11,328.11,7411.0,55
CPT,70554,HC MRI BRAIN FUNCTIONAL,1645.86,987.52,227.71,7411.0,55
CPT,70557,HC MR HEAD INTRAOP WO CM,3342.42,2005.45,521.46,7411.0,55
CPT,70558,HC MR HEAD INTRAOP W CM,4176.11,2505.67,167.39,7411.0,55
CPT,70559,HC MR HEAD INTRAOP WWO CM,4688.49,2813.09,167.39,7411.0,55
CPT,71045,HC CHEST APICAL LORDOTIC,366.74,220.04,25.73,7411.0,55
CPT,71045,HC CHEST DECUB LT,366.74,220.04,25.73,7411.0,55
CPT,71045,HC CHEST DECUB RT,366.74,220.04,25.73,7411.0,55
CPT,71045,HC X-RAY EXAM CHEST 1 VIEW,366.74,220.04,25.73,7411.0,55
CPT,71046,HC X-RAY EXAM CHEST 2 VIEWS,656.37,393.82,33.75,7411.0,110
CPT,71047,HC X-RAY EXAM CHEST 3 VIEWS,456.83,274.1,42.44,7411.0,55
CPT,71048,HC CHEST 2V W OBLIQUES,655.92,393.55,45.78,7411.0,55
CPT,71048,HC X-RAY EXAM CHEST 4 VIEWS,655.92,393.55,45.78,7411.0,55
CPT,71100,HC DX RIBS 2V LT,493.87,296.32,36.75,7411.0,40
CPT,71100,HC DX RIBS 2V RT,493.87,296.32,36.75,7411.0,40
CPT,71100,"HC RIBS X-RAY,UNILATERAL,2 VIEWS",493.87,296.32,36.75,7411.0,55
CPT,71101,HC DX RIBS MIN 3V W PA CHEST LT,657.82,394.69,42.44,7411.0,40
CPT,71101,HC DX RIBS MIN 3V W PA CHEST RT,657.82,394.69,42.44,7411.0,40
CPT,71101,"HC RIBS-3 VIEWS, UNILATERAL X-RAY",657.82,394.69,42.44,7411.0,55
CPT,71110,"HC RIBS X-RAY,BILATERAL,3 VIEWS",635.06,381.04,44.1,7411.0,55
CPT,71111,"HC RIBS,BILATERAL,W/PA CHEST,MINI",917.49,550.49,52.79,7411.0,55
CPT,71120,"HC STERNUM X-RAY,MINIMUM 2 VIEWS",363.73,218.24,33.75,7411.0,55
CPT,71130,HC STERNOCLAVICULAR JOINTS 3 VIEW,364.13,218.48,41.44,7411.0,55
CPT,71250,HC THORAX CT SCAN WITHOUT CONTRAS,2800.19,1680.11,99.77,7411.0,55
CPT,71260,HC CT THORAX SCAN W/CONTRAST,3339.84,2003.9,167.39,7411.0,55
CPT,71270,"HC CT THORAX SCAN, W/WO CONTRAST",5103.0,3061.8,167.39,7411.0,55
CPT,71271,HC CT LUNG SCREEN LOW DOSE,306.75,184.05,99.77,7411.0,55
CPT,71275,"HC CT ANGIOGRAPHY,CHEST",6290.97,3774.58,167.39,7411.0,55
CPT,71550,HC MRI CHEST W/O CONTRAST,2656.25,1593.75,227.71,7411.0,55
CPT,71551,HC MRI CHEST W/ CONTRAST,2635.13,1581.08,385.25,7411.0,55
CPT,71552,HC MRI CHEST W/O W/C W/SEQ,3783.56,2270.14,332.94,7411.0,55
CPT,71555,HC MRA CHEST W & W/O CONTRAST,4254.6,2552.76,723.28,7411.0,39
CPT,71555,HC MRA CHEST W/O CONTRAST,4254.6,2552.76,723.28,7411.0,39
CPT,71555,"HC MRA,CHEST,EXCLUDING MYOCARDIUM",4254.6,2552.76,723.28,7411.0,39
CPT,72020,HC SPINE SINGLE VIEW,471.86,283.12,24.39,7411.0,55
CPT,72040,HC SPINE-CERVICAL 2-3 VIEWS,542.99,325.79,39.76,7411.0,55
CPT,72050,"HC SPINE/CERVICAL XRAY,MIN 4 VIEW",755.07,453.04,53.8,7411.0,55
CPT,72052,HC SPINE-CERVICAL COMPLETE,796.06,477.64,62.81,7411.0,55
CPT,72070,"HC SPINE X-RAY - THORACIC, 2 VIEWS",521.34,312.8,33.08,7411.0,55
CPT,72072,"HC SPINE X-RAY - THORACIC, 3 VIEWS",659.91,395.95,39.76,7411.0,55
CPT,72074,HC SPINE THORACIC MIN 4 VIEW,720.37,432.22,44.78,7411.0,55
CPT,72080,HC THORACOLUMBAR SPINE S-RAY AP AND LAT,497.64,298.58,34.75,7411.0,55
CPT,72081,"HC RADIOLOGIC EXAM SPINE, ENTIRE SPINE, 1 VIEW",312.83,187.7,42.78,7411.0,55
CPT,72082,"HC RADIOLOGIC EXAM SPINE, ENTIRE SPINE, 2-3 VIEWS",774.93,464.96,70.5,7411.0,55
CPT,72083,"HC RADIOLOGIC EXAM SPINE, ENTIRE SPINE, 4-5 VIEWS",899.68,539.81,79.53,7411.0,55
CPT,72084,"HC RADIOLOGIC EXAM SPINE, ENTIRE SPINE, 6+ VIEWS",959.6,575.76,98.9,7411.0,55
CPT,72100,"HC SPINE,LUMBOSACRAL 2-3 VIEWS",562.56,337.54,40.1,7411.0,55
CPT,72110,"HC SPINE,LUMBOSACRAL MIN 4 VIEWS",791.73,475.04,52.13,7411.0,55
CPT,72114,"HC SPINE,LUMBOSACRAL COMPLETE",893.19,535.91,61.48,7411.0,55
CPT,72120,"HC SPINE,LUMBOSACRAL,BENDING VIEW",568.84,341.3,40.76,7411.0,55
CPT,72125,HC CT CERVICAL SPINE W/O CONTRAST,3403.77,2042.26,99.77,7411.0,55
CPT,72125,HC CT CSPINE WO CM,3403.77,2042.26,99.77,7411.0,55
CPT,72126,HC CERVICAL SPINE CT W/CONTRAST,3840.99,2304.59,173.41,7411.0,55
CPT,72127,HC CERVICAL SPINE CT W/O&W/CONTRAST,5103.0,3061.8,167.39,7411.0,55
CPT,72128,HC CT THORACIC SPINE W/O CONT,3150.74,1890.44,99.77,7411.0,55
CPT,72129,HC CT THORACIC SPINE W CONTRAST,3790.29,2274.17,167.39,7411.0,55
CPT,72130,"HC THORACIC SPINE CT,W & W/O CONT",5506.58,3303.95,167.39,7411.0,55
CPT,72131,"HC LUMBAR SPINE CT SCAN, W/O CONT",3424.65,2054.79,99.77,7411.0,55
CPT,72132,"HC LUMBAR SPINE CT SCAN, W/CONTRA",3969.0,2381.4,173.75,7411.0,55
CPT,72133,HC LUMBAR SPINE CT W/WO CONT,2795.59,1677.35,167.39,7411.0,55
CPT,72141,HC MRI SPINE CERVICAL W/O CONTRAST,3776.81,2266.09,196.48,7411.0,55
CPT,72142,HC MRI SPINE CERVICAL W/CONTRAST,3718.6,2231.16,284.01,7411.0,55
CPT,72146,HC MRI SPINE THORACIC W/O CONTRA,3390.69,2034.41,196.14,7411.0,55
CPT,72147,HC MRI SPINE THORACIC W/CONTRAST,3089.11,1853.47,281.34,7411.0,55
CPT,72148,HC MRI SPINE LUMBAR W/O CONTRA,3650.03,2190.02,197.14,7411.0,55
CPT,72149,HC MRI SPINE LUMB W/CONTRAST,3635.96,2181.58,279.0,7411.0,55
CPT,72156,HC MRI SPINE CERV W/O&W CONT,6577.2,3946.32,329.79,7411.0,55
CPT,72157,HC MRI SPINE THOR W/O&W CONT,6596.21,3957.73,330.45,7411.0,55
CPT,72158,HC MRI SPINE LUMB W/O&W CONT,5327.21,3196.33,329.13,7411.0,55
CPT,72159,HC MRA SPINE W/CONTRAST,3006.56,1803.94,511.12,7411.0,39
CPT,72159,HC MRA SPINE W/O CONTRAST,3006.56,1803.94,511.12,7411.0,39
CPT,72159,HC MRA SPINE W/O&W CONTRAST,3006.56,1803.94,511.12,7411.0,39
CPT,72170,HC PELVIS X-RAY - 1 OR 2 VIEWS,451.4,270.84,28.06,7411.0,55
CPT,72190,HC PELVIS COMP MIN 3 VIEWS,593.13,355.88,42.44,7411.0,55
CPT,72191,"HC PELVIS CT ANG,W/WO CONTRAST",5429.06,3257.44,167.39,7411.0,55
CPT,72192,"HC PELVIS CT SCAN,W/O CONTRAST",2703.1,1621.86,99.77,7411.0,55
CPT,72193,"HC PELVIS CT SCAN,W/CONTRAST",3665.78,2199.47,167.39,7411.0,55
CPT,72194,"HC PELVIS CT SCAN, W/O CONTRAST &",3412.78,2047.67,167.39,7411.0,55
CPT,72195,"HC MRI,PELVIS - WITHOUT CONTRAST MA",4536.0,2721.6,227.71,7411.0,55
CPT,72196,"HC MRI, PELVIS,WITH CONTRAST",2908.58,1745.15,276.66,7411.0,55
CPT,72197,"HC MRI,PELVIS - W/WO CONTRAST MATER",6237.0,3742.2,332.94,7411.0,55
CPT,72198,HC MAGNTIC RESNANC ANGIOGPHY W/CO,3940.8,2364.48,669.94,7411.0,39
CPT,72198,HC MRA PELVIS W & W/O CONTRAST,3940.8,2364.48,669.94,7411.0,39
CPT,72198,"HC MRA,PELVIS W/O CONTRAST",3940.8,2364.48,669.94,7411.0,39
CPT,72200,HC SACROILIAC JOINTS <3 VIEW,271.22,162.73,33.41,7411.0,55
CPT,72202,"HC SACROILIAC JOINTS X-RAY,3 OR M",284.87,170.92,39.43,7411.0,55
CPT,72220,HC SACRUM-COCCYX-2 VIEWS,464.28,278.57,32.75,7411.0,55
CPT,72240,HC MYELOGRAM CERVICAL,1459.0,875.4,112.26,7411.0,55
CPT,72255,HC MYELOGRAM THORACIC,1690.21,1014.13,107.93,7411.0,55
CPT,72265,"HC MYELOGRAPHY,LUMBOSACRAL,RAD SU",2251.14,1350.68,109.26,7411.0,55
CPT,72270,"HC MYELOGRPHY,2 OR MORE REGIONS,",2692.06,1615.24,153.04,7411.0,55
CPT,72275,"HC EPIDUROGRAPHY, RAD SUPER & INT",981.74,589.04,166.9,7411.0,39
CPT,72285,HC DISKOGRAPHY CERVICAL S&I,3418.19,2050.91,132.31,7411.0,55
CPT,72295,HC DISKOGRAPHY LUMBAR S&I,3930.39,2358.23,111.6,7411.0,55
CPT,73000,"HC CLAVICLE X-RAY,COMPLETE",393.82,236.29,32.75,7411.0,55
CPT,73000,HC DX CLAVICLE COMPL BI,393.82,236.29,32.75,7411.0,40
CPT,73000,HC DX CLAVICLE COMPL BI PORT,393.82,236.29,32.75,7411.0,40
CPT,73000,HC DX CLAVICLE COMPL LT,393.82,236.29,32.75,7411.0,40
CPT,73000,HC DX CLAVICLE COMPL LT PORT,393.82,236.29,32.75,7411.0,40
CPT,73000,HC DX CLAVICLE COMPL RT,393.82,236.29,32.75,7411.0,40
CPT,73000,HC DX CLAVICLE COMPL RT PORT,393.82,236.29,32.75,7411.0,40
CPT,73010,HC DX SCAPULA COMPL BI,373.08,223.85,24.06,7411.0,40
CPT,73010,HC DX SCAPULA COMPL LT,373.08,223.85,24.06,7411.0,40
CPT,73010,HC DX SCAPULA COMPL LT PORT,373.08,223.85,24.06,7411.0,40
CPT,73010,HC DX SCAPULA COMPL RT,373.08,223.85,24.06,7411.0,40
CPT,73010,HC DX SCAPULA COMPL RT PORT,373.08,223.85,24.06,7411.0,40
CPT,73010,"HC SCAPULA X-RAY,COMPLETE",373.08,223.85,24.06,7411.0,55
CPT,73020,HC DX SHOULDER 1V BI,447.67,268.6,21.71,7411.0,40
CPT,73020,HC DX SHOULDER 1V BI PORT,447.67,268.6,21.71,7411.0,40
CPT,73020,HC DX SHOULDER 1V LT,447.67,268.6,21.71,7411.0,40
CPT,73020,HC DX SHOULDER 1V LT PORT,447.67,268.6,21.71,7411.0,40
CPT,73020,HC DX SHOULDER 1V RT,447.67,268.6,21.71,7411.0,40
CPT,73020,HC DX SHOULDER 1V RT PORT,447.67,268.6,21.71,7411.0,40
CPT,73020,"HC SHOULDER X-RAY,1 VIEW",447.67,268.6,21.71,7411.0,55
CPT,73030,HC DX SHOULDER MIN 2V BI,511.46,306.88,35.09,7411.0,40
CPT,73030,HC DX SHOULDER MIN 2V BI PORT,511.46,306.88,35.09,7411.0,40
CPT,73030,HC DX SHOULDER MIN 2V LT,511.46,306.88,35.09,7411.0,40
CPT,73030,HC DX SHOULDER MIN 2V LT PORT,511.46,306.88,35.09,7411.0,40
CPT,73030,HC DX SHOULDER MIN 2V RT,511.46,306.88,35.09,7411.0,40
CPT,73030,HC DX SHOULDER MIN 2V RT PORT,511.46,306.88,35.09,7411.0,40
CPT,73030,HC SHOULDER -2 OR MORE VIEWS,511.46,306.88,35.09,7411.0,55
CPT,73040,HC DX ARTHROGRAM SHOULDER BI SI,436.32,261.79,131.99,7411.0,40
CPT,73040,HC DX ARTHROGRAM SHOULDER LT SI,436.32,261.79,131.99,7411.0,40
CPT,73040,HC DX ARTHROGRAM SHOULDER RT SI,436.32,261.79,131.99,7411.0,40
CPT,73040,"HC SHOULDER ARTHROGRAPHY X-RAY,RA",436.32,261.79,131.99,7411.0,55
CPT,73050,HC A/C JOINT-W/WO WEIGHT BEARING,332.92,199.75,29.08,7411.0,55
CPT,73060,HC DX HUMERUS MIN 2V BI,515.52,309.31,32.08,7411.0,40
CPT,73060,HC DX HUMERUS MIN 2V BI PORT,515.52,309.31,32.08,7411.0,40
CPT,73060,HC DX HUMERUS MIN 2V LT,515.52,309.31,32.08,7411.0,40
CPT,73060,HC DX HUMERUS MIN 2V LT PORT,515.52,309.31,32.08,7411.0,40
CPT,73060,HC DX HUMERUS MIN 2V RT,515.52,309.31,32.08,7411.0,40
CPT,73060,HC DX HUMERUS MIN 2V RT PORT,515.52,309.31,32.08,7411.0,40
CPT,73060,"HC HUMERUS, MIN TWO VIEWS",515.52,309.31,32.08,7411.0,55
CPT,73070,HC DX ELBOW 2V BI,486.57,291.94,29.4,7411.0,40
CPT,73070,HC DX ELBOW 2V BI PORT,486.57,291.94,29.4,7411.0,40
CPT,73070,HC DX ELBOW 2V LT,486.57,291.94,29.4,7411.0,40
CPT,73070,HC DX ELBOW 2V LT PORT,486.57,291.94,29.4,7411.0,40
CPT,73070,HC DX ELBOW 2V RT,486.57,291.94,29.4,7411.0,40
CPT,73070,HC DX ELBOW 2V RT PORT,486.57,291.94,29.4,7411.0,40
CPT,73070,HC ELBOW - TWO VIEWS,486.57,291.94,29.4,7411.0,55
CPT,73080,HC DX ELBOW MIN 3V BI,543.14,325.88,33.08,7411.0,40
CPT,73080,HC DX ELBOW MIN 3V LT,543.14,325.88,33.08,7411.0,40
CPT,73080,HC DX ELBOW MIN 3V RT,543.14,325.88,33.08,7411.0,40
CPT,73080,"HC ELBOW X-RAY,COMPLETE,MINIMUM 3",543.14,325.88,33.08,7411.0,55
CPT,73085,"HC ARTHROGRAM, ELBOW",826.0,495.6,100.24,7411.0,55
CPT,73085,HC DX ARTHROGRAM ELBOW LT,826.0,495.6,100.24,7411.0,40
CPT,73085,HC DX ARTHROGRAM ELBOW RT,826.0,495.6,100.24,7411.0,40
CPT,73090,HC DX FOREARM 2V BI,529.37,317.62,29.4,7411.0,40
CPT,73090,HC DX FOREARM 2V BI PORT,529.37,317.62,29.4,7411.0,40
CPT,73090,HC DX FOREARM 2V LT,529.37,317.62,29.4,7411.0,40
CPT,73090,HC DX FOREARM 2V LT PORT,529.37,317.62,29.4,7411.0,40
CPT,73090,HC DX FOREARM 2V RT,529.37,317.62,29.4,7411.0,40
CPT,73090,HC DX FOREARM 2V RT PORT,529.37,317.62,29.4,7411.0,40
CPT,73090,HC FOREARM X-RAY - TWO VIEWS,529.37,317.62,29.4,7411.0,55
CPT,73092,HC DX UPR EXT INF MIN 2V BI,189.05,113.43,68.06,7411.0,40
CPT,73092,HC DX UPR EXT INF MIN 2V BI PORT,189.05,113.43,68.06,7411.0,40
CPT,73092,HC DX UPR EXT INF MIN 2V LT,189.05,113.43,68.06,7411.0,40
CPT,73092,HC DX UPR EXT INF MIN 2V LT PORT,189.05,113.43,68.06,7411.0,40
CPT,73092,HC DX UPR EXT INF MIN 2V RT,189.05,113.43,68.06,7411.0,40
CPT,73092,HC DX UPR EXT INF MIN 2V RT PORT,189.05,113.43,68.06,7411.0,40
CPT,73092,"HC UPPER EXTREMITY X-RAY, INFANT> 365 DAYS",189.05,113.43,68.06,7411.0,55
CPT,73100,HC DX WRIST 2V BI,486.95,292.17,34.09,7411.0,40
CPT,73100,HC DX WRIST 2V BI PORT,486.95,292.17,34.09,7411.0,40
CPT,73100,HC DX WRIST 2V LT,486.95,292.17,34.09,7411.0,40
CPT,73100,HC DX WRIST 2V LT PORT,486.95,292.17,34.09,7411.0,40
CPT,73100,HC DX WRIST 2V RT,486.95,292.17,34.09,7411.0,40
CPT,73100,HC DX WRIST 2V RT PORT,486.95,292.17,34.09,7411.0,40
CPT,73100,"HC WRIST X-RAY, 2 VIEWS",486.95,292.17,34.09,7411.0,55
CPT,73110,HC DX WRIST MIN 3V BI,515.76,309.46,41.44,7411.0,40
CPT,73110,HC DX WRIST MIN 3V BI PORT,515.76,309.46,41.44,7411.0,40
CPT,73110,HC DX WRIST MIN 3V LT,515.76,309.46,41.44,7411.0,40
CPT,73110,HC DX WRIST MIN 3V LT PORT,515.76,309.46,41.44,7411.0,40
CPT,73110,HC DX WRIST MIN 3V RT,515.76,309.46,41.44,7411.0,40
CPT,73110,HC DX WRIST MIN 3V RT PORT,515.76,309.46,41.44,7411.0,40
CPT,73110,"HC WRIST X-RAY,COMPLETE,MINIMUM 3",515.76,309.46,41.44,7411.0,55
CPT,73110,HC X-RAY EXAM COMPLETE WRIST MIN 3 VIEWS - BI,515.76,309.46,41.44,7411.0,40
CPT,73110,HC X-RAY EXAM COMPLETE WRIST MIN 3 VIEWS - LT,515.76,309.46,41.44,7411.0,40
CPT,73110,HC X-RAY EXAM COMPLETE WRIST MIN 3 VIEWS - RT,515.76,309.46,41.44,7411.0,40
CPT,73115,HC DX ARTHROGRAM WRIST LT SI,825.96,495.58,135.33,7411.0,40
CPT,73115,HC DX ARTHROGRAM WRIST RT SI,825.96,495.58,135.33,7411.0,40
CPT,73115,"HC WRIST ARTHROGRAPHY X-RAY,RAD S",825.96,495.58,135.33,7411.0,55
CPT,73120,HC DX HAND 2V BI,530.0,318.0,31.74,7411.0,40
CPT,73120,HC DX HAND 2V BI PORT,530.0,318.0,31.74,7411.0,40
CPT,73120,HC DX HAND 2V LT,530.0,318.0,31.74,7411.0,40
CPT,73120,HC DX HAND 2V LT PORT,530.0,318.0,31.74,7411.0,40
CPT,73120,HC DX HAND 2V RT,530.0,318.0,31.74,7411.0,40
CPT,73120,HC DX HAND 2V RT PORT,530.0,318.0,31.74,7411.0,40
CPT,73120,"HC HAND X-RAY,2 VIEWS",530.0,318.0,31.74,7411.0,55
CPT,73130,HC DX HAND MIN 3V BI,529.64,317.78,37.43,7411.0,40
CPT,73130,HC DX HAND MIN 3V BI PORT,529.64,317.78,37.43,7411.0,40
CPT,73130,HC DX HAND MIN 3V LT,529.64,317.78,37.43,7411.0,40
CPT,73130,HC DX HAND MIN 3V LT PORT,529.64,317.78,37.43,7411.0,40
CPT,73130,HC DX HAND MIN 3V RT,529.64,317.78,37.43,7411.0,40
CPT,73130,HC DX HAND MIN 3V RT PORT,529.64,317.78,37.43,7411.0,40
CPT,73130,HC HAND 3 VIEWS,529.64,317.78,37.43,7411.0,55
CPT,73140,HC DX FINGER 2V BI,363.38,218.03,38.43,7411.0,40
CPT,73140,HC DX FINGER 2V BI PORT,363.38,218.03,38.43,7411.0,40
CPT,73140,HC DX FINGER MIN 2V LT,363.38,218.03,38.43,7411.0,40
CPT,73140,HC DX FINGER MIN 2V LT PORT,363.38,218.03,38.43,7411.0,40
CPT,73140,HC DX FINGER MIN 2V RT,363.38,218.03,38.43,7411.0,40
CPT,73140,HC DX FINGER MIN 2V RT PORT,363.38,218.03,38.43,7411.0,40
CPT,73140,"HC FINGER(S) ,MIN 2 VIEWS",363.38,218.03,38.43,7411.0,55
CPT,73200,HC CT UPR EXT WO CM BI,3078.86,1847.32,104.75,7411.0,40
CPT,73200,HC CT UPR EXT WO CM LT,3078.86,1847.32,104.75,7411.0,40
CPT,73200,HC CT UPR EXT WO CM RT,3078.86,1847.32,104.75,7411.0,40
CPT,73200,"HC UPPER EXTREMITY CT, W/O CONTRA",3078.86,1847.32,99.77,7411.0,55
CPT,73201,HC CT UPR EXT W CM BI,3991.35,2394.81,206.49,7411.0,40
CPT,73201,HC CT UPR EXT W CM LT,3991.35,2394.81,206.49,7411.0,40
CPT,73201,HC CT UPR EXT W CM RT,3991.35,2394.81,206.49,7411.0,40
CPT,73201,"HC UPPER EXTREMITY CT,W/ CONTRAST",3991.35,2394.81,206.49,7411.0,55
CPT,73202,HC CT UPR EXT WWO CM LT,3075.6,1845.36,175.06,7411.0,40
CPT,73202,HC CT UPR EXT WWO CM RT,3075.6,1845.36,175.06,7411.0,40
CPT,73202,"HC UPPER EXTREMITY CT, W/WO CONTR",3075.6,1845.36,167.39,7411.0,55
CPT,73206,HC CT ANGIO UPR EXT WWO CM BI,5648.73,3389.24,175.06,7411.0,40
CPT,73206,HC CT ANGIO UPR EXT WWO CM LT,5648.73,3389.24,175.06,7411.0,40
CPT,73206,HC CT ANGIO UPR EXT WWO CM RT,5648.73,3389.24,175.06,7411.0,40
CPT,73206,"HC UPPER EXTRMTY CT,ANGIO, W/WO C",5648.73,3389.24,167.39,7411.0,55
CPT,73218,HC MR UPR EXT WO CM BI,3456.83,2074.1,233.47,7411.0,40
CPT,73218,HC MR UPR EXT WO CM LT,3456.83,2074.1,233.47,7411.0,40
CPT,73218,HC MR UPR EXT WO CM RT,3456.83,2074.1,233.47,7411.0,40
CPT,73218,HC MRI EXT UPPER W/O CONTRAS,3456.83,2074.1,227.71,7411.0,55
CPT,73219,HC MR UPR EXT W CM LT,2413.16,1447.9,341.81,7411.0,40
CPT,73219,HC MR UPR EXT W CM RT,2413.16,1447.9,341.81,7411.0,40
CPT,73219,HC MRI EXT UPPER W/CONTRAST,2413.16,1447.9,332.94,7411.0,55
CPT,73220,HC MR UPR EXT WWO CM BI,5670.0,3402.0,366.42,7411.0,40
CPT,73220,HC MR UPR EXT WWO CM LT,5670.0,3402.0,366.42,7411.0,40
CPT,73220,HC MR UPR EXT WWO CM RT,5670.0,3402.0,366.42,7411.0,40
CPT,73220,HC MRI EXT UPPER W/O&W CONTR,5670.0,3402.0,332.94,7411.0,55
CPT,73221,HC MR EXT UPPER JNT WO CM,2980.61,1788.37,209.16,7411.0,55
CPT,73221,HC MR UPR EXT JT WO CM BI,2980.61,1788.37,209.16,7411.0,40
CPT,73221,HC MR UPR EXT JT WO CM LT,2980.61,1788.37,209.16,7411.0,40
CPT,73221,HC MR UPR EXT JT WO CM RT,2980.61,1788.37,209.16,7411.0,40
CPT,73221,HC MRI EXT UPPER JNT W/O CON,2980.61,1788.37,209.16,7411.0,55
CPT,73221,HC MRI UPR EXT JNT W/O CONTRAST BI,2980.61,1788.37,209.16,7411.0,40
CPT,73222,HC MR UPR EXT JT W CM LT,4762.8,2857.68,323.1,7411.0,40
CPT,73222,HC MR UPR EXT JT W CM RT,4762.8,2857.68,323.1,7411.0,40
CPT,73222,HC MRI EXT UPPER JNT W/CONTR,4762.8,2857.68,323.1,7411.0,55
CPT,73222,HC MRI UPR EXT JNT W/CONTRAST BI,4762.8,2857.68,323.1,7411.0,40
CPT,73223,HC MR EXT UPPER JNT W WO CM,3923.33,2354.0,332.94,7411.0,55
CPT,73223,HC MR UPR EXT JT WWO CM BI,3923.33,2354.0,366.42,7411.0,40
CPT,73223,HC MR UPR EXT JT WWO CM LT,3923.33,2354.0,366.42,7411.0,40
CPT,73223,HC MR UPR EXT JT WWO CM RT,3923.33,2354.0,366.42,7411.0,40
CPT,73223,HC MRI EXT UPPER JNT W/O&W C,3923.33,2354.0,332.94,7411.0,55
CPT,73225,HC MR ANGIO UPR EXT W OR WO CM BI,2040.71,1224.43,346.92,7411.0,39
CPT,73225,HC MR ANGIO UPR EXT W OR WO CM LT,2040.71,1224.43,346.92,7411.0,39
CPT,73225,HC MR ANGIO UPR EXT W OR WO CM RT,2040.71,1224.43,346.92,7411.0,39
CPT,73225,HC MRA EXT UPPER JNT W/O&W C,2040.71,1224.43,346.92,7411.0,39
CPT,73225,HC MRA UP EXT W/ CONTRAST,2040.71,1224.43,346.92,7411.0,39
CPT,73225,"HC MRA,UPPER EXTREMITY,W/O&W CONT",2040.71,1224.43,346.92,7411.0,39
CPT,73501,HC DX HIP WWO PEL 1V LT,327.45,196.47,33.08,7411.0,40
CPT,73501,HC DX HIP WWO PEL 1V LT PORT,327.45,196.47,33.08,7411.0,40
CPT,73501,HC DX HIP WWO PEL 1V RT,327.45,196.47,33.08,7411.0,40
CPT,73501,HC DX HIP WWO PEL 1V RT PORT,327.45,196.47,33.08,7411.0,40
CPT,73501,"HC RADIOLOGIC EXAM HIP, UNILATERAL, 1 VIEW",327.45,196.47,33.08,7411.0,55
CPT,73502,HC DX HIP WWO PEL 2-3V LT,493.42,296.05,47.78,7411.0,40
CPT,73502,HC DX HIP WWO PEL 2-3V LT PORT,493.42,296.05,47.78,7411.0,40
CPT,73502,HC DX HIP WWO PEL 2-3V RT,493.42,296.05,47.78,7411.0,40
CPT,73502,HC DX HIP WWO PEL 2-3V RT PORT,493.42,296.05,47.78,7411.0,40
CPT,73502,"HC RADIOLOGIC EXAM HIP, UNILATERAL, 2-3 VIEWS",493.42,296.05,47.78,7411.0,55
CPT,73503,HC DX HIP WWO PEL MIN 4V LT,500.0,300.0,60.14,7411.0,40
CPT,73503,HC DX HIP WWO PEL MIN 4V LT PORT,500.0,300.0,60.14,7411.0,40
CPT,73503,HC DX HIP WWO PEL MIN 4V RT,500.0,300.0,60.14,7411.0,40
CPT,73503,HC DX HIP WWO PEL MIN 4V RT PORT,500.0,300.0,60.14,7411.0,40
CPT,73521,HC DX HIP WWO PEL 2V BI,581.93,349.16,41.44,7411.0,40
CPT,73521,HC DX HIP WWO POL 2V BI PORT,581.93,349.16,41.44,7411.0,40
CPT,73521,"HC RADIOLOGIC EXAM HIP, BIILATERAL, 2 VIEWS",581.93,349.16,41.44,7411.0,55
CPT,73522,"HC RADIOLOGIC EXAM HIP, BIILATERAL, 3-4 VIEWS",726.93,436.16,54.13,7411.0,55
CPT,73523,"HC RADIOLOGIC EXAM HIP, BIILATERAL, 5+ VIEWS",909.4,545.64,62.15,7411.0,55
CPT,73525,HC DX ARTHROGRAM HIP BI SI,867.3,520.38,129.31,7411.0,40
CPT,73525,HC DX ARTHROGRAM HIP LT SI,867.3,520.38,129.31,7411.0,80
CPT,73525,HC DX ARTHROGRAM HIP RT SI,867.3,520.38,129.31,7411.0,40
CPT,73525,"HC HIP ARTHROGRAPHY X-RAY,RAD SUP",867.3,520.38,129.31,7411.0,55
CPT,73551,HC DX FEMUR 1V LT,264.93,158.96,29.4,7411.0,40
CPT,73551,HC DX FEMUR 1V LT PORT,264.93,158.96,29.4,7411.0,40
CPT,73551,HC DX FEMUR 1V RT,264.93,158.96,29.4,7411.0,40
CPT,73551,HC DX FEMUR 1V RT PORT,264.93,158.96,29.4,7411.0,40
CPT,73551,"HC RADIOLOGIC EXAM FEMUR, 1 VIEW",264.93,158.96,29.4,7411.0,55
CPT,73552,HC DX FEMUR MIN 2V BI,484.07,290.44,35.75,7411.0,40
CPT,73552,HC DX FEMUR MIN 2V BI PORT,484.07,290.44,35.75,7411.0,40
CPT,73552,HC DX FEMUR MIN 2V LT,484.07,290.44,35.75,7411.0,40
CPT,73552,HC DX FEMUR MIN 2V LT PORT,484.07,290.44,35.75,7411.0,40
CPT,73552,HC DX FEMUR MIN 2V RT,484.07,290.44,35.75,7411.0,40
CPT,73552,HC DX FEMUR MIN 2V RT PORT,484.07,290.44,35.75,7411.0,40
CPT,73552,"HC RADIOLOGIC EXAM FEMUR, 2+ VIEWS",484.07,290.44,35.75,7411.0,55
CPT,73560,HC DX KNEE 1 OR 2V BI,455.33,273.2,34.41,7411.0,40
CPT,73560,HC DX KNEE 1 OR 2V BI PORT,455.33,273.2,34.41,7411.0,40
CPT,73560,HC DX KNEE 1 OR 2V LT,455.33,273.2,34.41,7411.0,40
CPT,73560,HC DX KNEE 1 OR 2V LT PORT,455.33,273.2,34.41,7411.0,40
CPT,73560,HC DX KNEE 1 OR 2V RT,455.33,273.2,34.41,7411.0,40
CPT,73560,HC DX KNEE 1 OR 2V RT PORT,455.33,273.2,34.41,7411.0,40
CPT,73560,"HC KNEE XRAY,ONE OR TWO VIEWS",455.33,273.2,34.41,7411.0,55
CPT,73562,HC DX KNEE 3V BI,532.06,319.24,41.1,7411.0,40
CPT,73562,HC DX KNEE 3V BI PORT,532.06,319.24,41.1,7411.0,40
CPT,73562,HC DX KNEE 3V LT,532.06,319.24,41.1,7411.0,40
CPT,73562,HC DX KNEE 3V LT PORT,532.06,319.24,41.1,7411.0,40
CPT,73562,HC DX KNEE 3V RT,532.06,319.24,41.1,7411.0,40
CPT,73562,HC DX KNEE 3V RT PORT,532.06,319.24,41.1,7411.0,40
CPT,73562,HC KNEE XRAY THREE VIEWS,532.06,319.24,41.1,7411.0,55
CPT,73564,HC DX KNEE MIN 4V BI,595.34,357.2,47.45,7411.0,40
CPT,73564,HC DX KNEE MIN 4V LT,595.34,357.2,47.45,7411.0,40
CPT,73564,HC DX KNEE MIN 4V RT,595.34,357.2,47.45,7411.0,40
CPT,73564,"HC KNEE,XRAY,COMPLETE,FOUR OR MOR",595.34,357.2,47.45,7411.0,55
CPT,73565,"HC KNEE X-RAY - BOTH KNEES,STANDING",499.64,299.78,40.1,7411.0,55
CPT,73580,HC ARTHROGRAM KNEE,826.0,495.6,110.94,7411.0,55
CPT,73580,HC DX ARTHROGRAM KNEE LT SI,826.0,495.6,110.94,7411.0,40
CPT,73580,HC DX ARTHROGRAM KNEE RT SI,826.0,495.6,110.94,7411.0,40
CPT,73590,HC DX TIBIA FIBULA 2V BI,510.79,306.47,31.74,7411.0,40
CPT,73590,HC DX TIBIA FIBULA 2V BI PORT,510.79,306.47,31.74,7411.0,40
CPT,73590,HC DX TIBIA FIBULA 2V LT,510.79,306.47,31.74,7411.0,40
CPT,73590,HC DX TIBIA FIBULA 2V LT PORT,510.79,306.47,31.74,7411.0,40
CPT,73590,HC DX TIBIA FIBULA 2V RT,510.79,306.47,31.74,7411.0,40
CPT,73590,HC DX TIBIA FIBULA 2V RT PORT,510.79,306.47,31.74,7411.0,40
CPT,73590,HC TIBIA & FIBULA X-RAY - 2 VIEWS,510.79,306.47,31.74,7411.0,55
CPT,73592,HC DX LWR EXT INF MIN 2V BI,189.05,113.43,68.06,7411.0,40
CPT,73592,HC DX LWR EXT INF MIN 2V BI PORT,189.05,113.43,68.06,7411.0,40
CPT,73592,HC DX LWR EXT INF MIN 2V LT,189.05,113.43,68.06,7411.0,40
CPT,73592,HC DX LWR EXT INF MIN 2V LT PORT,189.05,113.43,68.06,7411.0,40
CPT,73592,HC DX LWR EXT INF MIN 2V RT,189.05,113.43,68.06,7411.0,40
CPT,73592,HC DX LWR EXT INF MIN 2V RT PORT,189.05,113.43,68.06,7411.0,40
CPT,73592,"HC LOWER EXTREMITY, INFANT < 365 DAYS 2 VIEWS",189.05,113.43,68.06,7411.0,55
CPT,73600,HC ANKLE 2 VIEWS,362.58,217.55,32.41,7411.0,55
CPT,73600,HC DX ANKLE 2V BI,362.58,217.55,32.41,7411.0,40
CPT,73600,HC DX ANKLE 2V BI PORT,362.58,217.55,32.41,7411.0,40
CPT,73600,HC DX ANKLE 2V LT,362.58,217.55,32.41,7411.0,40
CPT,73600,HC DX ANKLE 2V LT PORT,362.58,217.55,32.41,7411.0,40
CPT,73600,HC DX ANKLE 2V RT,362.58,217.55,32.41,7411.0,40
CPT,73600,HC DX ANKLE 2V RT PORT,362.58,217.55,32.41,7411.0,40
CPT,73610,"HC ANKLE X-RAY,COMPLETE,MINIMUM 3",493.74,296.24,36.75,7411.0,55
CPT,73610,HC DX ANKLE MIN 3V BI,493.74,296.24,36.75,7411.0,40
CPT,73610,HC DX ANKLE MIN 3V BI PORT,493.74,296.24,36.75,7411.0,40
CPT,73610,HC DX ANKLE MIN 3V LT,493.74,296.24,36.75,7411.0,40
CPT,73610,HC DX ANKLE MIN 3V LT PORT,493.74,296.24,36.75,7411.0,40
CPT,73610,HC DX ANKLE MIN 3V RT,493.74,296.24,36.75,7411.0,40
CPT,73610,HC DX ANKLE MIN 3V RT PORT,493.74,296.24,36.75,7411.0,40
CPT,73615,"HC ARTHROGRAM,ANKLE",825.96,495.58,128.31,7411.0,55
CPT,73615,HC DX ARTHROGRAM ANKLE LT SI,825.96,495.58,128.31,7411.0,40
CPT,73615,HC DX ARTHROGRAM ANKLE RT SI,825.96,495.58,128.31,7411.0,40
CPT,73620,HC DX FOOT 2V BI,479.87,287.92,28.74,7411.0,40
CPT,73620,HC DX FOOT 2V BI PORT,479.87,287.92,28.74,7411.0,40
CPT,73620,HC DX FOOT 2V LT,479.87,287.92,28.74,7411.0,40
CPT,73620,HC DX FOOT 2V LT PORT,479.87,287.92,28.74,7411.0,40
CPT,73620,HC DX FOOT 2V RT,479.87,287.92,28.74,7411.0,40
CPT,73620,HC DX FOOT 2V RT PORT,479.87,287.92,28.74,7411.0,40
CPT,73620,HC FOOT X-RAY - 2 VIEWS,479.87,287.92,28.74,7411.0,55
CPT,73630,HC DX FOOT MIN 3V BI,608.85,365.31,34.41,7411.0,40
CPT,73630,HC DX FOOT MIN 3V BI PORT,608.85,365.31,34.41,7411.0,40
CPT,73630,HC DX FOOT MIN 3V LT,608.85,365.31,34.41,7411.0,40
CPT,73630,HC DX FOOT MIN 3V LT PORT,608.85,365.31,34.41,7411.0,40
CPT,73630,HC DX FOOT MIN 3V RT,608.85,365.31,34.41,7411.0,40
CPT,73630,HC DX FOOT MIN 3V RT PORT,608.85,365.31,34.41,7411.0,40
CPT,73630,"HC FOOT X-RAY,COMPLETE,MINIMUM 3",608.85,365.31,34.41,7411.0,55
CPT,73650,"HC CALCANEUS XRAY,MINIMUM 2 VIEWS",201.81,121.09,28.74,7411.0,55
CPT,73650,HC DX CALCANEUS MIN 2V BI,201.81,121.09,28.74,7411.0,40
CPT,73650,HC DX CALCANEUS MIN 2V BI PORT,201.81,121.09,28.74,7411.0,40
CPT,73650,HC DX CALCANEUS MIN 2V LT,201.81,121.09,28.74,7411.0,40
CPT,73650,HC DX CALCANEUS MIN 2V LT PORT,201.81,121.09,28.74,7411.0,40
CPT,73650,HC DX CALCANEUS MIN 2V RT,201.81,121.09,28.74,7411.0,40
CPT,73650,HC DX CALCANEUS MIN 2V RT PORT,201.81,121.09,28.74,7411.0,40
CPT,73660,HC DX TOES MIN 2V BI,319.76,191.86,29.4,7411.0,40
CPT,73660,HC DX TOES MIN 2V BI PORT,319.76,191.86,29.4,7411.0,40
CPT,73660,HC DX TOES MIN 2V LT,319.76,191.86,29.4,7411.0,40
CPT,73660,HC DX TOES MIN 2V LT PORT,319.76,191.86,29.4,7411.0,40
CPT,73660,HC DX TOES MIN 2V RT,319.76,191.86,29.4,7411.0,40
CPT,73660,HC DX TOES MIN 2V RT PORT,319.76,191.86,29.4,7411.0,40
CPT,73660,"HC TOE(S) X-RAY,MINIMUM 2 VIEWS",319.76,191.86,29.4,7411.0,55
CPT,73700,HC CT LWR EXT WO CM BI,2858.93,1715.36,104.75,7411.0,40
CPT,73700,HC CT LWR EXT WO CM LT,2858.93,1715.36,104.75,7411.0,40
CPT,73700,HC CT LWR EXT WO CM RT,2858.93,1715.36,104.75,7411.0,40
CPT,73700,"HC LOWER EXTREMITY CT,W/O CONTRAS",2858.93,1715.36,99.77,7411.0,55
CPT,73701,HC CT LWR EXT W CM BI,3999.86,2399.92,171.41,7411.0,40
CPT,73701,HC CT LWR EXT W CM LT,3999.86,2399.92,171.41,7411.0,40
CPT,73701,HC CT LWR EXT W CM RT,3999.86,2399.92,171.41,7411.0,40
CPT,73701,HC LOWER EXTREMITY CT W/CONTRAST,3999.86,2399.92,167.39,7411.0,55
CPT,73702,HC CT LWR EXT WWO CM BI,3448.48,2069.09,175.06,7411.0,40
CPT,73702,HC CT LWR EXT WWO CM LT,3448.48,2069.09,175.06,7411.0,40
CPT,73702,HC CT LWR EXT WWO CM RT,3448.48,2069.09,175.06,7411.0,40
CPT,73702,"HC LOWER EXTREMITY CT, W/WO CONTR",3448.48,2069.09,167.39,7411.0,55
CPT,73706,HC CT ANGIO LWR EXT WWO CM BI,5103.0,3061.8,175.06,7411.0,40
CPT,73706,HC CT ANGIO LWR EXT WWO CM LT,5103.0,3061.8,175.06,7411.0,40
CPT,73706,HC CT ANGIO LWR EXT WWO CM RT,5103.0,3061.8,175.06,7411.0,40
CPT,73706,"HC LOWER EXTRMITY CT,ANGIO, W/WO",5103.0,3061.8,167.39,7411.0,55
CPT,73718,HC MR LWR EXT WO CM BI,3525.77,2115.46,230.21,7411.0,40
CPT,73718,HC MR LWR EXT WO CM LT,3525.77,2115.46,230.21,7411.0,40
CPT,73718,HC MR LWR EXT WO CM RT,3525.77,2115.46,230.21,7411.0,40
CPT,73718,HC MRI EXT LOWER W/O CONTRAS,3525.77,2115.46,227.71,7411.0,55
CPT,73719,HC MR LWR EXT W CM BI,2569.4,1541.64,271.31,7411.0,40
CPT,73719,HC MR LWR EXT W CM LT,2569.4,1541.64,271.31,7411.0,40
CPT,73719,HC MR LWR EXT W CM RT,2569.4,1541.64,271.31,7411.0,40
CPT,73719,HC MRI EXT LOWER W/CONTRAST,2569.4,1541.64,271.31,7411.0,55
CPT,73720,HC MR LWR EXT W CM,6384.76,3830.86,332.94,7411.0,55
CPT,73720,HC MR LWR EXT W CM LT,6384.76,3830.86,332.94,7411.0,55
CPT,73720,HC MR LWR EXT WWO CM BI,6384.76,3830.86,347.5,7411.0,40
CPT,73720,HC MR LWR EXT WWO CM LT,6384.76,3830.86,347.5,7411.0,40
CPT,73720,HC MR LWR EXT WWO CM RT,6384.76,3830.86,347.5,7411.0,40
CPT,73720,HC MRI EXT LOWER W/O&W CONTR,6384.76,3830.86,332.94,7411.0,55
CPT,73721,HC MR LWR EXT JT WO CM BI,3682.04,2209.22,208.84,7411.0,40
CPT,73721,HC MR LWR EXT JT WO CM LT,3682.04,2209.22,208.84,7411.0,40
CPT,73721,HC MR LWR EXT JT WO CM RT,3682.04,2209.22,208.84,7411.0,40
CPT,73721,HC MRI EXT LOWER JNT W/O CON,3682.04,2209.22,208.84,7411.0,55
CPT,73722,HC MR LWR EXT JT W CM BI,3990.96,2394.58,323.44,7411.0,40
CPT,73722,HC MR LWR EXT JT W CM LT,3990.96,2394.58,323.44,7411.0,40
CPT,73722,HC MR LWR EXT JT W CM RT,3990.96,2394.58,323.44,7411.0,40
CPT,73722,HC MRI EXT LOWER JNT W/CONTR,3990.96,2394.58,323.44,7411.0,55
CPT,73723,HC MR LWR EXT JT WWO CM BI,6150.76,3690.46,366.42,7411.0,40
CPT,73723,HC MR LWR EXT JT WWO CM LT,6150.76,3690.46,366.42,7411.0,40
CPT,73723,HC MR LWR EXT JT WWO CM RT,6150.76,3690.46,366.42,7411.0,40
CPT,73723,HC MRI EXT LOWER JNT W/O&W C,6150.76,3690.46,332.94,7411.0,55
CPT,73725,HC MR ANGIO LWR EXT W CM BI,3303.36,1982.02,561.57,7411.0,39
CPT,73725,HC MR ANGIO LWR EXT W CM LT,3303.36,1982.02,561.57,7411.0,39
CPT,73725,HC MR ANGIO LWR EXT W CM RT,3303.36,1982.02,561.57,7411.0,39
CPT,73725,HC MR ANGIO LWR EXT WO CM BI,3303.36,1982.02,561.57,7411.0,39
CPT,73725,HC MR ANGIO LWR EXT WO CM LT,3303.36,1982.02,561.57,7411.0,39
CPT,73725,HC MR ANGIO LWR EXT WO CM RT,3303.36,1982.02,561.57,7411.0,78
CPT,73725,HC MR ANGIO LWR EXT WWO CM BI,3303.36,1982.02,561.57,7411.0,39
CPT,73725,HC MR ANGIO LWR EXT WWO CM LT,3303.36,1982.02,561.57,7411.0,39
CPT,73725,HC MR ANGIO LWR EXT WWO CM RT,3303.36,1982.02,561.57,7411.0,39
CPT,73725,HC MRA EXT LOWER W/O&W CONT,3303.36,1982.02,561.57,7411.0,39
CPT,73725,"HC MRA,LOWER EXTREMITY,W/O CONTRA",3303.36,1982.02,561.57,7411.0,39
CPT,73725,"HC MRA,LOWER EXTREMITY,WITH CONTR",3303.36,1982.02,561.57,7411.0,39
CPT,74018,HC X-RAY EXAM ABDOMEN 1 VIEW,412.73,247.64,30.4,7411.0,55
CPT,74018,HC X-RAY EXAM ABDOMEN 1 VIEW - LT,412.73,247.64,30.4,7411.0,55
CPT,74018,HC X-RAY EXAM ABDOMEN 1 VIEW - RT,412.73,247.64,30.4,7411.0,55
CPT,74019,HC X-RAY EXAM ABDOMEN 2 VIEWS,527.16,316.3,36.75,7411.0,55
CPT,74021,HC DX ABD AP OBLIQ CONE V,407.52,244.51,43.1,7411.0,55
CPT,74021,HC X-RAY EXAM ABDOMEN 3+ VIEWS,407.52,244.51,43.1,7411.0,55
CPT,74022,"HC ABD X-RAY,COMPLETE,ACUTE SERIE",697.72,418.63,50.13,7411.0,55
CPT,74150,HC ABDOMEN CT SCAN WITHOUT CONTRA,3628.8,2177.28,99.77,7411.0,55
CPT,74160,HC ABDOMEN CT SCAN W/CONTRAST,5103.0,3061.8,167.39,7411.0,55
CPT,74170,HC ABDOMEN CT W&W/O CONTRAST,5103.0,3061.8,167.39,7411.0,55
CPT,74174,HC CTANGIOGRAPHY ABD & PELVIS,9294.97,5576.98,332.94,7411.0,55
CPT,74175,HC ABDOMEN CT ANG W/WO CONTRAST,5870.67,3522.4,167.39,7411.0,55
CPT,74176,HC CT ABD&PELVIS W/O CONTRAS,5896.8,3538.08,188.11,7411.0,55
CPT,74177,HC CT ABDOMEN/PELVIS W/CONTRAST,6484.35,3890.61,312.08,7411.0,55
CPT,74178,HC CT ABD & PELVIS W & WO CONT,6953.54,4172.12,332.94,7411.0,55
CPT,74181,HC MRI ABDOMEN W/O CONTRAST,3663.25,2197.95,201.81,7411.0,55
CPT,74182,HC MRI ABDOMEN W/CONTRAST,3039.12,1823.47,311.75,7411.0,55
CPT,74183,HC MRI ABDOMEN W/O&W CONTRAS,6350.4,3810.24,332.94,7411.0,55
CPT,74185,HC MRA ABDOMEN W/O&W CONTRAS,3247.04,1948.22,552.0,7411.0,39
CPT,74185,"HC MRA, ABDOMEN, WITH CONTRAST",3247.04,1948.22,552.0,7411.0,39
CPT,74185,"HC MRA, W/O CONTRAST ABDOMEN",3247.04,1948.22,552.0,7411.0,39
CPT,74190,HC PERITONEOGRAM SI,938.67,563.2,81.04,7411.0,55
CPT,74210,HC CONTRAST XRAY THROAT/CERV ESOPHA,333.99,200.39,94.89,7411.0,55
CPT,74220,HC RADIOLOGIC EXAM ESOPHAGUS,835.57,501.34,97.56,7411.0,55
CPT,74221,HC XRAY EXAM ESOPHAGUS DOUBLE CONTRAST STDY,965.91,579.55,109.93,7411.0,55
CPT,74230,HC BARIUM SWALLOW W CIN/VID,841.8,505.08,124.96,7411.0,55
CPT,74240,"HC GI TRACT, UPPER W/O KUB",925.06,555.04,122.96,7411.0,55
CPT,74241,"HC GI TRACT, UPPER W/KUB",385.54,231.32,65.54,7411.0,39
CPT,74245,HC UPPER GI WITH SMALL BOWEL,1202.37,721.42,204.4,7411.0,39
CPT,74246,"HC GI TRACT,UPPER,W/CONT, W OR WO KUB",1096.29,657.77,139.34,7411.0,55
CPT,74248,HC RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,2057.65,1234.59,82.53,7411.0,39
CPT,74248,HC XRAY SM INT F-THRU STD,2057.65,1234.59,82.53,7411.0,39
CPT,74249,"HC GI TRACT UPPER,W/CONTRAST,W/SM",1271.55,762.93,216.16,7411.0,39
CPT,74250,"HC BOWEL SMALL,XRAY EXAM,MULTIPLE",936.12,561.67,121.96,7411.0,55
CPT,74251,HC ENTEROCLYSIS SMALL BOWEL,484.85,290.91,167.39,7411.0,55
CPT,74251,HC X-RAY EXAM OF SMALL BOWEL,484.85,290.91,167.39,7411.0,55
CPT,74261,"HC CT COLONOGRAPHY,DIAG,W/O CONTR",1165.0,699.0,99.77,7411.0,55
CPT,74263,"HC CT COLONOGRAPHY,DIAG,SCREENING",2055.02,1233.01,227.71,7411.0,54
CPT,74270,"HC COLON,X-RAY EXAM - BARIUM ENEMA",1055.94,633.56,153.7,7411.0,55
CPT,74280,HC COLON AIR CONTRAST W/BARI,1309.77,785.86,167.39,7411.0,55
CPT,74283,HC THERAPEUTIC ENEMA,387.2,232.32,139.39,7411.0,55
CPT,74290,HC CHOLECYSTOGRAPHY ORAL CON,310.41,186.25,85.2,7411.0,55
CPT,74300,HC CHOLANGIOGRAM OPERATIVE,1110.02,666.01,37.48,7411.0,39
CPT,74301,HC CHOLANGIO/PANCREATO - ADDITION S,537.09,322.25,21.62,7411.0,39
CPT,74328,"ENDOSCOPIC CATHETERIZATION OF THE BILIARY DUCTAL SYSTEM, RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,72.8,153.61,5
CPT,74328,HC ENDOSCOPIC CATH/BILIARY DUCT S,1106.03,663.62,72.8,7411.0,39
CPT,74329,"ENDOSCOPIC CATHETERIZATION OF THE PANCREATIC DUCTAL SYSTEM, RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,72.8,153.61,5
CPT,74329,HC ENDOSCOPIC CATH/PANCREATIC DUC,1075.0,645.0,72.8,7411.0,39
CPT,74330,"COMBINED ENDOSCOPIC CATHETERIZATION OF THE BILIARY AND PANCREATIC DUCTAL SYSTEMS, RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,92.98,196.19,5
CPT,74330,"HC ENDOSCOP.CATH,BILIARY,PANCREAT",1611.73,967.04,92.98,7411.0,39
CPT,74340,"HC TUBE,GI INTRO,MULT FLUOROSCOPI",1074.16,644.5,55.5,7411.0,39
CPT,74355,"HC ENTEROCLYSIS TUBE,PERC PLACE,R",392.84,235.7,66.78,7411.0,39
CPT,74360,"HC DILATION,INTRALUM.STRICT/OBSTR",551.09,330.65,57.66,7411.0,39
CPT,74363,"HC DILATE,PERCUT.TRANSHEP/BIL.DCT",1179.51,707.71,87.94,7411.0,39
CPT,74400,"HC PYELOGRAM, IV 5 FILMS",1146.33,687.8,135.33,7411.0,55
CPT,74410,HC XR FLUORO IVP INFUSION DRIP & OR BOLUS,1151.41,690.85,142.0,7411.0,55
CPT,74415,HC IVP W NEPHROTOMOGRAPHY,1123.0,673.8,151.36,7411.0,55
CPT,74420,HC PYELOGRAM RETROGRADE,1198.95,719.37,78.19,7411.0,55
CPT,74425,HC NEPHROSTOGRAM/LOOPOGRAM,988.95,593.37,135.99,7411.0,55
CPT,74430,"HC CYSTOGRAPHY,MIN. 3 VIEWS,RAD S",543.46,326.08,41.44,7411.0,55
CPT,74445,HC CORPORA CAVERNOSOGRAPY RS&I,942.0,565.2,99.77,7411.0,55
CPT,74450,"HC URETHROCYSTOGRAPHY,RETROGRADE,",1025.14,615.08,81.38,7411.0,55
CPT,74455,"HC URETHROCYSTOGRAPHY,VOIDING,RAD",1171.61,702.97,104.25,7411.0,55
CPT,74485,HC DILIATION OF URETERS,2542.0,1525.2,119.63,7475.94,55
CPT,74710,HC PELVIMETRY,262.31,157.39,44.59,7411.0,39
CPT,74712,HC MRI FETAL SNGL/1ST GESTATION,1893.77,1136.26,227.71,7411.0,55
CPT,74713,HC MRI FETAL EA ADDL GESTATION,796.55,477.93,204.49,7411.0,39
CPT,74740,HC HYSTEROSALIPINGOGRAM,1170.68,702.41,66.83,7411.0,55
CPT,74742,HC TRANSCERVICAL CATH FALOP,764.47,458.68,63.42,7411.0,39
CPT,75000622,HC PROCTOSIGMOIDOSCOPY DECOMPRES VOLVULUS,3475.04,2085.02,590.76,7411.0,37
CPT,75000624,HC ANOSCOPY FB REMOVAL,3964.83,2378.9,674.02,7411.0,37
CPT,75557,"HC MRI,CARDIAC - MORPHOLGY & FUNCTN W/O CONTRAST",4075.12,2445.07,227.71,7411.0,55
CPT,75559,HC MRI CARDIAC MORPH & FUNCTION WO CONTRAST W STRESS,2511.37,1506.82,385.59,7411.0,55
CPT,75561,"HC MRI,CARDIAC - MORPHOLGY & FUNCTN WO/W CONTRAST",4931.66,2959.0,332.94,7411.0,55
CPT,75563,HC MRI CARDIAC MORPH & FUNCTION W WO CONTRAST W STRESS,6048.0,3628.8,436.71,7411.0,55
CPT,75565,HC MRI CARDIAC VELOCITY FLOW MAPPING,1192.8,715.68,83.62,7411.0,39
CPT,75571,"HC CT,HEART W/O CONTRAST W/QUANT",131.67,79.0,47.4,7411.0,55
CPT,75572,"HC CT,HEART W/CONTRAS - EVAL CARD S",3127.46,1876.48,175.06,7411.0,110
CPT,75573,"HC CT,HEART W/CONTRAST - EVAL IN CO",1557.33,934.4,175.06,7411.0,110
CPT,75574,"HC CTA,HEART,ARTERIES/BYPS GRAFT",3161.35,1896.81,175.06,7411.0,110
CPT,75577,HC CT CHG QUAN & CHARAC C ATHEROSCLEROTC PLAQ ASSWS SEV S DS,1980.52,1188.31,336.69,7411.0,54
CPT,75580,HC N-INVAS EST C FFR AUGMNT SW ALYS CTA I&R PHY/QHP,8555.53,5133.32,819.52,7411.0,55
CPT,75600,"HC THORACIC,AORTOGRAM",5950.0,3570.0,182.78,11694.8,55
CPT,75605,"HC AORTOGRAPHY,THORACIC/SERIALOGR",5278.77,3167.26,120.95,19395.92,55
CPT,75625,HC ABDOMIANAL AORTOGRAM,5648.49,3389.09,126.64,11694.8,55
CPT,75630,"HC AORTOGRAPHY,ABD BIL.LOWER EXT.",5678.87,3407.32,157.04,11694.8,55
CPT,75635,"HC CT ANG,ABD/LWR EXTRMTY,SUPR&IN",4613.58,2768.15,167.39,7411.0,55
CPT,75705,"HC ANGIOGRAPHY,SPINAL,SEL.RAD SUPER/INTERP",6824.33,4094.6,250.94,19395.92,165
CPT,75710,HC ANGIO EXTREMITY S&I LT,5241.37,3144.82,150.36,11694.8,40
CPT,75710,HC ANGIO EXTREMITY S&I RT,5241.37,3144.82,150.36,11694.8,40
CPT,75710,"HC ANGIOGRAPHY EXTREMITY, S&I - LT",5241.37,3144.82,150.36,11694.8,55
CPT,75710,"HC ANGIOGRAPHY EXTREMITY, S&I - RT",5241.37,3144.82,150.36,11694.8,55
CPT,75710,"HC ANGIOGRAPHY,EXTREMITY,UNI.RAD",5241.37,3144.82,150.36,11694.8,55
CPT,75716,"HC ANGIOGRAPHY,CAROTID/CERE.BIL.R",5950.63,3570.38,163.05,11694.8,55
CPT,75716,"HC ANGIOGRAPHY,EXTREMITY BIL.RAD",5950.63,3570.38,163.05,11694.8,55
CPT,75726,"HC ANGIOGRAPHY,VISCERAL SEL/SUPRASEL.RAD SUP/",7764.98,4658.99,170.08,19395.92,55
CPT,75731,"HC ANGIOGRAPHY,ADRENAL UNILAT.SEL",3336.24,2001.74,153.7,7896.23,55
CPT,75733,HC ART ADRNL SELECTVE BI SI,4874.1,2924.46,172.75,11694.8,55
CPT,75733,HC IR ART ADRNL SELECTVE BI SI,4874.1,2924.46,172.75,11694.8,55
CPT,75736,"HC ANGIOGRAPHY,PELVIC,SEL/SUPRASE",6655.69,3993.41,143.68,19395.92,55
CPT,75736,HC IR ART PELVIC SELECTVE BI SI,6655.69,3993.41,143.68,19395.92,40
CPT,75741,"HC ANGIOGRAPHY,PULMONARY/UNILATERAL/SELECTIVE CATH",5250.0,3150.0,129.98,11694.8,55
CPT,75741,HC ART PULM SELECTVE S&I RT,5250.0,3150.0,129.98,11694.8,40
CPT,75743,"HC ANGIOGRAPHY,PULMONARY,BIL.SEL.",5892.62,3535.57,147.69,11694.8,55
CPT,75746,HC ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I,2840.55,1704.33,134.99,7896.23,55
CPT,75756,"HC ANGIOGRAPHY, INTERNAL MAMMARY,",2715.55,1629.33,165.4,11694.8,55
CPT,75756,"HC ANGIOGRAPHY, INTERNAL MAMMARY, ADD",2715.55,1629.33,165.4,11694.8,55
CPT,75774,"HC ANGIOGRAPHY,SELECTIVE,EACH ADD",3274.4,1964.64,132.62,7411.0,39
CPT,75801,HC LYMPHANGIO EXTREM UNILAT,1168.0,700.8,284.65,7411.0,80
CPT,75805,HC IR LYMPHANGIOGRAM PEL/ABD RT,4490.09,2694.05,313.39,7896.23,40
CPT,75805,HC LYMPHANGIO ABD/PELV UNILAT,4490.09,2694.05,313.39,7896.23,80
CPT,75805,"LYMPHANGIOGRAPHY, PELVIC/ABDOMINAL, UNILATERAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,313.39,7896.23,28
CPT,75807,"HC LYMPHANGIOGRAPHY,PELVIC/ABDOM.",2064.32,1238.59,146.54,11694.8,55
CPT,75809,"HC SHUNTOGRAM, INVESTIGATE PREV PLACED SHUNT",1161.78,697.07,81.86,7411.0,55
CPT,75810,"HC SPLENOPORTOGRAPHY, S&I",3867.22,2320.33,612.59,7896.23,55
CPT,75820,"HC VENOGRAPHY EXTREMITY S&I, UNILATERAL - LT",2001.51,1200.91,107.93,7411.0,40
CPT,75820,"HC VENOGRAPHY EXTREMITY S&I, UNILATERAL - RT",2001.51,1200.91,107.93,7411.0,40
CPT,75820,"HC VENOGRAPHY, EXTREMITY/UNILAT./",2001.51,1200.91,107.93,7411.0,55
CPT,75822,"HC VENOGRAPHY, EXTREMITY/BILAT./R",2396.69,1438.01,133.65,7411.0,55
CPT,75825,"HC VENOGRAPHY, CAVAL/INFER.-W/SER",4916.76,2950.06,114.28,11694.8,55
CPT,75827,"HC VENOGRAPHY, CAVAL/SUPERIOR W/S",3224.36,1934.62,118.95,7411.0,55
CPT,75831,HC VENOGRAM RENAL UNILAT,4286.58,2571.95,119.63,7896.23,80
CPT,75831,"HC VENOGRAPHY RENAL SELECTIVE, S&I, UNILATERAL - LT",4286.58,2571.95,119.63,11694.8,55
CPT,75831,"HC VENOGRAPHY RENAL SELECTIVE, S&I, UNILATERAL - RT",4286.58,2571.95,119.63,11694.8,55
CPT,75831,"HC VENOGRAPHY,RENAL/UNILAT./SELEC",4286.58,2571.95,119.63,11694.8,55
CPT,75833,"HC VENOGRAPHY, RENAL/BILAT./SELEC",4643.79,2786.27,148.35,11694.8,55
CPT,75840,"HC VENOGRAPHY,ADRENAL./SELECTIVE/",4722.24,2833.34,128.64,11694.8,55
CPT,75842,"HC VENOGRAPHY, ADRENAL/BILAT./SEL",5589.74,3353.84,950.26,19395.92,40
CPT,75860,"HC VENOGRAPHY,VENSOUS SINUS/JUGUL",3421.11,2052.67,125.64,11694.8,55
CPT,75870,"HC VENOGRAPHY, SUP.SAGITTAL SINUS",3538.08,2122.85,155.7,7896.23,55
CPT,75872,"HC VENOGRAPHY, EPIDURAL, RADIOLOG",1677.34,1006.4,128.64,7411.0,55
CPT,75880,HC IR VENOGRAM ORBITAL SI,1880.69,1128.41,107.93,7411.0,55
CPT,75885,HC PERCUTAN.TRANS.PORTO. W/HEMO.E,3961.24,2376.74,136.66,11694.8,55
CPT,75887,HC PERCUTAN.TRANS.PORTO. W/O HEMO,3115.34,1869.2,137.66,7896.23,55
CPT,75889,HC HEPATIC VENO./WEDGED/FREE W/HE,5614.92,3368.95,123.63,11694.8,55
CPT,75891,HC HEPATIC VENO/WEDGED/FREE W/O H,4272.48,2563.49,124.3,11694.8,55
CPT,75893,"HC VENOUS SAMPLING THRU CATHETER,",7938.0,4762.8,105.25,19395.92,55
CPT,75894,HC TRANSCATHETER THERAPY/EMBOLIZA,5100.08,3060.05,148.48,7411.0,39
CPT,75898,"HC ANGIOGRAM,EXISTING CATHETER,FO",3231.9,1939.14,133.71,7896.23,55
CPT,75901,HC MECHANICAL REMVL CVA DVC OF OB,1137.23,682.34,193.33,7411.0,39
CPT,75902,HC MECHANICAL REMVL CVA OF OBSTRU,1083.08,649.85,121.1,7411.0,39
CPT,75956,HC ENDOVASCULAR REPR THORACIC AOR,2262.75,1357.65,384.67,7411.0,39
CPT,75958,HC ENDOVASCLR REPR - PLACE PROX EXT,1676.4,1005.84,284.99,7411.0,39
CPT,75970,"HC TRANSCATHETER BIOPSY,SUPERVISI",2958.24,1774.94,81.44,7411.0,39
CPT,75984,"HC PERC TUBE/CATH CHANGE,CONTRAST",1056.61,633.97,136.94,7411.0,39
CPT,75989,HC CT GUIDE ABSCESS DRAIN,1808.42,1085.05,127.58,7411.0,39
CPT,75989,"HC PERCUT.DRAIN/RAD GUIDANCE,RAD",1808.42,1085.05,127.58,7411.0,39
CPT,76000,"FLUOROSCOPY (SEPARATE PROCEDURE), UP TO 1 HOUR PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL TIME",,,42.78,607.02,56
CPT,76000,"HC FLUOROSCOPY,UP TO 1 HOUR PHYSI",773.0,463.8,42.78,7411.0,55
CPT,76010,HC XR NOSE TO RECTUM CHILD FOREIGN BODY,189.05,113.43,68.06,7411.0,55
CPT,76014,HC MR SAFETY IMPLANT&/FB ASSMT CLIN STAF 1ST 15 MIN,84.0,50.4,24.49,7411.0,54
CPT,76015,HC MR SAFETY IMPLANT&/FB ASSMT CLIN STAFF EA ADD 30,75.0,45.0,26.25,7411.0,39
CPT,76016,HC MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP,310.0,186.0,52.7,7411.0,54
CPT,76017,HC MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG&MNTR,856.0,513.6,145.52,7411.0,54
CPT,76018,HC MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP,341.22,204.73,58.01,7411.0,54
CPT,76019,HC MR SAFETY IMPLANT POS&/IMMOBLJ SUPVJ PHYS/QHP,228.75,137.25,38.89,7411.0,54
CPT,76080,"HC XR FLUORO ABSCESS, FISTULA OR SINUS TRACT STUDY",820.05,492.03,59.81,7411.0,55
CPT,76098,"HC RADIOLOGICAL EXAMINATION, SURGICAL SPECIMEN - LT",764.8,458.88,42.78,7411.0,55
CPT,76098,"HC RADIOLOGICAL EXAMINATION, SURGICAL SPECIMEN - RT",764.8,458.88,42.78,7411.0,55
CPT,76098,HC XR SURGICAL SPECIMEN,764.8,458.88,42.78,7411.0,55
CPT,76100,HC XR TOMOGRAPHY SINGLE PLANE,500.0,300.0,89.55,7411.0,55
CPT,76120,HC CINE/VIDEO X RAY,708.2,424.92,99.77,7411.0,55
CPT,76125,"HC CINERADIOGRAPHY,TO COMPLEMENT",579.27,347.56,28.84,7411.0,39
CPT,76145,HC RADIATION DOSE ASSESSMENT,1330.02,798.01,226.1,7411.0,55
CPT,76376,"3D RENDERING WITH INTERPRETATION AND REPORTING OF COMPUTED TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, ULTRASOUND, OR OTHER TOMOGRAPHIC MODALITY WITH IMAGE POSTPROCESSING UNDER CONCURRENT SUPERVISION; NOT",,,26.66,56.25,5
CPT,76376,HC 3D ECHO WO INDEP WKSTN,202.14,121.28,26.66,7411.0,78
CPT,76376,"HC 3D RENDERING W/I&R OF CT,MRI,U",202.14,121.28,26.66,7411.0,39
CPT,76376,HC MR 3D RENDERING WO INDEP WKSTN,202.14,121.28,26.66,7411.0,39
CPT,76377,HC 3D ECHO W INDEP WKSTN,1135.58,681.35,63.42,7411.0,39
CPT,76377,HC CT RECON SEPERATE STATION,1135.58,681.35,63.42,7411.0,39
CPT,76380,HC SCAN LIMITED OR LOCALIZED FOLLOW UP,1237.4,742.44,83.05,7411.0,55
CPT,76390,HC MAGNETIC RESONANCE SPECTROSCOPY,2203.93,1322.36,83.05,7411.0,55
CPT,76391,HC MAGNETIC RESONANCE ELASTOGRAPHY,2894.81,1736.89,207.16,7411.0,55
CPT,76496,HC CHOLECYSTOSTOMY TUBE CHECK,3497.0,2098.2,83.05,7411.0,53
CPT,76496,HC FLUOROSCOPIC PROCEDURE - UNLISTE,600.0,360.0,83.05,7411.0,55
CPT,76496,HC INFERIOR PHRENIC VENOGRAPHY,4252.56,2551.54,83.05,7411.0,55
CPT,76496,HC PENILE VEIN VENOGRAM,1765.0,1059.0,83.05,7411.0,55
CPT,76496,HC RENAL VENOGRAM,4252.56,2551.54,83.05,7411.0,53
CPT,76496,HC SPLENIC VENOGRAM,4252.56,2551.54,83.05,7411.0,55
CPT,76496,HC VENOGRAM OF THE RT OVARIAN VEIN,5723.32,3433.99,83.05,7411.0,55
CPT,76496,HC VENOGRAPHY OPHTHAMNIE VEINS,3772.61,2263.57,83.05,7411.0,55
CPT,76496,"HC VENOGRAPHY, GASTRIC VEIN",2747.21,1648.33,83.05,7411.0,55
CPT,76496,"HC VENOGRAPHY, OPHTHALMIC VEIN(S)",3772.61,2263.57,83.05,7411.0,55
CPT,76496,HC VNGRPH INFROR EPGSTRC VEIN W/ RDIOLGCL SPRVSION & INTRPRTION,4465.19,2679.11,83.05,7411.0,55
CPT,76497,HC CT SCAN WHOLE BODY,6421.14,3852.68,83.05,7411.0,55
CPT,76497,HC CT THORACOLUMBAR W CM,2554.2,1532.52,83.05,7411.0,55
CPT,76497,HC CT THORACOLUMBAR WO CM,2554.2,1532.52,83.05,7411.0,55
CPT,76497,HC CT THORACOLUMBAR WWO CM,2554.2,1532.52,83.05,7411.0,55
CPT,76497,HC EVALUATE TUMOR VOLUME CT PROCEDURE FOR TREATMENT PLANNING,528.2,316.92,83.05,7411.0,55
CPT,76497,HC MULTIPLE LESIONS MYELOMA CT SCREENING,2554.2,1532.52,83.05,7411.0,55
CPT,76498,HC MRI BREAST BIOPSY,2880.0,1728.0,83.05,7411.0,55
CPT,76498,HC MRI TOUCHSTONE RESEARCH STUDY (UNLISTED),2880.0,1728.0,83.05,7411.0,55
CPT,76498,HC MRI-TRANSRECTAL ULTRASOUND FUSION-GUIDANCE FOR PROSTATE BIOPSY,2880.0,1728.0,83.05,7411.0,55
CPT,76498,HC THORACOLUMBAR W CM,2880.0,1728.0,83.05,7411.0,55
CPT,76498,HC THORACOLUMBAR WO CM,2880.0,1728.0,83.05,7411.0,55
CPT,76498,HC THORACOLUMBAR WWO CM,2880.0,1728.0,83.05,7411.0,55
CPT,76498,HC UNLIST PROC,2880.0,1728.0,83.05,7411.0,110
CPT,76499,"HC LYMPHANGIOGRAPHY, CERVICAL/NECK, INCL RADIOLOGICAL SUPRVSN&INTRPRTTN",2064.32,1238.59,83.05,7411.0,55
CPT,76499,HC MRI WHOLE BODY W/OUT CONTRAST,444.6,266.76,83.05,7411.0,55
CPT,76499,HC VENOGRAPHY DEEP DORSAL VEIN PENIS RADIOLGICL SUPERVISION INTERPRETATION,4465.19,2679.11,83.05,7411.0,55
CPT,76499,"HC VENOGRAPHY, GONADAL, BILATERAL, SELECTIVE, RDLGCL SPRVSN AND INTRPRTTN",4252.56,2551.54,83.05,7411.0,53
CPT,76499,"HC VENOGRAPHY, GONADAL, UNILATERAL, SELECTIVE, RDLGCL SPRVSN AND INTRPRTTN",4252.56,2551.54,83.05,7411.0,55
CPT,76499,"HC VENOGRAPHY, LIP, RADIOLOGICAL SUPERVISION AND INTERPRETATION",3961.24,2376.74,83.05,7411.0,55
CPT,76506,HC US ECHOENCEPHALOGRAPHY,827.27,496.36,99.77,7411.0,55
CPT,76511,"HC OPHTHALMIC ULTRASOUND,QUANTITA",441.16,264.7,57.14,7411.0,55
CPT,76512,"HC OPHTHALMIC ULTRASOUND,ECHO,B-S",610.83,366.5,48.11,7411.0,55
CPT,76536,HC US SOFT TISSUE HEAD OR NECK,1050.92,630.55,99.77,7411.0,55
CPT,76604,"HC US, CHEST, REAL TIME",945.11,567.07,57.14,7411.0,55
CPT,76641,HC MG US BRST COMP BI,737.1,442.26,102.91,7411.0,40
CPT,76641,HC MG US BRST COMP LT,737.1,442.26,102.91,7411.0,40
CPT,76641,HC MG US BRST COMP RT,737.1,442.26,102.91,7411.0,40
CPT,76641,"HC ULTRASOUND BREAST, COMPLETE",737.1,442.26,99.77,7411.0,55
CPT,76641,HC US BRST 4 QUADS BI,737.1,442.26,102.91,7411.0,40
CPT,76641,HC US BRST 4 QUADS LT,737.1,442.26,102.91,7411.0,40
CPT,76641,HC US BRST 4 QUADS RT,737.1,442.26,102.91,7411.0,40
CPT,76642,HC MG US BRST LIMIT BI,576.99,346.19,85.2,7411.0,40
CPT,76642,HC MG US BRST LIMIT LT,576.99,346.19,85.2,7411.0,40
CPT,76642,HC MG US BRST LIMIT RT,576.99,346.19,85.2,7411.0,40
CPT,76642,"HC ULTRASOUND BREAST, LIMITED",576.99,346.19,83.05,7411.0,55
CPT,76642,HC US BRST LESS 4 QUADS BI,576.99,346.19,85.2,7411.0,40
CPT,76642,HC US BRST LESS 4 QUADS LT,576.99,346.19,85.2,7411.0,40
CPT,76642,HC US BRST LESS 4 QUADS RT,576.99,346.19,85.2,7411.0,40
CPT,76700,HC US ABDOMEN COMPLETE,1438.16,862.9,99.77,7411.0,55
CPT,76705,"HC US ABDOMEN, FOLLOW UP",1049.03,629.42,87.21,7411.0,55
CPT,76706,HC US SCREENING FOR ABD AORTIC ANEURYSM (AAA),717.01,430.21,99.77,7411.0,55
CPT,76770,"HC US, RETROPERITONEAL COMPL",1152.88,691.73,99.77,7411.0,110
CPT,76775,"HC ED ONLY - US,RETROPERITONEAL,LIMITED",864.66,518.8,59.81,7411.0,55
CPT,76775,HC US RETROPERITONEAL REAL TIME W/IMAGE LIMITED,864.66,518.8,59.81,7411.0,55
CPT,76775,"HC US,RETROPERITONEAL,LIMITED",864.66,518.8,59.81,7411.0,55
CPT,76776,"HC US,TRANSPLANTED KIDNEY,DOPPLER",1140.51,684.31,99.77,7411.0,48
CPT,76800,HC US SPINAL CANAL & CONTENTS,751.0,450.6,99.77,7411.0,55
CPT,76801,HC US < 14 WKS - TRANSABDOMINAL - FIRST FETUS,1101.64,660.98,99.77,7411.0,55
CPT,76802,HC US < 14 WKS - TRANSABDOMINAL - EACH ADDL FETUS,604.32,362.59,43.96,7411.0,39
CPT,76805,HC US > 14 WKS - TRANSABDOMINAL - FIRST FETUS,983.78,590.27,99.77,7411.0,55
CPT,76810,HC US > 14 WKS - TRANSABDOMINAL - EACH ADDL FETUS,784.49,470.69,86.5,7411.0,39
CPT,76811,"HC US W/DETAIL FETAL EXAM, TRANSABD - FIRST FETUS",1150.8,690.48,169.38,7411.0,55
CPT,76812,"HC US W/DETAIL FETAL EXAM, TRANSABD - EACH ADDL FETUS",661.72,397.03,192.13,7411.0,39
CPT,76815,"HC ED ONLY - ULTRASOUND,PREGNANT UTERUS,LIM",765.0,459.0,81.2,7411.0,55
CPT,76815,"HC ULTRASOUND,PREGNANT UTERUS,LIMITED",765.0,459.0,81.2,7411.0,110
CPT,76816,HC ULTRASOUND PREG UTERUS FOLLOW UP,655.54,393.32,99.77,7411.0,55
CPT,76817,"HC ED ONLY - ULTRASOUND,PREGNANT UTERUS - TRA",848.33,509.0,92.89,7411.0,55
CPT,76817,"HC ULTRASOUND,PREGNANT UTERUS - TRAVAGINAL",848.33,509.0,92.89,7411.0,110
CPT,76818,HC FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING,902.9,541.74,99.77,7411.0,55
CPT,76819,HC FETAL BIOPHYS PROF - W/O STRES/N,674.97,404.98,85.88,7411.0,55
CPT,76820,"HC DOPPLER VELOCIMETRY,FETAL - UMBI",566.9,340.14,44.78,7411.0,55
CPT,76821,"HC DOPPLER VELOCIMETRY,FETAL - CERE",554.4,332.64,89.21,7411.0,55
CPT,76825,HC ECHO FETAL CARDIOVASCULAR,1425.64,855.38,262.29,7411.0,55
CPT,76826,"HC ECHOCARDIOGRAPHY,FETAL,CARDIOV",630.0,378.0,157.04,7411.0,55
CPT,76827,"HC ECHOCARDIO,DOPPLER,FETAL - COMPLETE",719.01,431.41,70.16,7411.0,55
CPT,76828,"HC ECHOCARDIO,DOPPLER,FETAL - F/U OR REPEAT",530.57,318.34,48.79,7411.0,55
CPT,76830,"HC ED ONLY - ULTRASOUND, TRANSVAGINAL",1072.02,643.21,99.77,7411.0,55
CPT,76830,"HC ULTRASOUND, TRANSVAGINAL",1072.02,643.21,99.77,7411.0,110
CPT,76831,HC HYSTEROSONOGRAPHY W/DOPPLER,682.5,409.5,116.61,7411.0,55
CPT,76856,HC PELVIC NON-OB COMPLETE,1269.06,761.44,96.28,7411.0,55
CPT,76857,HC ED ONLY - US PELVIC LIMITED,933.75,560.25,50.79,7411.0,55
CPT,76857,HC US PELVIC LIMITED,933.75,560.25,50.79,7411.0,110
CPT,76870,HC TESTICULAR ULTRASOUND,1020.91,612.55,99.77,7411.0,55
CPT,76872,HC US TRANSRECTAL,908.6,545.16,99.77,7411.0,55
CPT,76873,HC US PROSTATE VOLUME STUDY FENTR,765.66,459.4,99.77,7411.0,55
CPT,76881,HC EXTREMITY NONVASCULAR COMPLETE,1039.45,623.67,96.28,7411.0,55
CPT,76881,HC US COMPL JOINT R-T W/IMAGE DOCUMENTATION - LT,1039.45,623.67,96.28,7411.0,40
CPT,76881,HC US COMPL JOINT R-T W/IMAGE DOCUMENTATION - RT,1039.45,623.67,96.28,7411.0,40
CPT,76881,HC US EXT NONVASCULAR COMPL BI,1039.45,623.67,96.28,7411.0,40
CPT,76882,HC US EXT NONVASCULAR LTD BI,527.09,316.25,30.35,7411.0,40
CPT,76882,HC US EXT NONVASCULAR LTD LT,527.09,316.25,30.35,7411.0,40
CPT,76882,HC US EXT NONVASCULAR LTD RT,527.09,316.25,30.35,7411.0,40
CPT,76882,HC US EXTREMITY NONVASCULAR,527.09,316.25,30.35,7411.0,55
CPT,76883,HC US NRV&ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY,442.68,265.61,71.5,7411.0,55
CPT,76885,HC INFANT< 365 DAYS HIP PLACEMENT,673.14,403.88,83.05,7411.0,55
CPT,76886,"HC ULTRASOUND, INFANT< 365 DAYS HIPS, LIMITED",367.5,220.5,83.05,7411.0,55
CPT,76930,HC US GUIDE PERICARDIOCENTESIS,608.31,364.99,103.41,7411.0,39
CPT,76932,HC ECHO GUIDE FOR HEART BIOPSY,758.77,455.26,67.76,7411.0,39
CPT,76936,HC COMPRESSION OF PSEUDO-ANERUYSM,1145.58,687.35,206.06,7411.0,55
CPT,76937,HC ED ONLY - ULTRASOUND VACCULAR ACCESS GUIDE,1053.25,631.95,39.64,7411.0,39
CPT,76937,HC ULTRASOUND VACCULAR ACCESS GUIDE,1053.25,631.95,39.64,7411.0,78
CPT,76937,HC ULTRASOUND VASCULAR ACCESS GUIDE,1053.25,631.95,39.64,7411.0,39
CPT,76937,"HC US GUIDE, VASCULAR ACCESS",1053.25,631.95,179.05,7411.0,39
CPT,76937,"ULTRASOUND GUIDANCE FOR VASCULAR ACCESS REQUIRING ULTRASOUND EVALUATION OF POTENTIAL ACCESS SITES, DOCUMENTATION OF SELECTED VESSEL PATENCY, CONCURRENT REALTIME ULTRASOUND VISUALIZATION OF VASCULAR NE",,,39.64,83.64,5
CPT,76940,HC US &MNTR PARENCHYMAL TISSUE ABLATION,704.58,422.75,119.78,7411.0,39
CPT,76941,"HC ULT/GUIDE,INTRAUT FETAL TRS/CO",427.26,256.36,72.63,7411.0,39
CPT,76942,"HC ED ONLY - NEEDLE BIOPSY, ULTRA.GUIDE",1515.29,909.17,50.46,7411.0,39
CPT,76942,HC NEEDLE PLACEMENT FOR ULTRASONIC GUIDANCE,1515.29,909.17,50.46,7411.0,39
CPT,76942,HC ULTRASONIC GUIDANCE FOR NEEDLE PLACEMENT,1515.29,909.17,50.46,7411.0,39
CPT,76946,"HC AMNIOCENTESIS,ULTRA.GUID,RAD S",507.49,304.49,26.66,7411.0,39
CPT,76965,HC ULTRASONIC GUIDE/INTERSTITIAL,1045.34,627.2,50.46,7411.0,39
CPT,76965,ULTRASONIC GUIDANCE FOR INTERSTITIAL RADIOELEMENT APPLICATION,,,50.46,106.47,5
CPT,76970,HC ULTRASOUND STUDY FOLLOW-UP(SPE,315.0,189.0,53.55,7411.0,39
CPT,76978,HC US TRGT DYN MBUBB 1ST LES,1038.14,622.88,175.06,7411.0,55
CPT,76979,HC US TRGT DYN MBUBB EA ADDL,491.62,294.97,143.01,7411.0,39
CPT,76981,HC US ELASTOGRAPHY ORGAN,387.17,232.3,99.77,7411.0,55
CPT,76982,HC US ELASTOGRAPHY FIRST LESION,593.18,355.91,93.56,7411.0,55
CPT,76984,HC  DX INTRAOPERATIVE THORACIC AORTA ULTRASOUND,930.18,558.11,158.13,7411.0,39
CPT,76987,HC DX NTRAOP EPICAR CAR US CHD PLMT&MNP TRNSDCR I&R,930.18,558.11,158.13,7411.0,39
CPT,76988,HC DX NTRAOP EPCAR CAR US CHD PLMT MNPJ&IMG ACQUISJ,930.18,558.11,158.13,7411.0,39
CPT,76989,HC DX INTRAOP EPICAR CARDIAC US CHD I&R ONLY,930.18,558.11,158.13,7411.0,39
CPT,76998,"HC ULTRASONIC GUIDANCE,INTRAOPERA",1054.83,632.9,130.46,7411.0,39
CPT,76999,"HC ULTRASOUND, JOINTS OF HAND; EIGHT JOINTS",3718.48,2231.09,83.05,7411.0,55
CPT,76999,"HC ULTRASOUND, JOINTS OF HAND; FOUR JOINTS",1859.24,1115.54,83.05,7411.0,55
CPT,76999,"HC ULTRASOUND, JOINTS OF HAND; SIX JOINTS",2788.86,1673.32,83.05,7411.0,55
CPT,76999,US BREAST SCREENING AUTOMATED BILATERAL,225.0,135.0,81.0,7411.0,51
CPT,77001,"FLUOROSCOPIC GUIDANCE FOR CENTRAL VENOUS ACCESS DEVICE PLACEMENT, REPLACEMENT (CATHETER ONLY OR COMPLETE), OR REMOVAL (INCLUDES FLUOROSCOPIC GUIDANCE FOR VASCULAR ACCESS AND CATHETER MANIPULATION, ANY",,,145.6,307.22,5
CPT,77001,HC FLUOROSCOPIC GUIDE CVA DEVICE,1007.06,604.24,145.6,7411.0,39
CPT,77001,HC FLUOROSCOPIC GUIDE CVA DEVICE (VASC ACCESS),1007.06,604.24,145.6,7411.0,39
CPT,77001,HC GUIDE FLUORO CVC CVAD EXCH,1007.06,604.24,145.6,7411.0,39
CPT,77002,"FLUOROSCOPIC GUIDANCE FOR NEEDLE PLACEMENT (EG, BIOPSY, ASPIRATION, INJECTION, LOCALIZATION DEVICE) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,149.2,314.81,5
CPT,77002,HC FLUORO GUIDANCE FOR NEEDLE PLACEMENT,946.11,567.67,149.2,7411.0,39
CPT,77003,HC FLUOROSCOPIC GUIDE/LOCAL NEEDLE - SPINE,1277.18,766.31,137.66,7411.0,39
CPT,77011,HC CT STEREOTACTIC LOCALIZATION,1330.59,798.35,226.2,7411.0,39
CPT,77012,"COMPUTED TOMOGRAPHY GUIDANCE FOR NEEDLE PLACEMENT (EG, BIOPSY, ASPIRATION, INJECTION, LOCALIZATION DEVICE), RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,156.4,2062.0,6
CPT,77012,HC CT GUIDE FOR NEEDLE PLACEMENT,2510.07,1506.04,156.4,7411.0,39
CPT,77013,HC CT TISSUE ABLATION,2608.2,1564.92,393.54,7411.0,39
CPT,77014,HC CT THERAPY FIELDS-SIMPLE,1093.55,656.13,154.24,7411.0,39
CPT,77021,HC MRI GUIDE FOR NEEDLE PLACEMENT,1729.95,1037.97,294.09,7411.0,39
CPT,77046,HC MRI BREAST C- UNILATERAL,2967.78,1780.67,227.71,7411.0,55
CPT,77047,HC MRI BREAST C- BILATERAL,3471.99,2083.19,227.71,7411.0,55
CPT,77048,HC MRI BREAST C-+ W/CAD UNI,3339.24,2003.54,567.67,7411.0,39
CPT,77049,HC MRI BREAST C-+ W/CAD BI,3126.87,1876.12,531.57,7411.0,39
CPT,77053,HC MAMMARY DUCTOGRAM/GALACTOGRAM,492.92,295.75,54.13,7411.0,55
CPT,77053,HC MG DUCTOGRAM SNGL SI LT,492.92,295.75,54.13,7411.0,40
CPT,77053,HC MG DUCTOGRAM SNGL SI RT,492.92,295.75,54.13,7411.0,40
CPT,77061,HC 3D TOMOSYNTHESIS DX UNILATERAL,126.55,75.93,21.51,7411.0,39
CPT,77061,HC DIGITAL BREAST TOMOSYNTHESIS UNILATERAL,126.55,75.93,21.51,7411.0,39
CPT,77061,"HC DIGITAL BREAST TOMOSYNTHESIS, UNILATERAL - LT",126.55,75.93,21.51,7411.0,39
CPT,77061,"HC DIGITAL BREAST TOMOSYNTHESIS, UNILATERAL - RT",126.55,75.93,21.51,7411.0,39
CPT,77061,HC MG 3D TOMO DX LT,126.55,75.93,21.51,7411.0,39
CPT,77061,HC MG 3D TOMO DX RT,126.55,75.93,21.51,7411.0,39
CPT,77062,HC 3D TOMOSYNTHESIS DX BILATERAL,196.56,117.94,33.42,7411.0,39
CPT,77062,HC DIGITAL BREAST TOMOSYNTHESIS BILATERAL,196.56,117.94,33.42,7411.0,39
CPT,77063,HC 3D BREAST TOMO SCREEN BILATERAL,158.71,95.23,50.46,7411.0,39
CPT,77063,"HC SCREENING DIGITAL BREAST TOMO, BILATERAL - LT",158.71,95.23,50.46,7411.0,39
CPT,77063,"HC SCREENING DIGITAL BREAST TOMO, BILATERAL - RT",158.71,95.23,50.46,7411.0,39
CPT,77065,"HC DIAGNOSTIC MAMMO W/CAD, UNILATERAL",453.6,272.16,77.11,7411.0,39
CPT,77065,HC MG DIGITAL DX W CAD LT,453.6,272.16,77.11,7411.0,39
CPT,77065,HC MG DIGITAL DX W CAD RT,453.6,272.16,77.11,7411.0,39
CPT,77066,"HC DIAGNOSTIC MAMMO W/CAD, BILATERAL",567.0,340.2,96.39,7411.0,39
CPT,77066,HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,567.0,340.2,96.39,7411.0,39
CPT,77067,HC SCREENING MAMMO W W/O CAD BILATERAL - LT,378.7,227.22,64.38,7411.0,39
CPT,77067,HC SCREENING MAMMO W W/O CAD BILATERAL - RT,378.7,227.22,64.38,7411.0,39
CPT,77067,"HC SCREENING MAMMO W/CAD, BILATERAL",378.7,227.22,64.38,7411.0,39
CPT,77071,"HC JOINT RADIOGRAPHY,MANL APPL ST",169.55,101.73,55.73,7411.0,55
CPT,77072,HC XR BONE AGE STUDY,291.73,175.04,26.06,7411.0,55
CPT,77073,HC XR BONE LENGTH STUDY,521.51,312.91,45.44,7411.0,55
CPT,77074,HC XR OSSEOUS SURVEY LIMITED < 10 VIEWS,497.21,298.33,65.49,7411.0,55
CPT,77075,HC XR OSSEOUS SURVEY COMPLETE 10+ VIEWS,1351.31,810.79,99.77,7411.0,55
CPT,77076,HC XR OSSEOUS SURVEY - INFANT < 365 DAYS,388.52,233.11,99.77,7411.0,55
CPT,77077,"HC JOINT SURVEY,SINGLE VIEW,2 OR",207.07,124.24,47.11,7411.0,55
CPT,77080,HC DUAL ENERGY X-RAY-BONE DENSITY,635.32,381.19,39.09,7411.0,55
CPT,77081,HC XR DXA PERIPHERAL APPENDICULAR SKELETON,367.38,220.43,31.74,7411.0,55
CPT,77084,HC MRI BONE MARROW BLOOD SUPPLY,2249.77,1349.86,227.71,7411.0,55
CPT,77085,HC DXA BONE DENSITY STUDY WITH FRACTURE ASSESSMENT,608.57,365.14,53.46,7411.0,55
CPT,77086,HC XR DXA VERTEBRAL FRACTURE ASSESSMENT,446.52,267.91,33.75,7411.0,55
CPT,77090,HC TBS TECHL PREP&TRANSMIS DATA ALYS PFRMD ELSEWHR,165.22,99.13,28.09,7411.0,55
CPT,77091,HC TBS TECHNICAL CALCULATION ONLY,165.22,99.13,28.09,7411.0,55
CPT,77262,HC TREATMENT PLANNING INTERM,355.1,213.06,60.37,7411.0,39
CPT,77263,HC TREATMENT PLANNING COMPLE,448.72,269.23,76.28,7411.0,78
CPT,77280,HC SIMULATION-AIDED FIELD SETTING - SIMPLE,1391.26,834.76,128.27,7411.0,55
CPT,77285,HC SIMULATION-AIDED FIELD SETTING - INTERMEDIATE,1116.61,669.97,189.82,7411.0,55
CPT,77290,"HC SIMULATION, COMPLEX",2727.26,1636.36,357.33,7411.0,55
CPT,77293,HC RESPIRATORY MOTION MANAGEMENT SIMULATION,2000.89,1200.53,340.15,7411.0,39
CPT,77295,HC 3D THERAPEUTIC RAD SIMULATION,9137.47,5482.48,423.9,7411.0,55
CPT,77300,"HC RADIATION DOSIMETRY,BASIC CALC",788.35,473.01,53.98,7411.0,55
CPT,77301,"HC INTENSITY MODULTD RADIOTHRPY,I",9994.01,5996.41,1320.92,7495.51,55
CPT,77306,"HC TELETHERAPY ISODOSE PLAN, SIMPLE",1033.5,620.1,121.43,7411.0,55
CPT,77307,"HC TELETHERAPY ISODOSE PLAN, COMPLEX",2798.85,1679.31,219.26,7411.0,55
CPT,77316,"HC BRACHYTHERAPY,ISODOSE PLAN - SIM",1056.51,633.91,179.61,7411.0,55
CPT,77317,HC BRACHYTHERAPY ISODOSE CALC - INTERMED,1066.72,640.03,181.34,7411.0,55
CPT,77318,"HC BRACHYTHERAPY,ISODOSE CALC - COMPLEX",1175.75,705.45,199.88,7411.0,55
CPT,77321,"HC TELETHERAPY PORT PLAN,SPECIAL(",884.11,530.47,69.72,7411.0,55
CPT,77331,"HC SPECIAL DOSIMETRY (TLD, MICROD",899.95,539.97,30.36,7411.0,55
CPT,77332,HC TREAT.DEVICES-SIMPLE(SIMPLE BL,437.59,262.55,45.54,7411.0,55
CPT,77333,HC TREAT.DEVICES-INTERM.(MULT.BLO,1217.85,730.71,111.32,7411.0,55
CPT,77334,"HC TREAT.DEVICES-CMPX.(COMP.,WEDG",2012.13,1207.28,107.95,7411.0,55
CPT,77336,"HC CONSULT, MEDICAL RADIATION PHY",1157.31,694.39,127.06,7411.0,55
CPT,77338,HC MLC DEVICE FOR IMRT DESIGN/CON,3301.54,1980.92,357.33,7411.0,55
CPT,77370,HC SPEC MED RAD PHYSICS CONSULT,1576.11,945.67,128.27,7411.0,55
CPT,77371,HC MCARE PHOTON SRS COMP.DELIVERY,53000.0,31800.0,1700.12,39750.0,52
CPT,77372,HC RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR,21779.1,13067.46,1700.12,19291.06,52
CPT,77373,"HC RADN RX DELIV,BODY,EACH FRACTION",13908.12,8344.87,1706.39,10431.09,55
CPT,77385,"HC RADIATION TX DELIVERY IMRT, SIMPLE",4324.94,2594.96,735.24,7411.0,40
CPT,77386,"HC RADIATION TX DELIVERY IMRT, COMPLEX",4324.94,2594.96,735.24,7411.0,40
CPT,77387,HC GUIDANCE LOCALIZED RADIATION TX DELIVERY,1034.85,620.91,175.92,7411.0,39
CPT,77399,HC FACILITY- EXT.RADIATION DOSIME,626.72,376.03,106.54,7411.0,55
CPT,77401,HC RAD TRT DEL/SUPERFICIAL &/OR O,218.27,130.96,37.11,7411.0,40
CPT,77402,HC RADIATION TREATMENT DELIVERY LEVEL 1,2000.0,1200.0,97.38,7411.0,55
CPT,77407,HC RADIATION TREATMENT DELIVERY LEVEL 2,3100.0,1860.0,368.08,7411.0,55
CPT,77412,HC RADIATION TREATMENT DELIVERY LEVEL 3,4000.0,2400.0,378.92,7411.0,55
CPT,77417,HC PORTAL VERIFICATION FILM,383.81,230.29,17.99,7411.0,39
CPT,77427,HC WHOLE SKIN ELECTRON EXAM,543.6,326.16,92.41,7411.0,39
CPT,77470,"HC SPECIAL TREAT.(HEMI-BODY, WHOL",2979.19,1787.51,40.48,7411.0,55
CPT,77600,HC SUPERFICIAL HYPERTHERMIA,1489.76,893.86,253.26,7411.0,55
CPT,77750,HC INFSN RADIOELEMENT SOLUTION,1001.49,600.89,170.25,7411.0,55
CPT,77761,HC INTRACAVITARY RADIATION SOURCE APPLICATION - SIMPLE,1328.29,796.97,225.81,7411.0,55
CPT,77762,HC INTRACAVITARY RADIATION SOURCE APPLICATION - INTERMEDIATE,5640.06,3384.04,359.25,7411.0,55
CPT,77763,HC INTRACAVITARY RADIATION SOURCE APPLICATION - COMPLEX,1845.24,1107.14,313.69,7411.0,55
CPT,77767,HC HDR RDNCL SKN SRF BRACHYTX - UP TO 2CM OR 1 CHNL,662.15,397.29,112.57,7411.0,55
CPT,77768,HC HDR RDNCL SKN SRF BRACHYTX - OVER 2CM AND 2 OR MORE CHNL,662.15,397.29,112.57,7411.0,55
CPT,77770,"HC HDR RADIONUCLIDE INTERSTITIAL/INTRACAVITARY BRACHYTHERAPY, 1 CHANNEL",3564.84,2138.9,363.18,7411.0,55
CPT,77771,"HC HDR RADIONUCLIDE INTERSTITIAL/INTRACAVITARY BRACHYTHERAPY, 2-12 CHANNELS",2938.82,1763.29,499.6,7411.0,55
CPT,77772,"HC HDR RADIONUCLIDE INTERSTITIAL/INTRACAVITARY BRACHYTHERAPY, 13+ CHANNELS",2665.6,1599.36,453.15,7411.0,55
CPT,77778,HC INTERSTITIAL RADIATION SOURCE,1937.41,1162.45,329.36,7411.0,55
CPT,77789,HC SURFACE APPLICATION,218.27,130.96,37.11,7411.0,55
CPT,77790,"HC RADIATION SOURCE, SUPRVIS, HAN",355.95,213.57,24.18,7411.0,39
CPT,77799,HC INTERSTITIAL RADIATION SOURCE,2074.0,1244.4,97.38,7411.0,55
CPT,78012,"HC THYROID UPTAKE, SINGLE OR MULTIPLE QUANTIT",1134.61,680.77,81.2,7411.0,55
CPT,78013,HC THYROID IMAGING (INCLUDING VASCULAR FLOW),1121.69,673.01,171.74,7411.0,55
CPT,78014,HC THYROID SCAN W UPTAKE MULT,2431.74,1459.04,218.19,7411.0,55
CPT,78014,HC THYROID SCAN W UPTAKE SNGL,2431.74,1459.04,218.19,7411.0,55
CPT,78018,HC THYROID CARCINOMA METAST. IMAG,2873.8,1724.28,280.0,7411.0,55
CPT,78020,HC THYROID CARCINOMA METASTASES U,664.0,398.4,112.88,7411.0,39
CPT,78070,HC PARATHYROID IMAGING,2538.06,1522.84,265.3,7411.0,55
CPT,78071,HC PARATHYROID IMAGING W/TOMOGRAPHIC (SPECT),3122.81,1873.69,314.75,7411.0,55
CPT,78072,HC PARATHYROID IMAGING W/TOMOGRAPHIC AND CT,3756.76,2254.06,518.17,7411.0,55
CPT,78102,HC BONE MARROW IMAGE LIMITED,1170.44,702.26,159.38,7411.0,55
CPT,78103,HC BONE MARROW IMAGE MULTIPL,611.77,367.06,169.08,7411.0,55
CPT,78104,HC BONE MARROW IMAGE WHOLE B,753.93,452.36,225.2,7411.0,55
CPT,78140,HC NM SPLENIC SEQUESTRATION,741.9,445.14,109.6,7411.0,55
CPT,78185,HC SPLEEN W OR W/O VAS FLOW,611.77,367.06,153.36,7411.0,55
CPT,78195,HC LYMPHATICS & LYMPH NODES,3232.45,1939.47,317.76,7411.0,55
CPT,78201,HC LIVER STATIC ONLY SCAN,2131.83,1279.1,175.43,7411.0,55
CPT,78202,HC LIVER W/VAS FLOW SCAN,2091.92,1255.15,194.8,7411.0,55
CPT,78205,HC LIVER IMAGING SPECT,1997.76,1198.66,339.62,7411.0,39
CPT,78206,HC LIVER IMAGING SPECT,1997.76,1198.66,339.62,7411.0,39
CPT,78206,HC NM LIVER BLOOD POOL ECT W FLW,788.2,472.92,133.99,7411.0,39
CPT,78215,HC LIVER/SPLEEN STATIC SCAN,2452.54,1471.52,180.1,7411.0,55
CPT,78216,HC LIVER/SPLEEN W/VAS FLOW,841.37,504.82,135.99,7411.0,55
CPT,78226,HC HEPATOBILIARY SYS IMAG,2933.97,1760.38,290.7,7411.0,55
CPT,78227,HC HEPATOBILIARY SYTEM IMAGING W/,3167.73,1900.64,390.26,7411.0,55
CPT,78231,HC NM SALIVARY GLAND SCAN,611.77,367.06,104.25,7411.0,55
CPT,78262,HC GASTROESOPHAGEAL REFLUX STUDY,822.91,493.75,223.2,7411.0,55
CPT,78264,HC GASTRIC EMPTYING STUDY,3101.9,1861.14,296.71,7411.0,55
CPT,78265,HC GASTRIC EMPTYING IMAG STUDY W/SML BOWEL TRANSIT,4227.5,2536.5,353.51,7411.0,55
CPT,78267,"HC UREA BREATH TEST,C-14 - ACQUIS F",54.34,32.6,9.29,7411.0,55
CPT,78268,"HC UREA BREATH TEST,C-14 - ANALYSIS",328.9,197.34,79.3,7411.0,55
CPT,78278,HC GI BLOOD LOSS ACUTE SCAN,2267.59,1360.55,313.08,7411.0,55
CPT,78290,HC MECKEL'S LOCALIZATION,2361.72,1417.03,295.7,7411.0,55
CPT,78291,HC LEVEEN/SHUNT PATENCY EXAM,735.35,441.21,238.58,7411.0,55
CPT,78300,HC BONE/JNT IMAGE LIMITED AR,2222.1,1333.26,203.15,7411.0,55
CPT,78305,HC BONE/JNT IMAGE MULTIPLE A,743.39,446.03,247.59,7411.0,55
CPT,78306,HC BONE/JNT IMAGE WHOLE BODY,3038.83,1823.3,264.64,7411.0,55
CPT,78315,HC BONE/JOINT IMAGING - 3 PHASE ST,3125.24,1875.14,310.74,7411.0,55
CPT,78320,HC BONE SCAN SPECT LIMITED,2101.67,1261.0,357.28,7411.0,39
CPT,78428,HC CARDIAC SHUNT DETECTION,2258.0,1354.8,171.08,7411.0,55
CPT,78429,HC MYOCRD IMG PET METAB EVAL SINGLE STDY W CT,2886.0,1731.6,170.82,7411.0,55
CPT,78430,HC MYOCRD IMG PET PRFUJ SINGLE STDY REST/STRESS W/CT,2886.0,1731.6,162.18,7411.0,55
CPT,78431,HC MYOCRD IMG PET PRFUJ MLT STD RST&STRS CNCRNT CT,4501.0,2700.6,188.84,7411.0,55
CPT,78432,HC MYOCRD IMG PET PRFUJ W/METAB DUAL RADIOTRACER,4501.0,2700.6,201.1,7411.0,55
CPT,78433,HC MYOCRD IMG PET PRFUJ W/METAB 2RTRACER CNCRNT CT,5501.0,3300.6,219.84,7411.0,55
CPT,78434,HC AQMBF PET REST AND PHARMACOLOGIC STRESS,224.14,134.48,38.1,7411.0,39
CPT,78445,"HC VASCULAR FLOW IMAGING,NONCARDIAC",611.77,367.06,171.74,7411.0,55
CPT,78451,HC MYOCARD IMAGE SPECT - SNGL STDY,5108.11,3064.87,306.74,7411.0,55
CPT,78452,HC MYOCARD IMAGE SPECT - MLTPL STDY,7322.73,4393.64,422.34,7411.0,55
CPT,78453,HC MYOCARDIAL PERFUSION SNGL,2091.92,1255.15,264.3,7411.0,55
CPT,78454,HC MYO R&S PLANAR MLT,2658.77,1595.26,391.26,7411.0,55
CPT,78458,HC VENOGRAM BILATERAL,1016.22,609.73,190.79,7411.0,55
CPT,78459,HC PET HEART VIABILITY POST SPECT,3576.3,2145.78,607.97,7411.0,55
CPT,78466,HC MYOCARDIAL SCAN,1401.23,840.74,160.05,7411.0,55
CPT,78469,HC MI INFARCT AVID SCANH,2484.3,1490.58,375.52,7411.0,55
CPT,78472,"HC CARDIAC BLOOD POOL IMAGE,GATED",2648.05,1588.83,206.83,7411.0,55
CPT,78491,"HC MYOCARDIAL IMAGING(PET) - PERFUSION,SINGLE",2640.54,1584.32,448.89,7411.0,55
CPT,78494,HC CARDIAC SCAN W/MULTPL GATES,944.57,566.74,209.5,7411.0,55
CPT,78579,HC LUNG VENTILATION,1381.21,828.73,169.08,7411.0,55
CPT,78580,HC PULMONARY PERFUSION IMAGING,2247.36,1348.42,213.51,7411.0,55
CPT,78582,HC PULMONARY VENTILATION/PERFUSION,3969.0,2381.4,297.04,7411.0,55
CPT,78597,HC LUNG PERFUSION DIFFERENTIAL,1998.6,1199.16,181.76,7411.0,55
CPT,78598,HC QUANTVE DIFFERENTIAL PULMONARY,2684.88,1610.93,269.31,7411.0,55
CPT,78601,HC BRAIN LTD W/VAS FLOW,1772.47,1063.48,196.8,7411.0,55
CPT,78606,HC BRAIN CMPLT W/VAS FLOW,2589.46,1553.68,295.7,7411.0,55
CPT,78607,"HC BRAIN IMAGING,TOMAGRAPHIC",2091.92,1255.15,355.63,7411.0,39
CPT,78608,"HC BRAIN IMG,(PET)METABLOIC EVALU",5047.88,3028.73,1364.64,9519.22,55
CPT,78609,HC NM PET BRAIN PERF,3682.9,2209.74,249.83,7411.0,39
CPT,78610,HC CEREBRAL VASC FLOW,788.2,472.92,160.05,7411.0,55
CPT,78630,HC CISTERNOGRAM CSF IMAGING,2681.97,1609.18,302.05,7411.0,55
CPT,78645,"HC CEREBROSPINAL FLUID FLOW, IMAGE",1493.25,895.95,290.7,7411.0,55
CPT,78647,HC CSF SCAN SPECT,1713.5,1028.1,291.3,7411.0,39
CPT,78650,HC CSF LEAK STUDY,2388.75,1433.25,242.91,7411.0,55
CPT,78700,HC RENAL IMAGE STATIC ONLY,899.95,539.97,157.04,7411.0,55
CPT,78701,"HC KIDNEY IMAGING,W/VASC FLOW",1085.99,651.59,205.83,7411.0,55
CPT,78707,"HC KIDNEY IMAGING,W/VASC FLOW, SINGLE",2446.73,1468.04,212.84,7411.0,55
CPT,78708,"HC KIDNEY IMAGING,W/VASC FLOW, SINGLE W/PHARM",2831.51,1698.91,176.09,7411.0,55
CPT,78709,"HC KIDNEY IMAGING,W/VASC FLOW, MULTIPLE",1989.55,1193.73,332.13,7411.0,55
CPT,78710,HC KIDNEY IMAGING (SPECT),788.2,472.92,133.99,7411.0,39
CPT,78730,HC URINARY BLADDER RESIDUAL STUDY,515.37,309.22,87.61,7411.0,39
CPT,78740,HC URETERAL REFLUX STUDY,721.49,432.89,209.5,7411.0,55
CPT,78761,HC TESTICULAR IMAGE W/VAS FL,749.28,449.57,195.14,7411.0,55
CPT,78800,HC TUMOR LOCALIZE LTD,2490.81,1494.49,228.55,7411.0,55
CPT,78801,HC TUMOR LOCALIZE MULTIPLE,2671.81,1603.09,244.59,7411.0,55
CPT,78802,"HC RADIONUCLIDE LOCALIZTN TUMOR,W",3626.35,2175.81,275.66,7411.0,55
CPT,78803,HC TUMOR LOCALIZATION (SPECT),4538.43,2723.06,338.81,7411.0,55
CPT,78804,HC TUMOR LOCAL BODY 2>DAYS,5595.76,3357.46,518.17,7411.0,55
CPT,78805,HC RADIONUCLIDE LOCALIZA INFLAME,1830.0,1098.0,311.1,7411.0,39
CPT,78806,HC INFECTIOUS IMAGING WHOLE,2429.53,1457.72,413.02,7411.0,39
CPT,78807,HC INFECTIOUS IMAGING SPECT,1952.9,1171.74,331.99,7411.0,39
CPT,78808,"HC INJECTN,LOCALIZ NONIMAG PROBE",757.9,454.74,128.84,7411.0,55
CPT,78811,HC PET - LIMITED AREA,3755.12,2253.07,1235.52,8506.69,55
CPT,78813,HC PET - WHOLE BODY,8580.24,5148.14,1364.64,9519.22,55
CPT,78814,HC PET TUMOR IMAGING/CT LTD,7371.0,4422.6,1364.64,9519.22,55
CPT,78815,HC PET TUMOR IMAGING/CTSKULL-THIG,6832.94,4099.76,1364.64,9519.22,55
CPT,78816,HC PET CT WHOLE BODY,8718.43,5231.06,1364.64,9519.22,55
CPT,78830,"HC RADIOPHRMCTCL LCLZTN OF TUMR SPECT W/CT, 1 AREA",5010.65,3006.39,436.04,7411.0,55
CPT,78830,HC RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING,5010.65,3006.39,436.04,7411.0,55
CPT,78831,"HC RADIOPHRMCTCL LCLZTN OF TUMR SPECT, 2 AREAS",4552.43,2731.46,652.23,7411.0,55
CPT,78831,HC RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG>2+D,4552.43,2731.46,652.23,7411.0,55
CPT,78832,"HC RADIOPHRMCTCL LCLZTN OF TUMR SPECT W/CT, 2 AREAS",6358.14,3814.88,823.96,7411.0,55
CPT,78832,HC RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG>2+D,6358.14,3814.88,823.96,7411.0,55
CPT,78835,HC RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA,1223.48,734.09,89.21,7411.0,39
CPT,78999,HC NM CT FUSION,772.8,463.68,278.21,7411.0,52
CPT,78999,HC UNLISTED MISC NUCLEAR MED,672.48,403.49,242.09,7411.0,52
CPT,79005,HC RADIOPHARMACEUTICAL THERAPY,2523.73,1514.24,101.64,7411.0,55
CPT,79101,HC RADIPHARMACEUTICAL THERPY - INTR,1259.09,755.45,100.9,7411.0,55
CPT,79200,HC RADIOPHARMACEUTICAL THERAPY BY INTRACAVITA,1249.25,749.55,105.96,7411.0,55
CPT,79403,"HC RADIONUCLIDE THERAPY,RADIOLABE",1463.89,878.33,167.94,7411.0,55
CPT,79445,HC IR THERASPHERE THERAPY,1954.46,1172.68,222.68,7411.0,55
CPT,79445,HC NM RADIOPHARM INTRA ARTERIAL,1954.46,1172.68,222.68,7411.0,55
CPT,79445,HC NM THERASPHERE THERAPY,1954.46,1172.68,222.68,7411.0,55
CPT,79445,HC THERAPY SIR-SPHERES,1954.46,1172.68,222.68,7411.0,55
CPT,79999,HC NM TREAT PLAN RESEARCH,4051.1,2430.66,222.68,7411.0,52
CPT,80047,"HC BASIC META PANEL, IONIZED CA",474.94,284.96,10.0,7411.0,110
CPT,80047,HC METABOLIC PANEL IONIZED CA,474.94,284.96,10.0,7411.0,55
CPT,80048,"BASIC METABOLIC PANEL (CALCIUM, TOTAL) THIS PANEL MUST INCLUDE THE FOLLOWING: CALCIUM, TOTAL (82310) CARBON DIOXIDE (BICARBONATE) (82374) CHLORIDE (82435) CREATININE (82565) GLUCOSE (82947) POTASSIUM ",,,7.11,43.65,30
CPT,80048,HC BASIC METABOLIC PANEL TOTAL CALCIUM,249.74,149.84,7.11,7411.0,55
CPT,80048,HC METABOLIC PANEL TOTAL CALCIUM,249.74,149.84,7.11,7411.0,110
CPT,80051,HC ELECTROLYTE PANEL,219.93,131.96,5.89,7411.0,110
CPT,80051,"HC ELECTROLYTE PANEL, POC",219.93,131.96,5.89,7411.0,55
CPT,80053,HC COMPREHEN METABOLIC PANEL - MEDFUSION,392.86,235.72,8.87,7411.0,55
CPT,80053,HC COMPREHENSIVE METABOLIC PANEL,392.86,235.72,8.87,7411.0,220
CPT,80055,HC OBSTETRIC PANEL,422.88,253.73,10.0,7411.0,55
CPT,80061,HC LIPID PANEL,328.07,196.84,10.0,7411.0,55
CPT,80061,HC LIPID PANEL - LIPOPROTEIN METABOLISM PROFILE,328.07,196.84,10.0,7411.0,55
CPT,80061,HC REF ARUP COMP 2013716 CPT 80061,40.0,24.0,10.0,7411.0,55
CPT,80061,"HC REF LABCORP, 361946 LIPID CASCADE W LIPO ASSESS BY NMR",46.8,28.08,10.0,7411.0,55
CPT,80061,"HC REF MEDFUSION COMP 92145, CPT 80061",177.39,106.43,10.0,7411.0,55
CPT,80069,HC PANEL RENAL FUNCTION,295.62,177.37,7.29,7411.0,110
CPT,80069,HC RENAL FUNCTION PANEL,295.62,177.37,7.29,7411.0,55
CPT,80074,"HC ACUTE, HEPATITIS PANEL",646.14,387.68,10.0,7411.0,55
CPT,80076,HC HEPATIC FUNCTION PANEL,322.54,193.52,6.86,7411.0,220
CPT,80076,HC HEPATIC FUNCTION PANEL POC,322.54,193.52,6.86,7411.0,55
CPT,80081,HC OBSTETRIC PANEL INCLUDE HIV,813.29,487.97,10.0,7411.0,55
CPT,80143,HC DRUG ASSAY ACETAMINOPHEN,195.02,117.01,10.0,7411.0,55
CPT,80145,"HC REF ARUP, COMP 2011248, CPT 80145",1075.0,645.0,10.0,7411.0,55
CPT,80150,HC AMIKACIN,204.9,122.94,10.0,7411.0,55
CPT,80150,"HC AMIKACIN LEVEL, PEAK",204.9,122.94,10.0,7411.0,55
CPT,80150,"HC AMIKACIN LEVEL, RANDOM",204.9,122.94,10.0,7411.0,55
CPT,80150,"HC AMIKACIN LEVEL, TROUGH",204.9,122.94,10.0,7411.0,55
CPT,80151,HC DRUG ASSAY AMIODARONE,748.98,449.39,10.0,7411.0,55
CPT,80155,HC CAFFEINE,161.99,97.19,10.0,7411.0,55
CPT,80156,HC ASSAY CARBAMAZEPINE TOTAL - FREE & TOTAL,249.15,149.49,10.0,7411.0,55
CPT,80156,HC CARBAMAZEPINE TOTAL,249.15,149.49,10.0,7411.0,55
CPT,80157,HC CARBAMAZEPINE FREE,130.64,78.38,10.0,7411.0,55
CPT,80158,HC CYCLOSPORINE,326.16,195.7,10.0,7411.0,55
CPT,80158,HC THERAPEUTIC DRUG ASSAY - CYCLOSPORINE,326.16,195.7,10.0,7411.0,55
CPT,80158,"HC THERAPEUTIC DRUG ASSAY - CYCLOSPORINE, 2HR POST DOSE",326.16,195.7,10.0,7411.0,55
CPT,80159,HC CLOZAPINE,163.8,98.28,10.0,7411.0,55
CPT,80161,"HC DRUG ASSAY CARBAMAZEPINE -10,11-EPOXIDE",722.4,433.44,10.0,7411.0,55
CPT,80162,HC DIGOXIN,234.74,140.84,10.0,7411.0,55
CPT,80163,HC DIGOXIN FREE,531.63,318.98,10.0,7411.0,55
CPT,80163,HC REF DIGOXIN FREE SERUM,492.25,295.35,10.0,7411.0,55
CPT,80164,HC ASSAY DIPROPYLACETIC ACD TOT - VALPROIC ACID FREE & TOTAL,288.95,173.37,10.0,7411.0,55
CPT,80164,HC DIPROPYLACETIC ACID,288.95,173.37,10.0,7411.0,55
CPT,80164,"HC REF ARUP COMP 0099310, CPT 80164",77.18,46.31,10.0,7411.0,55
CPT,80165,"HC REF ARUP COMP 0099310, CPT 80165",77.2,46.32,10.0,7411.0,55
CPT,80165,"HC REF VALPROIC ACID, FREE",38.38,23.03,10.0,7411.0,55
CPT,80167,HC DRUG ASSAY FELBAMATE,722.4,433.44,10.0,7411.0,55
CPT,80168,HC ETHOSUXIMIDE,203.18,121.91,10.0,7411.0,55
CPT,80169,HC EVEROLIMUS,280.44,168.26,10.0,7411.0,55
CPT,80169,"HC REF QUEST, EVEROQ EVEROLIMUS LC/MS/MS BLOOD",201.83,121.1,10.0,7411.0,55
CPT,80170,HC GENTAMICIN,276.9,166.14,10.0,7411.0,110
CPT,80170,HC MYOGLOBIN,276.9,166.14,10.0,7411.0,55
CPT,80170,"HC THERAPEUTIC DRUG ASSAY - GENTAMICIN, PEAK",276.9,166.14,10.0,7411.0,55
CPT,80170,"HC THERAPEUTIC DRUG ASSAY - GENTAMICIN, TROUGH",276.9,166.14,10.0,7411.0,55
CPT,80171,HC GABAPENTIN,172.55,103.53,10.0,7411.0,55
CPT,80173,HC HALOPERIDOL,132.05,79.23,10.0,7411.0,55
CPT,80173,HC REF ARUP 0099640 HALOPERIDOL LEVEL,66.33,39.8,10.0,7411.0,55
CPT,80175,HC LAMOTRIGINE,176.9,106.14,10.0,7411.0,55
CPT,80176,HC LIDOCAINE,215.67,129.4,10.0,7411.0,55
CPT,80177,HC LEVETIRACETAM,230.2,138.12,10.0,7411.0,55
CPT,80178,HC LITHIUM,159.8,95.88,5.55,7411.0,55
CPT,80179,HC DRUG ASSAY SALICYLATE,195.02,117.01,10.0,7411.0,55
CPT,80180,HC MYCOPHENOLATE,230.0,138.0,10.0,7411.0,55
CPT,80181,HC DRUG ASSAY FLECAINIDE,722.4,433.44,10.0,7411.0,55
CPT,80183,HC OXCARBAZEPINE,220.7,132.42,10.0,7411.0,55
CPT,80184,HC ASSAY OF PHENOBARBITAL - PRIMIDONE & METABOLITE,207.37,124.42,10.0,7411.0,55
CPT,80184,HC PHENOBARBITOL,207.37,124.42,10.0,7411.0,55
CPT,80185,"HC PHENYTOIN, TOTAL",244.78,146.87,10.0,7411.0,55
CPT,80186,HC PHENYTOIN - FREE,166.19,99.71,10.0,7411.0,55
CPT,80187,"HC REF MAYO POSA POSACONAZOLE, S",160.15,96.09,10.0,7411.0,55
CPT,80187,HC REF POSACONAZOLE,161.25,96.75,10.0,7411.0,55
CPT,80188,HC PRIMIDONE AND METABOLITE,153.65,92.19,10.0,7411.0,55
CPT,80189,HC DRUG ASSAY ITRACONAZOLE,722.4,433.44,10.0,7411.0,55
CPT,80190,HC ASSAY OF PROCAINAMIDE,233.16,139.9,10.0,7411.0,55
CPT,80192,HC PROCAINAMIDE W/ METABOLITES,268.08,160.85,10.0,7411.0,55
CPT,80193,HC REF ARUP 2007460 LEFLUNOMIDE METABOLITE,187.83,112.7,10.0,7411.0,55
CPT,80194,HC QUINIDINE,149.62,89.77,10.0,7411.0,55
CPT,80194,HC REF ARUP NMS 4071SP QUINIDINE,792.5,475.5,10.0,7411.0,55
CPT,80195,HC SIROLIMUS,271.25,162.75,10.0,7411.0,55
CPT,80197,HC TACROLIMUS,348.73,209.24,10.0,7411.0,55
CPT,80198,HC THEOPHYLLINE,236.51,141.91,10.0,7411.0,55
CPT,80200,"HC THERAPEUTIC DRUG ASSAY - TOBRAMYCIN, PEAK",285.66,171.4,10.0,7411.0,55
CPT,80200,"HC THERAPEUTIC DRUG ASSAY - TOBRAMYCIN, RANDOM",285.66,171.4,10.0,7411.0,55
CPT,80200,"HC THERAPEUTIC DRUG ASSAY - TOBRAMYCIN, TROUGH",285.66,171.4,10.0,7411.0,55
CPT,80200,HC TOBRAMYCIN,285.66,171.4,10.0,7411.0,55
CPT,80201,HC TOPIRAMATE,207.54,124.52,10.0,7411.0,55
CPT,80202,"HC THERAPEUTIC DRUG ASSAY - VANCOMYCIN, PEAK",304.35,182.61,10.0,7411.0,55
CPT,80202,"HC THERAPEUTIC DRUG ASSAY - VANCOMYCIN, RANDOM",304.35,182.61,10.0,7411.0,55
CPT,80202,"HC THERAPEUTIC DRUG ASSAY - VANCOMYCIN, TROUGH",304.35,182.61,10.0,7411.0,55
CPT,80202,HC VANCOMYCIN,304.35,182.61,10.0,7411.0,110
CPT,80203,HC ZONISAMIDE,210.96,126.58,10.0,7411.0,55
CPT,80204,HC DRUG ASSAY METHOTREXATE,747.11,448.27,10.0,7411.0,55
CPT,80210,HC DRUG ASSAY RUFINAMIDE,125.52,75.31,10.0,7411.0,55
CPT,80210,HC REF ARUP 2003176 RUFINAMIDE,167.2,100.32,10.0,7411.0,55
CPT,80220,HC HYDROXYCHLOROQUINE,37.28,22.37,10.0,7411.0,55
CPT,80220,HC REF ARUP 3018999 HYDROXYCHLOROQUINE BLOOD,575.0,345.0,10.0,7411.0,55
CPT,80230,HC DRUG ASSAY INFLIXIMAB - INFLIX & NEUTRALIZING AB,492.24,295.34,10.0,7411.0,55
CPT,80230,HC REF INFLIXIMAB,1075.0,645.0,10.0,7411.0,55
CPT,80230,"HC REF MAYO COMP INFXP, CPT 80230",1137.2,682.32,10.0,7411.0,55
CPT,80235,HC REF LACOSAMID,312.5,187.5,10.0,7411.0,55
CPT,80280,"HC REF ARUP, COMP 3003676 CPT 80280",355.63,213.38,10.0,7411.0,55
CPT,80280,"HC REF MAYO, COMPONENT OF VEDOZ PANEL, VEDOL - VEDOLIZUMAB QN",383.87,230.32,10.0,7411.0,55
CPT,80280,"HC REF MAYO, VEDOL VEDOLIZUMAB",608.75,365.25,10.0,7411.0,55
CPT,80280,HC REF VEDOLIZUMAB,96.43,57.86,10.0,7411.0,55
CPT,80285,HC REF VORICONAZOLE,161.25,96.75,10.0,7411.0,55
CPT,80299,HC ADALIMUMAB QN WITH RELEX TO AB,780.19,468.11,10.0,7411.0,55
CPT,80299,HC AMIODARONE AND METABOLITE,305.59,183.35,10.0,7411.0,55
CPT,80299,HC APIXABAN,342.42,205.45,10.0,7411.0,55
CPT,80299,HC DEFINITIVE DRUG TEST NOS - MITOTANE,931.5,558.9,10.0,7411.0,55
CPT,80299,HC FLECAINIDE,305.59,183.35,10.0,7411.0,55
CPT,80299,HC LACOSAMIDE,722.4,433.44,10.0,7411.0,55
CPT,80299,HC POSACONAZOLE,305.59,183.35,10.0,7411.0,55
CPT,80299,HC QUANTITATION OF DRUG,234.4,140.64,10.0,7411.0,1100
CPT,80299,HC REF ADALINUMAB ACTIVITY,305.59,183.35,10.0,7411.0,55
CPT,80299,"HC REF APIXABAN, ANTI-XA, P",554.0,332.4,10.0,7411.0,55
CPT,80299,"HC REF ARUP 0097621, FLUCONAZOLE QUANT BY LC-MS/MS",161.25,96.75,10.0,7411.0,55
CPT,80299,"HC REF ARUP 2003248 DEXAMETHASONE, SERUM OR PLASMA",172.5,103.5,10.0,7411.0,55
CPT,80299,"HC REF ARUP 2009359 ANTIMICROBIAL LEVEL - AZITHROMYCIN BY HPLC, SERUM OR PLASMA",322.5,193.5,10.0,7411.0,55
CPT,80299,"HC REF EUROFINS VIRACOR, 33285 EXPANSION & PERSISTENCE OF CART ASSAY",1125.0,675.0,10.0,7411.0,55
CPT,80299,HC REF INFLIXMAB ACTIVITY,549.0,329.4,10.0,7411.0,55
CPT,80299,HC REF LABCORP 811338 AZATHIOPRINE AS 6-MERCATOPURINE (6-MP),450.0,270.0,10.0,7411.0,55
CPT,80299,"HC REF LABCORP COMP 504355, CPT 80299",555.19,333.11,10.0,7411.0,55
CPT,80299,"HC REF MAYO 30101602, FMERC MERCAPTOPURINE",292.76,175.66,10.0,7411.0,55
CPT,80299,"HC REF MAYO APIXA APIXABAN, ANTI-XA, P",704.75,422.85,10.0,7411.0,55
CPT,80299,"HC REF MAYO COMP RISAP, CPT 80299",589.33,353.6,10.0,7411.0,55
CPT,80299,"HC REF MAYO COMP USTEK, CPT 80299",369.85,221.91,10.0,7411.0,55
CPT,80299,HC REF MAYO FAZAT IMURAN (AZATHIOPRINE) 6MP LEVELS,292.78,175.67,10.0,7411.0,55
CPT,80299,HC REF MAYO FIVCZ ISAVUCONAZOLE (CRESEMBA) LC-MS/MS,475.0,285.0,10.0,7411.0,55
CPT,80299,"HC REF MAYO PGN PREGABALIN, SERUM",152.25,91.35,10.0,7411.0,55
CPT,80299,"HC REF MAYO RISA RISANKIZUMAB, SERUM",864.75,518.85,10.0,7411.0,55
CPT,80299,"HC REF MAYO TRAMS TRAMADOL & METABOLITE, SERUM",400.0,240.0,10.0,7411.0,55
CPT,80299,"HC REF MAYO, DEXA DEXAMETHASONE SERUM",321.75,193.05,10.0,7411.0,55
CPT,80299,"HC REF MAYO, FMERC, MERCAPTOPURINE (6-MP)",292.78,175.67,10.0,7411.0,55
CPT,80299,"HC REF MAYO, PERAM PERAMPANEL, SERUM",178.5,107.1,10.0,7411.0,55
CPT,80299,HC REF MEDFUSION 34002 DIPHENHYDRAMINE LEVEL,295.0,177.0,10.0,7411.0,55
CPT,80299,HC REF MEDFUSION 92139 ESLICARBAZEPINE LEVEL,334.55,200.73,10.0,7411.0,55
CPT,80299,HC REF METHOTREXATE LEVEL,1031.98,619.19,10.0,7411.0,55
CPT,80299,HC REF PHARMACOKINETICS BUSULFAN IV Q24 DOSE 1,628.13,376.88,10.0,7411.0,55
CPT,80299,HC REF QUEST 18866 PREGABALIN,572.35,343.41,10.0,7411.0,55
CPT,80299,HC REF VEDOLIZUMAB QT REFLEX AB,525.0,315.0,10.0,7411.0,55
CPT,80299,HC THERAPEUTIC DRUG ASSAY - AMIODARONE,722.4,433.44,10.0,7411.0,55
CPT,80299,HC THERAPEUTIC DRUG ASSAY - DEXAMETHASONE,722.4,433.44,10.0,7411.0,55
CPT,80299,HC THERAPEUTIC DRUG ASSAY - FELBAMATE,722.4,433.44,10.0,7411.0,55
CPT,80299,HC THERAPEUTIC DRUG ASSAY - THIOPURINE METABOLITES,722.4,433.44,10.0,7411.0,55
CPT,80299,HC THERAPEUTIC DRUG ASSAY NOS - 5-FLUCYTOSINE,722.4,433.44,10.0,7411.0,55
CPT,80299,HC THERAPEUTIC DRUG ASSAY NOS - ITRACONAZOLE,722.4,433.44,10.0,7411.0,55
CPT,80299,HC THERAPEUTIC DRUG ASSAY NOS - METHOTREXATE,722.4,433.44,10.0,7411.0,55
CPT,80305,"HC DEFINITIVE TEST, (MDA, MDEA, MDMA)",177.35,106.41,10.0,7411.0,55
CPT,80305,"HC DEFINITIVE TEST, ANTIDEPRESSANT (TRICYCLIC OTHER)",177.35,106.41,10.0,7411.0,55
CPT,80305,"HC DRUG SCREEN, OTHER THAN CHROM, ANY # CLASSES",177.35,106.41,10.0,7411.0,55
CPT,80305,HC DRUG TEST PRESUMP OPTICAL (2 OR MORE PER DAY),177.35,106.41,10.0,7411.0,55
CPT,80306,"HC DRUG SCREEN, SINGLE CLASS, LIST B",303.6,182.16,10.0,7411.0,55
CPT,80306,HC DRUG TEST PRESUMP OPT INST (2 OR MORE PER DAY),303.6,182.16,10.0,7411.0,55
CPT,80307,"HC DEFINITIVE TEST, ALCOHOLS",459.04,275.42,10.0,7411.0,55
CPT,80307,"HC DEFINITIVE TEST, ANALGESICS NON-OPIOD (ACETAMINEPHINE)",459.04,275.42,10.0,7411.0,55
CPT,80307,HC DRUG SCREEN (BASIC MEDICAL),459.04,275.42,10.0,7411.0,55
CPT,80307,HC DRUG SCREEN COLLECTION,459.04,275.42,10.0,7411.0,55
CPT,80307,"HC DRUG SCREEN, CLASS LIST A (MEDICAL)",459.04,275.42,10.0,7411.0,55
CPT,80307,"HC DRUG SCREEN, CLASS LIST A, (MERCONIUM)",459.04,275.42,10.0,7411.0,55
CPT,80307,"HC DRUG SCREEN, CLASS LIST A, (SEND OUT SERUM)",459.04,275.42,10.0,7411.0,55
CPT,80307,"HC DRUG SCREEN, CLASS LIST A, (SEND OUT URINE)",459.04,275.42,10.0,7411.0,55
CPT,80307,HC DRUG TEST PRESUMP NOT OPTICAL (2 OR MORE PER DAY),459.04,275.42,10.0,7411.0,605
CPT,80307,HC DRUG TEST PRESUMP NOT OPTICAL (2 OR MORE PER DAY) - CHEM/SER/URI,459.04,275.42,10.0,7411.0,55
CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG MONITORING TEMPLATE,459.04,275.42,10.0,7411.0,55
CPT,80307,HC PRESUMPTIVE DRUG TEST CHEM ANALYZ- BUPRENORPHINE,459.04,275.42,10.0,7411.0,55
CPT,80307,"HC PRESUMPTIVE DRUG TEST CHEM ANALYZ- OXYCODONE, URINE",459.04,275.42,10.0,7411.0,55
CPT,80307,HC PRESUMPTIVE DRUG TEST CHEM ANALYZ- PRESCRIPTION OTC,459.04,275.42,10.0,7411.0,55
CPT,80307,"HC PRESUMPTIVE DRUG TEST CHEM ANALYZ- PRESCRIPTION OTC, BLOOD",459.04,275.42,10.0,7411.0,55
CPT,80307,HC PRESUMTIVE DRUG TEST CHEM ANALYZ - BARBITURATE,459.04,275.42,10.0,7411.0,55
CPT,80307,HC PRESUMTIVE DRUG TEST CHEM ANALYZ - CANNABINOID,459.04,275.42,10.0,7411.0,55
CPT,80307,HC PRESUMTIVE DRUG TEST CHEM ANALYZ - OPIATE,459.04,275.42,10.0,7411.0,55
CPT,80307,HC REF ARUP 0092420 DRUG PAN 9 SER/PLA SCREEN,127.5,76.5,10.0,7411.0,55
CPT,80307,"HC REF ARUP 2007081 COTININE SCREEN, URINE",51.13,30.68,10.0,7411.0,55
CPT,80307,"HC REF ARUP 2012284, FENTANYL SCREEN",62.14,37.28,10.0,7411.0,55
CPT,80307,HC REF ARUP 3000183 CPT 80307 3000183 FLUNITRAZEPAM AND METABOLITE,410.0,246.0,10.0,7411.0,55
CPT,80307,"HC REF ARUP COMP 2007479, CPT 80307",8.33,5.0,3.0,7411.0,55
CPT,80307,"HC REF ARUP, COMP NMS LABS 8091U, CPT 80307",121.62,72.97,10.0,7411.0,55
CPT,80307,HC REF LABCORP 912081 DRUG SCREEN 17 W/REFLEX CONFIRMATION,635.9,381.54,10.0,7411.0,55
CPT,80307,"HC REF LABCORP, 700902 DRUG SCREEN 16",840.0,504.0,10.0,7411.0,55
CPT,80307,"HC REF LABCORP, 791750 KRATOM SCREENING AND CONFIRMATION",522.5,313.5,10.0,7411.0,55
CPT,80307,HC REF MAYO CSMEU COMP CPT 80307,106.3,63.78,10.0,7411.0,55
CPT,80307,"HC REF MAYO FD10S DRUGS OF ABUSE SCREEN, SERUM",230.0,138.0,10.0,7411.0,55
CPT,80307,"HC REF MEDFUSION, 31689 DRUG ABUSE PANEL 8",1307.7,784.62,10.0,7411.0,55
CPT,80307,"HC REF MEDFUSION, 94031 ANTIDEPRESSANTS DRUG MONITOR",124.83,74.9,10.0,7411.0,55
CPT,80307,"HC REF NMS LAB, 6946H, DRUGS OF ABUSE SCREEN (9 PANEL) HAIR",1735.0,1041.0,10.0,7411.0,55
CPT,80320,"HC DEFINITIVE TEST, QUANTITATIVE ALCOHOLS",141.05,84.63,9.42,7411.0,34
CPT,80320,HC DRUG SCREEN QUANTALCOHOLS - ETHANOL CONFIRM,141.05,84.63,9.42,7411.0,34
CPT,80320,HC DRUG SCREEN QUANTALCOHOLS - VOLATILE & ETHYLENE GLYCOL,141.05,84.63,9.42,7411.0,34
CPT,80320,HC REF ARUP 0090165 METHANOL,56.0,33.6,9.42,7411.0,34
CPT,80321,HC ALCOHOLS BIOMARKERS 1 OR 2,228.71,137.23,10.0,7411.0,34
CPT,80321,HC REF PHOSPHATIDYLETHANOL PETH,253.55,152.13,10.0,7411.0,34
CPT,80323,"HC DEFINITIVE DRUG TEST, ALKALOIDS - NICOTINE/METABOLITES, SERUM",139.05,83.43,10.0,7411.0,34
CPT,80323,"HC DEFINITIVE DRUG TEST, ALKALOIDS - NICOTINE/METABOLITES, URINE",139.05,83.43,10.0,7411.0,34
CPT,80323,"HC DEFINITIVE TEST, ALKALOIDS",139.05,83.43,10.0,7411.0,34
CPT,80323,"HC DEFINITIVE TEST, ALKALOIDS (NICOTINE)",139.05,83.43,10.0,7411.0,34
CPT,80323,"HC DEFINITIVE TEST, ALKALOIDS (URINE)",139.05,83.43,10.0,7411.0,34
CPT,80323,"HC REF ARUP, 0092361 NICOTINE & METS, S/P, QUANT",70.0,42.0,10.0,7411.0,34
CPT,80323,"HC REF ARUP, COMP 479, CPT 80323",50.0,30.0,10.0,7411.0,34
CPT,80324,"HC DEFINITIVE DRUG TEST - AMPHETAMINES 5 OR MORE, LC/MS URINE",156.02,93.61,10.0,7411.0,34
CPT,80324,"HC DEFINITIVE TEST, AMPHETAMINES 1-2",156.02,93.61,10.0,7411.0,34
CPT,80325,HC DRUG SCREEN QUANT AMPHETAMINES 3 OR 4,261.36,156.82,10.0,7411.0,34
CPT,80325,"HC REF ARUP, 2010075, QUANT AMPHETAMINES URINE",77.5,46.5,10.0,7411.0,34
CPT,80325,"HC REF MAYO, COMP AMPHU, CPT 80325",78.4,47.04,10.0,7411.0,34
CPT,80326,HC AMPHETAMINES 5 OR MORE - AMPHETAMINES CONF,330.78,198.47,7.75,7411.0,34
CPT,80326,"HC DEFINITIVE TEST, AMPHETAMINES 5+",330.78,198.47,7.75,7411.0,34
CPT,80326,"HC REF ARUP COMP 2007479, CPT 80326",8.33,5.0,3.0,7411.0,34
CPT,80326,"HC REF ARUP, COMP 479, CPT 80326",50.0,30.0,7.75,7411.0,34
CPT,80326,HC REF NMS COMP 8600B CPT 80326,240.0,144.0,7.75,7411.0,34
CPT,80327,"HC DEFINITIVE TEST, ANABOLIC STEROIDS",81.97,49.18,10.0,7411.0,34
CPT,80329,HC DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2,195.02,117.01,9.63,7411.0,34
CPT,80332,HC ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2,238.14,142.88,10.0,7411.0,34
CPT,80332,"HC REF ARUP 0092382 ESCITALOPRAM QUANTITATIVE, SERUM/PLASMA",387.5,232.5,10.0,7411.0,34
CPT,80332,"HC REF ARUP 2006473, DULOXETINE QUANTITATIVE, SERUM OR PLASMA",510.0,306.0,10.0,7411.0,34
CPT,80333,"HC REF ANTIDEPRESSANTS, SEROTONERGIC CLASS - 3-5",137.8,82.68,10.0,7411.0,34
CPT,80335,HC DEFINITIVE DRUG TEST ANTIDEPRESSANT - DESIPRAMINE,29.81,17.89,4.2,7411.0,34
CPT,80335,HC DEFINITIVE DRUG TEST ANTIDEPRESSANT - DOXEPIN,29.81,17.89,4.2,7411.0,34
CPT,80335,HC DEFINITIVE DRUG TEST ANTIDEPRESSANT - IMIPRAMINE & DESIPRAMINE,29.81,17.89,4.2,7411.0,34
CPT,80335,HC DEFINITIVE DRUG TEST ANTIDEPRESSANT - NORTRIPTYLINE,29.81,17.89,4.2,7411.0,34
CPT,80335,"HC DEFINITIVE DRUG TEST, ANTIDEPRESSANT - AMITRIPTYLINE & NORTRIPTYLINE",29.81,17.89,4.2,7411.0,34
CPT,80335,"HC DEFINITIVE TEST, ANTIDEPRESSANT (AMPHETAMINES)",29.81,17.89,4.2,7411.0,34
CPT,80335,"HC DEFINITIVE TEST, ANTIDEPRESSANT (AMYTRIPTYLINE)",29.81,17.89,4.2,7411.0,34
CPT,80335,"HC DEFINITIVE TEST, ANTIDEPRESSANT (DESIPRAMINE)",29.81,17.89,4.2,7411.0,34
CPT,80335,"HC DEFINITIVE TEST, ANTIDEPRESSANT (DOXEPIN)",29.81,17.89,4.2,7411.0,34
CPT,80335,"HC DEFINITIVE TEST, ANTIDEPRESSANT (IMAPRAMINE)",29.81,17.89,4.2,7411.0,34
CPT,80335,"HC DEFINITIVE TEST, ANTIDEPRESSANT (NORTRIPTYLINE)",29.81,17.89,4.2,7411.0,34
CPT,80335,"HC DEFINITIVE TEST, ANTIDEPRESSANT (TRICYCLIC OTHER)",29.81,17.89,4.2,7411.0,34
CPT,80335,"HC DEFINITIVE TEST, ANTIDEPRESSANT (TRICYCLIC OTHER, G6058)",29.81,17.89,4.2,7411.0,34
CPT,80335,"HC DEFINITIVE TEST, ANTIDEPRESSANT (TRIMIPRAMINE)",29.81,17.89,4.2,7411.0,34
CPT,80335,"HC REF ARUP 0090158 ANITRIPTYLINE & NORTRIPTYLINE, SERUM OR PLASMA",74.4,44.64,4.2,7411.0,34
CPT,80335,"HC REF ARUP 0099336 CLOMIPRAMINE & METABOLITE, SP",60.2,36.12,4.2,7411.0,34
CPT,80337,"HC REF ANTIDEPRESSANTS, TRICYCLIC AND OTHER CYCLICALS - 6 OR MORE",95.73,57.44,8.69,7411.0,34
CPT,80338,"HC DEFINITIVE TEST, ANTIDEPRESSANTS, OTHER",157.04,94.22,10.0,7411.0,34
CPT,80338,HC REF LAB ARUP VENLAFAXINE AND METABOLITE 2007957,153.75,92.25,10.0,7411.0,34
CPT,80339,HC REF ARUP 3002508 CLOBAZAM AND METABOLITE QUANT,315.0,189.0,4.2,7411.0,34
CPT,80339,"HC REF ARUP 3019464 CENOBAMATE, SERUM OR PLASMA",715.0,429.0,4.2,7411.0,34
CPT,80339,"HC REF ARUP, 2011039, VIGABATRIN QUANT SERUM OR PLASMA",830.0,498.0,4.2,7411.0,34
CPT,80339,"HC REF ARUP, 2013026 - PERAMPANEL QUANTITATIVE, SERUM OR PLASMA",500.0,300.0,4.2,7411.0,34
CPT,80339,"HC REF ARUP, FELBAMATE",39.0,23.4,4.2,7411.0,34
CPT,80339,"HC REF ARUP, FYCOMPA LEVEL 2013025",500.0,300.0,4.2,7411.0,34
CPT,80339,HC REF LACOSAMIDE,62.66,37.6,4.2,7411.0,34
CPT,80339,"HC REF MAYO, ANTIEPILEPTICS NOS 1-3",143.75,86.25,4.2,7411.0,34
CPT,80339,"HC REF NMS, 1056SP, CENOBAMATE, SERUM/PLASMA",627.5,376.5,4.2,7411.0,34
CPT,80342,HC REF ARUP 0098833 OLANZAPINE,138.13,82.88,10.0,7411.0,34
CPT,80342,HC REF ARUP 2007945 ARIPIPRAZOLE,118.5,71.1,10.0,7411.0,34
CPT,80342,"HC REF ARUP NMS LABS 4113SP PALIPERIDONE, SERUM/PLASMA",410.0,246.0,10.0,7411.0,34
CPT,80342,"HC REF MAYO FPALI, PALIPERIDONE, SERUM",372.5,223.5,10.0,7411.0,34
CPT,80345,HC DEFINITIVE DRUG TEST BARBITURATES - PENTOBARBITOL,133.99,80.39,9.16,7411.0,34
CPT,80345,"HC DEFINITIVE TEST, BARBITURATES",133.99,80.39,9.16,7411.0,34
CPT,80345,"HC DEFINITIVE TEST, BARBITURATES (G6043)",133.99,80.39,9.16,7411.0,34
CPT,80345,"HC REF ARUP COMP 2007479, CPT 80345",8.33,5.0,3.0,7411.0,34
CPT,80346,"HC DEFINITIVE DRUG TEST, BENZODIAZEPINES, 1-12",297.85,178.71,10.0,7411.0,34
CPT,80346,"HC DEFINITIVE TEST, BENZODIAZEPINES",297.85,178.71,10.0,7411.0,34
CPT,80346,HC FUNGAL PANEL - ANTIBODY BLASTOMYCES,297.85,178.71,10.0,7411.0,34
CPT,80347,BENZODIAZEPINES 13 OR MORE - BENZODIAZEPINES CONFIRM,111.55,66.93,10.0,7411.0,34
CPT,80347,HC BENZODIAZEPINES 13 OR MORE,111.55,66.93,10.0,7411.0,34
CPT,80347,"HC REF ARUP COMP 2007479, CPT 80347",8.33,5.0,3.0,7411.0,34
CPT,80347,"HC REF ARUP, COMP 479, CPT 80347",50.0,30.0,10.0,7411.0,34
CPT,80348,"HC DEFINITIVE DRUG TEST - NORBUPRENORPHINE, URINE",195.0,117.0,10.0,7411.0,34
CPT,80348,"HC REF ARUP 2010092 BUPRENORPHINE AND METABOLITES, URINE, QUANTITATIVE",89.7,53.82,10.0,7411.0,34
CPT,80348,"HC REF ARUP COMP 2007479, CPT 80348",8.33,5.0,3.0,7411.0,34
CPT,80348,"HC REF MAYO, BUPM - BUPRENORPHINE AND METABOLITES URINE",473.5,284.1,10.0,7411.0,34
CPT,80349,HC CANNABINOIDS NATURAL - CONFIRMATION S,151.92,91.15,10.0,7411.0,34
CPT,80349,HC DEFINITIVE DRUG TEST CANNABINOIDS MECONIUM,151.92,91.15,10.0,7411.0,34
CPT,80349,"HC DEFINITIVE TEST, CANNABINOIDS",151.92,91.15,10.0,7411.0,34
CPT,80349,"HC DEFINITIVE TEST, CANNABINOIDS (G6058)",151.92,91.15,10.0,7411.0,34
CPT,80349,HC REF ARUP 0090676 THC METABOLITES,135.0,81.0,10.0,7411.0,34
CPT,80349,"HC REF ARUP, CINCINNATI CHILDRENS 7256268 DYSKERATOSIS CONGENITA/TELOMERE DISORDERS GENE SEQ",7232.5,4339.5,11.27,7411.0,34
CPT,80349,HC REF THC METABOLITE URINE QUANT,97.5,58.5,10.0,7411.0,34
CPT,80352,HC DRUG SCREENING CANNABINOIDS SYNTHETIC 7/MORE,192.5,115.5,10.0,7411.0,34
CPT,80353,"HC DEFINITIVE TEST, COCAINE (G6058)",107.52,64.51,10.0,7411.0,34
CPT,80353,"HC REF COCAINE AND METABOLITES CONFIRM, S",93.35,56.01,10.0,7411.0,34
CPT,80353,"HC REF MAYO, FCMC COCAINE AND METABOLITES CONFIRMATION",270.0,162.0,10.0,7411.0,34
CPT,80354,"HC DEFINITIVE DRUG TEST - NORFENTANYL, URINE",160.61,96.37,10.0,7411.0,34
CPT,80354,"HC REF ARUP, NMS LABS COMP 1480U, CPT 80354",412.5,247.5,10.0,7411.0,34
CPT,80355,"HC DEFINITIVE TEST, GABAPENTIN URINE",208.45,125.07,7.71,7411.0,34
CPT,80355,"HC REF ARUP COMP 2007479, CPT 80355",8.33,5.0,3.0,7411.0,34
CPT,80355,"HC REF ARUP, COMP 479, CPT 80355",50.0,30.0,7.71,7411.0,34
CPT,80356,HC DRUG SCREENING HEROIN METABOLITE,127.44,76.46,10.0,7411.0,34
CPT,80356,"HC REF ARUP COMP 2007479, CPT 80356",8.33,5.0,3.0,7411.0,34
CPT,80358,"HC DEFINITIVE TEST, METHADONE",18.63,11.18,6.71,7411.0,34
CPT,80358,"HC DEFINITIVE TEST, METHADONE (G6058)",18.63,11.18,6.71,7411.0,34
CPT,80358,HC DRUG SCREENING METHADONE - METHADONE & METABOLITE CONFIRM,18.63,11.18,6.71,7411.0,34
CPT,80358,"HC REF MAYO, MTDNU METHADONE CONFIRM URINE",228.95,137.37,10.0,7411.0,34
CPT,80359,"HC DEFINITIVE TEST, (MDA, MDEA, MDMA)",146.94,88.16,8.5,7411.0,34
CPT,80359,HC METHYLENEDIOXYAMPHETAMINES - AMPHETAMINES URINE,146.94,88.16,8.5,7411.0,34
CPT,80359,"HC REF ARUP COMP 2007479, CPT 80359",8.33,5.0,3.0,7411.0,34
CPT,80359,"HC REF MAYO, COMP AMPHU, CPT 80359",64.1,38.46,8.5,7411.0,34
CPT,80359,HC REF NMS COMP 8600B CPT 80359,240.0,144.0,8.5,7411.0,34
CPT,80360,"HC DEFINITIVE TEST, METHYLPHENIDATE",256.0,153.6,9.11,7411.0,34
CPT,80360,"HC REF ARUP 2003115 METHYLPHENIDATE AND METABOLITE, URINE, QUANTITATIVE",167.2,100.32,9.11,7411.0,34
CPT,80360,"HC REF ARUP COMP 2007479, CPT 80360",8.33,5.0,3.0,7411.0,34
CPT,80361,"HC DEFINITIVE DRUG TEST - OPIATES (HYDROCODONE), URINE",154.19,92.51,10.0,7411.0,34
CPT,80361,"HC DEFINITIVE DRUG TEST - OPIATES (HYDROMORPHONE), URINE",154.19,92.51,10.0,7411.0,34
CPT,80361,"HC DEFINITIVE TEST, OPIATES",154.19,92.51,10.0,7411.0,34
CPT,80361,"HC REF ARUP COMP 2007479, CPT 80361",8.33,5.0,3.0,7411.0,34
CPT,80361,"HC REF ARUP, COMP 0092354, CPT 80361",70.0,42.0,10.0,7411.0,34
CPT,80361,"HC REF MAYO, COMP OPATU, CPT 80361",51.53,30.92,10.0,7411.0,34
CPT,80361,"HC REF MEDFUSION COMP, 19483 OPIATE DRUG CONFIRMATION CPT 80361",203.48,122.09,10.0,7411.0,34
CPT,80361,HC REF OPIATES 1 OR MORE,31.25,18.75,10.0,7411.0,34
CPT,80362,"HC REF MAYO, COMP OPATU, CPT 80362",41.83,25.1,10.0,7411.0,34
CPT,80364,HC DRUG SCREENING OPIOIDS & OPIATE ANALOGS 5/MORE,50.91,30.55,10.0,7411.0,34
CPT,80364,"HC REF ARUP COMP 2007479, CPT 80364",8.33,5.0,3.0,7411.0,34
CPT,80364,"HC REF ARUP, COMP 479, CPT 80364",50.0,30.0,10.0,7411.0,34
CPT,80364,"HC REF ARUP, NMS LABS COMP 1480U, CPT 80364",412.5,247.5,10.0,7411.0,34
CPT,80365,"HC DEFINITIVE DRUG TEST - OXYMORPHONE, URINE",245.7,147.42,10.0,7411.0,34
CPT,80365,"HC DEFINITIVE TEST, OXYCODONE",245.7,147.42,10.0,7411.0,34
CPT,80365,"HC REF ARUP COMP 2007479, CPT 80365",8.33,5.0,3.0,7411.0,34
CPT,80365,"HC REF ARUP, COMP 0092354, CPT 80365",70.0,42.0,10.0,7411.0,34
CPT,80365,"HC REF MAYO, COMP OPATU, CPT 80365",140.0,84.0,10.0,7411.0,34
CPT,80365,"HC REF MEDFUSION COMP, 19483 OPIATE DRUG CONFIRMATION CPT 80365",203.48,122.09,10.0,7411.0,34
CPT,80365,HC REF OPIATE OXYCODONE,31.25,18.75,10.0,7411.0,34
CPT,80366,"HC REF ARUP COMP 2007479, CPT 80366",8.33,5.0,3.0,7411.0,34
CPT,80368,"HC DEFINITIVE TEST, SEDATIVE HYPNOTICS",100.25,60.15,8.82,7411.0,34
CPT,80368,"HC REF ARUP COMP 2007479, CPT 80368",8.33,5.0,3.0,7411.0,34
CPT,80369,"HC DEFINITIVE DRUG TEST, SKELETAL MUSC RELAX 1-2 - CARISOPRODOL & MEPROBAMATE",331.68,199.01,10.0,7411.0,34
CPT,80369,HC REF BACLOFEN,420.0,252.0,10.0,7411.0,34
CPT,80369,HC REF BACLOFEN SERUM,420.0,252.0,10.0,7411.0,34
CPT,80369,HC REF SKELETAL MUSCLE RELAXANTS - 1 OR 2,123.48,74.09,10.0,7411.0,34
CPT,80372,"HC DEFINITIVIVE TEST, TAPENTADOL",306.28,183.77,10.0,7411.0,34
CPT,80372,"HC REF ARUP COMP 2007479, CPT 80372",8.33,5.0,3.0,7411.0,34
CPT,80373,"HC DEFINITIVE DRUG TEST - TRAMADOL, URINE",281.11,168.67,10.0,7411.0,34
CPT,80375,HC ATENOLOL,458.18,274.91,10.0,7411.0,34
CPT,80375,HC AZATHIOPRINE (IMURAN),458.18,274.91,10.0,7411.0,34
CPT,80375,HC BUPIVACAINE,458.18,274.91,10.0,7411.0,34
CPT,80375,HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3,458.18,274.91,10.0,7411.0,34
CPT,80375,HC GLUCOPHAGE,458.18,274.91,10.0,7411.0,34
CPT,80375,HC REF ARUP 3004978 BRIVARACETAM LEVEL,347.5,208.5,10.0,7411.0,34
CPT,80375,"HC REF ARUP < NMS LABS 4815U XYLAZINE, URINE",582.5,349.5,10.0,7411.0,34
CPT,80375,"HC REF ARUP, DRUG/SUBSTANCE NOS 1-3",534.19,320.51,10.0,7411.0,34
CPT,80375,"HC REF ARUP, NMS LABS 4815SP XYLAZINE, SERUM/PLASMA",1307.25,784.35,10.0,7411.0,34
CPT,80375,"HC REF MAYO, HCQ HYDROXYCHLOROQUINE S",423.78,254.27,10.0,7411.0,34
CPT,80375,HC REF MITOTANE,978.08,586.85,10.0,7411.0,34
CPT,80375,HC REF WARFARIN PLASMA,286.13,171.68,10.0,7411.0,34
CPT,80375,HC THIAZIDE DIURETICS SERUM,458.18,274.91,10.0,7411.0,34
CPT,80375,HC WARFARIN,458.18,274.91,10.0,7411.0,34
CPT,80377,HC DEFINITIVE DRUG TEST NOS - HYPOGLYCEMIC AGENT,402.76,241.66,6.53,7411.0,34
CPT,80377,HC DRUG/SUBSTANCE NOS 7/MORE,402.76,241.66,6.53,7411.0,34
CPT,80377,HC REF HYPOGLYCEM SULFONYLUREAS,129.94,77.96,6.53,7411.0,34
CPT,80377,HC SULFONYLUREA,402.76,241.66,6.53,7411.0,34
CPT,80502,HC CLINICAL PATH CONSULT COMPREHENSIVE,672.84,403.7,10.0,7411.0,39
CPT,80503,HC CLINICAL PATHOLOGY CONSULT 5-20 MIN,98.78,59.27,10.0,7411.0,55
CPT,80504,HC CLINICAL PATHOLOGY CONSULT 21-40 MIN,296.46,177.88,10.0,7411.0,55
CPT,80505,HC CLINICAL PATHOLOGY CONSULT 41-60 MIN,296.46,177.88,10.0,7411.0,55
CPT,80506,HC CLINICAL PATHOLOGY CONSULT EA ADDL 30 MIN,197.62,118.57,10.0,7411.0,39
CPT,81000,"HC URINALYSIS, NONAUTO, W/SCOPE",65.55,39.33,3.38,7411.0,55
CPT,81001,HC URINALYSIS AUTO W/SCOPE - W/RFLX TO CULTURE,129.78,77.87,2.66,7411.0,55
CPT,81001,"HC URINALYSIS, AUTO, W/SCOPE",129.78,77.87,2.66,7411.0,55
CPT,81002,HC URINALYSIS NONAUTO W/O SCOPE,59.67,35.8,2.92,7411.0,55
CPT,81002,"HC URINALYSIS NONAUTO W/O SCOPE, PH URINE",59.67,35.8,2.92,7411.0,55
CPT,81002,"HC URINALYSIS, REAGENT STRIP",59.67,35.8,2.92,7411.0,275
CPT,81003,"HC REF MAYO SKETC KETONE QL, U",160.5,96.3,1.89,7411.0,55
CPT,81003,HC URINALYSIS AUTO W/O SCOPE,83.58,50.15,1.89,7411.0,110
CPT,81003,"HC URINALYSIS, WITHOUT MICROSCOPY",83.58,50.15,1.89,7411.0,385
CPT,81003,"HC URINALYSIS, WITHOUT MICROSCOPY POINT OF CARE PATHOLOGY",83.58,50.15,1.89,7411.0,55
CPT,81003,"HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY, KETONES",83.58,50.15,1.89,7411.0,55
CPT,81003,"HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY, URINALYSIS",83.58,50.15,1.89,7411.0,55
CPT,81005,HC REF MEDFUSION 669 INDICAN URINE,78.1,46.86,1.82,7411.0,55
CPT,81005,"HC URINALYSIS, QUALITATIVE OR SEMIQUANTITATIVE",57.0,34.2,1.82,7411.0,55
CPT,81015,HC URINALYSIS MICROSCOPIC ONLY,52.92,31.75,2.56,7411.0,55
CPT,81025,HC SA-PREGNANCY TEST,150.15,90.09,7.23,7411.0,55
CPT,81025,"HC URINE PREG TEST, BY VISUAL COLOR",162.16,97.3,7.23,7411.0,55
CPT,81025,"HC URINE PREG TEST,BY VISUAL COLO",162.16,97.3,7.23,7411.0,165
CPT,81025,"HC URINE PREG TEST,BY VISUAL COLO POINT OF CARE PATHOLOGY",162.16,97.3,7.23,7411.0,55
CPT,81025,HC URINE PREGNANCY TEST,162.16,97.3,7.23,7411.0,55
CPT,81050,HC VOLUME MEASUREMENT FOR TIMED COLLECTION,38.88,23.33,3.06,7411.0,55
CPT,81105,HC REF HPA-1 GENOTYPING,146.32,87.79,35.0,7411.0,55
CPT,81105,"HC REF VERSITI COMP 5303, CPT 81105",245.28,147.17,35.0,7411.0,55
CPT,81106,HC REF HPA-2 GENOTYPING,1802.5,1081.5,35.0,7411.0,55
CPT,81106,"HC REF VERSITI COMP 5303, CPT 81106",245.28,147.17,35.0,7411.0,55
CPT,81107,HC REF HPA-3 GENOTYPING,1802.5,1081.5,35.0,7411.0,55
CPT,81107,"HC REF VERSITI COMP 5303, CPT 81107",245.28,147.17,35.0,7411.0,55
CPT,81108,HC REF HPA-4 GENOTYPING,1802.5,1081.5,35.0,7411.0,55
CPT,81108,"HC REF VERSITI COMP 5303, CPT 81108",245.28,147.17,35.0,7411.0,55
CPT,81109,HC REF HPA-5 GENOTYPING,1802.5,1081.5,35.0,7411.0,55
CPT,81109,"HC REF VERSITI COMP 5303, CPT 81109",245.28,147.17,35.0,7411.0,55
CPT,81110,HC REF HPA-6 GENOTYPING,1802.5,1081.5,35.0,7411.0,55
CPT,81110,"HC REF VERSITI COMP 5303, CPT 81110",245.28,147.17,35.0,7411.0,55
CPT,81111,HC REF HPA-9 GENOTYPING,1802.5,1081.5,35.0,7411.0,55
CPT,81111,"HC REF VERSITI COMP 5303, CPT 81111",245.28,147.17,35.0,7411.0,55
CPT,81112,HC REF HPA-15 GENOTYPING,1802.5,1081.5,35.0,7411.0,55
CPT,81112,"HC REF VERSITI COMP 5303, CPT 81112",245.28,147.17,35.0,7411.0,55
CPT,81120,HC IDH1 COMMON VARIANTS,718.95,431.37,35.0,7411.0,110
CPT,81120,HC REF IDH1 MUT ANLYS EXON 4,649.69,389.81,35.0,7411.0,55
CPT,81120,"HC REF MAYO COMP IDHQ, CPT 81120",1068.93,641.36,35.0,7411.0,55
CPT,81120,"HC REF PATHGROUP, IHD1SA CPT 81120",483.13,289.88,35.0,7411.0,55
CPT,81121,HC IDH2 COMMON VARIANTS,735.35,441.21,35.0,7411.0,55
CPT,81121,HC REF IDH2 MUT ANLYS EXON 4,618.75,371.25,35.0,7411.0,55
CPT,81121,"HC REF MAYO COMP IDHQ, CPT 81121",1636.08,981.65,35.0,7411.0,55
CPT,81121,"HC REF PATHGROUP, IDH2SA CPT 81121",739.48,443.69,35.0,7411.0,55
CPT,81162,HC BRCA1&2 SEQ & FULL DUP/DEL,5770.38,3462.23,35.0,9416.38,55
CPT,81162,"HC REF ARUP 3001855, BRCA1 BRCA2 NGS, DELDUP",5012.5,3007.5,35.0,9416.38,55
CPT,81162,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81162,1305.85,783.51,35.0,9416.38,55
CPT,81163,HC REF BRCA 1&2 GENE FULL SEQ ALYS,1872.0,1123.2,35.0,7411.0,55
CPT,81163,"HC REF MAYO, BRCAT BRCA 1/2 MUTATION ANALYSIS",3500.0,2100.0,35.0,7411.0,55
CPT,81168,"HC REF ARUP QUEST 14991, MANTLE CELL LYMPHOMA, CELL BASED",1050.0,630.0,35.0,7411.0,55
CPT,81170,HC ABL1 GENE ANALYSIS KINASE DOMAIN VARIANTS,1263.91,758.35,35.0,7411.0,55
CPT,81170,HC REF ARUP 2008420 ABL1 GENE TEST,1852.83,1111.7,35.0,7411.0,55
CPT,81170,HC REF BCR-ABL1 MUT,1302.5,781.5,35.0,7411.0,55
CPT,81170,"HC REF LAB MAYO, BAKDM BCR/ABL1 SEQ",962.68,577.61,35.0,7411.0,55
CPT,81177,HC REF LABCORP 620158 DRPLA (ATN1) GENETIC TESTING,620.0,372.0,35.0,7411.0,55
CPT,81178,HC REF MAYO COMP SCAP CPT 81178,434.3,260.58,35.0,7411.0,55
CPT,81178,"HC REF MAYO COMP SCAP, CPT 81178",434.3,260.58,35.0,7411.0,55
CPT,81179,HC REF MAYO COMP SCAP CPT 81179,434.3,260.58,35.0,7411.0,55
CPT,81179,"HC REF MAYO COMP SCAP, CPT 81179",434.3,260.58,35.0,7411.0,55
CPT,81180,HC REF MAYO COMP SCAP CPT 81180,434.3,260.58,35.0,7411.0,55
CPT,81180,"HC REF MAYO COMP SCAP, CPT 81180",434.3,260.58,35.0,7411.0,55
CPT,81181,HC REF MAYO COMP SCAP CPT 81181,434.3,260.58,35.0,7411.0,55
CPT,81181,"HC REF MAYO COMP SCAP, CPT 81181",434.3,260.58,35.0,7411.0,55
CPT,81184,HC REF MAYO COMP SCAP CPT 81184,434.3,260.58,35.0,7411.0,55
CPT,81184,"HC REF MAYO COMP SCAP, CPT 81184",434.3,260.58,35.0,7411.0,55
CPT,81187,"HC REF ATHENA, COMP 5506, CPT 81187",12479.92,7487.95,35.0,9359.94,55
CPT,81194,"HC REF NEOGENOMICS, NTRK NGS FUSION PROFILE",2000.0,1200.0,35.0,7411.0,55
CPT,81201,HC APC GENE ANALYSIS FULL GENE SEQUENCE,3897.36,2338.42,35.0,7411.0,55
CPT,81201,"HC REF ARUP COMP 3004407, CPT 81201",781.25,468.75,35.0,7411.0,55
CPT,81201,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81201,558.15,334.89,35.0,7411.0,55
CPT,81203,"HC REF ARUP COMP 3004407, CPT 81203",781.25,468.75,35.0,7411.0,55
CPT,81206,"HC BCR-ABL MAJOR P210, BLOODLIS",749.67,449.8,10.0,7411.0,55
CPT,81206,"HC BCR-ABL MAJOR P210, NONBLOODLIS",749.67,449.8,10.0,7411.0,55
CPT,81206,HC BCR/ABL1 TRANSLOCATION ANALYSIS - MAJOR BREAKPOINT,749.67,449.8,10.0,7411.0,55
CPT,81206,"HC REF ARUP  3005840 RFLX QUANT DETECT BCR-ABL1, MAJOR FORM P210",610.0,366.0,35.0,7411.0,55
CPT,81206,HC REF ARUP 3005840 QUANT DETECT BCR::ABL1 MAJOR (P210),610.0,366.0,35.0,7411.0,55
CPT,81206,HC REF ARUP COMP 3005839 CPT 81206,134.17,80.5,35.0,7411.0,55
CPT,81206,HC REF NEOGENOMICS CMP BCR-ABL1 TRANSLOCATION 9;22 MAJOR,767.5,460.5,35.0,7411.0,55
CPT,81206,HC REF QUEST 91065 COMP CPT 81206,441.8,265.08,35.0,7411.0,55
CPT,81207,HC BCR/ABL1 GENE MINOR BREAKPOINT,599.53,359.72,35.0,7411.0,55
CPT,81207,"HC REF ARUP  3016968 RFLX QUANT DETECT BCR-ABL1, MAJOR FORM P210",630.0,378.0,35.0,7411.0,55
CPT,81207,HC REF ARUP 3016968 BCL ABL 190 MINOR QUANTITATIVE,630.0,378.0,35.0,7411.0,55
CPT,81207,HC REF ARUP COMP 3005839 CPT 81207,134.17,80.5,35.0,7411.0,55
CPT,81207,HC REF BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE,1156.0,693.6,35.0,7411.0,55
CPT,81207,HC REF NEOGENOMICS CMP BCR-ABL1 TRANSLOCATION 9;22 MINOR,612.5,367.5,35.0,7411.0,55
CPT,81207,HC REF QUEST 91065 COMP CPT 81206,441.8,265.08,35.0,7411.0,55
CPT,81208,HC BCR/ABL 1 GENE OTHER BP,643.44,386.06,35.0,7411.0,55
CPT,81208,HC REF ARUP COMP 3005839 CPT 81208,134.17,80.5,35.0,7411.0,55
CPT,81210,HC BRAF GENE - COLO CANCER MUT PANEL PCR,812.04,487.22,35.0,7411.0,55
CPT,81210,HC BRAF GENE ANALYSIS V600 VARIANT(S),812.04,487.22,10.0,7411.0,55
CPT,81210,"HC REF PATHGROUP, PANTRKIHC CPT 81210",438.5,263.1,35.0,7411.0,55
CPT,81218,HC CEBPA GENE FULL SEQUENCE,822.02,493.21,35.0,7411.0,55
CPT,81219,HC CALR GENE ANALYSIS COMMON VARIANTS EXON 9,553.35,332.01,35.0,7411.0,55
CPT,81219,HC CALR GENE COM VARIANTS,553.35,332.01,35.0,7411.0,55
CPT,81219,"HC MAYO CALR GENE MUTATION, EXON 9",1589.49,953.69,35.0,7411.0,55
CPT,81219,HC REF ARUP 2010673 CALR (CALRETICULIN) EXON 9 MUTATION ANALYSIS BY PCR,500.0,300.0,35.0,7411.0,55
CPT,81220,HC CFTR - COMMON VARIANTS,2034.63,1220.78,10.0,7411.0,55
CPT,81220,HC REF ARUP 2013661 CYSTIC FIBROSIS (CFTR) EXPANDED VARIANT PANEL,537.5,322.5,35.0,7411.0,55
CPT,81220,"HC REF PATHGROUP, IDH1SA CPT 81220",483.13,289.88,35.0,7411.0,55
CPT,81222,HC CFTR GENE ANALYSIS DUPLICATION/DELETION VARIANTS,2189.25,1313.55,35.0,7411.0,55
CPT,81222,"HC REF ARUP, COMP 3004745, CPT 81222",2175.0,1305.0,35.0,7411.0,55
CPT,81222,HC REF CYSTIC FIBROSIS SEQ & DEL/DUP CRTF (REFLEX),1337.5,802.5,35.0,7411.0,55
CPT,81223,HC CFTR - FULL GENE SEQUENCE,3742.14,2245.28,35.0,7411.0,55
CPT,81223,"HC REF AMBRY, COMP 8022, CPT 81223",2491.67,1495.0,35.0,7411.0,55
CPT,81223,HC REF ARUP COMP 3004788 CPT 81223,1583.33,950.0,35.0,7411.0,55
CPT,81223,"HC REF ARUP, COMP 3004745, CPT 81223",2175.0,1305.0,35.0,7411.0,55
CPT,81223,HC REF CYSTIC FIBROSIS SEQ FULL CRTF (REFLEX),3000.0,1800.0,35.0,7411.0,55
CPT,81223,HC REF MAYO COMP PHCGD CPT 81223,2554.0,1532.4,35.0,7411.0,55
CPT,81224,HC CFTR - INTRON 8 POLY-T ANALYSIS,708.1,424.86,35.0,7411.0,55
CPT,81225,HC CYP2C19 - COMMON VARIANTS,68.04,40.82,24.49,7411.0,55
CPT,81225,HC REF ARUP 3001508 CYP2C19,325.0,195.0,35.0,7411.0,55
CPT,81225,"HC REF ARUP COMP 3001524, CPT 81225",223.7,134.22,35.0,7411.0,55
CPT,81225,HC REF ARUP COMP 3004471 PHARMACOGENETICS PANEL CPT 81225,125.0,75.0,35.0,7411.0,55
CPT,81225,"HC REF MAYO 2C19R CYP2C19 GENOTYPE, V",1754.75,1052.85,35.0,7411.0,55
CPT,81225,HC REF QUEST 16924 ACCUTYPE CP CLOPIDOGREL CYP2C19 GENOTYPE,1534.58,920.75,35.0,7411.0,55
CPT,81226,HC CYP2D6 - COMMON VARIANTS,1139.79,683.87,35.0,7411.0,55
CPT,81226,HC CYP2D6 GENE COM VARIANTS,1139.79,683.87,35.0,7411.0,55
CPT,81226,"HC REF ARUP COMP 3001524, CPT 81226",223.7,134.22,35.0,7411.0,55
CPT,81226,HC REF ARUP COMP 3004471 PHARMACOGENETICS PANEL CPT 81226,125.0,75.0,35.0,7411.0,55
CPT,81227,HC CYP2C9 - COMMON VARIANTS,61.55,36.93,22.16,7411.0,55
CPT,81227,HC CYP2C9 GENE COM VARIANTS,61.55,36.93,22.16,7411.0,55
CPT,81227,"HC REF ARUP COMP 3001524, CPT 81227",223.7,134.22,35.0,7411.0,55
CPT,81227,HC REF ARUP COMP 3004471 PHARMACOGENETICS PANEL CPT 81227,125.0,75.0,35.0,7411.0,55
CPT,81227,"HC REF ARUP, COMP 3001541, CPT 81227",210.0,126.0,35.0,7411.0,55
CPT,81229,"HC CHROMOSOMAL MICROARRAY CONGENTIAL, BLOOD",3691.39,2214.83,35.0,7411.0,55
CPT,81229,"HC CHROMOSOMAL MICROARRAY CONGENTIAL, PROD OF CONCEPT",3691.39,2214.83,35.0,7411.0,55
CPT,81229,HC CYTOGENOM CONST CHROM ABNORM COPY NUMBER VARIANTS & SNP VAR (CGH MICROARRAY),3691.39,2214.83,10.0,7411.0,110
CPT,81229,HC REF ARUP 2003414 CYTOGENOMIC SNP MICROARRAY,2652.5,1591.5,35.0,7411.0,55
CPT,81229,"HC REF ARUP 2005633 SNP MICROARRAY, PROD OF CONCEP",3618.75,2171.25,35.0,7411.0,55
CPT,81230,HC PGX CYP3A4 COMMON VARIANTS,63.0,37.8,10.71,7411.0,110
CPT,81230,"HC REF ARUP COMP 3001524, CPT 81230",223.7,134.22,35.0,7411.0,55
CPT,81230,HC REF ARUP COMP 3004471 PHARMACOGENETICS PANEL CPT 81230,125.0,75.0,21.25,7411.0,55
CPT,81231,HC PGX CYP3A5 COMMON VARIANTS,63.0,37.8,10.71,7411.0,110
CPT,81231,"HC REF ARUP COMP 3001524, CPT 81231",223.7,134.22,35.0,7411.0,55
CPT,81231,HC REF ARUP COMP 3004471 PHARMACOGENETICS PANEL CPT 81231,125.0,75.0,21.25,7411.0,55
CPT,81231,"HC REF LABCORP COMP 620011, CPT 81231",120.0,72.0,20.4,7411.0,55
CPT,81232,HC DPYD (5-FLUOROURACIL) COMMON VARIANTS GENE ANALYSIS,1289.93,773.96,35.0,7411.0,55
CPT,81232,HC REF ARUP 2012166 DPYD 3 VARIANTS,687.5,412.5,35.0,7411.0,55
CPT,81232,"HC REF MAYO DPYDQ DPYD GENOTYPE, V",1418.65,851.19,35.0,7411.0,55
CPT,81234,"HC REF ATHENA, COMP 5506, CPT 81234",12479.92,7487.95,35.0,9359.94,55
CPT,81234,"HC REF MAYO, FDM1, DMPK DNA TEST (DM1)",1937.5,1162.5,35.0,7411.0,55
CPT,81235,HC EGFR GENE ANALYSIS COMMON VARIANTS,1842.72,1105.63,10.0,7411.0,55
CPT,81235,"HC REF MAYO, EGFRT - GENE MUTATION ANALYSIS, TUMOR",5072.55,3043.53,35.0,7411.0,55
CPT,81235,"HC REF PATHGROUP, EGFRSA CPT 81235",811.45,486.87,35.0,7411.0,55
CPT,81240,HC FACTOR II 20210G>A,533.4,320.04,10.0,7411.0,55
CPT,81240,HC REF ARUP 0056060 PROTHROMBIN (F2) G20210A VARIANT,120.0,72.0,35.0,7411.0,55
CPT,81240,"HC REF MAYO COMP TCGR, CPT 81240",653.4,392.04,35.0,7411.0,55
CPT,81240,"HC REF MAYO, COMP AATHR, CPT 81240",732.98,439.79,35.0,7411.0,55
CPT,81241,HC FACTOR V LEIDEN,664.99,398.99,10.0,7411.0,55
CPT,81242,HC FANCC GENE ANALYSIS COMMON VARIANT,502.71,301.63,30.76,7411.0,55
CPT,81242,"HC REF MAYO COMP TCGR, CPT 81242",630.18,378.11,30.76,7411.0,55
CPT,81243,HC FMR1 ANALYSIS EVAL TO DETECT ABNORMAL ALLELES,953.76,572.26,10.0,7411.0,55
CPT,81244,HC REF FRAGILE X FLLW UP ANLYSIS,652.75,391.65,35.0,7411.0,55
CPT,81245,HC FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS,808.3,484.98,10.0,7411.0,55
CPT,81245,HC FLT3 MUTATION DETECTION BY PCR,808.3,484.98,35.0,7411.0,110
CPT,81245,HC FLT3 MUTATION TESTING (81245),808.3,484.98,10.0,7411.0,55
CPT,81245,HC REF ARUP COMP 3001161 CPT 81245,306.25,183.75,35.0,7411.0,55
CPT,81246,HC FLT3 MUTATION TESTING (81246),277.51,166.51,10.0,7411.0,55
CPT,81246,HC REF ARUP COMP 3001161 CPT 81246,306.25,183.75,35.0,7411.0,55
CPT,81247,HC REF ARUP 0051684 G6PD 2 MUTATIONS,405.0,243.0,35.0,7411.0,55
CPT,81249,HC REF ARUP 3004457 G6PD BY NGS,2250.0,1350.0,35.0,7411.0,55
CPT,81249,"HC REF ARUP COMP 2012052, CPT 81249",1060.16,636.1,35.0,7411.0,55
CPT,81249,HC REF MAYO COMP PHCGD CPT 81249,3070.95,1842.57,35.0,7411.0,55
CPT,81249,"HC REF MAYO, G6PDZ, G6PD FULL GENE SEQUENCING, V",3290.5,1974.3,35.0,7411.0,55
CPT,81252,HC GJB2 GENE ANALYSIS FULL GENE SEQUENCE,1047.0,628.2,10.0,7411.0,55
CPT,81256,HC HFE HEMOCHROMATOSIS GENE ANALYSIS COMMON VARIANTS,650.0,390.0,10.0,7411.0,55
CPT,81256,HC REF ARUP 3019007 HEMOCHROMATOSIS (HFE) 3 VARIANTS,222.5,133.5,35.0,7411.0,55
CPT,81256,HC REF ARUP 3019007 HEMOCHROMATOSIS (HFE) VARIANTS,222.5,133.5,35.0,7411.0,55
CPT,81256,"HC REF ARUP, 0055656 HEMOCHROMATOSIS HFE 3 MUTATIONS",222.5,133.5,35.0,7411.0,55
CPT,81256,"HC REF MAYO, HFET HEREDITARY HEMOCHROMATOSIS HFE TEST",476.93,286.16,35.0,7411.0,55
CPT,81257,HC HBA1 / HBA2 ANALYSIS FOR COMMON DELETIONS / VARIANT,1105.83,663.5,10.0,7411.0,55
CPT,81259,"HC REF MAYO, WASQR -  ALPHA GLOBIN GENE SEQUENCING, BLOOD",1835.75,1101.45,35.0,7411.0,55
CPT,81259,"HC REP MAYO WASEQ ALPHA GLOBIN GENE SEQUENCING, B",1835.75,1101.45,35.0,7411.0,55
CPT,81260,"HC REF ARUP 3005882 DYSAUTONOMIA, FAMIAL (ELP1) 2 VARIANTS",793.75,476.25,33.02,7411.0,55
CPT,81261,HC IGH - AMPLIFIED METHODOLOGY,915.58,549.35,10.0,7411.0,55
CPT,81261,HC REF ARUP COMP 2006193 CPT 81261,500.0,300.0,35.0,7411.0,55
CPT,81261,"HC REF MAYO COMP BCGRV IMMUNOGLOBULIN GENE REARRANGE, V CPT 81261",685.53,411.32,35.0,7411.0,55
CPT,81263,"HC IGH VARIABLE REGION, SOMATIC MUTATION ANALYSIS",1325.41,795.25,35.0,7411.0,55
CPT,81263,HC REF ARUP 0040227 IGHV MUTATION ANALYSIS BY SEQUENCING,1125.0,675.0,35.0,7411.0,55
CPT,81263,HC REF NEOGENOMICS IGVH MUTATION ANALYSIS,1277.5,766.5,35.0,7411.0,55
CPT,81264,HC IGK - EVAL DETEC ABNML CLONAL POPULATION,1081.47,648.88,10.0,7411.0,55
CPT,81264,HC REF ARUP COMP 2006193 CPT 81264,500.0,300.0,35.0,7411.0,55
CPT,81264,"HC REF MAYO COMP BCGRV IMMUNOGLOBULIN GENE REARRANGE, V CPT 81264",598.05,358.83,35.0,7411.0,55
CPT,81265,HC PRE TX BM ENGRAF DONOR,1640.68,984.41,35.0,7411.0,55
CPT,81265,HC PRE TX BM ENGRAF RECIPIENT,1640.68,984.41,35.0,7411.0,55
CPT,81265,HC STR MARKERS SPEC ANAL CASO,1640.68,984.41,35.0,7411.0,55
CPT,81266,HC STR MRKERS SPEC ANAL ADDL CASO,798.61,479.17,35.0,7411.0,55
CPT,81266,HC STR MRKERS SPEC ANAL ADDL POEF,798.61,479.17,35.0,7411.0,55
CPT,81266,HC STR MRKERS SPEC ANAL ADDL POEN,798.61,479.17,35.0,7411.0,55
CPT,81267,HC CELL FREE DNA QUANT CFDNA,1669.4,1001.64,35.0,7411.0,55
CPT,81267,HC CHIMER ANAL NO CELL SELEC CASO,1669.4,1001.64,35.0,7411.0,55
CPT,81267,HC CHIMER ANAL NO CELL SELEC POEF,1669.4,1001.64,35.0,7411.0,55
CPT,81267,HC CHIMER ANAL NO CELL SELEC POEN,1669.4,1001.64,35.0,7411.0,55
CPT,81267,"HC CHIMERISM ANALYS NO CELL SELECT - NONFRACTIONATED POST XPLANT,PCR",1669.4,1001.64,35.0,7411.0,55
CPT,81267,HC CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION,1669.4,1001.64,35.0,7411.0,55
CPT,81267,HC DNA QUANT RELAPSE,1669.4,1001.64,35.0,7411.0,55
CPT,81268,HC CHIMER ANAL W/CELL SELEC CASO,1767.34,1060.4,35.0,7411.0,55
CPT,81268,HC CHIMER ANAL W/CELL SELEC POEF,1767.34,1060.4,35.0,7411.0,55
CPT,81268,"HC CHIMERISM ANALYS W/CELL SELECT - LINEAGE SPEC FRACTIONATED POST XPLANT, PCR",1767.34,1060.4,35.0,7411.0,55
CPT,81268,HC CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA,1767.34,1060.4,35.0,7411.0,55
CPT,81268,HC DNA QUANT RELAPSE CD14,1767.34,1060.4,35.0,7411.0,55
CPT,81268,HC DNA QUANT RELAPSE CD15,1767.34,1060.4,35.0,7411.0,55
CPT,81268,HC DNA QUANT RELAPSE CD16,1767.34,1060.4,35.0,7411.0,55
CPT,81268,HC DNA QUANT RELAPSE CD19,1767.34,1060.4,35.0,7411.0,55
CPT,81268,HC DNA QUANT RELAPSE CD3,1767.34,1060.4,35.0,7411.0,55
CPT,81268,HC DNA QUANT RELAPSE CD33,1767.34,1060.4,35.0,7411.0,55
CPT,81268,HC DNA QUANT RELAPSE CD34,1767.34,1060.4,35.0,7411.0,55
CPT,81268,HC DNA QUANT RELAPSE CD4,1767.34,1060.4,35.0,7411.0,55
CPT,81268,HC DNA QUANT RELAPSE CD56,1767.34,1060.4,35.0,7411.0,55
CPT,81268,HC DNA QUANT RELAPSE CD8,1767.34,1060.4,35.0,7411.0,55
CPT,81269,HC HBA1/HBA2 GENE DUP/DEL VRNTS,1900.36,1140.22,35.0,7411.0,55
CPT,81269,HC REF ARUP 2011622 ALPHA GLOBIN (HBA1 AND HBA2) DEL/DUP,875.0,525.0,35.0,7411.0,55
CPT,81269,"HC REF MAYO, AGDD ALPHA-GLOBIN GENE DEL/DUP",800.0,480.0,35.0,7411.0,55
CPT,81270,HC JAK2,665.38,399.23,10.0,7411.0,55
CPT,81270,"HC REF ARUP 3003751, JAK2 MUTATION BY DDPCR, QUANT",350.0,210.0,35.0,7411.0,55
CPT,81270,HC REF ARUP 3016839 JAK2 V617F QUAL W/RFLX TO CALR AND MPL,312.5,187.5,35.0,7411.0,55
CPT,81270,"HC REF ARUP, 3003800 JAK2 MUTATION BY DDPCR",437.5,262.5,35.0,7411.0,55
CPT,81270,"HC REF MAYO, MPNR MPN (JAK2 V617F, CALR, MPL) REFLEX",802.23,481.34,35.0,7411.0,55
CPT,81270,HC REF SEQ JAK2,543.29,325.97,35.0,7411.0,55
CPT,81271,HC REF BAYLOR GENETICS 6034 HUNTINGTONS DISEASE MUTATION,1000.0,600.0,35.0,7411.0,55
CPT,81272,HC KIT GENE TARGETED SEQ ANALYS,745.75,447.45,35.0,7411.0,55
CPT,81272,"HC REF MAYO, COMPONENT OF GIST PANEL, GENE TARGETED SEQ ANALYS",2279.95,1367.97,35.0,7411.0,55
CPT,81272,HC REF NEOGENOMICS C-KIT MUTATION ANALYSIS EACH STAIN,935.0,561.0,35.0,7411.0,55
CPT,81272,"HC REF PATHGROUP, IDH2 CPT 81272",823.78,494.27,35.0,7411.0,55
CPT,81273,HC KIT GENE ANALYS D816 VARIANT,997.27,598.36,35.0,7411.0,110
CPT,81273,HC REF ARUP 3002956 KIT D816V MUTATION BY DDPCR QUANT,700.0,420.0,35.0,7411.0,55
CPT,81273,HC REF GENE ANALYSIS KIT D816,677.55,406.53,35.0,7411.0,55
CPT,81275,HC KRAS - VARIANTS IN CODONS,653.69,392.21,10.0,7411.0,110
CPT,81275,HC KRAS GENE ANALYSIS VARIANTS IN EXON 2,653.69,392.21,10.0,7411.0,55
CPT,81275,HC KRAS GENE VARIANTS EXON 2 - COLO CANCER MUT PANEL PCR,653.69,392.21,35.0,7411.0,55
CPT,81275,HC KRAS MUTATION ANALYSIS (REF),2753.5,1652.1,35.0,7411.0,55
CPT,81275,"HC REF ARUP, COMP UPMC PANCREATIC SEQ, CPT 81275",382.93,229.76,35.0,7411.0,55
CPT,81275,"HC REF PATHGROUP, KRASSA CPT 81275",483.13,289.88,35.0,7411.0,55
CPT,81276,HC KRAS GENE ADDL VARIANTS,535.8,321.48,35.0,7411.0,110
CPT,81276,HC KRAS GENE ADDL VARIANTS - COLO CANCER MUT PANEL PCR,535.8,321.48,35.0,7411.0,55
CPT,81276,"HC REF ARUP, COMP UPMC PANCREATIC SEQ, CPT 81276",382.93,229.76,35.0,7411.0,55
CPT,81276,"HC REF PATHGROUP, KRASSA CPT 81276",483.13,289.88,35.0,7411.0,55
CPT,81277,HC REF ARUP 2006325 CYTOGENOMIC SNP MICROARRAY - ONCO,3837.5,2302.5,35.0,7411.0,55
CPT,81277,HC REF CHROMOSOMAL MICROARRAY HERMATOLOGIC,6625.0,3975.0,35.0,7411.0,55
CPT,81277,"HC REF MAYO CMAPT CHROMOSOMAL MICROARRAY, TUMOR, FFPE",5722.5,3433.5,35.0,7411.0,55
CPT,81279,HC JAK2 TARGETED SEQUENCE ANALYSIS,776.24,465.74,35.0,7411.0,55
CPT,81279,HC JAK2 TARGETED SEQUENCE ANALYSIS - MPN MINI PROFILE,776.24,465.74,35.0,7411.0,55
CPT,81279,"HC REF QUEST, 1003096 - JAK2 EXON 12 MUTATION ANALYSIS",228.14,136.88,35.0,7411.0,55
CPT,81283,HC IFNL3 GENE ANALYSIS,150.88,90.53,25.65,7411.0,55
CPT,81283,"HC REF ARUP, IL28B-ASSOCIATED VARIANTS",150.88,90.53,25.65,7411.0,55
CPT,81287,HC MGMT METHYLATION ANALYSIS,796.37,477.82,35.0,7411.0,55
CPT,81287,"HC REF PATHGROUP, MGMT CPT 81287",311.6,186.96,35.0,7411.0,55
CPT,81288,HC MLH1 GENE,2560.9,1536.54,35.0,7411.0,55
CPT,81288,HC MLH1 GENE - MGLUR1 ANTIBODY CBA,2560.9,1536.54,35.0,7411.0,55
CPT,81288,"HC MLH1 GENE - MLH1 HYPERMETHYLATION ANALYSIS, TUMOR",2560.9,1536.54,35.0,7411.0,55
CPT,81288,HC MLH1 GENE ANALYSIS PROMOTER METHYLATION ANALYSIS,2560.9,1536.54,35.0,7411.0,55
CPT,81288,"HC REF MAYO, COMP ML1HM, CPT 81288",584.38,350.63,35.0,7411.0,55
CPT,81288,"HC REF PATHGROUP, MLH1PCR CPT 81288",480.8,288.48,35.0,7411.0,55
CPT,81291,HC MTHFR GENE ANALYSIS COMMON VARIANTS,478.13,286.88,10.0,7411.0,55
CPT,81291,HC REF ARUP COMP 3004471 PHARMACOGENETICS PANEL CPT 81291,125.0,75.0,35.0,7411.0,55
CPT,81292,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81292,483.33,290.0,35.0,7411.0,55
CPT,81295,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81295,273.13,163.88,35.0,7411.0,55
CPT,81298,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81298,459.3,275.58,35.0,7411.0,55
CPT,81301,HC MICROSATELLITE INSTABILITY,931.6,558.96,35.0,7411.0,55
CPT,81301,HC MICROSATELLITE INSTABILITY ANALYSIS,1006.13,603.68,10.0,7411.0,55
CPT,81301,HC REF COLONSEQ PANEL GENES,515.55,309.33,35.0,7411.0,55
CPT,81301,"HC REF PATHGROUP, MSI, MICROSATELLITE INSTABILITY (PCR), CPT 81301",871.4,522.84,35.0,7411.0,55
CPT,81305,HC MYD88 GENE P.LEU265PRO VRNT - CHRONIC LYMPHO LEUK PANEL PCR,963.25,577.95,35.0,7411.0,55
CPT,81305,"HC REF ARUP 2009318 MYD88 L265P MUTATION DETECTION BY PCR, QUANTITATIVE",729.7,437.82,35.0,7411.0,55
CPT,81305,"HC REF MAYO, LPLFX LYMPHOPLASMATIC LYMPHOMA",1750.0,1050.0,35.0,7411.0,55
CPT,81305,"HC REF MAYO, MYD88 - L265P GENE MUTATION ANALYSIS",1750.0,1050.0,35.0,7411.0,55
CPT,81305,HC REF MYD88 L265P MUTATION,800.0,480.0,35.0,7411.0,55
CPT,81306,HC NUDT15 GENE ANALYSIS COMMON VARIANTS,377.6,226.56,35.0,7411.0,55
CPT,81306,HC REF ARUP 3017373 NUDT15 GENOTYPING,462.5,277.5,35.0,7411.0,55
CPT,81306,"HC REF ARUP COMP 3001535, CPT 81306",437.5,262.5,35.0,7411.0,55
CPT,81307,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81307,484.1,290.46,35.0,7411.0,55
CPT,81309,HC PIK3CA GENE ANALYSIS TARGETED SEQUENCE ANALYSIS,1054.74,632.84,35.0,7411.0,55
CPT,81310,HC NPM1 NUCLEOPHOSMIN GENE ANALYSIS  EXON 12 VARIANTS,867.68,520.61,10.0,7411.0,55
CPT,81310,HC REF ARUP 3000066 NPM1 MUTATION DETECTION BY RT QPCR,673.45,404.07,35.0,7411.0,55
CPT,81310,"HC REF MAYO NPM1Q NPM1 MUTATION ANALYSIS, V",962.68,577.61,10.0,7411.0,55
CPT,81311,HC NRAS,983.76,590.26,35.0,7411.0,55
CPT,81311,HC NRAS GENE ANALYSIS VARIANTS IN EXON 2&3,983.76,590.26,35.0,7411.0,55
CPT,81311,"HC REF PATHGROUP, NRASSA CPT 81311",739.48,443.69,35.0,7411.0,55
CPT,81314,"HC REF MAYO, COMPONENT OF GIST PANEL, PDGFRA GENE",2171.38,1302.83,35.0,7411.0,55
CPT,81314,HC REF PLT DERVD GRWTH PDGFRA,1000.83,600.5,35.0,7411.0,55
CPT,81315,HC PML/RARALPHA - COMMON BREAKPOINTS,1121.73,673.04,10.0,7411.0,55
CPT,81315,HC REF ARUP 2002871 PML/RARA,817.5,490.5,35.0,7411.0,55
CPT,81315,"HC REF MAYO, PMLR PML/RARA QUANT, PCR",1054.55,632.73,35.0,7411.0,55
CPT,81317,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81317,484.1,290.46,35.0,7411.0,55
CPT,81319,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81319,145.63,87.38,35.0,7411.0,55
CPT,81321,HC PTEN - GENE ANALYSIS - FULL SEQUENCE ANALYSIS,1544.4,926.64,35.0,7411.0,55
CPT,81321,HC REF ARUP COMP 2007384 VASCULAR MALFORMATION PANEL CPT 81321,1121.25,672.75,35.0,7411.0,55
CPT,81321,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81321,429.35,257.61,35.0,7411.0,55
CPT,81323,HC PTEN GENE DUP/DELET VARIANT,1376.44,825.86,35.0,7411.0,55
CPT,81323,HC REF ARUP COMP 2007384 VASCULAR MALFORMATION PANEL CPT 81323,1121.25,672.75,35.0,7411.0,55
CPT,81324,HC PMP22 GENE ANALYSIS DUPLICATION / DELETION ANALYSIS,1516.72,910.03,10.0,7411.0,55
CPT,81324,"HC REF MAYO PMPDD PMP22 GENE, LARGE DEL/DUP ANALYSIS",1716.25,1029.75,35.0,7411.0,55
CPT,81327,HC SEPT9 METHYLATION ANALYSIS,627.64,376.58,35.0,7411.0,55
CPT,81328,HC PGX SLCO1B1 COM VARIANTS,63.0,37.8,10.71,7411.0,55
CPT,81329,HC REF SMA CARRIER,793.75,476.25,35.0,7411.0,55
CPT,81331,HC ANGELMAN SYNDROME (METH),764.83,458.9,10.0,7411.0,55
CPT,81332,HC SERPINA 1 GENE ANALYSIS,558.63,335.18,35.0,7411.0,55
CPT,81335,HC REF THIOPURNE S MTHYLTRANS GEN,1062.5,637.5,35.0,7411.0,55
CPT,81335,HC REF TPMT GENE ANALYSIS COMMON VARIANTS,790.0,474.0,35.0,7411.0,55
CPT,81336,HC REF MAYO SMN1Z FULL GENE ANALYSIS,2000.0,1200.0,35.0,7411.0,55
CPT,81338,HC MPL GENE ANALYSIS COMMON VARIANTS,814.31,488.59,35.0,7411.0,55
CPT,81338,HC MPL GENE ANALYSIS COMMON VARIANTS - MPN MINI PROFILE,814.31,488.59,35.0,7411.0,55
CPT,81338,"HC REF ARUP, 0092316, DRUGS OF ABUSE CONFIRM/QUAL – CANNABINOIDS, MECONIUM",196.88,118.13,10.0,7411.0,55
CPT,81338,"HC REF ARUP, 2005545 MPL MUT DET BY CAP ELECTROPHORESIS",1036.88,622.13,35.0,7411.0,55
CPT,81338,"HC REF ARUP, 2005545, MPL MUTATION DETECTION",842.5,505.5,35.0,7411.0,55
CPT,81339,"HC REF MAYO, MPLR - MPL EXON 10 MUTATION DETECTION, REFLEX, VARIES",1225.25,735.15,10.0,7411.0,55
CPT,81340,"HC REF ARUP < QUEST COMP 91445, CPT 81340",712.5,427.5,35.0,7411.0,55
CPT,81340,HC REF MAYO COMP TCGBM CPT 81340,653.4,392.04,35.0,7411.0,55
CPT,81340,"HC REF MEDFUSION, 100273 T CELL RECEPTOR BETA CHAIN GENE REARRANG",1356.75,814.05,35.0,7411.0,55
CPT,81340,HC TRB - AMPLIFACTION METHODOLOGY,1122.64,673.58,10.0,7411.0,55
CPT,81342,"HC REF ARUP < QUEST COMP 91445, CPT 81342",712.5,427.5,35.0,7411.0,55
CPT,81342,"HC REF ARUP, 0055567 T-CELL CLONALITY SCREENING PCR",1010.63,606.38,35.0,7411.0,55
CPT,81342,HC REF MAYO COMP TCGBM CPT 81342,630.18,378.11,35.0,7411.0,55
CPT,81342,HC TRG - EVAL DETECT ABNOMAL CLONAL POPULATION,957.99,574.79,10.0,7411.0,55
CPT,81345,"HC REF MAYO, TERTD PROMOTER MUTATIONS, TUMOR",2750.0,1650.0,35.0,7411.0,55
CPT,81347,HC SF3B1 GENE COMMON VARIANTS - CHRONIC LYMPHO LEUK PANEL PCR,193.25,115.95,32.85,7411.0,55
CPT,81350,HC REF ARUP 0051332 UDP GLUCURONOSYLTRANSFERASE 1A1 (UGT1A1) GENOTYPING,580.33,348.2,35.0,7411.0,55
CPT,81350,"HC REF MAYO, U1A1Q, UGT1A1 TA REPEAT GENOTYPE",2461.0,1476.6,35.0,7411.0,55
CPT,81350,HC UGT1A1 GENE ANALYSIS COMMON VARIANTS,882.0,529.2,10.0,7411.0,55
CPT,81351,"HC REF ARUP, 2009314 - LIS-FRAUMENI (TP53) SEQ, DELDUP SPCM",1100.0,660.0,35.0,7411.0,55
CPT,81351,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81351,459.3,275.58,35.0,7411.0,55
CPT,81352,"HC REF ARUP, 2013484 TP53 SOMATIC MUTATION, PROGNOSTIC",3047.5,1828.5,35.0,7411.0,55
CPT,81352,"HC REF ARUP, QUEST 16515X, TP53 SOMATIC MUTATION, PROGNOSTIC",3047.5,1828.5,35.0,7411.0,55
CPT,81352,"HC REF MAYO, NGAMT TP53 GENE TARGETED SEQ ANALYSIS",1312.4,787.44,35.0,7411.0,55
CPT,81355,"HC REF ARUP COMP 3001535, CPT 81355",437.5,262.5,35.0,7411.0,55
CPT,81355,"HC REF ARUP, COMP 3001541, CPT 81355",210.0,126.0,35.0,7411.0,55
CPT,81355,HC VKORC1 GENE,66.47,39.88,23.93,7411.0,55
CPT,81355,HC VKORC1 GENE ANALYSIS COMMON VARIANTS,66.47,39.88,10.0,7411.0,55
CPT,81364,HC HBB FUL GENE SEQUENCING,1079.78,647.87,10.0,7411.0,55
CPT,81364,HC HBB FULL GENE SEQUENCE,1079.78,647.87,35.0,7411.0,55
CPT,81364,HC REF ARUP 3004547 BETA GLOBIN BY NGS,2250.0,1350.0,35.0,7411.0,55
CPT,81364,"HC REF LABCORP, 252823 BETA THALASSEMIA",1745.63,1047.38,35.0,7411.0,55
CPT,81370,"HC HLA CLASS I & II TYPING, LOW RESOLUTION",2579.66,1547.8,10.0,7411.0,55
CPT,81372,HC HLA CLASS 1 DNA DONOR LOW RES,1255.28,753.17,35.0,7411.0,55
CPT,81372,HC HLA CLASS I TYPING LOW RESOLUTION COMPLETE,1255.28,753.17,10.0,7411.0,55
CPT,81373,HC IDH2 COMMON VARIANTS,597.63,358.58,35.0,7411.0,55
CPT,81374,HC HLA I LOW RESOLUTION ONE ANTIGEN EQUIVALENT EACH,351.15,210.69,10.0,7411.0,55
CPT,81375,"HC HLA CLASS II TYPING, LOW RESOLUTION",805.09,483.05,10.0,7411.0,55
CPT,81376,HC HLA CLASS II TYPING LOW RESOLUTION ONE LOCUS EA,372.57,223.54,10.0,7411.0,55
CPT,81376,"HC HLA CLASS II TYPING,LOW - ONE LOCUS,EACH",372.57,223.54,10.0,7411.0,110
CPT,81376,"HC REF MAYO, COMP CDCOM, CPT 81376",311.66,187.0,10.0,7411.0,55
CPT,81377,HC CYP3A5 GENE ANALYSIS COMMON VARIANTS,377.13,226.28,35.0,7411.0,55
CPT,81377,HC HLA CLASS II TYPING LOW RESOLUTION ONE ANTIGEN EQUIVALENT EA,377.13,226.28,35.0,7411.0,55
CPT,81378,HC HLA HR CLASS I AND II-DRB1,2883.76,1730.26,35.0,7411.0,55
CPT,81379,HC DONOR HLA ABC HIGH RES BY SEQ,1013.1,607.86,35.0,7411.0,55
CPT,81379,HC HLA CLASS I TYPING HIGH RESOLUTION COMPLETE,1013.1,607.86,35.0,7411.0,55
CPT,81380,HC HLA A B OR C HIGH RESOLUTION,774.98,464.99,35.0,7411.0,55
CPT,81381,HC HLA CLASS I TYPING HIGH RESOLUTION 1 ALLELE/ALLELE GROUP,656.51,393.91,35.0,7411.0,55
CPT,81381,HC HLA I TYPING 1 ALLELE HR - CELIAC ASSOCIATED HLA DQ TYPE,656.51,393.91,35.0,7411.0,55
CPT,81381,HC REF ARUP 3001393 HLA B5801 GENOTYPING ALLOPURINOL HYPER,600.0,360.0,35.0,7411.0,55
CPT,81381,"HC REF ARUP 3017549 HLA-B51 GENOTYPING, BEHCET DISEASE",600.0,360.0,35.0,7411.0,55
CPT,81381,"HC REF ARUP, 2012049 HLA B1502 CARBAMAZEPINE SEN",600.0,360.0,35.0,7411.0,55
CPT,81381,"HC REF MAYO HL57R, HLA-B 5701 GENOTYPE, V",1552.25,931.35,35.0,7411.0,55
CPT,81381,"HC REF MAYO HL58R, HLA-B 5801 GENOTYPE, V",1408.48,845.09,35.0,7411.0,55
CPT,81382,HC DPB1 HIGH RES TYPING,623.69,374.21,35.0,7411.0,55
CPT,81382,HC DPB1 HIGH RES TYPING DONOR,623.69,374.21,35.0,7411.0,55
CPT,81382,HC DQB1 HIGH RES TYPING,623.69,374.21,35.0,7411.0,55
CPT,81382,HC DRB3/4/5 HIGH RES TYPING,623.69,374.21,35.0,7411.0,55
CPT,81382,HC DRB3/4/5 HIGH RES TYPING DONOR,623.69,374.21,35.0,7411.0,55
CPT,81382,HC HLA DNA CLASS II HIGH RES,623.69,374.21,10.0,7411.0,330
CPT,81382,HC HLA DPA1 HIGH RES TYPING,623.69,374.21,35.0,7411.0,55
CPT,81382,HC HLA DQA1 HIGH RES TYPING,623.69,374.21,35.0,7411.0,55
CPT,81382,HC HLA DRB1 HIGH RESOLUTION BY SE,623.69,374.21,35.0,7411.0,55
CPT,81383,"HC HLA CLASS II TYPING, HIGH RESOLUTION 1 ALLELE/ALLELE GROUP",403.92,242.35,10.0,7411.0,55
CPT,81400,HC MOLECULAR PATH PROCEDURE - LEVEL 1,619.92,371.95,10.0,7411.0,220
CPT,81400,HC PLASMINOGEN ACTIVATOR INHIB 1,619.92,371.95,35.0,7411.0,55
CPT,81400,HC REF ARUP 2003220 FACTOR XIII (F13A1) V34L VARIANT,423.0,253.8,35.0,7411.0,55
CPT,81400,HC REF ARUP 2003220 FACTOR XIII (FI3AI) V34L VARIANT,423.0,253.8,35.0,7411.0,55
CPT,81400,"HC REF ARUP, 2004980 PAI-1 GENOTYPING",383.75,230.25,35.0,7411.0,55
CPT,81401,HC APOLIPOPROTEIN E GENOTYPING,771.48,462.89,35.0,7411.0,55
CPT,81401,HC C-KIT MUTATION D816V BY PCR,771.48,462.89,35.0,7411.0,110
CPT,81401,HC CNBP DNA DM2,771.48,462.89,35.0,7411.0,55
CPT,81401,HC MOLECULAR PATH PROCEDURE - LEVEL 2,771.48,462.89,10.0,7411.0,275
CPT,81401,HC PROMETHEUS TPMT GENETICS PANEL,771.48,462.89,35.0,7411.0,55
CPT,81401,"HC REF  ARUP, TTR NGS 3004531",2250.0,1350.0,35.0,7411.0,55
CPT,81401,HC REF ARUP 0051266 ACHONDROPLASIA (FGFR3) 2 MUTATIONS,689.08,413.45,35.0,7411.0,55
CPT,81401,HC REF ARUP 2013337 APOLIPOPROTEIN E,212.5,127.5,35.0,7411.0,55
CPT,81401,"HC REF ARUP, 0040018 HUNTINGTON DISEASE PCR",375.0,225.0,35.0,7411.0,55
CPT,81401,"HC REF ARUP, 2013341, APOLIPOPROTEIN E GENOTYPE ALZHEIMER RISK",212.5,127.5,35.0,7411.0,55
CPT,81401,"HC REF GREEN WOOD, BWS MLPA",1500.0,900.0,35.0,7411.0,55
CPT,81401,"HC REF MAYO, APOEG APOLIP E GENOTYPE",875.15,525.09,35.0,7411.0,55
CPT,81401,"HC REF MAYO, IN16Q, INV(16); CBFB-MYH11, QUANT, V",2236.5,1341.9,35.0,7411.0,55
CPT,81402,HC MOLECULAR PATH PROCEDURE - LEVEL 3,1097.69,658.61,10.0,7411.0,110
CPT,81402,HC REF MAYO COMP CYPZ CYP21A2 GENE CPT 81402,776.73,466.04,35.0,7411.0,55
CPT,81402,HC REF MEDFUSION 16141 FAMILIAL MEDITERRANEAN FEVER MUTATION ANALYSIS,1997.83,1198.7,35.0,7411.0,55
CPT,81402,HC REF SEQ MPL,465.15,279.09,35.0,7411.0,55
CPT,81403,HC BCR/ABL TYROSINE KINASE,1034.66,620.8,35.0,7411.0,55
CPT,81403,HC CEPBA MUTATION DETECTION,1034.66,620.8,35.0,7411.0,55
CPT,81403,HC K RAS VARIANTS EXONS,1034.66,620.8,35.0,7411.0,55
CPT,81403,HC MOL PATH L4/SNGL EXONS,1034.66,620.8,35.0,7411.0,55
CPT,81403,HC MOLECULAR PATH PROCEDURE - LEVEL 4,1034.66,620.8,10.0,7411.0,385
CPT,81403,HC MULTIPLE ENDOCRINE NEOPLASIA 2,1034.66,620.8,35.0,7411.0,55
CPT,81403,HC REF ARUP 3005867 FAMILIAL TARGETING SEQUENCING,1250.0,750.0,35.0,7411.0,55
CPT,81403,"HC REF ARUP COMP 2010183, CPT 81403",768.17,460.9,35.0,7411.0,55
CPT,81403,"HC REF ARUP, 2001778, Y CHROMOSOME MICRODELETION",500.0,300.0,35.0,7411.0,55
CPT,81403,"HC REF ARUP, COMP UPMC PANCREATIC SEQ, CPT 81403",382.93,229.76,35.0,7411.0,55
CPT,81403,"HC REF CARTER BLOOD CARE, B1029 RHD MOLEC TESTING",417.5,250.5,10.0,7411.0,55
CPT,81403,"HC REF CARTER BLOOD CARE, B1032 MOLEC TESTING",1057.5,634.5,10.0,7411.0,55
CPT,81403,"HC REF MAYO COMP AFTDP, CPT 81403",268.3,160.98,35.0,7411.0,55
CPT,81403,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81403,132.53,79.52,35.0,7411.0,55
CPT,81403,HC REF MAYO COMP PARDP CPT 81403,159.78,95.87,35.0,7411.0,55
CPT,81403,"HC REF MAYO COMP, SMCP, CPT 81403",895.68,537.41,35.0,7411.0,55
CPT,81403,HC REF MAYO LQTSG COMP CPT 81403,547.88,328.73,35.0,7411.0,55
CPT,81403,HC REF SEQ  DNMT3A,548.8,329.28,35.0,7411.0,55
CPT,81404,HC MOL PATH L5/2 - 5 EXONS,1285.59,771.35,35.0,7411.0,55
CPT,81404,HC MOLECULAR PATH PROCEDURE - LEVEL 5,1285.59,771.35,10.0,7411.0,110
CPT,81404,"HC REF AMBRY, COMP 8022, CPT 81404",2616.25,1569.75,35.0,7411.0,55
CPT,81404,"HC REF AMBRY, PHOX2B, FULL GENE SEQUENCE ANALYSIS",3000.0,1800.0,35.0,7411.0,55
CPT,81404,"HC REF ARUP 2007370 PERIODIC FEVER SYNDROMES PANEL, SEQUENCING AND DELETION/DUPLICATION",5175.0,3105.0,35.0,7411.0,55
CPT,81404,HC REF ARUP 3004386 UGT1A1 NGS,2250.0,1350.0,35.0,7411.0,55
CPT,81404,HC REF ARUP 3004531 FAMILIAL TRANSTHYRETIN AMYLOIDOSIS( TTR) SEQUENCING,2250.0,1350.0,35.0,7411.0,55
CPT,81404,"HC REF ARUP COMP 2010183, CPT 81404",768.17,460.9,35.0,7411.0,55
CPT,81404,"HC REF ARUP COMP 2012052, CPT 81404",1060.16,636.1,35.0,7411.0,55
CPT,81404,HC REF ARUP COMP 3004788 CPT 81404,1583.33,950.0,35.0,7411.0,55
CPT,81404,"HC REF ARUP, FAMILIAL MED FEVER 3004434",2250.0,1350.0,35.0,7411.0,55
CPT,81404,"HC REF ATHENA, COMP 5506, CPT 81404",12479.92,7487.95,35.0,9359.94,55
CPT,81404,HC REF LEVEL 5 MOLECULAR PATH - TPMT,1068.64,641.18,35.0,7411.0,55
CPT,81404,"HC REF MACHAON, COMP AHUS, CPT 81404",365.12,219.07,35.0,7411.0,55
CPT,81404,"HC REF MAYO COMP AFTDP, CPT 81404",398.13,238.88,35.0,7411.0,55
CPT,81404,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81404,196.68,118.01,35.0,7411.0,55
CPT,81404,HC REF MAYO COMP PARDP CPT 81404,237.08,142.25,35.0,7411.0,55
CPT,81404,"HC REF MAYO COMP, AHUGP, CPT 81404",7617.98,4570.79,35.0,7411.0,55
CPT,81404,"HC REF MAYO UGTFZ UGT1A1 FULL GENE SEQUENCING, V",2342.23,1405.34,35.0,7411.0,55
CPT,81404,HC REF MAYO VHLZZ VHL FULL GENE ANALYSIS,4632.25,2779.35,35.0,7411.0,55
CPT,81404,"HC REF MAYO, TTRZ, TTR FULL GENE ANALYSIS",5000.0,3000.0,35.0,7411.0,55
CPT,81404,"HC REF MAYO, UGTFG, UGT1A1 FULL GENE SEQUENCING",2730.0,1638.0,35.0,7411.0,55
CPT,81404,"HC REF MAYO, VHLE VHL GENE ERYTHROCYTO MUT",2493.75,1496.25,35.0,7411.0,55
CPT,81405,HC MOL PATH L6/6 -10 EXONS,1703.93,1022.36,35.0,7411.0,55
CPT,81405,HC MOLECULAR PATH PROCEDURE - LEVEL 6,1703.93,1022.36,10.0,7411.0,220
CPT,81405,HC MULT ENDCRN NEOPL 2 2A 2B FMTC,1703.93,1022.36,35.0,7411.0,55
CPT,81405,"HC REF AMBRY, COMP 8022, CPT 81405",2491.67,1495.0,35.0,7411.0,55
CPT,81405,HC REF ARUP COMP 2007384 VASCULAR MALFORMATION PANEL CPT 81405,1121.25,672.75,35.0,7411.0,55
CPT,81405,"HC REF ARUP COMP 2010183, CPT 81405",768.17,460.9,35.0,7411.0,55
CPT,81405,"HC REF ARUP COMP 2012052, CPT 81405",1060.16,636.1,35.0,7411.0,55
CPT,81405,HC REF ARUP COMP 3001607 CPT 81405,1050.0,630.0,35.0,7411.0,55
CPT,81405,HC REF ARUP COMP 3002100 CPT 81405,1633.33,980.0,35.0,7411.0,55
CPT,81405,HC REF ARUP COMP 3003927 CPT 81405,1800.0,1080.0,35.0,7411.0,55
CPT,81405,HC REF ARUP COMP 3004788 CPT 81405,1583.33,950.0,35.0,7411.0,55
CPT,81405,"HC REF ARUP, COMP 3001585, CPT 81405",1796.88,1078.13,35.0,7411.0,55
CPT,81405,"HC REF ARUP, COMP UPMC PANCREATIC SEQ, CPT 81405",382.93,229.76,35.0,7411.0,55
CPT,81405,HC REF BLOODWORKS 3117-08 RED CELL GENOTYPING FOR ABO,1632.5,979.5,35.0,7411.0,55
CPT,81405,HC REF GREENWOOD TARGETED INFERTILITY ARRAY,2500.0,1500.0,35.0,7411.0,55
CPT,81405,"HC REF LAB, MAYO PCGP, PORPHYRIA COMP 81405",1953.13,1171.88,35.0,7411.0,55
CPT,81405,"HC REF LAB, MAYO PCGP, PORPHYRIA COMP2 81405",0.08,0.05,0.0288,7411.0,55
CPT,81405,"HC REF LABCORP, COMP NGS360, 81405",397.5,238.5,35.0,7411.0,55
CPT,81405,"HC REF MACHAON, COMP AHUS, CPT 81405",365.12,219.07,35.0,7411.0,55
CPT,81405,"HC REF MAYO COMP AFTDP, CPT 81405",436.56,261.94,35.0,7411.0,55
CPT,81405,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81405,215.64,129.38,35.0,7411.0,55
CPT,81405,"HC REF MAYO COMP CVHBG, CPT 81405",415.14,249.08,35.0,7411.0,55
CPT,81405,HC REF MAYO COMP CYPZ CYP21A2 GENE CPT 81405,1557.03,934.22,35.0,7411.0,55
CPT,81405,HC REF MAYO COMP PARDP CPT 81405,259.96,155.98,35.0,7411.0,55
CPT,81405,"HC REF MORL COMP GRP08, CPT 81405",3750.0,2250.0,35.0,7411.0,55
CPT,81405,"HC REF PREVENTION GENETICS PANEL, 12625 CPT 81405",112.5,67.5,35.0,7411.0,55
CPT,81406,HC MOL PATH  L7/11 - 25 EXONS,2010.1,1206.06,35.0,7411.0,55
CPT,81406,HC MOLECULAR PATH PROCEDURE - LEVEL 7,2010.1,1206.06,10.0,7411.0,220
CPT,81406,HC REF ARUP 3004411 WILSON DISEASE (ATP7B) SEQUENCING,2250.0,1350.0,35.0,7411.0,55
CPT,81406,HC REF ARUP 3004572 MEN2 BY NGS,2250.0,1350.0,35.0,7411.0,55
CPT,81406,HC REF ARUP COMP 2007384 VASCULAR MALFORMATION PANEL CPT 81406,1121.25,672.75,35.0,7411.0,55
CPT,81406,"HC REF ARUP COMP 2010183, CPT 81406",768.17,460.9,35.0,7411.0,55
CPT,81406,HC REF ARUP COMP 3001607 CPT 81406,1050.0,630.0,35.0,7411.0,55
CPT,81406,HC REF ARUP COMP 3002100 CPT 81406,1633.33,980.0,35.0,7411.0,55
CPT,81406,HC REF ARUP COMP 3002110 CPT 81406,1250.0,750.0,35.0,7411.0,55
CPT,81406,"HC REF ARUP COMP 3004407, CPT 81406",781.25,468.75,35.0,7411.0,55
CPT,81406,"HC REF ARUP, 3004383 CADASIL NOTCH3",3150.0,1890.0,35.0,7411.0,55
CPT,81406,"HC REF ARUP, COMP 3001585, CPT 81406",1796.88,1078.13,35.0,7411.0,55
CPT,81406,"HC REF ARUP, COMP 3004486, 81406",1312.5,787.5,35.0,7411.0,55
CPT,81406,"HC REF ATHENA, COMP 5506, CPT 81406",12479.92,7487.95,35.0,9359.94,55
CPT,81406,"HC REF LAB MAYO, HHTGG HHT AND VASCULAR GENE PANEL COMP 81406",6299.93,3779.96,35.0,7411.0,55
CPT,81406,"HC REF LAB, MAYO PCGP, PORPHYRIA COMP 81406",3666.8,2200.08,35.0,7411.0,55
CPT,81406,"HC REF LABCORP 482424 GENESEQ PLUS, ATP7B",3150.0,1890.0,35.0,7411.0,55
CPT,81406,"HC REF LABCORP, COMP NGS360, 81406",397.5,238.5,35.0,7411.0,55
CPT,81406,"HC REF MAYO COMP AFTDP, CPT 81406",409.8,245.88,35.0,7411.0,55
CPT,81406,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81406,202.43,121.46,35.0,7411.0,55
CPT,81406,"HC REF MAYO COMP CVHBG, CPT 81406",389.69,233.81,35.0,7411.0,55
CPT,81406,HC REF MAYO COMP PARDP CPT 81406,244.03,146.42,35.0,7411.0,55
CPT,81406,"HC REF MAYO COMP, SMCP, CPT 81406",411.78,247.07,35.0,7411.0,55
CPT,81406,HC REF MAYO LQTSG COMP CPT 81406,836.81,502.09,35.0,7411.0,55
CPT,81406,HC REF MAYO RETZZ RET FULL GENE ANALYSIS,4632.25,2779.35,35.0,7411.0,55
CPT,81406,"HC REF PREVENTION GENETICS PANEL, 12625 CPT 81406",112.5,67.5,35.0,7411.0,55
CPT,81406,HC WILSON DISEASE MUTATION SCREEN,2010.1,1206.06,35.0,7411.0,55
CPT,81407,HC MOL PATH  L8/26-50 EXONS,2064.68,1238.81,35.0,7411.0,55
CPT,81407,HC MOLECULAR PATH PROCEDURE - LEVEL 8,2064.68,1238.81,10.0,7411.0,55
CPT,81407,"HC REF ARUP COMP 2010183, CPT 81407",768.17,460.9,35.0,7411.0,55
CPT,81407,HC REF ARUP COMP 3002100 CPT 81407,1633.33,980.0,35.0,7411.0,55
CPT,81407,HC REF ARUP COMP 3002110 CPT 81407,1250.0,750.0,35.0,7411.0,55
CPT,81407,HC REF ARUP COMP 4751300 CPT 81407,3325.0,1995.0,35.0,7411.0,55
CPT,81407,"HC REF ATHENA DIAGNOSTICS, 827 ABCC8 (CHI) DNA SEQUENCING TEST",5827.5,3496.5,35.0,7411.0,55
CPT,81407,"HC REF MAYO COMP AFTDP, CPT 81407",1225.95,735.57,35.0,7411.0,55
CPT,81407,HC REF MAYO COMP PARDP CPT 81407,730.05,438.03,35.0,7411.0,55
CPT,81407,HC REF MAYO LQTSG COMP CPT 81407,2503.48,1502.09,35.0,7411.0,55
CPT,81408,HC MOL PATH  L9/50 EXONS,4898.88,2939.33,35.0,10320.0,55
CPT,81408,HC MOLECULAR PATH PROCEDURE - LEVEL 9,4898.88,2939.33,10.0,10320.0,110
CPT,81408,HC MOPATH PROCEDURE LEVEL 9,4898.88,2939.33,35.0,10320.0,55
CPT,81408,HC REF ARUP 3004379 VON WILLEBRAND DISEASE BY NGS,2250.0,1350.0,35.0,10320.0,55
CPT,81408,"HC REF ARUP COMP 2010183, CPT 81408",768.17,460.9,35.0,10320.0,55
CPT,81408,HC REF ARUP COMP 3001607 CPT 81408,1050.0,630.0,35.0,10320.0,55
CPT,81408,HC REF ARUP COMP 3003927 CPT 81408,1800.0,1080.0,35.0,10320.0,55
CPT,81408,HC REF MAYO COMP COMCP HEREDITARY COMMON CANCER PANEL CPT 81408,1431.18,858.71,35.0,10320.0,55
CPT,81408,"HC REF MAYO COMP CVHBG, CPT 81408",2755.2,1653.12,35.0,10320.0,55
CPT,81408,"HC REF MAYO COMP EDSGG, CPT 81408",3624.99,2174.99,35.0,10320.0,55
CPT,81408,HC REF MAYO COMP PARDP CPT 81408,1725.33,1035.2,35.0,10320.0,55
CPT,81408,"HC REF MAYO NF1Z NEUROFIBROMATOSIS TYPE 1, NF1 FULL GENE ANALYSIS",4630.2,2778.12,35.0,10320.0,55
CPT,81408,HC REF PANEL MAYO GNVWD CPT 81408,4510.25,2706.15,35.0,10320.0,55
CPT,81410,HC AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS,306.18,183.71,10.0,7411.0,55
CPT,81410,HC AORTIC DYSFUNTN OR DIALTN,306.18,183.71,35.0,7411.0,55
CPT,81412,HC ASHKENAZI JEWISH ASSOC DIS,596.31,357.79,35.0,12634.57,55
CPT,81413,HC CARDIAC ION CHANNELOPATH,270.0,162.0,35.0,7411.0,55
CPT,81413,HC CARDIAC ION CHNNLPATH INC 10 GNS,270.0,162.0,35.0,7411.0,55
CPT,81413,HC REF CARDIAC ION INC 10 GENES,1604.66,962.8,35.0,7411.0,55
CPT,81414,HC CARDIAC ION CHNNLPATH DUP/DEL GN ALYS PANEL 2 GNS,1819.68,1091.81,35.0,7411.0,55
CPT,81414,"HC REF ARUP COMP 2010183, CPT 81414",768.17,460.9,35.0,7411.0,55
CPT,81414,HC REF CARDIAC ION DUP/DEL GN ALYS PANEL 2 GENES,1684.89,1010.93,35.0,7411.0,55
CPT,81415,"HC REF ARUP, 2006336, EXOME SEQUENCING PROBAND",8187.5,4912.5,35.0,24664.8,55
CPT,81415,HC REF BAYLOR 1729 RAPID PROBAND WHOLE EXOME SEQ,6250.0,3750.0,35.0,24664.8,55
CPT,81415,HC REF GENEDX 896B XOMEDXXPRESS PROBAND,5725.0,3435.0,35.0,24664.8,55
CPT,81418,"HC DRUG METABOLISM, GEN SEQ PANEL; >=6 GENES INCL CYP2C19 & CYP2D6",1834.16,1100.5,35.0,7411.0,55
CPT,81419,HC REF MAYO EPPAN COMPREHENSIVE EPILEPSY GENE PANEL,7192.5,4315.5,35.0,7411.0,55
CPT,81420,HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS,2052.0,1231.2,35.0,7411.0,55
CPT,81425,HC REF ARUP 3005935  RAPID WHOLE GENOME SEQUENCING,9000.0,5400.0,35.0,25960.99,55
CPT,81425,HC REF ARUP 3019947 COMP CPT 81425,3625.0,2175.0,35.0,25960.99,55
CPT,81425,HC REF GENEDX COMP TH78A GENOMEXPRESS TRIO RAPID GENOME SEQ CPT 81425,5416.67,3250.0,35.0,25960.99,55
CPT,81425,"HC REF LABCORP, GENOME PROBAND ONLY SEQ",8750.0,5250.0,35.0,25960.99,55
CPT,81425,"HC REF MAYO, WGSDX, WHOLE GENOME SEQUENCING FOR HEREDITARY DISORD",12500.0,7500.0,35.0,25960.99,55
CPT,81426,HC REF ARUP 3006117 REFLEX BILL RWGS FAM,6250.0,3750.0,35.0,13983.34,55
CPT,81426,HC REF ARUP 3006119 REFLEX BILL RWGS FRPT,6500.0,3900.0,35.0,13983.34,55
CPT,81426,HC REF GENEDX COMP TH78A GENOMEXPRESS TRIO RAPID GENOME SEQ CPT 81426,5416.67,3250.0,35.0,13983.34,55
CPT,81432,HC HRDTRY BRST CA-RLATD DSORDRS,596.31,357.79,35.0,7411.0,55
CPT,81432,"HC REF ARUP 3005654, HEREDITARY BREAST CANCER GUIDL-BASED PANEL",3750.0,2250.0,35.0,7411.0,55
CPT,81433,HC HRDTRY BRST CA-RLATD DSORDRS,596.31,357.79,35.0,7411.0,40
CPT,81434,HC HEREDITARY RETINAL DISORDERS,596.31,357.79,35.0,7411.0,55
CPT,81435,HC HEREDITARY COLON CANCER DISORDERS AT LEAST 10 GENES,3328.0,1996.8,35.0,7411.0,55
CPT,81435,HC REF MAYO LYNCP LYNCH SYNDROME PANEL,5197.5,3118.5,35.0,7411.0,55
CPT,81436,HC HEREDITARY COLON CANCER DISORDERS AT LEAST 5 GENES,3328.0,1996.8,35.0,7411.0,40
CPT,81437,HC HEREDTRY NURONDCRN TUM DSRDR,596.31,357.79,35.0,7411.0,55
CPT,81438,HC HEREDTRY NURONDCRN TUM DSRDR,596.31,357.79,35.0,7411.0,40
CPT,81439,HC HEREDITARY CARDIOMYOPATHY,283.5,170.1,35.0,7411.0,55
CPT,81439,"HC REF MAYO, CACMG HERDTRY CARDMYPY GENE PANEL",7743.75,4646.25,35.0,7411.0,55
CPT,81440,"HC REF ARUP, COMPONENT OF 3001959 PANEL, MITOCHONDRIAL GENE",1683.33,1010.0,35.0,17151.84,55
CPT,81441,"HC IBMFS SEQ PANEL, >=30 GENES",15629.0,9377.4,35.0,12634.57,55
CPT,81441,HC REF CIN CHILDRENS BONE MARROW FAILURE 7256262,11250.0,6750.0,35.0,12634.57,55
CPT,81441,HC REF MAYO BMFGP BONE MARROW FAILURE GENE PANEL,8503.75,5102.25,35.0,12634.57,55
CPT,81442,HC NOONAN SPECTRUM DISORDERS GEN SEQ ANALYS 12 GEN,596.31,357.79,35.0,11060.98,55
CPT,81443,"HC REF ARUP, 3001615 HEREDITARY BONE MARROW FAILURE",3750.0,2250.0,35.0,12634.57,55
CPT,81443,"HC REF CINCINNATI CHILDREN'S, 1172504, PLATELET DISORDER GENE",7482.5,4489.5,35.0,12634.57,55
CPT,81443,"HC REF CINCINNATI CHILDREN'S, COMP AHUS, CPT 81443",10752.5,6451.5,10.0,12634.57,55
CPT,81443,HC REF HEREDITARY HEMOLYTIC ANEMIA PANEL SEQUENCING,4500.0,2700.0,10.0,12634.57,55
CPT,81443,"HC REF LAB MAYO, GNHTC THROMBOCYTOPENIA GENE PANEL",5708.75,3425.25,35.0,12634.57,55
CPT,81443,"HC REF MACHAON, COMP P1236, CPT 81443",3908.75,2345.25,35.0,12634.57,55
CPT,81443,HC REF MAYO ATAXP INHERITED ATAXIA GENE PANEL,7500.0,4500.0,35.0,12634.57,55
CPT,81443,"HC REF MAYO CMSP, CONGENITAL MYASTHENIA SYNDROME PANEL",6008.75,3605.25,35.0,12634.57,55
CPT,81443,"HC REF MAYO GNMTC MACRO/MICROTHROMBOCYTOPENIA GENE PANEL, NEXT GEN SEQ, VARIES",4593.75,2756.25,35.0,12634.57,55
CPT,81443,"HC REF MAYO GSDGP GLYCOGEN STORAGE DISEASE GENE PANEL, VARIES",6250.0,3750.0,35.0,12634.57,55
CPT,81443,HC REF MAYO HIESG HYPER-IGE SYNDROME GENE PANEL,5825.25,3495.15,35.0,12634.57,55
CPT,81443,HC REF MAYO MNDP MOTOR NEURON DISEASE GENE PANEL,6858.0,4114.8,35.0,12634.57,55
CPT,81443,HC REF MAYO RABMP RHABDO/METABOLIC MYOPATHY PANEL,6858.0,4114.8,35.0,12634.57,55
CPT,81443,"HC REF MAYO, AUTOG, AUTOINFLAMMATORY GENE PANEL",8137.5,4882.5,35.0,12634.57,55
CPT,81443,"HC REF MAYO, CHLGP, CHOLESTASIS GENETIC PANEL",8169.08,4901.45,35.0,12634.57,55
CPT,81443,"HC REF MAYO, HLHGP, HLH GENE PANEL",5625.0,3375.0,35.0,12634.57,55
CPT,81443,"HC REF MAYO, IMMAU, DISREGULATION/AUTOIMMUNE GENE PANEL",5906.25,3543.75,35.0,12634.57,55
CPT,81443,"HC REF MAYO, NHHA HEREDITARY HEMOLYTIC ANEMIA GENE",13816.5,8289.9,35.0,12634.57,55
CPT,81443,"HC REF MAYO, SCCNP CONGENITAL NEUTRO GENE",5625.0,3375.0,35.0,12634.57,55
CPT,81443,"HC REF MAYO, TELDP TELOMERE DISORDERS GENE PANEL",5625.0,3375.0,35.0,12634.57,55
CPT,81443,"HC REF MAYO, UCDP, UREA CYCLE DISORDERS GENE PANEL, VARIES",5000.0,3000.0,35.0,12634.57,55
CPT,81445,HC GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE DNA,3202.49,1921.49,35.0,7411.0,55
CPT,81445,HC GSAP SO NEO 5-50DNA/DNA&RNA - ALK/RET/ROS PANEL PCR,3202.49,1921.49,35.0,7411.0,55
CPT,81445,HC REF 50SEQ PANEL DNA,3375.0,2025.0,35.0,7411.0,55
CPT,81445,HC REF 50SEQ WITH FISH,3375.0,2025.0,35.0,7411.0,55
CPT,81445,HC REF 50SEQ WITH FISH NO PDL1,3375.0,2025.0,35.0,7411.0,55
CPT,81445,"HC REF ARUP > UPMC MISC BILISEQ, BILE DUCT BRUSHING PANEL",2962.5,1777.5,35.0,7411.0,55
CPT,81445,HC REF COLONSEQ PANEL DNA,2205.0,1323.0,35.0,7411.0,110
CPT,81445,HC REF COLONSEQ PLUS PANEL DNA,3375.0,2025.0,35.0,7411.0,55
CPT,81445,HC REF LUNGSEQ PANEL,2205.0,1323.0,35.0,7411.0,55
CPT,81445,HC REF LUNGSEQ PNL FISH RUNCONC DNA,3375.0,2025.0,35.0,7411.0,110
CPT,81445,HC REF LUNGSEQ PNL FISH RUNREFLX DNA,3375.0,2025.0,35.0,7411.0,55
CPT,81445,"HC REF MAYO, CAPN - TARGETED CANCER GENE PANEL, NEXT GEN SEQNCING, VARIES",8731.25,5238.75,35.0,7411.0,55
CPT,81445,"HC REF MAYO, COMP MCSMP, CPT 81445",6250.0,3750.0,35.0,7411.0,55
CPT,81445,"HC REF MAYO, HISGT, HISTONE GENE MUTATION ANALYSIS, TS",4725.0,2835.0,35.0,7411.0,55
CPT,81445,HC REF MELANOMASEQ PANEL DNA,2949.56,1769.74,35.0,7411.0,55
CPT,81445,HC REF MELANOMASEQ PLUS PANEL DNA,3375.0,2025.0,35.0,7411.0,55
CPT,81448,HC HEREDITARY PERIPH NEUROPATHY PANEL,1169.8,701.88,35.0,7411.0,55
CPT,81448,"HC REF MAYO IMSNP INHERITED MOTOR SENSORY NEUROPATHY GENE PANEL, VARIES",6037.5,3622.5,35.0,7411.0,55
CPT,81448,HC REF MAYO ISNP SENSORY NEUROPATHY NE PANEL,6037.5,3622.5,35.0,7411.0,55
CPT,81448,"HC REF MAYO PEPAN, PERIPHERAL NEUROPATHY GENE PANEL",7500.0,4500.0,35.0,7411.0,55
CPT,81448,"HC REF MAYO, IMSNP, INHERITED MOTOR AND SENSORY NEURO PANEL",6250.0,3750.0,35.0,7411.0,55
CPT,81448,"HC REF MAYO, ISPP SPASTIC PARAPLEGIA GENE PANEL",6250.0,3750.0,35.0,7411.0,55
CPT,81449,HC GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE RNA,3049.99,1829.99,35.0,7411.0,55
CPT,81449,HC GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE; RNA ANALYSIS,3049.99,1829.99,35.0,7411.0,55
CPT,81449,HC REF 50SEQ PANEL RNA,3375.0,2025.0,35.0,7411.0,55
CPT,81449,HC REF COLONSEQ PANEL RNA,2205.0,1323.0,35.0,7411.0,110
CPT,81449,HC REF COLONSEQ PLUS PANEL RNA,3375.0,2025.0,35.0,7411.0,55
CPT,81449,HC REF LUNGSEQ PNL FISH RUNCONC RNA,3375.0,2025.0,35.0,7411.0,110
CPT,81449,HC REF LUNGSEQ PNL FISH RUNREFLX RNA,3375.0,2025.0,35.0,7411.0,55
CPT,81449,HC REF MELANOMASEQ PANEL RNA,3375.0,2025.0,35.0,7411.0,55
CPT,81449,HC REF MELANOMASEQ PLUS PANEL RNA,3375.0,2025.0,35.0,7411.0,55
CPT,81449,"HC REF NEOGENOMICS, SARCOMA COMPREHENSIVE NGS FUSION PANEL",9227.5,5536.5,35.0,7411.0,55
CPT,81450,HC GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE DNA,2909.42,1745.65,35.0,7411.0,55
CPT,81450,HC NGS ACUTE MYELOID LEUKEMIA DNA,2909.42,1745.65,35.0,7411.0,55
CPT,81450,HC REF AML MUTATION ANALYSIS DNA,4074.83,2444.9,35.0,7411.0,55
CPT,81450,HC REF AML PROFILE DNA,4074.83,2444.9,35.0,7411.0,55
CPT,81450,"HC REF ARUP, 3017050 RAPID AML TARGETED THERAPY MUT PANEL",6125.0,3675.0,35.0,7411.0,55
CPT,81450,"HC REF BRIGHAM AND WOMEN'S HOSPITAL, RAPID HEME PANEL CSF",14945.0,8967.0,35.0,11208.75,55
CPT,81450,HC REF CLL MUTUTATION ANALYSIS DNA,2582.9,1549.74,35.0,7411.0,55
CPT,81450,HC REF CLL PROFILE DNA,2582.9,1549.74,35.0,7411.0,55
CPT,81450,HC REF DLBCL MUT ANALYS MPN PRFL DNA,2267.3,1360.38,35.0,7411.0,55
CPT,81450,HC REF DLBCL PROFILE DNA,2267.3,1360.38,35.0,7411.0,55
CPT,81450,"HC REF MAYO NGBCL B-CELL LYMPHOMA, NGS, V",7204.0,4322.4,35.0,7411.0,55
CPT,81450,HC REF MAYO NGTCL T-CELL LYMPHOMA NGS,5980.75,3588.45,35.0,7411.0,55
CPT,81450,"HC REF MAYO, NGAML - NEXT-GENERATION SEQUENCING, ACUTE MYELOID LEUKEMIA 11GENE PANEL, VARIES DNA",3379.2,2027.52,35.0,7411.0,55
CPT,81450,"HC REF MAYO, NGPCM PLASMA CELL MYELOMA, NGS, V",5775.0,3465.0,35.0,7411.0,55
CPT,81450,"HC REF MAYO, NGSHM MYELOID NEOPLASMS, NGS, V",6250.0,3750.0,35.0,7411.0,55
CPT,81450,HC REF MDS MUTATUION ANALYSIS DNA,2713.03,1627.82,35.0,7411.0,55
CPT,81450,HC REF MPN MINI PANEL,1769.09,1061.45,35.0,7411.0,55
CPT,81450,HC REF MPN PROFILE DNA,1838.45,1103.07,35.0,7411.0,55
CPT,81450,HC REF MYELOID NEOPLSM MUT ANLYS DNA,5750.0,3450.0,35.0,7411.0,55
CPT,81450,HC REF NEOGENOMICS COMP NEOTYPE ALL CPT 81450,8020.0,4812.0,35.0,7411.0,55
CPT,81450,HC REF NEOGENOMICS NEO AML EXPRESS,7487.5,4492.5,35.0,7411.0,55
CPT,81450,HC REF NEOGENOMICS NEOTYPE CLL PROFILE,1575.0,945.0,10.0,7411.0,55
CPT,81450,"HC REF NEOGENOMICS, NEOTYPE MDS/CMML PROFILE",7145.0,4287.0,35.0,7411.0,55
CPT,81450,HC TARGETED GENOMIC SEQ ANALYS DNA,2909.42,1745.65,35.0,7411.0,55
CPT,81450,HC TXG-MINIMAL RESIDUAL DISEASE,2909.42,1745.65,35.0,7411.0,55
CPT,81450,"HF REF ARUP, 3017051 RAPID AML INTERP",6125.0,3675.0,35.0,7411.0,55
CPT,81451,HC GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE RNA,2565.63,1539.38,35.0,7411.0,55
CPT,81451,HC GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE; RNA ANALYSIS,2565.63,1539.38,35.0,7411.0,55
CPT,81451,HC NGS ACUTE MYELOID LEUKEMIA RNA,2565.63,1539.38,35.0,7411.0,55
CPT,81451,HC REF AML MUTATION ANALYSIS RNA,4074.83,2444.9,35.0,7411.0,55
CPT,81451,HC REF AML PROFILE RNA,4074.83,2444.9,35.0,7411.0,55
CPT,81451,HC REF CLL MUTUTATION ANALYSIS RNA,2582.9,1549.74,35.0,7411.0,55
CPT,81451,HC REF CLL PROFILE RNA,2582.9,1549.74,35.0,7411.0,55
CPT,81451,HC REF DLBCL MUT ANALYS MPN PRFL RNA,2267.3,1360.38,35.0,7411.0,55
CPT,81451,HC REF DLBCL PROFILE RNA,2267.3,1360.38,35.0,7411.0,55
CPT,81451,"HC REF MAYO, NGAML - NEXT-GENERATION SEQUENCING, ACUTE MYELOID LEUKEMIA 11GENE PANEL, VARIES RNA",3379.2,2027.52,35.0,7411.0,55
CPT,81451,HC REF MDS MUTATUION ANALYSIS RNA,2713.03,1627.82,35.0,7411.0,55
CPT,81451,HC REF MPN PROFILE RNA,1838.45,1103.07,35.0,7411.0,55
CPT,81451,HC REF MYELOID NEOPLSM MUT ANLYS RNA,5750.0,3450.0,35.0,7411.0,55
CPT,81451,HC TARGETED GENOMIC SEQ ANALYS RNA,2565.63,1539.38,35.0,7411.0,55
CPT,81455,"HC REF ARUP 3016621 MYELOID MUTATION PANEL BY NGS, DELDUP",6162.5,3697.5,35.0,15065.14,55
CPT,81455,"HC REF ARUP, 2011117 MYELOID MALIGNANCIES MUTATION PANEL NGS",5236.88,3142.13,35.0,15065.14,55
CPT,81455,HC REF MAYO MCSRC SARCOMA PANEL,3885.0,2331.0,35.0,15065.14,55
CPT,81455,HC REF MAYO NONCP NEURO-ONC EXPANDED PANEL,12014.25,7208.55,35.0,15065.14,55
CPT,81455,"HC REF MAYO, MCSTP MAYOCOMPLETE SOLID TUMOR PANEL",12600.0,7560.0,35.0,15065.14,55
CPT,81455,HC REF NEOGENOMICS NEOTYPE LYMPHOID DISORDERS PROFILE,9952.5,5971.5,35.0,15065.14,55
CPT,81455,"HC REF PATHGROUP, ENDEAVOUR DNA",6131.16,3678.7,35.0,15065.14,55
CPT,81455,HC SOLID TUMOR PROFILE > 50 GENES,6429.78,3857.87,35.0,15065.14,55
CPT,81455,HC TARGETED GENOMIC SEQUENCE ANALYSIS PANEL DNA,6429.78,3857.87,35.0,15065.14,110
CPT,81456,"HC REF MAYO MCRSP MAYOCOMPLETE TARGETED RNA SEQ PANEL, NEXT GEN SEQ TUMOR",8375.0,5025.0,35.0,15065.14,55
CPT,81456,"HC REF MAYO, COMP SARCP, CPT 81456",7311.15,4386.69,35.0,15065.14,55
CPT,81456,"HC REF PATHGROUP, ENDEAVOUR RNA",6131.16,3678.7,35.0,15065.14,55
CPT,81456,"HC REF PATHGROUP, SOLID TUMOR FUSIONPLEX",7663.95,4598.37,35.0,15065.14,55
CPT,81456,"HC SOLID ORGAN/HEMATOLYMPHOID NPLSM/DISORDER, >50 GENES; RNA ANALYSIS",5755.28,3453.17,35.0,15065.14,55
CPT,81456,HC TARGETED GENOMIC SEQUENCE ANALYSIS PANEL RNA,5755.28,3453.17,35.0,15065.14,110
CPT,81457,"HC REF MAYO MCGST MAYOCOMP GASTROINTESTINAL STROMAL TUMOR PANEL, NEXT GEN SEQ",4361.18,2616.71,35.0,7411.0,54
CPT,81457,"HC REF MAYO MCKCP MAYOCOMPLETE KIDNEY CANCER PANEL, NEXT-GEN SEQ, TUMOR",6300.0,3780.0,35.0,7411.0,54
CPT,81457,"HC REF MAYO NONCM NEURO-ONC PANEL, MUTATIONS ONLY",6625.0,3975.0,35.0,7411.0,54
CPT,81457,"HC REF MAYO, MCLNM MAYOCOMPLETE LUNG CANCER MUTATIONS",4705.5,2823.3,35.0,7411.0,54
CPT,81457,HC SO NEO GSAP DNA MCRSTL INS - 50SEQ W/MSI,3645.0,2187.0,35.0,7411.0,54
CPT,81457,HC SO NEO GSAP DNA MCRSTL INS - COLONSEQ,3645.0,2187.0,35.0,7411.0,54
CPT,81457,HC SO NEO GSAP DNA MCRSTL INS - COLONSEQ PLUS,3645.0,2187.0,35.0,7411.0,54
CPT,81459,HC SO NEO GSAP DNA ALYS/DNA&RNA CPY NMBR MCRSTL INS,5670.0,3402.0,35.0,7411.0,54
CPT,81460,HC REF ARUP 3019947 COMP CPT 81460,3625.0,2175.0,35.0,7411.0,55
CPT,81460,"HC REF ARUP, COMPONENT OF 3001959 PANEL, WHOE MITOCHONDRIAL GENOME",1683.33,1010.0,35.0,7411.0,55
CPT,81460,"HC WHOLE MITOCHONDRIAL GENOME SEQUENCE, ENTIRE MITOCHONDRIAL GENOME",4856.3,2913.78,35.0,7411.0,55
CPT,81465,"HC REF ARUP, COMPONENT OF 3001959 PANEL, WHOE MITOCHONDRIAL GENOME AP",1683.33,1010.0,35.0,7411.0,55
CPT,81465,HC WHOLE MITOCHONDRIAL GENOME LARGE DELETION ANALYSIS PANEL,3600.0,2160.0,35.0,7411.0,55
CPT,81479,HC CDKNIC GENE FULL ANALYSIS,3936.9,2362.14,35.0,7411.0,39
CPT,81479,"HC EUROFINS VIRACOR, 33356, NEXGEN FUNGAL/AFB NGS ASSAY",3779.42,2267.65,35.0,7411.0,39
CPT,81479,HC RBC-DNA TYPING,3858.16,2314.895,35.0,7411.0,585
CPT,81479,"HC REF , MAYO GNMY9, MYH9 MUTATION NGS",4200.0,2520.0,35.0,7411.0,39
CPT,81479,HC REF ARUP 2014599 PNPLA3 GENOTYPE,675.0,405.0,35.0,7411.0,39
CPT,81479,HC REF ARUP 3005480 REFLEX CYP2D6 LONG RANGE PCR DUPLICATION,1250.0,750.0,35.0,7411.0,39
CPT,81479,HC REF ARUP 3005703 BIR-GOTT-DUBE SYNDROME (FLCN) SEQ/DEL DUP,2625.0,1575.0,35.0,7411.0,39
CPT,81479,HC REF ARUP 3017399 TPSAB1 COPY NUMBER ANALYSIS BY DDPCR,412.5,247.5,35.0,7411.0,39
CPT,81479,HC REF ARUP COMP 2007384 VASCULAR MALFORMATION PANEL CPT 81479,1121.25,672.75,35.0,7411.0,39
CPT,81479,"HC REF ARUP COMP 2010183, CPT 81479",768.17,460.9,35.0,7411.0,39
CPT,81479,"HC REF ARUP COMP 2012052, CPT 81479",1060.16,636.1,35.0,7411.0,39
CPT,81479,"HC REF ARUP COMP 3001524, CPT 81479",223.7,134.22,35.0,7411.0,39
CPT,81479,HC REF ARUP COMP 3001607 CPT 81479,1050.0,630.0,35.0,7411.0,39
CPT,81479,HC REF ARUP COMP 3002110 CPT 81479,1250.0,750.0,35.0,7411.0,39
CPT,81479,HC REF ARUP COMP 3003927 CPT 81479,1800.0,1080.0,35.0,7411.0,39
CPT,81479,"HC REF ARUP COMP 3004407, CPT 81479",781.25,468.75,35.0,7411.0,39
CPT,81479,HC REF ARUP COMP 3004471 PHARMACOGENETICS PANEL CPT 81479,125.0,75.0,21.25,7411.0,39
CPT,81479,HC REF ARUP COMP 4751300 CPT 81479,3325.0,1995.0,35.0,7411.0,39
CPT,81479,"HC REF ARUP, 2 SNPS",3936.9,2362.14,35.0,7411.0,39
CPT,81479,"HC REF ARUP, 2009315 - LIS-FRAUMENI (TP53) SEQ, DELDUP INTERP",3936.9,2362.14,35.0,7411.0,39
CPT,81479,"HC REF ARUP, COMP 3001541, CPT 81479",200.0,120.0,34.0,7411.0,39
CPT,81479,"HC REF ARUP, COMP 3004486, 81479",1312.5,787.5,35.0,7411.0,39
CPT,81479,"HC REF ARUP, COMP UPMC PANCREATIC SEQ, CPT 81479",191.46,114.88,32.55,7411.0,39
CPT,81479,"HC REF ARUP, UCSF HEALTH CLINICAL LABS, MNGS PATHOGEN DX P710",7822.5,4693.5,35.0,7411.0,39
CPT,81479,"HC REF ATHENA, COMP 5506, CPT 81479",12479.92,7487.95,35.0,10607.93,39
CPT,81479,"HC REF CINCINNATI CHILDREN'S, COMP REFLEX, CPT 81479",442.31,265.39,35.0,7411.0,39
CPT,81479,"HC REF EXACT SCIENCES, COMP 10243, CPT 81479",176.79,106.07,30.05,7411.0,39
CPT,81479,HC REF FULGENT CSF1R SINGLE GENE,1250.0,750.0,35.0,7411.0,39
CPT,81479,"HC REF GREENWOOD, BWS CDKN1C SEQ",1250.0,750.0,35.0,7411.0,39
CPT,81479,"HC REF LAB MAYO, HHTGG HHT AND VASCULAR GENE PANEL COMP 81479",0.08,0.05,0.0136,7411.0,39
CPT,81479,HC REF LABCORP 252489 ZAP70 FULL GENE SEQ,3000.0,1800.0,35.0,7411.0,39
CPT,81479,"HC REF LABCORP, COMP NGS360, 81479",397.5,238.5,35.0,7411.0,39
CPT,81479,"HC REF MACHAON, COMP AHUS, CPT 81479",365.12,219.07,35.0,7411.0,39
CPT,81479,"HC REF MACHAON, COMP P1236, CPT 81479",3908.75,2345.25,35.0,7411.0,39
CPT,81479,HC REF MAP2K1-LUNG ADENOCARCINOMA,3936.9,2362.14,35.0,7411.0,39
CPT,81479,"HC REF MAYO COMP AFTDP, CPT 81479",0.03,0.02,0.0051,7411.0,39
CPT,81479,"HC REF MAYO COMP CVHBG, CPT 81479",0.03,0.02,0.0051,7411.0,39
CPT,81479,"HC REF MAYO COMP EDSGG, CPT 81479",0.03,0.02,0.0051,7411.0,39
CPT,81479,HC REF MAYO COMP PHCGD CPT 81479,0.05,0.03,0.0085,7411.0,39
CPT,81479,"HC REF MAYO COMP, AHUGP, CPT 81479",0.28,0.17,0.0476,7411.0,39
CPT,81479,"HC REF MAYO COMP, SMCP, CPT 81479",0.05,0.03,0.0085,7411.0,39
CPT,81479,"HC REF MAYO CTNBT B-CATENIN MUTATIONS ANALYSIS, TUMOR",3331.0,1998.6,35.0,7411.0,39
CPT,81479,"HC REF MAYO GNF7 F7 GENE, FULL GENE NGS",3750.0,2250.0,35.0,7411.0,39
CPT,81479,HC REF MAYO LQTSG COMP CPT 81479,0.03,0.02,0.0051,7411.0,39
CPT,81479,"HC REF MAYO NCDA CDA SEQUENCING, NGS",9554.0,5732.4,35.0,8120.9,39
CPT,81479,"HC REF MAYO SEP9Z SEPTIN9 GENE, FULL GENE ANALYSIS",5250.0,3150.0,35.0,7411.0,39
CPT,81479,"HC REF MAYO, APOL1 GENOTYPE VAIRES",1537.75,922.65,35.0,7411.0,39
CPT,81479,"HC REF MAYO, BHDZ, FLCN FULL GENE ANALYSIS",4000.0,2400.0,35.0,7411.0,39
CPT,81479,"HC REF MAYO, BPGMM BPGM FULL GENE SEQ",1766.75,1060.05,35.0,7411.0,39
CPT,81479,"HC REF MAYO, C9ORF C9ORF72 HEXANUCLEOTIDE REPREAT",1500.0,900.0,35.0,7411.0,39
CPT,81479,"HC REF MAYO, CXCFX REFLEX TO CXCR4 MUTATION DETECTION",1750.0,1050.0,35.0,7411.0,39
CPT,81479,"HC REF MAYO, GNPRS PROTEIN S DEFICIENCY",3750.0,2250.0,10.0,7411.0,39
CPT,81479,"HC REF MAYO, HEMP, HEREDITARY ERYTHROCYTOSIS MUT B",1657.25,994.35,35.0,7411.0,39
CPT,81479,"HC REF MAYO, IDHT - IDH1/IDH2 MUTATIONS ANALYSIS, TUMOR",1896.18,1137.71,35.0,7411.0,39
CPT,81479,"HC REF MAYO, NTC3Z, NOTCH3 GENE, FULL GENE ANALYSIS",5591.25,3354.75,35.0,7411.0,39
CPT,81479,"HC REF MAYO, POLET, POLE MUTATION ANALYSIS TUMOR",3806.25,2283.75,35.0,7411.0,39
CPT,81479,"HC REF MAYO, TELGP - TELOMERE DEFECTS GENE PANEL",3936.9,2362.14,35.0,7411.0,39
CPT,81479,"HC REF MAYO, UBA1Q UBA1 MUTATION QUANT",3225.0,1935.0,35.0,7411.0,39
CPT,81479,"HC REF MORL COMP GRP08, CPT 81479",3750.0,2250.0,35.0,7411.0,39
CPT,81479,"HC REF NEO, 5659897FL, COMP HEME CANCERS",11125.0,6675.0,35.0,9456.25,39
CPT,81479,"HC REF NEO, 5659897FL, FLT3",250.0,150.0,35.0,7411.0,39
CPT,81479,HC REF NEOGENOMICS B-CELL GENE REARRANGEMENT,1677.5,1006.5,35.0,7411.0,39
CPT,81479,HC REF NEOGENOMICS MYD88 MUTATION ANALYSIS,887.5,532.5,35.0,7411.0,39
CPT,81479,HC REF NEOGENOMICS NGS NEO COMPREHENSIVE HEME CANCERS,12015.0,7209.0,35.0,10212.75,39
CPT,81479,"HC REF NEOGENOMICS, COMP NEOTYPE LYMPHOMA PROFILE CPT 81479",2450.0,1470.0,35.0,7411.0,39
CPT,81479,"HC REF NEOGENOMICS, FLT3 MUTATION ANALYSIS, PART 1 DUPLICATE",250.0,150.0,35.0,7411.0,39
CPT,81479,"HC REF NEOGENOMICS, FLT3 MUTATION ANALYSIS, PART 1 NON-DUPLICATE",850.0,510.0,35.0,7411.0,39
CPT,81479,"HC REF NEOGENOMICS, NEOCOMPREHENSIVE MYELOID DISORDERS PLUS FLT3 PART 2",11125.0,6675.0,35.0,9456.25,39
CPT,81479,"HC REF NEOGENOMICS, NEOTYPE GASTRIC PROFILE",4125.0,2475.0,35.0,7411.0,39
CPT,81479,"HC REF NEOGENOMICS, NEOTYPE LUNG TUMOR PROFILE",9875.0,5925.0,35.0,8393.75,39
CPT,81479,"HC REF NEOGENOMICS, NEOTYPE OVARIAN PROFILE",3936.9,2362.14,35.0,7411.0,39
CPT,81479,"HC REF NEOGENOMICS, PRECISION PROFILE SOLID TUMORS",3936.9,2362.14,35.0,7411.0,39
CPT,81479,HC REF PANEL MAYO GNVWD CPT 81479,0.03,0.02,0.0051,7411.0,39
CPT,81479,HC REF PREVENTION GENETICS 10319 CHOLESTASIS PANEL,2475.0,1485.0,35.0,7411.0,39
CPT,81479,"HC REF PREVENTION GENETICS PANEL, 12625 CPT 81479",112.5,67.5,19.12,7411.0,39
CPT,81479,"HC REF PROMETHEUS, COMP IBD SGI DIAGNOSTIC CPT 81479",81.18,48.71,13.8,7411.0,39
CPT,81479,"HC REF SEATTLE CHI, LAB1866 INTESTINAL PSEUDO-OB PANEL",6632.5,3979.5,35.0,7411.0,39
CPT,81479,HC REF SEQ CBL,3936.9,2362.14,35.0,7411.0,39
CPT,81479,HC REF SEQ ETV6(TEL),3936.9,2362.14,35.0,7411.0,39
CPT,81479,HC REF SEQ PHF6,3936.9,2362.14,35.0,7411.0,39
CPT,81479,HC REF SEQ SRSF2,3936.9,2362.14,35.0,7411.0,39
CPT,81479,HC REF SEQ U2AF1,3936.9,2362.14,35.0,7411.0,39
CPT,81479,HC REF UW MEDICINE HCAPSG HEME SINGLE GENE BY NGS,1417.5,850.5,35.0,7411.0,39
CPT,81479,HC SKELETAL DYSPLASIA CORE (COMPREHENSIVE: NGS/DEL DUP) PANEL,3936.9,2362.14,35.0,7411.0,39
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE,3936.9,2362.14,35.0,7411.0,39
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE - TXG CARDIO PANEL,3779.42,2267.65,35.0,7411.0,39
CPT,81490,HC AUTOIMMUNE RHEUMATOID ARTHR,596.31,357.79,35.0,7411.0,55
CPT,81493,HC COR ARTERY DISEASE MRNA,596.31,357.79,35.0,7411.0,55
CPT,81503,HC REF ARUP 3002309 MALIGNANCY RISK OVA1 PLUS,1137.5,682.5,35.0,7411.0,55
CPT,81511,HC FETAL CONGENITAL ABNOR ASSAY FOUR ANALYTES,198.9,119.34,33.81,7411.0,55
CPT,81513,HC MEASUREMENT OF RNA OF BACTERIA IN VAGINAL FLUID SPECIMEN,365.21,219.13,35.0,7411.0,55
CPT,81513,"HC NFCT DS BV RNA VAG FLU ALG - BV, CAND, TRICH PANEL",365.21,219.13,35.0,7411.0,55
CPT,81513,"HC REF QUEST, 10120 NFCT DS BACTERIAL VAGINOSIS RNA VAG-FLUID ALG",106.58,63.95,35.0,7411.0,55
CPT,81515,HC NFCT DS BV&VAGINITIS DNA ALG,285.23,171.14,35.0,7411.0,54
CPT,81517,"HC REF LABCORP, 550659, NASH AND NAFLD",1001.45,600.87,35.0,7411.0,55
CPT,81517,"HC REF QUEST, 10350, ENHANCED LIVER FIBROSIS",1100.0,660.0,35.0,7411.0,55
CPT,81520,HC PROSIGNA TESTING,5020.42,3012.25,35.0,12952.68,55
CPT,81538,HC ONCOLOGY LUNG,596.31,357.79,35.0,14814.36,55
CPT,81539,"HC REF ARUP, 2014059 - PROSTATE-SPECIFIC KALLIKREIN, 4KSCORE",1925.0,1155.0,35.0,7411.0,55
CPT,81540,HC ONCOLOGY TUM UNKNOWN ORIGIN,596.31,357.79,35.0,19350.0,55
CPT,81540,"HC REF BIOTHERANOSTICS, BREAST CANCER INDEX",9500.0,5700.0,35.0,19350.0,55
CPT,81545,HC ONCOLOGY THYROID,596.31,357.79,35.0,7411.0,39
CPT,81546,"HC ONC THYR MRNA 10,196 GENES FINE NDL ASPIRATE ALG",7200.0,4320.0,35.0,18576.0,55
CPT,81595,HC CARDIOLOGY HRT TRNSPL MRNA,596.31,357.79,35.0,16718.4,55
CPT,81596,HC REF HEP C VIRUS FIBROSURE,659.38,395.63,35.0,7411.0,55
CPT,81596,"HC REF MAYO FIBRO, FIBROTEST-ACTITEST",456.75,274.05,35.0,7411.0,55
CPT,82009,"HC ACETONE, QUALITATIVE",100.31,60.19,3.8,7411.0,55
CPT,82010,"HC ACETONE, QUANTITATIVE",150.94,90.56,6.86,7411.0,55
CPT,82010,HC ELECTRODIAGNOSTIC NEUROMETER,150.94,90.56,6.86,7411.0,110
CPT,82010,"HC REF ARUP 0090005 ACETONE, QUANTITATIVE",56.0,33.6,6.86,7411.0,110
CPT,82010,"HC REF MAYO, BHYD BETA-HYDROXYBUTYRATE, SERUM",93.22,55.93,6.86,7411.0,55
CPT,82013,HC ACETYCHOLINESTERASE,218.78,131.27,10.0,7411.0,55
CPT,82017,HC ACYLCARNITINES QUANTITATIVE,347.84,208.7,10.0,7411.0,165
CPT,82017,"HC REF GREENWOOD ACYLCARNITINE PROFILE, PLASMA ANALYTE",500.0,300.0,10.0,7411.0,55
CPT,82017,HC REF LABCORP 070228 PLASMA ACYL-CARNITINE PROFILE,483.75,290.25,10.0,7411.0,55
CPT,82024,HC ACTH (ADRENOCORTIOTROPIC HORMONE),401.2,240.72,10.0,7411.0,55
CPT,82030,"HC ADENOSINE, 5- MONOPHOSPHATE, (CYCLIC AMP)",385.29,231.17,10.0,7411.0,55
CPT,82040,HC ALBUMIN,88.72,53.23,4.16,7411.0,55
CPT,82040,HC ALBUMIN SERUM,88.72,53.23,4.16,7411.0,165
CPT,82040,"HC ALBUMIN, CSF/SERUM",88.72,53.23,4.16,7411.0,55
CPT,82040,HC ASSAY OF SERUM ALBUMIN - ALBUMIN & TOTAL PROTEIN,88.72,53.23,4.16,7411.0,55
CPT,82040,HC ASSAY OF SERUM ALBUMIN - IGG SYNTHESIS RATE,88.72,53.23,4.16,7411.0,55
CPT,82040,HC ASSAY OF SERUM ALBUMIN - TESTOST TOTAL & BIOAVAILABLE,88.72,53.23,4.16,7411.0,55
CPT,82040,"HC ASSAY OF SERUM ALBUMIN - TESTOST TOTAL, BIOAVAILABLE, & FREE W/SHBG & ALBUMIN",88.72,53.23,4.16,7411.0,55
CPT,82040,"HC REF ARUP, COMP 0050676, CPT 82040",16.88,10.13,4.16,7411.0,55
CPT,82040,"HC REF MAYO COMP FFBTT, CPT 82040",12.45,7.47,4.16,7411.0,55
CPT,82042,HC ALBUMIN - BODY FLUID,102.54,61.52,6.54,7411.0,55
CPT,82042,HC ALBUMIN - URINE,102.54,61.52,6.54,7411.0,55
CPT,82042,"HC ALBUMIN - URINE,QUANTITATIVE,EA",102.54,61.52,6.54,7411.0,55
CPT,82042,"HC ALBUMIN QUANTITATIVE, BODY FLUID",102.54,61.52,6.54,7411.0,55
CPT,82042,HC OTHER SOURCE ALBUMIN QUAN EA - IGG SYNTHESIS RATE,102.54,61.52,6.54,7411.0,55
CPT,82042,HC OTHER SOURCE ALBUMIN QUAN EA - LYME CNS INF IGG URINE,102.54,61.52,6.54,7411.0,55
CPT,82042,"HC REF ARUP 0050024 ALBUMIN, BODY FLUID",20.08,12.05,6.54,7411.0,55
CPT,82042,HC REF ARUP 0050200 ALBUMIN CSF,17.5,10.5,6.3,7411.0,55
CPT,82042,"HC REF ARUP, COMP 0050676, CPT 82042",16.88,10.13,6.08,7411.0,55
CPT,82043,"HC MICROALBUMIN, QUANTITATIVE",153.49,92.09,4.86,7411.0,55
CPT,82043,"HC MICROALBUMIN, URINE POC",153.49,92.09,4.86,7411.0,55
CPT,82043,"HC MICROALBUMIN, URINE RANDOM",153.49,92.09,4.86,7411.0,55
CPT,82043,"HC MICROALBUMIN, URINE TIMED",153.49,92.09,4.86,7411.0,55
CPT,82043,HC REF  MAYO COMP ALBR CPT 82043,29.98,17.99,4.86,7411.0,55
CPT,82043,HC REF ARUP COMP 0050203 CPT 82043,11.25,6.75,4.05,7411.0,55
CPT,82044,"HC MICROALBUMIN, SEMIQUANTITATIVE",75.49,45.29,5.23,7411.0,55
CPT,82075,HC BREATH ETHANOL,87.7,52.62,10.0,7411.0,55
CPT,82077,HC ASSAY SPEC XCP UR&BREATH I,356.96,214.18,10.0,7411.0,55
CPT,82085,HC ALDOLASE,147.85,88.71,8.16,7411.0,55
CPT,82088,HC ALDOSTERONE,365.41,219.25,10.0,7411.0,110
CPT,82088,"HC ALDOSTERONE - ADRENAL VEIN PANEL, PERIPH",365.41,219.25,10.0,7411.0,55
CPT,82088,HC ALDOSTERONE URINE,365.41,219.25,10.0,7411.0,55
CPT,82088,"HC ALDOSTERONE, 24HR URINE",365.41,219.25,10.0,7411.0,55
CPT,82088,"HC ALDOSTERONE, SERUM",365.41,219.25,10.0,7411.0,110
CPT,82088,HC ALDOSTERONE/RENIN DIR RATIO - ALDOSTERONE,365.41,219.25,10.0,7411.0,55
CPT,82088,HC REF ALDOSTERONE IVC SERUM,73.25,43.95,10.0,7411.0,55
CPT,82088,HC REF ALDOSTERONE LAV SERUM,73.25,43.95,10.0,7411.0,55
CPT,82088,HC REF ALDOSTERONE RAV SERUM,73.25,43.95,10.0,7411.0,55
CPT,82088,HC REF ALDOSTERONE SERUM,73.25,43.95,10.0,7411.0,55
CPT,82088,HC REF ARUP 0070073 COMP CPT 82088,41.25,24.75,10.0,7411.0,55
CPT,82088,"HC REF MAYO PALD ALDOSTERONE, P",102.08,61.25,10.0,7411.0,55
CPT,82103,HC ALPHA-1-ANTITRYPSIN,192.78,115.67,10.0,7411.0,55
CPT,82103,HC ALPHA-1-ANTITRYPSIN - TOTAL,192.78,115.67,10.0,7411.0,165
CPT,82103,"HC ALPHA-1-ANTITRYPSIN, RAND STOOL",192.78,115.67,10.0,7411.0,55
CPT,82104,HC ALPHA-1-ANTITRYPSIN - PHENOTYPE,187.63,112.58,10.0,7411.0,55
CPT,82105,HC ALPHA-FETOPROTEIN - SERUM,240.75,144.45,10.0,7411.0,165
CPT,82105,"HC ALPHA-FETOPROTEIN, TUMOR MARKER",240.75,144.45,10.0,7411.0,55
CPT,82105,"HC REF MEDFUSION 237 ALPHA-FETOPROTEIN, TUMOR MARKER",421.45,252.87,10.0,7411.0,55
CPT,82106,HC ALPHA-FETOPROTEIN - AMNIOTIC,170.81,102.49,10.0,7411.0,55
CPT,82107,HC AFP-L3 ISOFORM AND TOTAL AFP,492.43,295.46,10.0,7411.0,55
CPT,82108,HC ALUMINUM,206.39,123.83,10.0,7411.0,165
CPT,82108,"HC ALUMINUM, TIMED URINE",206.39,123.83,10.0,7411.0,55
CPT,82128,"HC AMINO ACIDS, MULTIPLE QUALITATIVE",265.65,159.39,10.0,7411.0,55
CPT,82131,HC AMINO ACIDS SINGLE QUANT - PHENYLALANINE LVL,299.64,179.78,10.0,7411.0,55
CPT,82131,"HC AMINO ACIDS, QUANTITATION, EACH",299.64,179.78,10.0,7411.0,110
CPT,82131,"HC AMINO ACIDS, SINGLE QUANTITATION",299.64,179.78,10.0,7411.0,55
CPT,82131,"HC REF QUEST COMP 14168, CPT 82131",643.29,385.97,10.0,7411.0,55
CPT,82131,HC REF UNCOL LAB6629 GLYCINE CSF,475.0,285.0,10.0,7411.0,55
CPT,82135,"HC AMINOLEVULINIC ACID, DELTA",159.67,95.8,10.0,7411.0,55
CPT,82135,"HC ASSAY AMINOLEVULINIC ACID - DELTA, 24HR URINE",159.67,95.8,10.0,7411.0,55
CPT,82135,"HC CYSTATIN C - AMINOLEVULINIC ACID, DELTA",159.67,95.8,10.0,7411.0,55
CPT,82136,"HC AMINO ACIDS, 2-5 QUANTITATIVE",273.72,164.23,10.0,7411.0,55
CPT,82136,HC REF MAYO CYSR CYSTINURIA PROFILE QUANT RANDOM,230.05,138.03,10.0,7411.0,55
CPT,82139,"HC AMINO ACIDS 6 OR MORE, QUANT",469.12,281.47,10.0,7411.0,55
CPT,82139,"HC AMINO ACIDS 6 OR MORE, QUANT, URINE",469.12,281.47,10.0,7411.0,55
CPT,82139,"HC AMINO ACIDS, 6 OR MORE, QUANTITATIVE",469.12,281.47,10.0,7411.0,55
CPT,82139,"HC REF ARUP 0080137 AMINO ACIDS QUANT, CSF",312.83,187.7,10.0,7411.0,55
CPT,82139,HC REF GREENWOOD AMINO ACID ANALYSIS ANALYTE,675.0,405.0,10.0,7411.0,55
CPT,82140,HC AMMONIA,243.23,145.94,10.0,7411.0,55
CPT,82143,HC AMNIOTIC FLUID SCAN,81.69,49.01,7.85,7411.0,55
CPT,82150,HC AMYLASE,182.9,109.74,5.44,7411.0,550
CPT,82150,"HC AMYLASE, BODY FLUID",182.9,109.74,5.44,7411.0,55
CPT,82150,"HC AMYLASE, RANDOM URINE",182.9,109.74,5.44,7411.0,55
CPT,82150,HC POC AMYLASE,182.9,109.74,5.44,7411.0,55
CPT,82150,HC REF AMYLASE,558.08,334.85,5.44,7411.0,55
CPT,82150,"HC REF ARUP COMP 0020804, CPT 82150",22.58,13.55,5.44,7411.0,55
CPT,82150,"HC REF MAYO, AMBF AMYLASE BODY FLUID SEND OUT",119.93,71.96,5.44,7411.0,55
CPT,82150,"HC REF MAYO, AMLPC - AMYLASE, PANCREATIC CYST FLUID",621.86,373.12,5.44,7411.0,55
CPT,82150,"HC REF MEDFUSION AMYLASE, BODY FLUID SEND OUT",21.38,12.83,5.44,7411.0,55
CPT,82157,HC ANDROSTENEDIONE,270.77,162.46,10.0,7411.0,55
CPT,82160,HC ANDROSTERONE,637.87,382.72,10.0,7411.0,55
CPT,82164,HC ANGIOTENSIN I CONVERTING ENZYME,212.91,127.75,10.0,7411.0,110
CPT,82164,"HC ANGIOTENSIN I CONVERTING ENZYME, CSF",212.91,127.75,10.0,7411.0,55
CPT,82164,HC ANGIOTENSIN-CONVERTING ENZYME,212.91,127.75,10.0,7411.0,110
CPT,82164,"HC REF LABCORP,  010116 ANGIOTENSIN-CONVERTING (ACE)",19.3,11.58,6.95,7411.0,55
CPT,82166,HC ANTI-MULLERIAN HORMONE (AMH),277.13,166.28,10.0,7411.0,55
CPT,82166,HC REF ARUP 2002656 – ANTI-MULLERIAN HORMONE,157.5,94.5,10.0,7411.0,55
CPT,82172,"HC APOLIPOPROTEIN,EACH",161.97,97.18,10.0,7411.0,220
CPT,82172,"HC LIPO METABOL PROFILE - APOLIPOPROTEIN,EACH",161.97,97.18,10.0,7411.0,55
CPT,82172,"HC REF ARUP 0050030 APOLIPOPROTEIN, A-1",30.0,18.0,10.0,7411.0,55
CPT,82172,HC REF LABCORP COMP 216010 CPT 82172,21.86,13.12,7.87,7411.0,55
CPT,82172,"HC REF LABCORP COMP 550180, CPT 82172",93.19,55.91,10.0,7411.0,55
CPT,82172,"HC REF LABCORP COMP 550605, CPT 82172",62.5,37.5,10.0,7411.0,55
CPT,82172,HC REF LABCORP COMP 550960 CPT 82172,86.25,51.75,10.0,7411.0,55
CPT,82172,HC REF MAYO COMP LMPP CPT 82172,86.3,51.78,10.0,7411.0,55
CPT,82172,"HC REF MEDFUSION COMP 92145, CPT 82172",177.39,106.43,10.0,7411.0,55
CPT,82172,HC REF QUEST 37866 AALP APOLIPOPROTEIN C3,75.08,45.05,10.0,7411.0,55
CPT,82172,HC REF QUEST 7018 COMP CPT 82172,75.08,45.05,10.0,7411.0,55
CPT,82175,HC ARSENIC,165.52,99.31,10.0,7411.0,55
CPT,82175,"HC ARSENIC, 24HR URINE",165.52,99.31,10.0,7411.0,55
CPT,82175,"HC ARSENIC, BLOOD",165.52,99.31,10.0,7411.0,55
CPT,82175,"HC ARSENIC, FRACTIONATED URINE",165.52,99.31,10.0,7411.0,55
CPT,82175,"HC ARSENIC, RANDOM URINE",165.52,99.31,10.0,7411.0,55
CPT,82175,"HC REF ARUP COMP 0025055, CPT 82175",124.15,74.49,10.0,7411.0,110
CPT,82180,"HC ASCORBIC ACID (VITAMIN C), BLOOD",149.37,89.62,8.31,7411.0,55
CPT,82232,HC BETA-2 MICROGLOBULIN,184.43,110.66,10.0,7411.0,55
CPT,82232,"HC BETA-2 MICROGLOBULIN, RIA, SER",184.43,110.66,10.0,7411.0,110
CPT,82232,"HC REF ARUP 0080432 BETA-2 MICROGLOBULIN, URINE",35.95,21.57,10.0,7411.0,55
CPT,82232,HC REF LABCORP 010173 BETA 2MICROGLOBULIN,56.58,33.95,10.0,7411.0,55
CPT,82233,HC BETA-AMYLOID 1-40 (ABETA 40),1383.67,830.2,10.0,7411.0,54
CPT,82234,HC BETA-AMYLOID 1-42 (ABETA 42),750.0,450.0,10.0,7411.0,54
CPT,82234,HC REF ARUP COMP 3017653 CPT 82234,829.17,497.5,10.0,7411.0,54
CPT,82234,"HC REF MAYO, COMP ADEVL, CPT 82234",1000.0,600.0,10.0,7411.0,54
CPT,82239,HC BILE ACIDS - TOTAL,143.89,86.33,10.0,7411.0,55
CPT,82240,"HC BILE ACIDS, CHOLYLGLYCINE",209.3,125.58,10.0,7411.0,55
CPT,82247,HC BILIRUBIN TOTAL,91.63,54.98,4.22,7411.0,220
CPT,82247,HC BILIRUBIN TOTAL - BILIRUBIN FRACTIONATED,91.63,54.98,4.22,7411.0,55
CPT,82247,"HC BILIRUBIN TOTAL, BODY FLUID",91.63,54.98,4.22,7411.0,55
CPT,82247,"HC REF BILIRUBIN, TOTAL, BODY FLUID SEND OUT",17.33,10.4,4.22,7411.0,55
CPT,82247,"HC REF LABCORP COMP 550180, CPT 82247",93.19,55.91,4.22,7411.0,55
CPT,82247,"HC REF LABCORP COMP 550605, CPT 82247",62.5,37.5,4.22,7411.0,55
CPT,82247,HC REF LABCORP COMP 550960 CPT 82247,86.25,51.75,4.22,7411.0,55
CPT,82248,HC BILIRUBIN DIRECT,114.76,68.86,4.22,7411.0,55
CPT,82248,HC BILIRUBIN DIRECT - BILIRUBIN FRACTIONATED,114.76,68.86,4.22,7411.0,55
CPT,82261,HC BIOTINIDASE,147.42,88.45,10.0,7411.0,55
CPT,82270,HC OCCULT BLOOD STOOL,61.81,37.09,3.68,7411.0,110
CPT,82270,"HC OCCULT BLOOD, BY PEROXIDASE, FECES, COLORECTAL SCREEN",61.81,37.09,3.68,7411.0,55
CPT,82271,HC GASTROCCULT,78.59,47.15,4.47,7411.0,275
CPT,82272,"HC BLOOD OCCULT BY PEROXIDASE,QUA",71.91,43.15,3.55,7411.0,220
CPT,82272,"HC BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC (FIT, GUAIAC)",71.91,43.15,3.55,7411.0,55
CPT,82272,HC OCCULT BLD FECES 1-3 TESTS,71.91,43.15,3.55,7411.0,55
CPT,82272,"HC OCCULT BLOOD, BY PEROXIDASE, FECES, 1-3 SIMULTANEOUS",71.91,43.15,3.55,7411.0,55
CPT,82274,"HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 (FIT, GUAIAC)",112.27,67.36,10.0,7411.0,55
CPT,82274,"HC BLOOD OCCUTL,FECAL HEMGLBN IMM",112.27,67.36,10.0,7411.0,110
CPT,82274,"HC OCCULT BLOOD, FECAL HEMOGLOBIN BY IMMUNOASSAY",112.27,67.36,10.0,7411.0,55
CPT,82300,HC ASSAY OF CADMIUM - HEAVY METALS SCREEN,146.47,87.88,10.0,7411.0,55
CPT,82300,HC ASSAY OF CADMIUM - HEAVY METALS SCREEN RAND URINE,146.47,87.88,10.0,7411.0,55
CPT,82300,HC CADMIUM,146.47,87.88,10.0,7411.0,55
CPT,82300,HC CADMIUM - BLOOD,146.47,87.88,10.0,7411.0,55
CPT,82300,HC CADMIUM - URINE,146.47,87.88,10.0,7411.0,55
CPT,82300,"HC REF ARUP COMP 0025055, CPT 82300",30.8,18.48,10.0,7411.0,55
CPT,82306,HC ASSAY OF VITAMIN D,394.3,236.58,10.0,7411.0,110
CPT,82306,"HC REF ARUP 2002348 25-HYDROXYVITAMIN D2 & D3 BY TANDEM MASS SPECTROMETRY, SERUM & PLASMA",50.0,30.0,10.0,7411.0,55
CPT,82306,"HC REF MAYO, COMP 2425D, CPT 82306",245.05,147.03,10.0,7411.0,55
CPT,82306,HC VITAMIN D 25 HYDROXY,394.3,236.58,10.0,7411.0,55
CPT,82306,HC VITAMIN D 25 HYDROXY BY LC/MS,394.3,236.58,10.0,7411.0,55
CPT,82308,HC CALCITONIN,270.01,162.01,10.0,7411.0,55
CPT,82310,HC CALCIUM,96.1,57.66,4.33,7411.0,55
CPT,82310,"HC CALCIUM, TOTAL",96.1,57.66,4.33,7411.0,55
CPT,82330,HC CALCIUM IONIZED POC (CARDIOPULMONARY),232.01,139.21,10.0,7411.0,55
CPT,82330,"HC CALCIUM, IONIZED",232.01,139.21,10.0,7411.0,55
CPT,82330,"HC CALCIUM,BLOOD,FRACTIONATED DIF",232.01,139.21,10.0,7411.0,110
CPT,82330,"HC CALCIUM,BLOOD,FRACTIONATED DIF POINT OF CARE PATHOLOGY",232.01,139.21,10.0,7411.0,55
CPT,82340,"HC ASSAY OF CALCIUM IN URINE - CALCIUM W/CREATININE RATIO, RAND URINE",111.2,66.72,5.07,7411.0,55
CPT,82340,HC CALCIUM URINE,111.2,66.72,5.07,7411.0,110
CPT,82340,"HC CALCIUM, RANDOM URINE",111.2,66.72,5.07,7411.0,55
CPT,82340,"HC CALCIUM, URINE - URORISK",111.2,66.72,5.07,7411.0,55
CPT,82340,"HC CALCIUM, URINE 24HR",111.2,66.72,5.07,7411.0,55
CPT,82340,"HC REF ARUP COMP 0020843, CPT 82340",25.85,15.51,5.07,7411.0,55
CPT,82340,"HC REF MAYO CALU, CALCIUM, 24 HR , U",65.65,39.39,5.07,7411.0,55
CPT,82360,HC CALCULUS QUANTITATIVE ANALYSIS,221.0,132.6,10.0,7411.0,55
CPT,82365,"HC CALCULUS ANALYSIS, INFRARED SPECTROSCOPY",177.93,106.76,10.0,7411.0,55
CPT,82365,"HC REF ARUP, 99460 CALCULI ANALYSIS",42.5,25.5,10.0,7411.0,55
CPT,82373,HC CARBOHYDRATE DEFICIENT TRANSFERRIN,464.63,278.78,10.0,7411.0,55
CPT,82373,"HC CARBOHYDRATE DEFICIENT TRANSFERRIN, CDG",464.63,278.78,10.0,7411.0,55
CPT,82374,HC CARBON DIOXIDE,80.13,48.08,4.1,7411.0,330
CPT,82375,"HC ASSAY, CARBOXYHB, QUANT",206.83,124.1,10.0,7411.0,385
CPT,82375,"HC CARBOXYHEMOGLOBIN, QUANTITATIVE",206.83,124.1,10.0,7411.0,55
CPT,82378,HC CARCINOEMBRYONIC ANTIGEN,267.3,160.38,10.0,7411.0,55
CPT,82378,HC CARCINOEMBRYONIC ANTIGEN (CEA),267.3,160.38,10.0,7411.0,55
CPT,82378,"HC CARCINOEMBRYONIC ANTIGEN (CEA), PANCREATIC CYST FLUID",267.3,160.38,10.0,7411.0,55
CPT,82378,"HC CARCINOEMBRYONIC ANTIGEN (CEA), PERITONEAL FLUID",267.3,160.38,10.0,7411.0,55
CPT,82378,"HC CARCINOEMBRYONIC ANTIGEN, BODY FLUID",267.3,160.38,10.0,7411.0,55
CPT,82378,"HC REF MAYO, CEAPC - CARCINOEMBRYONIC ANTIGEN (CEA), PANCREATIC CYST FLUID",568.0,340.8,10.0,7411.0,55
CPT,82379,"HC CARNITINE(TOTAL&FREE), QUANTITATIVE",255.02,153.01,10.0,7411.0,55
CPT,82379,HC REF GREENWOOD CARNITINE ANALYSIS ANALYTE,300.0,180.0,10.0,7411.0,55
CPT,82380,HC CAROTENE,139.73,83.84,7.74,7411.0,55
CPT,82380,HC REF ARUP 0080055 CAROTENE,33.75,20.25,7.74,7411.0,55
CPT,82380,HC REF NEUTRALIZING ANTIBODY,121.5,72.9,7.74,7411.0,55
CPT,82382,HC CATECHOLAMINES BLOOD,260.43,156.26,10.0,7411.0,55
CPT,82384,HC CATECHOLAMINES FRACTIONATED,267.98,160.79,10.0,7411.0,110
CPT,82384,"HC CATECHOLAMINES FRACTIONATED FREE, 24HR URINE",267.98,160.79,10.0,7411.0,55
CPT,82384,"HC CATECHOLAMINES, (DOPAMINE) FRA",267.98,160.79,10.0,7411.0,110
CPT,82384,HC REF DOPAMINE,77.0,46.2,10.0,7411.0,55
CPT,82390,HC CERULOPLASMIN,166.7,100.02,9.02,7411.0,55
CPT,82390,"HC REF MAYO CERS CERULOPLASMIN,S",42.05,25.23,9.02,7411.0,55
CPT,82397,"HC CHEMILUMINECENT ASSAY - INSULIN GROWTH FACTOR, BINDING PROTEIN 3",223.71,134.23,10.0,7411.0,55
CPT,82397,HC CHEMILUMINECENT ASSAY - PTH RELATED PEPTIDE,223.71,134.23,10.0,7411.0,55
CPT,82397,HC CHEMILUMINECENT ASSAY - VASCULAR ENDOTHELIAL GROWTH FACTOR,223.71,134.23,10.0,7411.0,55
CPT,82397,HC CHEMILUMINESCENT ASSAY,223.71,134.23,10.0,7411.0,275
CPT,82397,HC CHEMILUMINESCENT ASSAY - INFLIXIMAB,223.71,134.23,10.0,7411.0,55
CPT,82397,HC CHEMILUMINESCENT ASSAY - INHIBIN B TUMOR MARKER,223.71,134.23,10.0,7411.0,55
CPT,82397,"HC CHEMILUMINESCENT ASSAY, INFLIXIMAB",223.71,134.23,10.0,7411.0,55
CPT,82397,"HC REF ARUP, COMP 2011248, CPT 82397",564.38,338.63,10.0,7411.0,55
CPT,82397,"HC REF ARUP, COMP 3003676 CPT 82397",355.63,213.38,10.0,7411.0,55
CPT,82397,"HC REF LABCORP COMP 504355, CPT 82397",555.19,333.11,10.0,7411.0,55
CPT,82397,"HC REF MAYO COMP INFXP, CPT 82397",416.3,249.78,10.0,7411.0,55
CPT,82397,"HC REF MAYO COMP RISAP, CPT 82397",446.43,267.86,10.0,7411.0,55
CPT,82397,"HC REF MAYO, COMPONENT OF VEDOZ PANEL, VEMAB - VEDOLIZUMAB AB",402.54,241.52,10.0,7411.0,55
CPT,82397,"HC REF MAYO, HMGCR HMG-COA REDUCTASE AB, SERUM",585.11,351.07,10.0,7411.0,55
CPT,82397,"HC REF MAYO, PTHRP PARATHYROID HORMONE-RELATED PEPTIDE",87.75,52.65,10.0,7411.0,55
CPT,82397,"HC REF PROMETHEUS, COMP IBD SGI DIAGNOSTIC CPT 82397",81.18,48.71,10.0,7411.0,55
CPT,82415,HC CHLORAMPHENICOL,201.0,120.6,10.0,7411.0,55
CPT,82435,"HC CHLORIDE, BLOOD",93.56,56.14,3.86,7411.0,55
CPT,82435,"HC CHLORIDES, BLOOD",93.56,56.14,3.86,7411.0,165
CPT,82435,"HC CHLORIDES, BLOOD POINT OF CARE PATHOLOGY",93.56,56.14,3.86,7411.0,55
CPT,82436,"HC CHLORIDE, RANDOM URINE",97.17,58.3,4.83,7411.0,55
CPT,82436,"HC CHLORIDE, URINE",97.17,58.3,4.83,7411.0,55
CPT,82436,"HC CHLORIDES, URINE (ELECTROMETRI",97.17,58.3,4.83,7411.0,110
CPT,82436,"HC URINE CHLORIDE, TIMED",97.17,58.3,4.83,7411.0,55
CPT,82438,HC CHLORIDE - OTHER SOURCE,94.99,56.99,4.2,7411.0,220
CPT,82438,HC REF ARUP 0020381 CHLORIDE FECAL,33.38,20.03,4.2,7411.0,55
CPT,82438,"HC REF ARUP CHLORIDE, BODY FLUID SEND OUT",21.83,13.1,4.2,7411.0,55
CPT,82465,"HC CHOLESTEROL, BODY FLUID",98.22,58.93,3.65,7411.0,55
CPT,82465,"HC CHOLESTEROL, SERUM OR WHOLE BL",98.22,58.93,3.65,7411.0,110
CPT,82465,"HC CHOLESTEROL, TOTAL",98.22,58.93,3.65,7411.0,55
CPT,82465,"HC CHOLESTEROL, TOTAL BLOOD",98.22,58.93,3.65,7411.0,55
CPT,82465,"HC REF LABCORP COMP 550180, CPT 82465",93.19,55.91,3.65,7411.0,55
CPT,82465,HC REF LABCORP COMP 550960 CPT 82465,86.25,51.75,3.65,7411.0,55
CPT,82465,HC REF MAYO COMP LMPP CPT 82465,17.8,10.68,3.65,7411.0,55
CPT,82480,"HC CHOLINESTERASE, SERUM",110.25,66.15,6.61,7411.0,55
CPT,82480,HC REF ARUP COMP 0020175 CPT 82480,37.64,22.58,6.61,7411.0,55
CPT,82482,"HC CHOLINESTERASE, RBC",114.31,68.59,8.24,7411.0,55
CPT,82482,HC REF ARUP COMP 0020175 CPT 82482,37.64,22.58,8.24,7411.0,55
CPT,82495,HC CHROMIUM,217.8,130.68,10.0,7411.0,55
CPT,82507,HC CITRATE,289.13,173.48,10.0,7411.0,55
CPT,82507,HC CITRATE - URORISK,289.13,173.48,10.0,7411.0,55
CPT,82507,"HC REF ARUP COMP 0020843, CPT 82507",25.88,15.53,9.32,7411.0,55
CPT,82523,"HC COLLAGEN CROSS LINKS, ANY METH",213.4,128.04,10.0,7411.0,55
CPT,82523,"HC COLLAGEN CROSS LINKS, ANY METHOD",213.4,128.04,10.0,7411.0,55
CPT,82523,"HC COLLAGEN CROSS LINKS, C-TELEOPEPTIDE, BETA-CROSS-LINKED",213.4,128.04,10.0,7411.0,55
CPT,82523,"HC COLLAGEN CROSS LINKS, N-TELEOPEPTIDE, SERUM",213.4,128.04,10.0,7411.0,55
CPT,82523,"HC COLLAGEN CROSS LINKS, N-TELEOPEPTIDE, URINE",213.4,128.04,10.0,7411.0,55
CPT,82523,"HC REF ARUP 0070416 C-TELOPEPTIDE, BETA-CROSS LINKED",100.0,60.0,10.0,7411.0,55
CPT,82525,HC COPPER,150.0,90.0,10.0,7411.0,275
CPT,82525,"HC COPPER, 24HR URINE",150.0,90.0,10.0,7411.0,55
CPT,82525,"HC COPPER, LIVER TISSUE",150.0,90.0,10.0,7411.0,55
CPT,82525,"HC COPPER, SERUM FREE",150.0,90.0,10.0,7411.0,55
CPT,82525,"HC REF ARUP COMP 0025055, CPT 82525",30.8,18.48,10.0,7411.0,55
CPT,82525,"HC REF ARUP, 0020694, COPPER - LIVER",325.0,195.0,10.0,7411.0,55
CPT,82525,"HC REF MAYO CUT COPPER, LIVER TISSUE",173.25,103.95,10.0,7411.0,55
CPT,82530,HC CORTISOL - FREE,202.53,121.52,10.0,7411.0,55
CPT,82530,HC CORTISOL FREE - 24HR URINE,202.53,121.52,10.0,7411.0,55
CPT,82530,"HC CORTISOL FREE, 24 HR URINE",202.53,121.52,10.0,7411.0,55
CPT,82530,"HC CORTISOL FREE, SALIVA",202.53,121.52,10.0,7411.0,55
CPT,82530,"HC CORTISOL, FREE - 24HR URINE",202.53,121.52,10.0,7411.0,55
CPT,82530,"HC CORTISOL, FREE - URINE",202.53,121.52,10.0,7411.0,55
CPT,82530,"HC REF ARUP 2012697 CORTISOL, FREE BY ED/LC –MS/MS",135.0,81.0,10.0,7411.0,55
CPT,82530,HC REF MAYO COMP CORTO CPT 82530,111.35,66.81,10.0,7411.0,55
CPT,82533,HC CORTISOL,273.89,164.33,10.0,7411.0,110
CPT,82533,"HC CORTISOL, DRAW 1",273.89,164.33,10.0,7411.0,55
CPT,82533,"HC CORTISOL, DRAW 3",273.89,164.33,10.0,7411.0,55
CPT,82533,"HC CORTISOL, DST 1 SPECIMEN",273.89,164.33,10.0,7411.0,55
CPT,82533,HC INSULIN TOLERANCE - CORTISOL TOTAL,273.89,164.33,10.0,7411.0,55
CPT,82533,HC REF MAYO COMP CORTO CPT 82533,108.63,65.18,10.0,7411.0,55
CPT,82533,HC TOTAL CORTISOL,273.89,164.33,10.0,7411.0,55
CPT,82533,HC TOTAL CORTISOL - INFERIOR VENA CAVA PANEL,273.89,164.33,10.0,7411.0,55
CPT,82533,HC TOTAL CORTISOL - LEFT ADRENAL VEIN PANEL,273.89,164.33,10.0,7411.0,55
CPT,82533,HC TOTAL CORTISOL - PERIPHERAL VEIN PANEL,273.89,164.33,10.0,7411.0,55
CPT,82533,HC TOTAL CORTISOL - RIGHT ADRENAL VEIN PANEL,273.89,164.33,10.0,7411.0,55
CPT,82533,HC TOTAL CORTISOL - SALIVA,273.89,164.33,10.0,7411.0,55
CPT,82533,"HC TOTAL CORTISOL, DRAW 3",273.89,164.33,10.0,7411.0,55
CPT,82540,HC CREATINE,110.16,66.1,3.9,7411.0,55
CPT,82540,HC REF ARUP 2002343 URINE CREATININE,151.0,90.6,3.9,7411.0,55
CPT,82542,HC 7-DEHYDROCHOLESTEROL,305.93,183.56,10.0,7411.0,55
CPT,82542,HC COLUM CHROMAT NONDRUG NES - PROTOPORPHYRINS TOTAL,305.93,183.56,10.0,7411.0,55
CPT,82542,HC COLUMN CHROMAT NONDRUG NOS - FATTY ACID PROFILE,305.93,183.56,10.0,7411.0,55
CPT,82542,HC COLUMN CHROMOTOGRAPHY QUAL/QUANT,305.93,183.56,10.0,7411.0,55
CPT,82542,HC COLUMN CHROMOTOGRAPHY QUAL/QUANT - ACYLGLYCINES,305.93,183.56,10.0,7411.0,55
CPT,82542,"HC COLUMN CHROMOTOGRAPHY QUAL/QUANT - CORTISOL/CORTISONE, 24HR URINE",305.93,183.56,10.0,7411.0,55
CPT,82542,"HC COLUMN CHROMOTOGRAPHY QUAL/QUANT - METHYLHISTAMINE, 24HR URINE",305.93,183.56,10.0,7411.0,55
CPT,82542,HC COLUMN CHROMOTOGRAPHY QUAL/QUANT - ORGANIC ACID,305.93,183.56,10.0,7411.0,55
CPT,82542,"HC COLUMN CHROMOTOGRAPHY, NON-DRUG, NOS",305.93,183.56,10.0,7411.0,55
CPT,82542,"HC COLUMN,QUAN,SINGLE STATIONARY",305.93,183.56,10.0,7411.0,880
CPT,82542,"HC IOHEXOL, PLASMA",305.93,183.56,10.0,7411.0,55
CPT,82542,"HC IOTHALAMATE, PLASMA",305.93,183.56,10.0,7411.0,55
CPT,82542,"HC IOTHALAMATE, URINE",305.93,183.56,10.0,7411.0,55
CPT,82542,HC PORPHYRINS FRACTIONATED PLASMA,305.93,183.56,10.0,7411.0,55
CPT,82542,"HC REF 5-HYRDOXYINDOLEACETIC PLASMA, ARUP",682.5,409.5,10.0,7411.0,55
CPT,82542,HC REF ARUP 2007582 18-HYDROXYCORTICOSTERONE,271.88,163.13,10.0,7411.0,55
CPT,82542,"HC REF ARUP 3004792 LEUKOTREINE E4, 24 U",710.75,426.45,10.0,7411.0,55
CPT,82542,"HC REF ARUP, COMP 750000706, CPT 82542",355.38,213.23,10.0,7411.0,55
CPT,82542,"HC REF BAYLOR, COMP 4627, 82542",375.0,225.0,10.0,7411.0,55
CPT,82542,"HC REF COMP HOUSTON METHODIST, IOHEXOL CLEARANCE CPT 82542",56.33,33.8,10.0,7411.0,55
CPT,82542,HC REF LABCORP 620010 NEOPTERIN/TETRAHYDROBIOPTERIN CSF,480.0,288.0,10.0,7411.0,55
CPT,82542,"HC REF LABCORP COMP 620011, CPT 82542",120.0,72.0,10.0,7411.0,55
CPT,82542,"HC REF MAYO 21DOC 21-DEOXYCORTISOL, SERUM",695.25,417.15,10.0,7411.0,55
CPT,82542,"HC REF MAYO 3MT 3-METHOXYTYRAMINE, 24 HR, URINE",315.0,189.0,10.0,7411.0,55
CPT,82542,"HC REF MAYO 3MT, 3-METHOXYTYRAMINE, 24HR URINE",315.0,189.0,10.0,7411.0,55
CPT,82542,HC REF MAYO COMP HEX4 CPT 82542,626.53,375.92,10.0,7411.0,55
CPT,82542,"HC REF MAYO COMP MCM24, CPT 82542",710.25,426.15,10.0,7411.0,55
CPT,82542,HC REF MAYO COMP MCMRU CPT 82542,658.45,395.07,10.0,7411.0,55
CPT,82542,"HC REF MAYO COMP MCMRU, CPT 82542",658.45,395.07,10.0,7411.0,55
CPT,82542,"HC REF MAYO FHC18 HYDROXYCORTICOSTERONE, S",422.5,253.5,10.0,7411.0,55
CPT,82542,"HC REF MAYO GPSYP GLUCOPSYCHOSINE, P",480.38,288.23,10.0,7411.0,55
CPT,82542,"HC REF MAYO, COMP 2425D, CPT 82542",199.45,119.67,10.0,7411.0,55
CPT,82542,"HC REF MAYO, COMP RLTE4, CPT 82542",606.58,363.95,10.0,7411.0,55
CPT,82542,"HC REF MAYO, OXNP OXYSTEROLS PLASMA",760.46,456.28,10.0,7411.0,55
CPT,82542,"HC REF MAYO, PFAPE FATTY ACID PROFILE, ESSENTIAL",364.07,218.44,10.0,7411.0,55
CPT,82542,"HC REF MAYO, SRAU SEROTONIN RELEASE ASSAY",978.47,587.08,10.0,7411.0,55
CPT,82542,"HC REF MAYO, TLTE4 LEUKOTRIENE E4 URINE",737.0,442.2,10.0,7411.0,55
CPT,82542,"HC REF MEDFUSION COMP 92771, CPT 82542",123.91,74.35,10.0,7411.0,55
CPT,82542,"HC REF MEDFUSION, OMEGACHECK 92701",92.5,55.5,10.0,7411.0,55
CPT,82542,HC REF QUANTITATIVE HPLC FOR 6-METHYL-MERCAPTOPURINE (6-MMPN),230.35,138.21,10.0,7411.0,55
CPT,82542,HC REF QUANTITATIVE HPLC FOR 6-THIOGUANINE (6-TGN),230.35,138.21,10.0,7411.0,55
CPT,82542,HC REF QUEST 36338 BILE ACID SYNTHESIS,621.25,372.75,10.0,7411.0,55
CPT,82550,HC ASSAY OF CK (CPK) - ISOENZYMES,159.62,95.77,5.47,7411.0,55
CPT,82550,HC CREATINE KINASE (CPK) - TOTAL,159.62,95.77,5.47,7411.0,55
CPT,82550,"HC CREATINE PHOSPHOKINASE (CPK),",159.62,95.77,5.47,7411.0,110
CPT,82550,"HC REF ARUP 0020010 CREATINE KINASE, TOTAL, SERUM OR PLASMA",21.5,12.9,5.47,7411.0,55
CPT,82550,"HC REF ARUP COMP 0020414, CPT 82550",24.18,14.51,5.47,7411.0,55
CPT,82552,HC CREATINE KINASE ISOENZYMES,54.65,32.79,10.0,7411.0,55
CPT,82552,"HC REF ARUP COMP 0020414, CPT 82552",24.2,14.52,8.71,7411.0,55
CPT,82552,HC REF CREATINE KINASE ISO REFLEX,50.6,30.36,10.0,7411.0,55
CPT,82553,"HC CREATINE KINASE, MB FRACTION",291.66,175.0,9.7,7411.0,220
CPT,82553,"HC CREATINE KINASE, MB FRACTION POINT OF CARE PATHOLOGY",291.66,175.0,9.7,7411.0,55
CPT,82565,HC ASSAY OF CREATININE,111.02,66.61,4.3,7411.0,55
CPT,82565,HC CREATININE,111.02,66.61,4.3,7411.0,55
CPT,82565,HC CREATININE - BLOOD,111.02,66.61,4.3,7411.0,55
CPT,82565,HC CREATININE - SERUM,111.02,66.61,4.3,7411.0,275
CPT,82565,HC CREATININE - SERUM POINT OF CARE PATHOLOGY,111.02,66.61,4.3,7411.0,55
CPT,82565,HC CREATININE POC (BAYLOR BREAST IMAGING CENTER),111.02,66.61,4.3,7411.0,55
CPT,82565,"HC CREATININE, POC",111.02,66.61,4.3,7411.0,55
CPT,82565,HC REF ARUP 3018316 COMP CPT 82565,54.38,32.63,4.3,7411.0,55
CPT,82570,HC ASSAY OF URINE CREATININE - 5 HIAA,124.74,74.84,4.35,7411.0,55
CPT,82570,HC ASSAY OF URINE CREATININE - 5 HIAA 24HR URINE QUANT,124.74,74.84,4.35,7411.0,55
CPT,82570,HC ASSAY OF URINE CREATININE - CALCIUM/CREAT RATIO,124.74,74.84,4.35,7411.0,55
CPT,82570,HC ASSAY OF URINE CREATININE - CALCIUM/CREAT RATIO 24HR URINE,124.74,74.84,4.35,7411.0,55
CPT,82570,HC ASSAY OF URINE CREATININE - CANNABINOIDS DRUG CONF,124.74,74.84,4.35,7411.0,55
CPT,82570,"HC ASSAY OF URINE CREATININE - CULTURE, ANAEROBIC",124.74,74.84,4.35,7411.0,55
CPT,82570,"HC ASSAY OF URINE CREATININE - FREE, 24HR URINE",124.74,74.84,4.35,7411.0,55
CPT,82570,HC ASSAY OF URINE CREATININE - HEAVY METALS SCREEN RANDOM URINE,124.74,74.84,4.35,7411.0,55
CPT,82570,HC ASSAY OF URINE CREATININE - METANEPHRINES FRACT,124.74,74.84,4.35,7411.0,55
CPT,82570,HC ASSAY OF URINE CREATININE - MICROALBUMIN/CREAT RATIO,124.74,74.84,4.35,7411.0,55
CPT,82570,HC ASSAY OF URINE CREATININE - POTASSIUM 24HR URINE W/CREAT RATIO,124.74,74.84,4.35,7411.0,55
CPT,82570,HC ASSAY OF URINE CREATININE - POTASSIUM/CREAT RATIO,124.74,74.84,4.35,7411.0,55
CPT,82570,HC ASSAY OF URINE CREATININE - PROTEIN ELECTROPHORESIS 24HR URINE,124.74,74.84,4.35,7411.0,55
CPT,82570,HC ASSAY OF URINE CREATININE - PROTEIN W/CREATININE 24HR URINE,124.74,74.84,4.35,7411.0,55
CPT,82570,HC ASSAY OF URINE CREATININE - PROTEIN/CREAT RATIO,124.74,74.84,4.35,7411.0,55
CPT,82570,HC ASSAY OF URINE CREATININE - RANDOM,124.74,74.84,4.35,7411.0,55
CPT,82570,HC ASSAY OF URINE CREATININE - UREA NITROGEN W/CREATININE 24HR URINE,124.74,74.84,4.35,7411.0,55
CPT,82570,HC CREATININE - OTHER SOURCE,124.74,74.84,4.35,7411.0,165
CPT,82570,HC CREATININE - OTHER SOURCE (FRACTIONATED CATECHOLAMINES),124.74,74.84,4.35,7411.0,55
CPT,82570,HC CREATININE - OVERNIGHT EXCHANGE DIALYSATE,124.74,74.84,4.35,7411.0,55
CPT,82570,HC CREATININE - URORISK,124.74,74.84,4.35,7411.0,55
CPT,82570,"HC CREATININE, BODY FLUID",124.74,74.84,4.35,7411.0,55
CPT,82570,"HC CREATININE, URINE 24HR",124.74,74.84,4.35,7411.0,55
CPT,82570,"HC CREATININE, URINE POC",124.74,74.84,4.35,7411.0,55
CPT,82570,"HC CREATININE, URINE RANDOM",124.74,74.84,4.35,7411.0,55
CPT,82570,"HC CREATININE, URINE TIMED",124.74,74.84,4.35,7411.0,55
CPT,82570,HC REF  MAYO COMP ALBR CPT 82570,26.85,16.11,4.35,7411.0,55
CPT,82570,HC REF ARUP COMP 0050203 CPT 82570,11.25,6.75,4.05,7411.0,55
CPT,82570,"HC REF ARUP, COMP 750000706, CPT 82570",355.38,213.23,4.35,7411.0,55
CPT,82570,"HC REF LABCORP, COMP 071563, CPT 82570",100.0,60.0,4.35,7411.0,55
CPT,82570,HC REF MAYO COMP HEX4 CPT 82570,134.73,80.84,4.35,7411.0,55
CPT,82570,HC REF MAYO COMP IODCU CPT 82570,81.03,48.62,4.35,7411.0,55
CPT,82570,HC REF MAYO COMP MCMRU CPT 82570,141.58,84.95,4.35,7411.0,55
CPT,82570,"HC REF MAYO COMP MCMRU, CPT 82570",141.58,84.95,4.35,7411.0,55
CPT,82570,"HC REF MAYO, COMP MAGRU, CPT 82570",30.61,18.37,4.35,7411.0,55
CPT,82570,"HC REF MAYO, COMP RLTE4, CPT 82570",130.43,78.26,4.35,7411.0,55
CPT,82570,"HC REF MEDFUSION COMP 92771, CPT 82570",123.91,74.35,4.35,7411.0,55
CPT,82570,"HC REF QUEST COMP 14168, CPT 82570",643.29,385.97,4.35,7411.0,55
CPT,82575,HC CREATININE CLEARANCE,230.22,138.13,7.95,7411.0,55
CPT,82585,HC CRYOFIBRINOGEN,86.19,51.71,10.0,7411.0,55
CPT,82585,"HC REF MAYO CUT COPPER, LIVER TISSUE",187.1,112.26,10.0,7411.0,55
CPT,82595,HC CRYOGLOBULIN,108.08,64.85,5.43,7411.0,55
CPT,82595,"HC CRYOGLOBULIN, BLOOD",108.08,64.85,5.43,7411.0,110
CPT,82600,HC CYANIDE,188.97,113.38,10.0,7411.0,55
CPT,82607,HC CYANOCOBALAMINE (VITAMIN B12),240.75,144.45,10.0,7411.0,55
CPT,82607,"HC CYANOCOBALAMINE (VITAMIN B12),",240.75,144.45,10.0,7411.0,110
CPT,82607,HC REF ARUP 0055662 VIT B12,22.5,13.5,8.1,7411.0,55
CPT,82607,HC VITAMIN B-12 - B12 & FOLATE,240.75,144.45,10.0,7411.0,55
CPT,82610,HC CYSTATIN C,155.26,93.16,10.0,7411.0,55
CPT,82610,HC REF ARUP 3018316 COMP CPT 82610,54.38,32.63,10.0,7411.0,55
CPT,82626,HC DEHYDROEPIANDROSTERONE (DHEA),107.54,64.52,10.0,7411.0,55
CPT,82627,HC DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S),262.84,157.7,10.0,7411.0,55
CPT,82633,HC DESOXYCORTICOSTERONE,337.97,202.78,10.0,7411.0,55
CPT,82634,HC DEOXYCORTISOL,278.35,167.01,10.0,7411.0,55
CPT,82638,HC DIBUCAINE NUMBER,103.09,61.85,10.0,7411.0,55
CPT,82642,HC DIHYDROTESTOSTERONE (DHT),267.9,160.74,10.0,7411.0,55
CPT,82642,HC REF DIHYROTESTOSTERONE,71.28,42.77,10.0,7411.0,55
CPT,82652,"HC REF MAYO, DHVD 1,25-DIHYDROXYVITAMIN D, S",91.93,55.16,10.0,7411.0,55
CPT,82652,"HC VITAMIN D 1, 25 DIHYDROXY",398.39,239.03,10.0,7411.0,55
CPT,82653,"HC PANCREATIC ELASTASE, FECAL, QUANT",164.19,98.51,10.0,7411.0,55
CPT,82653,"HC REF ARUP 3002858 PANCREATIC ELASTASE, FECAL BY IMMUNOASSAY",187.5,112.5,10.0,7411.0,55
CPT,82653,"HC REF ARUP < MIRAVISTA 3002858 BLASTOMYCES DERMATITIDIS ANTIGEN, EIA",297.5,178.5,10.0,7411.0,55
CPT,82656,"HC ELASTASE, PANCREATIC FECAL",391.8,235.08,9.69,7411.0,55
CPT,82656,"HC IMMUNOASSAY QUANT NOS NONAB - PANCREATIC ELASTASE, FECAL",391.8,235.08,9.69,7411.0,55
CPT,82657,"HC ENZYME ACTIVITY,NES,NONRAD SUB",253.0,151.8,10.0,7411.0,330
CPT,82657,"HC ENZYME CELL ACTIVITY, NES, NONRAD SUBSTRATE",253.0,151.8,10.0,7411.0,55
CPT,82657,HC REF ARUP 2011058 ARYLSULFATASE A LEUKOCYTES,525.0,315.0,10.0,7411.0,55
CPT,82657,HC REF ARUP COMP 0097163 CPT 82657,277.5,166.5,10.0,7411.0,55
CPT,82657,"HC REF ARUP, COMP ASPARAGINE, CPT 82657",343.75,206.25,10.0,7411.0,55
CPT,82657,"HC REF MAYO AGAS, ALPHA GALACTOSIDASE ENZYME ACTIVITY",323.33,194.0,10.0,7411.0,55
CPT,82657,"HC REF MAYO COMP EEEV1 , CPT 82657",231.67,139.0,10.0,7411.0,55
CPT,82657,"HC REF MAYO COMP, FPEPA, CPT 82657",204.38,122.63,10.0,7411.0,55
CPT,82657,"HC REF MAYO DSAC DISACCHARIDASE ACTIVITY PANEL, TS",551.75,331.05,10.0,7411.0,55
CPT,82657,"HC REF MAYO GAAW ACID ALPHA-GLUCOSIDASE, LEUKOCYTES",564.38,338.63,10.0,7411.0,55
CPT,82657,"HC REF MAYO, COMP HAEV1, CPT 82657",403.23,241.94,10.0,7411.0,55
CPT,82657,"HC REF MAYO, COMP MEV1, CPT 82657",317.33,190.4,10.0,7411.0,55
CPT,82657,HC REF MEDWIS COMP DISAC CPT 82657,116.25,69.75,10.0,7411.0,55
CPT,82657,"HC REF QUEST, 37523 NEUTROPHIL FUNCTION, OXIDATIVE BURST",387.75,232.65,10.0,7411.0,55
CPT,82657,"HC TPMT ACTIVITY PROFILE, TPMT3",253.0,151.8,10.0,7411.0,55
CPT,82658,HC ENZYME CELL ACTIVITY RA,425.0,255.0,10.0,7411.0,55
CPT,82664,"HC ELECTROPHORETIC TECHNIQUE, NES",226.82,136.09,10.0,7411.0,275
CPT,82668,HC ERYTHROPOIETIN,250.42,150.25,10.0,7411.0,55
CPT,82670,HC ESTRADIOL,338.79,203.27,10.0,7411.0,55
CPT,82670,"HC REF ARUP 0093247 ESTRADIOL, ADULT M, CHILD, POST MENOP F, ESHT",60.0,36.0,10.0,7411.0,55
CPT,82670,"HC REF LABCORP 140224 ESTRADIOL, SENSITIVE",288.3,172.98,10.0,7411.0,55
CPT,82670,HC REF LABCORP 140244 ESTRADIOL SENSITIVE,288.3,172.98,10.0,7411.0,55
CPT,82670,HC REF LABCORP 500108 ESTRODIOL LC/MS,342.6,205.56,10.0,7411.0,55
CPT,82670,"HC REF MAYO, COMP FFES, CPT 82670",170.73,102.44,10.0,7411.0,55
CPT,82670,HC REF QUEST LAB 30289 ESTRADIOL ULTRASENSITIVE,611.23,366.74,10.0,7411.0,55
CPT,82671,HC ASSAY OF ESTROGENS - ESTRADIOL AND ESTRONE,208.91,125.35,10.0,7411.0,55
CPT,82671,HC ESTROGENS FRACTIONATED,208.91,125.35,10.0,7411.0,55
CPT,82671,"HC REF ARUP, 0093248 ESTROGENS FRACTIONATED BY MASS SPEC",60.0,36.0,10.0,7411.0,55
CPT,82671,"HC REF MAYO ESTF –ESTROGENS, E1+E2, FRACT, S",73.85,44.31,10.0,7411.0,55
CPT,82672,HC ESTROGENS TOTAL,268.73,161.24,10.0,7411.0,55
CPT,82677,HC ESTRIOL,213.19,127.91,10.0,7411.0,55
CPT,82679,HC ESTRONE,194.59,116.75,10.0,7411.0,55
CPT,82681,"HC REF ARUP, 2006160 ESTRADIOL, FREE BY DIALYSIS",507.5,304.5,10.0,7411.0,55
CPT,82681,"HC REF MAYO, COMP FFES, CPT 82681",170.75,102.45,10.0,7411.0,55
CPT,82693,HC ETHYLENE GLYCOL,231.16,138.7,10.0,7411.0,55
CPT,82705,"HC FATS OR LIPIDS, FECES, QUALITATIVE",103.42,62.05,4.28,7411.0,55
CPT,82705,HC FECAL FAT QUALITATIVE,103.42,62.05,4.28,7411.0,110
CPT,82710,HC FAT OR LIPIDS FECES QUANTITATIVE,221.31,132.79,10.0,7411.0,55
CPT,82710,HC FAT/LIPIDS FECES QUANT - 24HR,221.31,132.79,10.0,7411.0,55
CPT,82710,HC FAT/LIPIDS FECES QUANT - 48HR,221.31,132.79,10.0,7411.0,55
CPT,82710,HC FAT/LIPIDS FECES QUANT - 72HR,221.31,132.79,10.0,7411.0,55
CPT,82710,"HC FECES, FAT OR LIPID, QUANT., 24",221.31,132.79,10.0,7411.0,110
CPT,82710,"HC REF MAYO FATF, FAT FECES",101.08,60.65,10.0,7411.0,55
CPT,82725,"HC FATTY ACIDS, NONESTERIFIED",78.98,47.39,10.0,7411.0,55
CPT,82725,"HC REF MAYO FAPEP FATTY ACID PROFILE, ESSENTIAL, S",346.73,208.04,10.0,7411.0,55
CPT,82726,HC VERY LONG CHAIN FATTY ACIDS,493.29,295.97,10.0,7411.0,55
CPT,82728,HC ASSAY OF FERRITIN - IRON TIBC & FERRITIN PANEL,249.48,149.69,10.0,7411.0,55
CPT,82728,HC FERRITIN,249.48,149.69,10.0,7411.0,55
CPT,82728,"HC REF ARUP COMP 2012521, CPT 82728",87.5,52.5,10.0,7411.0,55
CPT,82731,HC FETAL FIBRONECTIN CERVICOVAG SECRETIONS,869.42,521.65,10.0,7411.0,55
CPT,82735,HC FLUORIDE,193.05,115.83,10.0,7411.0,55
CPT,82746,HC ASSAY OF FOLIC ACID SERUM - B12 & FOLATE,239.5,143.7,10.0,7411.0,55
CPT,82746,"HC FOLIC ACID (FOLATE), SERUM",239.5,143.7,10.0,7411.0,55
CPT,82746,"HC REF ARUP 0070070 FOLATE, SERUM",31.75,19.05,10.0,7411.0,55
CPT,82747,HC RBC FOLATE,217.58,130.55,10.0,7411.0,55
CPT,82747,"HC REF ARUP, 0070385 FOLATE RBC",32.5,19.5,10.0,7411.0,55
CPT,82759,HC GALACTOKINASE RBC,341.62,204.97,10.0,7411.0,55
CPT,82759,HC GALACTOSEMIA,341.62,204.97,10.0,7411.0,55
CPT,82759,HC NB SCRN GALACTOSEMIA,341.62,204.97,10.0,7411.0,55
CPT,82760,HC GALACTOSE,78.77,47.26,9.41,7411.0,55
CPT,82775,HC GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE,225.14,135.08,10.0,7411.0,55
CPT,82777,HC GALECTIN-3,221.45,132.87,10.0,7411.0,55
CPT,82784,HC ASSAY IGA/IGD/IGG/IGM EACH,182.55,109.53,7.81,7411.0,55
CPT,82784,HC ASSAY IGA/IGD/IGG/IGM EACH - IGA/IGM/IGG QUANT,182.55,109.53,7.81,7411.0,55
CPT,82784,HC ASSAY IGA/IGD/IGG/IGM EACH - IGG SYNTHESIS RATE,182.55,109.53,7.81,7411.0,55
CPT,82784,HC ASSAY IGA/IGD/IGG/IGM EACH - IGG/ALBUMIN RATIO,182.55,109.53,7.81,7411.0,55
CPT,82784,HC ASSAY IGA/IGD/IGG/IGM EACH - IMMUNOTYPING BY CAPIL ELECTROPH,182.55,109.53,7.81,7411.0,55
CPT,82784,HC ASSAY OF GAMMAGLOBULIN IGM,182.55,109.53,7.81,7411.0,330
CPT,82784,HC GAMMAGLOBULIN,182.55,109.53,7.81,7411.0,55
CPT,82784,HC GAMMAGLOBULIN IGA,182.55,109.53,7.81,7411.0,55
CPT,82784,HC GAMMAGLOBULIN IGD,182.55,109.53,7.81,7411.0,55
CPT,82784,HC GAMMAGLOBULIN IGG - LYME CNS INFECTION,182.55,109.53,7.81,7411.0,55
CPT,82784,"HC GAMMAGLOBULIN, IGA",182.55,109.53,7.81,7411.0,55
CPT,82784,"HC GAMMAGLOBULIN, IGD",182.55,109.53,7.81,7411.0,55
CPT,82784,"HC GAMMAGLOBULIN, IGG",182.55,109.53,7.81,7411.0,55
CPT,82784,"HC GAMMAGLOBULIN, IGM",182.55,109.53,7.81,7411.0,110
CPT,82784,"HC REF ARUP, COMP 0050676, CPT 82784",16.88,10.13,6.08,7411.0,55
CPT,82784,"HC REF ARUP, COMP 0050980, CPT 82784",44.51,26.71,7.81,7411.0,55
CPT,82784,"HC REF ARUP, COMP EUROFINS VIVACOR 401844P, CPT 82784",73.11,43.87,7.81,7411.0,55
CPT,82784,HC REF MAYO COMP FIMCC CPT 82784,76.67,46.0,7.81,7411.0,55
CPT,82784,HC REF MAYO SFIG CSF IGG INDEX PROFILE,104.98,62.99,7.81,7411.0,55
CPT,82784,"HC REF MAYO, COMP CDCOM, CPT 82784",24.92,14.95,7.81,7411.0,55
CPT,82784,"HC REF MAYO, COMP FMNPP, CPT 82784",93.29,55.97,7.81,7411.0,55
CPT,82784,"HC REF, ARUP 0050631 ASSAY IGA/IGD/IGG/IGM EACH",45.63,27.38,7.81,7411.0,55
CPT,82785,HC ASSAY OF IGE - NTX ALLERGY PANEL,212.18,127.31,10.0,7411.0,55
CPT,82785,HC ASSAY OF IGE - OKTX ALLERGY PANEL,212.18,127.31,10.0,7411.0,55
CPT,82785,HC ASSAY OF IGE - REG 10 OKTX RESP ALLERGY PANEL,212.18,127.31,10.0,7411.0,55
CPT,82785,HC ASSAY OF IGE - TREE PANEL,212.18,127.31,10.0,7411.0,55
CPT,82785,"HC GAMMAGLOBULIN, IGE",212.18,127.31,10.0,7411.0,55
CPT,82785,HC REF ARUP COMP 3001720 ALLERGEN REG 10 CPT 82785,12.77,7.66,4.6,7411.0,55
CPT,82785,"HC REF ARUP, COMP EUROFINS VIVACOR 401844P, CPT 82785",73.11,43.87,10.0,7411.0,55
CPT,82787,HC IGG 1 2 3 OR 4 EACH - HUMORAL IMMUNE STAT SURV PNEUMO 14,123.61,74.17,6.74,7411.0,55
CPT,82787,HC IGG 1 2 3 OR 4 EACH - IGG 4,123.61,74.17,6.74,7411.0,55
CPT,82787,HC IMMUNOGLOBULIN SUBCLASSES 1 2 3 OR 4 EACH,123.61,74.17,6.74,7411.0,55
CPT,82787,HC REF ARUP 0050576 IMMUNOGLOBULIN G SUBCLASS 4,27.5,16.5,6.74,7411.0,55
CPT,82787,"HC REF ARUP, COMP 0050980, CPT 82787",31.79,19.07,6.74,7411.0,55
CPT,82787,"HC REF ARUP, COMP EUROFINS VIVACOR 401844P, CPT 82787",69.63,41.78,6.74,7411.0,55
CPT,82800,HC BLOOD GASES PH ONLY,107.67,64.6,9.24,7411.0,55
CPT,82800,HC PH ONLY,107.67,64.6,9.24,7411.0,110
CPT,82803,HC AGB POC (CARDIOPULMONARY),432.76,259.66,10.0,7411.0,55
CPT,82803,"HC BLOOD GAS ANY COMBO PH, PC02, PO2, CO2, HCO3, VENOUS",432.76,259.66,10.0,7411.0,55
CPT,82803,"HC BLOOD GAS ANY COMBO PH,PCO2,PO2,CO2,HCO3, CAPILLARY POC",432.76,259.66,10.0,7411.0,55
CPT,82803,"HC BLOOD GAS, ARTERIAL POC",432.76,259.66,10.0,7411.0,55
CPT,82803,"HC BLOOD GAS, CORD ARTERIAL POC",432.76,259.66,10.0,7411.0,55
CPT,82803,"HC BLOOD GAS, CORD VENOUS POC",432.76,259.66,10.0,7411.0,55
CPT,82803,"HC BLOOD GAS, MIXED VENOUS POCT",432.76,259.66,10.0,7411.0,55
CPT,82803,"HC BLOOD GAS, VENOUS POC",432.76,259.66,10.0,7411.0,55
CPT,82803,HC BLOOD GASES ANY COMBINATION,432.76,259.66,10.0,7411.0,55
CPT,82803,"HC BLOOD GASES, ANY COMBO: PH, PCO2, PO2, CO2, HCO3",432.76,259.66,10.0,7411.0,55
CPT,82803,"HC BLOOD GASSES, ANY COMBO PH, PCO2, PO2, CO2, HCO3 - ARTERIAL POC",432.76,259.66,10.0,7411.0,55
CPT,82803,"HC BLOOD GASSES, ANY COMBO PH, PCO2, PO2, CO2, HCO3 - POC",432.76,259.66,10.0,7411.0,55
CPT,82803,"HC BLOOD GASSES, ANY COMBO PH, PCO2, PO2, CO2, HCO3 - VENOUS POC",432.76,259.66,10.0,7411.0,55
CPT,82803,HC G3 + I-STAT (CARDIOPULMONARY),432.76,259.66,10.0,7411.0,55
CPT,82803,"HC GASES, BLOOD ANY COMBO - CORD ARTERIAL, POC",432.76,259.66,10.0,7411.0,55
CPT,82803,"HC GASES,BLOOD,ANY COMBO:PH,PCO2,",432.76,259.66,10.0,7411.0,440
CPT,82803,"HC GASES,BLOOD,ANY COMBO:PH,PCO2, POINT OF CARE PATHOLOGY",432.76,259.66,10.0,7411.0,110
CPT,82803,HC POC G3 CARTRIDGE (CARDIOPULMONARY),432.76,259.66,10.0,7411.0,55
CPT,82805,HC ARTERIAL BLOOD GAS,514.86,308.92,10.0,7411.0,55
CPT,82805,HC BLOOD GAS 1075,514.86,308.92,10.0,7411.0,55
CPT,82805,"HC BLOOD GAS ANY COMBO PH, PC02, PO2, CO2, HCO3, ARTERIAL",514.86,308.92,10.0,7411.0,55
CPT,82805,"HC BLOOD GAS ANY COMBO PH, PC02, PO2, CO2, HCO3, CORD ARTERIAL",514.86,308.92,10.0,7411.0,55
CPT,82805,"HC BLOOD GAS ANY COMBO PH, PC02, PO2, CO2, HCO3, CORD VENOUS",514.86,308.92,10.0,7411.0,55
CPT,82805,"HC BLOOD GAS ANY COMBO PH, PCO2, PO2, CO2, HCO3, CAPILLARY",514.86,308.92,10.0,7411.0,55
CPT,82805,"HC BLOOD GAS ANY COMBO PH, PCO2, PO2, CO2, HCO3, MIXED VENOUS",514.86,308.92,10.0,7411.0,55
CPT,82805,HC BLOOD GAS DIR MEAS O2 SAT,514.86,308.92,10.0,7411.0,55
CPT,82805,HC BLOOD GASES W/O2 SATURATION,514.86,308.92,10.0,7411.0,55
CPT,82805,"HC BLOOD GASES, 5 ENTITY",514.86,308.92,10.0,7411.0,55
CPT,82805,HC OXYGEN SATURATION PANEL OXYGEN,514.86,308.92,10.0,7411.0,55
CPT,82810,"HC BLOOD GASES, O2 SATURATION ONLY",160.59,96.35,8.21,7411.0,55
CPT,82810,"HC GASES,BLOOD,O2 SATURAT ONLY,DI",160.59,96.35,8.21,7411.0,220
CPT,82820,HC HEMOGLOBIN-OXYGEN AFFINITY,148.55,89.13,10.0,7411.0,55
CPT,82930,HC GASTRIC ACID ANALY W/PH EA SPE,38.35,23.01,5.64,7411.0,55
CPT,82938,HC GASTRIN SECRETIN STIMULATION,103.0,61.8,10.0,7411.0,55
CPT,82941,HC GASTRIN,221.19,132.71,10.0,7411.0,55
CPT,82943,HC GLUCAGON,155.75,93.45,10.0,7411.0,55
CPT,82945,"HC GLUCOSE, 24HR URINE",127.23,76.34,3.3,7411.0,55
CPT,82945,"HC GLUCOSE, BODY FLUID",127.23,76.34,3.3,7411.0,55
CPT,82945,"HC GLUCOSE, CSF",127.23,76.34,3.3,7411.0,55
CPT,82945,"HC GLUCOSE, RANDOM URINE",127.23,76.34,3.3,7411.0,55
CPT,82945,"HC GLUCOSE,BODY FLUID,OTHER THAN",127.23,76.34,3.3,7411.0,165
CPT,82945,"HC GLUCOSE,BODY FLUID,OTHER THAN BLOOD",127.23,76.34,3.3,7411.0,55
CPT,82945,"HC REF MAYO GLBF, GLUCOSE BODY FLUID",89.48,53.69,3.3,7411.0,55
CPT,82947,HC ASSAY GLUCOSE BLOOD QUANT - 2HR GTT,99.79,59.87,3.3,7411.0,55
CPT,82947,"HC GLUCOSE - QUANTITATIVE, BLOOD",99.79,59.87,3.3,7411.0,330
CPT,82947,"HC GLUCOSE - QUANTITATIVE, BLOOD POINT OF CARE PATHOLOGY",99.79,59.87,3.3,7411.0,55
CPT,82947,HC GLUCOSE FASTING LEVEL,92.4,55.44,3.3,7411.0,55
CPT,82947,HC GLUCOSE QT BLD POC (CARDIOPULMONARY),99.79,59.87,3.3,7411.0,55
CPT,82947,"HC GLUCOSE, SERUM, RANDOM",99.79,59.87,3.3,7411.0,55
CPT,82947,"HC REF ARUP COMP 2012521, CPT 82947",87.5,52.5,3.3,7411.0,55
CPT,82947,"HC REF LABCORP COMP 550180, CPT 82947",93.19,55.91,3.3,7411.0,55
CPT,82947,HC REF LABCORP COMP 550960 CPT 82947,86.25,51.75,3.3,7411.0,55
CPT,82948,HC GLUCOSE BY MONITOR DEVIC,51.41,30.85,4.23,7411.0,110
CPT,82948,HC REAGENT STRIP/BLOOD GLUCOSE,51.41,30.85,4.23,7411.0,55
CPT,82950,HC GLUCOSE 2HR (POST PARTUM),114.97,68.98,3.99,7411.0,55
CPT,82950,HC GLUCOSE TEST - 2HR GTT,114.97,68.98,3.99,7411.0,55
CPT,82950,"HC GLUCOSE, 1HR SCREEN (OB)",114.97,68.98,3.99,7411.0,55
CPT,82950,"HC GLUCOSE, POST GLUCOSE DOSE",114.97,68.98,3.99,7411.0,165
CPT,82951,HC GLUCOSE TOLERANCE TEST (GTT) - 3HR GTT,253.21,151.93,10.0,7411.0,55
CPT,82951,"HC GLUCOSE, TOLERANCE TEST (GTT)",253.21,151.93,10.0,7411.0,55
CPT,82952,"HC GLUCOSE, TOLERANCE TEST EACH ADDITIONAL",76.36,45.82,3.29,7411.0,55
CPT,82952,HC GTT-ADDED SAMPLES - 3HR GTT,76.36,45.82,3.29,7411.0,55
CPT,82955,HC G6PD (GLUCOSE 6-PHOSPHATE DEHYD) - QUANT,145.84,87.5,8.15,7411.0,55
CPT,82955,HC REF ARUP COMP 3000894 CPT 82955,132.13,79.28,8.15,7411.0,55
CPT,82955,"HC REF MAYO COMP EEEV1 , CPT 82955",506.8,304.08,8.15,7411.0,55
CPT,82955,"HC REF MAYO, COMP HAEV1, CPT 82955",176.43,105.86,8.15,7411.0,55
CPT,82960,HC G6PD (GLUCOSE 6-PHOSPHATE DEHYD) - SCREEN,111.88,67.13,5.08,7411.0,55
CPT,82962,"GLUCOSE, BLOOD BY GLUCOSE MONITORING DEVICE(S) CLEARED BY THE FDA SPECIFICALLY FOR HOME USE",,,3.12,16.92,54
CPT,82962,HC GLUCOSE BY DEVICE POC,56.6,33.96,3.12,7411.0,55
CPT,82962,HC TESTING BLOOD SUGAR LEVEL,56.6,33.96,3.12,7411.0,165
CPT,82962,HC TESTING BLOOD SUGAR LEVEL POINT OF CARE PATHOLOGY,56.6,33.96,3.12,7411.0,55
CPT,82963,HC REF BETA GLUCOSIDASE LEUKOCYTE,269.3,161.58,10.0,7411.0,55
CPT,82977,HC GAMMA GLUTAMYLTRANSFERASE,137.44,82.46,6.05,7411.0,55
CPT,82977,"HC REF ARUP COMP 2005661, CPT 82977",75.0,45.0,6.05,7411.0,55
CPT,82977,"HC REF LABCORP COMP 550180, CPT 82977",93.19,55.91,6.05,7411.0,55
CPT,82977,"HC REF LABCORP COMP 550605, CPT 82977",62.5,37.5,6.05,7411.0,55
CPT,82977,HC REF LABCORP COMP 550960 CPT 82977,86.25,51.75,6.05,7411.0,55
CPT,82977,HC REF LABCORP COMP 550960 CPT 83010,86.25,51.75,6.05,7411.0,55
CPT,82978,"HC REF MAYO COMP EEEV1 , CPT 82978",807.23,484.34,10.0,7411.0,55
CPT,82978,"HC REF MAYO, COMP HAEV1, CPT 82978",281.0,168.6,10.0,7411.0,55
CPT,82985,HC GLYCATED PROTEIN,131.22,78.73,10.0,7411.0,55
CPT,82985,"HC GLYCOPROTEIN, ELECTROPHORESIS",131.22,78.73,10.0,7411.0,110
CPT,83001,HC ASSAY OF GONADOTROPIN (FSH) - FSH & LH PANEL,270.85,162.51,10.0,7411.0,55
CPT,83001,HC FOLLICLE STIMULATING HORMONE (FSH),270.85,162.51,10.0,7411.0,55
CPT,83001,"HC REF ARUP COMP 0070193, CPT 83001",24.2,14.52,8.71,7411.0,55
CPT,83002,HC ASSAY OF GONADOTROPIN (LH) - FSH AND LH PANEL,279.88,167.93,10.0,7411.0,55
CPT,83002,HC LUTEINIZING HORMONE (LH),279.88,167.93,10.0,7411.0,55
CPT,83002,"HC REF ARUP 0070093 LUTEINIZING HORMONE, SERUM",23.4,14.04,8.42,7411.0,55
CPT,83002,"HC REF ARUP COMP 0070193, CPT 83002",24.2,14.52,8.71,7411.0,55
CPT,83002,HC REF MAYO LH LUTEINIZING HORMONE,51.9,31.14,10.0,7411.0,55
CPT,83002,"HC REF MAYO LHPED, LUTEINIZING HORMONE, PEDS, SERUM",527.5,316.5,10.0,7411.0,55
CPT,83003,HC GROWTH HORMONE (HGH),202.79,121.67,10.0,7411.0,55
CPT,83006,HC GROWTH STIMULATION GENE 2,91.4,54.84,10.0,7411.0,55
CPT,83006,HC REF GROWTH STIMULATION GENE 2,375.0,225.0,10.0,7411.0,55
CPT,83006,HC REF ST2 SERUM,450.0,270.0,10.0,7411.0,55
CPT,83010,HC HAPTOGLOBIN - QUANTITATIVE,198.45,119.07,10.0,7411.0,55
CPT,83010,"HC REF LABCORP COMP 550180, CPT 83010",93.19,55.91,10.0,7411.0,55
CPT,83010,"HC REF LABCORP COMP 550605, CPT 83010",62.5,37.5,10.0,7411.0,55
CPT,83013,HC HELICOBACTER PYLORI - BREATH TEST,385.52,231.31,10.0,7411.0,55
CPT,83014,"HC HELICOBACTER PYLORI, COLLECT/DRUG ADMIN",76.66,46.0,6.6,7411.0,55
CPT,83018,"HC HEAVY METAL - QUANTITATIVE, EACH",210.67,126.4,10.0,7411.0,165
CPT,83018,HC HEAVY METAL NES QUANT - BERYLLIUM,210.67,126.4,10.0,7411.0,55
CPT,83018,HC HEAVY METAL NES QUANT - COBALT,210.67,126.4,10.0,7411.0,55
CPT,83018,HC HEAVY METAL QUANT NES - IODINE 24HR URINE,210.67,126.4,10.0,7411.0,55
CPT,83018,HC REF ARUP 2007465 IODINE URINE,72.5,43.5,10.0,7411.0,55
CPT,83020,HC HEMOGLOBIN ELECTROPHORESIS,234.69,140.81,10.0,7411.0,55
CPT,83020,HC HEMOGLOBIN ELECTROPHORESIS - FETAL,234.69,140.81,10.0,7411.0,55
CPT,83020,"HC REF MAYO COMP HBEL1, CPT 83020",40.73,24.44,10.0,7411.0,55
CPT,83020,"HC REF MAYO, COMP HAEV1, CPT 83020",234.08,140.45,10.0,7411.0,55
CPT,83020,"HC REF MAYO, COMP MEV1, CPT 83020",184.22,110.53,10.0,7411.0,55
CPT,83021,HC HEMOGLOBIN FRACTION/QUAN BY CHROM - HPLC,206.23,123.74,10.0,7411.0,55
CPT,83021,HC HEMOGLOBIN FRACTION/QUAN BY CHROM - S,206.23,123.74,10.0,7411.0,55
CPT,83021,HC HEMOGLOBIN FRACTIONATION & QUANTITATION BY CHROMOTOGRAPHY,206.23,123.74,10.0,7411.0,55
CPT,83021,HC REF ARUP COMP 3000894 CPT 83021,132.13,79.28,10.0,7411.0,55
CPT,83021,"HC REF ARUP, 2005792 HEMOGLOBIN EVAL CASCADE",60.0,36.0,10.0,7411.0,55
CPT,83021,"HC REF ARUP, 3002645, HEMOGLOBIN F ELECTROPHORESIS",72.0,43.2,10.0,7411.0,55
CPT,83021,"HC REF MAYO COMP HBEL1, CPT 83021",57.13,34.28,10.0,7411.0,55
CPT,83021,"HC REF MAYO, COMP HAEV1, CPT 83021",328.45,197.07,10.0,7411.0,55
CPT,83021,"HC REF MAYO, COMP MEV1, CPT 83021",258.53,155.12,10.0,7411.0,55
CPT,83030,HC FETAL HEMOGLOBIN,125.12,75.07,9.02,7411.0,55
CPT,83033,"HC HEMOGLOBIN - F(FETAL), QUALITATIVE",118.4,71.04,6.72,7411.0,55
CPT,83036,HC GLYCOSYLATED HEMOGLOBIN,185.85,111.51,8.16,7411.0,55
CPT,83036,HC REF QUEST 8181 HGBA1C WITH MPG,153.48,92.09,8.16,7411.0,55
CPT,83045,"HC METHEMOGLOBIN, QUALITATIVE",25.35,15.21,5.45,7411.0,55
CPT,83050,"HC HEMOGLOBIN, METHEMOGLOBIN, QUA",123.43,74.06,6.89,7411.0,110
CPT,83050,"HC METHEMOGLOBIN, QUANTITATIVE",123.43,74.06,6.89,7411.0,55
CPT,83050,"HC REF MAYO, COMP MEV1, CPT 83050",117.38,70.43,6.89,7411.0,55
CPT,83051,HC PLASMA HEMOGLOBIN,142.04,85.22,6.14,7411.0,55
CPT,83060,"HC HEMOGLOBIN - SULFHEMOGLOBIN,QUAL",75.29,45.17,7.39,7411.0,55
CPT,83060,"HC REF MAYO, COMP MEV1, CPT 83060",125.96,75.58,7.39,7411.0,55
CPT,83060,"HC SULFHEMOGLOBIN, QUANTITATIVE",75.29,45.17,7.39,7411.0,55
CPT,83068,"HC REF MAYO, COMP HAEV1, CPT 83068",174.73,104.84,7.95,7411.0,55
CPT,83068,HC UNSTABLE HEMOGLOBIN SCREEN,180.85,108.51,7.95,7411.0,55
CPT,83069,"HC REF ARUP 0020221, HEMOGLOBIN, URINE",43.5,26.1,3.32,7411.0,55
CPT,83070,"HC HEMOSIDERIN, QUALITATIVE",83.6,50.16,3.99,7411.0,55
CPT,83080,HC HEXOSAMINIDASE BLOOD,284.0,170.4,10.0,7411.0,55
CPT,83080,HC REF MAYO NAGR COMP CPT 83080,141.1,84.66,10.0,7411.0,55
CPT,83088,HC HISTAMINE,257.77,154.66,10.0,7411.0,110
CPT,83090,HC HOMOCYSTINE,296.14,177.68,10.0,7411.0,55
CPT,83090,HC REF GREENWOOD HOMOCYSTEINE ANALYSIS ANALYTE,250.0,150.0,10.0,7411.0,55
CPT,83150,"HC HOMOVANILLIC ACID (HVA), URINE",203.98,122.39,10.0,7411.0,55
CPT,83150,"HC REF LABCORP COMP 620011, CPT 83150",120.0,72.0,10.0,7411.0,55
CPT,83491,"HC REF ARUP 0070490 HYDROXYCORTICOSTEROIDS, URINE",126.88,76.13,10.0,7411.0,55
CPT,83497,HC HYDROXYINDOLACETIC ACID (5-HIAA),705.85,423.51,10.0,7411.0,55
CPT,83497,HC REF 5 HIAA URINE,29.75,17.85,10.0,7411.0,55
CPT,83497,HC REF ARUP 3016920 H-HYDROXYINDOLEACETIC ACID (HIAA),532.0,319.2,10.0,7411.0,55
CPT,83497,HC REF ARUP 3018617 5 HYDROXYINDOLEACETIC ACID (5IAA) RANDOM URINE,42.5,25.5,10.0,7411.0,55
CPT,83497,"HC REF ARUP, 0080420 5-HYDROXYINDOLEACETIC ACID (HIAA) URINE",42.5,25.5,10.0,7411.0,55
CPT,83497,"HC REF ARUP, 5-HIAA, PLASMA",1023.75,614.25,10.0,7411.0,55
CPT,83497,"HC REF LABCORP COMP 620011, CPT 83497",120.0,72.0,10.0,7411.0,55
CPT,83498,HC 17- HYDROXYPROGESTEORNE QNT,301.34,180.8,10.0,7411.0,55
CPT,83498,HC 17-D HYDROXYPROGESTERONE,301.34,180.8,10.0,7411.0,55
CPT,83498,HC HYDRPPROGEST 17D RL,301.34,180.8,10.0,7411.0,55
CPT,83516,HC DESMOGLEIN - IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,225.57,135.34,9.69,7411.0,55
CPT,83516,HC GANGLIOSIDE PANEL - IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,225.57,135.34,9.69,7411.0,55
CPT,83516,"HC IMMUNOASSAY ANALYTE QUAL, BULLOUS PEMPHIGOID BP180 IGG",225.57,135.34,9.69,7411.0,55
CPT,83516,"HC IMMUNOASSAY ANALYTE QUAL, BULLOUS PEMPHIGOID BP230 IGG",225.57,135.34,9.69,7411.0,55
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,225.57,135.34,9.69,7411.0,55
CPT,83516,HC IMMUNOASSAY NONAB - AT1R AB SCREEN,225.57,135.34,9.69,7411.0,55
CPT,83516,"HC IMMUNOASSAY NONAB - DEAMIDATED GLIADIN IGG, QUAL",225.57,135.34,9.69,7411.0,55
CPT,83516,"HC IMMUNOASSAY NONAB - DEAMIDATED GLIADIN IGG, QUANT",225.57,135.34,9.69,7411.0,55
CPT,83516,HC IMMUNOASSAY NONAB - NMO-AQUAPORIN-4 RECEPTOR AB,225.57,135.34,9.69,7411.0,55
CPT,83516,"HC IMMUNOASSAY NONAB - PHOSPHATIDYLINOSITOL AB, IGA",225.57,135.34,9.69,7411.0,55
CPT,83516,"HC IMMUNOASSAY NONAB - PHOSPHATIDYLINOSITOL AB, IGG",225.57,135.34,9.69,7411.0,55
CPT,83516,"HC IMMUNOASSAY NONAB - PHOSPHATIDYLINOSITOL AB, IGM",225.57,135.34,9.69,7411.0,55
CPT,83516,HC IMMUNOASSAY NONAB - TISSUE TRANSGLUTAMINASE IGG QUAL,225.57,135.34,9.69,7411.0,55
CPT,83516,"HC IMMUNOASSAY NONANTIBODY - ANTI C1Q AB, IGG",225.57,135.34,9.69,7411.0,55
CPT,83516,HC IMMUNOASSAY NONANTIBODY - ANTI-IGA AB,225.57,135.34,9.69,7411.0,55
CPT,83516,HC IMMUNOASSAY NONANTIBODY - GLOMERULAR BASEMENT MEMBRANE AB,225.57,135.34,9.69,7411.0,55
CPT,83516,HC IMMUNOASSAY NONANTIBODY - HISTONE ANTIBODIES,225.57,135.34,9.69,7411.0,55
CPT,83516,HC IMMUNOASSAY NONANTIBODY - MYELIN ASSOCIATED GLYCOPROTEIN IGM,225.57,135.34,9.69,7411.0,55
CPT,83516,HC IMMUNOASSAY NONANTIBODY - MYELOPEROXIDASE AB,225.57,135.34,9.69,7411.0,55
CPT,83516,"HC IMMUNOASSAY NONANTIBODY - PROTEINASE 3 AB, IGG",225.57,135.34,9.69,7411.0,55
CPT,83516,"HC IMMUNOASSAY,ANALYTE,QUAL/SEMIQ",225.57,135.34,9.69,7411.0,1375
CPT,83516,HC MYOSITIS AB PANEL - IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP,225.57,135.34,9.69,7411.0,55
CPT,83516,HC REF ANTI FIBRILLARIN U3 RNP,43.45,26.07,9.69,7411.0,55
CPT,83516,HC REF ARUP 2005636 TITIN ANTIBODY,200.0,120.0,9.69,7411.0,55
CPT,83516,"HC REF ARUP 3002477 ANTI-GP210 ANTIBODY, IGG",245.0,147.0,9.69,7411.0,55
CPT,83516,"HC REF ARUP 3002478 ANTI-SP100 ANTIBODY, IGG",245.0,147.0,9.69,7411.0,55
CPT,83516,HC REF ARUP 3003992 CARBAMYLATED PROTEIN (CARP) ANTIBODY IGG,137.5,82.5,9.69,7411.0,55
CPT,83516,"HC REF ARUP COMP 0051298, CPT 83516",85.83,51.5,9.69,7411.0,55
CPT,83516,HC REF ARUP COMP 0097163 CPT 83516,277.5,166.5,9.69,7411.0,55
CPT,83516,HC REF ARUP COMP 2005639 CPT 83516,92.5,55.5,9.69,7411.0,55
CPT,83516,"HC REF ARUP COMP 3000480, CPT 83516",98.8,59.28,9.69,7411.0,55
CPT,83516,HC REF ARUP COMP 3002482 CPT 83516,245.0,147.0,9.69,7411.0,55
CPT,83516,HC REF ARUP COMP 3003745 CPT 83516,33.38,20.03,9.69,7411.0,55
CPT,83516,"HC REF ARUP, 0850022, PHOSPHOLIPASE A2 RECEPTOR ANTIBODY, IGG",350.0,210.0,9.69,7411.0,55
CPT,83516,"HC REF ARUP, 2005287 CHROMATIN AB, IGG",108.75,65.25,9.69,7411.0,55
CPT,83516,"HC REF ARUP, COMP 0051033, CP 83516",240.45,144.27,9.69,7411.0,55
CPT,83516,"HC REF ARUP, COMP 2012729, CPT 83516",127.01,76.21,9.69,7411.0,55
CPT,83516,"HC REF ARUP, COMP 3001409, CPT 83516",286.17,171.7,9.69,7411.0,55
CPT,83516,"HC REF ARUP, COMP 3001410, CPT 83516",1678.33,1007.0,9.69,7411.0,55
CPT,83516,HC REF BULLOUS PEMPHIGOID 180 230,294.53,176.72,9.69,7411.0,55
CPT,83516,"HC REF CINCINNATI CHILDREN'S, COMP TMA COMPLEMENT PANEL, CPT 83516",411.41,246.85,9.69,7411.0,55
CPT,83516,HC REF COMP PJI,118.13,70.88,9.69,7411.0,55
CPT,83516,"HC REF DCI LABORATORY, AB HETEROLOGOUS PROTEINS",525.0,315.0,9.69,7411.0,55
CPT,83516,"HC REF LAB MAYO, MA2ES MA2 AB SERUM",1125.0,675.0,9.69,7411.0,110
CPT,83516,HC REF LABCORP 520112 SP100 AUTOANTIBODIES,237.5,142.5,9.69,7411.0,55
CPT,83516,HC REF LABCORP 520139 GP210,237.5,142.5,9.69,7411.0,55
CPT,83516,"HC REF LABCORP, COMP 520196, CPT 83516",334.58,200.75,9.69,7411.0,55
CPT,83516,"HC REF LABCORP, SERONEG RADX4 COMP 520305, CPT 83516",905.63,543.38,9.69,7411.0,55
CPT,83516,"HC REF MAYO COMP GAES, CPT 83516",75.0,45.0,9.69,7411.0,55
CPT,83516,"HC REF MAYO COMP, DMNES DEMYELINATING NEUROPATHY CPT 83516",232.88,139.73,9.69,7411.0,55
CPT,83516,"HC REF MAYO GP210, ANTI-GP210AB",599.75,359.85,9.69,7411.0,55
CPT,83516,HC REF MAYO GQ1ES GQ1B-IGG ELISA,750.0,450.0,9.69,7411.0,55
CPT,83516,"HC REF MAYO MA2EC, MA2 ANTIBODY ELISA SPINAL FLUID",1082.15,649.29,9.69,7411.0,55
CPT,83516,"HC REF MAYO SP100, ANTI-SP100 AB",599.75,359.85,9.69,7411.0,55
CPT,83516,"HC REF MAYO, COMP FMMPP, CPT 83516",42.26,25.36,9.69,7411.0,55
CPT,83516,"HC REF MAYO, COMP FMNPP, CPT 83516",115.66,69.4,9.69,7411.0,55
CPT,83516,"HC REF MAYO, COMP FSCPR, CPT 83516",74.87,44.92,9.69,7411.0,55
CPT,83516,"HC REF MAYO, FACN1 NT5C1A ANTIBODY",412.5,247.5,9.69,7411.0,55
CPT,83516,"HC REF MAYO, FATHO TH/TO ANTIBODY",211.25,126.75,9.69,7411.0,55
CPT,83516,"HC REF MAYO, MPO MYELOPEROXIDASE AB, SERUM",91.54,54.92,9.69,7411.0,55
CPT,83516,"HC REF MAYO, PANEL FGAGM, CPT 83516",129.33,77.6,9.69,7411.0,55
CPT,83516,"HC REF MAYO, PCAB PARIETAL CELL AB, IGG, S",75.58,45.35,9.69,7411.0,55
CPT,83516,HC REF MORL UNIVERSITY IOWA COMP C3G-CP CPT 83516,577.07,346.24,9.69,7411.0,55
CPT,83516,HC REF MYO MARKER IMMUNOASSAY,931.88,559.13,9.69,7411.0,55
CPT,83516,HC REF NECROTIZING MYOPATH EVAL S,449.27,269.56,9.69,7411.0,55
CPT,83516,"HC REF QUEST 90637 RIBOSOMAL P ANTIBODY, CSF",455.8,273.48,9.69,7411.0,110
CPT,83516,"HC REF SYNOVASURE, COMP PJII, CPT 83516",75.54,45.32,9.69,7411.0,55
CPT,83519,HC IMMUNOASSAY ANALYTE QUANT BY RADIOIMMUNOASSAY,353.27,211.96,10.0,7411.0,55
CPT,83519,"HC IMMUNOASSAY, ANTIBODY NONINFECTIOUS AGENT (QUANTITATIVE BY RIA)",353.27,211.96,10.0,7411.0,1100
CPT,83519,HC REF ARUP 2004890 VGKC AB,482.5,289.5,10.0,7411.0,55
CPT,83519,HC REF ARUP 3000003 PARATHYROID HORMONE (PTH) ANTIBODY,431.95,259.17,10.0,7411.0,55
CPT,83519,HC REF ARUP 3003020 GANGLIONIC ACETYLCHOLINE RECEPTOR AB,700.0,420.0,10.0,7411.0,55
CPT,83519,"HC REF ARUP 3019849, AMYLOID-BETA (1-40)",775.0,465.0,10.0,7411.0,55
CPT,83519,"HC REF ARUP, 0070236 PINP PROCOLLAGEN TYPE 1 INTACT N-TERM PROPEPTIDE",257.5,154.5,10.0,7411.0,55
CPT,83519,"HC REF ARUP, AUTOIMMUNE DYSAUTONOMIA 3006203 COMP CPT 83519",291.67,175.0,10.0,7411.0,55
CPT,83519,"HC REF ARUP, QUEST COMP 94955, CPT 83519",970.83,582.5,10.0,7411.0,55
CPT,83519,HC REF MAYO PINP PROCOLLAGEN I INTACT N-TERMINAL,528.5,317.1,10.0,7411.0,55
CPT,83519,"HC REF MAYO, COMP DYS2, CPT 83519",246.83,148.1,10.0,7411.0,55
CPT,83519,"HC REF MAYO, COMP FMGRP, CPT 83519",277.6,166.56,10.0,7411.0,55
CPT,83519,"HC REF MAYO, COMP PAVAL, CPT 83591",93.07,55.84,10.0,7411.0,55
CPT,83519,"HC REF MAYO, MUSK MUSCLE-SPECIFIC KINASE AUTOANTIBODY, SERUM",1785.0,1071.0,10.0,7411.0,55
CPT,83519,"HC REF MAYO, ORXNA, OREXIN-A/HYPOCRETIN-1, SPINAL FLUID",2510.75,1506.45,10.0,7411.0,55
CPT,83519,HC REF MEDFUSION 34478 PTH-RELATED PEPTIDE,858.95,515.37,10.0,7411.0,55
CPT,83519,HC REF MEDFUSION < QUEST PTHP-QUEST PTH PARATHYROID HORMONE-RELATED PROTEIN,70.63,42.38,10.0,7411.0,55
CPT,83519,HC REF QUEST 36574 T3 ANTIBODY,414.7,248.82,10.0,7411.0,55
CPT,83519,HC RIA NONANTIBODY - ACETYLCHOLINE RECEPTOR AB PANEL,353.27,211.96,10.0,7411.0,55
CPT,83519,HC RIA NONANTIBODY - ACETYLCHOLINE RECEPTOR AB REFLEXIVE PANEL,353.27,211.96,10.0,7411.0,55
CPT,83519,"HC RIA NONANTIBODY - ACETYLCHOLINE RECEPTOR, BINDING AB",353.27,211.96,10.0,7411.0,55
CPT,83519,HC RIA NONANTIBODY - ALPHA SUBUNIT PITUITARY GLYCOPROTEIN,353.27,211.96,10.0,7411.0,55
CPT,83519,HC RIA NONANTIBODY - MUSK AUTO AB,353.27,211.96,10.0,7411.0,55
CPT,83519,HC RIA NONANTIBODY - MYASTHENIA GRAVIS EVAL,353.27,211.96,10.0,7411.0,55
CPT,83519,"HC RIA NONANTIBODY - MYASTHENIA GRAVIS, LAMBERT-EATON SYNDROME",353.27,211.96,10.0,7411.0,55
CPT,83519,HC RIA NONANTIBODY - NEUROKININ A (SUBSTANCE K),353.27,211.96,10.0,7411.0,55
CPT,83519,HC RIA NONANTIBODY - PANCREATIC POLYPEPTIDE,353.27,211.96,10.0,7411.0,55
CPT,83519,HC RIA NONANTIBODY - PARANEOPLASTIC AUTOANTIBODY EVAL,353.27,211.96,10.0,7411.0,55
CPT,83520,HC CYTOKINE PANEL - IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 2,290.98,174.59,10.0,7411.0,55
CPT,83520,HC CYTOKINE PANEL - IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 2 RECEPTOR SOLUBLE,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY,290.98,174.59,10.0,7411.0,2695
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - ANTIMULLERIAN HORMONE LEVEL,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - COLLAGEN TYPE II,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - HMGCR,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - INHIBIN B TUMOR MARKER,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - INSULIN LIKE GROWTH FACTOR 2,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - INTACT FIBROBLAST GROWTH FACTOR 23,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - INTERFERON GAMMA,290.98,174.59,10.0,7411.0,110
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 1 BETA,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 10,290.98,174.59,10.0,7411.0,110
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 12,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 13,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 17,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 2,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 4,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 5,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 8,290.98,174.59,10.0,7411.0,55
CPT,83520,"HC IMMUNOASSAY QUANT NOS NONAB - MYELIN ASSOC GLYCOPROT AB IGM, EIA",290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - PANCREASTATIN,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - PARANEOPLASTIC AUTOAB EVAL,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - SENSORY NEUROPATHY AB PANEL,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - SUBSTANCE P,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - TRANSFORM GROWTH FACTOR BETA,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - TRYPTASE,290.98,174.59,10.0,7411.0,55
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB - TUMOR NECROSIS FACTOR ALPHA,290.98,174.59,10.0,7411.0,110
CPT,83520,"HC IMMUNOASSAY, INTERLEUKIN 6",290.98,174.59,10.0,7411.0,55
CPT,83520,"HC NUCLEAR ANTIGEN AB, RIBOSOMAL P PROTEIN, IGG",290.98,174.59,10.0,7411.0,55
CPT,83520,"HC REF ARUP 0051529 INTERLEUKIN 2 RECEPTOR, SOLUBLE, SERUM",150.0,90.0,10.0,7411.0,55
CPT,83520,"HC REF ARUP 0051533 INTERLEUKIN 5, SERUM",212.5,127.5,10.0,7411.0,55
CPT,83520,HC REF ARUP 0070413 INHIBIN B,175.0,105.0,10.0,7411.0,55
CPT,83520,"HC REF ARUP 0098299 HUMAN ANTIMOUSE ANTIBODY, ELISA",524.8,314.88,10.0,7411.0,55
CPT,83520,"HC REF ARUP 2013335 THROMBOPOIETIN (TPO), SERUM",345.33,207.2,10.0,7411.0,55
CPT,83520,"HC REF ARUP 3017195 ADIPONECTIN, QUANTITATIVE SERUM/PLASMA",392.5,235.5,10.0,7411.0,55
CPT,83520,HC REF ARUP 3017890 14-3-3 ETA PROTEIN,112.5,67.5,10.0,7411.0,55
CPT,83520,"HC REF ARUP 3019462 - ANTI-MUTATED CITRULLINATED VIMENTIN (MCV) ANTIBODY, SERUM",237.5,142.5,10.0,7411.0,55
CPT,83520,"HC REF ARUP CINCINNATI CHILDRENS 10588967, CPT 83520",477.75,286.65,10.0,7411.0,55
CPT,83520,"HC REF ARUP COMP 3002104, CPT 83520",67.5,40.5,10.0,7411.0,55
CPT,83520,HC REF ARUP COMP 3017909 CPT 83520,215.85,129.51,10.0,7411.0,55
CPT,83520,"HC REF ARUP, 2013115 INTERLEUKIN 17",212.5,127.5,10.0,7411.0,55
CPT,83520,"HC REF ARUP, 2013599 INSULIN-LIKE GROWTH FACTOR 2",275.63,165.38,10.0,7411.0,55
CPT,83520,"HC REF ARUP, 3003261 INTERLEUKIN 2 RECEPTOR, SOLUBLE, CSF",147.66,88.6,10.0,7411.0,55
CPT,83520,"HC REF ARUP, 3005925 USTEKINUMAB QUANTITATION W/ANTIBODIES",787.5,472.5,10.0,7411.0,55
CPT,83520,"HC REF ARUP, COMP  3016444, CPT 83520",1208.33,725.0,10.0,7411.0,55
CPT,83520,"HC REF ARUP, COMP CINCINNATI CHILDRENS 5863724, CPT 83520",595.61,357.37,10.0,7411.0,55
CPT,83520,"HC REF ARUP, UWMC COMP DNP, CPT 83520",183.75,110.25,10.0,7411.0,55
CPT,83520,"HC REF ARUP, UWMC COMP GQ1B-IGG, CPT 83520",437.5,262.5,10.0,7411.0,55
CPT,83520,"HC REF ARUP, UWMC, SENSORY MOTOR NEUROPATHY PANEL",1212.75,727.65,10.0,7411.0,55
CPT,83520,HC REF CHILDREN'S MEDICAL CENTER MMP-7,817.5,490.5,10.0,7411.0,55
CPT,83520,"HC REF CIN CHILD, MMP7",817.5,490.5,10.0,7411.0,55
CPT,83520,"HC REF CINCINNATI CHILDREN'S, GM-CSF AUTOANTIBODY (GMAB)",1067.5,640.5,10.0,7411.0,55
CPT,83520,"HC REF CINCINNATI CHILDREN'S, INTERLEUKIN - 18",800.0,480.0,10.0,7411.0,55
CPT,83520,HC REF FLUORESCENT ANTIBODY TITER,656.2,393.72,10.0,7411.0,55
CPT,83520,HC REF IGG ASIALO GM1 TITER SERUM,519.92,311.95,10.0,7411.0,55
CPT,83520,HC REF IGG DISIALO GD1B TITER S,519.92,311.95,10.0,7411.0,55
CPT,83520,HC REF IGG MONOS GM1 TITER SERUM,519.92,311.95,10.0,7411.0,55
CPT,83520,HC REF IGM ASIALO GM1 TITER SERUM,519.92,311.95,10.0,7411.0,55
CPT,83520,HC REF IGM DISIALO GD1B TITER S,519.92,311.95,10.0,7411.0,55
CPT,83520,HC REF IGM MONOS GM1 TITER SERUM,519.92,311.95,10.0,7411.0,55
CPT,83520,HC REF IL 2 RECEPTOR CD25 SOLUBLE,341.25,204.75,10.0,7411.0,55
CPT,83520,"HC REF LAB MAYO, GMCSF GRANULOCYTE MONOCYTE FACTOR",414.25,248.55,10.0,7411.0,55
CPT,83520,"HC REF LAB UWMC, SENSORY NEURO/NEURON COMP CPT 83520",141.33,84.8,10.0,7411.0,55
CPT,83520,HC REF LABCORP 146795 INHIBIN B,321.53,192.92,10.0,7411.0,55
CPT,83520,HC REF LABCORP 520380 AMYLOID A (SAA),502.0,301.2,10.0,7411.0,55
CPT,83520,HC REF LABCORP COMP 505725 CPT 83520,262.5,157.5,10.0,7411.0,55
CPT,83520,"HC REF LABCORP, SERONEG RADX4 COMP 520305, CPT 83520",905.63,543.38,10.0,7411.0,55
CPT,83520,HC REF MAYO COMP CYPAN CPT 83520,62.64,37.58,10.0,7411.0,55
CPT,83520,"HC REF MAYO COMP CYTH2, CPT 83520",62.5,37.5,10.0,7411.0,55
CPT,83520,HC REF MAYO COMP FSUAB SULFATIDE AUTOANTIBODY CPT 83520,756.25,453.75,10.0,7411.0,55
CPT,83520,"HC REF MAYO COMP USTEK, CPT 83520",342.65,205.59,10.0,7411.0,55
CPT,83520,"HC REF MAYO COMP, DMNES DEMYELINATING NEUROPATHY CPT 83520",348.83,209.3,10.0,7411.0,55
CPT,83520,HC REF MAYO FCXCL CXCL9,1040.0,624.0,10.0,7411.0,55
CPT,83520,"HC REF MAYO NSE NEURON SPECIFIC ENOLASE, S",116.7,70.02,10.0,7411.0,55
CPT,83520,HC REF MAYO PLA2M PHOSPHOLIPASE A2 RECEPTOR,728.75,437.25,10.0,7411.0,55
CPT,83520,"HC REF MAYO SIL2R INTERLEUKIN-2 RECEPTOR ALPHA SOLUBLE, PLASMA",500.0,300.0,10.0,7411.0,55
CPT,83520,"HC REF MAYO, AFH COMPLEMENT FACTOR H AUTOAB, SERUM",670.95,402.57,10.0,7411.0,55
CPT,83520,"HC REF MAYO, COMP ADEVL CPT 83520",1050.0,630.0,10.0,7411.0,55
CPT,83520,"HC REF MAYO, COMP CJDE, CPT 83520",1240.66,744.4,10.0,7411.0,55
CPT,83520,"HC REF MAYO, COMP RPDE, CPT 83520",1326.68,796.01,10.0,7411.0,55
CPT,83520,"HC REF MAYO, FAMDA ANTI-MDA AB",275.0,165.0,10.0,7411.0,55
CPT,83520,"HC REF MAYO, IFG26 INTACT FIBROBLAST GROWTH FACTOR 23, SERUM",341.25,204.75,10.0,7411.0,55
CPT,83520,"HC REF MAYO, PMND1, PRIM MEMBRANOUS NEPHROPATHY DIAG, S",703.5,422.1,10.0,7411.0,55
CPT,83520,"HC REF MAYO, UNIV OF MN LAB6618 GRANULOCYTE MACROPHAGE",1104.18,662.51,10.0,7411.0,55
CPT,83520,HC REF MORL UNIVERSITY IOWA COMP C3G-CP CPT 83520,577.07,346.24,10.0,7411.0,55
CPT,83520,"HC REF PROMETHEUS, COMP IBD SGI DIAGNOSTIC CPT 83520",81.18,48.71,10.0,7411.0,55
CPT,83520,HC REF TTDSL 5334318 VEGF-D,2037.5,1222.5,10.0,7411.0,55
CPT,83520,HC RIA NONANTIBODY - THYROTROPIN RECEPTOR AB,290.98,174.59,10.0,7411.0,55
CPT,83521,"HC IMMUNOGLOBULIN LIGHT CHAINS FREE, EACH",133.27,79.96,10.0,7411.0,55
CPT,83521,"HC REF ARUP 0055167 COMPONENT, KAPPA/LAMBDA",222.6,133.56,10.0,7411.0,55
CPT,83521,"HC REF ARUP, COMP 735, CPT 83521",45.0,27.0,10.0,7411.0,55
CPT,83521,"HC REF MAYO KCSF IMMUNOGLOBIN KAPPA FREE LIGHT CHAIN, SPINAL FLUID",532.5,319.5,10.0,7411.0,55
CPT,83521,"HC REF MAYO MSP3, MULTIPLE SCLEROSIS CASCADE",242.1,145.26,10.0,7411.0,55
CPT,83521,HC REF MEDFUSION QUEST COMP 11233 CPT 83521,412.5,247.5,10.0,7411.0,55
CPT,83525,HC INSULIN TOTAL,172.67,103.6,9.6,7411.0,55
CPT,83525,"HC REF ARUP COMP 0070155, CPT 83525",28.38,17.03,9.6,7411.0,55
CPT,83525,HC REF MEDFUSION COMP 36509 CPT 83525,171.6,102.96,9.6,7411.0,55
CPT,83527,HC ASSAY OF INSULIN,138.22,82.93,10.0,7411.0,55
CPT,83527,"HC REF ARUP COMP 0070155, CPT 83527",28.38,17.03,10.0,7411.0,55
CPT,83527,"HC REF QUEST, 36700, INSFT INSULIN",52.5,31.5,10.0,7411.0,55
CPT,83529,HC CYTOKINE PANEL - INTERLEUKIN-6,191.23,114.74,10.0,7411.0,55
CPT,83529,HC INTERLEUKIN-6,211.46,126.88,10.0,7411.0,55
CPT,83529,HC REF MAYO COMP CYPAN CPT 83529,62.65,37.59,10.0,7411.0,55
CPT,83540,HC ASSAY OF IRON - IRON TIBC & FERRITIN PANEL,148.33,89.0,5.43,7411.0,55
CPT,83540,HC IRON,148.33,89.0,5.43,7411.0,220
CPT,83540,"HC IRON, LIVER TISSUE",148.33,89.0,5.43,7411.0,55
CPT,83550,HC IRON BINDING CAPACITY,163.41,98.05,7.34,7411.0,55
CPT,83550,HC IRON BINDING TEST - IRON TIBC & FERRITIN PANEL,163.41,98.05,7.34,7411.0,55
CPT,83582,"HC KETOGENIC STEROIDS,  FRACTIONATION",154.43,92.66,10.0,7411.0,55
CPT,83605,HC ASSAY OF LACTIC ACID,243.23,145.94,9.72,7411.0,55
CPT,83605,HC D-LACTATE LEVEL,243.23,145.94,9.72,7411.0,55
CPT,83605,HC LACTATE (LACTIC ACID),243.23,145.94,9.72,7411.0,550
CPT,83605,HC LACTATE (LACTIC ACID) - POC,243.23,145.94,9.72,7411.0,55
CPT,83605,HC LACTATE (LACTIC ACID) POINT OF CARE PATHOLOGY,243.23,145.94,9.72,7411.0,55
CPT,83605,"HC LACTATE (LACTIC ACID), CSF",243.23,145.94,9.72,7411.0,55
CPT,83605,HC POC LACTATE RESP (CARDIOPULMONARY),243.23,145.94,9.72,7411.0,55
CPT,83615,HB LDH ENZYME,137.21,82.33,5.07,7411.0,55
CPT,83615,HC LACTATE DEHYDROGENASE (LDH),137.21,82.33,5.07,7411.0,55
CPT,83615,"HC LACTATE DEHYDROGENASE (LDH), BODY FLUID",137.21,82.33,5.07,7411.0,55
CPT,83615,"HC LACTATE DEHYDROGENASE (LDH), CSF",137.21,82.33,5.07,7411.0,55
CPT,83615,"HC LDH, BLOOD, KINETIC ULTRAVIOLE",137.21,82.33,5.07,7411.0,110
CPT,83615,HC REF ARUP 0020505 LDH-CSF,20.88,12.53,5.07,7411.0,55
CPT,83615,"HC REF ARUP, 0020729, ALPHA FETOPROTEIN CSF",31.83,19.1,5.07,7411.0,55
CPT,83615,"HC REF MAYO, LDFB LACTATE DEHYDROG-BODY FLUID (ANY TYPE)",170.63,102.38,5.07,7411.0,55
CPT,83625,HC LDH ISOENZYMES,149.14,89.48,10.0,7411.0,55
CPT,83630,"HC LACTOFERRIN, FECAL, QUALITATIVE",225.87,135.52,10.0,7411.0,55
CPT,83630,"HC LACTOFERRIN,FECAL,QUALITATIVE",225.87,135.52,10.0,7411.0,110
CPT,83631,HC LACTOFERRIN FECAL QUANTITATIVE,176.84,106.1,10.0,7411.0,55
CPT,83632,HC HUMAN PLACENTAL LACTOGEN,346.06,207.64,10.0,7411.0,55
CPT,83655,HC ASSAY OF LEAD - CAPILLARY,135.49,81.29,10.0,7411.0,55
CPT,83655,HC ASSAY OF LEAD - HEAVY METALS SCREEN,135.49,81.29,10.0,7411.0,55
CPT,83655,HC HEAVY METAL SCREEN - LEAD,135.49,81.29,10.0,7411.0,55
CPT,83655,HC LEAD,135.49,81.29,10.0,7411.0,55
CPT,83655,"HC LEAD, 24HR URINE",135.49,81.29,10.0,7411.0,55
CPT,83655,"HC LEAD, QUANTITATIVE, BLOOD",135.49,81.29,10.0,7411.0,55
CPT,83655,"HC LEAD, RANDOM URINE",135.49,81.29,10.0,7411.0,55
CPT,83655,"HC LEAD, TDH",135.49,81.29,10.0,7411.0,55
CPT,83655,"HC REF ARUP COMP 0025055, CPT 83655",30.8,18.48,10.0,7411.0,55
CPT,83661,HC L/S RATIO FETAL LUNG MATURITY,423.53,254.12,10.0,7411.0,55
CPT,83663,HC FETAL LUNG MATURITY FLUORESCENCE POLARIZATION,317.86,190.72,10.0,7411.0,55
CPT,83664,HC FETAL LUNG MATURITY LAMELLAR BODY DENSITY,116.96,70.18,10.0,7411.0,55
CPT,83670,HC LEUCINE AMINOPEPTIDASE LAP,137.0,82.2,8.24,7411.0,55
CPT,83690,HC LIPASE,217.7,130.62,5.79,7411.0,110
CPT,83690,"HC LIPASE, BLOOD",217.7,130.62,5.79,7411.0,110
CPT,83690,"HC LIPASE, BODY FLUID",217.7,130.62,5.79,7411.0,55
CPT,83690,"HC REF LIPASE, BODY FLUID SEND OUT",19.69,11.81,5.79,7411.0,55
CPT,83695,HC LIPOPROTEIN (A),150.47,90.28,10.0,7411.0,55
CPT,83695,"HC REF MEDFUSION COMP 92145, CPT 83695",177.39,106.43,10.0,7411.0,55
CPT,83698,HC LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,312.32,187.39,10.0,7411.0,55
CPT,83698,HC REF ARUP 3002266 LP-PLA2 (PLAC) ACTIVITY,175.0,105.0,10.0,7411.0,55
CPT,83700,HC LIPOPRO ELECTROPHORESIS,121.21,72.73,9.46,7411.0,55
CPT,83700,HC REF MAYO COMP LMPP CPT 83700,46.08,27.65,9.46,7411.0,55
CPT,83701,HC LIPOPROTEIN HIGH RESOLUTION ELECTROPHORESIS,187.15,112.29,10.0,7411.0,55
CPT,83704,HC LIPOPROTEIN PARTICLE NUMBERS & SUBCLASSES,58.3,34.98,10.0,7411.0,55
CPT,83704,HC REF ARUP COMP 2013716 CPT 83704,40.0,24.0,10.0,7411.0,55
CPT,83704,"HC REF MAYO NMRLP NMR LIPOPROTEIN PROFILE, SERUM",171.25,102.75,10.0,7411.0,55
CPT,83704,"HC REF MEDFUSION COMP 92145, CPT 83704",177.39,106.43,10.0,7411.0,55
CPT,83718,HC HDL BY DIRECT MEASUREMENT,110.01,66.01,6.88,7411.0,55
CPT,83718,HC REF MAYO COMP LMPP CPT 83718,33.53,20.12,6.88,7411.0,55
CPT,83718,HC REF MEDFUSION 91719 CARDIO IQ HDL CHOLESTEROL,189.8,113.88,6.88,7411.0,55
CPT,83721,HC ASSAY OF BLOOD LIPOPROTEIN - LIPID PANEL DIRECT,133.02,79.81,8.82,7411.0,55
CPT,83721,HC LDL CHOLESTEROL,133.02,79.81,8.82,7411.0,55
CPT,83721,HC REF LABCORP 123023 OXIDIZED LDL,107.5,64.5,8.82,7411.0,55
CPT,83727,HC GONADOTROPIN RELEASING HORMONE,434.92,260.95,10.0,7411.0,55
CPT,83727,HC LRH HORMONE,434.92,260.95,10.0,7411.0,55
CPT,83735,HC MAGNESIUM,153.91,92.35,5.63,7411.0,495
CPT,83735,HC MAGNESIUM (GI ANALYTICAL),153.91,92.35,5.63,7411.0,55
CPT,83735,HC MAGNESIUM - URORISK,153.91,92.35,5.63,7411.0,55
CPT,83735,"HC MAGNESIUM, RBC",153.91,92.35,5.63,7411.0,55
CPT,83735,"HC REF ARUP, MAGNESIUM URINE 0020477",25.88,15.53,5.63,7411.0,55
CPT,83735,"HC REF MAYO MAGU MAGNESIUM, 24 HR, U",66.85,40.11,5.63,7411.0,55
CPT,83735,"HC REF MAYO, COMP MAGRU, CPT 83735",39.59,23.75,5.63,7411.0,55
CPT,83785,HC MANGANESE,190.64,114.38,10.0,7411.0,55
CPT,83789,HC MASS SPECTROMETRY QUAL/QUAN NES - BILE ACIDS,261.74,157.04,10.0,7411.0,55
CPT,83789,HC MASS SPECTROMETRY QUAL/QUAN NOS,261.74,157.04,10.0,7411.0,55
CPT,83789,"HC MASS SPECTROMETRY,QUANT EA",261.74,157.04,10.0,7411.0,550
CPT,83789,HC REF MAYO COMP IODCU CPT 83789,377.08,226.25,10.0,7411.0,55
CPT,83825,"HC HEAVY METALS PANEL - MERCURY, 24HR URINE",152.46,91.48,10.0,7411.0,55
CPT,83825,HC MERCURY,152.46,91.48,10.0,7411.0,110
CPT,83825,"HC MERCURY, 24HR URINE",152.46,91.48,10.0,7411.0,55
CPT,83825,"HC MERCURY, RANDOM URINE",152.46,91.48,10.0,7411.0,55
CPT,83825,"HC REF ARUP COMP 0025055, CPT 83825",30.8,18.48,10.0,7411.0,55
CPT,83835,HC METANEPHRINES,306.4,183.84,10.0,7411.0,165
CPT,83835,"HC METANEPHRINES FRACTIONATED, 24HR URINE",306.4,183.84,10.0,7411.0,55
CPT,83835,"HC METANEPHRINES FRACTIONATED, FREE",306.4,183.84,10.0,7411.0,55
CPT,83835,HC REF MAYO METAF METANEPHRINES FRACT 24 HR URINE,60.83,36.5,10.0,7411.0,55
CPT,83864,"HC MUCOPOLYSACCHARIDES, ACID - QUATITATIVE",322.0,193.2,10.0,7411.0,55
CPT,83864,"HC REF ARUP, MUCOPOLYSACHARIDES QNT",450.0,270.0,10.0,7411.0,55
CPT,83864,HC REF COMP GREENWOOD MPS IV MORQUIO SYNDROME CPT 83864,375.0,225.0,10.0,7411.0,55
CPT,83873,"HC MYELIN BASIC PROTEIN, CSF",234.28,140.57,10.0,7411.0,55
CPT,83874,"HC CATECHOLAMINES FRACTIONATED FREE, TOTAL",228.29,136.97,10.0,7411.0,55
CPT,83874,HC MYOGLOBIN,228.29,136.97,10.0,7411.0,55
CPT,83874,HC MYOGLOBIN ELECTROPHORESIS,228.29,136.97,10.0,7411.0,165
CPT,83874,HC MYOGLOBIN ELECTROPHORESIS POINT OF CARE PATHOLOGY,228.29,136.97,10.0,7411.0,55
CPT,83874,"HC MYOGLOBIN, URINE",228.29,136.97,10.0,7411.0,55
CPT,83876,HC MYELOPEROXIDASE,25.6,15.36,4.35,7411.0,55
CPT,83880,HC NATRIURETIC PEPTIDE,407.22,244.33,10.0,7411.0,220
CPT,83880,HC NATRIURETIC PEPTIDE POINT OF CARE PATHOLOGY,407.22,244.33,10.0,7411.0,55
CPT,83880,"HC NATRIURETIC PEPTIDE, B-TYPE",407.22,244.33,10.0,7411.0,55
CPT,83880,"HC NATRIURETIC PEPTIDE, B-TYPE (POC)",407.22,244.33,10.0,7411.0,55
CPT,83880,"HC NATRIURETIC PEPTIDE, PRO B-TYPE",407.22,244.33,10.0,7411.0,55
CPT,83880,HC NT-PRO BNP,407.22,244.33,10.0,7411.0,55
CPT,83880,"HC REF ARUP, 0050083 PROBRAIN NATRIURETIC PEPTIDE NT",1510.0,906.0,10.0,7411.0,55
CPT,83883,"HC NEPHELOMETRY, EACH ANALYTE NES",173.82,104.29,10.0,7411.0,55
CPT,83883,"HC NEPHELOMETRY,ANALYTE NT SPECIF",173.82,104.29,10.0,7411.0,275
CPT,83883,"HC REF ARUP COMP 2005661, CPT 83883",75.0,45.0,10.0,7411.0,55
CPT,83883,"HC REF LABCORP COMP 550180, CPT 83883",93.19,55.91,10.0,7411.0,55
CPT,83883,"HC REF LABCORP COMP 550605, CPT 83883",62.5,37.5,10.0,7411.0,55
CPT,83883,HC REF LABCORP COMP 550960 CPT 83883,86.25,51.75,10.0,7411.0,55
CPT,83883,"HC REF MAYO BTP, BETA-TRACE PROTEIN BF",225.7,135.42,10.0,7411.0,55
CPT,83883,"HC RETINOL BINDING PROT - NEPHELOMETRY, EACH ANALYTE NES",173.82,104.29,10.0,7411.0,55
CPT,83884,HC ASSAY NEURFLMNT LIGHT CHAIN,1397.11,838.27,10.0,7411.0,54
CPT,83884,"HC REF MAYO NFLP NEUROFILIMENT LIGHT CHAIN, PLASMA",1496.25,897.75,10.0,7411.0,54
CPT,83885,"HC REF LABCORP, COMP 071563, CPT 83885",100.0,60.0,10.0,7411.0,55
CPT,83915,HC 5'- NUCLEOTIDASE,139.34,83.6,9.37,7411.0,55
CPT,83915,"HC REF MAYO COMP EEEV1 , CPT 83915",582.55,349.53,9.37,7411.0,55
CPT,83915,"HC REF MAYO, COMP HAEV1, CPT 83915",202.8,121.68,9.37,7411.0,55
CPT,83916,"HC OLIGOCLONAL IMMUNE, CSF",263.79,158.27,10.0,7411.0,55
CPT,83916,HC REF ARUP 0081135 OLIGOCLONAL BANDS IN CSF AND SERUM,132.5,79.5,10.0,7411.0,55
CPT,83918,HC ORGANIC ACIDS TOTAL QUANT,385.79,231.47,10.0,7411.0,55
CPT,83919,"HC ORGANIC ACIDS - QUALITATIVE, EACH",323.81,194.29,10.0,7411.0,55
CPT,83919,HC REF GREENWOOD ORGANIC ACID ANALYSIS ANALYTE,577.5,346.5,10.0,7411.0,55
CPT,83921,"HC ORGANIC ACID SINGLE QUANT - METHYLMALONIC ACID, BLOOD",284.41,170.65,10.0,7411.0,55
CPT,83921,HC ORGANIC ACID SINGLE QUANT - OROTIC ACID AND OROTIDINE URINE,284.41,170.65,10.0,7411.0,55
CPT,83921,"HC ORGANIC ACID,SINGLE,QUANTITATI",284.41,170.65,10.0,7411.0,165
CPT,83921,HC REF ARUP 0055662 REFLEX MMA VIT B12 STATUS,22.5,13.5,8.1,7411.0,55
CPT,83921,"HC REF MAYO, MMAS METHYLMALONIC ACID, SERUM",128.39,77.03,10.0,7411.0,55
CPT,83930,"HC OSMOLALITY, BLOOD",152.18,91.31,5.55,7411.0,55
CPT,83935,"HC OSMOLALITY, URINE",147.19,88.31,5.73,7411.0,165
CPT,83935,HC REF MAYO OSM24 OSMOLALITY 24 HOUR URINE,59.05,35.43,5.73,7411.0,55
CPT,83937,HC OSTEOCALCIN,245.7,147.42,10.0,7411.0,55
CPT,83945,HC OXALATE,160.26,96.16,10.0,7411.0,110
CPT,83945,HC OXALATE - URORISK,160.26,96.16,10.0,7411.0,55
CPT,83945,"HC OXALATE, URINE 24HR",160.26,96.16,10.0,7411.0,55
CPT,83945,"HC REF ARUP COMP 0020843, CPT 83945",25.88,15.53,9.32,7411.0,55
CPT,83951,"HC ONCOPROTEIN,DCP",266.0,159.6,10.0,7411.0,55
CPT,83951,"HC REF ARUP 0081312, DES-GAMMA-CARBOXY PROTHROMBIN",252.5,151.5,10.0,7411.0,55
CPT,83970,"HC ASSAY OF PARATHORMONE (PTH), FNA",449.06,269.44,10.0,7411.0,55
CPT,83970,HC ASSAY OF PARATHORMONE - PTH INTACT PANEL,449.06,269.44,10.0,7411.0,55
CPT,83970,HC PARATHORMONE,449.06,269.44,10.0,7411.0,55
CPT,83970,HC PARATHORMONE (PARATHYROID HORM,449.06,269.44,10.0,7411.0,220
CPT,83970,HC PARATHORMONE - INTRAOP,449.06,269.44,10.0,7411.0,55
CPT,83986,HC ASSAY OF BODY FLUID ACIDITY,91.04,54.62,3.01,7411.0,165
CPT,83986,HC ASSAY OF BODY FLUID ACIDITY POINT OF CARE PATHOLOGY,91.04,54.62,3.01,7411.0,55
CPT,83986,"HC PH - BODY FLUID, NOS",91.04,54.62,3.01,7411.0,55
CPT,83986,HC PH BODY FLUID - URORISK,91.04,54.62,3.01,7411.0,55
CPT,83986,HC PH BODY FLUID EXCEPT BLOOD,91.04,54.62,3.01,7411.0,55
CPT,83986,HC PH PLEURAL FLUID,91.04,54.62,3.01,7411.0,55
CPT,83986,"HC REF MAYO COMP, FPEPA, CPT 83986",33.0,19.8,3.01,7411.0,55
CPT,83986,HC REF MEDFUSION  < QUEST 5367 BODY FLUID PH,25.9,15.54,3.01,7411.0,55
CPT,83992,HC OPIODS AND OPIATE ANALOGS,192.34,115.4,10.0,7411.0,78
CPT,83993,"HC CALPROTECTIN, FECAL",356.33,213.8,10.0,7411.0,165
CPT,84030,"HC PHENYLALANINE(PKU), BLOOD",144.07,86.44,4.62,7411.0,55
CPT,84060,"HC REF LABCORP, 451840, TITRATE RESISTANT ACID PHOSPHATE (TRAP)",357.0,214.2,6.42,7411.0,55
CPT,84066,"HC PHOSPHATASE, ACID - PROSTATIC",113.05,67.83,8.11,7411.0,55
CPT,84075,HC ALKALINE PHOSPHATASE,101.57,60.94,4.35,7411.0,55
CPT,84075,HC ASSAY ALKALINE PHOSPHATASE - BONE SPECIFIC,101.57,60.94,4.35,7411.0,55
CPT,84075,HC ASSAY ALKALINE PHOSPHATASE - ISOENZYMES,101.57,60.94,4.35,7411.0,55
CPT,84075,HC REF ARUP COMP 2005736 CPT 84075,44.5,26.7,4.35,7411.0,55
CPT,84075,"HC REF MAYO COMP ALKP, CPT 84075",19.9,11.94,4.35,7411.0,55
CPT,84080,"HC PHOSPHATASE ALKALINE, BONE SPECIFIC",177.81,106.69,10.0,7411.0,55
CPT,84080,"HC PHOSPHATASE ALKALINE, ISOENZYMES",177.81,106.69,10.0,7411.0,55
CPT,84080,HC REF ARUP 0070053 BONE SPECIFIC ALKALINE PHOSPHATASE,75.0,45.0,10.0,7411.0,55
CPT,84080,HC REF ARUP COMP 2005736 CPT 84080,44.5,26.7,10.0,7411.0,55
CPT,84080,"HC REF MAYO COMP ALKP, CPT 84080",56.83,34.1,10.0,7411.0,55
CPT,84081,HC AMNIOTIC FLUID ENZYME TEST,325.22,195.13,10.0,7411.0,55
CPT,84081,HC PHOSPHATIDYLGLYCEROL,325.22,195.13,10.0,7411.0,55
CPT,84087,"HC REF MAYO COMP EEEV1 , CPT 84087",560.63,336.38,9.01,7411.0,55
CPT,84087,"HC REF MAYO, COMP HAEV1, CPT 84087",195.15,117.09,9.01,7411.0,55
CPT,84100,"HC PHOSPHORUS (PHOSPHATE), BLOOD",104.78,62.87,3.98,7411.0,165
CPT,84100,HC PHOSPHORUS INORGANIC (GI ANALYTICAL),104.78,62.87,3.98,7411.0,55
CPT,84100,HC PHOSPHORUS INORGANIC (PHOSPHATE),104.78,62.87,3.98,7411.0,55
CPT,84105,"HC PHOSPHORUS (PHOSPHATE), URINE",89.02,53.41,4.86,7411.0,55
CPT,84105,HC PHOSPHORUS INORGANIC (PHOSPHATE) - URINE,89.02,53.41,4.86,7411.0,55
CPT,84105,HC PHOSPHORUS INORGANIC (PHOSPHATE) - URORISK,89.02,53.41,4.86,7411.0,55
CPT,84105,"HC REF MAYO, RPHOC PHOSPHORUS RANDOM U",99.25,59.55,4.86,7411.0,55
CPT,84105,"HC URINE PHOSPHORUS, RANDOM URINE",89.02,53.41,4.86,7411.0,55
CPT,84105,"HC URINE PHOSPHORUS, TIMED URINE",89.02,53.41,4.86,7411.0,55
CPT,84110,HC ASSAY OF PORPHOBILINOGEN - 24HR URINE QUANT,138.94,83.36,7.09,7411.0,55
CPT,84110,"HC PORPHOBILINOGEN, URINE, QUANTI",138.94,83.36,7.09,7411.0,110
CPT,84110,"HC PORPHOBILINOGEN, URINE, QUANTITATIVE",138.94,83.36,7.09,7411.0,55
CPT,84110,HC REF ARUP 0080260 PORPHOBILINOGEN QUANT URINE,81.83,49.1,7.09,7411.0,55
CPT,84112,HC EVAL AMNIOTIC FLUID PROTEIN,372.39,223.43,10.0,7411.0,110
CPT,84112,"HC EVAL AMNIOTIC FLUID PROTEIN, (PAMG-1),(PP12)",372.39,223.43,10.0,7411.0,55
CPT,84112,HC PLACENTAL ALPHA MICROGLOBULIN,372.39,223.43,10.0,7411.0,55
CPT,84120,HC PORPHYRINS URINE QUANTITATION & FRACTIONATION,213.0,127.8,10.0,7411.0,55
CPT,84120,"HC PORPHYRINS, COPRO-/URO-, FRACT",213.0,127.8,10.0,7411.0,110
CPT,84120,"HC REF ARUP 2002058, PORPHYRINS, FRACT & QUANT URINE",71.38,42.83,10.0,7411.0,55
CPT,84126,"HC PORPHYRINS, FECES - QUANTITATIVE",330.77,198.46,10.0,7411.0,55
CPT,84126,HC REF ARUP 0099824 PORPHYRINS FECAL,307.38,184.43,10.0,7411.0,55
CPT,84132,HC POTASSIUM,99.79,59.87,4.0,7411.0,330
CPT,84132,HC POTASSIUM POC (CARDIOPULMONARY),99.79,59.87,4.0,7411.0,55
CPT,84132,HC POTASSIUM POINT OF CARE PATHOLOGY,99.79,59.87,4.0,7411.0,55
CPT,84132,"HC POTASSIUM, POC",99.79,59.87,4.0,7411.0,55
CPT,84132,"HC POTASSIUM, POST DIALYSIS",99.79,59.87,4.0,7411.0,55
CPT,84133,HC ASSAY OF URINE POTASSIUM - W/CREAT RATIO,98.18,58.91,3.97,7411.0,55
CPT,84133,HC POTASSIUM URINE,98.18,58.91,3.97,7411.0,220
CPT,84133,"HC POTASSIUM, BODY FLUID",98.18,58.91,3.97,7411.0,55
CPT,84133,"HC POTASSIUM, RANDOM URINE",98.18,58.91,3.97,7411.0,55
CPT,84133,"HC POTASSIUM, TIMED URINE",98.18,58.91,3.97,7411.0,55
CPT,84133,"HC POTASSIUM, URINE - URORISK",98.18,58.91,3.97,7411.0,55
CPT,84133,"HC POTASSIUM, URINE 24HR",98.18,58.91,3.97,7411.0,55
CPT,84134,HC PREALBUMIN,192.1,115.26,10.0,7411.0,55
CPT,84140,HC ASSAY OF PREGNENOLONE,184.05,110.43,10.0,7411.0,55
CPT,84143,HC 17-HYDROXYPREGNENOLONE,185.75,111.45,10.0,7411.0,55
CPT,84144,HC PROGESTERONE,243.77,146.26,10.0,7411.0,55
CPT,84144,"HC REF ARUP 2008509 - PROGESTERONE QUANTITATIVE BY HPLC-MS/MS, SERUM OR PLASMA",60.0,36.0,10.0,7411.0,55
CPT,84145,HC PROCALCITONIN,324.88,194.93,10.0,7411.0,55
CPT,84146,HC ASSAY OF PROLACTIN - DILUTION STUDY,301.73,181.04,10.0,7411.0,55
CPT,84146,HC ASSAY OF PROLACTIN - MACROPROLACTIN,301.73,181.04,10.0,7411.0,55
CPT,84146,HC PROLACTIN,301.73,181.04,10.0,7411.0,55
CPT,84146,"HC REF ARUP COMP 0020765, CPT 84146",106.88,64.13,10.0,7411.0,55
CPT,84146,"HC REF MAYO, COMP MCRPL, CPT 84146",81.46,48.88,10.0,7411.0,55
CPT,84150,HC ASSAY OF PROSTAGLANDIN - PHENYLALANINE LVL,436.72,262.03,10.0,7411.0,55
CPT,84150,"HC PROSTAGLNDIN, EACH",436.72,262.03,10.0,7411.0,55
CPT,84150,"HC REF ARUP 3002337 DINOR-11 BETA-PROSTAGLANDIN F2A, 24 U",575.0,345.0,10.0,7411.0,55
CPT,84150,"HC REF MAYO 23BPT / 2,3-DINOR 11B-PROSTAGLANDIN F2A, U",129.1,77.46,10.0,7411.0,55
CPT,84150,"HC REF MAYO COMP MCM24, CPT 84150",1231.5,738.9,10.0,7411.0,55
CPT,84150,HC REF MAYO COMP MCMRU CPT 84150,1141.73,685.04,10.0,7411.0,55
CPT,84150,"HC REF MAYO COMP MCMRU, CPT 84150",1141.73,685.04,10.0,7411.0,55
CPT,84150,"HC REF MAYO, FPROS PROSTAGLANDIN D2 URINE",762.5,457.5,10.0,7411.0,55
CPT,84153,"HC PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL",250.73,150.44,10.0,7411.0,55
CPT,84153,"HC PROSTATE SPECIFIC ANTIGEN (PSA), ULTRASENSITIVE",250.73,150.44,10.0,7411.0,55
CPT,84153,"HC PSA,TOTAL",250.73,150.44,10.0,7411.0,55
CPT,84153,"HC REF MAYO PSAU PSA, ULTRASENSITIVE, S",63.05,37.83,10.0,7411.0,55
CPT,84154,HC PSA - FREE,188.0,112.8,10.0,7411.0,55
CPT,84155,HC ASSAY OF PROTEIN SERUM - ALBUMIN & TOTAL PROTEIN,87.97,52.78,3.08,7411.0,55
CPT,84155,HC ASSAY OF PROTEIN SERUM - TOTAL,87.97,52.78,3.08,7411.0,55
CPT,84155,HC ASSAY OF PROTEIN SERUM - TSO500 GENE PANEL,87.97,52.78,3.08,7411.0,55
CPT,84155,HC ASSAY OF PROTEIN SERUM - W/REFLEX TO IMMUNOFIXATION,87.97,52.78,3.08,7411.0,55
CPT,84155,"HC REF ARUP COMP 2002109, CPT 84155",17.85,10.71,3.08,7411.0,55
CPT,84155,"HC REF BAYLOR, COMP 4627, 84155",375.0,225.0,3.08,7411.0,55
CPT,84155,"HC REF MAYO, COMP FMNPP, CPT 84155",36.83,22.1,3.08,7411.0,55
CPT,84155,HC TOTAL PROTEIN,87.97,52.78,3.08,7411.0,55
CPT,84156,HC ASSAY OF PROTEIN URINE - PROTEIN ELECTROPH TIMED URINE REFLEX IMMUNOFIXATION,128.49,77.09,3.08,7411.0,55
CPT,84156,HC ASSAY OF PROTEIN URINE - PROTEIN TOTAL W/CREATININE 24HR URINE,128.49,77.09,3.08,7411.0,55
CPT,84156,"HC PROTEIN, RANDOM URINE",128.49,77.09,3.08,7411.0,55
CPT,84156,"HC PROTEIN, TIMED URINE",128.49,77.09,3.08,7411.0,55
CPT,84156,"HC PROTEIN, URINE 24HR",128.49,77.09,3.08,7411.0,55
CPT,84156,"HC REF ARUP COMP 3002104, CPT 84156",67.5,40.5,3.08,7411.0,55
CPT,84156,"HC REF ARUP, COMP 3002105, CPT 84156",62.23,37.34,3.08,7411.0,55
CPT,84156,"HC TOTAL PROTEIN, URINE",128.49,77.09,3.08,7411.0,110
CPT,84157,HC PROTEIN - CSF,129.62,77.77,3.36,7411.0,110
CPT,84157,"HC REF ARUP 0020502 TOTAL PROTEIN, BODY FLUID",20.08,12.05,3.36,7411.0,55
CPT,84157,"HC REF ARUP, COMP 0050590, CPT 84157",27.98,16.79,3.36,7411.0,55
CPT,84157,"HC REF MAYO COMP, FPEPA, CPT 84157",36.88,22.13,3.36,7411.0,55
CPT,84157,"HC TOTAL PROTEIN, BODY FLUID",129.62,77.77,3.36,7411.0,55
CPT,84157,"HC TOTAL PROTEIN, CSF",129.62,77.77,3.36,7411.0,55
CPT,84157,"HC TOTAL PROTEIN, OTHER SOURCE",129.62,77.77,3.36,7411.0,55
CPT,84160,"HC TOTAL PROTEIN REFRACTOMETRY, ANY SOURCE",41.0,24.6,4.71,7411.0,55
CPT,84165,"HB PROTEIN ELECTROPHORESIS, SERUM",215.37,129.22,9.02,7411.0,55
CPT,84165,HC PROTEIN E-PHORESIS SERUM - W/REFLEX TO IMMUNOFIXATION,215.37,129.22,9.02,7411.0,55
CPT,84165,"HC REF ARUP COMP 2002109, CPT 84165",17.85,10.71,6.43,7411.0,55
CPT,84165,"HC REF MAYO, COMP FMNPP, CPT 84165",107.73,64.64,9.02,7411.0,55
CPT,84166,HC PROTEIN E-PHORESIS/URINE/CSF - TIMED URINE REFLEX IMMUNOFIXATION,215.78,129.47,10.0,7411.0,55
CPT,84166,"HC PROTEIN ELECTROPHORESIS, URINE OR CSF",215.78,129.47,10.0,7411.0,55
CPT,84166,"HC REF ARUP, COMP 0050590, CPT 84166",27.98,16.79,10.0,7411.0,55
CPT,84166,"HC REF ARUP, COMP 3002105, CPT 84166",62.23,37.34,10.0,7411.0,55
CPT,84181,"HC REF LAB IMMCO, 68 KD AB",412.5,247.5,10.0,7411.0,55
CPT,84181,HC REF QUEST 37710 ANIT HU ANTIBODY REFLEX,318.75,191.25,10.0,7411.0,55
CPT,84181,"HC WESTERN BLOT,W/INTRP&RPRT,BLOOD/BDY FLUID",250.87,150.52,10.0,7411.0,55
CPT,84182,HC 14-3-3 PROTEIN TAU - PROTEIN WESTERN BLOT BLOOD OR FLUID BANDING,370.43,222.26,10.0,7411.0,55
CPT,84182,HC MYOSITIS PANEL - PROTEIN WESTERN BLOT BLOOD OR FLUID BANDING,370.43,222.26,10.0,7411.0,55
CPT,84182,HC PROTEIN WESTERN BLOT - CRMP 5 IGG,370.43,222.26,10.0,7411.0,55
CPT,84182,"HC PROTEIN WESTERN BLOT - CRMP 5 IGG, CSF",370.43,222.26,10.0,7411.0,55
CPT,84182,HC PROTEIN WESTERN BLOT BLOOD OR FLUID BANDING,370.43,222.26,10.0,7411.0,55
CPT,84182,"HC PROTEIN WESTERN BLOT TEST - AGNA-1 IMMUNOBLOT, CSF",370.43,222.26,10.0,7411.0,55
CPT,84182,"HC PROTEIN WESTERN BLOT TEST - AGNA-1 IMMUNOBLOT, SERUM",370.43,222.26,10.0,7411.0,55
CPT,84182,HC PROTEIN WESTERN BLOT TEST - AMPHIPHYSIN IMMUNOBLOT,370.43,222.26,10.0,7411.0,55
CPT,84182,"HC PROTEIN WESTERN BLOT TEST - AMPHIPHYSIN IMMUNOBLOT, CSF",370.43,222.26,10.0,7411.0,55
CPT,84182,"HC PROTEIN WESTERN BLOT TEST - ANNA-1 IMMUNOBLOT, CSF",370.43,222.26,10.0,7411.0,55
CPT,84182,"HC PROTEIN WESTERN BLOT TEST - ANNA-2 IMMUNOBLOT, CSF",370.43,222.26,10.0,7411.0,55
CPT,84182,"HC PROTEIN WESTERN BLOT TEST - PCA-1 IMMUNOBLOT, CSF",370.43,222.26,10.0,7411.0,55
CPT,84182,"HC PROTEIN WESTERN BLOT TEST - PCA-TR IMMUNOBLOT, SERUM",370.43,222.26,10.0,7411.0,55
CPT,84182,"HC PROTEIN WESTERN BLOT TEST -PCA-TR IMMUNOBLOT, CSF",370.43,222.26,10.0,7411.0,55
CPT,84182,"HC REF ARUP, UWMC COMP DNP, CPT 84182",183.75,110.25,10.0,7411.0,55
CPT,84182,HC REF COMP UWMC PARANEOPLASTIC EXT. CPT 84182,337.5,202.5,10.0,7411.0,55
CPT,84182,"HC REF LAB MAYO, MAC1 MYELOPATHY, AUTOIMM/PARA CSF COMP 84182",403.8,242.28,10.0,7411.0,55
CPT,84182,"HC REF LAB MAYO, MAS1 MYELOPATHY, AUTOIMM/PARA, S COMP 84182",267.5,160.5,10.0,7411.0,55
CPT,84182,"HC REF LAB UWMC, SENSORY NEURO/NEURON COMP CPT 84182",141.33,84.8,10.0,7411.0,55
CPT,84182,"HC REF MAYO COMP, AIAES CPT 84182",231.08,138.65,10.0,7411.0,55
CPT,84182,HC REF MAYO CRMWS CRMP-5-IGG WESTERN BLOT,364.65,218.79,10.0,7411.0,55
CPT,84182,HC REF MAYO F68KD 68KD (HSP-70) ANTIBODIES,500.0,300.0,10.0,7411.0,55
CPT,84182,"HC REF MAYO, COMP MDC2 CPT 84182",192.76,115.66,10.0,7411.0,55
CPT,84182,"HC REF MAYO, COMP MDS2, CPT 84182",293.24,175.94,10.0,7411.0,55
CPT,84182,"HC REF MAYO, COMP PVLE, 84182",744.55,446.73,10.0,7411.0,55
CPT,84182,"HC WESTRN BLOT,W/INTRP & REPRT,BL",370.43,222.26,10.0,7411.0,220
CPT,84202,"HC PROTOPORPHYRIN, RBC - QUANTITATIVE",148.16,88.9,10.0,7411.0,55
CPT,84202,"HC PROTOPORPHYRIN, RBC, QUANTITAT",148.16,88.9,10.0,7411.0,165
CPT,84202,HC REF PROTOPORPHYRIN RBC QUANT,148.16,88.9,10.0,7411.0,55
CPT,84206,HC PROINSULIN,249.23,149.54,10.0,7411.0,55
CPT,84207,HC PYRIDOXINE (VITAMIN B-6),271.77,163.06,10.0,7411.0,55
CPT,84207,HC REF LABCORP 620034 PYRIDOXAL 5-PHOSPHATE CSF,455.0,273.0,10.0,7411.0,55
CPT,84210,HC ASSAY OF PYRUVATE - LACTIC ACID,157.5,94.5,10.0,7411.0,55
CPT,84210,HC PYRUVATE,157.5,94.5,10.0,7411.0,55
CPT,84220,"HC PYRUVATE KINASE, RBC",217.4,130.44,7.93,7411.0,55
CPT,84220,HC REF ARUP 0080290 PYRUVATE KINASE,87.5,52.5,7.93,7411.0,55
CPT,84220,HC REF ARUP COMP 3000894 CPT 84220,132.13,79.28,7.93,7411.0,55
CPT,84220,"HC REF MAYO COMP EEEV1 , CPT 84220",493.23,295.94,7.93,7411.0,55
CPT,84220,"HC REF MAYO, COMP HAEV1, CPT 84220",171.7,103.02,7.93,7411.0,55
CPT,84233,HC ESTROGEN RECEPTOR,307.24,184.34,35.0,7411.0,55
CPT,84234,HC PROGESTERONE RECEPTOR,475.32,285.19,35.0,7411.0,55
CPT,84238,HC RECEPTOR ASSAY NON-ENDO,329.67,197.8,10.0,7411.0,110
CPT,84238,HC RECEPTOR ASSAY NON-ENDOCRINE SPECIFY RECEPTOR,329.67,197.8,10.0,7411.0,55
CPT,84238,HC REF ARUP 0070283 SOLUBLE TRANSFERRIN RECEPTOR,50.0,30.0,10.0,7411.0,55
CPT,84244,HC ASSAY OF RENIN - ALDOSTERONE/RENIN DIRECT RATIO,269.52,161.71,10.0,7411.0,55
CPT,84244,HC REF ARUP 0070073 COMP CPT 84244,41.25,24.75,10.0,7411.0,55
CPT,84244,HC RENIN,269.52,161.71,10.0,7411.0,55
CPT,84252,HC RIBOFLAVIN (VITAMIN B-2),246.16,147.7,10.0,7411.0,55
CPT,84255,"HC SELENIUM, BLOOD, URINE OR TISSUE",211.67,127.0,10.0,7411.0,55
CPT,84260,HC ASSAY OF SEROTONIN - WHOLE BLOOD,322.57,193.54,10.0,7411.0,55
CPT,84260,"HC SEROTONIN, BLOOD",322.57,193.54,10.0,7411.0,55
CPT,84270,HC ASSAY OF SEX HORMONE GLOBUL - TESTOST TOTAL & BIOAVAILABLE,173.8,104.28,10.0,7411.0,55
CPT,84270,"HC ASSAY OF SEX HORMONE GLOBUL - TESTOST TOTAL, BIOAVAILABLE, & FREE W/SHBG & ALBUMIN",173.8,104.28,10.0,7411.0,55
CPT,84270,HC REF ARUP PANEL COMP 0081056 CPT 84270,20.0,12.0,7.2,7411.0,55
CPT,84270,"HC REF MAYO COMP FFBTT, CPT 84270",54.65,32.79,10.0,7411.0,55
CPT,84270,"HC REF MAYO, COMP FFES, CPT 84270",132.78,79.67,10.0,7411.0,55
CPT,84270,HC SEX HORMONE BINDING GLOBULIN,173.8,104.28,10.0,7411.0,55
CPT,84295,HC SODIUM,103.54,62.12,4.04,7411.0,55
CPT,84295,HC SODIUM POC (CARDIOPULMONARY),103.54,62.12,4.04,7411.0,55
CPT,84295,"HC SODIUM, BLOOD",103.54,62.12,4.04,7411.0,220
CPT,84295,"HC SODIUM, BLOOD POINT OF CARE PATHOLOGY",103.54,62.12,4.04,7411.0,55
CPT,84300,HC SODIUM URINE,117.24,70.34,4.25,7411.0,165
CPT,84300,"HC SODIUM, RANDOM URINE",117.24,70.34,4.25,7411.0,55
CPT,84300,"HC SODIUM, TIMED URINE",117.24,70.34,4.25,7411.0,55
CPT,84300,"HC SODIUM, URINE - URORISK",117.24,70.34,4.25,7411.0,55
CPT,84302,"HC REF ARUP SODIUM, BODY FLUID SEND OUT",21.33,12.8,4.08,7411.0,55
CPT,84302,"HC REF SODIUM, BODY FLUID SEND OUT",70.35,42.21,4.08,7411.0,55
CPT,84302,HC SODIUM - OTHER SOURCE,67.54,40.52,4.08,7411.0,55
CPT,84302,HC SODIUM - STOOL,67.54,40.52,4.08,7411.0,55
CPT,84302,HC SODIUM CSF,67.54,40.52,4.08,7411.0,110
CPT,84305,HC REF ARUP 2007698 IGF-1 WITH CALC Z SCORE,25.0,15.0,9.0,7411.0,55
CPT,84305,HC SOMATOMEDIN,232.73,139.64,10.0,7411.0,55
CPT,84307,HC SOMATOSTATIN,333.4,200.04,10.0,7411.0,110
CPT,84311,"HC REF ARUP 0083001 ADENOSINE DEAMINASE, RBC",175.63,105.38,6.8,7411.0,55
CPT,84311,HC REF ARUP 3002984 ADENOSINE DEAMINASE IN PERICARDIAL FLUID,91.88,55.13,6.8,7411.0,55
CPT,84311,"HC REF ARUP, 3002976 ADENOSINE DEAMINASE",91.88,55.13,6.8,7411.0,55
CPT,84311,"HC REF CHOLESTEROL, FLUID SEND OUT",17.25,10.35,6.21,7411.0,55
CPT,84311,"HC REF MAYO, CHLBF CHOLESTEROL BODY FLUID",294.1,176.46,6.8,7411.0,55
CPT,84311,"HC SPECTROPHOTOMETRY NES - ADENOSINE DEAMINASE, PERICARDIAL FLUID",208.34,125.0,6.8,7411.0,55
CPT,84311,"HC SPECTROPHOTOMETRY NES - ADENOSINE DEAMINASE, PERITONEAL FLUID",208.34,125.0,6.8,7411.0,55
CPT,84311,"HC SPECTROPHOTOMETRY NES - ADENOSINE DEAMINASE, PLEURAL FLUID",208.34,125.0,6.8,7411.0,55
CPT,84311,HC SPECTROPHOTOMETRY NES - PHOSPHOLIPIDS,208.34,125.0,6.8,7411.0,55
CPT,84311,HC SPECTROPHOTOMETRY NES - PORPHYRINS,208.34,125.0,6.8,7411.0,55
CPT,84311,"HC SPECTROPHOTOMETRY, ANALYTE NOS",208.34,125.0,6.8,7411.0,55
CPT,84311,"HC SPECTROPHOTOMETRY,ANALYTE NOT",208.34,125.0,6.8,7411.0,275
CPT,84315,HC SPECIFIC GRAVITY EXCEPT URINE,49.24,29.54,2.76,7411.0,55
CPT,84376,"HC REF ARUP 3002514 REDUCING SUBSTANCE, STOOL",33.88,20.33,4.62,7411.0,55
CPT,84376,"HC SUGARS,SINGLE QUALITATIVE,EACH",105.44,63.26,4.62,7411.0,110
CPT,84377,HC REF OLIGOSACCHARIDE SCREEN URN,161.1,96.66,4.62,7411.0,55
CPT,84378,"HC SUGARS SINGLE QUANTITATIVE, EACH SPECIMEN",129.0,77.4,9.69,7411.0,55
CPT,84392,"HC SULFATE, URINE",67.88,40.73,4.61,7411.0,55
CPT,84392,"HC SULFATE, URINE - URORISK",67.88,40.73,4.61,7411.0,55
CPT,84393,HC REF ARUP 3019017 PHOSPHO-TAO 217,937.5,562.5,10.0,7411.0,54
CPT,84393,"HC REF ARUP COMP 3017653, CPT 84393",829.17,497.5,10.0,7411.0,54
CPT,84393,"HC REF MAYO, COMP ADEVL, CPT 84393",1000.0,600.0,10.0,7411.0,54
CPT,84393,"HC REF MAYO, PT217 PHOSPHO-TAU(217) P",1250.0,750.0,10.0,7411.0,54
CPT,84393,"HC REF QUEST 13690 QUEST AD-DETECT P-TAU 181, PLASMA",819.0,491.4,10.0,7411.0,54
CPT,84393,HC TAU PHOSPHORYLATED EA,687.74,412.64,10.0,7411.0,54
CPT,84394,"HC REF ARUP COMP 3017653, CPT 84394",829.17,497.5,10.0,7411.0,54
CPT,84394,"HC REF MAYO, COMP ADEVL, CPT 84394",1000.0,600.0,10.0,7411.0,54
CPT,84402,HC ASSAY OF FREE TESTOSTERONE - TESTOST TOTAL & BIOAVAILABLE,269.73,161.84,10.0,7411.0,55
CPT,84402,"HC ASSAY OF FREE TESTOSTERONE - TESTOST TOTAL, BIOAVAILABLE, & FREE",269.73,161.84,10.0,7411.0,55
CPT,84402,HC REF ARUP PANEL COMP 0081056 CPT 84402,20.0,12.0,7.2,7411.0,55
CPT,84402,"HC REF MAYO COMP FFTFT, CPT 84402",38.38,23.03,10.0,7411.0,55
CPT,84402,HC TESTOSTERONE - FREE,269.73,161.84,10.0,7411.0,55
CPT,84402,"HC TESTOSTERONE, FREE,",269.73,161.84,10.0,7411.0,55
CPT,84403,HC ASSAY OF TOTAL TESTOSTERONE - TESTOST TOTAL & BIOAVAILABLE,307.8,184.68,10.0,7411.0,55
CPT,84403,"HC ASSAY OF TOTAL TESTOSTERONE - TESTOST TOTAL, BIOAVAILABLE, & FREE",307.8,184.68,10.0,7411.0,55
CPT,84403,"HC ASSAY OF TOTAL TESTOSTERONE - TESTOST TOTAL, BIOAVAILABLE, & FREE W/SHBG & ALBUMIN",307.8,184.68,10.0,7411.0,55
CPT,84403,HC REF ARUP PANEL COMP 0081056 CPT 84403,20.0,12.0,7.2,7411.0,55
CPT,84403,"HC REF ARUP, 0070102 TESTOSTERONE BIO/SHBG BY IMMUNOASSAY",40.0,24.0,10.0,7411.0,55
CPT,84403,"HC REF MAYO COMP FFBTT, CPT 84403",64.9,38.94,10.0,7411.0,55
CPT,84403,"HC REF MAYO COMP FFTFT, CPT 84403",38.9,23.34,10.0,7411.0,55
CPT,84403,"HC REF MAYO COMP TTBS, CPT 84403",28.45,17.07,10.0,7411.0,55
CPT,84403,"HC REF QUEST 15983 TESTOSTERONE, TOTAL",27.5,16.5,9.9,7411.0,55
CPT,84403,HC TESTOSTERONE - TOTAL,307.8,184.68,10.0,7411.0,55
CPT,84403,"HC TESTOSTERONE, BLOOD LVL MALES >=20YRS",307.8,184.68,10.0,7411.0,55
CPT,84403,"HC TESTOSTERONE, BLOOD, RIA",307.8,184.68,10.0,7411.0,55
CPT,84403,"HC TESTOSTERONE, TOTAL",307.8,184.68,10.0,7411.0,55
CPT,84410,"HC REF MAYO COMP TTBS, CPT 84410",56.5,33.9,9.61,7411.0,55
CPT,84410,"HC REF MAYO FFTST TESTOSTERONE, FREE AND WEAKLY BOUND, WITH TOTAL TESTOSTERONE, LC/MS-MS",78.65,47.19,10.0,7411.0,55
CPT,84425,"HC REF ARUP 0080389 VITAMINE B1 (THIAMINE), PLASMA",50.0,30.0,10.0,7411.0,55
CPT,84425,HC REF QUEST 5042 VITAMIN B1 BLOOD,80.43,48.26,10.0,7411.0,55
CPT,84425,HC THIAMINE (VITAMIN B-1),248.92,149.35,10.0,7411.0,55
CPT,84430,HC THIOCYANATE,154.0,92.4,9.77,7411.0,55
CPT,84432,"HC REF MAYO, TFNAB THYROGLOBULIN",356.87,214.12,10.0,7411.0,55
CPT,84432,HC THYROGLOBULIN,216.33,129.8,10.0,7411.0,165
CPT,84432,HC THYROGLOBULIN - FNA,216.33,129.8,10.0,7411.0,55
CPT,84432,HC THYROGLOBULIN TUMOR MARKER,216.33,129.8,10.0,7411.0,55
CPT,84433,"HC REF ARUP 0092066 THIOPURINE METHYLTRANFERASE, RBC",212.5,127.5,10.0,7411.0,55
CPT,84433,"HC REF MAYO, TPMT3, THIOPURINE S-METHYLTRANSFERASE",840.25,504.15,10.0,7411.0,55
CPT,84433,HC THIOPURINE S-METHYLTRANSFERASE (TPMT),840.25,504.15,10.0,7411.0,55
CPT,84433,"HC THIOPURINE S-METHYLTRANSFERASE (TPMT), RBC",840.25,504.15,10.0,7411.0,55
CPT,84436,"HC ASSAY OF TOTAL THYROXINE - THYROID PANEL, COMPREHENSIVE",170.37,102.22,5.77,7411.0,55
CPT,84436,HC THYROXINE - TOTAL,170.37,102.22,5.77,7411.0,55
CPT,84437,HC NB SCRN CONGENITAL HYPOTHYROID,22.22,13.33,5.43,7411.0,55
CPT,84439,HC REF ARUP 0093244 FREE T4 BY EQUIL DIALYSIS - TMS,67.5,40.5,7.58,7411.0,55
CPT,84439,"HC REF MAYO FFT4F T4, FREE, DIRECT DIALYSIS",55.0,33.0,7.58,7411.0,55
CPT,84439,"HC THYROXINE (T4), FREE",214.55,128.73,7.58,7411.0,55
CPT,84439,"HC THYROXINE (T4), FREE BY DIALYSIS",214.55,128.73,7.58,7411.0,55
CPT,84439,HC THYROXINE - FREE,214.55,128.73,7.58,7411.0,55
CPT,84442,HC THYROXINE BINDING GLOBULIN,172.37,103.42,10.0,7411.0,55
CPT,84443,HC ASSAY THYROID STIM HORMONE - CHRONIC URTICARIA INDEX,285.79,171.47,10.0,7411.0,55
CPT,84443,"HC ASSAY THYROID STIM HORMONE - THYROID PANEL, COMPREHENSIVE",285.79,171.47,10.0,7411.0,55
CPT,84443,"HC REF MEDFUSION, COMP 19537, 84443",60.0,36.0,10.0,7411.0,55
CPT,84443,HC THYROID STIMULATING HORMONE,285.79,171.47,10.0,7411.0,55
CPT,84445,HC THYROID STIMULATING IMMUNE GLOBULINS,459.0,275.4,10.0,7411.0,55
CPT,84446,HC TOCOPHEROL ALPHA (VITAMIN E),160.79,96.47,10.0,7411.0,55
CPT,84449,HC REF ARUP 2010990 CORTICOSTEROID-BINDING GLOBULINE,262.5,157.5,10.0,7411.0,55
CPT,84450,"HC REF ARUP COMP 2005661, CPT 84450",75.0,45.0,4.35,7411.0,55
CPT,84450,"HC REF ARUP COMP 2012521, CPT 84450",87.5,52.5,4.35,7411.0,55
CPT,84450,"HC REF LABCORP COMP 550180, CPT 84450",93.19,55.91,4.35,7411.0,55
CPT,84450,HC REF LABCORP COMP 550960 CPT 84450,86.25,51.75,4.35,7411.0,55
CPT,84450,HC TRANSFERASE - ASPARTATE AMINO (AST) (SGOT),103.83,62.3,4.35,7411.0,55
CPT,84460,"HC REF ARUP COMP 2005661, CPT 84460",75.0,45.0,4.45,7411.0,55
CPT,84460,"HC REF ARUP COMP 2012521, CPT 84460",87.5,52.5,4.45,7411.0,55
CPT,84460,"HC REF LABCORP COMP 550180, CPT 84460",93.19,55.91,4.45,7411.0,55
CPT,84460,"HC REF LABCORP COMP 550605, CPT 84460",62.5,37.5,4.45,7411.0,55
CPT,84460,HC REF LABCORP COMP 550960 CPT 84460,86.25,51.75,4.45,7411.0,55
CPT,84460,HC TRANSFERASE - ALANINE AMINO (ALT) (SGPT),108.35,65.01,4.45,7411.0,55
CPT,84466,HC TRANSFERRIN,198.34,119.0,10.0,7411.0,55
CPT,84478,HC ASSAY OF TRIGLYCERIDES - LIPOPROTEIN SUBSET ANALYSIS,135.89,81.53,4.82,7411.0,55
CPT,84478,HC REF ARUP 3005996 TRG BF W/ RFLX TO CHYLO,21.75,13.05,4.82,7411.0,55
CPT,84478,"HC REF LABCORP COMP 550180, CPT 84478",93.19,55.91,4.82,7411.0,55
CPT,84478,HC REF LABCORP COMP 550960 CPT 84478,86.25,51.75,4.82,7411.0,55
CPT,84478,HC REF MAYO COMP LMPP CPT 84478,23.5,14.1,4.82,7411.0,55
CPT,84478,"HC REF MAYO, TGLBF TRIGLYCERIDES BODY FLUID SEND OUT",425.25,255.15,4.82,7411.0,55
CPT,84478,"HC TRIGLYCERIDES, BLOOD",135.89,81.53,4.82,7411.0,220
CPT,84478,"HC TRIGLYCERIDES, BODY FLUID",135.89,81.53,4.82,7411.0,55
CPT,84479,"HC ASSAY OF THYROID (T3 OR T4) - THYROID PANEL, COMPREHENSIVE",151.39,90.83,5.43,7411.0,55
CPT,84479,HC THYROID HORMONE (T3 OR T4) UPTAKE,151.39,90.83,5.43,7411.0,55
CPT,84480,HC TRIIODOTHYRONINE T3 - TOTAL (TT3),235.34,141.2,10.0,7411.0,55
CPT,84481,HC TRIIODOTHYRONINE T3 - FREE,292.99,175.79,10.0,7411.0,55
CPT,84482,HC TRIIODOTHYRONINE T3 - REVERSE,184.38,110.63,10.0,7411.0,55
CPT,84484,HC ASSAY OF TROPONIN QUANTITATIVE,306.86,184.12,10.0,7411.0,55
CPT,84484,"HC REF MAYO HSTNI TROPONIN I, HIGH SENSITIVITY, PLASMA",402.75,241.65,10.0,7411.0,55
CPT,84484,"HC REF MAYO TRPS TROPONIN T, 5TH GEN, P",187.5,112.5,10.0,7411.0,55
CPT,84484,HC TROPONIN I,306.86,184.12,10.0,7411.0,55
CPT,84484,HC TROPONIN I TPM-I,306.86,184.12,10.0,7411.0,165
CPT,84484,"HC TROPONIN I, POC",306.86,184.12,10.0,7411.0,55
CPT,84484,HC TROPONIN T,306.86,184.12,10.0,7411.0,55
CPT,84484,"HC TROPONIN T, HIGH SENSITIVITY",306.86,184.12,10.0,7411.0,110
CPT,84484,"HC TROPONIN, QUANTITATIVE",306.86,184.12,10.0,7411.0,55
CPT,84488,"HC TRYPSIN FECES, QUALITATIVE",133.05,79.83,6.13,7411.0,55
CPT,84520,"HC REF ARUP COMP 2005661, CPT 84520",75.0,45.0,3.32,7411.0,55
CPT,84520,HC UREA NITROGEN (BUN),105.46,63.28,3.32,7411.0,55
CPT,84520,HC UREA NITROGEN (BUN) - OVERNIGHT EXCHANGE DIALYSATE,105.46,63.28,3.32,7411.0,55
CPT,84520,"HC UREA NITROGEN (BUN), POC",105.46,63.28,3.32,7411.0,55
CPT,84520,"HC UREA NITROGEN (BUN), POST DIALYSIS",105.46,63.28,3.32,7411.0,55
CPT,84520,"HC UREA NITROGEN (BUN), PRE DIALYSIS",105.46,63.28,3.32,7411.0,55
CPT,84520,HC UREA NITROGEN - QUANTITATIVE,105.46,63.28,3.32,7411.0,55
CPT,84520,"HC UREA NITROGEN, BLOOD (BUN),",105.46,63.28,3.32,7411.0,275
CPT,84520,"HC UREA NITROGEN, BLOOD (BUN), POINT OF CARE PATHOLOGY",105.46,63.28,3.32,7411.0,55
CPT,84540,"HC TOXOPLASMA GONDII AB, IGG",119.19,71.51,4.67,7411.0,55
CPT,84540,"HC UREA NITROGEN, RANDOM URINE",119.19,71.51,4.67,7411.0,55
CPT,84540,"HC UREA NITROGEN, URINE",119.19,71.51,4.67,7411.0,110
CPT,84540,"HC UREA NITROGEN, URINE 24HR",119.19,71.51,4.67,7411.0,55
CPT,84545,"HC REF ARUP 2005207, UREA CLEARANCE",33.45,20.07,6.05,7411.0,55
CPT,84550,HC URIC ACID - BLOOD,117.24,70.34,3.8,7411.0,55
CPT,84560,"HC REF ARUP COMP 0020843, CPT 84560",25.85,15.51,4.27,7411.0,55
CPT,84560,HC REF URIC ACID,115.5,69.3,4.27,7411.0,55
CPT,84560,HC URIC ACID,78.09,46.85,4.27,7411.0,110
CPT,84560,HC URIC ACID - URORISK,78.09,46.85,4.27,7411.0,55
CPT,84560,"HC URIC ACID, 24HR URINE",78.09,46.85,4.27,7411.0,55
CPT,84560,"HC URIC ACID, BODY FLUID",78.09,46.85,4.27,7411.0,55
CPT,84560,"HC URIC ACID, OTHER SOURCE",78.09,46.85,4.27,7411.0,55
CPT,84560,"HC URIC ACID, RANDOM URINE",78.09,46.85,4.27,7411.0,55
CPT,84583,"HC UROBILINOGEN, URINE - SEMIQUANTITATIVE",12.42,7.45,4.47,7411.0,55
CPT,84585,"HC REF ARUP 3018861 VMA RANDOM, URINE",37.5,22.5,10.0,7411.0,55
CPT,84585,"HC VANILLYMANDELIC ACID, URINE",184.17,110.5,10.0,7411.0,55
CPT,84586,HC IMMUNOASSAY QUANT NOS NONAB - VASOACTIVE INTESTINAL POLYPEPTIDE,328.38,197.03,10.0,7411.0,55
CPT,84586,HC VASOACTIVE INTESTINAL PEPTIDE,328.38,197.03,10.0,7411.0,55
CPT,84588,HC COPEPTIN PRO-ARGININE VASOPRESSIN,294.56,176.74,10.0,7411.0,55
CPT,84588,"HC REF ARUP 3018705 COPEPTIN PROAVP, PLASMA",112.5,67.5,10.0,7411.0,55
CPT,84588,"HC REF MAYO CPAVP, COPEPTIN PROAVP, PLASMA",725.55,435.33,10.0,7411.0,55
CPT,84588,"HC VASOPRESSIN (ANTIDIURETIC HORMONE, ADH)",294.56,176.74,10.0,7411.0,55
CPT,84590,"HC VITAMIN A, BLOOD",169.99,101.99,9.75,7411.0,55
CPT,84591,"HC REF MAYO VITB3 VITAMIN B3 AND METABOLITES, P",231.0,138.6,10.0,7411.0,55
CPT,84591,"HC VITAMIN, NOS",217.86,130.72,10.0,7411.0,55
CPT,84591,"HC VITAMIN,NOT OTHERWISE SPECIFIED",217.86,130.72,10.0,7411.0,110
CPT,84597,HC VITAMIN K,250.44,150.26,10.0,7411.0,55
CPT,84600,HC VOLATILES,207.35,124.41,10.0,7411.0,55
CPT,84620,HC XYLOSE ABSORP BLOOD/URINE,166.48,99.89,10.0,7411.0,55
CPT,84630,HC REF ARUP 2009373 ZINC WB,51.75,31.05,9.57,7411.0,55
CPT,84630,"HC REF ARUP COMP 0025055, CPT 84630",30.8,18.48,9.57,7411.0,55
CPT,84630,HC ZINC,158.0,94.8,9.57,7411.0,165
CPT,84681,HC C-PEPTIDE,240.05,144.03,10.0,7411.0,55
CPT,84681,"HC REF ARUP, 0070103 C PEPTIDE SERUM",27.5,16.5,9.9,7411.0,55
CPT,84681,HC REF MEDFUSION COMP 36509 CPT 84681,171.6,102.96,10.0,7411.0,55
CPT,84702,HC CHORIONIC GONADOTROPIN TEST,302.19,181.31,10.0,7411.0,55
CPT,84702,"HC GONADOTROPIN, CHORIONIC (HCG) QUANT",302.19,181.31,10.0,7411.0,55
CPT,84702,"HC GONADOTROPIN, CHORIONIC (HCG) TUMOR MARKER",302.19,181.31,10.0,7411.0,55
CPT,84702,"HC GONADOTROPIN, CHORIONIC (HCG), QUANTITATIVE",302.19,181.31,10.0,7411.0,55
CPT,84702,"HC GONADOTROPIN, CHORIONIC, QUANT",302.19,181.31,10.0,7411.0,165
CPT,84702,HC REF ARUP 0020730 BETA – HCG QUANT (TUMOR MARKER) CSF,43.5,26.1,10.0,7411.0,55
CPT,84703,"HC GONADOTROPIN, CHORIONIC (HCG), QUALITATIVE",229.02,137.41,6.32,7411.0,55
CPT,84703,"HC GONADOTROPIN, CHORIONIC, QUALIT",229.02,137.41,6.32,7411.0,110
CPT,84999,HC BACTRIM,141.3,84.78,10.0,7411.0,34
CPT,84999,HC FECAL OSMOLALITY,159.565,95.74000000000001,10.0,7411.0,102
CPT,84999,HC HEPATITIS A SUPERQUAL BY PCR,122.87,73.72,10.0,7411.0,34
CPT,84999,HC MACROAMYLASE DETERMINATION,66.0,39.6,10.0,7411.0,34
CPT,84999,HC PROMETHEUS ANSER ADA TEST,141.3,84.78,10.0,7411.0,34
CPT,84999,HC PROSIGNA TESTING,141.3,84.78,10.0,7411.0,34
CPT,84999,"HC REF ARUP < QUEST COMP 91445, CPT 84999",712.5,427.5,10.0,7411.0,34
CPT,84999,HC REF LABCORP - CHITO CHITOTRIOSIDASE ASSAY,705.0,423.0,10.0,7411.0,34
CPT,84999,HC REF LABCORP 451822 CHITOTRIOSIDASE ASSAY,705.0,423.0,10.0,7411.0,34
CPT,84999,"HC REF MAYO, COMP CJDE, CPT 84999",18.68,11.21,3.18,7411.0,34
CPT,84999,"HC REF MAYO, COMP RPDE, CPT 84999",19.98,11.99,3.4,7411.0,34
CPT,84999,"HC REF MAYO, ZW300, KARIUS BLOOD TEST FOR PATHOGENS",5025.0,3015.0,10.0,7411.0,34
CPT,84999,"HC REF POTASSIUM, BODY FLUID SEND OUT",199.82,119.89,10.0,7411.0,34
CPT,84999,"HC REF RSV TEST, QUEST",206.25,123.75,10.0,7411.0,34
CPT,84999,HC STOOL WEIGHT,199.82,119.89,10.0,7411.0,34
CPT,84999,HC UNLISTED CHEM: FECAL OSMOLALITY - ELECTROLYTE&OSMOLALITY PANEL,199.82,119.89,10.0,7411.0,34
CPT,85002,"HC BLEEDING TIME, IVY OR TEMPLATE",146.56,87.94,4.05,7411.0,55
CPT,85004,HC BLOOD COUNT - AUTOMATED DIFFERENTIAL WBC COUNT,79.43,47.66,5.43,7411.0,55
CPT,85007,"HC BLOOD SMEAR,MICRO EXAM W/ MANUAL WBC DIFFERENTIAL",93.56,56.14,3.19,7411.0,55
CPT,85007,"HC DIFFERENTIAL WBC BLOOD COUNT,",93.56,56.14,3.19,7411.0,110
CPT,85008,HC BLOOD SMEAR EXAM W/OUT MANUAL DIFFERENTIAL,76.19,45.71,2.88,7411.0,55
CPT,85008,HC SCANNED DIFF,76.19,45.71,2.88,7411.0,55
CPT,85009,"HC BUFFY COAT, MANUAL DIFF WBC COUNT",73.56,44.14,4.26,7411.0,55
CPT,85013,HC SPUN MICROHEMATOCRIT,8.36,5.02,3.01,7411.0,55
CPT,85014,HC HEMATOCRIT,76.63,45.98,1.99,7411.0,55
CPT,85014,HC HEMATOCRIT (HCT),76.63,45.98,1.99,7411.0,110
CPT,85014,"HC HEMATOCRIT (HCT), POC",76.63,45.98,1.99,7411.0,55
CPT,85014,HC HEMATOCRIT BLOOD COUNT,76.63,45.98,1.99,7411.0,275
CPT,85014,HC HEMATOCRIT BLOOD COUNT POINT OF CARE PATHOLOGY,76.63,45.98,1.99,7411.0,55
CPT,85014,HC HEMATOCRIT POC (CARDIOPULMONARY),76.63,45.98,1.99,7411.0,55
CPT,85014,HC PANEL I-STATC (HCT/GLU/BUN/CREA/EGR) - ISCHC,76.63,45.98,1.99,7411.0,55
CPT,85018,HC HEMOGLOBIN,72.35,43.41,1.99,7411.0,660
CPT,85018,HC HEMOGLOBIN (HGB),72.35,43.41,1.99,7411.0,55
CPT,85018,"HC HEMOGLOBIN, TDH",72.35,43.41,1.99,7411.0,55
CPT,85025,"HC CBC,COMPLTE/AUTO&AUTO DIFFERTI",183.63,110.18,6.53,7411.0,110
CPT,85025,HC COMPLETE CBC W/AUTO DIFF WBC,183.63,110.18,6.53,7411.0,55
CPT,85025,HC COMPLETE CBC W/AUTO WBC DIFF,183.63,110.18,6.53,7411.0,55
CPT,85025,HC VCD3 CBC AUTO DIFF WBC,183.63,110.18,6.53,7411.0,55
CPT,85027,HC COMPLETE CBC AUTOMATED W/OUT DIFF,149.84,89.9,5.43,7411.0,55
CPT,85027,HC HEMOGRAM,149.84,89.9,5.43,7411.0,110
CPT,85032,"HC MANUAL CELL COUNT - RBC, WBC, OR PLATELET",107.43,64.46,3.62,7411.0,55
CPT,85041,"HC BLOOD COUNT - RBC, AUTOMATED",19.75,11.85,2.54,7411.0,55
CPT,85044,"HC RETICULOCYTE, MANUAL",96.81,58.09,3.62,7411.0,55
CPT,85045,"HC RETICULOCYTE, AUTOMATED",106.26,63.76,3.35,7411.0,55
CPT,85046,HC REF QUEST 14325 RETIC COUNT AND RETIC HEMOGLOBIN,95.63,57.38,4.68,7411.0,55
CPT,85046,"HC RETICULOCYTES, CHR, IRF, MRV, MEASUREMENT",110.73,66.44,4.68,7411.0,55
CPT,85048,"HC LEUKOCYTE (WBC), AUTOMATED",80.13,48.08,2.13,7411.0,55
CPT,85048,HC WHITE BLOOD CELL COUNT,80.13,48.08,2.13,7411.0,165
CPT,85049,"HC BLOOD COUNT - PLATELET,AUTOMATED",122.23,73.34,3.76,7411.0,110
CPT,85049,HC PLATELET COUNT,122.23,73.34,3.76,7411.0,55
CPT,85049,HC PLATELET COUNT AUTOMATED,122.23,73.34,3.76,7411.0,55
CPT,85055,HC RETICULATED PLATELET ASSAY,82.34,49.4,10.0,7411.0,55
CPT,85060,HC BLOOD SMEAR INTERPRETATION,104.9,62.94,10.0,7411.0,39
CPT,85060,"HC REF MAYO, COMP HAEV1, CPT 85060",414.5,248.7,61.56,7411.0,36
CPT,85097,"HC BONE MARROW,SMEAR INTERPRETATION",903.39,542.03,10.0,7411.0,55
CPT,85130,HC CHROMOGENIC SUBSTRATE ASSAY,508.16,304.9,9.99,7411.0,55
CPT,85130,HC REF ARGATROBAN LEVEL ANTI IIA,1190.05,714.03,9.99,7411.0,55
CPT,85130,HC REF ARIXTRA LEVEL FONDAPARINUX,312.5,187.5,9.99,7411.0,55
CPT,85130,"HC REF MAYO CHF8 CHROMOGENIC FV111, P",888.0,532.8,9.99,7411.0,55
CPT,85130,"HC REF MAYO COMP CHF8P, CPT 85130",507.05,304.23,9.99,7411.0,55
CPT,85130,HC REF FACTOR VIII ACTIVITY -CHROMOGENIC,232.5,139.5,9.99,7411.0,55
CPT,85175,HC CLOT LYSIS TIME TEG,78.44,47.06,10.0,7411.0,55
CPT,85210,"HC FACTOR II, PROTHROMBIN",263.75,158.25,10.0,7411.0,55
CPT,85220,"HC FACTOR V (ACG), LABILE FACTOR",366.71,220.03,10.0,7411.0,55
CPT,85230,"HC CLOTTING, FACTOR VII(PROCONVER",429.93,257.96,10.0,7411.0,55
CPT,85240,HC CLOT FACTOR VIII AHG 1 STAGE - VON WILLEBRAND DX PANEL,611.73,367.04,10.0,7411.0,55
CPT,85240,HC CLOT FACTOR VIII AHG 1 STAGE - VON WILLEBRAND PROFILE,611.73,367.04,10.0,7411.0,55
CPT,85240,"HC FACTOR VIII (AHG), 1 -STAGE",611.73,367.04,10.0,7411.0,55
CPT,85240,"HC REF ARUP, 3002343 CHROMOGENIC FACTOR VIII",450.0,270.0,10.0,7411.0,55
CPT,85240,"HC REF ARUP, COMP 0030125 CPT 85240",59.16,35.5,10.0,7411.0,55
CPT,85240,"HC REF COOKS 360, FACTOR VIII ASSAY",1356.0,813.6,10.0,7411.0,55
CPT,85240,HC REF FACTOR IX ASSAY,887.36,532.42,10.0,7411.0,55
CPT,85240,HC REF MAYO COMP AVWPR VON WILLEBRAND DISEASE PROF CPT 85240,219.15,131.49,10.0,7411.0,55
CPT,85240,"HC REF QUEST 347 FACTOR VIII ACTIVITY, CLOTTING",749.58,449.75,10.0,7411.0,55
CPT,85240,HC REF QUEST COMP 40083 CPT 85240,818.75,491.25,10.0,7411.0,55
CPT,85245,HC CLOT FACTOR VIII VW RISTOCTN - VON WILLEBRAND DX PANEL,361.28,216.77,10.0,7411.0,55
CPT,85245,HC CLOT FACTOR VIII VW RISTOCTN - VON WILLEBRAND PROFILE,361.28,216.77,10.0,7411.0,55
CPT,85245,"HC FACTOR VIII, VW FACTOR, RISTOCETIN COFACTOR",361.28,216.77,10.0,7411.0,55
CPT,85245,"HC REF ARUP, COMP 0030125 CPT 85245",59.16,35.5,10.0,7411.0,55
CPT,85246,HC CLOT FACTOR VIII VW ANTIGEN - VON WILLEBRAND DX PANEL,322.62,193.57,10.0,7411.0,55
CPT,85246,HC CLOT FACTOR VIII VW ANTIGEN - VON WILLEBRAND PROFILE,322.62,193.57,10.0,7411.0,55
CPT,85246,"HC FACTOR VIII, VW FACTOR ANTIGEN",322.62,193.57,10.0,7411.0,55
CPT,85246,"HC REF ARUP, COMP 0030125 CPT 85246",59.16,35.5,10.0,7411.0,55
CPT,85246,HC REF MAYO COMP AVWPR VON WILLEBRAND DISEASE PROF CPT 85246,280.83,168.5,10.0,7411.0,55
CPT,85247,"HC FACTOR VIII, MULTIMETRIC ANALYSIS",338.16,202.9,10.0,7411.0,55
CPT,85250,HC FACTOR IX (PTC OR CHRISTMAS),419.12,251.47,10.0,7411.0,55
CPT,85250,HC REF ARUP 0030100 FACTOR IX ACTIVITY,93.5,56.1,10.0,7411.0,55
CPT,85250,HC REF MAYO 9INHE COMP CPT 85250,93.78,56.27,10.0,7411.0,55
CPT,85260,HC FACTOR X (STUART-PROWER),364.53,218.72,10.0,7411.0,55
CPT,85270,"HC CLOTTING, FACTOR XI (PTA)",366.64,219.98,10.0,7411.0,55
CPT,85280,HC FACTOR XII (HAGEMAN),375.0,225.0,10.0,7411.0,55
CPT,85290,HC FACTOR XIII,244.12,146.47,10.0,7411.0,55
CPT,85290,HC FACTOR XIII (FIBRIN STABILIZING),244.12,146.47,10.0,7411.0,55
CPT,85291,"HC FACTOR XIII (FIBRN STABILIZING), SCREEN SOLUBILITY",190.1,114.06,7.65,7411.0,55
CPT,85292,HC PREKALLIKREIN ASSAY (FLETCHER FACTOR ASSAY),374.95,224.97,10.0,7411.0,55
CPT,85292,HC REF ARUP 0099043 PREKALLEKRINE FACTOR ACTIVITY,287.83,172.7,10.0,7411.0,55
CPT,85293,HC REF ARUP 2007578 HMWK ACTIVITY,314.38,188.63,10.0,7411.0,55
CPT,85300,HC ANTITHROMBIN III ACTIVITY,314.82,188.89,9.95,7411.0,55
CPT,85300,HC ANTITHROMBIN III ACTIVITY - FUNCTIONAL,314.82,188.89,9.95,7411.0,55
CPT,85300,"HC CLOTTING INHIBITORS, ANTITHROM",314.82,188.89,9.95,7411.0,110
CPT,85300,"HC REF MAYO, COMP AATHR, CPT 85300",138.84,83.3,9.95,7411.0,55
CPT,85301,HC ANTITHROMBIN III ANTIGEN,111.88,67.13,9.08,7411.0,55
CPT,85302,HC PROTEIN C ANTIGEN,296.08,177.65,10.0,7411.0,55
CPT,85303,HC CLOT INHIBIT PROT C ACTIVITY - PROTEIN C & S,361.61,216.97,10.0,7411.0,55
CPT,85303,HC PROTEIN C ACTIVITY,361.61,216.97,10.0,7411.0,55
CPT,85303,HC REF ARUP COMP 0030182 CPT 85303,67.5,40.5,10.0,7411.0,55
CPT,85303,"HC REF MAYO, COMP AATHR, CPT 85303",162.15,97.29,10.0,7411.0,55
CPT,85305,HC CLOT INHIBIT PROT S TOTAL,273.76,164.26,9.75,7411.0,55
CPT,85305,"HC PROTEIN S, TOTAL",273.76,164.26,9.75,7411.0,55
CPT,85305,HC REF LABCORP COMP 117754  CPT 85305,94.92,56.95,9.75,7411.0,55
CPT,85306,HC CLOT INHIBIT PROT S FREE - PROTEIN C & S,334.89,200.93,10.0,7411.0,55
CPT,85306,"HC CLOTTING INHIB/ANTICOAG, PROTEIN S ACTIVITY",334.89,200.93,10.0,7411.0,55
CPT,85306,"HC CLOTTING INHIB/ANTICOAG, PROTEIN S FREE",334.89,200.93,10.0,7411.0,55
CPT,85306,HC CLOTTING INHIBITORS/PROT S FRE,334.89,200.93,10.0,7411.0,110
CPT,85306,"HC PROTEIN S, FREE",334.89,200.93,10.0,7411.0,55
CPT,85306,HC REF ARUP COMP 0030182 CPT 85306,67.5,40.5,10.0,7411.0,55
CPT,85306,HC REF LABCORP COMP 117754  CPT 85306,94.92,56.95,10.0,7411.0,55
CPT,85306,"HC REF MAYO, COMP AATHR, CPT 85306",179.5,107.7,10.0,7411.0,55
CPT,85307,HC ACTIVATED PROTEIN C (APC) RESISTANCE ASSAY,274.43,164.66,10.0,7411.0,55
CPT,85307,"HC REF MAYO, COMP AATHR, CPT 85307",170.95,102.57,10.0,7411.0,55
CPT,85320,HC REF MAYO < ISI FGHRH GROWTH HORMONE RELEASING HORMONE,612.5,367.5,10.0,7411.0,39
CPT,85335,HC FACTOR INHIBITOR TEST,415.88,249.53,10.0,7411.0,55
CPT,85335,"HC FACTOR INHIBITOR, ADAMTS13",415.88,249.53,10.0,7411.0,55
CPT,85335,HC FACTOR VIII INHIBITOR,415.88,249.53,10.0,7411.0,55
CPT,85335,"HC REF MAYO COMP CHF8P, CPT 85335",548.83,329.3,10.0,7411.0,55
CPT,85335,HC REF QUEST COMP 40083 CPT 85335,818.75,491.25,10.0,7411.0,55
CPT,85347,HC ACTIVATED CLOTTING TIME,166.1,99.66,3.6,7411.0,110
CPT,85347,"HC ACTIVATED CLOTTING TIME, KAOLIN POC",166.1,99.66,3.6,7411.0,55
CPT,85347,"HC COAGULATION TIME, ACTIVATED",166.1,99.66,3.6,7411.0,440
CPT,85347,"HC COAGULATION TIME, ACTIVATED POINT OF CARE PATHOLOGY",166.1,99.66,3.6,7411.0,55
CPT,85347,HC TEG 5 PLATELET MAPPING,166.1,99.66,3.6,7411.0,55
CPT,85362,HC FDP OR FSP BY AGGLUTINATION,186.91,112.15,5.79,7411.0,55
CPT,85362,"HC REF ARUP 2006491, FDP PLASMA",78.0,46.8,5.79,7411.0,55
CPT,85379,HC FDP OR D-DIMER QUANTITATIVE,248.29,148.97,8.55,7411.0,55
CPT,85379,"HC FIBRIN DEGRADATION PROD, D-DIM",248.29,148.97,8.55,7411.0,110
CPT,85379,HC REF MAYO COMP APROL CPT 85379,191.38,114.83,8.55,7411.0,55
CPT,85379,"HC REF MAYO, COMP AATHR, CPT 85379",113.6,68.16,8.55,7411.0,55
CPT,85380,HC FDP OR D-DIMER ULTRASENSITIVE,557.67,334.6,8.55,7411.0,55
CPT,85384,"HC FIBRINOGEN ACTIVITY, TEG 5 PLATELET MAPPING",245.6,147.36,8.16,7411.0,55
CPT,85384,"HC FIBRINOGEN ACTIVITY, TEG 5 WHOLE BLOOD",245.6,147.36,8.16,7411.0,55
CPT,85384,"HC FIBRINOGEN, ACTIVITY",245.6,147.36,8.16,7411.0,330
CPT,85384,"HC REF ARUP, COMP 0030137, CPT 85384",77.16,46.3,8.16,7411.0,55
CPT,85384,HC REF MAYO COMP APROL CPT 85384,182.7,109.62,8.16,7411.0,55
CPT,85384,"HC REF MAYO, COMP AATHR, CPT 85384",113.87,68.32,8.16,7411.0,55
CPT,85385,HC FIBRINOGEN - ANTIGEN,211.12,126.67,10.0,7411.0,55
CPT,85385,"HC REF ARUP, COMP 0030137, CPT 85385",77.16,46.3,10.0,7411.0,55
CPT,85390,HC FACTOR DEFICIENCY SCREEN,206.81,124.09,10.0,7411.0,55
CPT,85390,HC FIBRINOLYSINS CRYSTAL SMR SCRN,206.81,124.09,10.0,7411.0,55
CPT,85390,"HC FIBRINOLYSINS OR COAGULOPATHY SCREEN, INTERPRETATION & REPORT",206.81,124.09,10.0,7411.0,55
CPT,85390,HC FIBRINOLYSINS TEG,206.81,124.09,10.0,7411.0,55
CPT,85390,HC FIBRINOLYSINS TEG 1ST CUP,206.81,124.09,10.0,7411.0,55
CPT,85390,HC FIBRINOLYSINS TEG 2ND CUP,206.81,124.09,10.0,7411.0,55
CPT,85390,HC FIBRINOLYSINS TEG PLT MAP,206.81,124.09,10.0,7411.0,55
CPT,85390,"HC FIBRINOLYSINS, TEG 5 PLATELET MAPPING",206.81,124.09,10.0,7411.0,55
CPT,85390,"HC FIBRINOLYSINS, TEG 5 WHOLE BLOOD",206.81,124.09,10.0,7411.0,55
CPT,85390,HC HEMOSTASIS PROFILE,206.81,124.09,10.0,7411.0,55
CPT,85390,HC REF MAYO 9INHE COMP CPT 85390,76.23,45.74,10.0,7411.0,55
CPT,85390,HC REF MAYO COMP APROL CPT 85390,290.98,174.59,10.0,7411.0,55
CPT,85390,HC REF MAYO COMP AVWPR VON WILLEBRAND DISEASE PROF CPT 85390,189.5,113.7,10.0,7411.0,55
CPT,85390,"HC REF MAYO COMP CHF8P, CPT 85390",660.13,396.08,10.0,7411.0,55
CPT,85390,HC REF MAYO COMP PTEM PLATELET TRANS EM STUDY CPT 85390,96.68,58.01,10.0,7411.0,55
CPT,85390,"HC REF MAYO COMP, ALUPP, CPT 85390",59.8,35.88,10.0,7411.0,55
CPT,85390,"HC REF MAYO, COMP AATHR, CPT 85390",181.37,108.82,10.0,7411.0,55
CPT,85397,"HC COAGULATION AND FIBRINOLYSIS, FUNCTIONAL ACTIVITY, NOS, EA ANALYTE",249.09,149.45,10.0,7411.0,55
CPT,85397,HC COAGULATION/FIBRINALYSIS/FUNCT,249.09,149.45,10.0,7411.0,165
CPT,85397,HC REF ARUP 0030056 ADAMTS13 ACTIVITY,283.75,170.25,10.0,7411.0,55
CPT,85397,HC REF MAYO COMP AVWPR VON WILLEBRAND DISEASE PROF CPT 85397,377.8,226.68,10.0,7411.0,55
CPT,85410,HC ALPHA-2 ANTIPLASMIN,218.16,130.9,6.48,7411.0,55
CPT,85415,HC PLASMINOGEN ACTIVATOR,359.0,215.4,10.0,7411.0,55
CPT,85415,HC REF MAYO PAI1 PAI-1 ANTIGEN,439.88,263.93,10.0,7411.0,55
CPT,85415,HC REF PLSMNOGEN ACTVTR INHBTR AG,293.49,176.09,10.0,7411.0,55
CPT,85420,HC PLASMINOGEN ACTIVITY,272.11,163.27,5.49,7411.0,55
CPT,85421,HC PLASMINOGEN ANTIGEN,636.95,382.17,8.55,7411.0,55
CPT,85445,HC HEINZ BODIES INDUCED,130.15,78.09,5.73,7411.0,55
CPT,85445,HC HEINZ BODY SUSCEPTIBILITY,130.15,78.09,5.73,7411.0,55
CPT,85460,HC FETAL HEMOGLOBIN OR RBC BY DIFFERENTIAL LYSIS,278.15,166.89,6.49,7411.0,55
CPT,85460,"HC HEMOGLOBIN, FETAL, DIFFERENTIA",278.15,166.89,6.49,7411.0,55
CPT,85460,HC KLEIHAUER-BETKE SCAN,278.15,166.89,6.49,7411.0,55
CPT,85460,"HC REF ARUP, CHANTILLY 90584, ALKALI DENATURATION, STOOL",152.91,91.75,6.49,7411.0,55
CPT,85460,"HC REF QUEST 90584, ALKALI DENATURATION",152.91,91.75,6.49,7411.0,55
CPT,85461,"HC HEMOGLOBIN,FETAL,ROSETTE",166.43,99.86,7.86,7411.0,55
CPT,85475,HC ACID HEMOLYSIN,227.23,136.34,7.45,7411.0,55
CPT,85475,HC HAM TEST,227.23,136.34,7.45,7411.0,55
CPT,85520,HC HEPARIN ASSAY,342.42,205.45,10.0,7411.0,220
CPT,85520,"HC REF MEDFUSION, XAUNFB HEPARIN ANTI-XA UNFRACTIONATED",105.65,63.39,10.0,7411.0,55
CPT,85525,HC HEPARIN NEUTRALIZATION,129.28,77.57,9.95,7411.0,55
CPT,85530,HC HEPARIN-PROTAMINE TOLERANCE TEST,146.97,88.18,10.0,7411.0,55
CPT,85540,HC LEUKOCYTE ALKALINE PHOSPHATASE,147.66,88.6,7.22,7411.0,55
CPT,85540,HC REF ARUP 0049000 LEUKOCYTE ALK PHOSPH SMEAR,150.0,90.0,7.22,7411.0,55
CPT,85549,HC MURAMIDASE,149.56,89.74,10.0,7411.0,55
CPT,85555,HC OSMOTIC FRAGILITY RBC UNINCUBATED,253.0,151.8,6.27,7411.0,55
CPT,85557,HC OSMOTIC FRAGILITY RBC INCUBATED,238.28,142.97,10.0,7411.0,55
CPT,85557,"HC REF MAYO COMP RBCME, CPT 85557",329.88,197.93,10.0,7411.0,55
CPT,85557,"HC REF MAYO, COMP HAEV1, CPT 85557",243.0,145.8,10.0,7411.0,55
CPT,85576,"HC BLOOD PLATELET AGGREGATION, TEG 5 PLATELET MAPPING",321.65,192.99,10.0,7411.0,55
CPT,85576,"HC BLOOD PLATELET AGGREGATION, TEG 5 WHOLE BLOOD",321.65,192.99,10.0,7411.0,55
CPT,85576,HC PLATELET - AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,880
CPT,85576,HC PLATELET AGGREGATION EACH AGENT,321.65,192.99,10.0,7411.0,55
CPT,85576,"HC PLATELET AGGREGATION, ASPRIN",321.65,192.99,10.0,7411.0,55
CPT,85576,"HC PLATELET AGGREGATION, CLOPIDOGREL",321.65,192.99,10.0,7411.0,55
CPT,85576,"HC PLATELET AGGREGATION, PLATELET FUNCTION SCREEN",321.65,192.99,10.0,7411.0,55
CPT,85576,HC PLATELET; AGGREGATION (IN VITR,321.65,192.99,10.0,7411.0,220
CPT,85597,"HC PHOSPHOLIPID NEUTRALIZATION,PLATELET",219.65,131.79,10.0,7411.0,55
CPT,85598,"HC HEXAGONAL, PLATELET",185.0,111.0,10.0,7411.0,55
CPT,85598,HC REF ARUP 0030064 HEXAGONAL PHOSPHOLIPID NEUTRAL,132.5,79.5,10.0,7411.0,55
CPT,85610,HC PROTHROMBIN TIME,140.91,84.55,3.6,7411.0,110
CPT,85610,HC PROTHROMBIN TIME W/INR,140.91,84.55,3.6,7411.0,55
CPT,85610,"HC PROTHROMBIN TIME, POST HEPARIN REMOVAL",140.91,84.55,3.6,7411.0,55
CPT,85610,HC PT PROTHROMBIN TIME,140.91,84.55,3.6,7411.0,220
CPT,85610,HC REF MAYO COMP APROL CPT 85610,80.65,48.39,3.6,7411.0,55
CPT,85610,"HC REF MAYO COMP, ALUPP, CPT 85610",16.55,9.93,3.6,7411.0,55
CPT,85610,"HC REF MAYO, COMP AATHR, CPT 85610",50.24,30.14,3.6,7411.0,55
CPT,85611,HC PROTHROMBIN TIME SUBSTITUTION PLASMA EACH FRACTION,141.31,84.79,3.31,7411.0,55
CPT,85612,HC RUSSELL VIPER VENOM TIME - UNDILUTED,192.02,115.21,10.0,7411.0,55
CPT,85613,HC DRVVT 1:1 MIX - REFLEX,170.11,102.07,8.05,7411.0,55
CPT,85613,HC DRVVT CONFIRMATION - REFLEX,170.11,102.07,8.05,7411.0,55
CPT,85613,HC REF MAYO COMP APROL CPT 85613,180.08,108.05,8.05,7411.0,55
CPT,85613,"HC REF MAYO COMP, ALUPP, CPT 85613",37.0,22.2,8.05,7411.0,55
CPT,85613,"HC REF MAYO, COMP AATHR, CPT 85613",112.25,67.35,8.05,7411.0,55
CPT,85613,HC RUSSELL VIPER VENOM TIME - DILUTED,170.11,102.07,8.05,7411.0,55
CPT,85635,HC REPTILASE TEST - REFLEX,177.45,106.47,8.27,7411.0,55
CPT,85635,HC REPTILASE TIME,177.45,106.47,8.27,7411.0,55
CPT,85651,HC SEDIMENTATION RATE RBC NON-AUTOMATED,133.46,80.08,3.59,7411.0,55
CPT,85652,HC SEDIMENTATION RATE RBC AUTOMATED,111.76,67.06,2.27,7411.0,55
CPT,85660,HC RBC SICKLE CELL TEST - W/ RFLX TO HGBE,119.91,71.95,4.63,7411.0,55
CPT,85660,"HC REF ARUP, 2013399 HEMOGLOBIN S SICKLE CELL SOLUTILITY SCREEN",65.95,39.57,4.63,7411.0,55
CPT,85660,HC SICKLE CELL BY REDUCTION,119.91,71.95,4.63,7411.0,55
CPT,85660,"HC SICKLING OF RBC, REDUCTION, SL",119.91,71.95,4.63,7411.0,220
CPT,85670,HC REF ARUP 0030260 THROMBIN TIME W/RFLX TO 1:1 MIX,37.2,22.32,4.85,7411.0,55
CPT,85670,HC REF MAYO COMP APROL CPT 85670,108.48,65.09,4.85,7411.0,55
CPT,85670,"HC REF MAYO, COMP AATHR, CPT 85670",64.38,38.63,4.85,7411.0,55
CPT,85670,HC THROMBIN TIME PLASMA - REFLEX,120.37,72.22,4.85,7411.0,55
CPT,85670,"HC THROMBIN TIME, PLASMA",120.37,72.22,4.85,7411.0,55
CPT,85730,"HC PARTIAL THROMBOPLASTIN TIME (APTT), POST HEPARIN REMOVAL",146.11,87.67,5.05,7411.0,55
CPT,85730,HC PARTIALTHROMBOPLASTIN TIME (APTT),146.11,87.67,5.05,7411.0,55
CPT,85730,HC PARTIALTHROMBOPLASTIN TIME D (APTT-D),146.11,87.67,5.05,7411.0,55
CPT,85730,HC REF MAYO COMP APROL CPT 85730,112.95,67.77,5.05,7411.0,55
CPT,85730,"HC REF MAYO COMP, ALUPP, CPT 85730",23.23,13.94,5.05,7411.0,55
CPT,85730,"HC REF MAYO, COMP AATHR, CPT 85730",67.08,40.25,5.05,7411.0,55
CPT,85730,HC THROMBOPLASTIN TIME PARTIAL - LUPUS ANTICOAG PANEL,146.11,87.67,5.05,7411.0,55
CPT,85730,HC THROMBOPLASTIN TIME PARTIAL - VON WILLEBRAND DX PANEL,146.11,87.67,5.05,7411.0,55
CPT,85732,"HC PARTIAL THROMBOPLASTIN TIME SUBSTITUTION, EA",142.2,85.32,5.43,7411.0,55
CPT,85732,"HC THROMBOPLASTIN TIME,PART - SUB,P",142.2,85.32,5.43,7411.0,110
CPT,85810,HC VISCOSITY,142.25,85.35,9.8,7411.0,55
CPT,86000,"HC AGGLUTININS - FEBRILE, EACH ANT",129.8,77.88,5.86,7411.0,165
CPT,86001,HC ALLERGEN SPEC IGG QUA RL,73.21,43.93,6.57,7411.0,110
CPT,86001,HC ALLERGY TEST IGG - GLUTEN,73.21,43.93,6.57,7411.0,55
CPT,86001,"HC REF ARUP 0090289 ALLERGEN, FOOD, GLUTEN IGG",44.38,26.63,6.57,7411.0,55
CPT,86001,"HC REF ARUP 0097315 ALLERGEN, FOOD, EGG YOLK IGG",44.38,26.63,6.57,7411.0,55
CPT,86001,"HC REF ARUP 0097653 ALLERGEN, FOOD, CASEIN (COW'S MILK) IGG",44.38,26.63,6.57,7411.0,55
CPT,86001,"HC REF ARUP 0097659 ALLERGEN, FOOD, EGG WHITE IGG",44.38,26.63,6.57,7411.0,55
CPT,86001,"HC REF ARUP, COMP EUROFINS VIVACOR 401844P, CPT 86001",73.11,43.87,6.57,7411.0,55
CPT,86001,"HC REF MAYO FPBLG, PEPPER BLACK IGG",124.5,74.7,6.57,7411.0,55
CPT,86001,HC REF MEDFUSION 30337 WHEAT IGG,164.08,98.45,6.57,7411.0,55
CPT,86001,HC REF MEDFUSION 34678 EGG WHITE IGG,164.08,98.45,6.57,7411.0,55
CPT,86001,HC REF MEDFUSION 34679 PEANUT IGG,164.08,98.45,6.57,7411.0,55
CPT,86001,HC REF MEDFUSION 34680 SOY IGG,164.08,98.45,6.57,7411.0,55
CPT,86001,HC REF MEDFUSION 38100 CASEIN IGG,164.08,98.45,6.57,7411.0,55
CPT,86001,HC REF MEDFUSION 38110 COD IGG,164.08,98.45,6.57,7411.0,55
CPT,86001,HC REF MEDFUSION 92789 COWS MILK IGG,164.08,98.45,6.57,7411.0,55
CPT,86003,"HC ALLERGEN SPECIFIC IGE - QUANT,EA",80.05,48.03,4.38,7411.0,5170
CPT,86003,HC ALLERGY TEST - ALMOND,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - ALPHA LACTALBUMIN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - ALPHA-GAL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - AMOXICILLIN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - AMPICILLIN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - APRICOT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - ASPARAGUS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - ASPERGILLUS NIGER,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - AUREOBASIDIUM PULLULANS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - AVOCADO,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - BANANA,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - BARLEY,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - BASIL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - BAY LEAF,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - BETA-LACTOBLOBULIN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - BLACK PEPPER,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - BLACKBERRY,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - BLUE MUSCLE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - BLUEBERRY,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - BRAZIL NUT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - BROCCOLI,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - BUCKWHEAT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - BUDGERIGAR FEATHERS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CABBAGE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CACAO/COCOA,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CARAWAY,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CARDAMOM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CARMINE/RED DYE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CARROT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CASEIN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CASHEW,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CATFISH,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CAULIFLOWER,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CEDAR,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CELERY,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CHAETOMIUM GLOBOSUM,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - CHEESE, CHEDDAR",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - CHEESE, MOLD",80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CHERRY,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - CHESTNUT, SWEET",80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CHICKEN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CHICKPEA,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CHILI PEPPER,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CINNAMON,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CLAM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CLOVE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - COCONUT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CODFISH,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - COFFEE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CORIANDER,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CORN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - COW MILK,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CRAB,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CRAYFISH,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CUCUMBER,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - CURRY,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - DATE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - DERMATOPHAGOIDES FARINAE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - DILL,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - DROPPINGS, CHICKEN",80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - EGG WHITE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - EGG YOLK,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - EGG, WHOLE",80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - EGGPLANT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - EPICOCCUM PURPURASCENS,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - EPITHEIUM/DANDER, HAMSTER",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - EPITHELIUM/DANDER, COW",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - EPITHELIUM/DANDER, GOAT",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - EPITHELIUM/DANDER, HORSE",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - EPITHELIUM/DANDER, MOUSE",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - EPITHELIUM/DANDER, RABBIT",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - EPITHELIUM/DANDER, SHEEP",80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - FALSE RAGWEED,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - FIRE ANT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - FIREBUSH (KOCHIA),80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - FLOUNDER,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - FUSARIUM MONILIFORME,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - GARLIC,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - GELATIN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - GINGER,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - GLUTEN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - GOAT MILK,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - GRAPE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - GRAPEFRUIT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - GREEN BEAN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - GREEN PEA,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - GREEN PEPPER,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - HAKE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - HALIBUT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - HAZELNUT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - HELMINTHOSPORIUM HALODES,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - HOUSE DUST, GREER",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - INSULIN, HUMAN",80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - KIDNEY BEAN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - KIWI,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - LAMB,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - LEMON,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - LENTIL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - LETTUCE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - LIME,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - LOBSTER,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - MACE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - MACKEREL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - MANGO,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - MARJORAM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - MELONS,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - MILK, PROCESSED",80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - MOSQUITO,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - MUSHROOM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - MUSTARD,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - NUTMEG,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - OAT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - OCTOPUS,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - OLIVE, BLACK",80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - ONION,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - ORANGE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - OREGANO,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - OVALBUMIN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - OVOMUCOID,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - OYSTER,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - PAPAYA,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - PAPRIKA,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - PARSLEY,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - PEACH,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - PEANUT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - PEAR,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - PECAN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - PENICILLIN G,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - PENICILLIN V,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - PINE NUT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - PINEAPPLE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - PISTACHIO,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - PLUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - POPPY SEED,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - PORK,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - PRIVET TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - RASPBERRY,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - RHIZOPUS NIGRICAN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - RICE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - RYE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - SALMON,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - SARDINE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - SCALLOP,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - SESAME SEED,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - SHRIMP,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - SOYBEAN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - SPINACH,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - SQUASH, PUMPKIN",80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - SQUID,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - SQUID, PACIFIC",80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - STEMPHYLIUM HERBARUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - STRAWBERRY,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - SUNFLOWER SEED,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - SWEET POTATO,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - SWORDFISH,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - TARRAGON,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - TEA,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - THYME,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - TILAPIA,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - TOMATO,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - TRICHOPHYTON RUBRUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - TROUT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - TUNA,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - TURKEY,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - URINE PROTEIN, MOUSE",80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - VANILLA,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - VENOM, EUROPEAN HORNET",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - VENOM, HONEY BEE",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - VENOM, PAPER WASP",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - VENOM, WHITE-FACED HORNET",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - VENOM, YELLOW JACKET",80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - WALNUT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - WATERMELON,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - WHEAT,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ALLERGY TEST - WHEY, COW",80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - WHITE BEAN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - WHITE PINE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - WHITE POTATO,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - WILLOW,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - YEAST,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLERGY TEST - YELLOW FACED HORNET,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLG SPEC IGE CRUDE XTRC EA - NTX ALLERGY PANEL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLG SPEC IGE CRUDE XTRC EA - NUT ALLERGEN PANEL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLG SPEC IGE CRUDE XTRC EA - OKTX ALLERGY PANEL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLG SPEC IGE CRUDE XTRC EA - REG 10 OKTX RESP ALLERGY PANEL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC ALLG SPEC IGE CRUDE XTRC EA - TREE PANEL,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC ARUP ALLERGY PANEL FARMERS LUNG, CPT 86003",74.12,44.47,4.38,7411.0,55
CPT,86003,HC ASSAY OF IGE - FOOD ALLERGY PANEL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC GRASS PANEL #1,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ACARUS SIRO,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ALLERGEN SPEC CRUDE ALLERGEN EXTRACT EACH,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ALMOND,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ALPHA AMYLASE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ALPHA-LACTALBUMIN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ALTERNARIA TENUIS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE AMOXICILLIN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE AMPICILLIN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ANCHOVY,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ANIMAL-SKIN PANEL #2,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ANISE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE APPLE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE APRICOT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ASPARAGUS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ASPERGILLUS FUMIGATUS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ASPERGILLUS NR,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE AUREOBASIDIUM PULLULANS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE AUSTRALIAN PINE TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE AVOCADO,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BAHIA GRASS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BAMBOO SHOOT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BANANA (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BARLEY (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BARLEY GRASS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BASIL (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BAY LEAF (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BEECH TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BEEF (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE BEETS, BEETROOT (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BERMUDA GRASS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BETA-LACTOGLOBULIN (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BLACK PEPPER (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BLACKBERRY (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BLOMIA TROPICALIS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BLUE MUSSEL (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BLUEBERRY (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BOTRYTIS CINEREA,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BOVINE SERUM ALBUMIN (BSA),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BOX ELDER/MAPLE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BRAZIL NUT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BROCCOLI (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BROME GRASS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BRUSSEL SPROUT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BUCKWHEAT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BUDGERIGAR DROPPINGS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE BUDGERIGAR FEATHERS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CABBAGE (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CACAO/COCOA (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CANARY FEATHERS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CANDIDA ALBICANS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CARAWAY (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CARDAMOM (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CARMINE/RED DYE (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CAROB (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CARROT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CASEIN (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CASHEW NUT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CAT EPITHELIUM DANDER,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CATFISH (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CAULIFLOWER (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CEDAR TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CELERY (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CEPHALOSPORIUM ACREMONIUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CHAETOMIUM GLOBOSUM,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE CHEESE, CHEDDAR (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE CHEESE, MOLD TYPE (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CHERRY (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE CHESTNUT, SWEET (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CHICKEN (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CHICKEN DROPPINGS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CHICKEN FEATHERS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CHICKEN SERUM PROTIEN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CHICKPEA (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CHILI PEPPER (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CINNAMON (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CLADOSPORIUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CLAM (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CLOVE (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE COCKLEBUR,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE COCKROACH,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE COCONUT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE COD FISH (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE COFFEE (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE COMMON MILLET (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CORIANDER (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CORN (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE COTTON FIBER,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE COTTON SEED,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE COTTONWOOD TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE COW EPITHELIUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CRAB (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CRANBERRY (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CRAYFISH (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CUCUMBER (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CULTIVATED OAT GRASS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CULTIVATED WHEAT GRASS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CURRY (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE CURVULARIA LUNATA,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE CYPRESS, BALD TREE",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE DANDELION,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE DATE (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE DEER EPITHELIUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE DERMATOPHAGOIDES MICROCERAS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE DILL (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE DOG DANDER,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE DUCK FEATHERS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE EASTERN SYCAMORE TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE EGG WHITE (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE EGG YOLK (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE EGG, WHOLE (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE EGGPLANT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ELDER TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ELM TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ENGLISH PLANTAIN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE EPICOCCUM PURPURASCENS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE EPITHELIA PANEL #1,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ETHYLENE OXIDE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE EUCALYPTUS (GUM TREE),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE EUROGLYPHUS MAYNEI,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE EUROPEAN HORNET VENOM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE FEATHER PANEL #2,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE FENNEL SEED (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE FENNEL, FRESH, GREEK (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE FERRET EPITHELIUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE FINCH FEATHERS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE FIRE ANT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE FIREBUSH (KOCHIA),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE FOOD PANEL #1,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE FOOD PANEL #2,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE FOOD-FRUIT PANEL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE FOOD-GRAIN PANEL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE FOOD-NUT PANEL #1,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE FOOD-NUT PANEL #2,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE FOOD-VEGETABLE PANEL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE FORMALDEHYDE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE FUSARIUM MONILIFORME,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GARLIC (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GELATIN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GERBIL EPITHELIUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GIANT RAGWEED,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GINGER (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GLUTEN (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GOAT EPITHELIUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GOLDENROD,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GOOSE FEATHERS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GRAPE (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GRAPEFRUIT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GRASS PANEL #2,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GRASS PANEL #3,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GREEN BEAN (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GREEN COFFEE BEAN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GREEN PEA (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GREEN PEPPER (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GREY ALDER TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GUAR GUM (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GUAVA (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GUINEA PIG EPITHELIUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE GUM ARABIC (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HALIBUT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HAMSTER EPITHELIUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HAZELNUT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HELMINTHOSPORIUM HALODES,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HERRING (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HEXAHYDROPHTHALIC ANHYDRI,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE HICKORY, WHITE TREE",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HONEY (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HONEYBEE VENOM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HOP FRUIT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HORN BEAM TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HORSE DANDER,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HORSE FLY,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HORSE MEAT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HORSE SERUM PROTEIN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HOUSE DUST MITES/DERMATOPHAGOIDES FARINAE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HOUSE DUST MITES/DERMATOPHAGOIDES PTERONYSSINUS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HOUSE DUST PANEL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HOUSE DUST-GREER LAB,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE HOUSE DUST/H-S LAB,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE INSULIN (HUMAN),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ISOCYANATE HDI,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ISOCYANATE MDI,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ISOCYANATE TDI,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE JACK FRUIT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE JAPANESE CEDAR TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE JOHNSON  GRASS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE KENTUCKY BLUE (JUNE) GRASS,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE KIDNEY BEAN, RED (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE KIWI (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE LAMB'S QUARTERS (GOOSEFOOT),80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE LAMB, MUTTON (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE LANGUST, SPINY LOBSTER (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE LATEX,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE LEMON (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE LENTIL (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE LETTUCE (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE LIMA BEAN (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE LIME (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE LINSEED (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE LOBSTER (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MACE (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE MACKERAL, CHUB (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE MACKERAL, JACK (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MACKEREL (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE MAIZE, CORN POLLEN TREE",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MALEIC ANHYDRIDE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MALT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MANDARIN (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MANGO (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MARJORAM (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MEAT PANEL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MEGRIM (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MELONS (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MESQUITE TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MILK (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE MILK, GOAT",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE MILK, MARE",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE MILK, PROCESSED (BOILED)",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE MILLET, FOXTAIL (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE MILLET, JAPANESE (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MOLD PANEL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MOSQUITO SPP.,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MOTH,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MOUNTAIN CEDAR (JUNIPER) TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MOUSE EPITHELIUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MOUSE SERUM PROTEIN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MOUSE URINE PROTEIN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MUCOR,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MUGWORT,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MULBERRY TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MUSHROOM (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE MUSTARD (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE NETTLE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE NUTMEG (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE OAK TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE OAT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE OCCUPATIONAL PANEL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE OCTOPUS (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE OLIVE, BLACK (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ONION (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ORANGE (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ORCHARD (COCKSFOOT) GRASS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE OREGANO (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE OVALBUMIN (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE OVOMUCOID (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE OYSTER (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PAPAIN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PAPAYA (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PAPRIKA (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PAREITARIA JUDAICA (WALL PELLITORY),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PARSLEY (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PASSION FRUIT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PEACH (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PEANUT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PEAR (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PECAN (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PECAN HICKORY TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PENICILLIN G,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PENICILLIN V,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PENICILLIUM CHRYSOGENUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PERSIMMON (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PHOMA BETAE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PHTHALIC ANHYDRIDE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PIG EPITHELIUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PINE NUT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE PINE, WHITE TREE",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PINEAPPLE (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PISTACHIO (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PLAICE (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PLUM (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PON DROPPING,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PON FEATHERS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE POPPY SEED (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PORK (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PRIVET TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE PUMPKIN SEED (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE RABBIT EPITHELIUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE RABBIT MEAT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE RABBIT SERUM PROTEIN,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE RABBIT URINE PROETIN,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE RAGWEED, FALSE",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE RAPESEED (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE RASPBERRY (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE RAT EPITELIUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE RAT SERUM PROTEINS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE RAT URINE PROTEINS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE RED CURRENT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE RED SORREL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE REDTOP (BENTGRASS),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE RHIZOPUS NIGRICANS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE RICE (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ROUGH MARSH ELDER,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ROUGH PIGWEED,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE RUSSIAN THISTLE (SALTWORT),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE RYE (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE RYE GRASS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SAGE (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SALMON (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SALT GRASS,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE SARDINE, PILCHARD (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SCALE (LENSCALE),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SCALLOP (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SEAFOOD PANEL,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE SEAFOOD, HAKE (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SESAME SEED (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SHEEP WOOL,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SHORT RAGWEED,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SHRIMP (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SILVER BIRCH TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SNAIL (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SOLE (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SOYBEAN (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SPINACH (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SPRUCE TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE SQUASH, PUMPKIN, (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SQUID (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE SQUID, PACIFIC, (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE STEMPHYLIUM HERBARUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE STRAWBERRY (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SUGAR BEET SEED (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SUNFLOWER SEED (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SWEET GUM TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SWEET POTATO (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SWEET VERNAL GRASS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE SWORDFISH (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TARRAGON (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TEA (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE THYME (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TILAPIA (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TILLETIA TRITICI (USTILAGO),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TIMOTHY GRASS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TOBACCO,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TOMATO (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TRAGACANTH (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TREE PANEL #1,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TREE PANEL #2,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TREE PANEL #3,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TREE PANEL #4,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TRICHODERMA VIRIDE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TRICHOPHYTON RUBRUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TRICHOSPORON PULLULANS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TROUT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TUNA (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TURKEY (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE TURKEY FEATHERS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE ULOCLADIUM CHARTARUM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE VANILLA (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE WALNUT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE WALNUT TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE WASP VENOM (PAPER),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE WATERMELON (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE WEED PANEL #1,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE WEED PANEL #2,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE WEED PANEL #3,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE WEED PANEL #4,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE WESTERN RAGWEED,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE WHEAT (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE WHEY, COW (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE WHITE ASH TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE WHITE BEAN (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE WHITE POTATO (FOOD),80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE WHITE-FACED HORNET VENOM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE WILD RYE GRASS,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE WILLOW TREE,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE WORMWOOD,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC IGE YEAST, BAKER'S, BREWERS (FOOD)",80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE YELLOW FACE HORNET VENOM,80.05,48.03,4.38,7411.0,55
CPT,86003,HC IGE YELLOW JACKET (COMMON WASP) VENOM,80.05,48.03,4.38,7411.0,55
CPT,86003,"HC REF ARUP 0050533 ALLERGEN, GRASS, CULTIVATED OAT POLLEN",12.5,7.5,4.38,7411.0,55
CPT,86003,"HC REF ARUP 0055449 ALLERGEN, TREE, VIRGINIA LIVE OAK",12.5,7.5,4.38,7411.0,55
CPT,86003,HC REF ARUP COMP 3001720 ALLERGEN REG 10 CPT 86003,12.77,7.66,4.38,7411.0,55
CPT,86003,"HC REF ARUP, 2001915 OCC GUM CARAGEENAN IGE",60.08,36.05,4.38,7411.0,55
CPT,86003,"HC REF ARUP, 2007773, MAPLE SUGAR IGE",43.65,26.19,4.38,7411.0,55
CPT,86003,"HC REF ARUP, COMP 3001561, CPT 86003",16.45,9.87,4.38,7411.0,55
CPT,86003,"HC REF ARUP, COMP 8032, CPT 86003",15.51,9.31,4.38,7411.0,55
CPT,86003,"HC REF ARUP, COMP EUROFINS VIRACOR 402810P, CPT 86003",49.84,29.9,4.38,7411.0,55
CPT,86003,"HC REF ARUP, EUROFINS-VIRACOR 154910S, CANTALOUPE IGE",65.25,39.15,4.38,7411.0,55
CPT,86003,"HC REF ARUP, EUROFINS-VIRACOR 36610E, TUMERIC IGE",65.25,39.15,4.38,7411.0,55
CPT,86003,"HC REF ARUP, EUROFINS-VIRACOR 40610S, RADISH IGE",65.25,39.15,4.38,7411.0,55
CPT,86003,"HC REF ARUP, EUROFINS-VIRACOR 41610S, TURNIP IGE",65.25,39.15,4.38,7411.0,55
CPT,86003,"HC REF ARUP, EUROFINS-VIRACOR 43010E, HOPS/FRUIT CONE IGE",65.25,39.15,4.38,7411.0,55
CPT,86003,"HC REF ARUP, EUROFINS-VIRACOR 43310S, BASS IGE",65.25,39.15,4.38,7411.0,55
CPT,86003,"HC REF ARUP, EUROFINS-VIRACOR 45310S, PERCH IGE",65.25,39.15,4.38,7411.0,55
CPT,86003,"HC REF ARUP, EUROFINS-VIRACOR 54710S, SQUASH IGE",65.25,39.15,4.38,7411.0,55
CPT,86003,HC REF EUROFINS VIRACOR 402810P COMP CPT 86003,434.28,260.57,4.38,7411.0,55
CPT,86003,"HC REF MAYO AMOXY AMOXICILLIN, IGE, SERUM",34.03,20.42,4.38,7411.0,55
CPT,86003,"HC REF MAYO ANCH - ANCHOVY, IGE, SERUM",34.03,20.42,4.38,7411.0,55
CPT,86003,HC REF MAYO APGAL COMP CPT 86003,40.99,24.59,4.38,7411.0,55
CPT,86003,HC REF MAYO FBBLE BASS BLACK (SEA BASS) CENTROPRISTIS STRIATA IGE,110.9,66.54,4.38,7411.0,55
CPT,86003,HC REF MAYO FCRDE CARMINE DYE/RED DYE COCHINEAL (DACTYLOPIUS COCCUS) IGE,140.15,84.09,4.38,7411.0,55
CPT,86003,"HC REF MAYO FDP1, FOOD PANEL 2, IGE",98.65,59.19,4.38,7411.0,55
CPT,86003,HC REF MAYO FGUMX GUM XANTHAN IGE,140.15,84.09,4.38,7411.0,55
CPT,86003,HC REF MAYO FHORS HORSERADISH AMORACIA RUSTICANA/A.LAPATHIFOLIA IGE,110.9,66.54,4.38,7411.0,55
CPT,86003,HC REF MAYO FIGE FIG IGE,140.15,84.09,4.38,7411.0,55
CPT,86003,HC REF MAYO FIOCA TAPIOCA  IGE,110.9,66.54,4.38,7411.0,55
CPT,86003,"HC REF MAYO FOOD2, FOOD-FRUIT PANEL",98.65,59.19,4.38,7411.0,55
CPT,86003,"HC REF MAYO FOOD4, FOOD-GRAIN PANEL",98.65,59.19,4.38,7411.0,55
CPT,86003,"HC REF MAYO FOOD6, FOOD PANEL",98.65,59.19,4.38,7411.0,55
CPT,86003,"HC REF MAYO GELA GELATIN, IGE",34.03,20.42,4.38,7411.0,55
CPT,86003,"HC REF MAYO GUIN GUINEA PIG EPITHELIUM, IGE, SERUM",34.03,20.42,4.38,7411.0,55
CPT,86003,HC REF MAYO OLIVF OLIVE FOOD  IGE,22.15,13.29,4.38,7411.0,55
CPT,86003,"HC REF MAYO PHMA - PHOMA BETAE, IGE, SERUM",34.03,20.42,4.38,7411.0,55
CPT,86003,"HC REF MAYO RAT - RAT EPITHELIUM, IGE, SERUM",34.03,20.42,4.38,7411.0,55
CPT,86003,"HC REF MAYO SCLE - SCALE, IGE, SERUM",34.03,20.42,4.38,7411.0,55
CPT,86003,"HC REF MAYO, BAYL, BAY LEAF IGE",34.03,20.42,4.38,7411.0,55
CPT,86003,"HC REF MAYO, CRANB, CRANBERRY IGE",34.03,20.42,4.38,7411.0,55
CPT,86003,"HC REF MAYO, EGGP, EGGPLANT IGE",34.03,20.42,4.38,7411.0,55
CPT,86003,"HC REF MAYO, FEPI EPIDERMOHYTON IGE",140.15,84.09,4.38,7411.0,55
CPT,86003,"HC REF MAYO, FJPE, JALALPENO/CHIPOTLE IGE",140.15,84.09,4.38,7411.0,55
CPT,86003,"HC REF MAYO, FPCYE CAYENNE PEPPER IGE",110.9,66.54,4.38,7411.0,55
CPT,86003,"HC REF MAYO, FQUIN, QUINOA (CHENOPODIUM QUINOA) IGE",167.5,100.5,4.38,7411.0,55
CPT,86003,"HC REF MAYO, FRDG, RHODOTORULA IGE",140.15,84.09,4.38,7411.0,55
CPT,86003,"HC REF MAYO, FWWE, HEMP WESTERN WATER IGE",110.9,66.54,4.38,7411.0,55
CPT,86003,"HC REF MAYO, FZCCE ZUCCHINI IGE",110.9,66.54,4.38,7411.0,55
CPT,86003,"HC REF MAYO, MACK, MACKEREL IGE",34.03,20.42,4.38,7411.0,55
CPT,86003,"HC REF MAYO, MACNT MACADAMIA NUT IGE",35.73,21.44,4.38,7411.0,55
CPT,86003,"HC REF MAYO, MOLD1 MOLD PANEL ALLERGY TEST",120.57,72.34,4.38,7411.0,55
CPT,86003,"HC REF MAYO, PIGF PIGEON FEATHER IGE",34.03,20.42,4.38,7411.0,55
CPT,86003,HC REF VIRACOR 62610 LIVE OAK IGE,67.2,40.32,4.38,7411.0,55
CPT,86003,"HC REF VIRACOR 70610 SAGE, PRARIE/MUGWORT IGE",33.6,20.16,4.38,7411.0,55
CPT,86003,"HC REF VIRACOR 72710 HEMP, WESTERN/WATER IGE",33.6,20.16,4.38,7411.0,55
CPT,86003,HC REF VIRACOR 75710 PENICILLIUM NOTATUM IGE,33.6,20.16,4.38,7411.0,55
CPT,86003,HC REF VIRACOR 90710 AMERICAN COCKROACH IGE,33.6,20.16,4.38,7411.0,55
CPT,86003,"HC REF VIRACOR, 73910S, SALTBUSH IGE",32.63,19.58,4.38,7411.0,55
CPT,86005,HC ALLERGEN SPECIFIC IGE QUAL MULTIALLERGEN SCREEN,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - GRASS PANEL #1,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - IGE ANIMAL-SKIN PANEL #2,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - IGE EPITHELIA PANEL #1,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - IGE FEATHER PANEL #2,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - IGE FOOD PANEL #1,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - IGE FOOD-FRUIT PANEL,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - IGE FOOD-GRAIN PANEL,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - IGE FOOD-NUT PANEL #1,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - IGE FOOD-NUT PANEL #2,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - IGE GRASS PANEL #2,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - IGE GRASS PANEL #3,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - IGE HOUSE DUST PANEL,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - IGE MOLD PANEL,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - IGE SEAFOOD PANEL,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - IGE TREE PANEL #3,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - IGE TREE PANEL #4,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - IGE WEED PANEL #1,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - IGE WEED PANEL #4,86.11,51.67,6.69,7411.0,55
CPT,86005,HC ALLERGY TEST PANEL QUAL - TREE PANEL #1,86.11,51.67,6.69,7411.0,55
CPT,86005,"HC ARUP ALLERGY PANEL FARMERS LUNG, CPT 86005",89.7,53.82,6.69,7411.0,55
CPT,86005,"HC REF ARUP, COMP 3001561, CPT 86005",47.0,28.2,6.69,7411.0,55
CPT,86005,"HC REF ARUP, COMP 8032, CPT 86005",15.51,9.31,5.58,7411.0,55
CPT,86008,HC ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA - PEANUT PANEL,97.23,58.34,10.0,7411.0,55
CPT,86008,"HC REF ARUP 3017565 ALLERGEN, FOOD, WHEAT COMPONENT RTRI A 19 OMEGA 5-GLIADIN IGE",92.5,55.5,10.0,7411.0,55
CPT,86008,HC REF EUROFINS VIRACOR 403979P COMP CPT 86008,159.83,95.9,10.0,7411.0,55
CPT,86008,HC REF MAYO APGAL COMP CPT 86008,140.8,84.48,10.0,7411.0,55
CPT,86008,"HC REF MAYO, ALGAL, ALPHA-GAL IGE, SERUM",167.5,100.5,10.0,7411.0,55
CPT,86008,"HC REF MAYO, BSA - BOVINE SERUM ALBUMIN",23.65,14.19,8.51,7411.0,55
CPT,86008,"HC REF MAYO, OVAL - OVALBUMIN, IGE, SERUM",23.65,14.19,8.51,7411.0,55
CPT,86015,"HC ACTIN AB, EACH",193.35,116.01,10.0,7411.0,55
CPT,86015,HC ACTIN ANTIBODY EACH - TITER,193.35,116.01,10.0,7411.0,55
CPT,86015,HC FLUORESCENT AB SCREEN - SMOOTH MUSCLE,193.35,116.01,10.0,7411.0,55
CPT,86015,HC REF ARUP 0051174 F-ACTION (SMOOTH MUSCLE) ANTIBODY IGG,66.26,39.76,10.0,7411.0,55
CPT,86021,"HC ANTIBODY IDENTIFICATION, LEUKO",265.04,159.02,10.0,7411.0,275
CPT,86021,"HC ANTIBODY IDENTIFICATION, LEUKOCYTE ANTIBODIES",265.04,159.02,10.0,7411.0,55
CPT,86021,"HC REF MAYO LAGGN GRANULOCYTE AB SCREEN, SERUM",321.78,193.07,10.0,7411.0,55
CPT,86021,HC WBC ANTIBODY IDENTIFICATION - INFLAM BOWEL DISEASE PANEL,265.04,159.02,10.0,7411.0,55
CPT,86022,"HC AB ID, HEPARIN INDUCED PLATELET AB",462.77,277.66,10.0,7411.0,55
CPT,86022,"HC AB ID, PLATELET CLUMPING PROFILE",462.77,277.66,10.0,7411.0,55
CPT,86022,HC ANTIBODY IDENTIFICATION - PLATEL,462.77,277.66,10.0,7411.0,220
CPT,86022,HC ANTIBODY IDENTIFICATION PLATELET ANTIBODIES,462.77,277.66,10.0,7411.0,55
CPT,86022,"HC REF ARUP COMP 2013070, CPT 86022",116.67,70.0,10.0,7411.0,55
CPT,86022,HC REF HEPARIN DEPENDENT PLATLET AB SEROTONIN RELEASE ASSAY,871.5,522.9,10.0,7411.0,55
CPT,86022,"HC REF MAYO FPORC UNFRACT, HEPARIN DEP PLATELET",770.7,462.42,10.0,7411.0,55
CPT,86022,HC REF PLATELET ANTIBODIES,578.28,346.97,10.0,7411.0,55
CPT,86022,"HC REF VERSITI COMP 5303, CPT 86022",245.28,147.17,10.0,7411.0,55
CPT,86023,HC ANTIBODY IDENTIFICATION PLATELET ASSOC IMMUNOGLOBULIN,1727.88,1036.73,10.0,7411.0,55
CPT,86023,"HC ANTIBODY IDENTIFICATION, PLATE",1727.88,1036.73,10.0,7411.0,165
CPT,86023,"HC REF ARUP COMP 0095614, CPT 86023",71.95,43.17,10.0,7411.0,55
CPT,86036,HC ANCA SCREEN,240.0,144.0,10.0,7411.0,55
CPT,86036,HC ANCA SCREEN EACH ANTIBODY - INFLAM BOWEL DISEASE PANEL,240.0,144.0,10.0,7411.0,55
CPT,86036,"HC ANTINEUTROPHIL CYTOPLASMIC AB SCREEN, EA",240.0,144.0,10.0,7411.0,55
CPT,86036,"HC MAYO, COMP ANCA, CPT 86036",36.46,21.88,10.0,7411.0,55
CPT,86036,HC REF ARUP COMP 3003745 CPT 86036,33.88,20.33,10.0,7411.0,55
CPT,86036,"HC REF ARUP, 3003747 ANCA (ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODY)",147.5,88.5,10.0,7411.0,55
CPT,86037,"HC ANTI-NEUTROPHILIC CYTOPLASMIC ANTIBODY, ATYPICAL P-ANCA",162.96,97.78,10.0,7411.0,55
CPT,86037,"HC ANTI-NEUTROPHILIC CYTOPLASMIC ANTIBODY, EA",162.96,97.78,10.0,7411.0,55
CPT,86037,"HC ANTI-NEUTROPHILIC CYTOPLASMIC ANTIBODY, P-ANCA",162.96,97.78,10.0,7411.0,55
CPT,86038,HC ANTINUCLEAR ANTIBODIES (ANA),200.23,120.14,10.0,7411.0,55
CPT,86038,HC ANTINUCLEAR ANTIBODIES - COXSACKIE A ANTIBODY PANEL,200.23,120.14,10.0,7411.0,55
CPT,86038,HC ANTINUCLEAR ANTIBODIES - PROFILE,200.23,120.14,10.0,7411.0,55
CPT,86038,"HC REF ARUP COMP 0050119, CPT 86038",23.38,14.03,8.42,7411.0,55
CPT,86038,"HC REF MAYO COMP CTDC, CPT 86038",45.15,27.09,10.0,7411.0,55
CPT,86038,"HC REF MAYO, COMP FSCPR, CPT 86038",74.78,44.87,10.0,7411.0,55
CPT,86039,HC ANTINUCLEAR ANTIBODIES ANA TITER,185.61,111.37,9.37,7411.0,55
CPT,86039,"HC REF ARUP 3000082 ANTINUCLEAR ANTIBODY (ANA), HEP-2 IGG",36.38,21.83,9.37,7411.0,55
CPT,86039,"HC REF ARUP 3000601 ANTINUCLEAR AB (ANA), HEP-2, IGG W/RFLX",36.38,21.83,9.37,7411.0,55
CPT,86039,"HC REF ARUP COMP 3000480, CPT 86039",98.8,59.28,9.37,7411.0,55
CPT,86041,"HC ACETYLCHOLINE RECEPTOR (ACHR), BINDING AB",336.44,201.86,10.0,7411.0,55
CPT,86041,HC ACETYLCHOLINE RECEPTOR REFLEXIVE BINDING AB,336.44,201.86,10.0,7411.0,55
CPT,86041,HC REF ARUP 0080009 ACETYLCHOLINE RECEPTOR BINDING ANTIBODY,62.5,37.5,10.0,7411.0,55
CPT,86041,HC REF ARUP 3001868 ACHR BINDING AB W/RFLX TO MUSK AB,62.5,37.5,10.0,7411.0,55
CPT,86041,"HC REF ARUP COMP 2001571, CPT 86041",70.0,42.0,10.0,7411.0,55
CPT,86041,HC REF ARUP COMP 2005639 CPT 86041,92.5,55.5,10.0,7411.0,55
CPT,86041,"HC REF ARUP COMP 3001869, CPT 86041",70.0,42.0,10.0,7411.0,55
CPT,86041,HC REF MAYO COMP MGLE CPT 86041,346.63,207.98,10.0,7411.0,55
CPT,86041,"HC REF MEDFUSION COMP 10211, CPT 86041",700.99,420.59,10.0,7411.0,55
CPT,86041,"HC REF MEDFUSION COMP 93859, CPT 86041",781.83,469.1,10.0,7411.0,55
CPT,86042,"HC ACETYLCHOLINE RECEPTOR (ACHR), BLOCKING AB",214.82,128.89,10.0,7411.0,55
CPT,86042,HC ACETYLCHOLINE RECEPTOR REFLEXIVE BLOCKING AB,214.82,128.89,10.0,7411.0,55
CPT,86042,HC REF ARUP 0099580 ACETYLCHOLINE BLOCKING AB,77.5,46.5,10.0,7411.0,55
CPT,86042,"HC REF ARUP COMP 2001571, CPT 86042",70.0,42.0,10.0,7411.0,55
CPT,86042,HC REF ARUP COMP 2005639 CPT 86042,92.5,55.5,10.0,7411.0,55
CPT,86042,"HC REF ARUP COMP 3001869, CPT 86042",70.0,42.0,10.0,7411.0,55
CPT,86042,"HC REF MEDFUSION COMP 10211, CPT 86042",700.99,420.59,10.0,7411.0,55
CPT,86042,"HC REF MEDFUSION COMP 93859, CPT 86042",781.83,469.1,10.0,7411.0,55
CPT,86043,"HC ACETYLCHOLINE RECEPTOR (ACHR), MODULATING AB",336.44,201.86,10.0,7411.0,55
CPT,86043,HC ACETYLCHOLINE RECEPTOR REFLEXIVE MODULATING AB,336.44,201.86,10.0,7411.0,55
CPT,86043,HC REF ARUP 0099521 ACETYLCHOLINE RECEPTOR MODULATING AB,97.5,58.5,10.0,7411.0,55
CPT,86043,"HC REF ARUP COMP 2001571, CPT 86043",97.5,58.5,10.0,7411.0,55
CPT,86043,"HC REF MEDFUSION COMP 10211, CPT 86043",700.99,420.59,10.0,7411.0,55
CPT,86043,"HC REF MEDFUSION COMP 93859, CPT 86043",781.83,469.1,10.0,7411.0,55
CPT,86051,"HC REF ARUP, 9590, NMO-AQUAPORIN-4 RECEPTOR AB",387.5,232.5,9.69,7411.0,55
CPT,86052,"HC REF ARUP 2011699 AQUAPORIN 4 (AQP4) AB, IGG BY CBA-IFA",625.0,375.0,10.0,7411.0,55
CPT,86052,"HC REF ARUP, 3001431 COMPONENT 86052",625.0,375.0,10.0,7411.0,55
CPT,86052,"HC REF ARUP, COMP 3006210, CPT 86052",204.55,122.73,10.0,7411.0,55
CPT,86053,HC AQAPRN-4 ANTB FLO CYTMTRY EA - NMOTS,623.94,374.36,10.0,7411.0,55
CPT,86053,"HC REF LAB MAYO, MAC1 MYELOPATHY, AUTOIMM/PARA CSF COMP 86053",521.6,312.96,10.0,7411.0,55
CPT,86053,"HC REF LAB MAYO, MAS1 MYELOPATHY, AUTOIMM/PARA, S COMP 86053",345.53,207.32,10.0,7411.0,55
CPT,86053,"HC REF MAYO COMP PCDEC, CPT 86053",389.25,233.55,10.0,7411.0,55
CPT,86053,"HC REF MAYO COMP PCDES, CPT 86053",479.0,287.4,10.0,7411.0,55
CPT,86053,"HC REF MAYO, COMP CDS1, CPT 86053",858.0,514.8,10.0,7411.0,55
CPT,86053,"HC REF MAYO, COMP PCDEC, CPT 86053",396.93,238.16,10.0,7411.0,55
CPT,86053,"HC REF MAYO, MAS1 AUTOIMMUNE MYELOPATHY EVAL SERUM",232.2,139.32,10.0,7411.0,55
CPT,86053,"HC REF MAYO, NMOFC NEUROMYELITIS OPTICA/AQUAPORIN",875.15,525.09,10.0,7411.0,55
CPT,86053,"HC REF MAYO, NMOFS NEUROMYELITIS OPTICA/AQUAPORIN FACS ASSAY, SERUM",875.15,525.09,10.0,7411.0,55
CPT,86060,HC  ANTISTREPTOLYSIN O TITER - STREPTOCOCCAL ANTIBODIES PROFILE,144.08,86.45,6.13,7411.0,55
CPT,86060,HC ANTISTREPTOLYSIN O - TITER,144.08,86.45,6.13,7411.0,55
CPT,86063,HC ANTISTREPTOLYSIN O SCREEN,124.57,74.74,4.85,7411.0,55
CPT,86078,HC BLOOD BANK PHYS SERV - INVESTIGATION TRANSFUSION REACTION,366.57,219.94,10.0,7411.0,55
CPT,86140,HC C-REACTIVE PROTEIN,169.31,101.59,4.35,7411.0,165
CPT,86140,"HC REF PROMETHEUS, COMP IBD SGI DIAGNOSTIC CPT 86140",81.18,48.71,4.35,7411.0,55
CPT,86140,"HC REF SYNOVASURE, COMP PJII, CPT 86140",75.54,45.32,4.35,7411.0,55
CPT,86141,"HC C-REACTIVE PROTEIN,HIGH SENSITIVITY",175.89,105.53,10.0,7411.0,55
CPT,86146,HC BETA 2 GLYCOPROTEIN I ANTIBODY,192.0,115.2,10.0,7411.0,165
CPT,86146,"HC BETA 2 GLYCOPROTEIN, ANTIBODY EA",192.0,115.2,10.0,7411.0,55
CPT,86146,HC REF ARUP 0050324 BETA2 GLYCOPROTEIN I IGA,37.5,22.5,10.0,7411.0,55
CPT,86147,HC CARDIOLIPIN (PHOSPHOLIPID) ANT,242.38,145.43,10.0,7411.0,165
CPT,86147,"HC CARDIOLIPIN AB, IGA",242.38,145.43,10.0,7411.0,55
CPT,86147,"HC CARDIOLIPIN AB, IGG",242.38,145.43,10.0,7411.0,55
CPT,86147,"HC CARDIOLIPIN AB, IGM",242.38,145.43,10.0,7411.0,55
CPT,86147,HC CARDIOLIPIN ANTIBODY EA IG CLASS,242.38,145.43,10.0,7411.0,55
CPT,86147,HC REF ARUP 0098358 CARDIOLIPIN ANTIBODY IGA,28.88,17.33,10.0,7411.0,55
CPT,86147,HC REF ARUP COMP 0051162 CPT 86147,27.58,16.55,9.93,7411.0,55
CPT,86147,HC REF ARUP COMP 0099344 CPT 86147,26.94,16.16,9.7,7411.0,55
CPT,86148,HC ANTI-PHOSPHATIDYLSERINE ANTIBODY,179.37,107.62,10.0,7411.0,55
CPT,86148,HC PHOSPHOLIPID ANTIBODY,179.37,107.62,10.0,7411.0,165
CPT,86148,"HC REF ARUP, COMP 2012729, CPT 86148",127.01,76.21,10.0,7411.0,55
CPT,86156,"HC COLD AGGLUTININ,SCREEN",213.77,128.26,6.78,7411.0,165
CPT,86156,HC COLD ANTIBODY SCREEN,213.77,128.26,6.78,7411.0,55
CPT,86157,"HC COLD AGGLUTININ, TITER",139.44,83.66,6.77,7411.0,55
CPT,86157,HC COLD AGGLUTININS TITER,139.44,83.66,6.77,7411.0,55
CPT,86160,"HC COMPLEMENT - ANTIGEN, EA",223.29,133.97,10.0,7411.0,55
CPT,86160,"HC COMPLEMENT - ANTIGEN, EACH COMP",223.29,133.97,10.0,7411.0,440
CPT,86160,"HC COMPLEMENT, ANTIGEN - C1 ESTERASE INHIBITOR",223.29,133.97,10.0,7411.0,55
CPT,86160,"HC COMPLEMENT, ANTIGEN - C1Q",223.29,133.97,10.0,7411.0,55
CPT,86160,"HC COMPLEMENT, ANTIGEN - C3",223.29,133.97,10.0,7411.0,55
CPT,86160,"HC COMPLEMENT, ANTIGEN - C3A",223.29,133.97,10.0,7411.0,55
CPT,86160,"HC COMPLEMENT, ANTIGEN - C4",223.29,133.97,10.0,7411.0,55
CPT,86160,"HC COMPLEMENT; ANTIGEN, EACH COMP",223.29,133.97,10.0,7411.0,55
CPT,86160,HC REF ARUP 0050140 C-1 ESTERASE INHIBITOR,32.63,19.58,10.0,7411.0,55
CPT,86160,HC REF ARUP 3017902 SC5B-9,550.0,330.0,10.0,7411.0,55
CPT,86160,"HC REF ARUP COMP 0050119, CPT 86160",23.38,14.03,8.42,7411.0,55
CPT,86160,"HC REF ARUP, 0099130 C1Q COMPLEMENT COMPONENT",175.0,105.0,10.0,7411.0,55
CPT,86160,"HC REF CINCINNATI CHILDREN'S, COMP TMA COMPLEMENT PANEL, CPT 86160",411.41,246.85,10.0,7411.0,55
CPT,86160,HC REF EUROFINS VIRACOR 33335 SOLUBLE C5B-9,903.88,542.33,10.0,7411.0,55
CPT,86160,"HC REF MAYO C5AG C5 COMPLEMENT ANTIGEN, S",120.3,72.18,10.0,7411.0,55
CPT,86160,HC REF MAYO COMP AHUSD ATYPICAL HEMOLYTIC UREMIC SYNDROME CPT 86160,510.45,306.27,10.08,7411.0,55
CPT,86160,HC REF MORL UNIVERSITY IOWA COMP C3G-CP CPT 86160,577.07,346.24,10.0,7411.0,55
CPT,86160,"HC REF NATIONAL JEWISH FHAB, AUTOANTIBODY TO FACTOR H BY ELISA",457.5,274.5,10.0,7411.0,55
CPT,86160,"HC REF NATIONAL JEWISH FHL, FACOT H LEVEL BY RID",457.5,274.5,10.0,7411.0,55
CPT,86160,"HC REF NATIONAL JEWISH FIL, FACTOR I LEVEL BY RID",457.5,274.5,10.0,7411.0,55
CPT,86161,HC COMPLEMENT (C2)- FUNCTIONAL ACTIVITY EA,191.77,115.06,10.0,7411.0,55
CPT,86161,HC COMPLEMENT - FUNCTIONAL ACTIVITY,191.77,115.06,10.0,7411.0,110
CPT,86161,HC COMPLEMENT - FUNCTIONAL ACTIVITY EA,191.77,115.06,10.0,7411.0,55
CPT,86161,HC REF MACHAON P3366 C3 NEPHRITIC FACTOR,1097.5,658.5,10.0,7411.0,55
CPT,86161,"HC REF MAYO C5FX C5 COMPLEMENT, FUNCTIONAL",157.4,94.44,10.0,7411.0,55
CPT,86161,HC REF MAYO COMP AHUSD ATYPICAL HEMOLYTIC UREMIC SYNDROME CPT 86161,510.45,306.27,10.08,7411.0,55
CPT,86161,HC REF MEDFUSION 58689 AH50 ALTERNATIVE COMPLEMENT PATHWAY FUNCTIONAL,400.5,240.3,10.0,7411.0,55
CPT,86161,HC REF MORL UNIVERSITY IOWA COMP C3G-CP CPT 86161,577.07,346.24,10.0,7411.0,55
CPT,86161,"HC REF NATIONAL JEWISH C3NF, C3 NEPHRITIC FACTOR BY IMM FIX",662.5,397.5,10.0,7411.0,55
CPT,86162,"HC COMPLEMENT, TOTAL (CH 50)",289.07,173.44,10.0,7411.0,55
CPT,86162,HC REF EUROFINS VIRACOR 33334 CH5O,309.9,185.94,10.0,7411.0,55
CPT,86162,HC REF MAYO COMP AHUSD ATYPICAL HEMOLYTIC UREMIC SYNDROME CPT 86162,864.35,518.61,17.07,7411.0,55
CPT,86162,HC REF MORL UNIVERSITY IOWA COMP C3G-CP CPT 86162,577.07,346.24,10.0,7411.0,55
CPT,86200,HC CYCLIC CITRULLINATED PEPTIDE ANTIBODY (CCP),173.45,104.07,10.0,7411.0,55
CPT,86200,"HC REF ARUP 3016632 - CYCLIC CITRULLINATED PEPTIDE AB, IGG & IGA",27.5,16.5,9.9,7411.0,55
CPT,86200,HC REF LABCORP ANTI CCP IGG AND IGA,50.0,30.0,10.0,7411.0,55
CPT,86200,"HC REF MAYO COMP CTDC, CPT 86200",48.35,29.01,10.0,7411.0,55
CPT,86215,HC DEOXYRIBONUCLEASE ANTIBODY - STREPTOCOCCAL AB PROFILE,171.74,103.04,10.0,7411.0,55
CPT,86215,"HC DEOXYRIBONUCLEASE, ANTIBODY",171.74,103.04,10.0,7411.0,55
CPT,86225,HC DEOXYRIBONUCLEIC ACID (DNA) ANTIBODY,235.29,141.17,10.0,7411.0,55
CPT,86225,HC REF ARUP 0050215 DOUBLE STRANDED DNA,26.25,15.75,9.45,7411.0,55
CPT,86226,"HC DNA ANTIBODY, SINGLE STRANDED",97.72,58.63,10.0,7411.0,55
CPT,86231,HC EMA EACH IG CLASS - IGA,188.5,113.1,10.0,7411.0,55
CPT,86231,"HC EMA EACH IG CLASS - IGA, TITER",188.5,113.1,10.0,7411.0,55
CPT,86231,"HC ENDOMYSIAL AB, EA IG CLASS",188.5,113.1,10.0,7411.0,55
CPT,86231,"HC REF ARUP, 2005501 ENDOMYSIAL ANTIBODY, IGG",141.75,85.05,10.0,7411.0,55
CPT,86235,HC EXTRACTABLE NUCLEAR AN,196.69,118.01,10.0,7411.0,605
CPT,86235,HC EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD,196.69,118.01,10.0,7411.0,55
CPT,86235,"HC NUCLEAR ANTIGEN AB, ANTI CENTROMERE",196.69,118.01,10.0,7411.0,55
CPT,86235,"HC NUCLEAR ANTIGEN AB, JO-1, IGG",196.69,118.01,10.0,7411.0,55
CPT,86235,"HC NUCLEAR ANTIGEN AB, SCLERODERMA SCL 70",196.69,118.01,10.0,7411.0,55
CPT,86235,"HC NUCLEAR ANTIGEN AB, SSA",196.69,118.01,10.0,7411.0,55
CPT,86235,"HC NUCLEAR ANTIGEN AB, SSB",196.69,118.01,10.0,7411.0,55
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY - MYOSITIS ANTIBODIES PANEL,196.69,118.01,10.0,7411.0,55
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY - RNP,196.69,118.01,10.0,7411.0,55
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY - SMITH AUTOANTIBODY,196.69,118.01,10.0,7411.0,55
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY - SMITH RNP AUTOANTIBODY,196.69,118.01,10.0,7411.0,55
CPT,86235,HC REF ANTI JO1 AB,64.38,38.63,10.0,7411.0,55
CPT,86235,HC REF ANTI PM SCL AB,64.38,38.63,10.0,7411.0,55
CPT,86235,HC REF ANTI SAE 1 IGG,64.38,38.63,10.0,7411.0,55
CPT,86235,HC REF ANTI SSA 52 KD AB IGG,64.38,38.63,10.0,7411.0,55
CPT,86235,HC REF ANTI U1 RNP AB,64.38,38.63,10.0,7411.0,55
CPT,86235,"HC REF ARUP 0050085, SMITH ENA ANTIBODY, IGG",35.08,21.05,10.0,7411.0,55
CPT,86235,"HC REF ARUP 0050599, SCLERODERMA AB, IGG",33.75,20.25,10.0,7411.0,55
CPT,86235,"HC REF ARUP 0050692 SSB (LA) (ENA) AB, IGG",35.08,21.05,10.0,7411.0,55
CPT,86235,HC REF ARUP 0050692 SSB LA ENA AB,35.08,21.05,10.0,7411.0,55
CPT,86235,HC REF ARUP COMP 2012074 CPT 86235,17.93,10.76,6.45,7411.0,55
CPT,86235,"HC REF ARUP COMP 3000480, CPT 86235",98.8,59.28,10.0,7411.0,55
CPT,86235,"HC REF ARUP, 3000460 COMPONENT 86235",33.75,20.25,10.0,7411.0,55
CPT,86235,"HC REF ARUP, 3001431 COMPONENT 86235",269.79,161.87,10.0,7411.0,55
CPT,86235,"HC REF ARUP, COMP 0050791, CPT 86235",23.38,14.03,8.42,7411.0,55
CPT,86235,"HC REF ARUP, FIBRILLARIN (3U RNP) AB IGG",198.75,119.25,10.0,7411.0,55
CPT,86235,"HC REF ARUP, PM/SCL-100 ANTIBODY",162.5,97.5,10.0,7411.0,55
CPT,86235,"HC REF LABCORP, 520034 U1RNP",271.25,162.75,10.0,7411.0,55
CPT,86235,"HC REF LABCORP, COMP 520196, CPT 86235",334.58,200.75,10.0,7411.0,55
CPT,86235,"HC REF MAYO, COMP FMMPP, CPT 86235",65.71,39.43,10.0,7411.0,55
CPT,86235,"HC REF MAYO, COMP FSCPR, CPT 86235",110.88,66.53,10.0,7411.0,55
CPT,86235,HC REF MDA 5 P140 CADM,64.38,38.63,10.0,7411.0,55
CPT,86235,HC REF MYO MARKER NUCLEAR AG,887.5,532.5,10.0,7411.0,55
CPT,86235,HC REF NXP 2 P140,64.38,38.63,10.0,7411.0,55
CPT,86235,HC REF TIF1 GAMMA P155 140,64.38,38.63,10.0,7411.0,55
CPT,86255,"HC DEMENTIA AUTOIMM EVAL -  FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN EACH, CSF",251.24,150.74,10.0,7411.0,55
CPT,86255,"HC DEMENTIA AUTOIMM EVAL -  FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN EACH, SERUM",251.24,150.74,10.0,7411.0,55
CPT,86255,"HC FLUORESCENT AB SCREEN - ACHR MODULATING, FLOW CYTO",251.24,150.74,10.0,7411.0,55
CPT,86255,HC FLUORESCENT AB SCREEN - ANTI DNA DOUBLE STRANDED,251.24,150.74,10.0,7411.0,55
CPT,86255,HC FLUORESCENT AB SCREEN - ANTI PARIETAL CELL,251.24,150.74,10.0,7411.0,55
CPT,86255,HC FLUORESCENT AB SCREEN - ENDOMYSIAL IGA,251.24,150.74,10.0,7411.0,55
CPT,86255,HC FLUORESCENT AB SCREEN - METHYL-D-ASPARTATE RECEPTOR IGG,251.24,150.74,10.0,7411.0,55
CPT,86255,"HC FLUORESCENT AB SCREEN - N-METHYL-D-ASPARTATE RECEPTOR, CSF",251.24,150.74,10.0,7411.0,55
CPT,86255,HC FLUORESCENT AB SCREEN - PHOSPHOLIPASE A2 RECEPTOR IGG,251.24,150.74,10.0,7411.0,55
CPT,86255,HC FLUORESCENT AB SCREEN - STRIATED MUSCLE,251.24,150.74,10.0,7411.0,55
CPT,86255,"HC FLUORESCENT ANTIBODY SCREEN - CASPR2 IGG CBA, BLOOD",251.24,150.74,10.0,7411.0,55
CPT,86255,HC FLUORESCENT ANTIBODY SCREEN - LGI1 IGG CBA,251.24,150.74,10.0,7411.0,55
CPT,86255,HC FLUORESCENT ANTIBODY SCREEN - PARANEOPLASTIC AUTOANTIBODY EVALUATION,251.24,150.74,10.0,7411.0,55
CPT,86255,"HC FLUORESCENT ANTIBODY, SCREEN",251.24,150.74,10.0,7411.0,715
CPT,86255,"HC FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN EACH",251.24,150.74,10.0,7411.0,55
CPT,86255,"HC MAYO, COMP EPS2, CPT 86255",193.87,116.32,10.0,7411.0,55
CPT,86255,"HC PARANEOPLASTIC AUTOAB EVAL -  FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, SCREEN EACH",251.24,150.74,10.0,7411.0,55
CPT,86255,HC REF AMPHYIPHYSIN AB SERUM,60.95,36.57,10.0,7411.0,55
CPT,86255,HC REF ANTI-GLIAL NUCLEAR AB TY 1,60.95,36.57,10.0,7411.0,55
CPT,86255,HC REF ANTI-NEURONAL AB TYPE 3,60.95,36.57,10.0,7411.0,55
CPT,86255,HC REF ANTI-NEURONAL NUC AB TY 1,60.95,36.57,10.0,7411.0,55
CPT,86255,HC REF ANTI-NEURONAL NUC AB TY 2,60.95,36.57,10.0,7411.0,55
CPT,86255,"HC REF ARUP 2005164 NMDA RECEPTOR AB IGG, CSF",292.5,175.5,10.0,7411.0,55
CPT,86255,HC REF ARUP 3006018 IGLON5 AB IGG,287.5,172.5,10.0,7411.0,55
CPT,86255,HC REF ARUP COMP 2005639 CPT 86255,92.5,55.5,10.0,7411.0,55
CPT,86255,"HC REF ARUP, 2009452, CASPR2 ANTIBODY, IGG CBA-IFA W REFLEX TO TITER SERUM",258.75,155.25,10.0,7411.0,55
CPT,86255,"HC REF ARUP, 3003480 THSD7A ANTIBODY IGG TITER",775.0,465.0,10.0,7411.0,55
CPT,86255,"HC REF ARUP, ATHENA DIAG INC LRP4 1483, AUTOANTIBODY TEST",2178.75,1307.25,10.0,7411.0,55
CPT,86255,"HC REF ARUP, AUTOIMMUNE DYSAUTONOMIA 3006203 COMP CPT 86255",291.67,175.0,10.0,7411.0,55
CPT,86255,"HC REF ARUP, COMP 3006210, CPT 86255",204.55,122.73,10.0,7411.0,55
CPT,86255,"HC REF ARUP, QUEST COMP 94955, CPT 86255",970.83,582.5,10.0,7411.0,55
CPT,86255,HC REF CRMP-5-IGG SERUM,60.95,36.57,10.0,7411.0,55
CPT,86255,HC REF DPPX AB CBA CSF,656.25,393.75,10.0,7411.0,55
CPT,86255,HC REF FLUORESCENT ANTIBODY SCREEN,508.78,305.27,10.0,7411.0,55
CPT,86255,"HC REF LAB MAYO, MAC1 MYELOPATHY, AUTOIMM/PARA CSF COMP 86255",166.58,99.95,10.0,7411.0,55
CPT,86255,"HC REF LAB MAYO, MAS1 MYELOPATHY, AUTOIMM/PARA, S COMP 86255",110.35,66.21,10.0,7411.0,55
CPT,86255,HC REF LABCORP 082024 ANTIADRENAL ANTIBODIES,95.8,57.48,10.0,7411.0,55
CPT,86255,"HC REF LABCORP 505355 ANTI-LEUCINE-RICH (LGI1), SERUM",562.5,337.5,10.0,7411.0,55
CPT,86255,"HC REF LABCORP COMP 505635, CPT 86255",159.21,95.53,10.0,7411.0,55
CPT,86255,"HC REF MAYO COMP PCDEC, CPT 86255",124.33,74.6,10.0,7411.0,55
CPT,86255,"HC REF MAYO COMP PCDES, CPT 86255",61.19,36.71,10.0,7411.0,55
CPT,86255,"HC REF MAYO COMP, AIAES CPT 86255",95.33,57.2,10.0,7411.0,55
CPT,86255,"HC REF MAYO COMP, CIDP, CPT 86255",787.5,472.5,10.0,7411.0,55
CPT,86255,"HC REF MAYO COMP, DMNES DEMYELINATING NEUROPATHY CPT 86255",243.39,146.03,10.0,7411.0,55
CPT,86255,HC REF MAYO FOVAS OVARIAN AB SCREEN,235.98,141.59,10.0,7411.0,55
CPT,86255,"HC REF MAYO GABA A RECEPTOR ANTIBODY, CBA, SERUM",1375.0,825.0,10.0,7411.0,55
CPT,86255,"HC REF MAYO, COMP DMC2, CPT 86255",98.01,58.81,10.0,7411.0,55
CPT,86255,"HC REF MAYO, COMP DMS2, CPT 86255",152.47,91.48,10.0,7411.0,55
CPT,86255,"HC REF MAYO, COMP DYS2, CPT 86255",161.65,96.99,10.0,7411.0,55
CPT,86255,"HC REF MAYO, COMP ENC2, CPT 86255",102.91,61.75,10.0,7411.0,55
CPT,86255,"HC REF MAYO, COMP ENS2, CPT 86255",160.09,96.05,10.0,7411.0,55
CPT,86255,"HC REF MAYO, COMP EPC2, CPT 86255",124.64,74.78,10.0,7411.0,55
CPT,86255,"HC REF MAYO, COMP EPS2, 86255",167.02,100.21,10.0,7411.0,55
CPT,86255,"HC REF MAYO, COMP FMGRP, CPT 86255",181.79,109.07,10.0,7411.0,55
CPT,86255,"HC REF MAYO, COMP MDC2 CPT 86255",79.28,47.57,10.0,7411.0,55
CPT,86255,"HC REF MAYO, COMP MDS2, CPT 86255",120.97,72.58,10.0,7411.0,55
CPT,86255,"HC REF MAYO, COMP PAVAL, CPT 86255",10.34,6.2,3.72,7411.0,55
CPT,86255,"HC REF MAYO, COMP PVLE, 86255",307.15,184.29,10.0,7411.0,55
CPT,86255,"HC REF MAYO, COMP SPPC, CPT 86255",370.77,222.46,10.0,7411.0,55
CPT,86255,"HC REF MAYO, COMP SPPS, CPT 86255",370.77,222.46,10.0,7411.0,55
CPT,86255,"HC REF MAYO, NMOTC NMO/AQP4 FACS TITER, CSF",918.89,551.33,10.0,7411.0,55
CPT,86255,HC REF MEDFUSION 94744 LRP4 AUTOANTIBODY,2288.0,1372.8,10.0,7411.0,55
CPT,86255,"HC REF MEDFUSION COMP 10211, CPT 86255",700.99,420.59,10.0,7411.0,55
CPT,86255,HC REF MYELIN OLIGODENDROCYTE GLYCOPROTEIN,1155.0,693.0,10.0,7411.0,55
CPT,86255,HC REF NECROTIZING MYOPATH EA AB,469.49,281.69,10.0,7411.0,55
CPT,86255,HC REF PURKINJE CELL CYTOP AB TY1,60.95,36.57,10.0,7411.0,55
CPT,86255,HC REF PURKINJE CELL CYTOP AB TY2,60.95,36.57,10.0,7411.0,55
CPT,86255,HC REF PURKINJE CLL CYTOP AB TYTR,60.95,36.57,10.0,7411.0,55
CPT,86255,HC REF QUEST 37710 ANIT HU ANTIBODY,478.15,286.89,10.0,7411.0,55
CPT,86255,REF DPPX AB CBA S,221.55,132.93,10.0,7411.0,55
CPT,86255,REF DPPX AB IFA CSF,221.55,132.93,10.0,7411.0,55
CPT,86255,REF DPPX AB IFA S,221.55,132.93,10.0,7411.0,55
CPT,86255,REF GFAP CBA CSF,221.55,132.93,10.0,7411.0,55
CPT,86255,REF GFAP CBA S,221.55,132.93,10.0,7411.0,55
CPT,86255,REF GFAP IFA CSF,221.55,132.93,10.0,7411.0,55
CPT,86255,REF GFAP IFA S,221.55,132.93,10.0,7411.0,55
CPT,86255,REF MGLUR1 AB CBA CSF,221.55,132.93,10.0,7411.0,55
CPT,86255,REF MGLUR1 AB CBA S,221.55,132.93,10.0,7411.0,55
CPT,86255,REF MGLUR1 AB IFA CSF,221.55,132.93,10.0,7411.0,55
CPT,86255,REF MGLUR1 AB IFA S,221.55,132.93,10.0,7411.0,55
CPT,86256,HC FLUORESCENT AB TITER -  MUSK ANTIBODY IGG,208.13,124.88,10.0,7411.0,55
CPT,86256,"HC FLUORESCENT AB TITER - ANNA-3, CSF",208.13,124.88,10.0,7411.0,55
CPT,86256,"HC FLUORESCENT AB TITER - CRMP-5-LGG, CSF",208.13,124.88,10.0,7411.0,55
CPT,86256,"HC FLUORESCENT AB TITER - ENDOMYSIAL ANTIBODIES, IGA",208.13,124.88,10.0,7411.0,55
CPT,86256,HC FLUORESCENT AB TITER - METHYL-D-ASPARTATE RECEPTOR,208.13,124.88,10.0,7411.0,55
CPT,86256,HC FLUORESCENT AB TITER - MOG IGG,208.13,124.88,10.0,7411.0,55
CPT,86256,"HC FLUORESCENT AB TITER - NIF IFA, CSF",208.13,124.88,10.0,7411.0,55
CPT,86256,HC FLUORESCENT AB TITER - PARIETAL CELL,208.13,124.88,10.0,7411.0,55
CPT,86256,"HC FLUORESCENT AB TITER - PCA-1, CSF",208.13,124.88,10.0,7411.0,55
CPT,86256,HC FLUORESCENT AB TITER - PHOSPHOLIPASE A2 RECEPTOR,208.13,124.88,10.0,7411.0,55
CPT,86256,"HC FLUORESCENT AB TITER - SEPTIN-7 IFA, CSF",208.13,124.88,10.0,7411.0,55
CPT,86256,HC FLUORESCENT AB TITER - STRIATED MUSCLE,208.13,124.88,10.0,7411.0,55
CPT,86256,HC FLUORESCENT ANTIBODY - TITER,208.13,124.88,10.0,7411.0,1320
CPT,86256,HC FLUORESCENT ANTIBODY TITER - DPPX ANTIBODY TITER,208.13,124.88,10.0,7411.0,55
CPT,86256,HC FLUORESCENT ANTIBODY TITER - GABA B RECEPTOR ANTIBODIES TITER,208.13,124.88,10.0,7411.0,55
CPT,86256,HC FLUORESCENT ANTIBODY TITER - GFAP IFA TITER,208.13,124.88,10.0,7411.0,55
CPT,86256,"HC FLUORESCENT ANTIBODY TITER - MGLUR1 ANTIBODY TITER, IFA",208.13,124.88,10.0,7411.0,55
CPT,86256,"HC FLUORESCENT ANTIBODY TITER - NMDA RECEPTOR ANTIBODIES, IF TITER",208.13,124.88,10.0,7411.0,55
CPT,86256,"HC FLUORESCENT NONINFECTIOUS AGENT ANTIBODY, TITER EACH",208.13,124.88,10.0,7411.0,55
CPT,86256,HC REF ARUP 2002693 DSDNA (CRITHIDIA LUCILIAE) AB IGG,57.5,34.5,10.0,7411.0,55
CPT,86256,"HC REF LAB UWMC, SENSORY NEURO/NEURON COMP CPT 86256",141.33,84.8,10.0,7411.0,55
CPT,86256,HC REF LABCORP 520158 ANTI OVARIAN ANTIBODY,207.5,124.5,10.0,7411.0,55
CPT,86256,"HC REF MAYO, COMP FSCPR, CPT 86256",78.26,46.96,10.0,7411.0,55
CPT,86256,HC REF MGLUR1 AB TITER S,196.88,118.13,10.0,7411.0,55
CPT,86256,"HC REF, PHOSPHOLIPASE A2 RECEPTOR, IGG TITER, ARUP",525.0,315.0,10.0,7411.0,55
CPT,86256,REF DPPX AB IFA TITER CSF,192.71,115.63,10.0,7411.0,55
CPT,86256,REF DPPX AB IFA TITER S,208.13,124.88,10.0,7411.0,55
CPT,86256,REF GFAP IFA TITER CSF,208.13,124.88,10.0,7411.0,55
CPT,86256,REF GFAP IFA TITER S,208.13,124.88,10.0,7411.0,55
CPT,86256,REF MGLUR1 AB IFA TITER CSF,208.13,124.88,10.0,7411.0,55
CPT,86258,HC DGP ANTIBODY EACH IG CLASS - CELIAC DISEASE PANEL,218.74,131.24,10.0,7411.0,55
CPT,86258,HC DGP ANTIBODY EACH IG CLASS - IGA,218.74,131.24,10.0,7411.0,55
CPT,86258,HC DGP ANTIBODY EACH IG CLASS - IGG,218.74,131.24,10.0,7411.0,55
CPT,86258,"HC GLIADIN (DEAMIDATED) AB, EA IG CLASS",218.74,131.24,10.0,7411.0,55
CPT,86280,HC AMOEBA ANTIBODY AMOEBA ANTIBOD,122.1,73.26,6.88,7411.0,55
CPT,86280,HC HEMAGGLUTINATION INHIBITION,122.1,73.26,6.88,7411.0,55
CPT,86300,HC IA TUMOR AG CA 15 3 QT,286.24,171.74,10.0,7411.0,55
CPT,86300,HC IA TUMOR AG CA 27 29 QT,286.24,171.74,10.0,7411.0,55
CPT,86300,HC IMMUNOASSAY TUMOR ANTIGEN CA 15-3 OR 27.29,286.24,171.74,10.0,7411.0,55
CPT,86300,"HC IMMUNOASSAY TUMOR ANTIGEN, 15-3",286.24,171.74,10.0,7411.0,55
CPT,86300,"HC IMMUNOASSAY TUMOR ANTIGEN, 27.29",286.24,171.74,10.0,7411.0,55
CPT,86300,HC IMMUNOASSAY/CA 15-3,286.24,171.74,10.0,7411.0,110
CPT,86301,HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9,277.62,166.57,10.0,7411.0,55
CPT,86304,HC IMMUNOASSAY TUMOR ANTIGEN CA 125,316.97,190.18,10.0,7411.0,55
CPT,86304,"HC REF ARUP COMP, RISK OF MALIGNANCY ALGO 2012618 CPT 86304",181.1,108.66,10.0,7411.0,55
CPT,86304,HC REF LABCORP 144733 CA 125 IN PRESENCE OF HAMA,125.0,75.0,10.0,7411.0,55
CPT,86305,HC HUMAN EPIDIDYMIS PROTEIN 4 (HE4),376.31,225.79,10.0,7411.0,55
CPT,86305,HC REF ARUP 2003020 HUMAN EPIDIDYMIS PROTEIN 4 (HE4),262.2,157.32,10.0,7411.0,55
CPT,86305,"HC REF ARUP COMP, RISK OF MALIGNANCY ALGO 2012618 CPT 86305",181.1,108.66,10.0,7411.0,55
CPT,86308,HC HETEROPHILE ANITBODIES - SCREEN,160.26,96.16,4.35,7411.0,55
CPT,86316,HC BREAST TUMOR EVALUATION,250.14,150.08,17.48,7411.0,110
CPT,86316,HC CHROMOGRANIN A,250.14,150.08,10.0,7411.0,55
CPT,86316,HC IMMUNOASSAY TUMOR AG QT,250.14,150.08,10.0,7411.0,55
CPT,86316,"HC IMMUNOASSAY, TUMOR ANTIGEN, QUANT",250.14,150.08,10.0,7411.0,55
CPT,86316,"HC REF ARUP, NRSE 3004312 NEURON SPECIFIC ENOLASE, SERUM",231.61,138.97,10.0,7411.0,55
CPT,86316,HC REF S100B PROTEIN SERUM,493.5,296.1,10.0,7411.0,55
CPT,86317,HC 14-3-3 PROTEIN TAU- IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,144.74,86.84,10.0,7411.0,55
CPT,86317,HC DIPTHERIA TOXOID - IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,144.74,86.84,10.0,7411.0,55
CPT,86317,HC IMMUNOASSAY INFECTIOUS AGENT - HEPATITIS B SURFACE ANTIBODY,144.74,86.84,10.0,7411.0,55
CPT,86317,HC IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS,144.74,86.84,10.0,7411.0,55
CPT,86317,"HC IMMUNOASSAY,INFECTIOUS AGENT A",122.91,73.745,10.0,7411.0,440
CPT,86317,"HC REF ARUP, COMP 0050980, CPT 86317",8.35,5.01,3.01,7411.0,55
CPT,86317,"HC REF ARUP, COMP EUROFINS VIVACOR 401844P, CPT 86317",73.11,43.87,10.0,7411.0,55
CPT,86318,HC IMMUNOASSAY INFECTIOUS AGENT ANTB QUAL/SEMIQUAN 1 STEP,143.0,85.8,10.0,7411.0,55
CPT,86320,HC SERUM IMMUNOELECTROPHORESIS,228.85,137.31,10.0,7411.0,55
CPT,86325,"HC IMMUNOELECTROPHOR,OTHER FLUIDS W/CONC",289.17,173.5,10.0,7411.0,55
CPT,86329,HC IMMUNODIFFUSION NES,238.05,142.83,10.0,7411.0,55
CPT,86329,HC TEICHOIC ACID,238.05,142.83,10.0,7411.0,55
CPT,86331,"HC ARUP ALLERGY PANEL FARMERS LUNG, CPT 86331",103.24,61.94,10.0,7411.0,55
CPT,86331,"HC IMMUNODIFFUSION GEL DIFFUS.,QU",99.47,59.68,10.0,7411.0,550
CPT,86331,"HC REF ARUP, COMP 3001561, CPT 86331",9.87,5.92,3.55,7411.0,55
CPT,86331,"HC REF ARUP, COMP 8032, CPT 86331",15.51,9.31,5.58,7411.0,55
CPT,86331,"HC REF EUROFINS VIRACOR COMP 401708, CPT 86331",122.93,73.76,10.0,7411.0,55
CPT,86331,"HC REF MAYO, COMPONENT OF FAVI PANEL, IMMUNODIFFUSION OUCHTERLONY",217.88,130.73,10.0,7411.0,55
CPT,86332,HC IMMUNE COMPLEX ASSAY - CIRC IMMUNE COMPLX C3 FRAG,236.18,141.71,10.0,7411.0,55
CPT,86332,"HC IMMUNE COMPLEX ASSAY, C1Q BIND",236.18,141.71,10.0,7411.0,55
CPT,86332,"HC REF ARUP, COMP 7814, CPT 86332",206.73,124.04,10.0,7411.0,55
CPT,86334,HC IMMUNOFIX E-PHORESIS SERUM,319.85,191.91,10.0,7411.0,55
CPT,86334,HC IMMUNOFIXATION ELECTROPHORESIS - SERUM,319.85,191.91,10.0,7411.0,55
CPT,86334,"HC REF MAYO, COMP FMNPP, CPT 86334",224.1,134.46,10.0,7411.0,55
CPT,86334,HC REF MORL UNIVERSITY IOWA COMP C3G-CP CPT 86334,577.07,346.24,10.0,7411.0,55
CPT,86335,HC IMMUNFIX E-PHORSIS/URINE/CSF - BETA 2 TRANSF DETECT,322.97,193.78,10.0,7411.0,55
CPT,86335,HC IMMUNOFIXATION ELECTROPHORESIS - OTHER FLUIDS,322.97,193.78,10.0,7411.0,165
CPT,86335,"HC REF ARUP COMP 3002104, CPT 86335",67.5,40.5,10.0,7411.0,55
CPT,86335,"HC REF ARUP, COMP 3002105, CPT 86335",62.23,37.34,10.0,7411.0,55
CPT,86335,"HC REF MAYO BETA2 BETA-2 TRANSFERRIN, BF",243.75,146.25,10.0,7411.0,55
CPT,86336,HC INHIBIN A-QUAD SCN86336,210.79,126.47,10.0,7411.0,55
CPT,86337,"HC INSULIN ANTIBODIES, RIA",230.68,138.41,10.0,7411.0,55
CPT,86340,HC INTRINSIC FACTOR ANTIBODIES,182.12,109.27,10.0,7411.0,55
CPT,86341,"HC DEMENTIA AUTOIMM EVAL - ISLET CELL ANTIBODY, CSF",238.0,142.8,10.0,7411.0,55
CPT,86341,"HC DEMENTIA AUTOIMM EVAL - ISLET CELL ANTIBODY, SERUM",238.0,142.8,10.0,7411.0,55
CPT,86341,"HC ISLET CELL AB, GLUTAMIC ACID DECARBOXYLASE AB",238.0,142.8,10.0,7411.0,55
CPT,86341,"HC ISLET CELL AB, IA-2",238.0,142.8,10.0,7411.0,55
CPT,86341,"HC ISLET CELL AB, IGG",238.0,142.8,10.0,7411.0,55
CPT,86341,"HC ISLET CELL AB, ZINC TRANSPORTER 8 AB",238.0,142.8,10.0,7411.0,55
CPT,86341,HC ISLET CELL ANTIBODY,238.0,142.8,10.0,7411.0,330
CPT,86341,HC ISLET CELL ANTIBODY - PARANEOPLASTIC AUTOAB EVAL,238.0,142.8,10.0,7411.0,55
CPT,86341,"HC MAYO, COMP EPS2, CPT 86341",379.21,227.53,10.0,7411.0,55
CPT,86341,"HC REF ARUP 3001499 ISLET ANTIGE-2 (IA-2) AB, SERUM",162.5,97.5,10.0,7411.0,55
CPT,86341,"HC REF ARUP, COMP 3006210, CPT 86341",204.55,122.73,10.0,7411.0,55
CPT,86341,"HC REF ARUP, QUEST COMP 94955, CPT 86341",970.83,582.5,10.0,7411.0,55
CPT,86341,"HC REF LAB MAYO, MAC1 MYELOPATHY, AUTOIMM/PARA CSF COMP 86341",325.85,195.51,10.0,7411.0,55
CPT,86341,"HC REF LAB MAYO, MAS1 MYELOPATHY, AUTOIMM/PARA, S COMP 86341",215.85,129.51,10.0,7411.0,55
CPT,86341,HC REF LABCORP 160721 ANTIPANCREATIC ISLET CELLS,188.63,113.18,10.0,7411.0,55
CPT,86341,"HC REF LABCORP COMP 505635, CPT 86341",159.21,95.53,10.0,7411.0,55
CPT,86341,"HC REF MAYO COMP PCDEC, CPT 86341",243.18,145.91,10.0,7411.0,55
CPT,86341,"HC REF MAYO COMP PCDES, CPT 86341",299.23,179.54,10.0,7411.0,55
CPT,86341,HC REF MAYO FIAAB IA2 AUTOANTIBODIES,75.28,45.17,10.0,7411.0,55
CPT,86341,"HC REF MAYO, COMP DMC2, CPT 86341",191.7,115.02,10.0,7411.0,55
CPT,86341,"HC REF MAYO, COMP DMS2, CPT 86341",298.23,178.94,10.0,7411.0,55
CPT,86341,"HC REF MAYO, COMP ENC2, CPT 86341",201.32,120.79,10.0,7411.0,55
CPT,86341,"HC REF MAYO, COMP ENS2, CPT 86341",313.14,187.88,10.0,7411.0,55
CPT,86341,"HC REF MAYO, COMP EPC2, CPT 86341",243.79,146.27,10.0,7411.0,55
CPT,86341,"HC REF MAYO, COMP EPS2, 86341",326.68,196.01,10.0,7411.0,55
CPT,86341,"HC REF MAYO, COMP MDC2 CPT 86341",155.08,93.05,10.0,7411.0,55
CPT,86341,"HC REF MAYO, COMP MDS2, CPT 86341",236.62,141.97,10.0,7411.0,55
CPT,86341,"HC REF MAYO, COMP SPPC, CPT 86341",725.21,435.13,10.0,7411.0,55
CPT,86341,"HC REF MAYO, COMP SPPS, CPT 86341",725.21,435.13,10.0,7411.0,55
CPT,86341,"HC REF MAYO, EZNT8, ZINC TRANSPORTER 8 (ZNT8) ANTIBODY, SERUM",1538.5,923.1,10.0,7411.0,55
CPT,86343,HC LEUKOCYTE HISTAMINE RELEASE - CHRONIC URTICARIA INDEX,338.08,202.85,10.0,7411.0,55
CPT,86344,HC LEUKOCYTE PHAGOCYTOSIS,154.8,92.88,8.73,7411.0,55
CPT,86352,HC CELLULAR FUNCTION ASSAY INVOLV STIMULATION,731.5,438.9,10.0,7411.0,55
CPT,86352,"HC REF ARUP, 0096657 NEUTROPHIL OXIDATIVE BURST",500.0,300.0,10.0,7411.0,55
CPT,86352,"HC REF CINCINNATI CHILDREN'S, COMP 2900800, CPT 86352",718.75,431.25,10.0,7411.0,55
CPT,86352,"HC REF COMP ARUP, EUROFINS VIRACOR 30360,CPT 86352",525.0,315.0,10.0,7411.0,55
CPT,86352,"HC REF EUROFINS VIRACOR COMP 30360, CPT 86352",606.21,363.73,10.0,7411.0,55
CPT,86353,HC LYMPHOCYTE TRANSFORMATION,2065.51,1239.31,10.0,7411.0,220
CPT,86353,HC REF ARUP 0096055 LYMPHOCYTE ANTIGEN PROLIFERATION,771.88,463.13,10.0,7411.0,55
CPT,86353,"HC REF MAYO, LPMGF LYMPHOCYTE PROLIF TO MITOGENS, BLOOD",663.08,397.85,10.0,7411.0,55
CPT,86355,"HC B CELLS,TOTAL COUNT",245.74,147.44,10.0,7411.0,55
CPT,86355,HC REF ARUP 0095862 COMP CPT 86355,51.46,30.88,10.0,7411.0,55
CPT,86355,"HC REF ARUP, COPM 0095899, CPT 86355",28.05,16.83,10.0,7411.0,55
CPT,86355,"HC REF MAYO CD20B, COMP CPT 86355",487.83,292.7,10.0,7411.0,55
CPT,86355,"HC REF MAYO, COMP TBBS, CPT 86355",54.13,32.48,10.0,7411.0,55
CPT,86356,"HC MONONUCLEAR CELL ANTIGEN, QUAN",220.63,132.38,10.0,7411.0,55
CPT,86356,HC REF ARUP 0093420 COMPONENT 86356,40.0,24.0,10.0,7411.0,55
CPT,86356,HC REF ARUP 0095862 COMP CPT 86356,51.46,30.88,10.0,7411.0,55
CPT,86356,HC REF ARUP COMP 2004359 CPT 86356,84.66,50.8,10.0,7411.0,55
CPT,86356,"HC REF ARUP, COMP 2005006, CPT 86356",142.86,85.72,10.0,7411.0,55
CPT,86356,"HC REF ARUP, COMP 2008912, CPT 86356",214.84,128.9,10.0,7411.0,55
CPT,86356,"HC REF ARUP, COPM 0095899, CPT 86356",28.05,16.83,10.0,7411.0,55
CPT,86356,HC REF LYM SUB PANEL BRNCH LAVAGE,320.0,192.0,10.0,7411.0,55
CPT,86356,HC REF LYM TCELL SUB PANEL 4 BAL,320.0,192.0,10.0,7411.0,55
CPT,86356,"HC REF MAYO CD20B, COMP CPT 86356",346.25,207.75,10.0,7411.0,55
CPT,86356,"HC REF MAYO, COMP ALPS, CPT 86356",353.88,212.33,10.0,7411.0,55
CPT,86357,"HC NATURAL KILLER CELLS,TOTAL COU",250.66,150.4,10.0,7411.0,55
CPT,86357,HC REF ARUP 0095862 COMP CPT 86357,51.46,30.88,10.0,7411.0,55
CPT,86357,"HC REF ARUP, COPM 0095899, CPT 86357",28.05,16.83,10.0,7411.0,55
CPT,86357,"HC REF CINCINNATI CHILDREN'S, COMP 2900800, CPT 86357",718.75,431.25,10.0,7411.0,55
CPT,86357,"HC REF MAYO, COMP TBBS, CPT 86357",51.53,30.92,10.0,7411.0,55
CPT,86359,HC CD3 T CELLS TOT COUNT,274.42,164.65,10.0,7411.0,55
CPT,86359,HC REF ARUP 0095862 COMP CPT 86359,51.46,30.88,10.0,7411.0,55
CPT,86359,HC REF ARUP COMP 0095853 CPT 86359,44.06,26.44,10.0,7411.0,55
CPT,86359,HC REF ARUP COMP 0095950 CPT 86359,62.5,37.5,10.0,7411.0,55
CPT,86359,"HC REF ARUP, COPM 0095899, CPT 86359",28.05,16.83,10.0,7411.0,55
CPT,86359,HC REF MAYO COMP TREGS CPT 86359,606.25,363.75,10.0,7411.0,55
CPT,86359,"HC REF MAYO, COMP ALPS, CPT 86359",249.28,149.57,10.0,7411.0,55
CPT,86359,"HC REF MAYO, COMP TBBS, CPT 86359",54.13,32.48,10.0,7411.0,55
CPT,86359,HC T CELLS TOTAL COUNT - LYMPHOCYTE SUBSET PANEL BY FLOW,274.42,164.65,10.0,7411.0,55
CPT,86359,HC VCD3 T CELLS TOTAL COUNT,274.42,164.65,31.69,7411.0,55
CPT,86360,HC REF ARUP 0095862 COMP CPT 86360,51.46,30.88,10.0,7411.0,55
CPT,86360,HC REF ARUP COMP 0095853 CPT 86360,44.06,26.44,10.0,7411.0,55
CPT,86360,HC REF ARUP COMP 0095950 CPT 86360,62.5,37.5,10.0,7411.0,55
CPT,86360,"HC REF ARUP, COPM 0095899, CPT 86360",28.05,16.83,10.0,7411.0,55
CPT,86360,"HC REF MAYO, COMP TBBS, CPT 86360",64.18,38.51,10.0,7411.0,55
CPT,86360,HC T CELL ABSOLUTE CNT/RA,380.72,228.43,10.0,7411.0,55
CPT,86360,HC T CELL ABSOLUTE COUNT/RATIO - LYMPHOCYTE SUBSET PANEL BY FLOW,380.72,228.43,10.0,7411.0,55
CPT,86361,HC ABSOLUTE CD4 COUNT,272.12,163.27,10.0,7411.0,55
CPT,86361,HC REF MAYO COMP TREGS CPT 86361,430.33,258.2,10.0,7411.0,55
CPT,86362,HC MYELIN OLIGODENDROCYTE GLYCOPROTEIN (MOG) AB,281.47,168.88,10.0,7411.0,55
CPT,86362,"HC REF ARUP, 3001277 MOG AB IGG CBA, SERUM",462.5,277.5,10.0,7411.0,55
CPT,86362,"HC REF ARUP, 3016853 MOG AB IGG CBA, CSF",325.0,195.0,10.0,7411.0,55
CPT,86362,"HC REF ARUP, COMP 3006210, CPT 86362",204.55,122.73,10.0,7411.0,55
CPT,86363,"HC REF LAB MAYO, MAS1 MYELOPATHY, AUTOIMM/PARA, S COMP 86363",345.53,207.32,10.0,7411.0,55
CPT,86363,"HC REF MAYO COMP PCDES, CPT 86363",479.0,287.4,10.0,7411.0,55
CPT,86363,"HC REF MAYO MOGTS, MOG FACS TITER, S",200.0,120.0,10.0,7411.0,55
CPT,86363,"HC REF MAYO, COMP CDS1, CPT 86363",858.0,514.8,10.0,7411.0,55
CPT,86363,"HC REF MAYO, MOGFS - MOG-IGG1 FACS ASSAY, SERUM",1375.0,825.0,10.0,7411.0,55
CPT,86364,"HC REF ARUP 3016860 TISSUE TRANSGLUTAMINASE, IGA AB",30.0,18.0,9.69,7411.0,55
CPT,86364,"HC REF ARUP COMPONENT 3004465, CPT 86364",27.3,16.38,9.69,7411.0,55
CPT,86364,HC TISS TRNSGLTMNASE EA IG CLAS - CELIAC DISEASE PANEL,229.67,137.8,9.69,7411.0,55
CPT,86364,HC TISS TRNSGLTMNASE EA IG CLAS - IGG/IGA,229.67,137.8,9.69,7411.0,55
CPT,86364,"HC TRANSGLUTAMINASE AB, EA IG CLASS",229.67,137.8,9.69,7411.0,55
CPT,86364,"HC TRANSGLUTAMINASE AB, IGG",229.67,137.8,9.69,7411.0,55
CPT,86366,HC MUSCLE-SPECIFIC KINASE (MUSK) AB,336.44,201.86,10.0,7411.0,55
CPT,86366,"HC REF ARUP 3006198 MUSK IGG AB CBA, SERUM WITH RFLX",737.5,442.5,10.0,7411.0,55
CPT,86366,"HC REF MAYO, MUSK MUSCLE SPECIFIC KINASE AUTOANTIBODY, SERUM",1378.13,826.88,10.0,7411.0,55
CPT,86367,"HC STEM CELLS,TOTAL COUNT",596.0,357.6,10.0,7411.0,55
CPT,86376,HC MICROSOMAL AB - KIDNEY MICROSOME 1 IGG,172.55,103.53,10.0,7411.0,55
CPT,86376,HC MICROSOMAL AB - THYROID PEROXIDASE,172.55,103.53,10.0,7411.0,55
CPT,86376,"HC MICROSOMAL ANTIBODIES, EACH",172.55,103.53,10.0,7411.0,275
CPT,86376,HC MICROSOMAL ANTIBODY EACH - CHRONIC URTICARIA INDEX,172.55,103.53,10.0,7411.0,55
CPT,86381,HC ANTIMITOCONDRIAL ANTIBODY,325.92,195.55,10.0,7411.0,55
CPT,86381,HC MITOCHONDRIAL ANTIBODY EACH - TITER,325.92,195.55,10.0,7411.0,55
CPT,86382,"HC REF ARUP, 2014351 RABIES ANTIBODY SCREEN RFFIT SERUM",192.5,115.5,10.0,7411.0,55
CPT,86382,"HC REF MAYO COMP FPOLO, CPT 86382",254.53,152.72,10.0,7411.0,55
CPT,86382,"HC REF MAYO FRFIT RABIES RFFIT ENDPOINT, S",287.5,172.5,10.0,7411.0,55
CPT,86382,HC VIRAL NEUTRALIZATION TEST,266.95,160.17,10.0,7411.0,55
CPT,86403,"HC AGGLUTINATION PARTICLE, ANTIBO",195.73,117.44,9.69,7411.0,385
CPT,86403,HC IAAD IA - CRYPTOCOCCUS NEOFORM,195.73,117.44,9.69,7411.0,55
CPT,86406,"HC AGGLUTINATION PARTICLE,TITER - E",169.64,101.78,8.94,7411.0,55
CPT,86409,HC NEUTRALIZING ANTIBODY SARS-COV-2 TITER,712.5,427.5,10.0,7411.0,55
CPT,86409,"HC REF MAYO, FSAR2 - SARS COV 2 NEUTRALIZING ANTIBODY",750.0,450.0,10.0,7411.0,55
CPT,86413,HC SEV AQT RESPIR SYND CORONAVIRUS 2 ANTIBODY QUAN,28.98,17.39,10.0,7411.0,55
CPT,86430,"HC RHEUMATOID FACTOR, LATEX FIXAT",165.11,99.07,5.16,7411.0,55
CPT,86431,HC REF ARUP 0050465 RHEUMATOID FACTOR,22.5,13.5,4.76,7411.0,55
CPT,86431,"HC REF ARUP COMP 0050119, CPT 86431",23.38,14.03,4.76,7411.0,55
CPT,86431,"HC REF ARUP, 2003347 RHEUMATOID FACTOR BF",25.0,15.0,4.76,7411.0,55
CPT,86431,"HC REF MAYO RHUT RHEUMATOID FACTOR, SERUM",40.18,24.11,4.76,7411.0,55
CPT,86431,HC RHEUMATOID FACTOR - QUANTITATIV,138.65,83.19,4.76,7411.0,55
CPT,86431,HC RHEUMATOID FACTOR QUANT - IGA/IGM,138.65,83.19,4.76,7411.0,55
CPT,86480,"HC TB TST,CELL MEDIATED IMMUNTY M",367.29,220.37,10.0,7411.0,55
CPT,86481,HC REF QUEST 37737 T SPOT TB,843.7,506.22,10.0,7411.0,55
CPT,86481,HC TB TEST - ENUMERATD GAMMA INTERF,485.36,291.22,10.0,7411.0,55
CPT,86485,"HC SKIN TEST, CANDIDA",153.09,91.85,10.0,7411.0,55
CPT,86580,HC TB INTRADERMAL,55.52,33.31,9.44,7411.0,165
CPT,86581,"HC REF ARUP 2005779 STREPTOCOCCUS PNEUMOIAE ANTIBODIES, IGG (23 SEROTYPES)",175.88,105.53,10.0,7411.0,54
CPT,86592,"HC BLOOD SEROLOGY,QUALITATIVE",106.6,63.96,3.59,7411.0,110
CPT,86592,"HC REF ARUP, 0050478 RAPID PLASMA REAGIN",15.0,9.0,3.59,7411.0,55
CPT,86592,HC SYPHILIS NON-TREPONEMAL AB QUAL - RPR,106.6,63.96,3.59,7411.0,55
CPT,86592,HC SYPHILIS NON-TREPONEMAL AB QUAL - VDRL,106.6,63.96,3.59,7411.0,55
CPT,86592,"HC SYPHILIS NON-TREPONEMAL AB QUAL - VDRL, CSF BKR",106.6,63.96,3.59,7411.0,55
CPT,86593,"HC BLOOD SEROLOGY,QUANTITATIVE",116.31,69.79,3.7,7411.0,165
CPT,86593,"HC REF ARUP, 2003239 RAPID PLASMA REAGIN TITER",55.91,33.55,3.7,7411.0,55
CPT,86596,HC REF MAYO COMP MGLE CPT 86596,227.0,136.2,10.0,7411.0,55
CPT,86596,"HC REF MAYO, CCPQ P/Q TYPE CALCIUM CHANNEL AB",687.5,412.5,10.0,7411.0,55
CPT,86596,"HC REF MAYO, COMP MDS2, CPT 86596",214.58,128.75,10.0,7411.0,55
CPT,86596,"HC REF MAYO, COMP PAVAL, CPT 86596",88.64,53.18,10.0,7411.0,55
CPT,86596,"HC REF QUEST J4057, VGCC TYPE P/Q AB",834.45,500.67,10.0,7411.0,55
CPT,86596,"HC VOLTAGE-GATED CALCIUM CHANNEL AB, EA",374.05,224.43,10.0,7411.0,55
CPT,86596,"HC VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY, MYASTHENIA GRAVIS/LAMBERT-EATON",374.05,224.43,10.0,7411.0,55
CPT,86596,HC VOLTAGE-GTD CA CHNL ANTB EA - PARANEOPLASTIC AUTOAB EVAL,374.05,224.43,10.0,7411.0,55
CPT,86603,HC ANTIBODY - ADENOVIRUS,117.37,70.42,10.0,7411.0,220
CPT,86606,"HC ANTIBODY - ASPERGIILLUS IGG, BLOOD",127.77,76.66,10.0,7411.0,55
CPT,86606,HC ANTIBODY - ASPERGILLUS,127.77,76.66,10.0,7411.0,495
CPT,86606,"HC ANTIBODY ASPERGILLUS, CSF",127.77,76.66,10.0,7411.0,55
CPT,86606,"HC ARUP ALLERGY PANEL FARMERS LUNG, CPT 86006",131.21,78.73,10.0,7411.0,55
CPT,86606,HC ASPERGILLUS ANTIBODY - FUNGAL ANTIBODIES,127.77,76.66,10.0,7411.0,55
CPT,86606,HC ASPERGILLUS ANTIBODY - HYPERSENSITIVITY PNEUMONITIS PANEL,127.77,76.66,10.0,7411.0,55
CPT,86606,"HC REF ARUP, 0054445, VARICELLA IGM",38.9,23.34,10.0,7411.0,55
CPT,86606,"HC REF ARUP, COMP 0050164, CPT 86606",28.77,17.26,10.0,7411.0,55
CPT,86606,"HC REF ARUP, COMP 3000230, CPT 86606",25.88,15.53,9.32,7411.0,55
CPT,86606,"HC REF ARUP, COMP 3001561, CPT 86606",9.87,5.92,3.55,7411.0,55
CPT,86606,"HC REF ARUP, COMP 8032, CPT 86606",15.51,9.31,5.58,7411.0,55
CPT,86609,HC AB LISTERIA,109.0,65.4,10.0,7411.0,55
CPT,86609,HC BACTERIUM ANTIBODY,109.0,65.4,10.0,7411.0,55
CPT,86609,HC PNEUMONITIS/STREPTOCOCCUS,109.0,65.4,10.0,7411.0,165
CPT,86609,"HC REF ARUP, 0099529 LISTERIA AB, SERUM",184.54,110.72,10.0,7411.0,55
CPT,86611,HC BARTONELLA,95.5,57.3,8.55,7411.0,495
CPT,86611,HC BARTONELLA ANTIBODY - B QUINTANA IGG TITER,95.5,57.3,8.55,7411.0,55
CPT,86611,HC BARTONELLA ANTIBODY - IGG TITER,95.5,57.3,8.55,7411.0,55
CPT,86611,HC BARTONELLA ANTIBODY - IGM TITER,95.5,57.3,8.55,7411.0,55
CPT,86611,"HC BARTONELLA ANTIBODY PANEL, CSF",95.5,57.3,8.55,7411.0,55
CPT,86611,HC BARTONELLA HENSELAE AB IGG/IGM,95.5,57.3,8.55,7411.0,55
CPT,86612,HC ANTIBODY - BLASTOMYCES,125.26,75.16,10.0,7411.0,55
CPT,86612,"HC ANTIBODY BLASTOMYCES IMMUNODIF, CSF",125.26,75.16,10.0,7411.0,55
CPT,86612,"HC ANTIBODY BLASTOMYCES, BLOOD",125.26,75.16,10.0,7411.0,55
CPT,86612,"HC ANTIBODY BLASTOMYCES, CSF",125.26,75.16,10.0,7411.0,55
CPT,86612,HC BLASTOMYCES AB - IMMUNODIFFUSION,125.26,75.16,10.0,7411.0,55
CPT,86612,HC BLASTOMYCES AB - SERUM,125.26,75.16,10.0,7411.0,55
CPT,86612,"HC FUNGAL PROFILE - ANTIBODY BLASTOMYCES, CSF",125.26,75.16,10.0,7411.0,55
CPT,86612,HC REF ARUP 3000236 BLASTOMYCES DERM AB BY IMMUNOASSAY,34.25,20.55,10.0,7411.0,55
CPT,86612,"HC REF ARUP, COMP 0050164, CPT 86612",28.77,17.26,10.0,7411.0,55
CPT,86612,"HC REF ARUP, COMP 3000230, CPT 86612",25.88,15.53,9.32,7411.0,55
CPT,86615,HC BORDETELLA/PERTUSIS TITER,134.67,80.8,10.0,7411.0,220
CPT,86615,"HC REF ARUP, 2004316 B PERTUSSIS AB, IGA IMMUNOBLOT",67.5,40.5,10.0,7411.0,55
CPT,86615,"HC REF ARUP, 2004327 B PERTUSSIS AB, IGG IMMUNOBLOT",65.0,39.0,10.0,7411.0,55
CPT,86617,"HC BORRELIA BURGDORFERI (LYME) AB, IGG",187.37,112.42,10.0,7411.0,55
CPT,86617,"HC BORRELIA BURGDORFERI (LYME) AB, IGM",187.37,112.42,10.0,7411.0,55
CPT,86617,HC LYME DISEASE ANTIBODY,187.37,112.42,10.0,7411.0,55
CPT,86617,HC LYME DISEASE/B. BURGDORFERI,187.37,112.42,10.0,7411.0,330
CPT,86617,HC REF ARUP COMP 0050255 CPT 86617,37.5,22.5,10.0,7411.0,55
CPT,86617,HC REF ARUP COMP 0055260 CPT 86617,46.75,28.05,10.0,7411.0,55
CPT,86617,"HC REF ARUP COMP 3017059, CPT 86617",37.5,22.5,10.0,7411.0,55
CPT,86618,HC ANTIBODY - BORELLIA BUFGDORFERI,234.74,140.84,10.0,7411.0,220
CPT,86618,HC LYME CNS INFECTION IGG W/AB,234.74,140.84,10.0,7411.0,55
CPT,86618,"HC REF ARUP 3006053 LYME MODIFIED 2-TIER TESTING, 1ST TIER",137.83,82.7,10.0,7411.0,55
CPT,86618,HC REF ARUP 3016760 LYME STANDARD 2-TIER CSF,137.83,82.7,10.0,7411.0,55
CPT,86618,"HC REF ARUP COMP 3017059, CPT 86618",137.83,82.7,10.0,7411.0,55
CPT,86619,HC ANTIBODY - BORRELIA (RELAPSING,251.56,150.94,10.0,7411.0,55
CPT,86622,HC ANTIBODY - BRUCELLA,113.3,67.98,7.5,7411.0,220
CPT,86622,"HC REF ARUP, COMP 2010805, CPT 86622",31.13,18.68,7.5,7411.0,55
CPT,86622,"HC REF ARUP, COMP 201805, CPT 86622",31.88,19.13,7.5,7411.0,55
CPT,86625,HC ANTIBODY - CAMPYLOBACTER,129.72,77.83,10.0,7411.0,55
CPT,86628,HC CANDIDA ANTIBODY,126.0,75.6,10.0,7411.0,165
CPT,86628,"HC REF ARUP COMP 0095200, CPT 86628",32.5,19.5,10.0,7411.0,55
CPT,86631,HC ANTIBODY - CHLAMYDIA,119.02,71.41,9.93,7411.0,275
CPT,86631,HC CHLAMYDIA ANTIBODY - CHLAMYDIA PSITTACI ANTIBODIES,119.02,71.41,9.93,7411.0,55
CPT,86631,HC CHLAMYDIA ANTIBODY - HYPERSENSITIVITY PNEUMONITIS PANEL,119.02,71.41,9.93,7411.0,55
CPT,86631,"HC REF ARUP COMP 0065105, CPT 86631",21.13,12.68,7.61,7411.0,55
CPT,86631,HC REF ARUP COMP 0065139 CPT 86631,21.13,12.68,7.61,7411.0,55
CPT,86631,HC REF LABCORP 138022 CHLAMYDIA PSITTACI AB IGG,168.8,101.28,9.93,7411.0,55
CPT,86631,"HE REF ARUP, COMP 0065100, CPT 86631",21.13,12.68,7.61,7411.0,55
CPT,86632,"HC ANTIBODY - CHLAMYDIA, IGM",114.25,68.55,10.0,7411.0,220
CPT,86632,HC CHLAMYDIA IGM ANTIBODY - CHLAMYDIA PSITTACI ANTIBODIES,114.25,68.55,10.0,7411.0,55
CPT,86632,HC REF LABCORP 138006 CHLAMYDIA PSITTACI AB IGM,160.75,96.45,10.0,7411.0,55
CPT,86632,"HE REF ARUP, COMP 0065100, CPT 86632",21.13,12.68,7.61,7411.0,55
CPT,86635,HC ANTIBODY - COCCIDIOIDES,143.88,86.33,9.63,7411.0,275
CPT,86635,"HC ANTIBODY - COCCIDIOIDES, BLOOD",143.88,86.33,9.63,7411.0,55
CPT,86635,"HC ANTIBODY - COCCIDIOIDES, CSF",143.88,86.33,9.63,7411.0,55
CPT,86635,HC COCCIDIOIDES ANTIBODY - COMPLEMENT FIXATION & IMMUNODIFFUSION,143.88,86.33,9.63,7411.0,55
CPT,86635,HC COCCIDIOIDES ANTIBODY - FUNGAL ANTIBODIES,143.88,86.33,9.63,7411.0,55
CPT,86635,HC FUNGAL ABS - ANTIBODY - COCCIDIOIDES,143.88,86.33,9.63,7411.0,55
CPT,86635,HC FUNGAL PROFILE CSF - ANTIBODY - COCCIDIOIDES,143.88,86.33,9.63,7411.0,55
CPT,86635,"HC REF ARUP COMP 3001982, CPT 86635",36.75,22.05,9.63,7411.0,55
CPT,86635,"HC REF ARUP, COMP 0050164, CPT 86635",28.77,17.26,9.63,7411.0,55
CPT,86635,"HC REF ARUP, COMP 3000230, CPT 86635",25.88,15.53,9.32,7411.0,55
CPT,86635,HC REF LABCORP 138452 PARACOCCIDIOIDES BRASILIENIS AB IGG/IGM,206.25,123.75,9.63,7411.0,55
CPT,86635,"HC REF LABCORP, PARACOCCIDIOIDES BRAS IGG/IGM",206.25,123.75,9.63,7411.0,55
CPT,86635,HC REF MAYO COMP RSCOC CPT 86635,46.6,27.96,9.63,7411.0,55
CPT,86635,"HC REF MAYO COMP SCOC, CPT 86635",50.33,30.2,9.63,7411.0,55
CPT,86635,HC REF MAYO COXIS COCCIDIOIDES AB W/ COCCIDIOIDES AB SCREEN W/ RFLX,95.85,57.51,9.63,7411.0,55
CPT,86638,HC ANTIBODY - COXIELLA BRUNETTII,125.0,75.0,10.0,7411.0,275
CPT,86638,"HC COXIELLA BURNETII PHASE I, IGG",125.0,75.0,10.0,7411.0,55
CPT,86638,"HC COXIELLA BURNETII PHASE I, IGM",125.0,75.0,10.0,7411.0,55
CPT,86638,"HC COXIELLA BURNETII PHASE II, IGG",125.0,75.0,10.0,7411.0,55
CPT,86638,"HC COXIELLA BURNETII PHASE II, IGM",125.0,75.0,10.0,7411.0,55
CPT,86638,"HC Q FEVER AB PHASE I, IGG",125.0,75.0,10.0,7411.0,55
CPT,86638,"HC Q FEVER AB PHASE I, IGM",125.0,75.0,10.0,7411.0,55
CPT,86638,"HC Q FEVER AB PHASE II, IGG",125.0,75.0,10.0,7411.0,55
CPT,86638,"HC Q FEVER AB PHASE II, IGM",125.0,75.0,10.0,7411.0,55
CPT,86641,HC ANTIBODY - CRYPTOCOCCUS,200.33,120.2,10.0,7411.0,55
CPT,86644,HC ANTIBODY - CYTOMEGALOVIRUS (CMV,200.89,120.53,10.0,7411.0,55
CPT,86644,HC CMV ANTIBODY - BONE MAR INF DIS PROF,200.89,120.53,10.0,7411.0,55
CPT,86644,HC CMV ANTIBODY - IGG & IGM,200.89,120.53,10.0,7411.0,55
CPT,86644,HC REF ARUP 2011813 - CYTOMEGALOVIRUS IGG AB AVIDITY,237.5,142.5,10.0,7411.0,55
CPT,86644,"HC REF ARUP COMP 0050772, CPT 86644",27.1,16.26,9.76,7411.0,55
CPT,86644,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86644,14.85,8.91,5.35,7411.0,55
CPT,86644,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86644,6.25,3.75,2.25,7411.0,55
CPT,86645,HC ANTIBODY - CYTOMEGALOVIRUS (CMV) IGM,221.25,132.75,10.0,7411.0,55
CPT,86645,HC CMV ANTIBODY IGM - IGG & IGM,221.25,132.75,10.0,7411.0,55
CPT,86645,"HC REF ARUP COMP 3017749, CPT 86645",24.18,14.51,8.7,7411.0,55
CPT,86648,HC ANTIBODY - DIPTHERIA,194.61,116.77,10.0,7411.0,55
CPT,86651,"HC ANTIBODY - ENCEPHALITIS, CALIFO",152.44,91.46,10.0,7411.0,165
CPT,86651,"HC REF ARUP COMP 2001594, CPT 86651",46.96,28.18,10.0,7411.0,55
CPT,86651,"HC REF ARUP, QUEST COMP 12600, CPT 86651",120.05,72.03,10.0,7411.0,55
CPT,86651,HC REF MAYO COMP ABOPC CPT 86651,48.85,29.31,10.0,7411.0,55
CPT,86652,"HC ANTIBODY - ENCEPHALITIS, EASTER",152.44,91.46,10.0,7411.0,165
CPT,86652,"HC REF ARUP COMP 2001594, CPT 86652",46.96,28.18,10.0,7411.0,55
CPT,86652,"HC REF ARUP, QUEST COMP 12600, CPT 86652",120.05,72.03,10.0,7411.0,55
CPT,86652,HC REF MAYO COMP ABOPC CPT 86652,48.85,29.31,10.0,7411.0,55
CPT,86653,"HC ANITBODY - ENCEPHALITIS, ST. LO",157.89,94.73,10.0,7411.0,165
CPT,86653,"HC REF ARUP COMP 2001594, CPT 86653",46.96,28.18,10.0,7411.0,55
CPT,86653,"HC REF ARUP, QUEST COMP 12600, CPT 86653",120.05,72.03,10.0,7411.0,55
CPT,86653,HC REF MAYO COMP ABOPC CPT 86653,48.86,29.32,10.0,7411.0,55
CPT,86654,"HC ANTIBODY - ENCEPHALITIS, WESTER",157.44,94.46,10.0,7411.0,165
CPT,86654,"HC REF ARUP COMP 2001594, CPT 86654",46.96,28.18,10.0,7411.0,55
CPT,86654,"HC REF ARUP, QUEST COMP 12600, CPT 86654",120.05,72.03,10.0,7411.0,55
CPT,86654,HC REF MAYO COMP ABOPC CPT 86654,48.86,29.32,10.0,7411.0,55
CPT,86658,HC ANITBODY - ENTEROVIRUS,131.32,78.79,10.0,7411.0,605
CPT,86658,HC COXSACKIE PANEL - ANITBODY - ENTEROVIRUS,131.32,78.79,10.0,7411.0,55
CPT,86658,"HC REF ARUP < MAYO 2002257 OSMOTIC FRAGILITY, ERYTHROCYTE",181.83,109.1,10.0,7411.0,55
CPT,86658,"HC REF ARUP < QUEST 2002932 COXSACKIE A ANTIBODIES (SEROTYPES 2, 4, 7, 9, 10 AND 16), SERUM",194.25,116.55,10.0,7411.0,55
CPT,86658,"HC REF ARUP COMP 0060053, CPT 86658",63.5,38.1,10.0,7411.0,55
CPT,86658,"HC REF ARUP COMP 0060055, CPT 86658",46.75,28.05,10.0,7411.0,55
CPT,86658,"HC REF ARUP COMP 2014107, CPT 86658",96.25,57.75,10.0,7411.0,55
CPT,86663,"HC EPSTEIN-BARR VIRUS,EARYL ANTIG",29.86,17.92,10.0,7411.0,55
CPT,86664,"HC EPSTEIN-BARR NUCLEAR ANTIGEN - EBV AB PANEL W/O EARLY ANTIGEN, QUAL",179.63,107.78,10.0,7411.0,55
CPT,86664,"HC EPSTEIN-BARR VIRUS,NUCLEAR ANT",179.63,107.78,10.0,7411.0,55
CPT,86665,"HC EPSTEIN BARR AB VCA, IGG",220.82,132.49,10.0,7411.0,55
CPT,86665,"HC EPSTEIN BARR AB VCA, IGM",220.82,132.49,10.0,7411.0,55
CPT,86665,HC EPSTEIN-BARR CAPSID VCA - SACCHAROMYCES CEREVISIAE AB IGG & IGA,220.82,132.49,10.0,7411.0,55
CPT,86665,"HC EPSTEIN-BARR VIRUS,VIRAL CAPSI",220.82,132.49,10.0,7411.0,165
CPT,86665,"HC REF ARUP 0050235 EBV AB TO VIRAL CAPSID AG, IGG",20.0,12.0,7.2,7411.0,55
CPT,86665,"HC REF ARUP 0050240 EBV AB TO VIRAL CAPSID AG, IGM",20.0,12.0,7.2,7411.0,55
CPT,86665,"HC REF ARUP COMP 0050602, CPT 86665",40.0,24.0,10.0,7411.0,55
CPT,86666,HC EHRLICHIA,170.26,102.16,8.55,7411.0,275
CPT,86666,HC REF ARUP COMP 0097303 CPT 86666,76.1,45.66,8.55,7411.0,55
CPT,86668,HC ANTIBODY - FRANCISELLA TULARENS,137.86,82.72,10.0,7411.0,55
CPT,86668,"HC REF ARUP, COMP 3002912, CPT 86668",150.0,90.0,10.0,7411.0,55
CPT,86668,HC REF FRANCISELLA TULARENSIS IGG,156.25,93.75,10.0,7411.0,55
CPT,86668,HC REF FRANCISELLA TULARENSIS IGM,156.25,93.75,10.0,7411.0,55
CPT,86671,"HC ANTIBODY - FUNGUS, NES",158.76,95.26,10.0,7411.0,440
CPT,86671,HC FUNGUS NES ANTIBODY - INFLAM BOWEL DISEASE PANEL,158.76,95.26,10.0,7411.0,55
CPT,86671,"HC IBD PANEL - ANTIBODY - FUNGUS, NES",158.76,95.26,10.0,7411.0,55
CPT,86677,HC HELICOBACTER PYLORI,217.79,130.67,10.0,7411.0,330
CPT,86682,HC AB SCHISTOSOMA IGG,221.2,132.72,10.0,7411.0,55
CPT,86682,"HC ANTIBODY - HELMINTH,NOT ELSEWHE",221.2,132.72,10.0,7411.0,330
CPT,86682,HC HELMINTH AB NES - ECHINOCOCCUS IGG,221.2,132.72,10.0,7411.0,55
CPT,86682,HC HELMINTH AB NES - STRONGLYOIDES IGG,221.2,132.72,10.0,7411.0,55
CPT,86682,HC HELMINTH AB NES - TOXOCARA,221.2,132.72,10.0,7411.0,55
CPT,86682,"HC HELMINTH AB, NES - CYSTICERCOSIS, CSF",221.2,132.72,10.0,7411.0,55
CPT,86682,"HC REF ARUP 0055284 CYSTICERCOSIS ANTIBODY, IGG BY ELISA",53.5,32.1,10.0,7411.0,55
CPT,86682,HC REF ARUP 0055285 CYSTICERCOSIS AB IGG CSF,52.63,31.58,10.0,7411.0,55
CPT,86682,HC REF ARUP 2014093 FILARIA AB IGG,231.5,138.9,10.0,7411.0,55
CPT,86682,HC REF ARUP 3004472 SCHISTOSOMA ANTIBODY IGG BY ELISA,225.0,135.0,10.0,7411.0,55
CPT,86682,HC REF FILARIA IGG4 ANTIBODY,360.15,216.09,10.0,7411.0,55
CPT,86682,"HC REF MAYO CYSTG CYSTICRRCOSIS (T. SOLIUM), IGG, S",217.5,130.5,10.0,7411.0,55
CPT,86682,HC REF MEDFUSION CYSTG FOCUS CYSTICERCOSIS ANTIBODY IGG BY WESTERN BLOT,141.88,85.13,10.0,7411.0,55
CPT,86684,HC ANTIBODY - HEMOPHILUS INFLUENZA,179.74,107.84,10.0,7411.0,55
CPT,86684,"HC REF ARUP, COMP EUROFINS VIVACOR 401844P, CPT 86684",69.63,41.78,10.0,7411.0,55
CPT,86687,"HC ANTIBODY, HTLV I",107.34,64.4,7.64,7411.0,110
CPT,86687,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86687,14.85,8.91,5.35,7411.0,55
CPT,86687,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86687,6.25,3.75,2.25,7411.0,55
CPT,86688,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86688,14.85,8.91,5.35,7411.0,55
CPT,86688,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86688,6.25,3.75,2.25,7411.0,55
CPT,86689,"HC ANTIBODY HTLV OR HIV, CONFIRMA",300.24,180.14,10.0,7411.0,55
CPT,86689,"HC REF MAYO HTLLC HTLV 1/2 AB CONFIRMATION, CSF",389.8,233.88,10.0,7411.0,55
CPT,86689,"HC REF, CONFIRMATORY TESTING CPT 86689",0.01,0.01,0.0036,7411.0,55
CPT,86692,HC HEPATITIS DELTA ANTIBODY,187.64,112.58,10.0,7411.0,55
CPT,86692,HC HEPATITIS DELTA IGM,187.64,112.58,10.0,7411.0,55
CPT,86692,"HC HEPATITIS, DELTA AGENT",187.64,112.58,10.0,7411.0,55
CPT,86694,"HC ANTIBODY - HERPES SIMPLEX, NON-",167.33,100.4,10.0,7411.0,165
CPT,86694,"HC REF ARUP COMP 0050772, CPT 86694",27.1,16.26,9.76,7411.0,55
CPT,86695,"HC ANTIBODY - HERPES SIMPLEX,TYPE I",164.66,98.8,10.0,7411.0,55
CPT,86695,"HC HERPES SIMPLEX TYPE 1 TEST - HSV 1/2 IGG, TYPE SPECIFIC AB",164.66,98.8,10.0,7411.0,55
CPT,86695,"HC REF ARUP, QUEST COMP 12600, CPT 86695",120.05,72.03,10.0,7411.0,55
CPT,86696,"HC ANTIBODY - HERPES SIMPLEX,TYPE 2",174.66,104.8,10.0,7411.0,55
CPT,86696,"HC HERPES SIMPLEX TYPE 2 TEST - HSV 1/2 IGG, TYPE SPECIFIC AB",174.66,104.8,10.0,7411.0,55
CPT,86696,"HC REF ARUP 0050294 HERPES SIMPLEX VIRUS TYPE 2 GLYCOPROTEIN G-SPECIFIC ANTIBODY, IGG BY CIA",33.75,20.25,10.0,7411.0,55
CPT,86696,HC REF ARUP 2012135 HSV-2 IGG INHIBITION BY ELISA,396.88,238.13,10.0,7411.0,55
CPT,86696,"HC REF ARUP, QUEST COMP 12600, CPT 86696",120.05,72.03,10.0,7411.0,55
CPT,86698,HC ANTIBODY - HISOTPLASMA,117.66,70.6,10.0,7411.0,385
CPT,86698,HC FUNGAL ANTIBODIES - ANTIBODY - HISOTPLASMA,117.66,70.6,10.0,7411.0,55
CPT,86698,HC FUNGAL PROFILE - ANTIBODY - HISOTPLASMA,117.66,70.6,10.0,7411.0,55
CPT,86698,"HC REF ARUP COMP 0050625, CPT 86698",53.53,32.12,10.0,7411.0,55
CPT,86698,"HC REF ARUP COMP 0050627, CPT 86698",27.59,16.55,9.93,7411.0,55
CPT,86698,"HC REF ARUP, COMP 0050164, CPT 86698",28.77,17.26,10.0,7411.0,55
CPT,86698,"HC REF ARUP, COMP 3000230, CPT 86698",25.88,15.53,9.32,7411.0,55
CPT,86701,HC ANTIBODY - HIV-1,156.36,93.82,7.47,7411.0,165
CPT,86702,HC ANTIBODY - HIV-2,171.78,103.07,10.0,7411.0,55
CPT,86702,HC HIV-2 ANTIBODY - HIV 1/2 CONFIRM & DIFF,171.78,103.07,10.0,7411.0,55
CPT,86703,"HC ANTIBODY - HIV-1 & HIV-2,SINGLE",233.33,140.0,10.0,7411.0,220
CPT,86703,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86703,14.85,8.91,5.35,7411.0,55
CPT,86703,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86703,6.25,3.75,2.25,7411.0,55
CPT,86704,HC HEP B CORE ANTIBODY TOTAL - CORE AB W/REFLEX,180.88,108.53,10.0,7411.0,55
CPT,86704,HC HEP B CORE ANTIBODY TOTAL - HEPATITIS CHRONIC PANEL,180.88,108.53,10.0,7411.0,55
CPT,86704,HC HEPATITIS B CORE ANTIBODY - HBC,180.88,108.53,10.0,7411.0,165
CPT,86704,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86704,14.85,8.91,5.35,7411.0,55
CPT,86704,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86704,6.25,3.75,2.25,7411.0,55
CPT,86705,HC HEPATITIS B CORE ANTIBODY - IGM,211.11,126.67,9.89,7411.0,55
CPT,86706,HC HEP B SURFACE ANTIBODY - HEPATITIS CHRONIC PANEL,197.09,118.25,9.02,7411.0,55
CPT,86706,HC HEPATITIS B SURFACE ANTIBODY(H,197.09,118.25,9.02,7411.0,165
CPT,86706,"HC REF ARUP, 0020090 HEP B SURFACE AB",20.95,12.57,7.54,7411.0,55
CPT,86707,HC HEPATITIS BE ANTIBODY(HBEAB),136.79,82.07,9.72,7411.0,55
CPT,86708,"HC HEPATITIS A AB, IGG",187.64,112.58,10.0,7411.0,55
CPT,86708,"HC HEPATITIS A AB, TOTAL",187.64,112.58,10.0,7411.0,55
CPT,86708,HC HEPATITIS A ANTIBODY - HEPATITIS CHRONIC PANEL,187.64,112.58,10.0,7411.0,55
CPT,86708,HC HEPATITIS A ANTIBODY - TOTAL AB REFLEX IGM,187.64,112.58,10.0,7411.0,55
CPT,86708,"HC HEPATITIS A ANTIBODY(HAAB), TO",187.64,112.58,10.0,7411.0,55
CPT,86708,"HC REF ARUP, 0020591 HEP A VIRUS AB, TOTAL",22.5,13.5,8.1,7411.0,55
CPT,86708,"HC REF MAYO HAVTA HEPATITIS A TOTAL AB, S",42.95,25.77,10.0,7411.0,55
CPT,86709,HC HEPATITIS A ANTIBODY(HAAB) - IGM,211.47,126.88,9.46,7411.0,55
CPT,86710,HC ANTIBODY - INFLUENZA VIRUS,116.48,69.89,10.0,7411.0,275
CPT,86711,HC ANTIBODY - JC VIRUS,1716.0,1029.6,10.0,7411.0,55
CPT,86711,HC JC ANTIBODY - W/INDEX & REFLX INHIBITION,1716.0,1029.6,10.0,7411.0,55
CPT,86711,"HC REF ARUP, 3006254 JC VIRUS AB",75.0,45.0,10.0,7411.0,55
CPT,86713,HC LEGIONELLA AB EVALUATION,210.79,126.47,10.0,7411.0,55
CPT,86713,"HC REF ARUP 3005200 L. PNEUMOPHILA TYPES 1-6, ANTIBODIES",57.5,34.5,10.0,7411.0,55
CPT,86717,HC ANTIBODY - LEISHMANIA,137.85,82.71,10.0,7411.0,55
CPT,86720,HC ANTIBODY - LEPTOSPIRA,202.08,121.25,10.0,7411.0,55
CPT,86723,HC LISTERIA MONOCYTOGENES AB,265.88,159.53,10.0,7411.0,55
CPT,86727,HC LYMPHOCYTIC CHORIOMENING IGG OR IGM,129.61,77.77,10.0,7411.0,55
CPT,86727,HC REF ARUP COMP 2001635 CPT 86727,49.88,29.93,10.0,7411.0,55
CPT,86727,"HC REF ARUP, QUEST COMP 12600, CPT 86727",120.05,72.03,10.0,7411.0,55
CPT,86727,"HC REF ARUP, QUEST COMP 34345, CPT 86727",151.25,90.75,10.0,7411.0,55
CPT,86735,HC ANTIBODY - MUMPS,162.53,97.52,10.0,7411.0,165
CPT,86735,HC MUMPS ANTIBODY - IGG QUAL,162.53,97.52,10.0,7411.0,55
CPT,86735,HC MUMPS ANTIBODY - MMR,162.53,97.52,10.0,7411.0,55
CPT,86735,HC OCCUP ASSESS - ANTIBODY - MUMPS,162.53,97.52,10.0,7411.0,55
CPT,86735,"HC REF ARUP, QUEST COMP 12600, CPT 86735",120.05,72.03,10.0,7411.0,55
CPT,86738,HC ANTIBODY - MYCOPLASMA,179.82,107.89,10.0,7411.0,220
CPT,86747,HC ANTIBODY - PARVOVIRUS,180.58,108.35,10.0,7411.0,165
CPT,86750,HC ANTIBODY - PLASMODIUM (MALARIA),210.0,126.0,10.0,7411.0,55
CPT,86753,HC PROTOZAGN ANTIBODY IGG &,159.0,95.4,10.0,7411.0,220
CPT,86753,"HC REF ARUP COMP 3020058, CPT 86753",56.25,33.75,10.0,7411.0,55
CPT,86753,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86753,14.85,8.91,5.35,7411.0,55
CPT,86753,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86753,6.25,3.75,2.25,7411.0,55
CPT,86753,"HC REF MAYO COMP CRUZI, CPT 86753",112.5,67.5,10.0,7411.0,55
CPT,86753,HC REF TDH CHAGAS DISEASE,510.0,306.0,10.0,7411.0,55
CPT,86756,HC RSV ANTIBODY RL,875.0,525.0,10.0,7411.0,110
CPT,86757,HC ANTIBODY - RICKETTSIA,194.59,116.75,10.0,7411.0,275
CPT,86757,HC REF ARUP 0050381 TYPHUS FEVER AB IGG,37.5,22.5,10.0,7411.0,55
CPT,86757,"HC REF ARUP COMP 0050371, CPT 86757",31.25,18.75,10.0,7411.0,55
CPT,86757,"HC REF ARUP, COMP 2010805, CPT 86757",31.13,18.68,10.0,7411.0,55
CPT,86757,"HC REF ARUP, COMP 201805, CPT 86757",31.88,19.13,10.0,7411.0,55
CPT,86757,HC RICKETTSIA ANTIBODY - TYPHUS FEVER AB TITER IGG,194.59,116.75,10.0,7411.0,55
CPT,86757,HC RICKETTSIA ANTIBODY - TYPHUS FEVER AB TITER IGM,194.59,116.75,10.0,7411.0,55
CPT,86757,HC RICKETTSIA IGG,194.59,116.75,10.0,7411.0,55
CPT,86757,HC RICKETTSIA IGM,194.59,116.75,10.0,7411.0,55
CPT,86757,HC ROCKY MT SPOTTED FEVER IGG,194.59,116.75,10.0,7411.0,55
CPT,86757,HC ROCKY MT SPOTTED FEVER IGG/IGM,194.59,116.75,10.0,7411.0,55
CPT,86757,HC ROCKY MT SPOTTED FEVER IGM,194.59,116.75,10.0,7411.0,55
CPT,86759,HC ROTAVIRUS ANTIBODY,208.35,125.01,10.0,7411.0,55
CPT,86762,HC ANTIBODY - RUBELLA,166.7,100.02,10.0,7411.0,220
CPT,86762,"HC REF ARUP COMP 0050772, CPT 86762",27.1,16.26,9.76,7411.0,55
CPT,86762,"HC REF ARUP COMP 3017749, CPT 86762",24.18,14.51,8.7,7411.0,55
CPT,86762,"HC RUBELLA AB, IGG",166.7,100.02,10.0,7411.0,55
CPT,86762,"HC RUBELLA AB, IGM",166.7,100.02,10.0,7411.0,55
CPT,86762,HC RUBELLA ANTIBODY - OCCUPATION AB ASSESSMENT (MMR/VSV),166.7,100.02,10.0,7411.0,55
CPT,86765,HC ANITBODY - RUBEOLA,165.51,99.31,10.0,7411.0,165
CPT,86765,HC OCCUP ASSESS - ANTIBODY - RUBEOLA,165.51,99.31,10.0,7411.0,55
CPT,86765,"HC REF ARUP 0050380 MEASLES (RUBEOLA) ANTIBODY, IGG",22.5,13.5,8.1,7411.0,55
CPT,86765,"HC REF ARUP 0054440 MEASLES (RUBEOLA) ANTIBODY, IGG, CSF",42.2,25.32,10.0,7411.0,55
CPT,86765,"HC REF ARUP 0054441 MEASLES (RUBEOLA) ANTIBODY, IGM, CSF",52.2,31.32,10.0,7411.0,55
CPT,86765,"HC RUBEOLA AB, IGG",165.51,99.31,10.0,7411.0,55
CPT,86765,"HC RUBEOLA AB, IGM",165.51,99.31,10.0,7411.0,55
CPT,86765,HC RUBEOLA ANTIBODY - MMR,165.51,99.31,10.0,7411.0,55
CPT,86768,HC ANTIBODY - SALMONELLA,90.95,54.57,10.0,7411.0,330
CPT,86768,HC REF ARUP 2010798 SALMONELLA TYPHI AND PARATYPHI ANTIBODIES,30.08,18.05,10.0,7411.0,55
CPT,86768,"HC REF ARUP, COMP 2010805, CPT 86768",31.13,18.68,10.0,7411.0,55
CPT,86768,"HC REF ARUP, COMP 201805, CPT 86768",31.88,19.13,10.0,7411.0,55
CPT,86769,"HC REF ARUP 3002723, SAR-Z COVID-19 SPIKE PROTEIN",135.85,81.51,10.0,7411.0,55
CPT,86769,HC SARS COV2 IGA ANTIBODIES,102.41,61.45,10.0,7411.0,55
CPT,86769,HC SARS COV2 IGG ANTIBODIES,102.41,61.45,10.0,7411.0,55
CPT,86769,HC SARS COV2 IGM ANTIBODIES,102.41,61.45,10.0,7411.0,55
CPT,86769,HC SARS COV2 TOTAL ANTIBODIES,102.41,61.45,10.0,7411.0,55
CPT,86774,HC ANTIBODY - TETANUS,171.04,102.62,10.0,7411.0,55
CPT,86774,"HC REF ARUP, COMP EUROFINS VIVACOR 401844P, CPT 86774",69.63,41.78,10.0,7411.0,55
CPT,86777,HC ANTIBODY - TOXOPLASMA,165.51,99.31,10.0,7411.0,55
CPT,86777,"HC REF ARUP 2013890 TOXOPLASMA GONDII AB IGA, ELISA",525.0,315.0,10.0,7411.0,55
CPT,86777,"HC REF ARUP COMP 0050772, CPT 86777",27.08,16.25,9.75,7411.0,55
CPT,86777,"HC REF DR JACK S REMMINGTON LAB , TOXOPLASMA IGA, IGA ELISA",433.13,259.88,10.0,7411.0,55
CPT,86777,"HC REF DR JACK S REMMINGTON LAB , TOXOPLASMA IGG",446.25,267.75,10.0,7411.0,55
CPT,86777,"HC REF MAYO, COMP FGGMC, CPT 86777",218.48,131.09,10.0,7411.0,55
CPT,86777,"HC THERAPEUTIC DRUG ASSAY - GENTAMICIN, RANDOM",165.51,99.31,10.0,7411.0,55
CPT,86777,"HC TOXOPLASMA GONDII AB, IGA",165.51,99.31,10.0,7411.0,55
CPT,86778,"HC ANTIBODY - TOXOPLASMA, IGM",196.6,117.96,10.0,7411.0,55
CPT,86778,"HC REF ARUP COMP 3017749, CPT 86778",24.15,14.49,8.69,7411.0,55
CPT,86778,"HC REF DR JACK S REMMINGTON LAB , TOXOPLASMA IGM, IGM ISAGA",420.0,252.0,10.0,7411.0,55
CPT,86778,"HC REF MAYO, COMP FGGMC, CPT 86778",218.73,131.24,10.0,7411.0,55
CPT,86778,HC TOXOPLASMA ANTIBODY IGM - TOXOPLASMA GONDII IGG IGM,196.6,117.96,10.0,7411.0,55
CPT,86780,HC IAAD IA - HISTOPLASMA ANTIGEN,163.81,98.29,10.0,7411.0,55
CPT,86780,"HC REF ARUP, 0050477 TREPONEMA PALLIDUM AB, SERUM",27.56,16.54,9.92,7411.0,55
CPT,86780,"HC REF ARUP, 0050777 TREPONEMA PALLIDUM AB",40.95,24.57,10.0,7411.0,55
CPT,86780,"HC REF ARUP, 0050777 TREPONEMA PALLIDUM AB BY TP-PA",40.95,24.57,10.0,7411.0,55
CPT,86780,HC TREPONEMA PALLIDUM,163.81,98.29,10.0,7411.0,220
CPT,86780,HC TREPONEMA PALLIDUM IGG AND IGM,163.81,98.29,10.0,7411.0,55
CPT,86780,"HC TREPONEMA PALLIDUM, CSF",163.81,98.29,10.0,7411.0,55
CPT,86780,"HC TREPONEMA PALLIDUM, IGG",163.81,98.29,10.0,7411.0,55
CPT,86780,"HC TREPONEMA PALLIDUM, IGG & IGM",163.81,98.29,10.0,7411.0,55
CPT,86784,HC ANTIBODY - TRICHINELLA,121.77,73.06,10.0,7411.0,55
CPT,86787,HC ANTIBODY - VARICELLA-ZOSTER,181.65,108.99,10.0,7411.0,165
CPT,86787,"HC REF ARUP 0050162 VARICELLA ZOSTER VIRUS ABS, IGG & IGM",47.5,28.5,10.0,7411.0,55
CPT,86787,"HC REF ARUP, 0054444 VARICELLA IGG QUANT CSF",38.9,23.34,10.0,7411.0,55
CPT,86787,"HC REF ARUP, 0054444 VARICELLA-ZOSTER IGG CSF",38.9,23.34,10.0,7411.0,55
CPT,86787,HC REF MAYO FVZGC VARICELLA ZOSTER VIRUS IGG CSF,161.88,97.13,10.0,7411.0,55
CPT,86787,"HC VARICELLA-ZOSTER (C-POX/SHINGLES), IGM",181.65,108.99,10.0,7411.0,55
CPT,86788,"HC ANTIBODY - WEST NILE VIRUS, IGM",173.53,104.12,10.0,7411.0,110
CPT,86788,"HC ANTIBODY;WEST NILE VIRUS, IGM",173.53,104.12,10.0,7411.0,55
CPT,86788,HC IMMUNOASSAY NONANTIBODY - MI-2,173.53,104.12,10.0,7411.0,55
CPT,86788,"HC REF ARUP COMP 2001594, CPT 86788",46.96,28.18,10.0,7411.0,55
CPT,86788,"HC REF ARUP, QUEST COMP 12600, CPT 86788",160.68,96.41,10.0,7411.0,55
CPT,86788,HC WEST NILE AB IGG/IGM - IGM,173.53,104.12,10.0,7411.0,55
CPT,86788,HC WEST NILE AB IGG/IGM EXT- IGM,173.53,104.12,10.0,7411.0,55
CPT,86788,"HC WEST NILE VIRUS AB, BLOOD",173.53,104.12,10.0,7411.0,55
CPT,86788,"HC WEST NILE VIRUS AB, CSF",173.53,104.12,10.0,7411.0,55
CPT,86789,"HC ANTIBODY,WEST NILE VIRUS",175.14,105.08,10.0,7411.0,55
CPT,86789,"HC ARBOVIRUS PANEL - ANTIBODY,WEST NILE VIRUS",175.14,105.08,10.0,7411.0,55
CPT,86789,"HC REF ARUP COMP 2001594, CPT 86789",46.96,28.18,10.0,7411.0,55
CPT,86789,"HC REF ARUP, QUEST COMP 12600, CPT 86789",120.05,72.03,10.0,7411.0,55
CPT,86789,"HC WEST NILE VIRUS AB, IGG BLOOD",175.14,105.08,10.0,7411.0,55
CPT,86789,"HC WEST NILE VIRUS AB, IGG CSF",175.14,105.08,10.0,7411.0,55
CPT,86790,"HC ANTIBODY - VIRUS, NOT ELSEWHERE",188.22,112.93,10.0,7411.0,715
CPT,86790,HC REF ARUP 2013423 HERPESVIRUS 6 AB IGG,237.5,142.5,10.0,7411.0,55
CPT,86790,HC REF ARUP 3001284 HERPESVIRUS 6 AB IGM,238.0,142.8,10.0,7411.0,55
CPT,86790,"HC REF CARTER BLOOD CARE, B1009 MOLECULAR RBC GENOTYPE",706.13,423.68,10.82,7411.0,55
CPT,86790,HC REF EUROFINS VIRACOR 403918P HERPESVIRUS 6 (HHV-6) IGM & IGG IFA,606.23,363.74,10.0,7411.0,55
CPT,86790,HC REF MAYO COMP FH7GM CPT 86790,305.08,183.05,10.0,7411.0,55
CPT,86790,"HC REF MAYO HTLVC HTLV-1/2 AB SCREEN, CSF",55.08,33.05,10.0,7411.0,55
CPT,86790,"HC REF MAYO, HEVML HEV IMG AB CONFIRMATION, S",462.0,277.2,10.0,7411.0,55
CPT,86790,"HC VIRUS AB NOS - HEPATITIS E, IGG",188.22,112.93,10.0,7411.0,55
CPT,86790,"HC VIRUS AB NOS - HEPATITIS E, IGM",188.22,112.93,10.0,7411.0,55
CPT,86790,"HC VIRUS AB NOS - HTLV I,II",188.22,112.93,10.0,7411.0,55
CPT,86790,HC VIRUS AB NOS - HUMAN HERPES VIRUS-8 (HHV8),188.22,112.93,10.0,7411.0,55
CPT,86793,HC ANTIBODY - YERSINIA,208.0,124.8,10.0,7411.0,55
CPT,86793,HC REF ARUP COMP 0051241 CPT 86793,102.92,61.75,10.0,7411.0,55
CPT,86794,HC ZIKA VIRUS IGM ANTIBODY,244.33,146.6,10.0,7411.0,55
CPT,86800,HC THYROGLOBULIN ANTIBODY - CHRONIC URTICARIA INDEX,192.99,115.79,10.0,7411.0,55
CPT,86800,HC THYROGLOBULIN ANTIBODY - THYROID AB,192.99,115.79,10.0,7411.0,55
CPT,86800,HC THYROGLOBULIN ANTIBODY - TUMOR MARKER,192.99,115.79,10.0,7411.0,55
CPT,86800,"HC THYROGLOBULIN ANTIBODY, RIA",192.99,115.79,10.0,7411.0,55
CPT,86803,HC AB HEPATITIS C 19-9975,254.96,152.98,10.0,7411.0,55
CPT,86803,HC HEPATITIS C AB TEST - HEPATITIS CHRONIC PANEL,254.96,152.98,10.0,7411.0,55
CPT,86803,HC HEPATITIS C ANTIBODY,254.96,152.98,10.0,7411.0,165
CPT,86803,HC REF ARUP 2010784 HEPATITIS C VIRUS AB BY CIA W/RFLX TO HCV QUANT NAAT,32.5,19.5,10.0,7411.0,55
CPT,86803,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86803,14.85,8.91,5.35,7411.0,55
CPT,86803,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86803,6.25,3.75,2.25,7411.0,55
CPT,86803,"HC REF MAYO COMP HCVDX, CPT 86803",77.85,46.71,10.0,7411.0,55
CPT,86804,HC HEPATITIS C ANTIBODY - CONFIRMAT,326.54,195.92,10.0,7411.0,55
CPT,86804,HC REF MAYO HCVL HEPATITIS C VIRUS AB CONFIRMATION,706.25,423.75,10.0,7411.0,55
CPT,86804,"HC REF, CONFIRMATORY TESTING CPT 86804",0.01,0.01,0.0036,7411.0,55
CPT,86805,"HC LYMPHOCYTOTOX.ASSAY,VISUAL CRO",617.0,370.2,10.0,7411.0,110
CPT,86807,HC SERUM SCREEN FOR CYTOTOXIC PRA,605.55,363.33,10.0,7411.0,55
CPT,86812,HC HLA TYPING HR A STD US,968.75,581.25,21.68,7411.0,53
CPT,86812,HC REF ARUP 0095840 HLA B27,67.5,40.5,10.0,7411.0,55
CPT,86812,"HC TISSUE TYPING(HLA) A,B, OR C",914.01,548.41,10.0,7411.0,55
CPT,86812,"HC TISSUE TYPING(HLA) A,B, OR C IMMUNOLOGY TRANSPLANT",914.01,548.41,10.0,7411.0,55
CPT,86813,HC HLA TYPING IR ABC STD INTL,992.0,595.2,48.72,7411.0,53
CPT,86813,HC HLA TYPING IR ABC STD US,992.0,595.2,48.72,7411.0,53
CPT,86813,"HC TISSUE TYPING(HLA) A,B,OR C, M",1023.31,613.985,10.0,7411.0,165
CPT,86816,HC HLA TYPING HR DQB1 STD US,937.75,562.65,25.34,7411.0,53
CPT,86816,HC HLA TYPING HR DRB1 STD US,961.0,576.6,25.34,7411.0,53
CPT,86825,HC HLA CROSSMATCH - 1ST SERUM SAMPLE,914.61,548.77,10.0,7411.0,55
CPT,86826,HC HLA CROSSMATCH - EA AD SERUM SAMPLE,378.06,226.84,10.0,7411.0,55
CPT,86828,HC HLA BILLING FOR 2 AB SCR,510.71,306.43,10.0,7411.0,55
CPT,86828,HC HLA CLASS I&II ANTIBODY QUAL - PRA AB SCREEN,510.71,306.43,10.0,7411.0,55
CPT,86828,HC HLA CLASS I&II ANTIBODY QUAL - XPLANT PRA AB SCREEN,510.71,306.43,10.0,7411.0,55
CPT,86830,HC HLA CLASS I PHENOTYPE QUA,749.04,449.42,10.0,7411.0,55
CPT,86831,HC HLA CLASS II PHENOTYPE QUA,761.03,456.62,10.0,7411.0,55
CPT,86831,"HC REF UCLA IMMUNOGENETICS CENTER, 310056 MICA ANTIBODY",625.0,375.0,10.0,7411.0,55
CPT,86832,HC HLA  ANTIBODY PANEL HIGH DEFINITION CLASS,927.71,556.63,10.0,7411.0,55
CPT,86832,HC HLA CLASS I HIGH DEF - DONOR SPECIFIC,927.71,556.63,10.0,7411.0,55
CPT,86832,HC HLA CLASS I HIGH DEF QUAL,927.71,556.63,10.0,7411.0,55
CPT,86832,"HC HLA CLASS I HIGH DEF QUAL, POST TRANSPLANT DSA",927.71,556.63,10.0,7411.0,55
CPT,86833,HC HLA ANTIBODY PANEL HIGH DEFINITN CLASS II,884.24,530.54,10.0,7411.0,55
CPT,86833,HC HLA CLASS II HIGH DEF - DONOR SPECIFIC,884.24,530.54,10.0,7411.0,55
CPT,86833,HC HLA CLASS II HIGH DEF DSA - POST TRANSPLANT,884.24,530.54,10.0,7411.0,55
CPT,86833,HC HLA CLASS II HIGH DEF QUAL - TXG COMPLEMENT BINDING,884.24,530.54,10.0,7411.0,55
CPT,86849,HC IMMUNOLOGY PROCEDURE,482.31,289.39,10.0,7411.0,39
CPT,86849,HC PROTHROMBIN ANTIBODY,445.865,267.52,10.0,7411.0,78
CPT,86849,"HC REF ARUP, COMP 2012729, CPT 86849",127.01,76.21,10.0,7411.0,39
CPT,86850,"HC AB SCREEN, RBC (INDIRECT COOMBS)",228.91,137.35,9.28,7411.0,55
CPT,86850,"HC ANTIBODY SCREEN,RBC, EACH SERUM",228.91,137.35,9.28,7411.0,110
CPT,86850,HC INDIRECT COOMBS (ANTIBODY SCR),228.91,137.35,9.28,7411.0,55
CPT,86850,HC RBC ANTIBODY SCREEN -  PRENATAL,228.91,137.35,9.28,7411.0,55
CPT,86850,"HC REF ANTIBODY SCREEN,RBC, EACH SERUM",277.59,166.55,9.28,7411.0,55
CPT,86850,"HC REF ARUP, COMP VERSITI 3111, CPT 86850",51.19,30.71,8.7,7411.0,55
CPT,86850,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86850,14.85,8.91,2.52,7411.0,55
CPT,86850,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86850,6.25,3.75,1.06,7411.0,55
CPT,86850,"HC REF VERSITI COMP 3111, CPT 86850",119.56,71.74,9.28,7411.0,55
CPT,86860,"HC ANTIBODY ELUTION(RBC),EACH ELU",299.37,179.62,10.0,7411.0,110
CPT,86860,HC ELUTION,299.37,179.62,10.0,7411.0,55
CPT,86860,"HC REF ARUP, COMP VERSITI 3111, CPT 86860",255.94,153.56,10.0,7411.0,55
CPT,86860,"HC REF VERSITI COMP 3111, CPT 86860",119.56,71.74,10.0,7411.0,55
CPT,86870,"HC ANTIBODY ID,RBC ANTIBODIES, EACH",396.34,237.8,10.0,7411.0,110
CPT,86870,HC ANTIBODY IDENTIFICATION,396.34,237.8,10.0,7411.0,55
CPT,86870,HC RBC ANTIBODY IDENTIFICATION,396.34,237.8,10.0,7411.0,55
CPT,86870,"HC REF ARUP, 0013410 THERMAL AMPLITUDE TEST",393.75,236.25,10.0,7411.0,55
CPT,86870,"HC REF ARUP, COMP 0013003, CPT 86870",163.35,98.01,10.0,7411.0,55
CPT,86870,"HC REF ARUP, COMP VERSITI 3111, CPT 86870",255.94,153.56,10.0,7411.0,55
CPT,86870,"HC REF VERSITI COMP 3111, CPT 86870",119.56,71.74,10.0,7411.0,55
CPT,86880,HC ANTIHUMAN GLOBULIN (COOMBS),135.97,81.58,4.53,7411.0,55
CPT,86880,"HC ANTIHUMAN GLOBULIN (COOMBS), C3",135.97,81.58,4.53,7411.0,55
CPT,86880,"HC ANTIHUMAN GLOBULIN (COOMBS), IGG",135.97,81.58,4.53,7411.0,55
CPT,86880,HC ANTIHUMAN GLOBULIN TEST - DIRECT,135.97,81.58,4.53,7411.0,110
CPT,86880,HC DIRECT COOMBS,135.97,81.58,4.53,7411.0,55
CPT,86880,"HC REF ARUP, COMP 0013003, CPT 86880",163.35,98.01,4.53,7411.0,55
CPT,86880,"HC REF ARUP, COMP VERSITI 3111, CPT 86880",31.99,19.19,4.53,7411.0,55
CPT,86880,"HC REF MEDFUSION, 36668 DAT ANTI IGG C3D PANEL",93.3,55.98,4.53,7411.0,55
CPT,86880,"HC REF VERSITI COMP 3111, CPT 86880",119.56,71.74,4.53,7411.0,55
CPT,86885,HC ANTIHUMAN GLOBULIN TEST - INDIRE,100.43,60.26,4.8,7411.0,55
CPT,86886,HC ANTIBODY TITER,243.33,146.0,4.35,7411.0,55
CPT,86886,"HC ANTIHUMAN GLOBULIN TEST,INDIRE",243.33,146.0,4.35,7411.0,110
CPT,86886,HC COOMBS TEST INDIRECT TITER,243.33,146.0,4.35,7411.0,55
CPT,86890,HC AUTO TRANS PROCESSING,1604.25,962.55,10.0,7411.0,55
CPT,86890,HC AUTOLOGOUS BLOOD UNIT USA,1712.75,1027.65,162.59,7411.0,53
CPT,86891,HC CELLSAVER,1517.83,910.7,258.03,7411.0,55
CPT,86900,HC ABO TYPE,171.97,103.18,2.51,7411.0,55
CPT,86900,HC BLOOD TYPING - ABO,171.97,103.18,2.51,7411.0,110
CPT,86900,HC BLOOD TYPING - ABO UNIT,171.97,103.18,2.51,7411.0,55
CPT,86900,"HC REF ARUP, COMP 0013003, CPT 86900",163.35,98.01,2.51,7411.0,55
CPT,86900,"HC REF ARUP, COMP VERSITI 3111, CPT 86900",255.94,153.56,2.51,7411.0,55
CPT,86900,"HC REF ARUP, VERSITI 3110 DRUG DEPENDENT RBC AB",7925.0,4755.0,2.51,7411.0,55
CPT,86900,"HC REF CARTER BLOOD CARE, B2070 - ABO SEROLOGIC BLOOD TYPING",139.13,83.48,2.51,7411.0,55
CPT,86900,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86900,14.85,8.91,2.51,7411.0,55
CPT,86900,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86900,6.25,3.75,2.25,7411.0,55
CPT,86900,"HC REF VERSITI COMP 3111, CPT 86900",119.56,71.74,2.51,7411.0,55
CPT,86901,HC BLOOD TYPING - RH,127.41,76.45,2.51,7411.0,110
CPT,86901,HC BLOOD TYPING - RH D UNIT,127.41,76.45,2.51,7411.0,55
CPT,86901,"HC REF ARUP, COMP 0013003, CPT 86901",163.35,98.01,2.51,7411.0,55
CPT,86901,"HC REF ARUP, COMP VERSITI 3111, CPT 86901",255.94,153.56,2.51,7411.0,55
CPT,86901,"HC REF CARTER BLOOD CARE, B2070 - RH(D) SEROLOGIC BLOOD TYPING",139.13,83.48,2.51,7411.0,55
CPT,86901,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86901,14.85,8.91,2.51,7411.0,55
CPT,86901,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 86901,6.25,3.75,2.25,7411.0,55
CPT,86901,"HC REF VERSITI COMP 3111, CPT 86901",119.56,71.74,2.51,7411.0,55
CPT,86901,HC RH TYPE,127.41,76.45,2.51,7411.0,55
CPT,86902,HC BLOOD TYPING - ANTIGEN TEST DONOR BLOOD REGEANT SERUM - EACH,357.21,214.33,5.33,7411.0,55
CPT,86902,HC BLOOD TYPING - ANTIGN TST DNR BL,357.21,214.33,5.33,7411.0,110
CPT,86904,HC ANTIGEN TYPES - PT SERUM,192.51,115.51,10.0,7411.0,55
CPT,86904,"HC BLOOD TYPING - ANTIGEN SCREEN,CO",192.51,115.51,10.0,7411.0,55
CPT,86905,HC BLOOD TYPING - RBC ANTIGEN OTHER,357.21,214.33,3.22,7411.0,110
CPT,86905,HC BLOOD TYPING RBC ANTIGENS,357.21,214.33,3.22,7411.0,55
CPT,86905,HC BLOOD TYPING;RBC ANTIGEN OTHER,357.21,214.33,3.22,7411.0,55
CPT,86905,HC PATIENT AG TYPING,357.21,214.33,3.22,7411.0,55
CPT,86905,HC REF ARUP 2007717 FYA ANTIGEN TYPING,262.83,157.7,3.22,7411.0,55
CPT,86905,HC REF ARUP 2007725 FYB ANTIGEN TYPING,262.83,157.7,3.22,7411.0,55
CPT,86906,"HC BLOOD TYPING - RH PHENOTYPING,",255.11,153.07,6.51,7411.0,110
CPT,86906,"HC REF ARUP, COMP 0013003, CPT 86906",155.57,93.34,6.51,7411.0,55
CPT,86906,HC REF BLOOD TYPING - RH PHENOTYPING,208.3,124.98,6.51,7411.0,55
CPT,86920,"HC COMPATIBILITY TST,IMMEDTE SPIN",282.54,169.52,10.0,7411.0,110
CPT,86920,HC CROSSMATCH IS,282.54,169.52,10.0,7411.0,55
CPT,86922,"HC COMPTBLE TEST,ANTIGLOBULIN TEC",304.77,182.86,10.0,7411.0,110
CPT,86922,HC CROSSMATCH AHG,304.77,182.86,10.0,7411.0,55
CPT,86923,HC ANALYSIS INFOR DATA STORED IN,313.7,188.22,10.0,7411.0,55
CPT,86923,"HC COMPATIBILITY TEST,ELECTRIC TE",313.7,188.22,10.0,7411.0,110
CPT,86927,"HC FRESH FROZEN PLASMA,THAWING,EA",190.58,114.35,10.0,7411.0,55
CPT,86940,HC ACID HEMOLYSIS,157.5,94.5,7.37,7411.0,55
CPT,86940,"HC REF ARUP COMP 0013039, CPT 86940",180.38,108.23,7.37,7411.0,55
CPT,86941,"HC REF ARUP COMP 0013039, CPT 86941",180.38,108.23,10.0,7411.0,55
CPT,86945,HC BLOOD IRRADIATION,207.07,124.24,10.0,7411.0,55
CPT,86945,"HC IRRADIATION OF BLOOD PRODUCT,E",207.07,124.24,10.0,7411.0,110
CPT,86960,HC BLOOD PRODUCT VOLUME REDUCTION,216.69,130.01,10.0,7411.0,55
CPT,86965,HC COMPONENT POOLING,232.01,139.21,10.0,7411.0,55
CPT,86965,HC POOLING CHARGE,232.01,139.21,10.0,7411.0,110
CPT,86970,HC PATIENT CELL PRETREATMENT,220.8,132.48,10.0,7411.0,55
CPT,86971,HC RBC ENZYME PRETREATMENT,357.21,214.33,10.0,7411.0,55
CPT,86971,"HC RBC TREAT,INCUBATION W/ENZYMES",357.21,214.33,10.0,7411.0,55
CPT,86971,"HC REF GULF COAST, FICIN TREATMENT",157.5,94.5,10.0,7411.0,55
CPT,86972,HC RBC PRETREATMENT BY DENSITY GRADIENT SEP,79.55,47.73,10.0,7411.0,55
CPT,86972,HC REF PRETREATMENT OF RBC IN ANTIBODY DETECTION,73.66,44.2,12.52,7411.0,55
CPT,86977,"HC RBC PRETREAT SERUM ID,INCUBAT",179.42,107.65,10.0,7411.0,110
CPT,86978,"HC RBC PRETREST SERUM ID, EACH AB",425.31,255.19,10.0,7411.0,110
CPT,86978,HC REF SERUM ABSORPTION,383.84,230.3,10.0,7411.0,55
CPT,86978,HC SERUM ABSORPTION,425.31,255.19,10.0,7411.0,55
CPT,86985,"HC BLOOD/BLOOD PRODUCTS,SPLITTING",209.54,125.72,10.0,7411.0,110
CPT,86985,HC PEDI ALIQUOT,209.54,125.72,10.0,7411.0,55
CPT,87015,HC CONCENTRATION INF AGENT - CULTURE BLOOD ACID-FAST BACTERIA,85.54,51.32,5.61,7411.0,55
CPT,87015,"HC CONCENTRATION(ANY TYPE),FOR IN",85.54,51.32,5.61,7411.0,220
CPT,87015,"HC REF ARUP COMP 0060052, CPT 87015",45.94,27.56,5.61,7411.0,55
CPT,87015,HC REF ARUP COMP 2009226 PNEUMO JIROVECII DFA W/R CPT 87015,29.4,17.64,5.61,7411.0,55
CPT,87015,"HC REF MEDFUSION, CONCEN CONCEN FOR INF AGENTS",65.33,39.2,5.61,7411.0,55
CPT,87015,"HC SPECIMEN INFECT AGNT CONCNTJ - CULTURE, BLOOD, QUANT",85.54,51.32,5.61,7411.0,55
CPT,87015,"HC SPECIMEN INFECT AGNT CONCNTJ - CULTURE, FUNGAL BLOOD",85.54,51.32,5.61,7411.0,55
CPT,87040,HC BLOOD CULTURE FOR BACTERIA - BLOOD TXFUSION REACTION,340.52,204.31,8.67,7411.0,55
CPT,87040,HC BLOOD CULTURE FOR BACTERIA - QUANTITATIVE,340.52,204.31,8.67,7411.0,55
CPT,87040,"HC CULT,BACT - BLOOD,AEROBIC W/ISO",340.52,204.31,8.67,7411.0,55
CPT,87045,"HC CULT, BACT - STOOL,AEROBIC W/ISO",255.47,153.28,7.93,7411.0,55
CPT,87045,"HC FECES CULTURE AEROBIC BACT - CULTURE, STOOL",255.47,153.28,7.93,7411.0,55
CPT,87046,"HC CULT,BACT - STOOL,AEROBIC,ADD PA",116.69,70.01,7.93,7411.0,220
CPT,87046,HC STOOL CULTR AEROBIC BACT EA - YERSINIA,116.69,70.01,7.93,7411.0,55
CPT,87070,"HC CULTURE OTHR SPECIMN AEROBIC - CULTURE, MEDICAL DEVICE",285.48,171.29,7.24,7411.0,55
CPT,87070,HC CULTURE OTHR SPECIMN AEROBIC - EAR,285.48,171.29,7.24,7411.0,55
CPT,87070,HC CULTURE OTHR SPECIMN AEROBIC - EYE,285.48,171.29,7.24,7411.0,55
CPT,87070,HC CULTURE OTHR SPECIMN AEROBIC - MODIFIED ACID FAST STAIN,285.48,171.29,7.24,7411.0,55
CPT,87070,HC CULTURE OTHR SPECIMN AEROBIC - NASOPHARYNGEAL,285.48,171.29,7.24,7411.0,55
CPT,87070,HC CULTURE OTHR SPECIMN AEROBIC - SINUS,285.48,171.29,7.24,7411.0,55
CPT,87070,HC CULTURE OTHR SPECIMN AEROBIC - SURGICAL WOUND,285.48,171.29,7.24,7411.0,55
CPT,87070,HC CULTURE OTHR SPECIMN AEROBIC - THROAT CULTURE,285.48,171.29,7.24,7411.0,55
CPT,87070,"HC CULTURE, BACTERIAL - ANY OTHER",285.48,171.29,7.24,7411.0,935
CPT,87070,"HC CULTURE, BACTERIAL, ANY OTHER - THROAT",285.48,171.29,7.24,7411.0,55
CPT,87070,"HC CULTURE, BACTERIAL; ANY OTHER",285.48,171.29,7.24,7411.0,55
CPT,87070,HC REF ARUP COMP 2006686 CPT 87070,58.44,35.06,7.24,7411.0,55
CPT,87070,"HC REF SYNOVASURE, COMP PJII, CPT 87070",75.54,45.32,7.24,7411.0,55
CPT,87071,"HC CULT,BACT - QUANT,AER W/ISO & PR",223.85,134.31,8.31,7411.0,165
CPT,87071,"HC CULT,BACT,QUANT,AER W/ISO &PR - RESPIRATORY",223.85,134.31,8.31,7411.0,55
CPT,87075,"HC CULTR BACTERIA EXCEPT BLOOD - CULTURE, MEDICAL DEVICE",346.77,208.06,7.95,7411.0,55
CPT,87075,"HC CULTRE BACT, ANY SOURCE,EXCPT",346.77,208.06,7.95,7411.0,55
CPT,87075,"HC CULTURE,BACT EXCEPT BLOOD, - ORTHOPEDIC",346.77,208.06,7.95,7411.0,55
CPT,87075,"HC REF SYNOVASURE, COMP PJII, CPT 87075",75.54,45.32,7.95,7411.0,55
CPT,87076,"HC CULTURE, BACTERIAL/DEFINITIVE",174.15,104.49,6.79,7411.0,220
CPT,87076,"HC REF MEDFUSION, ANID1 BAC ID ANEROBIC 1 ORG",228.01,136.81,6.79,7411.0,55
CPT,87076,HC STERILITY TEST ID ANAER ALLO,174.15,104.49,6.79,7411.0,55
CPT,87076,HC STERILITY TEST ID ANAER AUTO,174.15,104.49,6.79,7411.0,55
CPT,87077,"HC CULT,BACT,AEROBIC ISO,ADD METH",146.91,88.15,6.79,7411.0,165
CPT,87077,"HC REF MEDFUSION, AERID1 BAC ID AEROBIC 1 ORG",120.7,72.42,6.79,7411.0,55
CPT,87081,HC CULTURE SCREEN ONLY - H. PYLORI,179.61,107.77,5.57,7411.0,55
CPT,87081,"HC CULTURE,PRESUMP,PATHOGENIC ORG",179.61,107.77,5.57,7411.0,495
CPT,87081,"HC CULTURE,PRESUMP,PATHOGENIC ORG,SCREEN - GROUP A STREP",179.61,107.77,5.57,7411.0,55
CPT,87081,"HC CULTURE,PRESUMP,PATHOGENIC ORG,SCREEN - NOCARDIA",179.61,107.77,5.57,7411.0,55
CPT,87081,HC REF ARUP 0060159 BRUCELLA CULTURE,116.88,70.13,5.57,7411.0,55
CPT,87086,"HC CULTURE,BACTERIAL,URINE - QUANTI",215.5,129.3,6.78,7411.0,55
CPT,87088,"HC CULTURE, BACTERIAL, URINE/IDEN",142.75,85.65,6.8,7411.0,55
CPT,87101,"HC CULTURE, FUNGI ISOLATION - SKIN,",168.27,100.96,6.48,7411.0,55
CPT,87102,HC BACTERIAL DETECTION BY PCR,271.93,163.16,7.06,7411.0,55
CPT,87102,"HC CULTURE, FUNGI, ISOLATION, OTH",271.93,163.16,7.06,7411.0,165
CPT,87103,"HC CULTURE, FUNGI, ISOLATION, BLO",248.92,149.35,10.0,7411.0,55
CPT,87106,"HC CULT, FUNGI - DEFINITIVE ID/EA O",172.34,103.4,8.67,7411.0,55
CPT,87106,HC FUNGAL DETECTION BY PCR,172.34,103.4,8.67,7411.0,55
CPT,87106,"HC REF MEDFUSION, YSTID1 FUNGAL ID 1 YEAST",127.82,76.69,8.67,7411.0,55
CPT,87107,HC CULTURE ID FUNGAL/MOLD,167.43,100.46,8.67,7411.0,55
CPT,87107,"HC REF MEDFUSION, MLDID1 FUNGAL ID 1 MOLD",114.85,68.91,8.67,7411.0,55
CPT,87109,"HC CULTURE, MYCOPLASMA, ANY SOURC",202.24,121.34,10.0,7411.0,55
CPT,87110,"HC CULTURE, CHLAMYDIA",265.68,159.41,10.0,7411.0,55
CPT,87116,"HC CULTURE, TUBERCLE OR OTHER ACI",258.4,155.04,9.07,7411.0,165
CPT,87116,HC MYCOBACTERIA CULTURE - BLOOD ACID FAST,258.4,155.04,9.07,7411.0,55
CPT,87118,"HC CULT,MYCOBACTERIAL,DEFINITIVE",172.83,103.7,10.0,7411.0,55
CPT,87140,HC CHLAMYDIA SHELL VIALS,93.0,55.8,4.68,7411.0,55
CPT,87140,HC CULTURE TYPING,93.0,55.8,4.68,7411.0,110
CPT,87143,HC MYCOBACT HPLC ID,137.88,82.73,10.0,7411.0,55
CPT,87147,"HC CULT, TYP - IMM METD,NOT IMMFLOU",86.98,52.19,4.35,7411.0,110
CPT,87147,"HC REF MEDFUSION, SERA1 1 BACT TYPING ANTISERA",144.38,86.63,4.35,7411.0,55
CPT,87149,"HC CULTURE TYPE,NUCLEIC ACID",222.25,133.35,10.0,7411.0,440
CPT,87149,"HC REF MEDFUSION, MAVIIDDNA PROBE ID M AVIUM CHR",510.38,306.23,10.0,7411.0,55
CPT,87149,"HC REF MEDFUSION, MTUBID DNA PROBE ID M TUBE",511.72,307.03,10.0,7411.0,55
CPT,87149,"HC REF MEDFUSION, VSDNA1 VERIGENE GRAM POS DNA BLOOD",350.36,210.22,10.0,7411.0,55
CPT,87153,"HC CULT,TYPING - DNA/RNA - SEQUENCE T",788.88,473.33,10.0,7411.0,55
CPT,87154,HC CULTURE TYPING ID BLD PTHGN&RESIST TYPING 6+TRGT,110.16,66.1,10.0,7411.0,55
CPT,87154,"HC REF MEDFUSION, VSDNA1 VERIGENE GRAM POS DNA BLOOD",244.13,146.48,10.0,7411.0,55
CPT,87168,HC MACROSCOPIC EXAM - PARASITE,75.6,45.36,3.59,7411.0,55
CPT,87169,HC MACROSCOPIC EXAMINATION - PARAS,81.24,48.74,3.62,7411.0,55
CPT,87172,HC PINWORM EXAM,82.5,49.5,3.59,7411.0,55
CPT,87176,"HC HOMOGENIZATION, TISSUE, FOR CU",76.2,45.72,4.94,7411.0,55
CPT,87176,HC REF ARUP COMP 2006686 CPT 87176,58.44,35.06,4.94,7411.0,55
CPT,87177,"HC OVA/PARASITES, DIRECT SMEAR",171.03,102.62,7.48,7411.0,165
CPT,87181,HC MICROBE SUSCEPTIBLE DIFFUSE - MEDFUSION 1003373/AERSUS,91.04,54.62,3.99,7411.0,55
CPT,87181,"HC SUSCEPT STUDY,ANTIMIC AGT,AGR",91.04,54.62,3.99,7411.0,385
CPT,87182,HC SC STD CARBAPENEMASE NZM DET,78.38,47.03,3.99,7411.0,37
CPT,87184,HC MICROBE SUSCEPTIBLE DISK - MEDFUSION 1003373/AERSUS,132.19,79.31,6.28,7411.0,55
CPT,87184,"HC SUSCEPT STUDY,ANTIMIC AGT,DISK",132.19,79.31,6.28,7411.0,165
CPT,87185,"HC REF MEDFUSION, BLACT BETA LACTAMASE",146.73,88.04,3.99,7411.0,55
CPT,87185,"HC SUS STUDY,ANTIMIC AGT,ENZYME D",78.38,47.03,3.99,7411.0,55
CPT,87186,HC MICROBE SUSCEPTIBLE MIC - MEDFUSION 1003373/AERSUS,282.44,169.46,7.27,7411.0,55
CPT,87186,"HC SUSCEPT STUDY,ANTIMIC AGT,MICR",282.44,169.46,7.27,7411.0,165
CPT,87188,"HC SUSCEPT STUDY,ANTIMIC AGT,MACR",99.52,59.71,5.58,7411.0,55
CPT,87205,HC EOSINOPHILS URINE,123.65,74.19,3.59,7411.0,55
CPT,87205,HC GRAM STAIN SMEAR,123.65,74.19,3.59,7411.0,220
CPT,87205,"HC SMEAR GRAM STAIN - CULTURE, ANAEROBIC",123.65,74.19,3.59,7411.0,55
CPT,87205,"HC SMEAR GRAM STAIN - CULTURE, BODY FLUID",123.65,74.19,3.59,7411.0,55
CPT,87205,"HC SMEAR GRAM STAIN - CULTURE, CSF",123.65,74.19,3.59,7411.0,55
CPT,87205,"HC SMEAR GRAM STAIN - CULTURE, EAR",123.65,74.19,3.59,7411.0,55
CPT,87205,"HC SMEAR GRAM STAIN - CULTURE, EYE",123.65,74.19,3.59,7411.0,55
CPT,87205,"HC SMEAR GRAM STAIN - CULTURE, H. PYLORI",123.65,74.19,3.59,7411.0,55
CPT,87205,"HC SMEAR GRAM STAIN - CULTURE, ORTHOPEDIC",123.65,74.19,3.59,7411.0,55
CPT,87205,"HC SMEAR GRAM STAIN - CULTURE, RESP, CYSTIC FIBROSIS",123.65,74.19,3.59,7411.0,55
CPT,87205,"HC SMEAR GRAM STAIN - CULTURE, RESPIRATORY",123.65,74.19,3.59,7411.0,55
CPT,87205,"HC SMEAR GRAM STAIN - CULTURE, SINUS",123.65,74.19,3.59,7411.0,55
CPT,87205,"HC SMEAR GRAM STAIN - CULTURE, SURGICAL WOUND",123.65,74.19,3.59,7411.0,55
CPT,87205,"HC SMEAR GRAM STAIN - CULTURE, TISSUE",123.65,74.19,3.59,7411.0,55
CPT,87205,"HC SMEAR GRAM STAIN - CULTURE, WOUND",123.65,74.19,3.59,7411.0,55
CPT,87206,"HC REF ARUP 2004589 FUNGAL STAIN, KOH WITH CALCOFLUOR WHITE",52.63,31.58,4.53,7411.0,55
CPT,87206,HC SMEAR FLUORESCENT/ACID STAI - ACID FAST BACTERIA,145.82,87.49,4.53,7411.0,55
CPT,87206,HC SMEAR FLUORESCENT/ACID STAI - BLOOD ACID FAST,145.82,87.49,4.53,7411.0,55
CPT,87206,HC SMEAR FLUORESCENT/ACID STAI - MODIFIED ACID FAST STAIN,145.82,87.49,4.53,7411.0,55
CPT,87206,"HC SMEAR,FLORESCENT/ACID FAST STA",145.82,87.49,4.53,7411.0,275
CPT,87206,"SMEAR, PRIMARY SOURCE WITH INTERPRETATION; FLUORESCENT AND/OR ACID FAST STAIN FOR BACTERIA, FUNGI, PARASITES, VIRUSES OR CELL TYPES",,,4.53,27.81,30
CPT,87207,"HC SMEAR SPECIAL STAIN - PARASITE STAIN, BLOOD",167.96,100.78,5.03,7411.0,55
CPT,87207,"HC SMEAR,SPECL STAN(EG.MALAR,HERP",167.96,100.78,5.03,7411.0,220
CPT,87209,"HC SMEAR,PRIMAR,CONCNTRTE/CMPLX S",151.85,91.11,10.0,7411.0,55
CPT,87210,"HC SMEAR, WET MOUNT FOR INFECTIOU",125.99,75.59,4.89,7411.0,220
CPT,87220,HC TISSUE EXAMINATION FOR FUNGI,85.04,51.02,3.59,7411.0,55
CPT,87230,HC CLOSTRIDIUM DIFFICLE TOXN ASSY,477.58,286.55,10.0,7411.0,55
CPT,87250,HC VIRUS ID INOC EMBRYONATED,343.29,205.97,10.0,7411.0,55
CPT,87252,HC REF ARUP 2006499 VIRAL CULTURE RESPIRATORY,150.0,90.0,10.0,7411.0,55
CPT,87252,HC REF LABCORP COMP 138370 CPT 87252,392.18,235.31,10.0,7411.0,55
CPT,87252,"HC VIRUS ISO - TISUE CULTRE,INOCUL/",311.83,187.1,10.0,7411.0,275
CPT,87253,HC REF LABCORP COMP 138370 CPT 87253,392.18,235.31,10.0,7411.0,55
CPT,87254,"HC VIRS ISO,CENTRFG ENH TENQ,INC",221.67,133.0,10.0,7411.0,605
CPT,87255,HC GENET VIRUS ISOLATE HSV,95.44,57.26,10.0,7411.0,55
CPT,87255,HC HERPES SIMPLEX V CULT     (SO),95.44,57.26,10.0,7411.0,55
CPT,87255,HC REF ARUP 0065005 HERPES SIMPLEX VIRUS CULTURE,70.95,42.57,10.0,7411.0,55
CPT,87255,HC REF CX HERPES SIMPLEX VIRUS,99.5,59.7,10.0,7411.0,55
CPT,87260,HC ADENOVIRUS ANTIGEN RL,131.81,79.09,10.0,7411.0,55
CPT,87265,"HC INF AGENT DETCT,DFA - BORDETELLA",131.81,79.09,10.0,7411.0,55
CPT,87267,"HC INF AGT DETECT - ENTEROVIRUS,FLO",92.0,55.2,10.0,7411.0,55
CPT,87271,HC INF AGT DETECT - CYTOMEGALOVIRUS,275.67,165.4,10.0,7411.0,55
CPT,87273,HC DFA HSV2,139.0,83.4,10.0,7411.0,55
CPT,87273,HC IF HERPES SIMPLEX TYPE 2,139.0,83.4,10.0,7411.0,55
CPT,87274,HC INF AGT DETECT - HERPES SIMPLEX,136.32,81.79,10.0,7411.0,55
CPT,87275,HC IF INFLUENZA B VIRUS,134.56,80.74,10.0,7411.0,110
CPT,87276,HC IF INFLUENZA A VIRUS,137.43,82.46,10.0,7411.0,55
CPT,87276,HC INFLUENZA A AG IMMUNO FLUOR,137.43,82.46,10.0,7411.0,55
CPT,87278,"HC INF AGENT DETCT,DFA - LEGIONELLA",210.04,126.02,10.0,7411.0,55
CPT,87279,HC PARAINFLUENZA VIRUS 2 ABS,134.55,80.73,10.0,7411.0,55
CPT,87281,HC PNEUMOCYSTIS CARINII AG BY,256.74,154.04,10.0,7411.0,55
CPT,87281,"HC REF ARUP COMP 0060052, CPT 87281",45.94,27.56,10.0,7411.0,55
CPT,87281,HC REF ARUP COMP 2009226 PNEUMO JIROVECII DFA W/R CPT 87281,29.4,17.64,10.0,7411.0,55
CPT,87290,HC INF AGENT DETECT - VARICELLA ZO,154.63,92.78,10.0,7411.0,55
CPT,87300,HC HSV TYPING-AG DETECT BY IFA,138.39,83.03,10.0,7411.0,55
CPT,87305,HC ASPERGILLUS AG IA (SERUM),265.41,159.25,10.0,7411.0,55
CPT,87305,HC ASPERGILLUS AG IA (URINE),265.41,159.25,10.0,7411.0,55
CPT,87305,HC ASPERGILLUS AG IA - GALACTOMANNAN BAL,265.41,159.25,10.0,7411.0,55
CPT,87305,"HC INF AFT DETCT IMMUNO TECH,ASPE",265.41,159.25,10.0,7411.0,55
CPT,87305,"HC REF LAB LABCORP, 183858 ASPERGILLUS AG CSF",517.5,310.5,10.0,7411.0,55
CPT,87305,"HC REF MAYO ASPAG ASPERGILLUS AG, SERUM",149.6,89.76,10.0,7411.0,55
CPT,87324,HC CLOSTRIDIUM DIFF TOX A/B,211.69,127.01,10.0,7411.0,55
CPT,87324,"HC IAAD CLOSTRIDIUM DIFFICILE TOXINS, EIA",211.69,127.01,10.0,7411.0,55
CPT,87324,"HC IIAD CLOSTRIDIUM DIFFICILE TOXIN, SCREEN",211.69,127.01,10.0,7411.0,55
CPT,87327,"HC CHG CRYPTOCOCCUS NEOFORMANS AG, EIA",144.71,86.83,10.0,7411.0,55
CPT,87327,"HC IAAD IA - CRYPTOCOCCUS NEOFORM, CSF",144.71,86.83,10.0,7411.0,55
CPT,87328,HC CRYPTOSPRIDIUM ANTIGEN RL,133.41,80.05,10.0,7411.0,55
CPT,87329,HC GIARDIA ANTIGEN RL,156.49,93.89,10.0,7411.0,55
CPT,87329,HC REF ARUP 0060048 GIARDIA AG BY EIA,38.45,23.07,10.0,7411.0,55
CPT,87337,HC ENTAMEBA HISTOLYT GROUP AG,185.46,111.28,10.0,7411.0,55
CPT,87337,HC REF E HISTOLYTICA AG EIA,278.93,167.36,10.0,7411.0,55
CPT,87338,"HC HELICOBACTER PYLORI,STOOL",234.74,140.84,10.0,7411.0,55
CPT,87338,"HC REF ARUP 0065147 HELICOBACTER PYLORI AG, FECAL BY EIA",100.0,60.0,10.0,7411.0,55
CPT,87340,HC HEPATITIS B SURFACE AG IA - HEPATITIS CHRONIC PANEL,197.09,118.25,8.68,7411.0,55
CPT,87340,HC HEPATITIS B SURFACE ANTIGEN - EN,197.09,118.25,8.68,7411.0,165
CPT,87340,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 87340,14.85,8.91,5.35,7411.0,55
CPT,87340,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 87340,6.25,3.75,2.25,7411.0,55
CPT,87341,HC HEPATITIS B SURFACE ANTIGEN - NE,155.64,93.38,8.68,7411.0,55
CPT,87350,HC HEPATITIS BE ANTIGEN(HBEAG),164.4,98.64,9.69,7411.0,55
CPT,87380,"HC HEPATITIS,DELTA AGENT, INFECT",366.07,219.64,10.0,7411.0,55
CPT,87385,HC HISTOPLASMA CAPSUL AG IA (SERUM),315.42,189.25,10.0,7411.0,55
CPT,87385,HC HISTOPLASMA CAPSUL AG IA (URINE),315.42,189.25,10.0,7411.0,55
CPT,87385,"HC HISTOPLASMA CAPSULATUM, INFECT",315.42,189.25,10.0,7411.0,55
CPT,87385,"HC IAAD IA - HISTOPLASMA ANTIGEN, CSF",315.42,189.25,10.0,7411.0,55
CPT,87385,"HC REF ARUP 92522 HISTOPLASMA ANTIGEN QUANT BY EIA, SERUM",112.5,67.5,10.0,7411.0,55
CPT,87385,HC REF EUROFINS VIRACOR 30882 HISTOPLASMA GALACTOMANNAN EIA,250.0,150.0,10.0,7411.0,55
CPT,87385,"HC REF LAB ARUP, HISTO GAL BF 3005941",285.0,171.0,10.0,7411.0,55
CPT,87385,HC REF MAYO FHST MVISTA HISTOPLASMA ANTIGEN,318.5,191.1,10.0,7411.0,55
CPT,87385,HC REF MIRA 310 HISTOPLASMA ANTIGEN CSF,262.5,157.5,10.0,7411.0,55
CPT,87385,"HC UREA NITROGEN, TIMED URINE",315.42,189.25,10.0,7411.0,55
CPT,87389,HC HIV-1 ANGTIGEN W/HIV-1&HIV-2AN,241.82,145.09,10.0,7411.0,55
CPT,87389,HC HIV-1 ANTIGEN W/HIV-1&HIV-2AN,241.82,145.09,10.0,7411.0,55
CPT,87400,HC INFLUENZA A OR B,203.21,121.93,10.0,7411.0,55
CPT,87420,"HC RESPIRATORY SYNCYTIAL VIRUS, STAT ONLY",233.02,139.81,10.0,7411.0,55
CPT,87425,HC ROTAVIRUS AB,256.01,153.61,10.0,7411.0,55
CPT,87425,HC ROTAVIRUS AG IA,256.01,153.61,10.0,7411.0,55
CPT,87425,HC ROTAVIRUS ANTIGEN STL,256.01,153.61,10.0,7411.0,55
CPT,87426,HC COVID ANTIGEN DETECTION BY IMMUNOASSAY,100.67,60.4,10.0,7411.0,55
CPT,87427,HC EIA QL SHIGELLA-LIKE TXN,113.52,68.11,10.0,7411.0,55
CPT,87427,HC SHIGA LIKE TOXIN,113.52,68.11,10.0,7411.0,55
CPT,87427,"HC SHIGA-LIKE TOXIN AG IA - CULTURE, STOOL",113.52,68.11,10.0,7411.0,55
CPT,87428,HC IAAD IA SARSCOV & INFLUENZA VIRUS TYPES A&B,73.5,44.1,10.0,7411.0,55
CPT,87430,HC RSV RAPID SCREEN,173.39,104.03,10.0,7411.0,55
CPT,87430,HC STREP A AG IA,173.39,104.03,10.0,7411.0,110
CPT,87430,HC STREP SCREEN,173.39,104.03,10.0,7411.0,55
CPT,87449,"HC IAAD IMMUNOASSAY NOS - COCCIDIOIDES, BLOOD",174.63,104.78,10.0,7411.0,55
CPT,87449,"HC IAAD IMMUNOASSAY NOS - LEGIONELLA PNEUMOPHILIA, URINE",174.63,104.78,10.0,7411.0,55
CPT,87449,HC IAAD IMMUNOASSAY NOS - STREPTOCOCCUS PNEUMONIAE,174.63,104.78,10.0,7411.0,55
CPT,87449,HC IAAD NOS - COCCIDIOIDS,174.63,104.78,10.0,7411.0,55
CPT,87449,HC INF AGENT ANTIGEN DETECT,174.63,104.78,10.0,7411.0,440
CPT,87449,HC REF AG DETECT NOS IA MULT,161.69,97.01,10.0,7411.0,55
CPT,87449,HC REF ARUP 2011075 COCCIDIOIDES ANTIGEN BY EIA,297.5,178.5,10.0,7411.0,55
CPT,87449,"HC REF ARUP 3001798 - BLASTOMYCES ANTIGEN QUANTITATIVE BY EIA, URINE",200.0,120.0,10.0,7411.0,55
CPT,87449,"HC REF ARUP, 2002434 (1,3) BETA-D-GLUCAN (FUNGITELL)",270.0,162.0,10.0,7411.0,55
CPT,87449,"HC REF ARUP, BEACON DIAGNOSTICS FUNGITELL ASSAY, CSF",540.75,324.45,10.0,7411.0,55
CPT,87449,HC REF MAYO FMVCO MVISTA COCCIDIOIDES AG,249.9,149.94,10.0,7411.0,55
CPT,87449,"HC REF MAYO, FUNSF FUNGITELL CSF",325.0,195.0,10.0,7411.0,110
CPT,87449,"HC REF MAYO, HIBAG HISTOPLASMA/BLASTOPLASMA AG, EIA, S",409.87,245.92,10.0,7411.0,55
CPT,87449,HC REF MIRA 315 COCCIDIOIDES ANTIGEN CSF,267.5,160.5,10.0,7411.0,55
CPT,87449,HC REF MIRAVISTA 315 COCCIDIOIDES,267.5,160.5,10.0,7411.0,55
CPT,87449,"HC REF SYNOVASURE, COMP PJII, CPT 87449",75.54,45.32,10.0,7411.0,55
CPT,87450,HC CRYPTOCOCCAL ANTIGEN,124.65,74.79,10.0,7411.0,39
CPT,87450,HC EIA H INFLUENZAE AG,124.65,74.79,10.0,7411.0,39
CPT,87450,HC EIA S PNEUMONIAE URINE,124.65,74.79,10.0,7411.0,39
CPT,87450,HC H.INFLUENZAE AG IMMUNOASSAY,124.65,74.79,10.0,7411.0,39
CPT,87467,"HC HEP B SURFACE ANTIGEN, QUANT",165.52,99.31,10.0,7411.0,54
CPT,87468,HC IAD BY DNA/RNA; ANAPLASMA,283.2,169.92,10.0,7411.0,55
CPT,87468,"HC IADNA ANAPLASMA PHAGOCYTOPHILUM, PCR",283.2,169.92,10.0,7411.0,55
CPT,87468,"HC REF ARUP, COMP 2008670, CPT 87468",127.08,76.25,10.0,7411.0,55
CPT,87468,"HC REF ARUP, COMP ERLICHIA AND ANAPLAMA SPECIES BY PCR 2007862, CPT 87468",400.0,240.0,10.0,7411.0,55
CPT,87469,"HC REF ARUP, COMP 2008670, CPT 87469",127.08,76.25,10.0,7411.0,55
CPT,87469,"HC REF ARUP, COMP BABESIA MICROTI, AMP PROBE 2008665, CPT 87469",290.0,174.0,10.0,7411.0,55
CPT,87471,HC BARTONELA QUINTANA,472.44,283.46,10.0,7411.0,55
CPT,87471,HC REF ARUP 0093057 BARTONELLA BY PCR,462.5,277.5,10.0,7411.0,55
CPT,87476,HC LYMES RCR-DNA RL,555.66,333.4,10.0,7411.0,55
CPT,87476,HC REF ARUP 0055570 BORRELIA SPECIES BY PCR (LYME DISEASE),172.5,103.5,10.0,7411.0,55
CPT,87480,HC CANDIDA SPECIES DIRECT PROBE,105.0,63.0,10.0,7411.0,55
CPT,87481,HC CANDIDA DNA AMP PROBE,282.19,169.31,10.0,7411.0,55
CPT,87481,"HC CANDIDA DNA AMP PROBE - BV, CAND, TRICH PANEL",282.19,169.31,10.0,7411.0,55
CPT,87481,"HC REF ARUP, 3006370 CANDIDA AURIS BY PCR",1375.0,825.0,10.0,7411.0,55
CPT,87481,"HC REF ARUP, COMP 2013798, CPT 87481",103.5,62.1,10.0,7411.0,55
CPT,87481,HC REF CANDIDA ALB GLBRT QUAL PCR,260.0,156.0,10.0,7411.0,55
CPT,87481,"HC REF EUROFINS-VIRACOR, COMP 33306, CPT 87481",220.83,132.5,10.0,7411.0,55
CPT,87483,HC CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25,1425.75,855.45,10.0,7411.0,110
CPT,87483,HC CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25 - MENINGITIS PANEL,1425.75,855.45,10.0,7411.0,55
CPT,87483,HC REF ARUP 2013305 MENINGITIS ENCEPHALITIS PANEL BY PCR,812.5,487.5,10.0,7411.0,55
CPT,87484,"HC EHRLICHIA CHAFFEENSIS, AMP PROBE",283.2,169.92,10.0,7411.0,55
CPT,87484,"HC IADNA EHRLICHA CHAFFEENSIS, PCR",283.2,169.92,10.0,7411.0,55
CPT,87484,"HC REF ARUP, COMP 2008670, CPT 87484",127.08,76.25,10.0,7411.0,55
CPT,87484,"HC REF ARUP, COMP ERLICHIA AND ANAPLAMA SPECIES BY PCR 2007862, CPT 87484",400.0,240.0,10.0,7411.0,55
CPT,87486,HC CHLAMYDIA PNEUMONIAE PCR,465.18,279.11,10.0,7411.0,55
CPT,87486,HC CHLAMYDIA PNEUMONIAE PCR - RESP VIRUS COMP PANEL,465.18,279.11,10.0,7411.0,55
CPT,87486,"HC INF AGNT DETCT,DNA/RNA,CHLAMYDIA",465.18,279.11,10.0,7411.0,55
CPT,87490,HC CHLAMYDIA PROBE,190.8,114.48,10.0,7411.0,55
CPT,87491,"HC CHLAMYDIA TRACHOMATIS, URINE",275.56,165.34,10.0,7411.0,55
CPT,87491,HC CHLMYD TRACH DNA AMP PROBE - RNA THROAT NAA,275.56,165.34,10.0,7411.0,55
CPT,87491,"HC IADNA CHLAMYDIA TRACHOMATIS, BODY FLUID PCR",275.56,165.34,10.0,7411.0,55
CPT,87491,"HC INFECTIVE AGENT DETECTION, DNA/RNA",275.56,165.34,10.0,7411.0,165
CPT,87491,"HC INFECTIVE AGENT DETECTION, DNA/RNA HISTOPATHOLOGY",275.56,165.34,10.0,7411.0,55
CPT,87491,HC REF CHLAMYDIA TRACHOMATIS AMP,74.28,44.57,10.0,7411.0,55
CPT,87493,"HC INF AGENT DETCT,DNA/RNA - CLOSTR",358.64,215.18,10.0,7411.0,55
CPT,87494,HC IADNA CHLMYD TRCHMTS&NEISRA GONORR MULT AMP PRB,546.59,327.95,10.0,7411.0,54
CPT,87495,"HC INF AGNT DETCT,DNA/RNA,CYTOMEG",428.2,256.92,10.0,7411.0,55
CPT,87496,HC CYTOMEG DNA AMP PROBE,904.2,542.52,10.0,7411.0,55
CPT,87496,"HC INF AGENT DETCT,CYTOMEGALOVIRU",904.2,542.52,10.0,7411.0,55
CPT,87496,HC REF ARUP 0060040 CMV URINE,177.5,106.5,10.0,7411.0,55
CPT,87496,"HC REF EUROFINS VIRACOR 5508 CYTOMEGALOVIRUS CMV QUANTITATIVE PCR, FECAL",946.85,568.11,10.0,7411.0,55
CPT,87496,HC REF MAYO CMVPV CYTOMEGALOVIRUS PCR,195.03,117.02,10.0,7411.0,55
CPT,87496,HC REF NUCLEIC ACID AMP CMV,1311.32,786.79,10.0,7411.0,55
CPT,87497,"HC INF DECT,CYTOMEGALOVIRUS,QUANT",528.95,317.37,10.0,7411.0,55
CPT,87497,"HC REF ARUP 3005895 CMV BY QUANT NAAT, PLASMA",262.5,157.5,10.0,7411.0,55
CPT,87497,"HC REF ARUP, EUROFINS VIRACOR 5504, CYTOMEGALOVIRUS QUANT PCR",812.5,487.5,10.0,7411.0,55
CPT,87497,"HC REF ARUP, EUROFINS VIRACOR 5508, CYTOMEGALOVIRUS QUANT PCR",812.5,487.5,10.0,7411.0,55
CPT,87497,HC REF EUROFINS VIRACOR 5504 CMV Q PCR,979.05,587.43,10.0,7411.0,55
CPT,87497,"HC REF MAYO, CMVQN, CYTOMEGALOVIRUS DNA DET AND QUANT",220.28,132.17,10.0,7411.0,55
CPT,87498,"HC ENTEROVIRUS PROBE&REVRS TRNS, PCR QUAL",415.17,249.1,10.0,7411.0,55
CPT,87498,"HC INF AGENT DETCT,ENTEROVIRUS,AM",415.17,249.1,10.0,7411.0,55
CPT,87498,HC REF ARUP 0050249 ENTEROVIRUS BY PCR,250.0,150.0,10.0,7411.0,55
CPT,87498,"HC REF ENTEROVIRUS BY RT_PCR, COOKS",1057.02,634.21,10.0,7411.0,55
CPT,87500,"HC INF AGENT DETCT,VANCOMYCIN RES",290.4,174.24,10.0,7411.0,55
CPT,87501,"HC INF AGENT DETCT,INFLNZA - AMPLFD",263.44,158.06,10.0,7411.0,55
CPT,87502,"HC INF AGENT DETCT,INFLNZA - AMPLFD",650.73,390.44,10.0,7411.0,55
CPT,87503,"HC INF AGT DETECT - ENTEROVIRUS,FLO",157.16,94.3,10.0,7411.0,55
CPT,87505,"HC REF ARUP, 2011150 GASTROINTESTINAL PARASITE PANEL PCR",625.0,375.0,10.0,7411.0,55
CPT,87506,"HC DETECTION BY NUCLEIC ACID FOR GI PATHOGEN, MTPL TYPES, 6-11 TRGTS",859.0,515.4,10.0,7411.0,55
CPT,87507,HC GI PATHOGEN PANEL PCR FECES,1021.68,613.01,10.0,7411.0,55
CPT,87507,"HC INFEC AGENT DETECT, GI",1021.68,613.01,10.0,7411.0,55
CPT,87507,HC REF ARUP 3003279 - GASTROINTESTINAL PATHOGENS PANEL BY PCR,1212.5,727.5,10.0,7411.0,55
CPT,87510,HC GARDNERALLA VAGINLS DRCT PROBE,102.0,61.2,10.0,7411.0,55
CPT,87512,HC REF GARDNERELLA VAG QUANT,108.88,65.33,10.0,7411.0,55
CPT,87513,HC REF MAYO HPFRP H.PYLORI WITH CLARITHRO PCR,192.98,115.79,10.0,7411.0,54
CPT,87516,HC HEPATITIS B VIRUS DNA PROBE,180.73,108.44,10.0,7411.0,55
CPT,87517,"HC HEP B VIRUS DNA QUANT, PCR",553.28,331.97,10.0,7411.0,55
CPT,87517,HC HEP B VIRUS ULTRA QUAN RL,553.28,331.97,10.0,7411.0,55
CPT,87517,HC HEPATITIS B QUANTITATIVE,553.28,331.97,10.0,7411.0,55
CPT,87517,HC REF ARUP 3000863 HBV BY QUANT,246.25,147.75,10.0,7411.0,55
CPT,87521,HC HEP C GENOTYPE S,396.22,237.73,10.0,7411.0,55
CPT,87522,HC HEP C RNA QUANT REVERSE,636.53,381.92,10.0,7411.0,165
CPT,87522,HC HEPATITIS C REVRS TRNSCRPJ - HCV RNA QUANT W/REFLEX TO GENOTYPE,636.53,381.92,10.0,7411.0,55
CPT,87522,HC HEPATITIS C RNA QUANTITATIVE,636.53,381.92,10.0,7411.0,55
CPT,87522,HC REF ARUP 3000572 HCV BY QUANT NAAT,200.0,120.0,10.0,7411.0,55
CPT,87522,HC REF ARUP 3000576 HCV QUANT W/REFLEX TO GENOTYPE,200.0,120.0,10.0,7411.0,55
CPT,87522,"HC REF MAYO COMP HCVDX, CPT 87522",365.63,219.38,10.0,7411.0,55
CPT,87523,HC IADNA HEPATITIS D DELTA QUAN W/REV TRANSCRIPTION,357.84,214.7,10.0,7411.0,55
CPT,87529,"HC IADNA HERPES SIMPLEX VIRUS, TYPE I",376.44,225.86,10.0,7411.0,55
CPT,87529,"HC IADNA HERPES SIMPLEX VIRUS, TYPE II",376.44,225.86,10.0,7411.0,55
CPT,87529,"HC INF AGNT DETCT,DNA/RNA - HERPES",376.44,225.86,10.0,7411.0,165
CPT,87529,"HC REF ARUP COMP 2010095, CPT 87529",206.25,123.75,10.0,7411.0,55
CPT,87529,"HC REF HSV PCR, COOKS",1087.78,652.67,10.0,7411.0,55
CPT,87530,HC HERPES SIMPLES 1 OR 2 DNA QUANT,396.17,237.7,10.0,7411.0,55
CPT,87530,HC REF ARUP < QUEST COMP 19502 CPT 87530,349.13,209.48,10.0,7411.0,55
CPT,87530,"HC REF EUROFINS VIRACOR COMP 8501, CPT 87530",473.43,284.06,10.0,7411.0,55
CPT,87530,HC REF EUROFINS VIRACOR COMP 8519 CPT 87530,473.43,284.06,10.0,7411.0,55
CPT,87533,HC HHV-6 DNA QUANT - A&B,576.29,345.77,10.0,7411.0,55
CPT,87533,HC HHV-6 PCR,576.29,345.77,10.0,7411.0,55
CPT,87533,HC REF ARUP 0060071 HHV6 QUANT PCR,519.75,311.85,10.0,7411.0,55
CPT,87533,"HC REF ARUP, EUROFINS-VIRACOR 6500 HHV6 QUANT RT PCR",853.13,511.88,10.0,7411.0,55
CPT,87533,HC REF EUROFINS VIRACOR 6504 HHV6 Q PCR,979.05,587.43,10.0,7411.0,55
CPT,87533,"HC REF UWMC, COMP HH6ABC, CPT 87533",1273.13,763.88,10.0,7411.0,55
CPT,87535,"HC HIV-1 AMP PRB TECH, DNA PCR",432.8,259.68,10.0,7411.0,55
CPT,87535,"HC HIV-1 AMP PRB TECH, PCR",432.8,259.68,10.0,7411.0,55
CPT,87535,"HC HIV-1 AMP PRB TECH, RNA NAAT",432.8,259.68,10.0,7411.0,55
CPT,87535,HC HIV-1 AMPLIFIED PROBE TECHNIQU,432.8,259.68,10.0,7411.0,55
CPT,87535,HC REF ARUP COMP 3017779 CPT 87535,167.5,100.5,10.0,7411.0,55
CPT,87535,"HC REF MAYO, HIVP, HIV-1 DNA & RNA QUALITATIVE DETECTION BY PCR, PLASMA",805.35,483.21,10.0,7411.0,55
CPT,87536,"HC INF AGT DETCT,DNA/RNA - HIV-1,QU",747.18,448.31,10.0,7411.0,55
CPT,87538,HC HIV 2 RNA PCR,600.61,360.37,10.0,7411.0,55
CPT,87538,HC REF ARUP COMP 3017779 CPT 87538,167.5,100.5,10.0,7411.0,55
CPT,87541,HC LEGION PNEUMO DNA AMP PROB,252.77,151.66,10.0,7411.0,55
CPT,87551,"HC REF EUROFINS VIRACOR COMP  33350, CPT 87551",375.0,225.0,10.0,7411.0,55
CPT,87551,"HC REF UWMC, COMP AFB PCR, CPT 87551",827.15,496.29,10.0,7411.0,55
CPT,87552,"HC REF COMP EUROFINS VIRACOR 33369, CPT 87552",481.25,288.75,10.0,7411.0,55
CPT,87552,"HC REF EUROFINS VIRACOR COMP  33350, CPT 87552",375.0,225.0,10.0,7411.0,55
CPT,87556,"HC ING AGNT DETCT,DNA/RNA - M.TUBER",446.73,268.04,10.0,7411.0,165
CPT,87556,"HC REF MAYO MTBT MTB COMPLEX PCR, FFPE",398.68,239.21,10.0,7411.0,55
CPT,87556,"HC REF MAYO, MTBRP M TUBERCULOSIS COMPLEX PCR",487.28,292.37,10.0,7411.0,55
CPT,87556,"HC REF UWMC, COMP AFB PCR, CPT 87556",575.28,345.17,10.0,7411.0,55
CPT,87561,"HC INF AGNT DETCT,DNA/RNA - M.AVIUM",483.0,289.8,10.0,7411.0,55
CPT,87561,"HC REF COMP EUROFINS VIRACOR 33369, CPT 87561",481.25,288.75,10.0,7411.0,55
CPT,87561,"HC REF EUROFINS VIRACOR COMP  33350, CPT 87561",375.0,225.0,10.0,7411.0,55
CPT,87563,"HC REF ARUP COMP 2011172, CPT 87563",121.18,72.71,10.0,7411.0,55
CPT,87563,"HC REF MYCOPLASMA GENITALIUM, AMPLIFIED PROBE",268.75,161.25,10.0,7411.0,55
CPT,87564,HC MTB RIFAMPIN RST AMP PRB TQ,413.64,248.18,10.0,7411.0,54
CPT,87581,"HC ING AGNT DETCT,DNA/RNA - M.PLASM",448.72,269.23,10.0,7411.0,55
CPT,87581,"HC REF ARUP, 0060256 MYCOPLASMA PNEUMONIAE, PCR",217.5,130.5,10.0,7411.0,55
CPT,87581,HC REF MYCOPLASMA PNEUMONIAE PCR,1285.5,771.3,10.0,7411.0,55
CPT,87590,HC GONORRHOEAE RNA RL,169.95,101.97,10.0,7411.0,55
CPT,87591,"HC IADNA NEISSERIA GONORRHOEAE, BODY FLUID PCR",271.03,162.62,10.0,7411.0,55
CPT,87591,HC N.GONORRHOEAE DNA AMP PROB,271.03,162.62,10.0,7411.0,165
CPT,87591,HC N.GONORRHOEAE DNA AMP PROB - RNA THROAT NAA,271.03,162.62,10.0,7411.0,55
CPT,87591,"HC NEISSERIA GONORRHOEAE, URINE",271.03,162.62,10.0,7411.0,55
CPT,87591,HC REF NEISSERIA GONORRHOEAE AMP,74.18,44.51,10.0,7411.0,55
CPT,87593,HC INF AGENT DETECT NUCLEIC ACID; ORTHOPOXVIRUS,115.5,69.3,10.0,7411.0,54
CPT,87593,HC REF ARUP 3005716 ORTHOPOXVIRUS BY PCR,212.5,127.5,10.0,7411.0,54
CPT,87593,"HC REF MEDFUSION, MPOXQ, MONKEYPOX VIRUS DNA QRT PCR",200.0,120.0,10.0,7411.0,54
CPT,87594,HC PNEUMCYSTS JIROVECII AMP PRB,357.84,214.7,10.0,7411.0,54
CPT,87594,HC REF ARUP 2006254 PNEUMO JIROVECII PCR REFLEX,408.13,244.88,10.0,7411.0,54
CPT,87594,HC REF LABCORP 18835 PNEUMOCYSTIS JIROVECII DNA PCR,1376.9,826.14,10.0,7411.0,54
CPT,87623,HC HPV LOW RISK TYPES,200.95,120.57,10.0,7411.0,55
CPT,87624,HC HPV HIGH RISK TYPES,219.11,131.47,10.0,7411.0,55
CPT,87624,HC HPV HIGH-RISK TYPES,219.11,131.47,10.0,7411.0,55
CPT,87624,"HC HPV HIGH-RISK TYPES - HPV GENOTYPES 16, 18 RECTAL",219.11,131.47,10.0,7411.0,55
CPT,87624,"HC REF NEOGENOMICS, MOLHPVDNA, HPV DNA TISSUE",1025.0,615.0,10.0,7411.0,55
CPT,87626,HC HPV SEP HI-RSK TYP&POOL RSLT,202.88,121.73,10.0,7411.0,54
CPT,87627,HC JOINT INFECTION PANEL,1782.68,1069.61,10.0,7411.0,54
CPT,87631,HC INFLUENZA A/B AND RSV BY PCR,575.91,345.55,10.0,7411.0,55
CPT,87631,"HC REF ARUP, 0060764 RESP VIRUS MINI PANEL, PCR",346.5,207.9,10.0,7411.0,55
CPT,87631,HC RESP VIRUS 3-5 TARGETS - MINIPANEL,575.91,345.55,10.0,7411.0,55
CPT,87632,HC RESPIRATORY PANEL BY PCR,1676.28,1005.77,10.0,7411.0,55
CPT,87633,HC INF AGENT DETCT DNA/RNA - RESP VIRUS 12-25 TARGETS,1796.94,1078.16,10.0,7411.0,55
CPT,87634,HC RSV DNA/RNA AMP PROBE,215.78,129.47,10.0,7411.0,55
CPT,87635,HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ,172.5,103.5,10.0,7411.0,55
CPT,87635,"HC REF MAYO, SCOVT SARS COV-2 RNA DDPCR, QUAL, FFPE",1500.0,900.0,35.0,7411.0,55
CPT,87636,HC PR IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ,102.41,61.45,10.0,7411.0,55
CPT,87637,HC SARSCOV2&INF A&B&RSV AMP PRB,174.88,104.93,10.0,7411.0,55
CPT,87640,HC IADNA STAPH AUREUS AMPLIFIED PROBE TQ,193.98,116.39,10.0,7411.0,55
CPT,87641,"HC INF AGENT DETCT,STAPH,AURS,MET",280.7,168.42,10.0,7411.0,55
CPT,87651,HC STREP A DNA AMP PROBE,211.0,126.6,10.0,7411.0,55
CPT,87653,HC INF AGENT DETCT DNA/RNA - STRETB,323.69,194.21,10.0,7411.0,55
CPT,87660,HC INF AGENT DETCT DNA/RNA - TRICHO,105.0,63.0,10.0,7411.0,55
CPT,87661,HC HC INF AGENT DETCT DNA/RNA - TRICHMNS VAG AMPFD APPR,271.42,162.85,10.0,7411.0,55
CPT,87661,HC REF TRICHOMANAS VAGINALIS AMP,91.0,54.6,10.0,7411.0,55
CPT,87662,"HC REF ZIKA VIRUS BY PCR, URINE",646.17,387.7,10.0,7411.0,55
CPT,87662,HC ZIKA VIRUS DNA/RNA AMP PROBE,193.91,116.35,10.0,7411.0,55
CPT,87662,HC ZIKA VIRUS DNA/RNA AMP PROBE - URINE,193.91,116.35,10.0,7411.0,55
CPT,87797,"HC INF AGENT DETCT,NUCL ACID,NOS,",199.39,119.63,10.0,7411.0,55
CPT,87797,"HC REF ARUP 3006075 BK VIRUS BY QUANT NAAT, URINE",310.0,186.0,10.0,7411.0,55
CPT,87798,HC DETECT AGENT NOS DNA AMP - BONE MAR INF DIS PROF,386.47,231.88,10.0,7411.0,55
CPT,87798,HC DETECT AGENT NOS DNA AMP - PNEUMONIA PANEL,386.47,231.88,10.0,7411.0,55
CPT,87798,"HC IADNA NOS - BORDETELLA PERTUSSIS, PCR",386.47,231.88,10.0,7411.0,55
CPT,87798,"HC IADNA NOS - EHRLICHA EWINGII/CANIS, PCR",386.47,231.88,10.0,7411.0,55
CPT,87798,"HC IADNA NOS - EHRLICHA MURIS-LIKE, PCR",386.47,231.88,10.0,7411.0,55
CPT,87798,HC IADNA NOS - MEASLES PCR,386.47,231.88,10.0,7411.0,55
CPT,87798,HC IADNA NOS - MYCOPLASMA GENITALIUM NAA,386.47,231.88,10.0,7411.0,55
CPT,87798,"HC IADNA NOS - PARAPERTUSSIS, PCR",386.47,231.88,10.0,7411.0,55
CPT,87798,"HC IADNA NOS - PARVOVIRUS B19, QUAL PCR",386.47,231.88,10.0,7411.0,55
CPT,87798,"HC IADNA NOS - TOXOPLASMA GONDII PCR, BLOOD",386.47,231.88,10.0,7411.0,55
CPT,87798,"HC IADNA NOS - TROPHERYMA WHIPPLEI, PCR",386.47,231.88,10.0,7411.0,55
CPT,87798,"HC IADNA NOS - VARICELLA ZOSTER VIRUS, PCR",386.47,231.88,10.0,7411.0,55
CPT,87798,"HC INF AGENT DETCT,NUCL ACID,NOS,AMPLIFD PROB",372.155,223.29,10.0,7411.0,1100
CPT,87798,HC MUMPS BY PCR,357.84,214.7,10.0,7411.0,55
CPT,87798,HC REF ARUP 0050229 WEST NILE VIRUS PCR,325.0,195.0,10.0,7411.0,55
CPT,87798,HC REF ARUP 0050246 EPSTEIN-BARR VIRUS BY QUAL PCR,162.5,97.5,10.0,7411.0,55
CPT,87798,HC REF ARUP 0060042 VARICELLA-ZOSTER VIRUS BY PCR,172.5,103.5,10.0,7411.0,55
CPT,87798,HC REF ARUP 0060043 PARVOVIRUS B19 QUALITATIVE PCR,187.5,112.5,10.0,7411.0,55
CPT,87798,HC REF ARUP 3000352 MUCORALES BY PCR,600.0,360.0,10.0,7411.0,55
CPT,87798,"HC REF ARUP COMP 2004963, CPT 87798",150.0,90.0,10.0,7411.0,55
CPT,87798,"HC REF ARUP COMP 2011172, CPT 87798",121.18,72.71,10.0,7411.0,55
CPT,87798,"HC REF ARUP COMP 3000265, CPT 87798",297.28,178.37,10.0,7411.0,55
CPT,87798,HC REF ARUP COMP 3019269 CPT 87798,412.5,247.5,10.0,7411.0,55
CPT,87798,"HC REF ARUP, 2007473 ADENOVIRUS PCR URINE",450.63,270.38,10.0,7411.0,55
CPT,87798,"HC REF ARUP, COMP 2008670, CPT 87798",127.08,76.25,10.0,7411.0,55
CPT,87798,"HC REF ARUP, COMP BABESIA MICROTI, AMP PROBE 2008665, CPT 87798",290.0,174.0,10.0,7411.0,55
CPT,87798,"HC REF COMP EUROFINS VIRACOR PFL8006, CPT 87798",84.29,50.57,10.0,7411.0,55
CPT,87798,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 87798,14.85,8.91,5.35,7411.0,55
CPT,87798,HC REF CTS COMP DONOR PROCESSING PROFILE CPT 87798,6.25,3.75,2.25,7411.0,55
CPT,87798,HC REF DETECT AGENT NOS DNA AMP,268.75,161.25,10.0,7411.0,55
CPT,87798,HC REF INFECT AGNT AG EA ORGANISM,125.0,75.0,10.0,7411.0,55
CPT,87798,"HC REF LAB ARUP, COCCI PCR 3016687",650.0,390.0,10.0,7411.0,55
CPT,87798,HC REF MAYO MEASR MEASLES PCR,1165.25,699.15,10.0,7411.0,55
CPT,87798,"HC REF MAYO VZVPV VARICELLA-ZOSTER VIRUS, PCR",199.58,119.75,10.0,7411.0,55
CPT,87798,"HC REF MAYO, CBRP, COXIELLA BURNETII (Q FEVER), PCR VARIES",1415.0,849.0,10.0,7411.0,55
CPT,87798,HC REF MEDFUSION 15873 HERPISVIRUS 8 (HHV-8) DNA QUAL PCR,1395.0,837.0,10.0,7411.0,55
CPT,87798,HC REF QUEST 17875 LEPTOSPIRA DNA QUALITATIVE REAL-TIME PCR,975.98,585.59,10.0,7411.0,55
CPT,87798,HC REF TDH MEASLES VIRUS QUAL PCR,317.08,190.25,10.0,7411.0,55
CPT,87798,HC REF TOXOPLASMA GONDII BY PCR,357.84,214.7,10.0,7411.0,55
CPT,87798,HC REF UNIV WASHINGTON TOXDNA TOXOPLASMA DNA DETECTION BY PCR,926.43,555.86,10.0,7411.0,55
CPT,87798,HC REF UWMC ASPDNA ASPERGILLUS FUMIGATUS DNA DETECTION BY PCR,1185.15,711.09,10.0,7411.0,55
CPT,87799,HC IADNA NOS - BK VIRAL LOAD PCR,500.52,300.31,10.0,7411.0,55
CPT,87799,"HC IADNA NOS - BK VIRAL LOAD PCR, CSF",500.52,300.31,10.0,7411.0,55
CPT,87799,"HC IADNA NOS - BK VIRAL LOAD PCR, URINE",500.52,300.31,10.0,7411.0,55
CPT,87799,HC IADNA NOS - BK VIRUS PCR BLOOD,500.52,300.31,10.0,7411.0,55
CPT,87799,HC IADNA NOS - BK VIRUS PCR URINE,500.52,300.31,10.0,7411.0,55
CPT,87799,"HC IADNA NOS - EPSTEIN BARR VIRUS PCR, BLOOD",500.52,300.31,10.0,7411.0,55
CPT,87799,"HC IADNA NOS - EPSTEIN BARR VIRUS PCR, CSF",500.52,300.31,10.0,7411.0,55
CPT,87799,"HC IADNA NOS - EPSTEIN BARR VIRUS PCR, NON-BLOOD",500.52,300.31,10.0,7411.0,55
CPT,87799,HC IADNA NOS - HUMAN HERPES VIRUS 8 PCR,500.52,300.31,10.0,7411.0,55
CPT,87799,HC IADNA NOS - JC VIRUS PCR BLOOD,500.52,300.31,10.0,7411.0,55
CPT,87799,HC IADNA NOS - JC VIRUS PCR URINE,500.52,300.31,10.0,7411.0,55
CPT,87799,"HC IADNA NOS QUANT - VARICELLA ZOSTER VIRUS, PCR",500.52,300.31,10.0,7411.0,55
CPT,87799,"HC INF AGNT DETCT DNA/RNA,NOS - QUA",500.52,300.31,10.0,7411.0,330
CPT,87799,HC REF ARUP 2007192 ADENOVIRUS QUANT PCR,500.0,300.0,10.0,7411.0,55
CPT,87799,HC REF ARUP 2012043 PARVOVIRUS B19 BY QUANT PCR,325.0,195.0,10.0,7411.0,55
CPT,87799,"HC REF ARUP 3006075 BK VIRUS BY QUANT NAAT, URINE",310.0,186.0,10.0,7411.0,55
CPT,87799,"HC REF ARUP 3006076 BK VIRUS BY QUANT NAAT, PLASMA",310.0,186.0,10.0,7411.0,55
CPT,87799,"HC REF ARUP, 3006079 EBV BY QUANT NAAT, PLASMA",298.75,179.25,10.0,7411.0,55
CPT,87799,"HC REF ARUP, EUROFINS VIRACOR 4503/4504 EPSTEIN-BARR VIRUS, CSF/BONE MARROW",812.5,487.5,10.0,7411.0,55
CPT,87799,HC REF CINCINNATI CHILDREN'S 8003904 ADENOVIRUS QUANTITATIVE PCR,1842.5,1105.5,10.0,7411.0,55
CPT,87799,HC REF EUROFINS VIRACOR 33385 TTV TORQUE TENO VIRUS QPCR,400.0,240.0,10.0,7411.0,55
CPT,87799,HC REF EUROFINS VIRACOR 4503 EBV QPCR (CSF),946.85,568.11,10.0,7411.0,55
CPT,87799,HC REF EUROFINS VIRACOR 7000 HHV-7 PLASMA,946.85,568.11,10.0,7411.0,55
CPT,87799,"HC REF EUROFINS VIRACOR COMP PFL8006, CPT 87799",84.29,50.57,10.0,7411.0,55
CPT,87799,"HC REF LAB ARUP, HHV8 QUANT PCR 2013089",412.5,247.5,10.0,7411.0,55
CPT,87799,HC REF MAYO FHV8P HERPES 8 (HHV-8) QUANT REAL-TIME PCR,870.23,522.14,10.0,7411.0,55
CPT,87799,"HC REF MAYO, HEVQU, HEV RNA DETECT / QUANT, S",1612.4,967.44,10.0,7411.0,55
CPT,87799,HC REF MEDFUSION 14163 EBV QUANT WB PCR,746.0,447.6,10.0,7411.0,55
CPT,87799,HC REF MEDFUSION 19503 JC POLYVIRUS DNA PCR,1615.0,969.0,10.0,7411.0,55
CPT,87799,HC REF MEDFUSION 19727 HERPISVIRUS 7 (HHV-7) DNA QUAL PCR,1376.9,826.14,10.0,7411.0,55
CPT,87799,HC REF VIRACOR 33432 CHAGAS (T.CRUZI) PCR,979.05,587.43,10.0,7411.0,55
CPT,87801,HC DETECT AGNT MULT DNA AMPLI - BONE MAR INF DIS PROF,515.16,309.1,10.0,7411.0,55
CPT,87801,HC DETECT AGNT MULT DNA AMPLI - DERMATOPHYTE PANEL PCR,515.16,309.1,10.0,7411.0,55
CPT,87801,"HC DETECT AGNT MULT DNA AMPLI - FUNGAL PANEL PCR, FIXED TISSUE",515.16,309.1,10.0,7411.0,55
CPT,87801,HC INF AGT DETECTION - AMPLIFIED PROBE(S) TECHN,515.16,309.1,10.0,7411.0,165
CPT,87801,HC LYME DISEASE PCR,515.16,309.1,10.0,7411.0,55
CPT,87801,"HC LYME DISEASE PCR, NON-BLOOD",515.16,309.1,10.0,7411.0,55
CPT,87801,"HC REF ARUP, UWMC NGS16S NEXT GEN BACTERIAL DNA DETECTION",862.26,517.36,10.0,7411.0,55
CPT,87801,HC REF BROAD RANGE BACTI PCR SEQ,865.2,519.12,10.0,7411.0,55
CPT,87801,HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 87801,14.85,8.91,5.35,7411.0,55
CPT,87801,"HC REF LAB UWMC, BACTERIAL PCR BY NGS",858.13,514.88,10.0,7411.0,55
CPT,87801,HC REF UNIV WASHINGTON AMBPCR ACANTHAMOEBA & BALAMUTHIA SPECIES PCR,1058.0,634.8,10.0,7411.0,55
CPT,87801,HC REF UNIV WASHINGTON BCTDNA BACTERIAL DNA PCR W/ RFLX TO NGS,901.03,540.62,10.0,7411.0,55
CPT,87801,HC REF UNIV WASHINGTON FUNDNA FUNGAL DNA PCR W/ RFLX TO NGS,1470.18,882.11,10.0,7411.0,55
CPT,87801,HC REF UNIV WASHINGTON LSHDNA LEISHMANIA SPECIES DNA DETECTION,1057.33,634.4,10.0,7411.0,55
CPT,87801,"HC REF UNWASH, 16S SEQUENCING",3147.13,1888.28,10.0,7411.0,55
CPT,87801,HC REF UWMC MUCDNA MUCORALES DNA DETECTION BY PCR,926.43,555.86,10.0,7411.0,55
CPT,87804,HC INFECT AGENT ANTGEN DETECT - INFLUENZA A,155.3,93.18,10.0,7411.0,275
CPT,87804,HC INFECT AGENT ANTGEN DETECT - INFLUENZA B,155.3,93.18,10.0,7411.0,55
CPT,87804,HC INFLUENZA ASSAY W/OPTIC,155.3,93.18,10.0,7411.0,55
CPT,87806,HC HIV ANTIGEN W/HIV ANTIBODIES,291.92,175.15,10.0,7411.0,55
CPT,87807,HC INFECT AGENT ANTGEN DETECT - RES,184.1,110.46,10.0,7411.0,55
CPT,87880,"HC IAAD, STREP A EIA",433.21,259.93,10.0,7411.0,55
CPT,87880,HC INF AGENT DETECT STREP A,433.21,259.93,10.0,7411.0,55
CPT,87899,HC INF AGNT DETCT ASSAY W/DIR OPT,127.0,76.2,10.0,7411.0,165
CPT,87899,HC REF MAYO PLFA CRYPTOCOCCUS AG SCREEN LFA PF,108.03,64.82,10.0,7411.0,55
CPT,87900,HC INF AGT DRG SUSCEP PHENOTPE PREDCTN REG GE,763.84,458.3,10.0,7411.0,55
CPT,87900,HC REF ARUP COMP 00992399 CPT 87900,332.88,199.73,10.0,7411.0,55
CPT,87900,"HC REF ARUP COMP 3002503, CPT 87900",692.5,415.5,10.0,7411.0,55
CPT,87900,"HC REF ARUP, COMP 3001186, CPT 87900",113.55,68.13,10.0,7411.0,55
CPT,87900,"HC REF ARUP, COMP 3004615, CPT 87900",1031.25,618.75,10.0,7411.0,55
CPT,87900,HC REF LABCORP 552020 COMP CPT 87900,561.25,336.75,10.0,7411.0,55
CPT,87900,"HC REF LABCORP, COMP 551776, CPT 87900",554.58,332.75,10.0,7411.0,55
CPT,87900,HC REF QUEST COMP 13947 CPT 87900,1281.25,768.75,10.0,7411.0,55
CPT,87900,HC REF UNIV WASHINGTON HSVDR ACYCLOVIR DRUG RESISTANCE,2013.45,1208.07,10.0,7411.0,55
CPT,87901,HC INF AGENT GENO ANAL/HIV 1 - REV,1380.53,828.32,10.0,7411.0,110
CPT,87901,HC INF AGENT GENO ANALYS/HIV 1-REV,1380.53,828.32,10.0,7411.0,55
CPT,87901,HC REF ARUP COMP 00992399 CPT 87901,332.88,199.73,10.0,7411.0,55
CPT,87901,"HC REF ARUP COMP 3002503, CPT 87901",692.5,415.5,10.0,7411.0,55
CPT,87901,"HC REF ARUP, COMP 3001186, CPT 87901",113.55,68.13,10.0,7411.0,55
CPT,87901,HC REF GENOTYPE DNA HIV REVERSE TRANSCRIPTASE AND PROTEASE,787.5,472.5,10.0,7411.0,55
CPT,87901,HC REF LABCORP 552020 COMP CPT 87901,831.88,499.13,10.0,7411.0,55
CPT,87901,"HC REF LABCORP, COMP 551776, CPT 87901",554.58,332.75,10.0,7411.0,55
CPT,87902,HC HEP C VIRUS GENOTYPE RL,1372.12,823.27,10.0,7411.0,55
CPT,87902,HC NFCT AGT GNTYP ALYS HEP C - HCV NS5A DRUG RESIST BY SEQ,1372.12,823.27,10.0,7411.0,55
CPT,87902,HC REF ARUP 0055593 REFLEX HEP C GENOTYPE BY SEQ,225.0,135.0,10.0,7411.0,55
CPT,87903,HC INF AGENT PHENOTY ANALYSIS/HIV,1405.43,843.26,10.0,7411.0,55
CPT,87903,HC REF ARUP COMP 00992399 CPT 87903,332.88,199.73,10.0,7411.0,55
CPT,87903,"HC REF ARUP, COMP 3001186, CPT 87903",113.55,68.13,10.0,7411.0,55
CPT,87904,HC REF ARUP COMP 00992399 CPT 87904,332.88,199.73,10.0,7411.0,55
CPT,87904,"HC REF ARUP, COMP 3001186, CPT 87904",113.55,68.13,10.0,7411.0,55
CPT,87906,HC INF AGENT DETCT - HIV-1 - OTHER,876.0,525.6,10.0,7411.0,55
CPT,87906,"HC REF ARUP COMP 3002503, CPT 87906",692.5,415.5,10.0,7411.0,55
CPT,87906,"HC REF ARUP, COMP 3001186, CPT 87906",113.55,68.13,10.0,7411.0,55
CPT,87906,"HC REF HIV-1 GENOTYPIC INTEGRASE RESIST, P",1115.5,669.3,10.0,7411.0,55
CPT,87906,HC REF LABCORP 552020 COMP CPT 87906,831.88,499.13,10.0,7411.0,55
CPT,87906,"HC REF LABCORP, COMP 551776, CPT 87906",554.58,332.75,10.0,7411.0,55
CPT,87910,HC INF AGENT DETCT - DNA OR RNA - CYTOMEGALOVIRUS,2214.43,1328.66,10.0,7411.0,55
CPT,87910,"HC REF ARUP, COMP 3004615, CPT 87910",1031.25,618.75,10.0,7411.0,55
CPT,87910,HC REF EUROFINS VIRACOR COMP 33125 CPT 87910,1596.5,957.9,10.0,7411.0,55
CPT,87910,HC REF QUEST COMP 13947 CPT 87910,1281.25,768.75,10.0,7411.0,55
CPT,87912,HC INF AGENT DETCT - HEPATITIS B VIRUS,1211.74,727.04,10.0,7411.0,55
CPT,87999,HC HIV CO-RECEPTOR TROPISM ASSAY,164.94,98.96,10.0,7411.0,78
CPT,87999,HC JOINT INFECTION PANEL,1782.68,1069.61,10.0,7411.0,39
CPT,88104,HC CYTOLOGY URINE HISTOPATHOLOGY,299.37,179.62,10.0,7411.0,55
CPT,88104,"HC CYTOPATH FLUIDS,SMEAR,INTERP",299.37,179.62,10.0,7411.0,55
CPT,88108,HC CYTOPATH CONCENTRATION SMEARS & INTERPRETATION,238.24,142.94,35.0,7411.0,55
CPT,88112,"HC CYTOPATH, CELL ENHANCE TECH",331.8,199.08,35.0,7411.0,55
CPT,88112,"HC REF MAYO, ATPCO ANAL THINPREP CYTO HPV",1068.22,640.93,35.0,7411.0,55
CPT,88120,HC CYTP URNE 3-5 PROBES EA SPEC,1054.93,632.96,35.0,7411.0,55
CPT,88120,HC REF PATHGROUP CYTOPATHOLOGY (CPT 88120),1348.48,809.09,35.0,7411.0,55
CPT,88141,"HC CYTOPATHOLOGY,CERV/VAG - INTERP",154.07,92.44,26.19,7411.0,39
CPT,88142,HC CYTOPATH CERV/VAG THIN LAYER,171.58,102.95,17.02,7411.0,55
CPT,88160,"HC CYTOPATH,OTHR SOURC,SCREEN,INTERP",143.0,85.8,24.31,7411.0,55
CPT,88161,"HC CYTOPATH,OTHR SOURC,PREP,SCRN,INTERP",167.23,100.34,27.61,7411.0,55
CPT,88162,"HC SMEARS,EXTENDED SLIDES/STAINS",242.18,145.31,35.0,7411.0,110
CPT,88164,HC CYTOPATH TBS CERV/VAG MANUAL,96.57,57.94,15.28,7411.0,55
CPT,88172,"CYTOPATHOLOGY, EVALUATION OF FINE NEEDLE ASPIRATE; IMMEDIATE CYTOHISTOLOGIC STUDY TO DETERMINE ADEQUACY FOR DIAGNOSIS, FIRST EVALUATION EPISODE, EACH SITE",,,162.59,740.46,25
CPT,88172,HC CYTP FINE NDL ASPIRATE IMMEDIATE ADEQUACY 1ST EPISODE,319.43,191.66,35.0,7411.0,55
CPT,88173,HC CYTP EVAL FINE NEEDLE ASPIRATE INTERP & REPORT,437.49,262.49,35.0,7411.0,55
CPT,88175,HC CYTOPATH C/V AUTO FLUID,169.4,101.64,22.35,7411.0,55
CPT,88177,HC CYTP FINE NDL ASPIRATE IMMEDIATE ADEQUACY ADDITIONAL EVAL,182.12,109.27,17.59,7411.0,39
CPT,88182,HC FLOWCELL CYTOMETRY RL,509.7,305.82,35.0,7411.0,55
CPT,88182,HC REF JOHN HOPKINS TELOMERE LENGTH MEASUREMENT FLOW CYTOMETRY AND FISH,1375.0,825.0,35.0,7411.0,55
CPT,88184,"HC FLOW CYTO, TC 1ST MARKER - ANTI RECEPTOR AB IGE",457.39,274.43,35.0,7411.0,55
CPT,88184,"HC FLOW CYTOMETRY,CELL SRFCE,CYTP - 1ST MARKER",457.39,274.43,35.0,7411.0,550
CPT,88184,HC FLOWCYTOMETRY/ TC 1 MARKER - LEUK LYMPH PANEL FLOW,457.39,274.43,35.0,7411.0,55
CPT,88184,HC REF ARUP 2008460 RBC BAND 3 PROTEIN REDUCTION IN HEREDITARY SPHEROCYTOSIS,276.13,165.68,35.0,7411.0,55
CPT,88184,HC REF ARUP COMP 3000894 CPT 88184,132.13,79.28,22.46,7411.0,55
CPT,88184,"HC REF ARUP COMP 3001780, CPT 88184",44.57,26.74,7.58,7411.0,55
CPT,88184,"HC REF ARUP, COMP 3003142, CPT 88184",89.78,53.87,15.26,7411.0,55
CPT,88184,"HC REF CINCINNATI, COMP 2904400, CPT 88184",99.62,59.77,16.94,7411.0,55
CPT,88184,"HC REF CINCINNATI, COMP 7372838, CPT 88184",254.58,152.75,35.0,7411.0,55
CPT,88184,"HC REF CINNCINNATI CHILDRENS COMP 2903600, CPT 88184",124.17,74.5,21.11,7411.0,55
CPT,88184,HC REF COMP EUROFINS VIRACOR 30035 CPT 88184,701.45,420.87,35.0,7411.0,55
CPT,88184,HC REF HEMATOLOGICS COMP LEUKEMIA/LYMPHOMA FLOW CYTO CPT 88184,250.0,150.0,35.0,7411.0,55
CPT,88184,"HC REF JOHNS HOPKINS, COMP BMFLO, CPT 88184",275.0,165.0,35.0,7411.0,55
CPT,88184,HC REF MAYO COMP MRDMM CPT 88184,1256.48,753.89,35.0,7411.0,55
CPT,88184,"HC REF MAYO COMP RBCME, CPT 88184",2050.13,1230.08,35.0,7411.0,55
CPT,88184,"HC REF MAYO, COMP HAEV1, CPT 88184",1443.38,866.03,35.0,7411.0,55
CPT,88184,"HC REF MAYO, COMP PLAFL, CPT 88184",591.1,354.66,35.0,7411.0,55
CPT,88184,"HC REF MEDFUSION 1003140 LEUK/LYMPHOMA BY FLOW, 1ST MARKER",50.87,30.52,8.65,7411.0,55
CPT,88184,HC REF MEDFUSION COMP 16000 ZAP-70 CPT 88184,287.5,172.5,35.0,7411.0,55
CPT,88184,HC VCD3 FLOW CYTMTRY FIRST MARKER,457.39,274.43,35.0,7411.0,55
CPT,88185,"HC FLOW CYTO, TC ADDL MARKER - ANTI RECEPTOR AB IGE",210.3,126.18,35.0,7411.0,39
CPT,88185,"HC FLOW CYTOMETRY,CELL SRFCE,CYTP - EA ADD MARKER",210.3,126.18,35.0,7411.0,195
CPT,88185,HC FLOWCYTOMETRY/TC ADD-ON - LEUK LYMPH PANEL FLOW,210.3,126.18,35.0,7411.0,39
CPT,88185,"HC REF ARUP COMP 3001780, CPT 88185",44.57,26.74,7.58,7411.0,39
CPT,88185,"HC REF ARUP, COMP 3003142, CPT 88185",89.78,53.87,15.26,7411.0,39
CPT,88185,"HC REF CINCINNATI, COMP 2904400, CPT 88185",99.62,59.77,16.94,7411.0,39
CPT,88185,"HC REF CINCINNATI, COMP 7372838, CPT 88185",254.58,152.75,35.0,7411.0,39
CPT,88185,"HC REF CINNCINNATI CHILDRENS COMP 2903600, CPT 88185",124.17,74.5,21.11,7411.0,39
CPT,88185,HC REF COMP EUROFINS VIRACOR 30035 CPT 88185,701.45,420.87,35.0,7411.0,39
CPT,88185,HC REF HEMATOLOGICS COMP LEUKEMIA/LYMPHOMA FLOW CYTO CPT 88185,102.94,61.76,17.5,7411.0,39
CPT,88185,"HC REF JOHNS HOPKINS, COMP BMFLO, CPT 88185",165.0,99.0,28.05,7411.0,39
CPT,88185,HC REF MAYO COMP MRDMM CPT 88185,368.54,221.12,35.0,7411.0,39
CPT,88185,"HC REF MAYO, COMP PLAFL, CPT 88185",902.0,541.2,35.0,7411.0,39
CPT,88185,"HC REF MEDFUSION 1003140 LEUK/LYMPHOMA BY FLOW, EA ADDL MARKER",50.87,30.52,8.65,7411.0,39
CPT,88185,HC REF MEDFUSION COMP 16000 ZAP-70 CPT 88185,287.5,172.5,35.0,7411.0,39
CPT,88185,HC VCD3 ADDITIONAL MARKER CD4,210.3,126.18,35.0,7411.0,39
CPT,88185,HC VCD3 ADDITIONAL MARKER CD8,210.3,126.18,35.0,7411.0,39
CPT,88185,HC VCD3 ADDITIONL MARKER VIABLITY,210.3,126.18,35.0,7411.0,39
CPT,88187,HC FLOW CYTOMETRY INTERP 2-8 MAR,106.92,64.15,18.18,7411.0,39
CPT,88187,"HC REF CINCINNATI, COMP 7372838, CPT 88187",254.58,152.75,35.0,7411.0,39
CPT,88187,"HC REF MAYO, COMP PLAFL, CPT 88187",256.9,154.14,35.0,7411.0,39
CPT,88188,HC FLOW CYTOMETRY INTERP 9-15 MAR,287.91,172.75,35.0,7411.0,39
CPT,88188,"HC REF ARUP, COMP 3003142, CPT 88188",89.78,53.87,15.26,7411.0,39
CPT,88188,"HC REF CINCINNATI, COMP 2904400, CPT 88188",99.62,59.77,16.94,7411.0,39
CPT,88188,"HC REF CINNCINNATI CHILDRENS COMP 2903600, CPT 88188",124.17,74.5,21.11,7411.0,39
CPT,88188,"HC REF JOHNS HOPKINS, COMP BMFLO, CPT 88188",270.0,162.0,35.0,7411.0,39
CPT,88188,"HC REF JOHNS HOPKINS, FLOW CYTOMETRY BM",270.0,162.0,35.0,7411.0,39
CPT,88188,HC REF MAYO COMP MRDMM CPT 88188,940.4,564.24,35.0,7411.0,39
CPT,88189,HC FLOW CYTOMETRY INTERPRETATION 16/> MARKERS,257.23,154.34,35.0,7411.0,39
CPT,88189,HC REF ARUP 3001780 LEUK/LUMPH PHENOTYPING BY FC - 16+ MARKERS,241.88,145.13,35.0,7411.0,39
CPT,88189,HC REF HEMATOLOGICS COMP LEUKEMIA/LYMPHOMA FLOW CYTO CPT 88189,500.0,300.0,35.0,7411.0,39
CPT,88230,HC REF ARUP 0097688 CHROMOSOME ANALYSIS BREAKAGE,975.0,585.0,35.0,7411.0,55
CPT,88230,HC REF ARUP 2002287 COMP CPT 88230,584.38,350.63,35.0,7411.0,55
CPT,88230,"HC REF ARUP COMP 2002289, CPT 88230",387.5,232.5,10.0,7411.0,55
CPT,88230,"HC REF GREENWOOD COMP CHROMOSOME ANALYSIS, CPT 88230",496.25,297.75,35.0,7411.0,55
CPT,88230,"HC TISSUE CULTURE LYMPHOCYTE - CHROMOS ANALYS, CONGENITAL",903.05,541.83,35.0,7411.0,55
CPT,88230,HC TISSUE CULTURE/NON-NEO DISORDERS LYMPHOCYTE,903.05,541.83,35.0,7411.0,55
CPT,88233,"HC TISSUE CULTURE, SKIN/ SOLID TISSUE BIOPSY",1145.6,687.36,35.0,7411.0,55
CPT,88235,HC CX TISSUE NON NEOPLAS AMNIO FL,975.24,585.14,35.0,7411.0,55
CPT,88235,HC TISSUE CULTURE AMINOTIC FLUID OR CHRONIONIC VILLUS,975.24,585.14,35.0,7411.0,55
CPT,88235,HC TISSUE CULTURE/CHROM ANALYSIS/,975.24,585.14,35.0,7411.0,55
CPT,88237,HC CX TISSUE NEOPLASM BLD HEMA,820.49,492.29,35.0,7411.0,55
CPT,88237,HC REF ARUP 2002290  COMP CPT 88237,467.19,280.31,35.0,7411.0,55
CPT,88237,HC REF ARUP COMP 2002292 CHROMOSOME ANALYSIS BM CPT 88237,467.19,280.31,35.0,7411.0,55
CPT,88237,"HC REF MAYO CHRBM CHROMOSOME ANALYSIS, HEMATOLOGIC DISORDERS, BONE MARROW",1562.5,937.5,35.0,7411.0,55
CPT,88237,"HC REF MAYO COMP COGBL, CPT 88237",2440.85,1464.51,35.0,7411.0,55
CPT,88237,HC REF MAYO COMP COGBM CPT 88237,2441.83,1465.1,35.0,7411.0,55
CPT,88237,"HC TISSUE CULTURE BONE MARROW - CHROM ANALYS HEM DISORD, LYMPH NODE",820.49,492.29,35.0,7411.0,55
CPT,88237,HC TISSUE CULTURE NEO DISORDERS BONE MARROW BLOOD CELLS,820.49,492.29,35.0,7411.0,55
CPT,88237,HC TISSUE CULTURE/NEO/DISO/BONE M,820.49,492.29,35.0,7411.0,110
CPT,88239,HC TISSUE CULTURE - CHROMOSOME,1286.85,772.11,35.0,7411.0,55
CPT,88239,HC TISSUE CULTURE NEO DISORDERS SOLID TUMOR,1286.85,772.11,35.0,7411.0,55
CPT,88239,HC TISSUE CULTURE/NEOPLASTIC DISO,1286.85,772.11,35.0,7411.0,110
CPT,88240,HC CRYOPRESRVATION FRZING & STORAGE CELLS EA CELL LINE,69.98,41.99,10.98,7411.0,55
CPT,88240,"HC CRYOPRESRVATION,FREEZING/STRG",69.98,41.99,10.98,7411.0,165
CPT,88245,HC CHROM ANALY SCE 20-25 CELLS,1028.85,617.31,35.0,7411.0,55
CPT,88261,HC CHROMOSOME ANALYSIS COUNT 5 CELLS 1 KARYOTYPE BANDING,1412.64,847.58,35.0,7411.0,55
CPT,88262,HC CHROM ANALY 15-20 2 KARY WBAND,1275.61,765.37,35.0,7411.0,55
CPT,88262,HC CHROMOSOME ANALYSIS COUNT 15-20 CELLS 2 KARYOTYPE BANDING,1275.61,765.37,35.0,7411.0,55
CPT,88262,HC CHROMOSOME ANALYSIS/15-20 CELL,1228.3649999999998,737.02,35.0,7411.0,110
CPT,88262,"HC REF ARUP COMP 2002289, CPT 88262",387.5,232.5,10.0,7411.0,55
CPT,88262,"HC REF GREENWOOD COMP CHROMOSOME ANALYSIS, CPT 88262",469.25,281.55,35.0,7411.0,55
CPT,88263,HC CHROM COUNT 45/2 MOSAICISM,1225.85,735.51,35.0,7411.0,55
CPT,88263,HC CHROMOSOME ANALYSIS COUNT 45 CELLS MOSAICISM 2 KARYOTYPES,1225.85,735.51,35.0,7411.0,55
CPT,88263,HC REF ARUP 2002287 COMP CPT 88263,584.38,350.63,35.0,7411.0,55
CPT,88264,"HC CHROMOSOME ANALYSIS 20-25 - CHROMOS ANALYS, CONGENITAL",931.37,558.82,35.0,7411.0,55
CPT,88264,HC CHROMOSOME ANALYSIS 20-25 CELLS,931.37,558.82,35.0,7411.0,55
CPT,88264,HC REF ARUP 2002290  COMP CPT 88264,467.19,280.31,35.0,7411.0,55
CPT,88264,HC REF ARUP COMP 2002292 CHROMOSOME ANALYSIS BM CPT 88264,467.19,280.31,35.0,7411.0,55
CPT,88264,HC REF MAYO COMP COGBM CPT 88264,875.0,525.0,35.0,7411.0,55
CPT,88267,HC CHROMOSOME ANALYSIS AMNIOTIC/VILLUS 15 CELL 1 KARYOTYPE,1464.24,878.54,35.0,7411.0,55
CPT,88269,HC CHROMOSOME ANALYSIS AMNIO FLD,1353.8,812.28,35.0,7411.0,55
CPT,88269,HC CHROMOSOME ANALYSIS AMNIOTIC CELLS 6-12 COLONIES 1 KARAOTYPE,1353.8,812.28,35.0,7411.0,55
CPT,88269,"HC REF COLONIES, 6+",437.5,262.5,35.0,7411.0,55
CPT,88271,HC BCL2 GENE REARR - MOLECULAR CYTOGENETICS DNA PROBE EACH,306.48,183.89,17.99,7411.0,55
CPT,88271,HC BCL6 GENE REARR - MOLECULAR CYTOGENETICS DNA PROBE EACH,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGEN DNA PROBE FISH,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGEN DNA PROBE FISH BCL2F,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGEN DNA PROBE FISH BCL6,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGEN DNA PROBE FISH BCR/ABL,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGEN DNA PROBE FISH CBFM,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGEN DNA PROBE FISH CLL,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGEN DNA PROBE FISH IGH/FGFR3,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGEN DNA PROBE FISH IGH/MYC,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGEN DNA PROBE FISH IGHM,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGEN DNA PROBE FISH MDS,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGEN DNA PROBE FISH MM,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGEN DNA PROBE FISH NPM1,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGEN DNA PROBE FISH PML RARA,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGENETICS DNA PROBE - ACUTE LYMPH LEUK PANEL FISH PEDI,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGENETICS DNA PROBE - ACUTE MYELOID LEUK PANEL FISH,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGENETICS DNA PROBE - CBFB MYH11 TRANSLOC INV(16) T(16; 16) FISH,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGENETICS DNA PROBE - CCND1 GENE REARRANG (11Q13) FISH,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGENETICS DNA PROBE - EOSINOPHILIA PANEL FISH,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGENETICS DNA PROBE - GLIOBLASTOMA BRAIN PANEL FISH,306.48,183.89,17.99,7411.0,55
CPT,88271,"HC CYTOGENETICS DNA PROBE - MULTI MYELOMA PANEL, FISH",306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGENETICS DNA PROBE - MYELODYSPLASTIC SYND PANEL FISH,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGENETICS DNA PROBE - RUNX1 (AML1) GENE REARRANG FISH,306.48,183.89,17.99,7411.0,55
CPT,88271,HC CYTOGENETICS DNA PROBE - THROMBOCYTHEMIA PANEL FISH,306.48,183.89,17.99,7411.0,55
CPT,88271,HC MOL CYTOGENE DNA PROB IGH/BCL2,306.48,183.89,17.99,7411.0,55
CPT,88271,HC MOL CYTOGENETIC DNA PROBE,306.48,183.89,17.99,7411.0,55
CPT,88271,HC MOLE CYTOGEME DNA PROB 1P/19Q,306.48,183.89,17.99,7411.0,55
CPT,88271,HC MOLE CYTOGENE DNA PROB C-MYC,306.48,183.89,17.99,7411.0,55
CPT,88271,HC MOLEC CYTO DNA - ACUTE MYELOID LEUKEMIA FISH,306.48,183.89,17.99,7411.0,55
CPT,88271,HC MOLEC CYTO DNA PROBE - CHRONIC LYMPHOMOCYTIC LEUKEMIA FISH,306.48,183.89,17.99,7411.0,55
CPT,88271,HC MOLEC CYTO DNA PROBE - LYMPH PAR EMB TISS PANEL FISH,306.48,183.89,17.99,7411.0,55
CPT,88271,"HC MOLEC CYTO DNA PROBE - LYMPHOMA PANEL (B-CELL), FISH",306.48,183.89,17.99,7411.0,55
CPT,88271,HC MOLEC CYTO DNA PROBE - MYELOPROLIFERATIVE DISORDER PANEL FISH,306.48,183.89,17.99,7411.0,55
CPT,88271,HC MOLECULAR CYTOGENETICS - DNA PRB,306.48,183.89,17.99,7411.0,825
CPT,88271,HC MOLECULAR CYTOGENETICS DNA PROBE - INDIV FISH,306.48,183.89,17.99,7411.0,55
CPT,88271,HC MOLECULAR CYTOGENETICS DNA PROBE EACH,306.48,183.89,17.99,7411.0,55
CPT,88271,"HC REF ARUP COMP 2002360, CPT 88271",225.0,135.0,17.99,7411.0,55
CPT,88271,HC REF ARUP COMP 2002363 CPT 88271,333.6,200.16,17.99,7411.0,55
CPT,88271,"HC REF ARUP COMP 2002378, CPT 88271",275.0,165.0,17.99,7411.0,55
CPT,88271,HC REF ARUP COMP 2002709 CPT 88271,225.0,135.0,17.99,7411.0,55
CPT,88271,"HC REF ARUP COMP 3000455, CPT 88271",210.71,126.43,17.99,7411.0,55
CPT,88271,HC REF ARUP COMP 3016654 CPT 88271,241.07,144.64,17.99,7411.0,55
CPT,88271,"HC REF LAB MAYO, COMP PHLDF, CPT 88271",146.31,87.78999999999999,17.99,7411.0,110
CPT,88271,HC REF MAYO BLPMF COMP CPT 88271,247.79,148.67,17.99,7411.0,55
CPT,88271,"HC REF MAYO COMP  COGBF COG-ALL, FISH CPT 88271",343.65,206.19,17.99,7411.0,55
CPT,88271,HC REF MAYO COMP  TLPFD CPT 88271,117.43,70.46,17.99,7411.0,55
CPT,88271,HC REF MAYO COMP BALAF CPT 88271,181.74,109.04,17.99,7411.0,55
CPT,88271,"HC REF MAYO COMP BLBLF, CPT 88271",728.51,437.11,17.99,7411.0,55
CPT,88271,"HC REF MAYO COMP COGTF, CPT 88271",27.39,16.43,9.86,7411.0,55
CPT,88271,HC REF MAYO COMP EOSFD CPT 88271,75.96,45.58,17.99,7411.0,55
CPT,88271,HC REF MAYO COMP PHLFD CPT 88271,67.53,40.52,17.99,7411.0,55
CPT,88271,"HC REF MAYO COMP TALPF, CPT 88271",123.44,74.06,17.99,7411.0,55
CPT,88271,HC REF MAYO COMP TLPDF CPT 88271,212.28,127.37,17.99,7411.0,55
CPT,88271,"HC REF MAYO COMP, PLASF, CPT 88271",2535.25,1521.15,17.99,7411.0,55
CPT,88271,"HC REF MAYO COMP, PRKAF, CPT 88271",850.71,510.43,17.99,7411.0,55
CPT,88271,"HC REF MAYO COMP, RETF CPT 88271",1595.65,957.39,17.99,7411.0,55
CPT,88271,"HC REF MAYO, COMP AMLAF, CPT 88271",175.02,105.01,17.99,7411.0,55
CPT,88271,"HC REF MAYO, COMP AMLMF, CPT 88271",273.93,164.36,17.99,7411.0,55
CPT,88271,"HC REF MAYO, COMP BALPF, CPT 88271",108.97,65.38,17.99,7411.0,55
CPT,88271,"HC REF MAYO, COMP CLLDF, CPT 88271",91.02,54.61,17.99,7411.0,55
CPT,88271,"HC REF MAYO, COMP EOSDF, CPT 88271",138.3,82.98,17.99,7411.0,55
CPT,88271,"HC REF MAYO, COMP ESTUF, CPT 88271",872.17,523.3,17.99,7411.0,55
CPT,88271,"HC REF MAYO, COMP EWSF, CPT 88271",361.52,216.91,17.99,7411.0,55
CPT,88271,"HC REF MAYO, COMP FUSF, CPT 88271",860.28,516.17,17.99,7411.0,55
CPT,88271,"HC REF MAYO, COMP TALAF, CPT 88271",114.93,68.96,17.99,7411.0,55
CPT,88271,"HC REF MAYO, COMP TLBLF, CPT 88271",650.2,390.12,17.99,7411.0,55
CPT,88271,"HC REF MAYO, COMP, FGFR2, CPT 88271",856.8,514.08,17.99,7411.0,55
CPT,88271,"HC REF MAYO, CYTOGENETICS DNA PROBE",1613.57,968.14,17.99,7411.0,55
CPT,88271,"HC REF MAYO, DD22F 22Q11.2 DELETION/DUPLICATION FISH CPT 88271",157.76,94.66,17.99,7411.0,55
CPT,88271,HC REF MEDFUSION 88271 COMPONENT 1003148 OPPOSITE SEX BM XPLANT FISH,131.25,78.75,17.99,7411.0,55
CPT,88271,"HC REF MEDFUSION < QUEST COMP MDIGEROGE, CPT 88271",58.88,35.33,17.99,7411.0,55
CPT,88271,"HC REF NEBRASKA COMP, CHROMOSOME ANALYSIS, CPT 88271",162.5,97.5,17.99,7411.0,55
CPT,88272,HC MOLEC CYTO CHROM ISH 3-5 - ACUTE MYELOID LEUKEMIA FISH,283.78,170.27,34.19,7411.0,55
CPT,88273,HC MOLECULAR CYTO - CHROM IN-SITU - 10-30 CELLS,406.18,243.71,29.24,7411.0,110
CPT,88273,HC MOLECULAR CYTOGENETICS CHRMOML ISH 10-30 CELLS,406.18,243.71,29.24,7411.0,55
CPT,88273,"HC REF MEDFUSION < QUEST COMP MDIGEROGE, CPT 88273",58.88,35.33,21.2,7411.0,55
CPT,88274,HC CYTOGEN CHROM IN SITU 25-99,410.94,246.56,35.0,7411.0,110
CPT,88274,HC INTER HYBRID 25-99 (19006814),410.94,246.56,35.0,7411.0,55
CPT,88274,HC MOLECULAR CYTO - INTERPH IN-SITU,410.94,246.56,35.0,7411.0,55
CPT,88274,HC MOLECULAR CYTOGENETICS INTERPHASE ISH 25-99 CELLS,410.94,246.56,35.0,7411.0,55
CPT,88275,HC BCL2 GENE REARR - MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CELLS,412.89,247.73,35.0,7411.0,55
CPT,88275,HC BCL6 GENE REARR - MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CELLS,412.89,247.73,35.0,7411.0,55
CPT,88275,HC CYTOGENETICS 100-300 - CBFB MYH11 TRANSLOC INV(16) T(16; 16) FISH,412.89,247.73,35.0,7411.0,55
CPT,88275,HC CYTOGENETICS 100-300 - CCND1 GENE REARRANG (11Q13) FISH,412.89,247.73,35.0,7411.0,55
CPT,88275,HC CYTOGENETICS 100-300 - EOSINOPHILIA PANEL FISH,412.89,247.73,35.0,7411.0,55
CPT,88275,HC CYTOGENETICS 100-300 - ESSENTIAL THROMBOCYTHEMIA PANEL FISH,412.89,247.73,35.0,7411.0,55
CPT,88275,HC CYTOGENETICS 100-300 - GLIOBLASTOMA BRAIN PANEL FISH,412.89,247.73,35.0,7411.0,55
CPT,88275,"HC CYTOGENETICS 100-300 - MULTI MYELOMA PANEL, FISH",412.89,247.73,35.0,7411.0,55
CPT,88275,HC CYTOGENETICS 100-300 - MYELODYSPLASTIC SYND PANEL FISH,412.89,247.73,35.0,7411.0,55
CPT,88275,HC CYTOGENETICS 100-300 - RUNX1 (AML1) GENE REARRANG FISH,412.89,247.73,35.0,7411.0,55
CPT,88275,HC MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CELLS,412.89,247.73,35.0,7411.0,55
CPT,88275,HC MOLEC CYTO INTERPHASE SISTU HYRI - LYMPH PAR EMB TISS PANEL FISH,412.89,247.73,35.0,7411.0,55
CPT,88275,HC MOLEC CYTO INTERPHASE SISTU HYRI - MYELOPROLIFERATIVE DISORDER PANEL FISH,412.89,247.73,35.0,7411.0,55
CPT,88275,HC MOLEC CYTO ISH ANALYZE 100-300 CLL - CHRONIC LYMPHOMOCYTIC LEUKEMIA FISH,412.89,247.73,35.0,7411.0,55
CPT,88275,HC MOLEC CYTO ISH ANALYZE 100-300 CLL - FISH,412.89,247.73,35.0,7411.0,55
CPT,88275,"HC MOLEC CYTO ISH ANALYZE 100-300 CLL - LYMPHOMA PANEL (B-CELL), FISH",412.89,247.73,35.0,7411.0,55
CPT,88275,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI,412.89,247.73,35.0,7411.0,935
CPT,88275,HC MOLECULAR CYTO - INTERPHASE SISTU HYRI FISH ANAL 100-300CELL IGH/BCL2 MOLECULAR LAB,412.89,247.73,35.0,7411.0,55
CPT,88275,HC MOLECULAR CYTO INTERPHASE SISTU HYRI - BCR/ABL,412.89,247.73,35.0,7411.0,55
CPT,88275,HC MOLECULAR CYTO INTERPHASE SISTU HYRI - C-MYC,412.89,247.73,35.0,7411.0,55
CPT,88275,HC MOLECULAR CYTO INTERPHASE SISTU HYRI - IGH/BCL2,412.89,247.73,35.0,7411.0,55
CPT,88275,HC MOLECULAR CYTO INTERPHASE SISTU HYRI - IGH/FGFR3,412.89,247.73,35.0,7411.0,55
CPT,88275,HC MOLECULAR CYTO INTERPHASE SISTU HYRI - IGH/MYC,412.89,247.73,35.0,7411.0,55
CPT,88275,HC MOLECULAR CYTO INTERPHASE SISTU HYRI - INDIV FISH,412.89,247.73,35.0,7411.0,55
CPT,88275,HC MOLECULAR CYTO INTERPHASE SISTU HYRI - PML RARA,412.89,247.73,35.0,7411.0,55
CPT,88275,"HC REF ARUP COMP 2002360, CPT 88275",225.0,135.0,35.0,7411.0,55
CPT,88275,HC REF ARUP COMP 2002363 CPT 88275,333.6,200.16,35.0,7411.0,55
CPT,88275,"HC REF ARUP COMP 2002378, CPT 88275",275.0,165.0,35.0,7411.0,55
CPT,88275,HC REF ARUP COMP 2002709 CPT 88275,225.0,135.0,35.0,7411.0,55
CPT,88275,"HC REF ARUP COMP 3000455, CPT 88275",210.71,126.43,35.0,7411.0,55
CPT,88275,HC REF ARUP COMP 3016654 CPT 88275,241.07,144.64,35.0,7411.0,55
CPT,88275,"HC REF LAB MAYO, COMP PHLDF, CPT 88275",274.25,164.55,35.0,7411.0,55
CPT,88275,HC REF MAYO BLPMF COMP CPT 88275,592.2,355.32,35.0,7411.0,55
CPT,88275,"HC REF MAYO COMP  COGBF COG-ALL, FISH CPT 88275",821.28,492.77,35.0,7411.0,55
CPT,88275,HC REF MAYO COMP  TLPFD CPT 88275,280.64,168.38,35.0,7411.0,55
CPT,88275,HC REF MAYO COMP BALAF CPT 88275,434.33,260.6,35.0,7411.0,55
CPT,88275,"HC REF MAYO COMP COGTF, CPT 88275",65.46,39.28,23.57,7411.0,55
CPT,88275,HC REF MAYO COMP EOSFD CPT 88275,181.53,108.92,35.0,7411.0,55
CPT,88275,HC REF MAYO COMP PHLFD CPT 88275,161.38,96.83,35.0,7411.0,55
CPT,88275,"HC REF MAYO COMP TALPF, CPT 88275",295.0,177.0,35.0,7411.0,55
CPT,88275,HC REF MAYO COMP TLPDF CPT 88275,507.32,304.39,35.0,7411.0,55
CPT,88275,"HC REF MAYO, COMP AMLAF, CPT 88275",418.28,250.97,35.0,7411.0,55
CPT,88275,"HC REF MAYO, COMP AMLMF, CPT 88275",654.65,392.79,35.0,7411.0,55
CPT,88275,"HC REF MAYO, COMP BALPF, CPT 88275",260.41,156.25,35.0,7411.0,55
CPT,88275,"HC REF MAYO, COMP CLLDF, CPT 88275",217.54,130.52,35.0,7411.0,55
CPT,88275,"HC REF MAYO, COMP EOSDF, CPT 88275",330.51,198.31,35.0,7411.0,55
CPT,88275,"HC REF MAYO, COMP TALAF, CPT 88275",274.65,164.79,35.0,7411.0,55
CPT,88275,HC REF MEDFUSION 88275 COMPONENT 1003148 OPPOSITE SEX BM XPLANT FISH,122.9,73.74,35.0,7411.0,55
CPT,88275,"HC REF NEBRASKA COMP, CHROMOSOME ANALYSIS, CPT 88275",302.5,181.5,35.0,7411.0,55
CPT,88280,HC CHROMOSOME ANALYSIS ADDL KARYOTYPE EACH STUDY,658.41,395.05,28.11,7411.0,55
CPT,88280,"HC CHROMOSOME ANALYSIS, ADDITIONAL KEROTYPES",658.41,395.05,28.11,7411.0,55
CPT,88283,HC CHROMOSOME ANALYSIS ADDL SPECIALIZED BANDING,453.68,272.21,35.0,7411.0,55
CPT,88285,HC CHROMOSOME ANALYSIS ADDL CELLS COUNTED EACH STUDY,243.94,146.36,22.6,7411.0,55
CPT,88289,HC CHROMOSOME ANALYSIS ADDL HIGH RESOLUTION STUDY,328.58,197.15,28.92,7411.0,55
CPT,88289,"HC REF GREENWOOD COMP CHROMOSOME ANALYSIS, CPT 88289",496.25,297.75,28.92,7411.0,55
CPT,88291,HC CYTO/MOLEC CYTO INTERP/REPORT - ACUTE LYMPH LEUK PANEL PED FISH,163.57,98.14,27.81,7411.0,39
CPT,88291,HC CYTO/MOLEC CYTO INTERP/REPORT - INDIV FISH,163.57,98.14,27.81,7411.0,39
CPT,88291,HC CYTO/MOLEC CYTO INTERP/REPORT - LYMPH PAR EMB TISS PANEL FISH,163.57,98.14,27.81,7411.0,39
CPT,88291,HC CYTO/MOLEC CYTO INTERP/REPORT - MYELOPROLIFERATIVE DISORDER PANEL FISH,163.57,98.14,27.81,7411.0,39
CPT,88291,HC CYTO/MOLECULAR REPORT - EOSINOPHILIA PANEL FISH,163.57,98.14,27.81,7411.0,39
CPT,88291,HC CYTO/MOLECULAR REPORT - ESSENTIAL THROMBOCYTHEMIA PANEL FISH,163.57,98.14,27.81,7411.0,39
CPT,88291,HC CYTO/MOLECULAR REPORT - GLIOBLASTOMA BRAIN PANEL FISH,163.57,98.14,27.81,7411.0,39
CPT,88291,HC CYTO/MOLECULAR REPORT - OLIGO BRAIN PANEL FISH,163.57,98.14,27.81,7411.0,39
CPT,88291,HC CYTOGENETICS & MOLECULAR CYTOGENETICS INTERP & REPORT,163.57,98.14,27.81,7411.0,39
CPT,88291,"HC REF GREENWOOD COMP CHROMOSOME ANALYSIS, CPT 88291",496.25,297.75,35.0,7411.0,39
CPT,88291,HC REF MAYO BLPMF COMP CPT 88291,382.23,229.34,35.0,7411.0,39
CPT,88291,"HC REF MAYO COMP  COGBF COG-ALL, FISH CPT 88291",527.18,316.31,35.0,7411.0,39
CPT,88291,HC REF MAYO COMP  TLPFD CPT 88291,180.53,108.32,30.69,7411.0,39
CPT,88291,HC REF MAYO COMP BALAF CPT 88291,279.4,167.64,35.0,7411.0,39
CPT,88291,"HC REF MAYO COMP BLBLF, CPT 88291",1119.98,671.99,35.0,7411.0,39
CPT,88291,"HC REF MAYO COMP COGBL, CPT 88291",559.15,335.49,35.0,7411.0,39
CPT,88291,HC REF MAYO COMP COGBM CPT 88291,558.18,334.91,35.0,7411.0,39
CPT,88291,HC REF MAYO COMP EOSFD CPT 88291,116.78,70.07,19.85,7411.0,39
CPT,88291,HC REF MAYO COMP PHLFD CPT 88291,103.83,62.3,17.65,7411.0,39
CPT,88291,"HC REF MAYO COMP TALPF, CPT 88291",189.78,113.87,32.26,7411.0,39
CPT,88291,HC REF MAYO COMP TLPDF CPT 88291,326.35,195.81,35.0,7411.0,39
CPT,88291,"HC REF MAYO COMP, PLASF, CPT 88291",1964.75,1178.85,35.0,7411.0,39
CPT,88291,"HC REF MAYO COMP, PRKAF, CPT 88291",1318.58,791.15,35.0,7411.0,39
CPT,88291,"HC REF MAYO COMP, RETF CPT 88291",1236.6,741.96,35.0,7411.0,39
CPT,88291,"HC REF MAYO, COMP AMLAF, CPT 88291",251.75,151.05,35.0,7411.0,39
CPT,88291,"HC REF MAYO, COMP AMLMF, CPT 88291",394.0,236.4,35.0,7411.0,39
CPT,88291,"HC REF MAYO, COMP BALPF, CPT 88291",156.73,94.04,26.64,7411.0,39
CPT,88291,"HC REF MAYO, COMP CLLDF, CPT 88291",130.93,78.56,22.26,7411.0,39
CPT,88291,"HC REF MAYO, COMP EOSDF, CPT 88291",198.93,119.36,33.82,7411.0,39
CPT,88291,"HC REF MAYO, COMP ESTUF, CPT 88291",1254.48,752.69,35.0,7411.0,39
CPT,88291,"HC REF MAYO, COMP EWSF, CPT 88291",519.98,311.99,35.0,7411.0,39
CPT,88291,"HC REF MAYO, COMP FUSF, CPT 88291",1237.4,742.44,35.0,7411.0,39
CPT,88291,"HC REF MAYO, COMP TALAF, CPT 88291",173.58,104.15,29.51,7411.0,39
CPT,88291,"HC REF MAYO, COMP TLBLF, CPT 88291",867.7,520.62,35.0,7411.0,39
CPT,88291,"HC REF MAYO, COMP, FGFR2, CPT 88291",1306.4,783.84,35.0,7411.0,39
CPT,88291,"HC REF MAYO, DD22F 22Q11.2 DELETION/DUPLICATION FISH CPT 88291",242.03,145.22,35.0,7411.0,39
CPT,88299,HC UNLISTED CYTOGENETIC STUDY,517.44,310.46,35.0,7411.0,55
CPT,88300,"HC SURG PATH, GROSS, LEVEL I",183.37,110.02,27.61,7411.0,55
CPT,88302,"HC SURGICAL PATH,GROSS, LEVEL II",294.38,176.63,35.0,7411.0,55
CPT,88304,"HC SURGICAL PATH, GROSS, LEVEL III",399.16,239.5,35.0,7411.0,55
CPT,88304,"HC SURGICAL PATH, LEVEL III,GROSS",399.16,239.5,35.0,7411.0,55
CPT,88304,"HC SURGICAL PATH, LEVEL III,GROSS - CYTO",399.16,239.5,35.0,7411.0,55
CPT,88305,HC CYTOLOGY CELL BLOCK,495.22,297.13,35.0,7411.0,55
CPT,88305,HC CYTOLOGY CELL BLOCK (WOMENS IMAGING CENTER),495.22,297.13,35.0,7411.0,55
CPT,88305,"HC REF MAYO, MBX MUSCLE PATHOLOGY CONSULT",790.0,474.0,35.0,7411.0,55
CPT,88305,"HC REF MAYO, PNBX, PERIPHERAL NERVE PATHOLOGY CONSULTATION",790.0,474.0,35.0,7411.0,55
CPT,88305,"HC SURGICAL PATH, LEVEL IV, GROSS",495.22,297.13,35.0,7411.0,165
CPT,88305,"LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION ABORTION - SPONTANEOUS/MISSED ARTERY, BIOPSY BONE MARROW, BIOPSY BONE EXOSTOSIS BRAIN/MENINGES, OTHER THAN FOR TUMOR RESECTION BREAST, ",,,49.73,255.27,25
CPT,88307,"HC SURGICAL PATH, GROSS, LEVEL V",794.58,476.75,35.0,7411.0,55
CPT,88307,"HC SURGICAL PATH, LEVEL V, GROSS",794.58,476.75,35.0,7411.0,55
CPT,88307,"LEVEL V - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION ADRENAL, RESECTION BONE - BIOPSY/CURETTINGS BONE FRAGMENT(S), PATHOLOGIC FRACTURE BRAIN, BIOPSY BRAIN/MENINGES, TUMOR RESECTION BREAST, ",,,342.08,1462.4,50
CPT,88309,"HC SURGICAL PATH, GROSS, LEVEL VI",1095.2,657.12,35.0,7411.0,55
CPT,88311,HC DECALCIFICATION PROCEDURE,147.19,88.31,21.98,7411.0,39
CPT,88311,HC DECALCIFICATION PROCEDURE - HEMA,147.19,88.31,10.0,7411.0,78
CPT,88312,"HC SPECIAL STAINS, GROUP I, EACH",276.92,166.15,35.0,7411.0,110
CPT,88312,"HC SPECIAL STAINS, GROUP I, EACH - CYTO",276.92,166.15,35.0,7411.0,55
CPT,88312,"HC SPECIAL STAINS, GROUP I, EACH HISTOPATHOLOGY",276.92,166.15,35.0,7411.0,55
CPT,88313,"HC REF MAYO, AMPIP - AMYLOID PROTEIN IDENTIFICATION, PARAFFIN, SPECTROMETRY",511.5,306.9,35.0,7411.0,55
CPT,88313,"HC SPECIAL STAINS, GROUP II, EACH",264.91,158.95,35.0,7411.0,55
CPT,88314,"HC REF MAYO COMP MBX, CPT 88314",298.4,179.04,35.0,7411.0,39
CPT,88314,"HC SPECIAL STAINS, HISTOCHEM STAIN",318.09,190.85,35.0,7411.0,39
CPT,88319,HC ENZYME CONSTITUENTS HISTOCHEMI,857.3,514.38,35.0,7411.0,55
CPT,88319,"HC REF MAYO COMP MBX, CPT 88319",358.78,215.27,35.0,7411.0,55
CPT,88321,HC MICROSLIDE CONSULT,286.09,171.65,10.0,7411.0,55
CPT,88323,HC CONSLTN&REPRT MATERIAL REQUIRING PREPN SLIDES,459.04,275.42,35.0,7411.0,55
CPT,88325,HC CONSLTN COMPRE REVIEW REPRT REFERRED MATRL,709.88,425.93,35.0,7411.0,55
CPT,88329,HC PATH CONSULT OR,224.43,134.66,35.0,7411.0,55
CPT,88331,"HC PATH CONSLTN SURG 1ST BLK FROZEN SCTN SINGLE SPECIMEN,",496.45,297.87,35.0,7411.0,55
CPT,88332,HC PATH CONSLTN SURG EA ADDL BLK FROZEN SECTION,256.96,154.18,35.0,7411.0,39
CPT,88333,HC CYTO EXAM INITIAL,769.91,461.95,35.0,7411.0,55
CPT,88333,HC PATH CONSLTN SURG CYTOLOGIC EXAM INITIAL SITE,769.91,461.95,35.0,7411.0,55
CPT,88334,"HC CYTO, EA ADD'L",169.64,101.78,28.84,7411.0,39
CPT,88334,HC PATH CONSLTN SURG CYTOLOGIC EXAM ADDL SITE,169.64,101.78,28.84,7411.0,39
CPT,88341,HC IHC ANTIBODY SLIDE ADDL SINGLE (WOMENS IMAGING CENTER),361.74,217.04,35.0,7411.0,39
CPT,88341,"HC IMMUNOHISTO ANITBODY SLIDE, ADDL SINGLE SLIDE",361.74,217.04,35.0,7411.0,39
CPT,88341,"HC REF MAYO, CD25, IHC ADDL",187.5,112.5,31.88,7411.0,39
CPT,88341,"HC REF PATHGROUP, PANTRKIHC CPT 88341",164.73,98.84,28.0,7411.0,39
CPT,88342,HC IHC ANTIBODY SLIDE SINGLE (WOMENS IMAGING CENTER),432.52,259.51,35.0,7411.0,55
CPT,88342,"HC IMMUNOHISTOCHEMISTRY, 1ST ANTIBODY STAIN PROCEDURE",432.52,259.51,35.0,7411.0,55
CPT,88342,"HC REF MAYO, CD25, IHC INITIAL",187.5,112.5,31.88,7411.0,55
CPT,88342,"IMMUNOHISTOCHEMISTRY OR IMMUNOCYTOCHEMISTRY, PER SPECIMEN; INITIAL SINGLE ANTIBODY STAIN PROCEDURE",,,162.59,740.46,50
CPT,88344,"HC IMMUNOHISTO ANITBODY SLIDE, MULTIPLEX",519.32,311.59,35.0,7411.0,55
CPT,88346,HC IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN,416.63,249.98,35.0,7411.0,55
CPT,88346,"HC IMMUNOFLUORESCENT STUDY, INITIAL",416.63,249.98,35.0,7411.0,440
CPT,88346,"HC IMMUNOFLUORESCENT STUDY, INITIAL HISTOPATHOLOGY",416.63,249.98,35.0,7411.0,55
CPT,88346,HC OVARIAN AUTO ANTIBODY,416.63,249.98,35.0,7411.0,55
CPT,88346,"HC REF ARUP, COMP 3001409, CPT 88346",286.17,171.7,35.0,7411.0,55
CPT,88346,"HC REF ARUP, COMP 3001410, CPT 88346",1678.33,1007.0,35.0,7411.0,55
CPT,88346,"HC REF MAYO, COMP FAEAB, CPT 88346",671.84,403.1,35.0,7411.0,55
CPT,88346,"HC REF PROMETHEUS, COMP IBD SGI DIAGNOSTIC CPT 88346",81.18,48.71,13.8,7411.0,55
CPT,88348,"HC ELECTRON MICROSCOPY, DIAGNOSTIC",2094.51,1256.71,35.0,7411.0,55
CPT,88348,HC REF MAYO COMP PTEM PLATELET TRANS EM STUDY CPT 88348,3028.33,1817.0,35.0,7411.0,55
CPT,88348,HC REF MAYO EM - ELECTRON MICROSCOPY,2232.73,1339.64,35.0,7411.0,55
CPT,88350,HC ENDOCRINE AUTO ANTIBODIES,330.53,198.32,35.0,7411.0,117
CPT,88350,HC IBD SGI DIAGNOSTICS,330.53,198.32,35.0,7411.0,39
CPT,88350,HC IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN,330.53,198.32,35.0,7411.0,39
CPT,88350,"HC REF ARUP, COMP 3001409, CPT 88350",286.17,171.7,35.0,7411.0,39
CPT,88350,"HC REF ARUP, COMP 3001410, CPT 88350",1678.33,1007.0,35.0,7411.0,39
CPT,88350,"HC REF MAYO, COMP FAEAB, CPT 88350",514.08,308.45,35.0,7411.0,39
CPT,88350,"HC REF PROMETHEUS, COMP IBD SGI DIAGNOSTIC CPT 88350",81.18,48.71,13.8,7411.0,39
CPT,88355,HC MORPHOMETRIC ANALYSIS SKELETAL MUSCLE,544.72,326.83,35.0,7411.0,55
CPT,88356,"HC MORPHOMETRIC ANALYSIS, NERVE",102.08,61.25,17.35,7411.0,55
CPT,88360,HC IHC MANUAL HER/2 ER/PR QUANT,476.5,285.9,35.0,7411.0,55
CPT,88360,HC MORPHO ANLYS TUMR MANUAL (WOMENS IMAGING CENTER),476.5,285.9,35.0,7411.0,55
CPT,88360,HC MORPHOMETRIC ANALYSIS TUMOR IMHCHEM EA ANTIBODY MANUAL,476.5,285.9,35.0,7411.0,55
CPT,88360,"HC MORPHOMETRIC ANALYSIS,TUMOR IM",476.5,285.9,35.0,7411.0,55
CPT,88361,HC MORPHOMETRIC ANALYSIS TUMOR IMHCHEM EA ANTBDY CMPTR ASST,537.06,322.24,35.0,7411.0,55
CPT,88362,HC NERVE TEASING PREPARATIONS,944.77,566.86,35.0,7411.0,55
CPT,88363,HC EXAM & SELECT ARCHIVE TISSUE MOLECULAR ANALYSIS,69.44,41.66,11.8,7411.0,55
CPT,88364,"HC INSITU HYBRIDIZATION (FISH), ADDL SINGLE",602.66,361.6,35.0,7411.0,39
CPT,88365,HC IN SITU HYBRIDIZATION 1ST PROBE STAIN,622.39,373.43,35.0,7411.0,55
CPT,88365,HC IN SITU HYBRIDIZATION FISH,622.39,373.43,35.0,7411.0,55
CPT,88365,"HC IN SITU HYBRIDIZATION, CYTO",622.39,373.43,35.0,7411.0,55
CPT,88365,"HC IN SITU HYBRIDIZATION,EACH PRO",622.39,373.43,35.0,7411.0,165
CPT,88366,HC IN SITU HYBRIDIZATION EA MULTIPLEX PROBE STAIN,124.29,74.57,21.13,7411.0,55
CPT,88366,HC REF AGGRESSIVE B-CELL LYMPHOMA,830.0,498.0,35.0,7411.0,55
CPT,88366,HC REF ARUP 3006357 NR4A3 REARRANGEMENT BY FISH,1437.5,862.5,35.0,7411.0,55
CPT,88366,"HC REF ARUP, 2002528 FISH 88366G PANCREATOBILIARY",1150.0,690.0,35.0,7411.0,55
CPT,88366,"HC REF ARUP, 3001304, DDIT3 (CHOP) GENE REARR, FISH",1126.58,675.95,35.0,7411.0,55
CPT,88367,HC MORPHOMETRIC ANALYSIS CPTR-ASST TECH 1ST PROBE STAIN,490.0,294.0,35.0,7411.0,55
CPT,88368,HC MORPHOMETRIC ANALYSIS IN SITU HYBRIDIZATION EA PROBE MANUAL,668.8,401.28,35.0,7411.0,55
CPT,88368,"HC MORPHOMETRIC ANALYSIS,IN SITU - MANUAL",668.8,401.28,35.0,7411.0,275
CPT,88369,"HC MORPHOMETRIC ANALYSIS IN SITU HYBRIDIZATION, MNL, ADDL PROBE STAIN",552.58,331.55,35.0,7411.0,39
CPT,88374,"HC MORPHOMETRIC ANALYSIS IN SITU HYBRIDIZATION, CPTR ASSIST EACH MULTIPLEX",1037.36,622.42,35.0,7411.0,55
CPT,88374,HC REF NEOGENOMICS AML STANDARD FISH COMP CPT 88374,1895.0,1137.0,35.0,7411.0,55
CPT,88374,HC REF NEOGENOMICS COMP FISH CLL CPT 88374,1360.0,816.0,35.0,7411.0,55
CPT,88374,HC REF NEOGENOMICS COMP FISH SMALL B-CELL LYMPHOMA CPT 88374,1360.0,816.0,35.0,7411.0,55
CPT,88374,HC REF NEOGENOMICS COMP NEOTYPE ALL CPT 88374,1360.0,816.0,35.0,7411.0,55
CPT,88374,HC REF NEOGENOMICS HIGH-GRADE/LARGE B-CELL LYMPHOMA FISH COMP CPT 88374,1895.0,1137.0,35.0,7411.0,55
CPT,88374,HC REF NEOGENOMICS NON-HODGKINS LYMPHOMA (NHL) FISH PANEL COMP CPT 88374,1895.0,1137.0,10.0,7411.0,55
CPT,88374,"HC REF NEOGENOMICS, COMP NEOTYPE LYMPHOMA PROFILE CPT 88374",920.0,552.0,35.0,7411.0,55
CPT,88377,HC M/PHMTRC ALYS ISHQUANT/SEMIQ (WOMENS IMAGING CENTER,948.51,569.11,35.0,7411.0,55
CPT,88377,HC M/PHMTRC ALYS ISHQUANT/SEMIQ - HER2/NEU AMP FISH,948.51,569.11,35.0,7411.0,55
CPT,88377,HC M/PHMTRC ALYS ISHQUANT/SEMIQ - RET GENE REARRANG FISH,948.51,569.11,35.0,7411.0,55
CPT,88377,HC MORPHOMET ANALYS ISH MANUAL - ALK GENE REARR 2P23 FISH,948.51,569.11,35.0,7411.0,55
CPT,88377,HC MORPHOMETRIC ANALYSIS IN SITU HYBRIDIZATION MANUAL EACH MULTIPLEX,948.51,569.11,35.0,7411.0,55
CPT,88377,HC REF ARUP 3001301 MDM2 GENE AMP BY FISH,1301.25,780.75,35.0,7411.0,55
CPT,88377,HC REF C-MET AMP BY FISH,486.89,292.13,35.0,7411.0,55
CPT,88377,"HC REF MAYO BILAO BILIARY TRACT MALIGN, FISH",1604.45,962.67,35.0,7411.0,55
CPT,88377,"HC REF MAYO BLYM B-CELL LYMPHOMA, FISH, TISSUE",1196.63,717.98,35.0,7411.0,55
CPT,88377,HC REF MAYO _PRAA EA ADDL BLYM PROBE,500.0,300.0,35.0,7411.0,55
CPT,88377,"HC REF MAYO, SLL FISH, TISSUE",1990.99,1194.59,35.0,7411.0,55
CPT,88377,HC REF NEOGENOMICS COMP ALL FISH PH-LIKE MANUAL CPT 88377,1360.0,816.0,35.0,7411.0,55
CPT,88377,HC REF PATHGROUP MORPHOMETRIC ANALYSIS (CPT 88377),877.3,526.38,35.0,7411.0,55
CPT,88377,HC SS18 SYT FISH PROBE STAIN,948.51,569.11,35.0,7411.0,55
CPT,88380,HC MICRODISSECTION LASER,1709.79,1025.87,10.0,7411.0,39
CPT,88381,"HC MICRODISSECTION, MANUAL",646.79,388.07,35.0,7411.0,39
CPT,88381,"HC REF MAYO, COMP ML1HM, CPT 88381",584.38,350.63,35.0,7411.0,39
CPT,88381,"HC REF MAYO, SLIRV SLIDE REVIEW",246.7,148.02,35.0,7411.0,39
CPT,88381,HC REF PATHGROUP MICRODISSECTION (CPT 88381),399.35,239.61,35.0,7411.0,39
CPT,88381,"HC REF PATHGROUP, MSI, MICROSATELLITE INSTABILITY (PCR), CPT 88381",458.18,274.91,35.0,7411.0,39
CPT,88387,HC MACROSCOPIC EXAM DISSECT&PREP TISS NONMICRO STUDY EA,168.82,101.29,16.71,7411.0,39
CPT,88720,HC BILIRUBIN TEST,70.25,42.15,4.22,7411.0,55
CPT,88720,HC BILIRUBIN TEST - L&D,70.25,42.15,4.22,7411.0,55
CPT,88720,HC BILIRUBIN TESTING,70.25,42.15,4.22,7411.0,110
CPT,88738,HC HGB QUANT TRANSCUTANEOUS,51.86,31.12,4.77,7411.0,55
CPT,89050,"HC CELL COUNT PEDI ONC, CSF",170.9,102.54,3.96,7411.0,55
CPT,89050,"HC CELL COUNT, BAL",170.9,102.54,3.96,7411.0,55
CPT,89050,"HC CELL COUNT, BODY FLUIDS EXCEPT",170.9,102.54,3.96,7411.0,55
CPT,89050,"HC CELL COUNT, CSF",170.9,102.54,3.96,7411.0,55
CPT,89050,"HC CELL COUNT, SYNOVIAL FLUID",170.9,102.54,3.96,7411.0,55
CPT,89051,HC BRONCHIAL LAVAGE WASH DIFF,200.76,120.46,4.7,7411.0,55
CPT,89051,"HC CELL COUNT W/MAN DIFF - PATHOLOGIST MAN DIFF, CSF",200.76,120.46,4.7,7411.0,55
CPT,89051,"HC CELL COUNT W/MANUAL DIFF, BAL",200.76,120.46,4.7,7411.0,55
CPT,89051,"HC CELL COUNT W/MANUAL DIFF, SYNOVIAL FLUID",200.76,120.46,4.7,7411.0,55
CPT,89051,"HC CELL COUNT,BODY FLUIDS,W/DIFFE",200.76,120.46,4.7,7411.0,110
CPT,89051,"HC REF SYNOVASURE, COMP PJII, CPT 89051",71.94,43.16,4.7,7411.0,55
CPT,89055,"HC LEUKOCYTE ASSESSMENT - FECAL,QUA",115.13,69.08,3.59,7411.0,55
CPT,89060,HC CRYSTAL IDENTIFICATION/LIGHT M,140.93,84.56,6.16,7411.0,55
CPT,89060,"HC REF MAYO CRSBF CRYSTAL IDENTIFICATION, BODY FLUID",92.85,55.71,6.16,7411.0,55
CPT,89060,"HC REF SYNOVASURE, CRYSTAL ANALYSIS",75.0,45.0,6.16,7411.0,55
CPT,89190,HC NASAL SMEAR FOR EOSINOPHILS,101.0,60.6,4.86,7411.0,55
CPT,89220,HC INDUCED SPUTUM COLLECTION,200.61,120.37,10.0,7411.0,55
CPT,89240,HC PATHOLOGY LAB PROCEDURE,149.0,89.4,10.0,7411.0,55
CPT,89254,HC OOCYTE IDENTIFICATION FROM FOL,562.0,337.2,10.0,7411.0,55
CPT,89280,"HC OOCYTE FERTILIZATION,<OR=10 OO",2153.95,1292.37,10.0,7411.0,55
CPT,89310,"HC SEMN ANALA,MOTLTY&COUNT(NOT IN",143.0,85.8,8.18,7411.0,55
CPT,89320,HC SEMEN ANALYSIS COMPLETE,215.0,129.0,10.0,7411.0,55
CPT,89321,"HC SEMEN ANALYSIS,PRESENCE/MOTILI",133.2,79.92,10.0,7411.0,55
CPT,90471,HC ADMINISTER IMM 1 VACCINE,129.54,77.72,22.02,7411.0,55
CPT,90471,HC IMMUNIZATION ADMINISTRATION,129.54,77.72,22.02,7411.0,55
CPT,90471,HC INFLUENZA VACCINATION,129.54,77.72,22.02,7411.0,55
CPT,90471,HC PNEUMOCOCCAL VACCINATION,129.54,77.72,22.02,7411.0,55
CPT,90472,HC IMMUNIZATION ADMINISTRATION EACH ADDL,89.04,53.42,15.14,7411.0,39
CPT,90472,"HC IMMUNIZATION ADMINISTRATION, EACH ADDL",89.04,53.42,15.14,7411.0,39
CPT,90473,HC IM ADM INTRANSL/ORAL 1 VACCINE,25.0,15.0,4.25,7411.0,55
CPT,90473,"HC IMMUNZATN ADMIN,INTRANASAL/ORAL",80.0,48.0,13.6,7411.0,55
CPT,90474,HC IM ADM INTRANSL/ORAL EA VACCINE,25.0,15.0,4.25,7411.0,39
CPT,90474,"HC IMMUNZATN ADMIN,INTRNASAL/ORAL - EA ADD",56.0,33.6,9.52,7411.0,39
CPT,90480,HC IM ADM SARCOV2 SINGLE DOSE,80.0,48.0,13.6,7411.0,55
CPT,90791,HC PSYCHIATRIC DIAGNOSTIC EVALUATION,640.58,384.35,108.9,7411.0,55
CPT,90792,HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERV,547.13,328.28,93.01,7411.0,55
CPT,90832,"HC PSYCHOTHERAPY, 30 MIN WITH PATIENT",334.05,200.43,56.79,7411.0,51
CPT,90834,"HC PSYCHOTHERAPY, 45 MIN WITH PATIENT",457.5,274.5,77.78,7411.0,51
CPT,90837,"HC PSYCHOTHERAPY, 60 MIN WITH PATIENT",479.11,287.47,81.45,7411.0,51
CPT,90839,HC PSYCHOTHERAPY FOR CRISIS - FIRST 60MIN,543.9,326.34,92.46,7411.0,51
CPT,90840,HC PSYCH THERAPY CRISIS ADDL 30,228.3,136.98,38.81,7411.0,36
CPT,90847,HC FAMILY PSYCHOTHERAPY W/PATIENT,302.0,181.2,51.34,7411.0,51
CPT,90849,HC MULTI.FAM.GROUP PSYT 2HR,604.0,362.4,102.68,7411.0,51
CPT,90849,HC MULTI.FAM.GROUP PSYT 3HR,906.0,543.6,154.02,7411.0,51
CPT,90853,HC GROUP CD INTENSIVE OP (IOP),268.0,160.8,45.56,7411.0,54
CPT,90853,HC GROUP PSYCHOTHERAPY,268.0,160.8,45.56,7411.0,51
CPT,90853,HC PHP PSYCH (FULL DAY),1072.0,643.2,96.95,7411.0,51
CPT,90853,HC PHP-CD (FULL DAY),1072.0,643.2,96.95,7411.0,51
CPT,90853,HC PSYCHIATRIC HALF DAY IOP,268.0,160.8,45.56,7411.0,54
CPT,90870,HC ELECTROCONVULSIVE TREATMENT,1754.5,1052.7,298.26,7411.0,55
CPT,90887,HC CONSULTATION WITH FAMILY,226.31,135.79,38.47,7411.0,36
CPT,90901,"HC BIOFEEDBACK TRAINING, BY ANY MODALITY",247.76,148.66,42.12,7411.0,39
CPT,90912,"HC BIOFEEDBACK TRAINING, W/EMG AND/OR MANOMETRY 1ST 15MIN",450.62,270.37,76.61,7411.0,79
CPT,90913,"HC BIOFEEDBACK TRAIN, PERINEAL MUSCLES, ANORECT",454.92,272.95,77.34,7411.0,39
CPT,90913,"HC BIOFEEDBACK TRAINING, W/EMG AND/OR MANOMETRY EA ADDL 15MIN",454.92,272.95,77.34,7411.0,79
CPT,90935,"HC HEMODIALYSIS, SINGLE EVAL",3579.7,2147.82,608.55,7411.0,110
CPT,90945,HC CAPD (EXCHANGE) DIALYSIS,2959.74,1775.84,398.2,7411.0,55
CPT,90945,HC CCPD,2959.74,1775.84,398.2,7411.0,55
CPT,90945,HC CRRT DIALYSIS,2959.74,1775.84,398.2,7411.0,55
CPT,90945,"HC DIALYSIS/OTHER THAN HEMO,SINGL",2959.74,1775.84,398.2,7411.0,55
CPT,90945,HC OP CAPD METHOD I SINGLE EVAL,2959.74,1775.84,398.2,7411.0,55
CPT,90945,HC OP CAPD METHOD II SINGLE EVAL,2959.74,1775.84,398.2,7411.0,55
CPT,90945,HC OP CCPD METHOD I SINGLE EVAL,2959.74,1775.84,398.2,7411.0,55
CPT,90945,HC OP CCPD METHOD II SINGLE EVAL,2959.74,1775.84,398.2,7411.0,55
CPT,90945,HC OP PERITONEAL DIALYSIS SINGLE EVAL,2959.74,1775.84,398.2,7411.0,55
CPT,90945,HC PERITONEAL DIALYSIS,2959.74,1775.84,398.2,7411.0,55
CPT,90945,HC SERAPH TREATMENT,2959.74,1775.84,398.2,7411.0,55
CPT,90947,HC OP CAPD METHOD I REPEAT EVAL,1812.5,1087.5,308.12,7411.0,39
CPT,90947,HC OP CAPD METHOD II REPEAT EVAL,1812.5,1087.5,308.12,7411.0,39
CPT,90947,HC OP CCPD METHOD I REPEAT EVAL,1812.5,1087.5,308.12,7411.0,39
CPT,90947,HC OP CCPD METHOD II REPEAT EVAL,1812.5,1087.5,308.12,7411.0,39
CPT,90947,HC OP PERITONEAL DIALYSIS REPEAT EVAL,1812.5,1087.5,308.12,7411.0,39
CPT,90999,HC AQUAPHERESIS THERAPY,5247.9,3148.74,892.14,7411.0,39
CPT,90999,HC ESRD OP DIALYSIS TREATMENT,2922.87,1753.72,496.89,7411.0,39
CPT,90999,HC ESRD OP DIALYSIS TREATMENT REPEAT,2922.87,1753.72,496.89,7411.0,39
CPT,91010,ESOPHAGEAL MOTILITY (MANOMETRIC STUDY OF THE ESOPHAGUS AND/OR GASTROESOPHAGEAL JUNCTION) STUDY WITH INTERPRETATION AND REPORT;,,,356.12,2107.0,56
CPT,91010,HC ESOPHAGEAL MOTILITY STUDY,2095.29,1257.17,356.12,7411.0,53
CPT,91034,"HC ESOPHAGUS,GI REFLUX TST - W/NASL PLACMNT",2322.55,1393.53,356.12,7411.0,53
CPT,91034,HC GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT,2322.55,1393.53,356.12,7411.0,53
CPT,91035,"ESOPHAGUS, GASTROESOPHAGEAL REFLUX TEST; WITH MUCOSAL ATTACHED TELEMETRY PH ELECTRODE PLACEMENT, RECORDING, ANALYSIS AND INTERPRETATION",,,819.52,2638.92,56
CPT,91035,"HC ESOPHAGUS, GI REFLUX TST - BRAVO PH CAPSULE",3144.52,1886.71,534.57,7411.0,53
CPT,91035,HC GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD,3144.52,1886.71,534.57,7411.0,53
CPT,91037,"ESOPHAGEAL FUNCTION TEST, GASTROESOPHAGEAL REFLUX TEST WITH NASAL CATHETER INTRALUMINAL IMPEDANCE ELECTRODE(S) PLACEMENT, RECORDING, ANALYSIS AND INTERPRETATION;",,,206.06,2107.0,28
CPT,91037,"HC ESOPHAGEAL FUNCTION TST,GI REF",1333.7,800.22,206.06,7411.0,53
CPT,91038,"HC ESOPHAGEAL FUNCTION TST,GI REF - PROLONGED",2572.74,1543.64,356.12,7411.0,108
CPT,91040,"ESOPHAGEAL BALLOON DISTENSION STUDY, DIAGNOSTIC, WITH PROVOCATION WHEN PERFORMED",,,356.12,2825.73,28
CPT,91040,HC ESOPHAGEAL BALLOON DISTENSION,2217.87,1330.72,356.12,7411.0,53
CPT,91065,HC BREATH HYDROGEN TEST,913.65,548.19,155.32,7411.0,53
CPT,91110,HC PILL CAM ENDOSCOPY ESOPHAGUS THRU ILEUM,4031.53,2418.92,732.9,7411.0,53
CPT,91111,HC PILL CAM ENDOSCOPY ESOPHAGUS ONLY,3163.03,1897.82,865.56,7411.0,53
CPT,91112,"GASTROINTESTINAL TRANSIT AND PRESSURE MEASUREMENT, STOMACH THROUGH COLON, WIRELESS CAPSULE, WITH INTERPRETATION AND REPORT",,,865.56,7638.88,31
CPT,91120,"HC RECTAL SENSATION,TONE&COMPLIAN",1085.73,651.44,184.57,7411.0,38
CPT,91122,HC ANORECTAL MANOMETRY,2353.05,1411.83,400.02,7411.0,38
CPT,91124,"HC RECTAL SENSATION, TONE, AND COMPLIANCE STUDY (EG, BAROSTAT)",1085.73,651.44,184.57,7411.0,52
CPT,91125,"HC ANORECTAL MANOMETRY, WITH RECTAL SENSATION AND RECTAL BALLOON EXPULSION TEST, WHEN PERFORMED",2353.05,1411.83,356.12,7411.0,52
CPT,91200,HC LIVER ELASTOGRAPHY,520.0,312.0,31.93,7411.0,55
CPT,92002,"HC EYE EXAM, NEW PATIENT,INTERMED",238.0,142.8,40.46,7411.0,41
CPT,92025,"HC COMP CORNEAL TOPOGRAPHY,W/INT",303.91,182.35,51.66,7411.0,55
CPT,92083,"HC VISUAL FIELD EXAM, EXTENDED",410.48,246.29,69.78,7411.0,55
CPT,92132,HC SCAN COMP/OPHTH/DIAG IMG ANTR SEGMNT,217.35,130.41,36.95,7411.0,55
CPT,92133,HC SCAN COMP/OPHTH/DIAG IMG POST SEGM - OPTC NR,345.49,207.29,56.3,7411.0,55
CPT,92134,HC SCAN COMP/OPHTH/DIAG IMG POST SEGM - RETINA,320.4,192.24,54.47,7411.0,55
CPT,92137,HC CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH,595.0,357.0,101.15,7411.0,54
CPT,92227,HC REMOTE IMAGING DETECT RETINAL DISEASE,85.28,51.17,14.5,7411.0,41
CPT,92229,HC IMG RTA DETC/MNTR DS POC ALY,111.32,66.79,18.92,7411.0,41
CPT,92240,HC ICG ANGIOGRAPHY,1313.98,788.39,206.06,7411.0,55
CPT,92250,"HC FUNDUS PHOTOGRAPHY,W/INTERPRETATION/REPORT",349.1,209.46,59.35,7411.0,55
CPT,92270,HC ELECTRO-OCULOGRAPHY,616.12,369.67,104.74,7411.0,55
CPT,92273,HC FULL FIELD ERG W/I&R,957.0,574.2,162.69,7411.0,55
CPT,92274,HC MULTIFOCAL ERG W/I&R,957.0,574.2,122.8,7411.0,55
CPT,92283,"HC COLOR VISION EXAM, EXTEND, ANOMALOSCOPE/EQUAL",175.07,105.04,29.76,7411.0,55
CPT,92313,HC RX&FITG CONTACT LENS CORNEOSCLERAL LENS,246.3,147.78,41.87,7411.0,55
CPT,92507,HC (ST) TREATMENT-120 MIN,488.51,293.11,83.05,7411.0,40
CPT,92507,HC (ST) TREATMENT-90 MIN,488.51,293.11,83.05,7411.0,40
CPT,92507,HC SPEECH/LANGUAGE/HEARING THERAPY 15 MIN (92507),488.51,293.11,83.05,7411.0,40
CPT,92507,HC SPEECH/LANGUAGE/HEARING THERAPY 30 MIN (92507),488.51,293.11,83.05,7411.0,40
CPT,92507,HC SPEECH/LANGUAGE/HEARING THERAPY 45 MIN (92507),488.51,293.11,83.05,7411.0,40
CPT,92507,HC SPEECH/LANGUAGE/HEARING THERAPY 60 MIN (92507),488.51,293.11,83.05,7411.0,40
CPT,92508,HC (ST) GRP TREATMENT-90 MIN,127.55,76.53,21.68,7411.0,40
CPT,92508,"HC SPEECH/LANGUAGE/HEARING THERAPY, GROUP 15 MIN (92508)",127.55,76.53,21.68,7411.0,40
CPT,92508,"HC SPEECH/LANGUAGE/HEARING THERAPY, GROUP 30 MIN (92508)",127.55,76.53,21.68,7411.0,40
CPT,92508,"HC SPEECH/LANGUAGE/HEARING THERAPY, GROUP 45 MIN (92508)",127.55,76.53,21.68,7411.0,40
CPT,92508,"HC SPEECH/LANGUAGE/HEARING THERAPY, GROUP 60 MIN (92508)",127.55,76.53,21.68,7411.0,40
CPT,92511,HC NASOPHARYNGOSCOPY,586.12,351.67,99.64,7411.0,96
CPT,92511,HC NASOPHARYNGOSCOPY TECH/NURSE,586.12,351.67,99.64,7411.0,55
CPT,92511,HC NASOPHARYNGOSCOPY W ENDOSC,586.12,351.67,99.64,7411.0,55
CPT,92517,HC CERVICAL VEMP TESTING W/I&R,279.1,167.46,47.45,7411.0,55
CPT,92518,HC OCULAR VEMP TESTING W/I&R,279.1,167.46,47.45,7411.0,55
CPT,92519,HC CERVICAL & OCULAR VEMP TESTING W/I&R,528.9,317.34,89.91,7411.0,55
CPT,92521,HC EVAL OF SPEECH FLUENCY 120 MIN (92521),679.14,407.48,108.0,7411.0,40
CPT,92521,HC EVAL OF SPEECH FLUENCY 15 MIN (92521),679.14,407.48,108.0,7411.0,40
CPT,92521,HC EVAL OF SPEECH FLUENCY 30 MIN (92521),679.14,407.48,108.0,7411.0,40
CPT,92521,HC EVAL OF SPEECH FLUENCY 45 MIN (92521),679.14,407.48,108.0,7411.0,40
CPT,92521,HC EVAL OF SPEECH FLUENCY 60 MIN (92521),679.14,407.48,108.0,7411.0,40
CPT,92521,HC EVAL OF SPEECH FLUENCY 75 MIN (92521),679.14,407.48,108.0,7411.0,40
CPT,92521,HC EVAL OF SPEECH FLUENCY 90 MIN (92521),679.14,407.48,108.0,7411.0,40
CPT,92522,HC EVAL OF SPEECH SOUND PRODUCTION 120 MIN (92522),605.95,363.57,103.01,7411.0,40
CPT,92522,HC EVAL OF SPEECH SOUND PRODUCTION 15 MIN (92522),605.95,363.57,103.01,7411.0,40
CPT,92522,HC EVAL OF SPEECH SOUND PRODUCTION 30 MIN (92522),605.95,363.57,103.01,7411.0,40
CPT,92522,HC EVAL OF SPEECH SOUND PRODUCTION 45 MIN (92522),605.95,363.57,103.01,7411.0,40
CPT,92522,HC EVAL OF SPEECH SOUND PRODUCTION 60 MIN (92522),605.95,363.57,103.01,7411.0,40
CPT,92522,HC EVAL OF SPEECH SOUND PRODUCTION 75 MIN (92522),605.95,363.57,103.01,7411.0,40
CPT,92522,HC EVAL OF SPEECH SOUND PRODUCTION 90 MIN (92522),605.95,363.57,103.01,7411.0,40
CPT,92523,HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 120 MIN (92523),705.66,423.4,112.0,7411.0,40
CPT,92523,HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 15 MIN (92523),705.66,423.4,112.0,7411.0,40
CPT,92523,HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 30 MIN (92523),705.66,423.4,112.0,7411.0,40
CPT,92523,HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 45 MIN (92523),705.66,423.4,112.0,7411.0,40
CPT,92523,HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 60 MIN (92523),705.66,423.4,112.0,7411.0,40
CPT,92523,HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 75 MIN (92523),705.66,423.4,112.0,7411.0,40
CPT,92523,HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 90 MIN (92523),705.66,423.4,112.0,7411.0,40
CPT,92524,HC BEHAVIORAL/QUALTVE ANALYSIS VOICE & RESONA 105 MIN (92524),637.67,382.6,108.0,7411.0,40
CPT,92524,HC BEHAVIORAL/QUALTVE ANALYSIS VOICE & RESONA 120 MIN (92524),637.67,382.6,108.0,7411.0,40
CPT,92524,HC BEHAVIORAL/QUALTVE ANALYSIS VOICE & RESONA 15 MIN (92524),637.67,382.6,108.0,7411.0,40
CPT,92524,HC BEHAVIORAL/QUALTVE ANALYSIS VOICE & RESONA 30 MIN (92524),637.67,382.6,108.0,7411.0,40
CPT,92524,HC BEHAVIORAL/QUALTVE ANALYSIS VOICE & RESONA 45 MIN (92524),637.67,382.6,108.0,7411.0,40
CPT,92524,HC BEHAVIORAL/QUALTVE ANALYSIS VOICE & RESONA 60 MIN (92524),637.67,382.6,108.0,7411.0,40
CPT,92524,HC BEHAVIORAL/QUALTVE ANALYSIS VOICE & RESONA 75 MIN (92524),637.67,382.6,108.0,7411.0,40
CPT,92524,HC BEHAVIORAL/QUALTVE ANALYSIS VOICE & RESONA 90 MIN (92524),637.67,382.6,108.0,7411.0,40
CPT,92526,HC (ST) SWALLOW TREAT-120 MIN,496.28,297.77,84.37,7411.0,40
CPT,92526,HC (ST) SWALLOW TREAT-90 MIN,496.28,297.77,84.37,7411.0,40
CPT,92526,HC DYSPHAGIA TREATMENT 15 MIN (92526),496.28,297.77,84.37,7411.0,40
CPT,92526,HC DYSPHAGIA TREATMENT 30 MIN (92526),496.28,297.77,84.37,7411.0,40
CPT,92526,HC DYSPHAGIA TREATMENT 45 MIN (92526),496.28,297.77,84.37,7411.0,40
CPT,92526,HC DYSPHAGIA TREATMENT 60 MIN (92526),496.28,297.77,84.37,7411.0,40
CPT,92551,HC AUDIO SCREEN TEST,136.73,82.04,23.24,7411.0,39
CPT,92586,HC AUDITORY STEADY STATE RESPONSE (ABR),489.53,293.72,83.22,7411.0,39
CPT,92587,HC EVOKED AUDITORY TEST LIMITED,390.54,234.32,11.05,7411.0,55
CPT,92588,HC EVOKED AUDITORY TEST COMP (OAE),624.37,374.62,14.4,7411.0,55
CPT,92597,HC EVAL FOR USE/FIT VOICE PROSTHETIC DEVICE,679.57,407.74,112.0,7411.0,40
CPT,92597,HC EVAL FOR USE/FIT VOICE PROSTHETIC DEVICE 120 MIN (92597),679.57,407.74,112.0,7411.0,40
CPT,92597,HC EVAL FOR USE/FIT VOICE PROSTHETIC DEVICE 15 MIN (92597),679.57,407.74,112.0,7411.0,40
CPT,92597,HC EVAL FOR USE/FIT VOICE PROSTHETIC DEVICE 30 MIN (92597),679.57,407.74,112.0,7411.0,40
CPT,92597,HC EVAL FOR USE/FIT VOICE PROSTHETIC DEVICE 45 MIN (92597),679.57,407.74,112.0,7411.0,40
CPT,92597,HC EVAL FOR USE/FIT VOICE PROSTHETIC DEVICE 60 MIN (92597),679.57,407.74,112.0,7411.0,40
CPT,92597,HC EVAL FOR USE/FIT VOICE PROSTHETIC DEVICE 75 MIN (92597),679.57,407.74,112.0,7411.0,40
CPT,92597,HC EVAL FOR USE/FIT VOICE PROSTHETIC DEVICE 90 MIN (92597),679.57,407.74,112.0,7411.0,40
CPT,92607,HC EVALUATE RX SPEECH AUGMENTATION - 1ST HR (92607),737.61,442.57,112.0,7411.0,40
CPT,92608,HC EVALUATE RX SPEECH AUGMENTATION - EA ADD 30 MIN (92608),271.08,162.65,46.08,7411.0,40
CPT,92609,HC SPEECH DEVICE TRAINING ANY TIME AMT (92609),468.6,281.16,79.66,7411.0,40
CPT,92610,HC (ST) BEDSIDE SWALLOW EVAL-120,566.88,340.13,96.37,7411.0,40
CPT,92610,HC (ST) BEDSIDE SWALLOW EVAL-90,566.88,340.13,96.37,7411.0,40
CPT,92610,HC EVALUATE CLINICAL DYSPHAGIA (92610),566.88,340.13,96.37,7411.0,40
CPT,92610,HC EVALUATE CLINICAL DYSPHAGIA 15 MIN (92610),566.88,340.13,96.37,7411.0,40
CPT,92610,HC EVALUATE CLINICAL DYSPHAGIA 30 MIN (92610),566.88,340.13,96.37,7411.0,40
CPT,92610,HC EVALUATE CLINICAL DYSPHAGIA 45 MIN (92610),566.88,340.13,96.37,7411.0,40
CPT,92610,HC EVALUATE CLINICAL DYSPHAGIA 60 MIN (92610),566.88,340.13,96.37,7411.0,40
CPT,92611,HC EVALUATE MOTION FLUOROSCOPIC 120 MIN (92611),783.8,470.28,112.0,7411.0,40
CPT,92611,HC EVALUATE MOTION FLUOROSCOPIC 15 MIN (92611),783.8,470.28,112.0,7411.0,40
CPT,92611,HC EVALUATE MOTION FLUOROSCOPIC 30 MIN (92611),783.8,470.28,112.0,7411.0,40
CPT,92611,HC EVALUATE MOTION FLUOROSCOPIC 45 MIN (92611),783.8,470.28,112.0,7411.0,40
CPT,92611,HC EVALUATE MOTION FLUOROSCOPIC 60 MIN (92611),783.8,470.28,112.0,7411.0,40
CPT,92611,HC EVALUATE MOTION FLUOROSCOPIC 90 MIN (92611),783.8,470.28,112.0,7411.0,40
CPT,92612,HC EVALUATE FLEX FIBEROPTIC ENDOSCOPIC (92612),960.27,576.16,163.25,7411.0,37
CPT,92612,HC EVALUATE FLEX FIBEROPTIC ENDOSCOPIC 120 MIN (92612),960.27,576.16,112.0,7411.0,40
CPT,92612,HC EVALUATE FLEX FIBEROPTIC ENDOSCOPIC 15 MIN (92612),960.27,576.16,112.0,7411.0,40
CPT,92612,HC EVALUATE FLEX FIBEROPTIC ENDOSCOPIC 30 MIN (92612),960.27,576.16,112.0,7411.0,40
CPT,92612,HC EVALUATE FLEX FIBEROPTIC ENDOSCOPIC 45 MIN (92612),960.27,576.16,112.0,7411.0,40
CPT,92612,HC EVALUATE FLEX FIBEROPTIC ENDOSCOPIC 60 MIN (92612),960.27,576.16,112.0,7411.0,40
CPT,92612,HC EVALUATE FLEX FIBEROPTIC ENDOSCOPIC 75 MIN (92612),960.27,576.16,112.0,7411.0,40
CPT,92612,HC EVALUATE FLEX FIBEROPTIC ENDOSCOPIC 90 MIN (92612),960.27,576.16,112.0,7411.0,40
CPT,92626,HC EVAL AUDITORY REHAB STATUS - FIRST HR 60 MIN (92626),584.98,350.99,99.45,7411.0,55
CPT,92650,HC AEP SCR AUDITORY POTENTIAL,599.53,359.72,74.74,7411.0,39
CPT,92651,HC AEP HEARING STATUS DETER I&R,489.53,293.72,83.22,7411.0,55
CPT,92652,HC AEP THRSHLD EST MLT FREQ I&R,1184.22,710.53,201.32,7411.0,55
CPT,92653,HC AEP NEURODIAGNOSTIC I&R,1184.22,710.53,201.32,7411.0,55
CPT,92700,HC EVAL AND/OR PROGRAM OF BAHA HEARING IMPLANT,573.07,343.84,27.61,7411.0,110
CPT,92920,HC PERQ TRLUML C ANGIOPLASTY 1 MAJ C ART&/BRANCHES,20949.17,12569.5,3561.36,25859.41,249
CPT,92921,HC PTCA ADD LC,20309.14,12185.48,3452.55,21149.0,33
CPT,92921,HC PTCA ADD LD,20309.14,12185.48,3452.55,21149.0,33
CPT,92921,HC PTCA ADD LM,20309.14,12185.48,3452.55,21149.0,33
CPT,92921,HC PTCA ADD RC,20309.14,12185.48,3452.55,21149.0,33
CPT,92921,HC TRANSLUMNL CORONARY ANGIOPL - EA ADDL ARTERY,20309.14,12185.48,3452.55,21149.0,33
CPT,92924,HC PERQ TRLUML C ATHRC ANGIOP 1 MAJ C ART&/BRANCHES,24617.09,14770.25,4184.91,51722.27,210
CPT,92925,"HC TRANSLUMNL CORNRY ATHERECT,EA",19229.1,11537.46,3268.95,21149.0,33
CPT,92928,HC PERQ TCAT PLMT NTRAC ST 1 LES 1+C SEGMENTS,27034.24,16220.54,4595.82,51722.27,249
CPT,92929,HC STENT BMS ADD LC,27513.29,16507.97,4677.26,23386.3,33
CPT,92929,HC STENT BMS ADD LD,27513.29,16507.97,4677.26,23386.3,33
CPT,92929,HC STENT BMS ADD LM,27513.29,16507.97,4677.26,23386.3,33
CPT,92929,HC STENT BMS ADD RC,27513.29,16507.97,4677.26,23386.3,33
CPT,92929,HC STENT BMS ADD RI,27513.29,16507.97,4677.26,23386.3,33
CPT,92929,HC TRANSCATH PLACEMNT STENT - EA ADD BRNCH,27513.29,16507.97,4677.26,23386.3,33
CPT,92930,HC PERQ TCAT PLMT NTRAC ST 2+LES 2+ST 2+C SEGMENTS,36830.34,22098.2,6299.0,39592.62,54
CPT,92933,HC PERQ TRLUML C ATHRC ST ANGIOP 1 MAJ C ART&/BRNCH,23826.6,14295.96,4050.52,83206.64,249
CPT,92934,HC STENT BMS W ATHERECTOMY ADD LC,18029.93,10817.96,3065.09,21149.0,33
CPT,92934,HC STENT BMS W ATHERECTOMY ADD LD,18029.93,10817.96,3065.09,21149.0,33
CPT,92934,HC STENT BMS W ATHERECTOMY ADD LM,18029.93,10817.96,3065.09,21149.0,33
CPT,92934,HC STENT BMS W ATHERECTOMY ADD RC,18029.93,10817.96,3065.09,21149.0,33
CPT,92934,HC STENT BMS W ATHERECTOMY ADD RI,18029.93,10817.96,3065.09,21149.0,33
CPT,92934,HC TRANSLUMNL ATHERECTMY W/STENT - EA ADD,18029.93,10817.96,3065.09,21149.0,33
CPT,92937,HC PERQ TRLUML REVSC OF/-CAB GRF 1 MAJ C ART&/BRNCH,21533.85,12920.31,3660.75,51722.27,249
CPT,92938,HC REVASC BMS BYPASS GRAFT ADD LC,25132.15,15079.29,4272.47,21362.33,33
CPT,92938,HC REVASC BMS BYPASS GRAFT ADD LD,25132.15,15079.29,4272.47,21362.33,33
CPT,92938,HC REVASC BMS BYPASS GRAFT ADD LM,25132.15,15079.29,4272.47,21362.33,33
CPT,92938,HC REVASC BMS BYPASS GRAFT ADD RC,25132.15,15079.29,4272.47,21362.33,33
CPT,92938,HC REVASC BMS BYPASS GRAFT ADD RI,25132.15,15079.29,4272.47,21362.33,33
CPT,92938,HC TRANSLUMNL REVASC - EA ADD BRNCH,25132.15,15079.29,4272.47,21362.33,33
CPT,92941,HC PERQ TRLUML REVSC TOT/STOT OCCLS AMI 1MAJ C ART,30653.67,18392.2,1726.04,26055.62,228
CPT,92943,HC PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD,29123.73,17474.24,4951.03,51722.27,249
CPT,92944,HC TRANSLUMNL REVASC CHRONIC OCC W/BMS - EA ADD LC,34663.21,20797.93,5892.75,29463.73,33
CPT,92944,HC TRANSLUMNL REVASC CHRONIC OCC W/BMS - EA ADD LD,34663.21,20797.93,5892.75,29463.73,33
CPT,92944,HC TRANSLUMNL REVASC CHRONIC OCC W/BMS - EA ADD LM,34663.21,20797.93,5892.75,29463.73,33
CPT,92944,HC TRANSLUMNL REVASC CHRONIC OCC W/BMS - EA ADD RC,34663.21,20797.93,5892.75,29463.73,33
CPT,92944,HC TRANSLUMNL REVASC CHRONIC OCC W/BMS - EA ADD RI,34663.21,20797.93,5892.75,29463.73,33
CPT,92944,HC TRANSLUMNL REVASCUL CHRONC OCC - EA ADD,34663.21,20797.93,5892.75,29463.73,33
CPT,92945,HC PERQ TRLUML REVSC CHRNC TOT OCCLS 1 ANTGRD&RTRGR,38597.77,23158.66,5950.65,28948.33,53
CPT,92950,HC CARDIO RESUSCITATION,2015.07,1209.04,206.06,7411.0,55
CPT,92950,HC CPR,2015.07,1209.04,206.06,7411.0,55
CPT,92950,HC HEART/LUNG RESUSCITATION CPR,2015.07,1209.04,206.06,7411.0,55
CPT,92950,HC HEART/LUNG RESUSCITATION CPR (EP LAB),2015.07,1209.04,206.06,7411.0,55
CPT,92953,HC TEMPORARY PACING,1837.83,1102.7,312.43,7411.0,55
CPT,92953,HC TRANSCUTANEOUS PACER,1837.83,1102.7,312.43,7411.0,55
CPT,92953,"HC TRANSCUTANEOUS PACING, TEMPORA",1837.83,1102.7,312.43,7411.0,41
CPT,92960,"CARDIOVERSION, ELECTIVE, ELECTRICAL CONVERSION OF ARRHYTHMIA; EXTERNAL",,,630.76,3167.0,23
CPT,92960,HC CARDIOVERSION EXT,3281.49,1968.89,557.85,7411.0,55
CPT,92960,HC CARDIOVERSION EXTERNAL,3281.49,1968.89,557.85,7411.0,55
CPT,92960,HC ELECTRICAL CONVERSION OF ARRHY,3281.49,1968.89,557.85,7411.0,163
CPT,92960,HC ELECTRICAL CONVERSION OF ARRHY (EP LAB),3281.49,1968.89,557.85,7411.0,55
CPT,92961,HC CARDIOVERSION INTERNAL,3032.96,1819.78,515.6,7411.0,110
CPT,92970,"HC CARDIOASSIST,INTERNA",7272.6,4363.56,610.75,7411.0,38
CPT,92972,HC PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY,20634.8,12380.88,3507.92,17539.58,38
CPT,92973,HC PERQ TRLUML CORONARY MCHNL ASPIR THROMBECTOMY,10011.21,6006.73,1701.91,8509.53,165
CPT,92974,HC BRACHYTHERAPY CATH PLACE,7882.19,4729.31,1339.97,7411.0,33
CPT,92974,HC BRACHYTHERAPY CATH PLACE (EP LAB),7882.19,4729.31,1339.97,7411.0,34
CPT,92975,HC CORONARY THROMBOLYSIS,4340.79,2604.47,737.93,7411.0,38
CPT,92975,HC CORONARY THROMBOLYSIS (EP LAB),4340.79,2604.47,737.93,7411.0,39
CPT,92975,"HC DISSOLVE CLOT,HEART",4340.79,2604.47,737.93,7411.0,39
CPT,92977,"HC THROMBOLYSIS, COR, IV INFUS",1722.81,1033.69,292.88,7411.0,39
CPT,92977,"HC THROMBOLYSIS, COR, IV INFUS (EP LAB)",1722.81,1033.69,292.88,7411.0,40
CPT,92978,HC CRNRY VSL IMAG (IVUS/OCT) DURING DX/THERAP 1ST VSL,8886.78,5332.07,308.69,7553.76,39
CPT,92978,HC IVUS CORONARY LC INI,8886.78,5332.07,308.69,7553.76,38
CPT,92978,HC IVUS CORONARY LD INI,8886.78,5332.07,308.69,7553.76,38
CPT,92978,HC IVUS CORONARY LM INI,8886.78,5332.07,308.69,7553.76,38
CPT,92978,HC IVUS CORONARY RC INI,8886.78,5332.07,308.69,7553.76,38
CPT,92978,HC IVUS CORONARY RI INI,8886.78,5332.07,308.69,7553.76,38
CPT,92979,HC CRNRY VSL IMAG (IVUS/OCT) DURING DX/THERAP EA ADDL VSL,6232.5,3739.5,245.63,7411.0,39
CPT,92979,HC IVUS CORONARY LC ADD,6232.5,3739.5,245.63,7411.0,38
CPT,92979,HC IVUS CORONARY LD ADD,6232.5,3739.5,245.63,7411.0,38
CPT,92979,HC IVUS CORONARY LM ADD,6232.5,3739.5,245.63,7411.0,38
CPT,92979,HC IVUS CORONARY RC ADD,6232.5,3739.5,245.63,7411.0,38
CPT,92979,HC IVUS CORONARY RI ADD,6232.5,3739.5,245.63,7411.0,38
CPT,92986,"HC VALVULOPLASTY, AORTIC VALVE",26717.75,16030.65,4542.02,25859.41,54
CPT,92987,"HC VALVULOPLASTY, MITRAL VALVE",28626.39,17175.83,4866.49,51722.27,54
CPT,92990,"HC VALVULOPLASTY, PULMONARY VALVE",21167.77,12700.66,3598.52,51722.27,54
CPT,92992,"HC ATRIAL SEPTOSTOMY, XVENOUS, BALLOON",12807.21,7684.33,2177.23,10886.13,38
CPT,92993,HC ATRIAL SEPTOSTOMY W/PARK BLADE,10910.64,6546.38,1854.81,9274.04,38
CPT,92997,HC PUL ARTERY BALLOON ANGIOPLASTY - SING VES,16202.01,9721.21,2754.34,51722.27,54
CPT,92998,HC PUL ARTERY BALLOON ANGIOPLASTY - EA ADDTL,6187.82,3712.69,1051.93,19035.0,33
CPT,93005,"ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; TRACING ONLY, WITHOUT INTERPRETATION AND REPORT",,,56.3,917.0,78
CPT,93005,HC ECG ROUTINE TRACING ONLY,453.2,271.92,56.3,7411.0,110
CPT,93017,HC CARDIOVASCULAR STRESS TEST,2086.47,1251.88,206.06,7411.0,55
CPT,93041,HC ECG RHYTHM 1-3 LEADS W/I&R,242.1,145.26,41.16,7411.0,110
CPT,93225,HC ECG MONITORING/48 HRS/W/SUPERIMPOSITION SC,997.07,598.24,126.97,7411.0,55
CPT,93226,HC ECG MONITOR/48 HRS/W/SUPERIMPOS./SCAN W/RE,1273.2,763.92,56.3,7411.0,55
CPT,93242,HC EXTERNAL ECG REC>48HR<7D RECORDING,867.86,520.72,35.64,7411.0,55
CPT,93246,HC EXTERNAL ECG REC>7D<15D RECORDING,867.86,520.72,35.64,7411.0,55
CPT,93260,HC PRGRMG EVL LDLS PM 2CHMBR IP,350.0,210.0,35.62,7411.0,55
CPT,93261,HC INTERROGATION EVAL F2F IMPLANT SUB LEAD DEFIB,259.21,155.53,35.62,7411.0,55
CPT,93278,HC ELECTROCARDIOGRAPHY - SIGNAL-AVE,621.86,373.12,31.74,7411.0,55
CPT,93279,HC PROGRAM DVCE EVAL - SNGLE LEAD PACEMAKER,324.0,194.4,35.62,7411.0,55
CPT,93280,HC PROGRAM DVCE EVAL - DUAL LEAD PACEMAKER,420.12,252.07,35.62,7411.0,55
CPT,93281,HC PROGRAM DVCE EVAL - MLTPLE LEAD PACEMAKER,376.0,225.6,35.62,7411.0,55
CPT,93282,HC PROGRAM DVCE EVAL - SNGLE LEAD CARD-DEFB,336.89,202.13,35.62,7411.0,55
CPT,93283,HC PROGRAM DVCE EVAL - DUAL LEAD CARD TECH/NRS,364.65,218.79,35.62,7411.0,55
CPT,93284,HC PROGRAM DVCE EVAL - MLTPLE LEAD CARD-DEFB,412.77,247.66,35.62,7411.0,55
CPT,93285,HC PROGRAM DVCE EVAL - IMPL LOOP RECORDER,300.55,180.33,35.62,7411.0,55
CPT,93286,HC PERI-PROC DVCE EVALUATE - PACEMAKER,438.55,263.13,61.95,7411.0,39
CPT,93287,HC PERI-PROC DVCE EVALUATE - CARDIO-DEF,508.19,304.91,61.95,7411.0,39
CPT,93288,HC INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,387.66,232.6,35.62,7411.0,55
CPT,93288,HC INTERROGATE DVCE EVALUATE - LEAD PAC,387.66,232.6,35.62,7411.0,55
CPT,93289,HC INTERROGATE DVCE EVALUATE - CARDIO-D,413.22,247.93,35.62,7411.0,55
CPT,93290,HC INTERROGATE DVCE EVALUATE - CARDIOVA,270.09,162.05,35.62,7411.0,55
CPT,93291,HC INTERROGATE DVCE EVALUATE - IMPL LOO,363.23,217.94,27.61,7411.0,55
CPT,93295,HC INTERROGATE DVCE EVALUATE - UP TO 90 - ICD,213.0,127.8,36.21,7411.0,39
CPT,93296,HC INTERROGATE DVCE EVALUATE - UP TO 90 - SYSTEM,318.89,191.33,35.62,7411.0,55
CPT,93297,HC REM INTERROG ICPMS <30 D PHYS/QHP,393.97,236.38,35.62,7411.0,55
CPT,93298,HC REM INTERROG SCRMS <30 D PHYS/QHP,393.97,236.38,35.62,7411.0,55
CPT,93303,HC TTE FOR CONGENITAL ANOMALIES W/CONTRAST,4410.0,2646.0,215.51,7411.0,55
CPT,93303,HC TTE FOR CONGENITAL ANOMALIES W/O CONTRAST,4410.0,2646.0,215.51,7411.0,55
CPT,93304,HC TTE FOR CONGENITAL ANOMALIES F/UP OR LIMITED W/CONTRAST,2356.05,1413.63,151.7,7411.0,55
CPT,93304,HC TTE FOR CONGENITAL ANOMALIES F/UP OR LIMITED W/O CONTRAST,2356.05,1413.63,151.7,7411.0,55
CPT,93306,HC TTE COMPLETE W/DOPPLER & COLOR FLOW W/CONTRAST,4315.93,2589.56,416.02,7411.0,55
CPT,93306,HC TTE COMPLETE W/DOPPLER & COLOR FLOW W/O CONTRAST,4315.93,2589.56,416.02,7411.0,55
CPT,93307,HC TTE W/O DOPPLER & COLOR FLOW W/O CONTRAST,3010.92,1806.55,135.33,7411.0,55
CPT,93307,HC TTE W/O DOPPLER& COLOR FLOW W/CONTRAST,3010.92,1806.55,135.33,7411.0,55
CPT,93308,HC TTE F/UP OR LIMITED W/CONTRAST,1397.4,838.44,97.56,7411.0,110
CPT,93308,HC TTE F/UP OR LIMITED W/O CONTRAST,1397.4,838.44,97.56,7411.0,110
CPT,93312,HC FOCUSED TRANSESOPHAGEAL CARDIAC ULTRASOUND (POCUS USE ONLY),4664.12,2798.47,232.89,7411.0,55
CPT,93312,HC TEE W/CONTRAST,4664.12,2798.47,232.89,7411.0,55
CPT,93312,HC TEE W/O CONTRAST,4664.12,2798.47,232.89,7411.0,55
CPT,93313,"HC ECHO,TRANSESOPHAGEAL - PLACEMENT",988.45,593.07,11.03,7411.0,55
CPT,93315,HC TEE FOR CONGENITAL ANOMALIES W/PROBE PLCMT W/CONTRAST,3802.8,2281.68,359.51,7411.0,55
CPT,93315,HC TEE FOR CONGENITAL ANOMALIES W/PROBE PLCMT W/O CONTRAST,2890.16,1734.1,359.51,7411.0,55
CPT,93318,HC TEE TRANSESOPHAGEAL ECHO,4557.07,2734.24,257.31,7411.0,55
CPT,93319,HC 3D ECHO IMAG CONGENITAL CAR ANOMAL,1159.49,695.69,24.21,7411.0,39
CPT,93320,"HC DOPPLER ECHO,PULSD WAVE &/OR CONT.WAVE,C",1564.66,938.8,109.54,7411.0,39
CPT,93321,"HC DOPPLER ECHO,PULSD WAVE &/OR CONT WAVE,LIMI",953.82,572.29,60.85,7411.0,39
CPT,93325,HC DOPPLER COLOR FLOW VELOCITY MAPPING,1170.98,702.59,68.58,7411.0,39
CPT,93350,"HC TTE 2D REST/STRESS, W/CONTRAST",3574.37,2144.62,182.78,7411.0,55
CPT,93350,"HC TTE 2D REST/STRESS, W/O CONTRAST",3574.37,2144.62,182.78,7411.0,55
CPT,93351,HC TTE REST/STRESS - ELECARD MNT W/O CONTR,4535.55,2721.33,459.15,7411.0,55
CPT,93352,HC ECHO CONTRAST AGENT DURING STRESS ECHO,461.02,276.61,78.37,7411.0,39
CPT,93355,"HC ECHO TRANSESOPHAGEAL (TEE) PROCEDURAL (TAVR, ASD CLOSURES)",5351.13,3210.68,219.86,7411.0,39
CPT,93356,HC MYOCARDIAL STRAIN IMAGING SPCKL TRCKING,940.8,564.48,24.5,7411.0,39
CPT,93356,HC MYOCARDIAL STRAIN IMAGING SPECKL TRCKING,940.8,564.48,24.5,7411.0,39
CPT,93451,HC RIGHT HEART CATHETERIZATION,17333.72,10400.23,2946.73,21149.0,54
CPT,93452,HC LEFT HEART CATHETER,18668.75,11201.25,3093.86,21149.0,54
CPT,93453,HC R&L HEART CATH W/VENTRCLGRP,27279.22,16367.53,3093.86,21149.0,54
CPT,93454,HC CATH PLACMNT CORONRY ARTERY,18599.35,11159.61,3093.86,21149.0,54
CPT,93455,HC CATH PLACMNT CORONRY ARTERY - BYPASS GRAFT,21304.4,12782.64,3093.86,21149.0,54
CPT,93456,HC ANGIO CORS W HRT CATH RT,26545.76,15927.46,4512.78,22563.9,39
CPT,93456,HC CATH PLACMNT CORONRY ARTERY - RGHT HRT ANGIO,26545.76,15927.46,3093.86,21149.0,54
CPT,93457,HC CATH PLACMNT CORONRY ARTERY - RT HRT/BYPSS,28163.96,16898.38,3093.86,21149.0,54
CPT,93458,HC CATH PLACMNT CORONRY ARTERY - LFT HRT,25876.08,15525.65,3093.86,21149.0,54
CPT,93459,HC CATH PLACMNT CORONRY ARTERY - LFT HRT/BYPSS,28272.09,16963.25,3093.86,21204.07,54
CPT,93460,HC CATH PLACMNT CORONRY ARTERY - RGHT&LFT,31552.51,18931.51,3093.86,23664.38,54
CPT,93461,HC CATH PLACMNT CORONRY ARTERY - RGHT&LFT/BYPSS,32039.0,19223.4,3093.86,24029.25,54
CPT,93462,HC LEFT HEART CATH BY TRANSPTL PUNCTURE,13591.17,8154.7,2310.5,21149.0,33
CPT,93463,HC DRUG ADMIN&HEMODERATEY,2779.72,1667.83,312.0,19035.0,38
CPT,93464,HC PHYSIOLOGIC EXERCISE STUDY,3808.35,2285.01,502.31,19035.0,38
CPT,93503,"HC CATHETER INSERT/PLACEMENT, SWAN GANZ",5919.65,3551.79,1006.34,17181.0,54
CPT,93503,"HC CATHETER INSERT/PLACEMENT, SWAN-GANZ",5919.65,3551.79,1006.34,17181.0,55
CPT,93505,HC ENDOMYOCARDIAL BIOPSY,9698.59,5819.15,1648.76,17181.0,54
CPT,93530,HC HRT CATH CONGEN ANOML RT,14204.19,8522.51,2414.71,21149.0,38
CPT,93530,HC RIGHT HEART CATH - FOR CONGENITA,14204.19,8522.51,2414.71,21149.0,38
CPT,93531,HC RT/RETRO LT HEART CATH - FOR CON,17846.29,10707.77,3033.87,21149.0,38
CPT,93532,HC RT/TRANSSEPTAL LT HEART CATH - FOR CONGENITA,12578.79,7547.27,2138.39,21149.0,38
CPT,93533,HC RT/TRANSSEPTAL LT HEART CATH - THRU SEPTAL,11744.15,7046.49,1996.51,21149.0,38
CPT,93563,HC INJECT PROC - CONGENITAL HEART CATH,4791.01,2874.61,814.47,17181.0,33
CPT,93564,HC INJECT PROC - AORTOCORONARY/BYPASS,3266.72,1960.03,555.34,17181.0,33
CPT,93565,HC INJECT PROC - LFT VENTCLE/ARTRIAL ANGIO,3711.55,2226.93,630.96,17181.0,33
CPT,93566,HC INJECT PROC - RGHT VENTCLE/ARTRIAL ANGIO,3146.0,1887.6,534.82,17181.0,33
CPT,93567,HC INJECT PROC - SUPRAVALVULAR AORTOGRAPHY,4081.9,2449.14,693.92,17181.0,33
CPT,93568,HC INJECT PROC - PULMONARY ANGIOGRAPHY,4355.4,2613.24,740.42,17181.0,33
CPT,93569,HC NJX CTH SLCT P-ART ANGRP UNI,4655.11,2793.07,791.37,7411.0,38
CPT,93571,HC IV DOP VEL&/PRESS C/FLO RSRV MEAS 1ST VESSEL,5939.34,3563.6,1009.69,7411.0,33
CPT,93572,HC IV DOP VEL&/PRESS C/FLO RSRV MEAS EA ADDL VSL,3680.08,2208.05,625.61,7411.0,33
CPT,93573,HC NJX CATH SLCT P-ART ANGRP BI,4887.87,2932.72,830.94,7411.0,38
CPT,93574,HC NJX CATH SLCT PULM VN ANGRPH,4655.11,2793.07,791.37,7411.0,38
CPT,93575,HC NJX CATH SLCT P ANGRPH MAPCA,4655.11,2793.07,791.37,7411.0,38
CPT,93580,HC THH ONLY - TRANSCATH CLOSURE CONGENTAL IN ADD ON,45213.34,27128.0,6299.0,56905.69,53
CPT,93580,HC TRANSCATH CLOSURE CONGENTAL IN,45213.34,27128.0,6299.0,43439.01,54
CPT,93581,HC THH ONLY - VENTRIC SEPTAL DEFECT CLOSURE ADD ON,40359.01,24215.41,6299.0,56905.69,53
CPT,93581,HC VENTRIC SEPTAL DEFECT CLOSURE,40359.01,24215.41,6299.0,43439.01,54
CPT,93582,HC THH ONLY - TRANSCATH CLOSURE DUCTUS ARTERIOSUS ADD ON,0.01,0.01,0.0017,56905.69,53
CPT,93582,HC TRANSCATH CLOSURE DUCTUS ARTERIOSUS,47657.04,28594.22,6299.0,83206.64,109
CPT,93583,HC TRANSCATH CLOSURE REDUCTION THERAPY,37005.16,22203.1,1926.33,31454.39,38
CPT,93590,HC PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE,54387.64,32632.58,801.09,43439.01,55
CPT,93591,HC PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE,59677.5,35806.5,661.87,44758.12,55
CPT,93592,HC PERQ TRANSCATH CLOSURE PARAVALVULAR LEAK - EA ADDL OCCL DEV,29189.66,17513.8,4962.24,24811.21,34
CPT,93593,HC RGHT HRT CATH CHD W/IMG CATH TRGT ZONE NORMAL NATIV CONNEC,13809.63,8285.78,2347.64,17181.0,54
CPT,93594,HC RGHT HRT CATH CHD W/IMG CATH TRGT ZON ABNORML NATIV CONNEC,15190.59,9114.35,2582.4,17181.0,54
CPT,93595,HC LEFT HRT CATH CONGENITAL NORML & ABNORML NATIVE CONNE,12421.0,7452.6,2111.57,17181.0,54
CPT,93596,HC RIGHT & LEFT HRT CATH CONGENITAL NORML NAT CONN,14296.55,8577.93,2430.41,17181.0,54
CPT,93597,HC RIGHT & LEFT HRT CATH CONGENITAL ABNOR NAT CONN,13615.76,8169.46,2314.68,17181.0,54
CPT,93598,HC CAR OUTP MEAS DRG CAR CATH EVAL CGEN HRT DEFECT,6195.79,3717.47,1053.28,7411.0,38
CPT,93600,HC RECORDING HIS BUNDLE,9262.97,5557.78,1574.7,38139.4,55
CPT,93600,HC RECORDING HIS BUNDLE (EP LAB),9262.97,5557.78,1574.7,38139.4,55
CPT,93602,HC RECORDING INTRA ATRIAL,8753.83,5252.3,1488.15,38139.4,55
CPT,93602,HC RECORDING INTRA ATRIAL (EP LAB),8753.83,5252.3,1488.15,38139.4,55
CPT,93603,HC RECORDING RT VENTRICULAR,2447.45,1468.47,416.07,7411.0,55
CPT,93603,HC RECORDING RT VENTRICULAR (EP LAB),2447.45,1468.47,416.07,7411.0,55
CPT,93609,HC MAPPING INTRA VENT/ATRIAL,12668.01,7600.81,896.19,10767.81,39
CPT,93609,HC MAPPING INTRA VENT/ATRIAL (EP LAB),12668.01,7600.81,896.19,10767.81,39
CPT,93610,HC PACING INTER-ATRIAL,4337.1,2602.26,737.31,38139.4,55
CPT,93610,HC PACING INTER-ATRIAL (EP LAB),4337.1,2602.26,737.31,38139.4,55
CPT,93612,HC PACING INTRA-VENTRICULAR,9961.28,5976.77,1693.42,38139.4,55
CPT,93612,HC PACING INTRA-VENTRICULAR (EP LAB),9961.28,5976.77,1693.42,38139.4,55
CPT,93613,HC MAPPING 3D,13801.41,8280.85,954.83,11731.2,39
CPT,93613,HC MAPPING 3D (EP LAB),13801.41,8280.85,954.83,11731.2,39
CPT,93618,HC PROGRAM ELECTRICAL STIMULUS,10124.12,6074.47,1161.94,7593.09,55
CPT,93618,HC PROGRAM ELECTRICAL STIMULUS (EP LAB),10124.12,6074.47,1161.94,7593.09,55
CPT,93619,HC COMP EPS W/O ATTEMPT INDUCTION,17963.98,10778.39,3053.88,38139.4,55
CPT,93619,HC COMP EPS W/O ATTEMPT INDUCTION (EP LAB),17963.98,10778.39,3053.88,38139.4,55
CPT,93620,HC COMP EPS W/ATTEMPT INDUCTION,23133.26,13879.96,3932.65,38139.4,55
CPT,93620,HC COMP EPS W/ATTEMPT INDUCTION (EP LAB),23133.26,13879.96,3932.65,38139.4,55
CPT,93621,HC CS OR LA RECORDINGS,14342.85,8605.71,375.06,12191.42,39
CPT,93621,HC CS OR LA RECORDINGS (EP LAB),14342.85,8605.71,375.06,12191.42,39
CPT,93622,HC COMP EPS LV PACE W/INDUCT,16556.79,9934.07,555.42,14073.27,39
CPT,93622,HC COMP EPS LV PACE W/INDUCT (EP LAB),16556.79,9934.07,555.42,14073.27,39
CPT,93623,HC PROGRAMMED STIM AFTER DRUGINFU,10781.45,6468.87,510.05,9164.23,39
CPT,93623,HC PROGRAMMED STIM AFTER DRUGINFU (EP LAB),10781.45,6468.87,510.05,9164.23,39
CPT,93624,"HC EP STUDY,PACING/RECORDING",14600.78,8760.47,2482.13,38139.4,55
CPT,93624,"HC EP STUDY,PACING/RECORDING (EP LAB)",14600.78,8760.47,2482.13,38139.4,55
CPT,93631,"HC MAPPING,PACING - INTRA-OP EPICAR",9840.0,5904.0,1271.26,8364.0,39
CPT,93640,"HC EP EVAL,CARDIO-DEFIB AT IMPLNT/",5781.83,3469.1,575.32,7411.0,39
CPT,93640,"HC EP EVAL,CARDIO-DEFIB AT IMPLNT/ (EP LAB)",5781.83,3469.1,575.32,7411.0,39
CPT,93641,HC EP EVAL - W/TEST OF CARDI PULSE,6210.65,3726.39,1006.84,7411.0,39
CPT,93641,HC EP EVAL - W/TEST OF CARDI PULSE (EP LAB),6210.65,3726.39,1006.84,7411.0,39
CPT,93642,"HC EP EVAL,SING/DUAL CARDIO-DEFIB",6406.45,3843.87,1089.1,7411.0,55
CPT,93642,"HC EP EVAL,SING/DUAL CARDIO-DEFIB (EP LAB)",6406.45,3843.87,1089.1,7411.0,55
CPT,93644,HC EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR,3115.22,1869.13,162.65,7411.0,39
CPT,93650,HC ABLATION AV NODE/CONDUCTION,21907.84,13144.7,3724.33,38139.4,55
CPT,93650,HC ABLATION AV NODE/CONDUCTION (EP LAB),21907.84,13144.7,3724.33,38139.4,55
CPT,93653,HC COMPREH ELECTROPH EVAL SOURCE OF ATRIAL R,87788.83,52673.3,6299.0,132420.55,55
CPT,93653,HC COMPREH ELECTROPH EVAL SOURCE OF ATRIAL R (EP LAB),87788.83,52673.3,6299.0,132420.55,55
CPT,93654,HC COMPREH ELECTROPH EVAL WITH TREATMENT,77593.53,46556.12,6299.0,132420.55,55
CPT,93654,HC COMPREH ELECTROPH EVAL WITH TREATMENT (EP LAB),77593.53,46556.12,6299.0,132420.55,55
CPT,93655,HC ICAR CATHETER ABLATION ARRHYTHMIA ADD ON,20886.31,12531.79,1371.92,17753.36,39
CPT,93656,HC COMPREH ELECTROPH EVAL WITH TRT ATRIAL FIB,60798.32,36478.99,6299.0,132420.55,55
CPT,93656,HC COMPREH ELECTROPH EVAL WITH TRT ATRIAL FIB (EP LAB),60798.32,36478.99,6299.0,132420.55,55
CPT,93657,HC ABLATE L/R ATRIAL FIBRIL W/ ISOLATED PULM VEIN,20340.64,12204.38,1369.71,17289.54,39
CPT,93660,HC CARDIOVASC FUNC EVAL/W/TILT TBLE/ECG MON,3875.27,2325.16,203.57,7411.0,55
CPT,93660,HC CARDIOVASC FUNC EVAL/W/TILT TBLE/ECG MON (EP LAB),3875.27,2325.16,203.57,7411.0,55
CPT,93662,HC INTRACARDIAC ECHO DUR THER/DIA,8868.3,5320.98,450.31,7538.06,39
CPT,93662,HC INTRACARDIAC ECHO DUR THER/DIA (EP LAB),8868.3,5320.98,450.31,7538.06,39
CPT,93668,"HC PERIPHERAL ARTERIAL DISEASE REHAB, PER SESSION",236.85,142.11,40.26,7411.0,55
CPT,93668,HC PERIPHERAL VASCULAR REHAB,236.85,142.11,40.26,7411.0,55
CPT,93702,HC BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT,325.88,195.53,55.4,7411.0,110
CPT,93724,"HC PACEMAKER ANALYSIS,ELEC.,ANTIT",1846.9,1108.14,104.01,7411.0,55
CPT,93745,HC SET UP CARDIOVERT DEFIBRILL,622.15,373.29,105.77,7411.0,55
CPT,93750,HC INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS,642.15,385.29,90.72,7411.0,110
CPT,93750,"HC INTERROGATION VAD,IN",642.15,385.29,90.72,7411.0,55
CPT,93770,HC IR VENOUS PRESSURE DETERMINE,410.57,246.34,25.45,7411.0,39
CPT,93786,"HC BLOOD PRESSURE MONITORING, AMBULATORY/RECORDING",622.66,373.6,105.85,7411.0,55
CPT,93788,"HC BP MONITOR - AMBUL, ANALYS W/REP",595.46,357.28,101.23,7411.0,55
CPT,93797,HC CARDIAC REHAB EXER W/O MON,347.92,208.75,27.66,7411.0,55
CPT,93798,HC CARDIAC REHAB FOLLOW UP W/MONITOR,430.17,258.1,44.27,7411.0,55
CPT,93798,HC CARDIAC REHAB INITIAL EVAL,430.17,258.1,44.27,7411.0,55
CPT,93799,HC 3D MAPPING STANDALONE,11894.45,7136.67,122.8,8920.84,55
CPT,93799,HC ALCOHOL ABLATION VEIN OF MARSHALL,16321.95,9793.17,122.8,12241.46,55
CPT,93799,HC ANGIO CORS FOR FFR/IVUS ONLY,8374.55,5024.73,122.8,7411.0,55
CPT,93799,HC BASILICA,22232.4,13339.44,122.8,16674.3,53
CPT,93799,HC BASILICA PROCEDURE,16592.26,9955.36,122.8,12941.96,55
CPT,93799,HC CARDI REH D/C TEACH 30MIN,448.53,269.12,76.25,7411.0,55
CPT,93799,HC CARDIOMEMS RECALIBRATION,320.31,192.19,54.45,7411.0,55
CPT,93799,HC CARDIONEUROABLATION,57903.16,34741.9,122.8,43427.37,55
CPT,93799,HC CARDIOVERSION PERFORMED VIA IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR (ICD),2150.65,1290.39,122.8,7411.0,54
CPT,93799,HC ELECTRONIC ANALYSIS OF ANTITACHYCARDIA DEFIBRILLATOR SYSTEM,12114.95,7268.97,122.8,9086.21,55
CPT,93799,HC EP STUDY W/ PACING/RECORDING FROM CORONARY SINUS; STANDALONE,12646.55,7587.93,122.8,9484.91,55
CPT,93799,"HC ETHANOL ABLATION, MIDDLE CARDIAC VEIN",19675.85,11805.51,122.8,14756.89,55
CPT,93799,HC HCCARDIOVASC LAB UNLSTD,759.76,455.86,122.8,7411.0,54
CPT,93799,HC HEART FLOW RSRV MEASURE W/O PRIMARY PROC,4375.0,2625.0,122.8,7411.0,54
CPT,93799,HC ICE STAND ALONE,6508.57,3905.14,122.8,7411.0,55
CPT,93799,HC IFR STANDALONE,5031.25,3018.75,122.8,7411.0,54
CPT,93799,HC INJECT SUPRAVALVULAR AORTOGRAPHY DURING HEART CATH; STAND ALONE,3200.45,1920.27,122.8,7411.0,54
CPT,93799,"HC INTRACARDIAC ECHOCARDIOGRAPHY DURING THERAPEUTIC/DIAGNOSTIC INTERVENTION, INCLUDING IMAGING SUPERVISION AND INTERPRETATION; STAND ALONE",7485.35,4491.21,122.8,7411.0,55
CPT,93799,"HC INTRACARDIAC ECHOCARDIOGRAPHY DURING THERAPEUTIC/DIAGNOSTIC INTERVENTION, INCLUDING IMAGING SUPERVISION AND INTERPRETATION; STAND ALONE PROCEDURE",7485.35,4491.21,122.8,7411.0,55
CPT,93799,HC INTRACORONARY INFUSION REOPRO,1085.1,651.06,122.8,7411.0,54
CPT,93799,"HC INTRVS DPPLR VEL PRS DRVD COR FLW MSRMT COR ANGRPHY, NO PHRM STRS 1 VESSEL",5656.51,3393.91,122.8,7411.0,54
CPT,93799,"HC INTRVS DPPLR VEL PRS DRVD COR FLW MSRMT COR ANGRPHY, NO PHRM STRS 2 VESSEL",9336.59,5601.95,122.8,7411.0,54
CPT,93799,"HC INTRVS DPPLR VEL PRS DRVD COR FLW MSRMT COR ANGRPHY, NO PHRM STRS 3 VESSEL",13016.67,7810.0,122.8,9762.5,54
CPT,93799,HC IVUS STANDALONE EA ADDL,2049.3,1229.58,122.8,7411.0,54
CPT,93799,HC IVUS STANDALONE INITIAL,6714.25,4028.55,122.8,7411.0,54
CPT,93799,HC LT ATRIAL APPENDAGE CLOSURE,415.31,249.19,70.6,7411.0,55
CPT,93799,HC LVAD RAMP STUDY WITH RT HEART CATHERIZATION,589.87,353.92,100.28,7411.0,55
CPT,93799,HC NON SURG SEPTAL REDUCTION THER,415.31,249.19,70.6,7411.0,55
CPT,93799,"HC NON-CONGENITAL VSD (VENTRICULAR SEPTAL DEFECT) CLOSURE, POST MI (MYOCARDIAL INFARCTION)",43060.32,25836.19,122.8,32295.24,54
CPT,93799,HC NON-SURG SEPTAL REDUCTION THER,415.31,249.19,70.6,7411.0,55
CPT,93799,HC PARAPROSTHETIC VALVE LEAK CLOSURE,28555.52,17133.31,122.8,21416.64,55
CPT,93799,HC PERAVALVULAR LEAK REPAIR,14990.93,8994.56,122.8,11692.93,110
CPT,93799,HC PERC TRLUML REVASC TOT/SUBTOT OCCLUS MI CORONRY WIRE ONLY THBMY ONE VSL,26474.0,15884.4,122.8,19855.5,55
CPT,93799,"HC PERC. TRANSCATHETER CLOSURE OF INTERARTRIAL COMM W/ IMPLANT, NON-CNGNTL",43060.32,25836.19,122.8,32295.24,55
CPT,93799,HC PERCUTANEOUS TRANSCATHETER CLOSURE OF PARAVALVULAR LEAK; TRICUSPID VALVE,47088.86,28253.32,122.8,35316.64,54
CPT,93799,"HC PERCUTANEOUS TRANSCATHETER PLCMNT OF STNT, PSEUDOANEURYSM OF CRNRY ARTRY",19299.55,11579.73,122.8,14474.66,54
CPT,93799,HC PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY WITHOUT PRIMARY PROCEDURE,20634.8,12380.88,122.8,15476.1,55
CPT,93799,HC PERQ CLOSURE RUPT SINUS OF VALSALVA PSEUDOANEURYSM,32520.71,19512.43,122.8,24390.53,54
CPT,93799,HC PROCAINAMIDE CHALLENGE,8267.35,4960.41,122.8,7411.0,55
CPT,93799,HC PROGRAMMED STIM AFTER DRUGINFU STAND ALONE,7188.81,4313.29,122.8,7411.0,55
CPT,93799,HC PROGRAMMED STIMULATION AND PACING AFTER INTRAVENOUS DRUG INFUSION STAND ALONE PROCEDURE,8267.35,4960.41,122.8,7411.0,55
CPT,93799,HC PROVOCATIVE CORONARY REACTIVITY TESTING,10268.05,6160.83,122.8,7701.04,54
CPT,93799,HC PRQ CORONARY MECH THROMBECT STANDALONE,9829.19,5897.51,122.8,7411.0,54
CPT,93799,"HC PULMONARY VEIN VENOGRAPHY WITH INTRA-CARDIAC ECHO, TRANSEPTAL APPROACH",22605.91,13563.55,122.8,16954.43,55
CPT,93799,HC RESEARCH BLINDED PROCEDURE ALLAY-HF,25751.18,15450.71,122.8,19313.38,55
CPT,93799,HC RIGHT HEART ASPIRATION THROMBECTOMY (VALVE &/OR CHAMBER),9996.84,5998.1,122.8,7797.54,110
CPT,93799,HC SHORTCUT PROCEDURE (SPLIT CARDIAC VALVE LEAFLETS),23132.25,13879.35,122.8,17349.19,54
CPT,93799,HC STANDALONE ENDOLUMINAL IMGNG OF CORONRY VSSL/GRFT USNG INTRVSCLR ULTRSND,5656.51,3393.91,122.8,7411.0,54
CPT,93799,"HC STANDALONE FRACTIONAL FLOW RESERVE, EA ADDL VESSEL",2864.93,1718.96,122.8,7411.0,55
CPT,93799,"HC STANDALONE FRACTIONAL FLOW RESERVE, INITIAL VESSEL",4082.0,2449.2,122.8,7411.0,55
CPT,93799,HC STANDALONE ICE,6508.57,3905.14,122.8,7411.0,55
CPT,93799,HC THH ONLY - BASILICA ADD ON,0.01,0.01,0.0017,7411.0,53
CPT,93799,HC TRANSCATHETER LACERATION REPAIR OF SUBAORTIC MEMBRANE,46339.54,27803.72,122.8,34754.65,54
CPT,93799,"HC TRNSPTL PNCTR  INTACT SPTM OR BY TRNSPCL PUNCTURE, STANDALONE PROCEDURE",15912.15,9547.29,122.8,11934.11,54
CPT,93799,HC UNLISTED DEVICE REVISION,4373.63,2624.18,122.8,7411.0,55
CPT,93880,"HC CAROTID SCAN, BILATERAL",2293.32,1375.99,187.79,7411.0,55
CPT,93882,HC DUPLEX SCAN OF EXTRACRANIAL ARTERIES UNILATERAL OR LIMITED - LT,1002.46,601.48,99.77,7411.0,55
CPT,93882,HC DUPLEX SCAN OF EXTRACRANIAL ARTERIES UNILATERAL OR LIMITED - RT,1002.46,601.48,99.77,7411.0,55
CPT,93882,"HC DUPLEX SCAN, EXTRACRANIAL ARTERIES, UNILATERAL OR LIMITED",1002.46,601.48,99.77,7411.0,55
CPT,93886,"HC TRANSCRANIAL DOPPLER INTRACRANIA ART, CMPLT",2180.83,1308.5,227.71,7411.0,55
CPT,93888,HC TRANSCRANIAL DOPPLER INTRACRANIAL ART - LIMT,697.4,418.44,99.77,7411.0,55
CPT,93890,HC TCD INTRACRANIAL ARTERIES VASOREACTIVITY,944.8,566.88,160.62,7411.0,40
CPT,93892,"HC ART, TRANSCRAN DOPPLER EMBOLI DETECTW/O IN",1001.6,600.96,99.77,7411.0,55
CPT,93893,"HC ART, TRANSCRAN DOPPLER EMBOLI DETECTION W/",1067.03,640.22,99.77,7411.0,55
CPT,93893,HC TCD STD ICR ART VEN-ARTL SHNT DETCJ IV MBUBB NJX,1067.03,640.22,99.77,7411.0,55
CPT,93896,HC VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE,944.8,566.88,160.62,7411.0,39
CPT,93922,"HC NONINVAS PHYSIOL STUDY,ARTERY,SNGL LEV,BIL",1013.88,608.33,126.97,7411.0,55
CPT,93922,HC TCPO2 TESTING 1-2 LEVELS UN,1013.88,608.33,126.97,7411.0,55
CPT,93923,"HC NONINVAS PHYSIOL STUDY,ARTERY,UE/LE - BIL",1468.77,881.26,129.98,7411.0,55
CPT,93923,HC TCPO2 TESTING 3+ LVLS BI,1468.77,881.26,129.98,7411.0,55
CPT,93923,HC UPPER/LOWER EXTREMITIES ART STUDY,1468.77,881.26,129.98,7411.0,55
CPT,93924,"HC NONINVAS PHYSIOL STUDY,ARTERY,LE - BILAT",1442.64,865.58,156.46,7411.0,55
CPT,93925,"HC DUPLEX SCAN,LE ARTERL BYPS GFT - BI/COMPLT",1961.81,1177.09,227.71,7411.0,55
CPT,93926,"HC DUPLEX SCAN,LE ARTERL BYPS GFT - UNIL/LIMT",1239.41,743.65,99.77,7411.0,55
CPT,93926,HC US LWR EXT ART DPLX LT,1239.41,743.65,106.34,7411.0,40
CPT,93926,HC US LWR EXT ART DPLX RT,1239.41,743.65,106.34,7411.0,40
CPT,93930,"HC DUPLEX SCAN,UE ARTERL BYPS GFT - BI/COMPLT",1676.01,1005.61,197.14,7411.0,55
CPT,93931,"HC DUPLEX SCAN,UE ARTERL BYPS GFT - UNIL/LIMT",1170.22,702.13,99.77,7411.0,55
CPT,93931,HC US UPR EXT ART DPLX LT,1170.22,702.13,106.34,7411.0,40
CPT,93931,HC US UPR EXT ART DPLX RT,1170.22,702.13,106.34,7411.0,40
CPT,93970,"HC DUPLEX SCAN OF EXTREMITY VEINS, INCL RESPONSES TO COMPRESSION/COMPLETE BILATERAL STUDY",2001.42,1200.85,184.78,7411.0,55
CPT,93971,HC DUP-SCAN XTR VEINS LIMITED STUDY UNILATERAL,1338.82,803.29,99.77,7411.0,55
CPT,93971,HC DUP-SCAN XTR VEINS LIMITED STUDY UNILATERAL - LT,1338.82,803.29,106.34,7411.0,40
CPT,93971,HC DUP-SCAN XTR VEINS LIMITED STUDY UNILATERAL - RT,1338.82,803.29,106.34,7411.0,40
CPT,93971,HC US LWR EXT VEN DPLX LT,1338.82,803.29,106.34,7411.0,40
CPT,93971,HC US UPR EXT VEN DPLX RT,1338.82,803.29,106.34,7411.0,40
CPT,93971,HC US UPR EXT VEN DPLX RT PORT,1338.82,803.29,106.34,7411.0,40
CPT,93975,"HC DUPLEX SCAN ABDM, PLVC,SCRTL - COMPLETE",1741.09,1044.65,227.71,7411.0,165
CPT,93975,HC US RENAL WWO DPLX DOPP BI,1741.09,1044.65,241.72,7411.0,40
CPT,93975,HC US RENAL WWO DPLX DOPP LT,1741.09,1044.65,241.72,7411.0,40
CPT,93975,HC US RENAL WWO DPLX DOPP RT,1741.09,1044.65,241.72,7411.0,40
CPT,93976,"HC DUPLEX SCAN ABDM, PLVC,SCRTL - LIMITED",1199.94,719.96,99.77,7411.0,55
CPT,93978,"HC DUPLEX SCAN,AORTA,VENA,ILIAC VAS BYP GFT - COMP",1359.44,815.66,179.76,7411.0,55
CPT,93979,"HC DUPLEX SCAN AORTA,VENA,ILIAC VAS,BYP - LIMITED",848.91,509.35,99.77,7411.0,55
CPT,93980,"HC DUPLEX SCAN, PENILE VESSEL - COMPLETE",1426.32,855.79,99.77,7411.0,55
CPT,93981,"HC DUPLEX SCAN, PENILE VESSEL - LIMITED",1009.03,605.42,70.5,7411.0,55
CPT,93985,HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD,672.82,403.69,114.38,7411.0,55
CPT,93986,HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD,301.96,181.18,51.33,7411.0,55
CPT,93990,HC DUP SCAN HEMODIALYSIS ACC,832.87,499.72,99.77,7411.0,55
CPT,93998,"HC DUPLX DOPPLER ULTRASOUND VESSL MAPPING; UPPR &OR LOWR EXTRMITY, ONE LIMB",843.7,506.22,27.61,7411.0,55
CPT,93998,"HC DUPLX DPPLR ULTRSOUND VESSL MAPPNG; UPPR /OR LOWR EXTRMITY (IES), TWO LIMBS",1687.4,1012.44,27.61,7411.0,55
CPT,94002,HC JET VENT INITIAL DAY,3337.64,2002.58,567.4,7411.0,55
CPT,94002,HC MECHANICAL VENT INITIAL DAY,3337.64,2002.58,567.4,7411.0,55
CPT,94002,HC VENT FIRST DAY,3337.64,2002.58,567.4,7411.0,55
CPT,94002,HC VENT MANAGEMENT - FIRST DAY,3337.64,2002.58,567.4,7411.0,55
CPT,94003,HC JET VENT SUBSEQUENT DAY,2620.14,1572.08,445.42,7411.0,55
CPT,94003,HC MECHANICAL VENT SUBSEQUENT DAY,2620.14,1572.08,445.42,7411.0,55
CPT,94003,HC VENT SUBSEQUENT PER DAY,2620.14,1572.08,445.42,7411.0,55
CPT,94010,HC PULMONARY FUNCTION BASIC,676.12,405.67,114.94,7411.0,55
CPT,94010,HC SPIROMETRY,676.12,405.67,114.94,7411.0,55
CPT,94060,"HC BRONCHOSPASM RESPONSVNSS,SPIROM",1047.51,628.51,144.93,7411.0,55
CPT,94070,HC BRONCHOSPSM PROVN EVALUATE W/MLT S,1632.25,979.35,96.24,7411.0,55
CPT,94150,"HC VITAL CAPACITY, TOTAL",334.99,200.99,56.95,7411.0,55
CPT,94200,HC MAX.VOL.VENTILATION-MVV,358.24,214.94,56.3,7411.0,55
CPT,94250,HC EXPIRED GAS ANALYSIS,331.75,199.05,56.4,7411.0,39
CPT,94375,HC FLOW VOLUME LOOP,587.16,352.3,99.82,7411.0,55
CPT,94450,HC RESP TO HYPOXIA,282.05,169.23,47.95,7411.0,55
CPT,94452,HC HIGH ALTITUDE SIMULATION TST W,949.53,569.72,126.97,7411.0,55
CPT,94453,"HC HAST, W/SUPLMNT OXYGEN TITRATION",763.61,458.17,126.97,7411.0,55
CPT,94610,"HC INTRAPULMONRY SURFACTNT ADMN,TRACH TB",368.0,220.8,62.56,7411.0,55
CPT,94617,"HC EXERCISE TEST FOR BRONCHOSPASM, W/SPIROMETRY/PULSE OX",781.92,469.15,126.97,7411.0,55
CPT,94617,HC EXERCISE TST BRNCSPSM (NO ECG),781.92,469.15,129.64,7411.0,41
CPT,94618,HC PULMONARY STRESS TESTING,605.2,363.12,102.88,7411.0,55
CPT,94619,"HC EXERCISE TEST FOR BRONCHOSPASM, W/ECG/SPIROMETRY/PULSE OX",133.93,80.36,22.77,7411.0,55
CPT,94621,"HC PULMONARY STRESS TEST,COMPLEX",2532.86,1519.72,285.45,7411.0,55
CPT,94625,HC PULMONARY REHAB W/O CONT OXIMETRY MONITORING,329.71,197.83,56.05,7411.0,55
CPT,94626,HC PULMONARY REHAB W CONT OXIMETRY MONITORING,332.08,199.25,56.3,7411.0,55
CPT,94640,HC INHALATION TREATMENT PRES/NON,339.15,203.49,57.66,7411.0,55
CPT,94640,HC INHALATION TRTMNT PRES/NONPRES,339.15,203.49,57.66,7411.0,55
CPT,94640,HC NONPRESSURIZED INHALATION TRTMNT FOR ACUTE,339.15,203.49,57.66,7411.0,55
CPT,94642,"HC AEROSOL INHALATION,PENTAMIDINE",656.83,394.1,111.66,7411.0,55
CPT,94644,HC CONT INHALTN  W/AEROSOL MED - 1ST HR,581.88,349.13,98.92,7411.0,55
CPT,94644,HC CONTINUOUS NEB TREATMENT 1ST HOUR,581.88,349.13,98.92,7411.0,55
CPT,94645,HC CONTINUOUS NEB TREATMENT EA ADDL HOUR,369.3,221.58,52.01,7411.0,39
CPT,94660,HC BIPAP INITIAL DAY,1546.01,927.61,208.97,7411.0,55
CPT,94660,HC BIPAP SUBSEQUENT DAY,1546.01,927.61,208.97,7411.0,55
CPT,94660,HC CPAP/SIPAP INITIAL DAY,1546.01,927.61,208.97,7411.0,55
CPT,94660,HC CPAP/SIPAP SUBSEQUENT DAYS,1546.01,927.61,208.97,7411.0,55
CPT,94664,HC AEROSOL HHN TREATMENT,392.99,235.79,66.81,7411.0,55
CPT,94664,HC AEROSOL VAPOR INHALATION EDUCATION/INSTRUCTION,392.99,235.79,66.81,7411.0,55
CPT,94667,HC FLUTTER THERAPY - INITIAL,377.56,226.54,64.19,7411.0,55
CPT,94668,HC FLUTTER THERAPY - SUBSEQUENT,287.97,172.78,48.95,7411.0,55
CPT,94669,"HC MECHANICAL CHEST WALL OSCILLATION, PER SES",556.5,333.9,94.61,7411.0,55
CPT,94681,"HC OXYGEN UPTAKE,W/CO2 OUTPUT, %O",806.1,483.66,137.04,7411.0,55
CPT,94690,HC EXPIRE GAS ANALY REST IND,498.6,299.16,56.3,7411.0,55
CPT,94726,"HC PLETHYSMOGRAPHY,AIRWAY RESIST",753.16,451.9,128.04,7411.0,55
CPT,94726,"PLETHYSMOGRAPHY FOR DETERMINATION OF LUNG VOLUMES AND, WHEN PERFORMED, AIRWAY RESISTANCE",,,356.12,1640.09,25
CPT,94727,HC GAS DILUTION OR WASHOUT,593.43,356.06,100.88,7411.0,55
CPT,94728,HC AIRWAY RESISTANCE BY IMPULSE 0,726.9,436.14,122.8,7411.0,55
CPT,94729,HC DIFFUSION CAPACITY,658.95,395.37,112.02,7411.0,39
CPT,94750,HC PULMONARY COMPLIANCE STUDY,384.54,230.72,65.37,7411.0,39
CPT,94760,HC PULSE OX ED ONLY,186.75,112.05,7.74,7411.0,39
CPT,94760,HC PULSE OXIMETRY TEST-CCHD SCREENING,186.75,112.05,7.74,7411.0,39
CPT,94760,HC TRANSCUTANEOUS OXIMETRY/SINGLE,186.75,112.05,7.74,7411.0,39
CPT,94761,HC PULSE OXIMETRY/NONIN.EAR OXY,323.88,194.33,13.26,7411.0,39
CPT,94761,HC TRANSCUTANEOUS OX MULTI DETERMINAT,323.88,194.33,13.26,7411.0,39
CPT,94761,"NONINVASIVE EAR OR PULSE OXIMETRY FOR OXYGEN SATURATION; MULTIPLE DETERMINATIONS (EG, DURING EXERCISE)",,,13.26,27.99,5
CPT,94762,HC PULSE OX OVERNIGHT MONITO,657.92,394.75,111.85,7411.0,55
CPT,94762,HC PULSE OXEMETRY CONTINS,657.92,394.75,111.85,7411.0,55
CPT,94780,HC CAR SEAT/BED TESTING W/INTERP & REPORT 60 MINUTES,395.26,237.16,35.64,7411.0,55
CPT,94781,HC CAR SEAT/BED TESTNG W/INTERP & REPORT +30MIN,284.54,170.72,26.56,7411.0,39
CPT,94799,HC END TIDAL CO2 MNTRNG (CRBN DXDE EXP GAS DTRMNTN BY INFRARED ANALYZER),583.05,349.83,99.12,7411.0,55
CPT,94799,"HC INCENTIVE S INSTRUCTN, MD",236.29,141.77,40.17,7411.0,55
CPT,94799,HC MAX INSPIR/EXPIRE PRESSURES,259.79,155.87,44.16,7411.0,55
CPT,94799,HC METANEB THERAPY (CHFO (CPT)/CPEP W/ AEROSOL),385.33,231.2,65.51,7411.0,55
CPT,94799,HC PULMONARY UNLISTED PROCEDURE,539.5,323.7,91.72,7411.0,55
CPT,95004,"HC ALLERGY TEST, PERCUTANEOUS (SC",79.07,47.44,13.44,7411.0,55
CPT,95012,HC NITRIC OXIDE EXPIRED GAS DETER,255.84,153.5,35.64,7411.0,55
CPT,95024,"HC ALLERGY TEST, INTRACUTANEOUS (",95.7,57.42,16.27,7411.0,55
CPT,95060,HC EYE ALLERGY TESTS,215.94,129.56,36.71,7411.0,55
CPT,95070,HC INHALATION BRONCHIAL CHALLENGE,1253.4,752.04,99.59,7411.0,55
CPT,95071,HC BRONCHIAL CHALLENGE WITH GAS,735.42,441.25,125.02,7411.0,39
CPT,95180,HC RAPID DESENSITIZATION PROCEDUR,552.0,331.2,93.84,7411.0,41
CPT,95700,HC CONT EEG SETUP,896.76,538.06,152.45,7411.0,55
CPT,95705,HC EEG W/O VIDEO 2-12HR UNMONITORED,2319.29,1391.57,206.06,7411.0,55
CPT,95706,HC EEG W/O VIDEO 2-12HR INTMT.MONT(Q2),2081.69,1249.01,206.06,7411.0,55
CPT,95707,HC EEG W/O VIDEO 2-12HR CONT.MONT,3777.87,2266.72,206.06,7411.0,55
CPT,95708,HC EEG W/O VIDEO 12-26HR UNMONITORED,4234.63,2540.78,356.12,7411.0,55
CPT,95709,HC EEG W/O VIDEO 12-26HR INTMT.MONT(Q2),7579.06,4547.44,356.12,7411.0,55
CPT,95710,HC EEG W/O VIDEO 12-26HR CONT.MONT,7441.26,4464.76,356.12,7411.0,55
CPT,95711,HC VEEG 2-12HRS UNMONITORED,3149.9,1889.94,206.06,7411.0,55
CPT,95712,HC VEEG 2-12HRS INTMT.MONT.(Q2),3896.83,2338.1,356.12,7411.0,55
CPT,95713,HC VEEG 2-12HRS CONT.MONT.,3113.57,1868.14,356.12,7411.0,55
CPT,95714,HC VEEG 12-26HRS UNMONITORED,4710.55,2826.33,356.12,7411.0,55
CPT,95715,HC VEEG 12-26HRS INTMT.MONT.(Q2),6525.92,3915.55,356.12,7411.0,55
CPT,95716,HC VEEG 12-26HRS CONT.MONT.,7020.29,4212.17,819.52,7411.0,55
CPT,95782,"HC SLEEP STDY,YOUNGER THAN 6YRS,",4837.31,2902.39,819.52,7411.0,55
CPT,95783,"HC SLEEP STDY, YOUNGER THAN 6YRS, W/CPAP",8004.62,4802.77,819.52,7411.0,55
CPT,95800,HC SLP STUDY UNATTENDED,838.97,503.38,142.62,7411.0,55
CPT,95805,HC MULTIPLE SLEEP LATENCY/MAINT OF WAKEFULNESS TESTING,4606.33,2763.8,783.08,7411.0,55
CPT,95806,"HC SLEEP STUDY,UNATTENDED",1323.67,794.2,206.06,7411.0,55
CPT,95810,HC POLYSOMNGRPHY 4 OR MORE MOD,7764.68,4658.81,819.52,7411.0,55
CPT,95810,"HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, ATTENDED BY TECH",7764.68,4658.81,819.52,7411.0,55
CPT,95811,HC POLYSOMNGRPHY W/CPAP MOD,8726.91,5236.15,819.52,7411.0,55
CPT,95811,"HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, W/POSITIVE AIRWAY PRESSURE THERAPY",8726.91,5236.15,819.52,7411.0,55
CPT,95812,HC EEG EXT 41-60 MINUTES,1991.8,1195.08,206.06,7411.0,55
CPT,95813,"HC EEG EXT, 61-119 MIN (1-2 HR)",2438.8,1463.28,206.06,7411.0,55
CPT,95816,HC EEG AWAKE & DROWSY,1713.13,1027.88,206.06,7411.0,55
CPT,95819,HC EEG STANDARD (AWAKE/ASLEEP),1717.11,1030.27,206.06,7411.0,55
CPT,95822,HC EEG COMA/SLEEP/DURING SURGERY,2032.35,1219.41,206.06,7411.0,55
CPT,95824,HC EEG EVALUATE CEREBRAL SILENCE,1616.78,970.07,125.01,7411.0,55
CPT,95829,HC ELECTROCORTICOGRAM SURGERY SPX,2767.54,1660.52,470.48,10268.47,39
CPT,95829,HC ELECTROCORTICOGRAPHY,1959.51,1175.71,333.12,10268.47,39
CPT,95836,HC ECOG IMPLANTED BRAIN NPGT W/REC I&R <30 DAYS,375.47,225.28,35.62,7411.0,55
CPT,95860,HC EMG-1 EXTREMITY & RELATED PARA,678.49,407.09,115.34,7411.0,55
CPT,95861,HC EMG-2 EXTREMITIES & RELATED PA,1085.56,651.34,126.97,7411.0,55
CPT,95863,HC EMG-3 EXTREMITIES OF RLTD PARA,908.96,545.38,122.8,7411.0,55
CPT,95864,HC EMG-4 EXTREMITIES & RELATED PA,1142.84,685.7,122.8,7411.0,55
CPT,95865,HC EMG-LARYNX,479.4,287.64,81.5,7411.0,55
CPT,95866,"HC EMG, NEEDLE, HEMIDIAPHRAGM",500.92,300.55,85.16,7411.0,55
CPT,95867,"HC EMG,CRANIAL NERVE SUPPLIED MUS",641.78,385.07,109.1,7411.0,55
CPT,95868,HC EMG-CRANIAL NERVE SUPPLIED MUS,823.55,494.13,140.0,7411.0,55
CPT,95869,HC EMG-THORACIC PARASPINAL MUSCLE,524.93,314.96,89.24,7411.0,55
CPT,95870,"HC EMG-LIMITED STUDY OF MUSCLES,",498.86,299.32,84.81,7411.0,55
CPT,95872,"HC EMG,NEEDLE ONE FIBER",828.91,497.35,136.09,7411.0,55
CPT,95874,HC EMG - GUIDANCE IN CONJ W/CHEMO,301.44,180.86,51.24,7411.0,39
CPT,95885,HC EMG-EACH EXTRIMITY W/NERVE,462.08,277.25,78.55,7411.0,39
CPT,95886,HC EMG-EACH EXTREMITY,588.29,352.97,100.01,7411.0,39
CPT,95887,HC EMG-EACH NON-EXTREMITY W/NERV,521.23,312.74,88.61,7411.0,39
CPT,95905,HC MOTOR/SENSORY NERVE CONDUCTION,493.9,296.34,83.96,7411.0,55
CPT,95907,HC NERVE CONDUCTION STUDIES - 1-2 STUDIES,587.19,352.31,99.82,7411.0,55
CPT,95908,HC NERVE CONDUCTION STUDIES - 3-4 STUDIES,697.79,418.67,118.62,7411.0,55
CPT,95909,HC NERVE CONDUCTION STUDIES - 5-6 STUDIES,852.1,511.26,144.86,7411.0,55
CPT,95910,HC NERVE CONDUCTION STUDIES - 7-8 STUDIES,697.79,418.67,118.62,7411.0,55
CPT,95911,HC NERVE CONDUCTION STUDIES - 9-10 STUDIES,2281.84,1369.1,308.69,7411.0,55
CPT,95912,HC NERVE CONDUCTION STUDIES - 11-12 STUDIES,1492.15,895.29,253.67,7411.0,55
CPT,95913,HC NERVE CONDUCTION STUDIES - 13 OR STUDIES,3183.26,1909.96,352.93,7411.0,55
CPT,95925,HC SOMATOSENSORY TESTING/ONE OR M,1514.23,908.54,206.06,7411.0,55
CPT,95926,HC SOMATOSENSORY TEST/LOWER LIMBS,1476.35,885.81,206.06,7411.0,55
CPT,95927,HC SOMATOSENSORY TESTING/TRUNK OR HEAD,1777.44,1066.46,206.06,7411.0,55
CPT,95928,HC CENTRAL MOTOR EVOKED STDY - UPPER LIMB,1081.81,649.09,183.91,7411.0,55
CPT,95929,HC CENTRAL MOTOR EVOKED STDY - LOWE,1035.0,621.0,175.95,7411.0,55
CPT,95930,"HC VIS. EVOKED POTEN.(VEP),CNS,C",1735.45,1041.27,154.88,7411.0,55
CPT,95933,"HC ORBICULARIS OCULI REFLEX, ELEC",466.95,280.17,56.3,7411.0,55
CPT,95937,HC NEUROMUSCULAR JUNCTION TESTING,665.03,399.02,113.06,7411.0,55
CPT,95938,HC SOMATOSENSORY TESTING/UPPER&LOWER LIMBS,2942.2,1765.32,500.17,7411.0,55
CPT,95939,HC CENTRAL MOTOR EVOKED STDY - UPP,2613.66,1568.2,444.32,7411.0,55
CPT,95940,HC INTRAOP MONT. EA 15MINS,441.09,264.65,74.99,7411.0,39
CPT,95941,HC INTRAOP NEURO OUT OR EA HR,1176.06,705.64,199.93,7411.0,39
CPT,95954,HC EEG REQUIRING PHYSICIAN FOR AED,1349.76,809.86,229.46,7411.0,55
CPT,95955,HC EEG NONINTRACRAINAL,1489.84,893.9,253.27,7411.0,39
CPT,95957,HC DIGITAL ANALYSIS,1241.17,744.7,211.0,7411.0,39
CPT,95958,HC WADA ACTIVITY TEST - HEMISPERIC,2952.89,1771.73,501.99,7411.0,55
CPT,95961,HC ELECTRODE STIMULATE/RECORD BRAIN - INIT HOUR,1718.48,1031.09,292.14,7411.0,55
CPT,95972,"ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATOR PULSE GENERATOR/TRANSMITTER (EG, CONTACT GROUP[S], INTERLEAVING, AMPLITUDE, PULSE WIDTH, FREQUENCY [HZ], ON/OFF CYCLING, BURST, MAGNET MODE, DOSE LOCKO",,,90.72,277.93,25
CPT,95976,HC ALYS SMPL CN NPGT PRGRMG,588.64,353.18,35.62,7411.0,55
CPT,95977,HC ALYS CPLX CN NPGT PRGRMG,649.24,389.54,90.72,7411.0,55
CPT,95980,"ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATOR PULSE GENERATOR SYSTEM (EG, RATE, PULSE AMPLITUDE AND DURATION, CONFIGURATION OF WAVE FORM, BATTERY STATUS, ELECTRODE SELECTABILITY, OUTPUT MODULATION,",,,,,0
CPT,95981,HC ELECT ANLS IMPLNT PLSE GNRTR - G,215.94,129.56,36.71,7411.0,55
CPT,95982,HC ELECT ANLS PLSE GNRTR - GASTRC -,337.86,202.72,35.62,7411.0,55
CPT,95983,HC ALYS BRN NPGT PRGRMG 15 MIN,202.05,121.23,34.35,7411.0,55
CPT,95984,HC ALYS BRN NPGT PRGRMG ADDL 15,202.05,121.23,34.35,7411.0,39
CPT,95990,"HC REFILL/MAINT IMPLANT PUMP/RES,",944.25,566.55,160.52,7411.0,55
CPT,95991,HC SPIN/BRAIN PUMP REFI,383.0,229.8,65.11,7411.0,55
CPT,95992,"HC CANALITH REPOSITIONING PROC,PE (95992)",246.95,148.17,41.98,7411.0,40
CPT,96002,"HC DYN SURFACE EMG, 1-12 MUSCLES",1186.32,711.79,69.69,7411.0,55
CPT,96003,"HC DYN FINE-WIRE EMG, 1 MUSCLE",623.82,374.29,106.05,7411.0,40
CPT,96040,HC GENETIC COUNSELING FOLLOW-UP,166.67,100.0,28.33,7411.0,29
CPT,96040,HC GENETIC COUNSELING INITIAL,166.67,100.0,28.33,7411.0,29
CPT,96041,HC GENETIC COUNSELING FOLLOW-UP,166.67,100.0,28.33,7411.0,29
CPT,96041,HC GENETIC COUNSELING INITIAL,166.67,100.0,28.33,7411.0,29
CPT,96105,HC (ST) APHASIA ASSESSMENT EA HR,603.0,361.8,102.51,7411.0,40
CPT,96105,HC EVALUATE APHASIA 120 MIN (96105),603.0,361.8,102.51,7411.0,40
CPT,96105,HC EVALUATE APHASIA 30 MIN (96105),603.0,361.8,102.51,7411.0,40
CPT,96105,HC EVALUATE APHASIA 45 MIN (96105),603.0,361.8,102.51,7411.0,40
CPT,96105,HC EVALUATE APHASIA 60 MIN (96105),603.0,361.8,102.51,7411.0,40
CPT,96105,HC EVALUATE APHASIA 75 MIN (96105),603.0,361.8,102.51,7411.0,40
CPT,96105,HC EVALUATE APHASIA 90 MIN (96105),603.0,361.8,102.51,7411.0,40
CPT,96105,"HC EVALUATE APHASIA, PER HOUR (96105)",603.0,361.8,102.51,7411.0,40
CPT,96113,"HC DEVELOPMENTAL TST ADMIN, W INTERPRETATION, PHYS/QHP EA ADDL 30 MIN",338.65,203.19,57.57,7411.0,39
CPT,96116,HC NEUROBEHAVIORAL STATUS EXAM - PE,776.65,465.99,132.03,7411.0,55
CPT,96121,HC NEUROBEHAVIORAL STATUS EXAM - PE EA ADDL HR,622.04,373.22,105.75,7411.0,39
CPT,96125,HC COGNITIVE TESTING (96125),523.27,313.96,88.96,7411.0,40
CPT,96125,HC STANDARDIZED COGNITIVE TESTING (96125),523.27,313.96,88.96,7411.0,40
CPT,96130,HC PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR,565.66,339.4,96.16,7411.0,55
CPT,96131,HC PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR,468.6,281.16,79.66,7411.0,39
CPT,96132,HC NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR,679.0,407.4,115.43,7411.0,55
CPT,96133,HC NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HOUR,528.94,317.36,89.92,7411.0,39
CPT,96136,"HC PSYCHOLOGICAL OR NEUROPSYCH TEST ADMIN/SCORING, PHYS/QHP, FIRST 30 MIN",374.58,224.75,63.68,7411.0,55
CPT,96137,"HC PSYCHOLOGICAL OR NEUROPSYCH TEST ADMIN/SCORING, PHYS/QHP, ADDL 30 MIN",301.71,181.03,51.29,7411.0,39
CPT,96138,"HC PSYCH OR NEUROPSYCH TEST ADMIN/SCORE, 2+ TESTS ,TECH, FIRST 30 MIN",461.72,277.03,70.58,7411.0,55
CPT,96139,"HC PSYCH OR NEUROPSYCH TEST ADMIN/SCORE, 2+ TESTS, TECH, ADDL 30 MIN",288.44,173.06,49.03,7411.0,39
CPT,96150,HC ASSESS HLTH/BEHAVE,122.12,73.27,20.76,7411.0,39
CPT,96151,HC ASSESS HLTH/BEHAVE,150.82,90.49,25.64,7411.0,39
CPT,96152,HC INTERVENE HLTH/BEHAV,148.0,88.8,25.16,7411.0,36
CPT,96156,HC HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT,467.93,280.76,79.55,7411.0,55
CPT,96158,HC HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN,347.06,208.24,59.0,7411.0,51
CPT,96159,HC HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN,171.19,102.71,29.1,7411.0,36
CPT,96160,HC PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM,107.33,64.4,18.25,7411.0,41
CPT,96161,HC CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM,107.33,64.4,18.25,7411.0,41
CPT,96164,HC HEALTH BEHAVIOR IVNTJ GROUP 1ST 30MIN,243.92,146.35,35.76,7411.0,51
CPT,96164,HC INTERVENE HLTH/BEHAV,121.96,73.18,20.73,7411.0,51
CPT,96165,HC HEALTH BEHAVIOR IVNTJ GROUP EA ADDL 15MIN,121.96,73.18,12.16,7411.0,36
CPT,96167,HC HEALTH BEHAVOR INTVNTJ W/FAMILY 1ST 30MIN,347.0,208.2,35.76,7411.0,51
CPT,96167,"HC INTERV HLTH/BEHAV, F",347.0,208.2,35.76,7411.0,51
CPT,96168,HC HEALTH BEHAVOR INTVNTJ W/FAMILY EA ADDL 15MIN,137.09,82.25,23.31,7411.0,36
CPT,96170,"HC HEALTH BEHAVOR INTVNTJ W/FAMILY, WO/PATIENT PRESENT, 1ST 30MIN",306.14,183.68,52.04,7411.0,36
CPT,96170,"HC HLTH/BEHAV INTRVNTION,EA 15MIN,FMLY W/O PT",153.07,91.84,26.02,7411.0,36
CPT,96171,"HC HEALTH BEHAVOR INTVNTJ W/FAMILY, WO/PATIENT PRESENT, EA ADDL 15MIN",153.07,91.84,26.02,7411.0,36
CPT,96360,"HC IV INFUSION HYDRATION, INITIAL 31MIN - 1HR",814.34,488.6,118.38,7411.0,55
CPT,96360,"HC IV INFUSION HYDRATION,INITIAL 31MIN - 1HR",814.34,488.6,118.38,7411.0,55
CPT,96361,HC IV INFUSION HYDRATION EA ADD HR,317.78,190.67,42.03,7411.0,55
CPT,96361,"HC IV INFUSION HYDRATION, EACH ADD'L HOUR",317.78,190.67,42.03,7411.0,55
CPT,96361,"INTRAVENOUS INFUSION, HYDRATION; EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,42.03,117.68,25
CPT,96365,HC IV INFUSION THER/DIAG/PROPH INITIAL UP TO 1 HR,902.11,541.27,153.36,7411.0,110
CPT,96365,"INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); INITIAL, UP TO 1 HOUR",,,202.99,530.97,25
CPT,96366,HC IV INFUSION THER/DIAG/PROPH EA ADD HR,330.56,198.34,44.69,7411.0,110
CPT,96366,"INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,44.69,142.43,25
CPT,96367,HC IV INFUSION SEQ ADD NEW DRG UP TO 1 HR,468.18,280.91,68.71,7411.0,55
CPT,96367,HC IV INFUSION SEQ ADD NEW DRUG UP TO 1HR,468.18,280.91,68.71,7411.0,55
CPT,96368,HC IV INFUSION CONCURRENT,393.07,235.84,65.27,7411.0,78
CPT,96368,"INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); CONCURRENT INFUSION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,65.27,137.76,5
CPT,96369,HC SUBCUT INFUSION THER/PROP - UP TO 1HR,656.65,393.99,111.63,7411.0,110
CPT,96370,HC SUBCUT INFUSION THER/PROP - EA ADD HR,166.63,99.98,28.33,7411.0,55
CPT,96371,HC SUBCUT INFUSION THER/PROP - ADD PUMP SETUP,209.1,125.46,35.55,7411.0,55
CPT,96372,HC (NURSE/TECH ADMIN) THER/PHOPH/DIAG INJECTION SC/IM,321.2,192.72,54.6,7411.0,110
CPT,96372,HC IM OR SQ INJECTECTION,321.2,192.72,54.6,7411.0,41
CPT,96372,HC INJECTION SUBCUT/IM,321.2,192.72,54.6,7411.0,55
CPT,96372,"HC THERAPEUTIC/DIAGNOSTIC INJ, SUBCUT/IM",321.2,192.72,54.6,7411.0,55
CPT,96372,"THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); SUBCUTANEOUS OR INTRAMUSCULAR",,,68.71,391.85,25
CPT,96373,"HC THERAPEUTIC/DIAGNOSTIC INJ, INTRA-ARTERIAL",412.22,247.33,58.64,7411.0,110
CPT,96374,"HC INJECTION, IV PUSH SNG/INIT SUBST",524.33,314.6,89.14,7411.0,55
CPT,96374,HC THERAP/PROPH IV INJECT <15MIN,524.33,314.6,89.14,7411.0,55
CPT,96374,HC THERAPEUTIC INJECTION OF MEDS-IV,524.33,314.6,89.14,7411.0,55
CPT,96374,"THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); INTRAVENOUS PUSH, SINGLE OR INITIAL SUBSTANCE/DRUG",,,121.69,530.97,25
CPT,96375,"HC INJECTION, IV PUSH EA ADD/NEW",392.06,235.24,44.69,7411.0,55
CPT,96375,HC IV PUSH EA ADD SEQU NEW DRUG,392.06,235.24,44.69,7411.0,55
CPT,96375,"THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL SEQUENTIAL INTRAVENOUS PUSH OF A NEW SUBSTANCE/DRUG (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PRO",,,44.69,117.68,25
CPT,96376,"HC IN, IV PUSH EA ADD-SAME DRG",361.12,216.67,61.39,7411.0,39
CPT,96376,HC IV PUSH EA ADD SEQU SAME DRUG,361.12,216.67,61.39,7411.0,39
CPT,96376,"THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL SEQUENTIAL INTRAVENOUS PUSH OF THE SAME SUBSTANCE/DRUG PROVIDED IN A FACILITY (LIST SEPARATELY IN ADDITI",,,73.04,154.16,5
CPT,96377,HC APPLICATION ON-BODY INJECTOR,249.15,149.49,42.36,7411.0,55
CPT,96379,HC GASTRIC BAND ADJ SUBCUT PORT IN,487.83,292.7,44.69,7411.0,55
CPT,96379,"HC IV INFUSION - THER/DIAG,PROLONG,REQ PUMP",487.83,292.7,44.69,7411.0,55
CPT,96380,HC ADMIN RESPIRATORY SYNCYTIAL VIRUS MON ANT W/COUN,45.76,27.46,7.78,7411.0,39
CPT,96381,HC ADMIN RESPIRATORY SYNCYTIAL VIRUS MON ANT,41.14,24.68,6.99,7411.0,39
CPT,96401,HC CHEMO ADMINISTRATION IM OR SUB,574.51,344.71,68.71,7411.0,55
CPT,96402,"HC CHEMO.ADMIN,SUBQ/IM,HORMONAL A",491.03,294.62,68.71,7411.0,55
CPT,96409,HC CHEMO ADMINISTRATION IV PUSH,853.78,512.27,145.14,7411.0,55
CPT,96411,HC CHEMOTHERAPY ADMIN/IV PUSH - EA,616.43,369.86,68.71,7411.0,55
CPT,96413,HC CHEMO ADMIN INFUSION SINGLE/INITIAL UP TO 1 HR,1238.09,742.85,210.48,7411.0,55
CPT,96415,HC CHEMO ADMIN INFUSION EACH ADDITIONAL HR,507.0,304.2,68.71,7411.0,55
CPT,96416,HC CHEMO INFUSE PUMP > 8 HRS,1387.34,832.4,235.85,7411.0,55
CPT,96417,HC CHEMO ADMIN INFUSION EACH ADDL SEQ UP TO 1 HR,623.56,374.14,68.71,7411.0,55
CPT,96420,"HC CHEMOTHERAPY ADMIN.,INTRA-ARTE",999.86,599.92,169.98,7411.0,55
CPT,96422,"HC CHEMO ADMIN,INTRA-ARTERL - INFUS.",1303.48,782.09,221.59,7411.0,55
CPT,96423,"HC CHEMO ADMIN,INTRA-ARTERL - INFUS.T",428.5,257.1,44.69,7411.0,55
CPT,96446,HC CHEMOTX ADMIN PRTL CA,845.28,507.17,87.4,7411.0,110
CPT,96450,HC CHEMOTHERAPY ADM/INTO CNS W/LU,1749.88,1049.93,251.16,7411.0,55
CPT,96521,HC REFILL PORTABLE PUMP,644.33,386.6,109.54,7411.0,55
CPT,96523,HC IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST,344.47,206.68,56.3,7411.0,55
CPT,96523,HC IRRIGATE/FLUSH VAD,344.47,206.68,56.3,7411.0,55
CPT,96523,HC IRRIGATION IMPLANTED VAD FOR D,344.47,206.68,56.3,7411.0,55
CPT,96542,"HC CHEMO INJECTION,SUBARACHNOID/I",804.63,482.78,131.67,7411.0,55
CPT,96549,HC CHEMO CONCURRENT INFUSION IV,419.28,251.57,44.69,7411.0,55
CPT,96549,HC HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY (HIPEC),845.28,507.17,44.69,7411.0,55
CPT,97010,HC HOT/COLD PACKS (97010),71.98,43.19,12.24,7411.0,40
CPT,97010,HC MOIST/COLD PACK (97010),71.98,43.19,12.24,7411.0,40
CPT,97012,HC TRACTION-MECHANICAL (97012),144.9,86.94,24.63,7411.0,40
CPT,97014,HC PT E-STIM UNATTENDED,151.0,90.6,25.67,7411.0,40
CPT,97018,HC PARAFFIN TREATMENT (97018),141.6,84.96,18.45,7411.0,40
CPT,97018,HC SM PARAFFIN (97018),141.6,84.96,18.45,7411.0,40
CPT,97026,HC PHYSICAL MEDICINE TREATMENT - IN (97026),68.36,41.02,11.62,7411.0,40
CPT,97032,"HC ELECTRICAL MUSCLE STIMULATION, 15 MIN (97032)",158.75,95.25,26.99,7411.0,40
CPT,97032,"HC SM ELECT MUSC STIM-MANUAL,15 MIN (97032)",158.75,95.25,26.99,7411.0,40
CPT,97032,HC SPEECH THERAPY E-STIM ATTENDED (97032),158.75,95.25,26.99,7411.0,40
CPT,97033,HC SM IONTOPHORESIS - 15 MIN (97033),257.74,154.64,43.82,7411.0,40
CPT,97034,HC CONTRAST BATH 15 MIN (97034),145.28,87.17,24.7,7411.0,40
CPT,97035,HC PT ULTRASOUND 15 MIN (97035),143.21,85.93,24.35,7411.0,40
CPT,97035,HC ULTRASOUND 15 MIN (97035),143.21,85.93,24.35,7411.0,40
CPT,97037,"HC APPL MODALITY 1+ AREAS LLLT PO PAIN REDUCTION, OT",75.0,45.0,12.75,7411.0,55
CPT,97037,"HC APPL MODALITY 1+ AREAS LLLT PO PAIN REDUCTION, PT",75.0,45.0,12.75,7411.0,55
CPT,97110,HC EXERCISE EA 15 MIN,208.73,125.24,35.48,7411.0,37
CPT,97110,HC SM THERA.PROC.-ROM/STREN 15MIN (97110),208.73,125.24,35.48,7411.0,40
CPT,97110,"HC THERAPEUTIC EXERCISE, 15 MIN (97110)",208.73,125.24,35.48,7411.0,40
CPT,97110,HC THERAPUETIC EXERCISES,208.73,125.24,35.48,7411.0,40
CPT,97112,"HC NEUROMUSCULAR RE-EDUCATION, 15 MIN (97112)",204.47,122.68,34.76,7411.0,40
CPT,97112,HC THERAPEUTIC PROC-NEURO 15 MIN (97112),204.47,122.68,34.76,7411.0,40
CPT,97113,HC AQUATIC THERAPY 15 MIN (97113),150.86,90.52,25.65,7411.0,40
CPT,97113,"HC AQUATIC THERAPY W/THERAPEUTIC, 15 MIN (97113)",150.86,90.52,25.65,7411.0,40
CPT,97116,"HC PHYSICAL MEDICINE TREATMENT - GAIT, 15 MIN (97116)",193.39,116.03,32.88,7411.0,40
CPT,97124,"HC MASSAGE, 15 MIN (97124)",148.56,89.14,25.26,7411.0,40
CPT,97124,HC SM MASSAGE 15 MIN (97124),148.56,89.14,25.26,7411.0,40
CPT,97129,"HC COGNITIVE SKILLS DEVELOPMENT TR, 1ST 15MIN",191.15,114.69,32.5,7411.0,37
CPT,97129,"HC COGNITIVE SKILLS DEVELOPMENT, 1ST 15MIN",191.15,114.69,32.5,7411.0,120
CPT,97130,"HC COGNITIVE SKILLS DEVELOPMENT TR, EA ADD 15MIN",191.98,115.19,32.64,7411.0,37
CPT,97130,"HC COGNITIVE SKILLS DEVELOPMENT,  EA ADD 15MIN",191.98,115.19,32.64,7411.0,120
CPT,97139,"HC PHYS.MED.TREAT - UNLISTED,EA 15M (97139)",112.36,67.42,19.1,7411.0,40
CPT,97139,HC RECREATIONAL THERAPY PROCEDURE,112.36,67.42,19.1,7411.0,37
CPT,97140,HC (ST) MANUAL THERAPY EA 15 MIN,227.55,136.53,38.68,7411.0,40
CPT,97140,HC MANUAL THERAPY 15 MIN (97140),227.55,136.53,38.68,7411.0,40
CPT,97140,"HC MANUAL THERAPY, 15 MIN",227.55,136.53,38.68,7411.0,40
CPT,97140,"HC MANUAL THERAPY, 15 MIN (97140)",227.55,136.53,38.68,7411.0,40
CPT,97150,HC (OT) GRP THERAPY-120 MIN,196.26,117.76,33.36,7411.0,40
CPT,97150,HC (OT) GRP THERAPY-30 MIN,196.26,117.76,33.36,7411.0,40
CPT,97150,HC (OT) GRP THERAPY-45 MIN,196.26,117.76,33.36,7411.0,40
CPT,97150,HC (OT) GRP THERAPY-60 MIN,196.26,117.76,33.36,7411.0,40
CPT,97150,HC (OT) GRP THERAPY-90 MIN,196.26,117.76,33.36,7411.0,40
CPT,97150,HC (PT) GROUP THERAPEUTIC PROCEDURES,196.26,117.76,33.36,7411.0,40
CPT,97150,HC (PT) GRP THERAPY-30 MIN,196.26,117.76,33.36,7411.0,40
CPT,97150,HC (PT) GRP THERAPY-45 MIN,196.26,117.76,33.36,7411.0,40
CPT,97150,HC (PT) GRP THERAPY-60 MIN,196.26,117.76,33.36,7411.0,40
CPT,97150,HC (PT) GRP THERAPY-90 MIN,196.26,117.76,33.36,7411.0,40
CPT,97150,"HC OCCUPATIONAL THERAPY, GROUP (97150)",196.26,117.76,33.36,7411.0,40
CPT,97161,HC PT EVAL LOW COMPLEX (97161),395.47,237.28,67.23,7411.0,40
CPT,97162,HC PT EVAL MOD COMPLEX (97162),475.16,285.1,80.78,7411.0,40
CPT,97162,"PHYSICAL THERAPY EVALUATION: MODERATE COMPLEXITY, REQUIRING THESE COMPONENTS: A HISTORY OF PRESENT PROBLEM WITH 1-2 PERSONAL FACTORS AND/OR COMORBIDITIES THAT IMPACT THE PLAN OF CARE; AN EXAMINATION O",,,108.0,560.46,7
CPT,97163,HC PT EVAL HIGH COMPLEX (97163),508.79,305.27,86.49,7411.0,40
CPT,97164,HC PT RE-EVAL EST PLAN CARE (97164),214.71,128.83,36.5,7411.0,40
CPT,97165,HC OT EVAL LOW COMPLEX (97165),447.07,268.24,76.0,7411.0,40
CPT,97166,HC OT EVAL MOD COMPLEX (97166),586.75,352.05,99.75,7411.0,40
CPT,97167,HC OT EVAL HIGH COMPLEX (97167),623.53,374.12,106.0,7411.0,40
CPT,97168,HC OT RE-EVAL EST PLAN CARE (97168),378.44,227.06,64.33,7411.0,40
CPT,97530,HC SPEECH THERAPY FUNCTIONAL ACTIVITY 15 MIN (97530),204.6,122.76,34.78,7411.0,40
CPT,97530,HC THERAPEUT ACTIVITIES EA 15,204.6,122.76,34.78,7411.0,37
CPT,97530,HC THERAPEUT ACTIVITY DIRECT PT CONTRACT EACH 15 MIN,204.6,122.76,34.78,7411.0,40
CPT,97530,"HC THERAPEUTIC ACTIVITY,EA 15 MIN (97530)",204.6,122.76,34.78,7411.0,40
CPT,97530,HC THERAPUTIC ACTIVITY 15 MIN (97530),204.6,122.76,34.78,7411.0,40
CPT,97533,HC SENSORY INTEGRATION 15 MIN (97533),191.5,114.9,32.55,7411.0,40
CPT,97535,HC SELF CARE TRAINING 15 MIN (97535),198.16,118.9,33.69,7411.0,40
CPT,97535,HC SELF CARE/HOME MANAGEMENT (97535),198.16,118.9,33.69,7411.0,40
CPT,97535,"HC SELF CARE/HOME MGMT,ONE ON ONE, 15 MIN (97535)",198.16,118.9,33.69,7411.0,40
CPT,97535,HC SELFCARE/HOME MANAG EA 15MIN,198.16,118.9,33.69,7411.0,77
CPT,97537,HC COMMUNITY/WORK RE-INTEGRATION 15 MIN (97537),172.12,103.27,29.26,7411.0,40
CPT,97537,HC PT COMM/WORK REINT 15 MIN (97537),172.12,103.27,29.26,7411.0,40
CPT,97537,HC WORK/COMMUN REINTEGR EA 15MIN,172.12,103.27,29.26,7411.0,37
CPT,97542,"HC WHEELCHAIR MANAGE,EA 15 MIN (97542)",158.39,95.03,26.93,7411.0,40
CPT,97542,HC WHEELCHAIR MANAGEMENT TRAINING 15 MIN (97542),158.39,95.03,26.93,7411.0,40
CPT,97550,"HC CAREGIVER TRAINING STRATEGIES&TQ 1ST 30 MINUTES, OT",330.63,198.38,56.21,7411.0,40
CPT,97550,"HC CAREGIVER TRAINING STRATEGIES&TQ 1ST 30 MINUTES, PT",330.63,198.38,56.21,7411.0,40
CPT,97550,"HC CAREGIVER TRAINING STRATEGIES&TQ 1ST 30 MINUTES, SPEECH",330.63,198.38,56.21,7411.0,40
CPT,97551,"HC CAREGIVER TRAINING STRATEGIES&TQ EA ADDL 15 MIN, OT",165.32,99.19,28.1,7411.0,40
CPT,97551,"HC CAREGIVER TRAINING STRATEGIES&TQ EA ADDL 15 MIN, PT",165.32,99.19,28.1,7411.0,40
CPT,97551,"HC CAREGIVER TRAINING STRATEGIES&TQ EA ADDL 15 MIN, SPEECH",165.32,99.19,28.1,7411.0,40
CPT,97552,"HC GROUP CAREGIVER TRAINING STRATEGIES & TECHNIQUE, OT",23.13,13.88,3.93,7411.0,40
CPT,97552,"HC GROUP CAREGIVER TRAINING STRATEGIES & TECHNIQUE, PT",23.13,13.88,3.93,7411.0,40
CPT,97552,"HC GROUP CAREGIVER TRAINING STRATEGIES & TECHNIQUE, SPEECH",23.13,13.88,3.93,7411.0,40
CPT,97597,"DEBRIDEMENT (EG, HIGH PRESSURE WATERJET WITH/WITHOUT SUCTION, SHARP SELECTIVE DEBRIDEMENT WITH SCISSORS, SCALPEL AND FORCEPS), OPEN WOUND, (EG, FIBRIN, DEVITALIZED EPIDERMIS AND/OR DERMIS, EXUDATE, DE",,,75.25,2107.0,28
CPT,97597,"HC DEBRIDESKIN, 20 SQ CM OR<",584.97,350.98,75.25,7411.0,55
CPT,97597,HC OT DEB 20 SQ CM OR < (97597),584.97,350.98,75.25,7411.0,55
CPT,97597,HC PT DEB 20 SQ CM OR < (97597),584.97,350.98,75.25,7411.0,55
CPT,97597,HC WOUND CARE SELECTIVE DEBRIDEMENT <20CM,584.97,350.98,99.44,7411.0,55
CPT,97598,HC DEBRIDESKIN ADD 20 SQ CM OR <,690.39,414.23,35.4,7411.0,40
CPT,97598,HC OT DEB ADD 20 SQ CM OR < (97598),690.39,414.23,35.4,7411.0,40
CPT,97598,HC PT DEB ADD 20 SQ CM OR < (97598),690.39,414.23,35.4,7411.0,40
CPT,97598,HC WOUND CARE SELECTIVE DEBRIDEMENT EACH ADTL 20CM,690.39,414.23,117.37,7411.0,40
CPT,97602,HC REMOVE DEVIT TISSUE/WND - NON SE (97602),560.49,336.29,95.28,7411.0,55
CPT,97602,HC REMOVE DEVITALIZED TISSUE/WND - NON SELECTIVE,560.49,336.29,95.28,7411.0,55
CPT,97602,HC REMOVE DEVITALIZED TISSUE/WND; NON SELECTIVE,560.49,336.29,95.28,7411.0,275
CPT,97605,HC NEG PRESS WOUND TREATMENT<50,528.03,316.82,89.77,7411.0,55
CPT,97605,HC NEG PRESSURE WOUND THER SMALL (97605),528.03,316.82,89.77,7411.0,55
CPT,97606,HC NEG PRESS WOUND TREATMENT>50 CM,826.97,496.18,140.58,7411.0,55
CPT,97606,HC NEG PRESSURE WOUND THER LARGE (97606),826.97,496.18,112.0,7411.0,55
CPT,97607,HC NEG PRESSURE WOUND THERAPY NON DME </= 50 SQ CM,1054.62,632.77,179.29,7411.0,55
CPT,97607,"NEGATIVE PRESSURE WOUND THERAPY, (EG, VACUUM ASSISTED DRAINAGE COLLECTION), UTILIZING DISPOSABLE, NON-DURABLE MEDICAL EQUIPMENT INCLUDING PROVISION OF EXUDATE MANAGEMENT COLLECTION SYSTEM, TOPICAL APP",,,71.93,987.79,25
CPT,97608,HC NEG PRESSURE WOUND THERAPY NON DME >50 SQ CM,1105.65,663.39,187.96,7411.0,55
CPT,97608,"NEGATIVE PRESSURE WOUND THERAPY, (EG, VACUUM ASSISTED DRAINAGE COLLECTION), UTILIZING DISPOSABLE, NON-DURABLE MEDICAL EQUIPMENT INCLUDING PROVISION OF EXUDATE MANAGEMENT COLLECTION SYSTEM, TOPICAL APP",,,80.77,987.79,25
CPT,97610,HC LOW FREQUENCY NON-THERMAL US,607.95,364.77,103.35,7411.0,55
CPT,97750,"HC PHYS.PERFORM.TEST,W/WRITTEN RE (97750)",186.75,112.05,31.75,7411.0,40
CPT,97750,HC PHYSICAL PERFORMANCE TEST (97750),186.75,112.05,31.75,7411.0,40
CPT,97755,HC WHLCHR/POSITION EVAL EA 15 MIN,160.14,96.08,27.22,7411.0,40
CPT,97760,HC ORTHOTIC MANAGEMENT/TRAINING 15 MIN (97760),227.07,136.24,38.6,7411.0,40
CPT,97760,HC PT ORTHOTIC FIT/TRAIN 15 MIN (97760),227.07,136.24,38.6,7411.0,40
CPT,97761,HC PROSTHETIC TRAINING 15 MIN (97761),179.5,107.7,30.52,7411.0,40
CPT,97761,HC PT PROSTHETIC TRAINING 15 MIN (97761),179.5,107.7,30.52,7411.0,40
CPT,97763,HC ORTHOTICS/PROSTH MGMT & TRAINING SBSQ ENCTR PER 15 MIN (97763),207.25,124.35,35.23,7411.0,80
CPT,97799,HC DRY NEEDLING (97799),215.6,129.36,36.65,7411.0,40
CPT,97799,HC EVALUATION EA 15 MIN,220.32,132.19,37.45,7411.0,36
CPT,97802,HC MEDICAL NUTRITION THERAPY - INITIAL 15 MIN,111.83,67.1,19.01,7411.0,39
CPT,97803,HC MEDICAL NUTRITION THERAPY - FOLLOW-UP 15 MIN,106.84,64.1,18.16,7411.0,39
CPT,97804,HC MNT GROUP EA 30 MIN,87.21,52.33,14.83,7411.0,39
CPT,97810,HC ACUPUNCT W/O STIMUL 15 MIN,64.9,38.94,11.03,7411.0,41
CPT,97813,HC ACUPUNCT W STIMUL 15 MINS,64.9,38.94,11.03,7411.0,41
CPT,98925,"HC TREATMENT,OSTEOPATH MANIP,1-2",170.1,102.06,20.61,7411.0,55
CPT,98960,HC ED/TRAIN PT SELF-MGMT - EA 30 MIN - INDIVIDUAL,159.0,95.4,27.03,7411.0,39
CPT,98961,HC ED/TRAIN PT SELF-MGMT - EA 30 MIN - 2-4 PTS,86.63,51.98,14.73,7411.0,39
CPT,98962,HC ED/TRAIN PT SELF-MGMT - EA 30 MIN - 5-8 PTS,53.2,31.92,9.04,7411.0,39
CPT,98966,HC NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN,46.0,27.6,7.82,7411.0,39
CPT,98967,HC NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN,89.0,53.4,15.13,7411.0,39
CPT,98968,HC NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN,146.3,87.78,24.87,7411.0,39
CPT,99000,HC SANE HANDLING/CONVEYANCE SPEC.,50.6,30.36,8.6,7411.0,39
CPT,99001,HC HANDLING FEE CLINICAL/LAB,158.82,95.29,10.0,7411.0,39
CPT,99050,HC SANE AFTER HOURS,39.0,23.4,6.63,7411.0,29
CPT,99070,HC DIGITAL PHOTOGRAPHY,100.0,60.0,17.0,7411.0,39
CPT,99070,"HC SA-KIT, EVIDENCE COLLECTION",50.0,30.0,8.5,7411.0,39
CPT,99070,HC SANE ADDITIONAL SUPPLIES,100.0,60.0,17.0,7411.0,39
CPT,99078,HC GROUP EDUCATIONAL SERVICES,83.51,50.11,14.2,7411.0,39
CPT,99091,HC COLLJ & INTERPJ PHYSIOL DATA MIN 30,290.34,174.2,49.36,7411.0,29
CPT,99151,"HC MOD CONS SED BY SAME PHYS, <5YRS, 1ST 15 MIN",400.0,240.0,68.0,7411.0,39
CPT,99152,"HC MOD CONS SED BY SAME PHYS, >5YRS, 1ST 15 MIN",387.37,232.42,38.71,7411.0,39
CPT,99153,"HC MOD CONS SED BY SAME PHYS, EA ADDL 15 MIN",179.03,107.42,30.44,7411.0,39
CPT,99155,"HC MOD CONS SED BY DIFF PHYS, <5YRS, 1ST 15 MIN",258.1,154.86,43.88,7411.0,39
CPT,99156,"HC MOD CONS SED BY DIFF PHYS, >5YRS, 1ST 15 MIN",283.58,170.15,48.21,7411.0,39
CPT,99157,"HC MOD CONS SED BY DIFF PHYS, EA ADDL 15 MIN",179.03,107.42,30.44,7411.0,39
CPT,99170,HC ANOGENITAL EXAM,326.6,195.96,55.52,7411.0,55
CPT,99170,"HC SANE ANOGENITAL EXAM, CHILD",150.0,90.0,25.5,7411.0,55
CPT,99172,HC OCULAR FUNCTION SCREEN,27.04,16.22,4.6,7411.0,29
CPT,99173,"HC SCREENING,VISUAL ACUITY,QUANTI",97.35,58.41,16.55,7411.0,29
CPT,99184,HC HYPOTHERMIA INITIATION NEONATE,2722.44,1633.46,462.81,7411.0,39
CPT,99195,"HC PHLEBOTOMY, THERAPEUTIC",458.59,275.15,77.96,7411.0,55
CPT,99199,"HC SANE ANOGENITAL EXAM, ADULT",150.0,90.0,25.5,7411.0,39
CPT,99199,HC SANE FORENSIC EXAM - 60 MINUTES,350.0,210.0,59.5,7411.0,39
CPT,99281,HC EMERGENCY DEPT LEVEL I,478.23,286.94,80.47,7411.0,49
CPT,99281,HC OB EMERGENCY CARE LEVEL I,478.23,286.94,80.47,7411.0,49
CPT,99282,HC EMERGENCY CARE LEVEL II,782.31,469.39,132.99,7411.0,49
CPT,99282,HC OB EMERGENCY CARE LEVEL II,782.31,469.39,132.99,7411.0,49
CPT,99283,HC EMERGENCY CARE LEVEL III,1283.4,770.04,218.18,7411.0,49
CPT,99283,HC OB EMERGENCY CARE LEVEL III,1283.4,770.04,218.18,7411.0,49
CPT,99284,HC EMERGENCY CARE LEVEL IV,2122.8,1273.68,360.88,7411.0,49
CPT,99284,HC OB EMERGENCY CARE LEVEL IV,2122.8,1273.68,360.88,7411.0,49
CPT,99285,HC EMERGENCY CARE LEVEL V,3879.67,2327.8,568.33,7411.0,49
CPT,99285,HC OB EMERGENCY CARE LEVEL V,3879.67,2327.8,568.33,7411.0,49
CPT,99291,HC CRITICAL CARE,4233.71,2540.23,719.73,7411.0,52
CPT,99292,HC CRITICAL CARE EA ADDL 30 MIN,1408.48,845.09,239.44,7411.0,39
CPT,99354,HC PROLONGED PHYS SVS 1 HR,297.94,178.76,50.65,7411.0,36
CPT,99355,HC PROLONGED PHYS SVS ADD'L 30 MI,111.82,67.09,19.01,7411.0,36
CPT,99366,HC PATIENT/FAMILY CONFERENCE (OT) (99366),189.72,113.83,32.25,7411.0,40
CPT,99366,HC PATIENT/FAMILY CONFERENCE (PT) (99366),189.72,113.83,32.25,7411.0,40
CPT,99368,HC TEAM CONFERENCE (OT) (99368),236.48,141.89,40.2,7411.0,40
CPT,99406,HC SMOKING CESSATION >3 UP TO 10 MIN,81.19,48.71,13.8,7411.0,55
CPT,99407,HC SMOKING CESSATION >10 MIN,115.53,69.32,19.64,7411.0,55
CPT,99426,HC PRINCIPAL CARE MGMT SVC 1ST 30 STAFF CAL MO,152.84,91.7,25.98,7411.0,41
CPT,99445,HC REMOTE MONITOR PHYSIOL PARAM DEV SPLY W/REC 2-15 DAYS,74.98,44.99,12.75,7411.0,40
CPT,99453,HC REMOTE MONITOR PHYSIOL PARAM SETUP,227.78,136.67,38.72,7411.0,41
CPT,99454,HC REMOTE MONITOR PHYSIOL PARAM DEV,71.22,42.73,12.11,7411.0,41
CPT,99465,HC CARDIOPULMONARY RESUSC - DELIVERY RM,1522.15,913.29,258.77,7411.0,55
CPT,99465,HC RESUSCITATION NEWBORN,1522.15,913.29,258.77,7411.0,55
CPT,99487,HC COMPX CHRONIC CARE MGMT 60M/MO,173.06,103.84,29.42,7411.0,51
CPT,99489,HC COMPX CHRONIC CARE EA ADD 30 M,86.53,51.92,14.71,7411.0,36
CPT,99490,HC CHRON CARE MGMT SRVC 20 MIN,119.9,71.94,20.38,7411.0,41
CPT,99490,HC CHRONIC CARE MGMT 20 MIN/MO,119.9,71.94,20.38,7411.0,51
CPT,99495,HC TRANSITIONAL CARE MANAGEMENT WITHIN 14 DAYS,107.4,64.44,18.26,7411.0,41
CPT,99496,HC TRANSITIONAL CARE MANAGEMENT WITHIN 7 DAYS,141.32,84.79,24.02,7411.0,41
CPT,99499,HC SANE ADDITIONAL EVALUATION & MANAGEMENT,106.0,63.6,18.02,7411.0,29
CPT,A0427,HC EMERGENCY TRANSPORT,762.48,457.49,129.62,7411.0,40
CPT,A2004,"HC XCELLISTEM, PER MG (1000MG) MANF# XSWP1000",12.18,7.31,2.07,7411.0,41
CPT,A2004,"HC XCELLISTEM, PER MG (250 MG) MANF# XSWP0250",12.58,7.55,2.14,7411.0,41
CPT,A2004,"HC XCELLISTEM, PER MG (500 MG) MANF# XSWP0500",12.21,7.33,2.08,7411.0,41
CPT,A2032,"HC MYRIAD MATRIX, 20CM X 20CM, PER SQ CM (CHG QTY: 400) LAW844643",56.94,34.16,9.68,7411.0,41
CPT,A2033,"HC MYRIAD MORCELLS, PER 4 MG (CHG QTY: 125) LAW844637",46.04,27.62,7.83,7411.0,41
CPT,A2033,"HC MYRIAD MORCELLS, PER 4 MG (CHG QTY: 250) LAW844638",42.04,25.22,7.15,7411.0,41
CPT,A2033,"HC MYRIAD MORCELLS, PER 4 MG (CHG QTY: 500) LAW844639",42.04,25.22,7.15,7411.0,41
CPT,A4565,HC ARM SLING W/PADDED STRAP,30.38,18.23,5.16,29.41,57
CPT,A4565,"HC BLUE VOG SLING,W/PAD STRAP,L",15.06,9.04,2.56,29.41,57
CPT,A4565,"HC BLUE VOG SLING,W/PAD STRAP,S",15.06,9.04,2.56,29.41,57
CPT,A4565,"HC BLUE,VOG,SLG,W/PAD STRAP,XL",15.31,9.19,2.6,29.41,57
CPT,A4565,"HC BLUE,VOG,SLING,W/PAD STRAP,M",15.06,9.04,2.56,29.41,57
CPT,A4565,HC DELUXE ARM SLING L,13.31,7.99,2.26,29.41,57
CPT,A4565,HC DELUXE ARM SLING M,13.31,7.99,2.26,29.41,57
CPT,A4565,HC DELUXE ARM SLING S,13.31,7.99,2.26,29.41,57
CPT,A4565,HC DELUXE ARM SLING XL,13.31,7.99,2.26,29.41,57
CPT,A4565,HC DELUXE ARM SLING XS,13.31,7.99,2.26,29.41,57
CPT,A4565,HC DELUXE ARM SLING XXS,13.31,7.99,2.26,29.41,57
CPT,A4648,HC LOCALIZATION MARKER MAMMOSTAR,358.98,215.39,61.03,287.18,55
CPT,A4648,HC LOCALIZATION MARKER SAVI SCOUT,2144.12,1286.47,364.5,1715.3,55
CPT,A4648,HC LOCALIZATION MARKER TUNMARK VISION,427.69,256.61,72.71,342.15,55
CPT,A4648,HC MTVC10 MAGTRACE 10 VIAL CARTON (LAW528704),2922.15,1753.29,496.77,2337.72,55
CPT,A4648,HC MTVC10001 MAGTRACE 10 VIAL CARTON (LAW528705),2922.15,1753.29,496.77,2337.72,55
CPT,A4648,HC TISSUE MARKER,333.8,200.28,56.75,267.04,55
CPT,A7048,HC B BRAUN EVACUATOR BOTTLE DRAINAGE ACCEL,67.86,40.72,11.54,7411.0,39
CPT,A7048,HC HH/HSPC CAREFUSION PLEURX DRAINAGE KIT,2695.0,1617.0,458.15,7411.0,39
CPT,C1052,HC ENDOSCOPIC HEMOSTAT HEMO-10 HEMOSPRAY (LAW482197),8497.5,5098.5,18.7,7411.0,39
CPT,C1052,HC ENDOSCOPIC HEMOSTAT HEMO-7 HEMOSPRAY (LAW482198),8497.5,5098.5,18.7,7411.0,39
CPT,C1601,"HC PASS-THROUGH, AMBU ASCOPE 5 BROMCHO HD 5.0/2.2",1705.55,1023.33,289.94,7411.0,39
CPT,C1601,"HC PASS-THROUGH, AMBU ASCOPE 5 BRONCHO HD 2.7/1.2",1705.55,1023.33,289.94,7411.0,39
CPT,C1601,"HC PASS-THROUGH, AMBU ASCOPE 5 BRONCHO HD 4.2/2.2",1705.55,1023.33,289.94,7411.0,39
CPT,C1601,"HC PASS-THROUGH, AMBU ASCOPE 5 BRONCHO HD 5.6/2.8",1705.55,1023.33,289.94,7411.0,39
CPT,C1713,HC AUTOPLEX SYSTEM W/HV CEMENT,3546.81,2128.09,602.96,2837.45,55
CPT,C1713,HC CEMENT DELIVERY SYSTEM KYPHON SZ 2,1779.38,1067.63,302.49,1423.5,55
CPT,C1713,HC ERX BONE CEMENT,7086.24,4251.74,1204.66,5668.99,55
CPT,C1713,"HC KIT, CEMENT, KYPHO",754.19,452.51,128.21,603.35,55
CPT,C1713,HC TRICOR SI JOINT FUSION CANNULA COATED (ALL SIZES),5098.5,3059.1,866.75,4078.8,55
CPT,C1714,HC TURBOHAWK PLAQUE EXCISION SYST,11879.51,7127.71,2019.52,10097.58,39
CPT,C1717,"HC BRACHYTHERAPY SOURCE,HDR,IR-192 PER SOURCE",1318.15,790.89,224.09,1059.45,69
CPT,C1721,HC ELLIPSE DR-ICD CD2411-36Q,32106.95,19264.17,5458.18,25685.56,57
CPT,C1721,HC FORTIFY ASSURA DR,30251.1,18150.66,5142.69,24200.88,57
CPT,C1721,"HC GENERATOR ICD,SJM 2257",30251.1,18150.66,5142.69,24200.88,57
CPT,C1721,"HC ICD GENERATOR,SJM 2311,2411",32106.95,19264.17,5458.18,25685.56,57
CPT,C1721,"HC ICD, DDBB1D4/DDBB1D1 EVERA",36539.25,21923.55,6211.67,29231.4,57
CPT,C1721,"HC MEDTRONIC EVERA MRI XT DR, DDMB1D4",38135.12,22881.07,6482.97,30508.1,57
CPT,C1721,HC MEDTRONIC ICD DC EVERA MRI S DR SURESCAN DDMC3D1,33990.0,20394.0,5778.3,27192.0,57
CPT,C1722,HC FORTIFY ASSURA VR,20495.97,12297.58,3484.31,16396.78,57
CPT,C1722,HC ICD GENERATOR PROTECTA D334VRG,31950.6,19170.36,5431.6,25560.48,57
CPT,C1722,"HC ICD GENERATOR,SJM 1211/1311/1411",65670.82,39402.49,11164.04,52536.66,57
CPT,C1722,"HC ICD GENERATOR,SJM CD1257,CD1357",20495.97,12297.58,3484.31,16396.78,57
CPT,C1722,HC MEDTRONIC VISIA AF MRI VR SURESCAN DVFB1D4,45886.5,27531.9,7800.7,36709.2,57
CPT,C1724,HC ATHERECTOMY SOLID CROWN-STEALT,9867.0,5920.2,1677.39,8386.95,39
CPT,C1724,HC ROTOBLATOR LINK PLUS,4235.0,2541.0,719.95,7411.0,39
CPT,C1724,HC THROMBECTOMY SYSTEM CLEANER RO,3070.38,1842.23,521.96,7411.0,39
CPT,C1725,HC ANGIODYNAMICS CATHETER SOFT-VU BRAIDED JB 4F X 100 CM X 3 CM TIP,507.87,304.72,86.34,7411.0,39
CPT,C1725,HC ANGIOSCULPT CORON 2-3.5 MM X 10MM,3388.0,2032.8,575.96,7411.0,39
CPT,C1725,HC BALLOON ADVANCE PTA,2276.32,1365.79,386.97,7411.0,39
CPT,C1725,HC BALLOON CATH COYOTE 150CM .014IN BS (LAW222687),1072.06,643.24,182.25,7411.0,39
CPT,C1725,HC BALLOON CATH PACIFIC PLUS 150X15CM .018IN 3MM MEDTRONIC (LAW504223),784.55,470.73,133.37,7411.0,39
CPT,C1725,HC BALLOON CATH PACIFIC PLUS 150X2CM .018IN 4MM MEDTRONIC (LAW504236),784.55,470.73,133.37,7411.0,39
CPT,C1725,HC BALLOON CATH PACIFIC PLUS 150X4CM .018IN 3MM MEDTRONIC (LAW504215),784.55,470.73,133.37,7411.0,39
CPT,C1725,HC BALLOON CATH PACIFIC PLUS 150X8CM .018IN 4MM MEDTRONIC (LAW504242),784.55,470.73,133.37,7411.0,39
CPT,C1725,HC BALLOON CATH PACIFIC PLUS 90X6CM .018IN 4MM MEDTRONIC (LAW504239),784.55,470.73,133.37,7411.0,39
CPT,C1725,HC BALLOON CATH PACIFIC PLUS 90X6CM .018IN 5MM MEDTRONIC (LAW504246),784.55,470.73,133.37,7411.0,39
CPT,C1725,HC BALLOON CATH PACIFIC PLUS 90X6CM .018IN 6MM MEDTRONIC (LAW504250),784.55,470.73,133.37,7411.0,39
CPT,C1725,HC BALLOON CATH PACIFIC PLUS 90X8CM .018IN 5MM MEDTRONIC (LAW504247),784.55,470.73,133.37,7411.0,39
CPT,C1725,HC BALLOON CATH PACIFIC PLUS 90X8CM .018IN 6MM MEDTRONIC (LAW504251),784.55,470.73,133.37,7411.0,39
CPT,C1725,"HC BALLOON, PTA GATEWAY",4235.0,2541.0,719.95,7411.0,39
CPT,C1725,"HC BALLOON,AMPHIRION DEEP/NANOCRO",1120.79,672.47,190.53,7411.0,39
CPT,C1725,"HC BALLOON,MINI TREK",584.76,350.86,99.41,7411.0,39
CPT,C1725,"HC BALLOON,MUSTANG",828.41,497.05,140.83,7411.0,39
CPT,C1725,HC CATH BLN CORONARY SINUS,529.25,317.55,89.97,7411.0,39
CPT,C1725,"HC CATH,BALLOON, Z MED/Z MED II",3156.81,1894.09,536.66,7411.0,39
CPT,C1725,HC CATHETER ANGIO BALLOON ULTRAVERSE PTA,852.78,511.67,144.97,7411.0,39
CPT,C1725,HC CATHETER BALLOON EUPHORA,534.6,320.76,90.88,7411.0,39
CPT,C1725,HC CATHETER BALLOON SPRINTER,534.6,320.76,90.88,7411.0,39
CPT,C1725,HC CATHETER BALLOON STINGRAY,5197.07,3118.24,883.5,7411.0,39
CPT,C1725,HC CATHETER PTA BALLOON EVERCROSS OTW (3-12)X(20-200MM)X(80-150CM),443.72,266.23,75.43,7411.0,39
CPT,C1725,HC CATHETER PTA BALLOON NANOCROSS OTW (2-12)X(20-200MM)X(80-150CM),784.55,470.73,133.37,7411.0,39
CPT,C1725,"HC CATHETER, ARROW BERMAN",623.74,374.24,106.04,7411.0,39
CPT,C1725,"HC CATHETER, BALLOON ARMADA",852.78,511.67,144.97,7411.0,39
CPT,C1725,"HC CATHETER, BALLOON MEDTRONIC",534.6,320.76,90.88,7411.0,39
CPT,C1725,"HC CATHETER, BALLOON SPRINTER",534.6,320.76,90.88,7411.0,39
CPT,C1725,"HC CATHETER, BALLOON TRUE DILATION",4235.0,2541.0,719.95,7411.0,39
CPT,C1725,"HC CATHETER, PTCA  BALLOON, ANGIO",3337.18,2002.31,567.32,7411.0,39
CPT,C1725,"HC CATHETER,BALLOON ATLAS",1169.52,701.71,198.82,7411.0,39
CPT,C1725,"HC CATHETER,BALLOON DORADO",91.5,54.9,15.55,7411.0,39
CPT,C1725,"HC CATHETER,BALLOON VIATRAC",852.78,511.67,144.97,7411.0,39
CPT,C1725,"HC CATHETER,BALLOON,CUTTING",2979.32,1787.59,506.48,7411.0,39
CPT,C1725,"HC CATHETER,BALLOON,PTCA",511.67,307.0,86.98,7411.0,39
CPT,C1725,"HC CATHETER,BALLOON,STERLING/COYO",481.14,288.68,81.79,7411.0,39
CPT,C1725,"HC CATHETER,CONQUEST",877.14,526.28,149.11,7411.0,39
CPT,C1725,"HC CATHETER,STINGRAY",5197.07,3118.24,883.5,7411.0,39
CPT,C1725,"HC CHARGER BALLOON CATHETER, BOSTON SCI",584.76,350.86,99.41,7411.0,39
CPT,C1725,"HC COOK PTA BALLOON, ADVANCE SERNERITY 14",1510.63,906.38,256.81,7411.0,39
CPT,C1725,HC EV3 NANOCROSS BALLOON 2.0-4.0 X 20-120 MM,828.41,497.05,140.83,7411.0,39
CPT,C1725,HC INTRA-AORTIC BALLOON REDIGUARD 7.5FR 30CC,3279.58,1967.75,557.53,7411.0,39
CPT,C1725,HC INTRA-AORTIC BALLOON REDIGUARD 7FR 30CC,2646.88,1588.13,449.97,7411.0,39
CPT,C1725,HC INTRA-AORTIC BALLOON REDIGUARD 8FR 40CC,4095.0,2457.0,696.15,7411.0,39
CPT,C1725,HC INTRA-AORTIC BALLOON REDIGUARD 9FR 50CC,2973.48,1784.09,505.49,7411.0,39
CPT,C1725,HC MEDTRONIC EUPHORA/NC EUPHORA BALLOON,534.6,320.76,90.88,7411.0,39
CPT,C1725,HC PTA BLLN CATH PACIFIC PLUS MEDTRONIC,784.55,470.73,133.37,7411.0,39
CPT,C1725,HC THREADER OTW MICRO-DILATATION CATHETER,2192.85,1315.71,372.78,7411.0,39
CPT,C1725,HC TRAILBLAZER CATHETER,741.0,444.6,125.97,7411.0,39
CPT,C1725,HC TREK PTA BALLOON CATHETER,584.76,350.86,99.41,7411.0,39
CPT,C1725,HC ULTRA-THIN DIAMOND BALLOON ANGIO CATH,1052.57,631.54,178.94,7411.0,39
CPT,C1726,HC BALLOON DILATOR ESOP QUANTUM,400.95,240.57,68.16,7411.0,39
CPT,C1726,"HC BALLOON, ULTRA-THIN SDS",974.6,584.76,165.68,7411.0,39
CPT,C1726,HC BOSTON SCI CATH BLLN DILATION 6FRX180CM (LAW128619),912.91,547.75,155.19,7411.0,39
CPT,C1726,HC BOSTON SCI CATH ESO F/G 6FRX18-20MMX8X180 (LAW128622),912.91,547.75,155.19,7411.0,39
CPT,C1726,HC BOSTON SCI CATH ESOPH 6FRX12-15MMX8X180CM (LAW128615),812.72,487.63,138.16,7411.0,39
CPT,C1726,HC BOSTON SCI CRE RX BILIARY CATH BLLN DILATION (LAW322375 & LAW322376),1315.71,789.43,223.67,7411.0,39
CPT,C1726,HC BOSTON SCI CRE WG BILIARY CATH BLLN DILATION,1040.24,624.14,176.84,7411.0,39
CPT,C1726,HC BOSTON SCI DILATOR 180CM 6FR (LAW128620),812.72,487.63,138.16,7411.0,39
CPT,C1726,HC BOSTON SCI F/G CRE FIXED WIRE 5838-05 (BO (LAW520096),812.72,487.63,138.16,7411.0,39
CPT,C1726,HC BOSTON SCI MAX FORCE CATH BLLN DILATION (LAW520181),481.14,288.68,81.79,7411.0,39
CPT,C1726,"HC BS BALLOON DILATATION CATHTER, RIGIFLEX II (LAW520160)",2604.53,1562.72,442.77,7411.0,39
CPT,C1726,HC BS CATHETER BALLOON DILATATION RAPID EXCHANGE (LAW221696),1166.69,700.01,198.34,7411.0,39
CPT,C1726,HC BS CRE FIXED WIRE BALLOON DILATATION CATHETER,912.91,547.75,155.19,7411.0,39
CPT,C1726,HC BS CRE PRO WIREGUIDED BILIARY BALLOON DILATATION CATHETER,1040.24,624.14,176.84,7411.0,39
CPT,C1726,HC BS CRE PULMONARY BALLOON DILATOR,1437.39,862.43,244.36,7411.0,39
CPT,C1726,HC BS CRE WIREGUIDED BALLOON DILATATION CATHETER,1040.24,624.14,176.84,7411.0,39
CPT,C1726,"HC BS DILATATION BALLOON CATHETER, MAXFORCE",481.14,288.68,81.79,7411.0,39
CPT,C1726,HC BS HURRICANE RX BILIARY DILATATION BALLOON CATHETER (LAW124403),1166.69,700.01,198.34,7411.0,39
CPT,C1726,HC BS HURRICANE RX BILIARY DILATATION BALLOON CATHETER (LAW206184),1166.69,700.01,198.34,7411.0,39
CPT,C1726,HC BS MAXFORCE BILIARY BALLOON DILATATION CATHETER,1079.37,647.62,183.49,7411.0,39
CPT,C1726,HC CATH INTRAUTERINE RIPENING COOK,263.84,158.3,44.85,7411.0,39
CPT,C1726,"HC CATH, BALLOON DILATOR ESOPH",912.91,547.75,155.19,7411.0,39
CPT,C1726,"HC CATH,BALLOON TITAN FUSION",945.36,567.22,160.71,7411.0,39
CPT,C1726,"HC CATHETER ESOPH/PYLORIC COLONIC BALLOON DILATATION, WIRE GUIDED CRE",780.0,468.0,132.6,7411.0,39
CPT,C1726,HC CATHETER ULTRASOUND BALLOON,159.09,95.45,27.05,7411.0,39
CPT,C1726,"HC CATHETER, BALLOON HERCULES",921.0,552.6,156.57,7411.0,39
CPT,C1726,"HC CATHETER, BALLOON XXL",1023.33,614.0,173.97,7411.0,39
CPT,C1726,"HC CATHETER,BALLOON HERCULES",730.95,438.57,124.26,7411.0,39
CPT,C1726,"HC CATHETER,BALLOON QUANTUM",400.95,240.57,68.16,7411.0,39
CPT,C1726,HC COOK CATH CERVICAL RIPENING BALLOON (LAW227531),263.84,158.3,44.85,7411.0,39
CPT,C1726,HC COOK CATHETER BALLOON DILATATION SOEHENDRA (LAW145947),470.45,282.27,79.98,7411.0,39
CPT,C1726,HC COOK CATHETER BALLOON DILATOR,236.5,141.9,40.2,7411.0,39
CPT,C1726,"HC DILATOR,BALLOON",1698.0,1018.8,288.66,7411.0,39
CPT,C1726,HC ENDOFLIP NASAL TIP CATH 16CM (LAW537653),2080.77,1248.46,353.73,7411.0,39
CPT,C1726,HC EXTRACTOR PRO XL 12-15MM ABOVE (LAW218857),529.25,317.55,89.97,7411.0,39
CPT,C1726,HC PENTAX GEN 2 FOCAL PEAR CATHETER,9007.35,5404.41,1531.25,7656.25,39
CPT,C1726,"HC SET,MICRODECOMPRESSION PERC TRIGEMINAL",2001.83,1201.1,340.31,7411.0,39
CPT,C1729,HC ARGON CATHETER DRAINAGE ALL PURPOSE LOCKING PIGTAIL,507.87,304.72,86.34,7411.0,39
CPT,C1729,HC ARROW 8F LARGE VOLUME PARACENTESIS KIT,281.42,168.85,47.84,7411.0,39
CPT,C1729,HC CAREFUSION SAFE-T-CENTESIS DRAINAGE CATH TRAY,400.95,240.57,68.16,7411.0,39
CPT,C1729,HC CATH DRAIN,542.96,325.78,92.3,7411.0,39
CPT,C1729,HC CATH DRAIN KIT,293.15,175.89,49.84,7411.0,39
CPT,C1729,HC CATH DRAINAGE 8.5FR 25CM (LAW221982),502.47,301.48,85.42,7411.0,39
CPT,C1729,HC CATH VENTRICULAR,328.99,197.39,55.93,7411.0,39
CPT,C1729,HC CATH VENTRICULAR SET,1184.46,710.68,201.36,7411.0,39
CPT,C1729,HC CATHETER BILIARY FLEXIMA,374.22,224.53,63.62,299.38,55
CPT,C1729,HC CATHETER PNEUMOTHORAX KIT,419.8,251.88,71.37,7411.0,39
CPT,C1729,HC CATHETER QUICK THAL TRAY,791.18,474.71,134.5,7411.0,39
CPT,C1729,HC CATHETER VENTRICULAR 2.7 MM 35 CM W/ STYLET & TROCAR (LAW146774),919.54,551.72,156.32,7411.0,39
CPT,C1729,"HC CATHETER, BILIARY DRAINAGE",374.22,224.53,63.62,7411.0,39
CPT,C1729,"HC CATHETER, DRAINAGE ALL PURPOSE",374.22,224.53,63.62,7411.0,39
CPT,C1729,"HC CATHETER, QUICK THAL",593.29,355.97,100.86,7411.0,39
CPT,C1729,"HC CATHETER,DRAINAGE MULTIPURPOSE",374.22,224.53,63.62,7411.0,39
CPT,C1729,"HC CATHETER,EVD BACTISEAL CODMAN",2436.5,1461.9,414.2,7411.0,39
CPT,C1729,"HC CATHETER,MALECOT NEPHOSTOMY CATH",320.76,192.46,54.53,7411.0,39
CPT,C1729,"HC CATHETER,MALECOT NEPHOSTOMY CATHETER",320.76,192.46,54.53,7411.0,39
CPT,C1729,"HC CATHETER,NEEDLE YUEH CENTESIS",120.3,72.18,20.45,7411.0,39
CPT,C1729,HC CHEST TUBE DRAIN TRAY SELDINER,376.0,225.6,63.92,7411.0,39
CPT,C1729,HC COOK 5FR X 15CM FUHRMAN DRAINAGE SET (LAW799221),586.71,352.03,99.74,7411.0,39
CPT,C1729,HC COOK 8.5FR X 15CM FUHRMAN DRAINAGE SET (LAW145667),559.91,335.95,95.18,7411.0,39
CPT,C1729,HC COOK 8.5FR X 15CM FUHRMAN DRAINAGE SET (LAW540543),610.59,366.35,103.8,7411.0,39
CPT,C1729,HC COOK CATH 10.2FR 40CM (LAW222237),500.92,300.55,85.16,7411.0,39
CPT,C1729,HC COOK FUHRMAN PLEURAL DRAINAGE SET,545.78,327.47,92.78,7411.0,39
CPT,C1729,HC DRAINAGE CATH M DRAIN 10FR W/ LOCKING PIGTAIL,347.49,208.49,59.07,277.99,55
CPT,C1729,HC DRAINAGE CATH ONE STEP 5FR 7CM (LAW228490),92.81,55.69,15.78,7411.0,39
CPT,C1729,HC DRAINAGE CATH SKATER 10FR 25CM (LAW134964),507.87,304.72,86.34,7411.0,39
CPT,C1729,HC DRAINAGE CATH SKATER 12FR 25CM (LAW134965),507.87,304.72,86.34,7411.0,39
CPT,C1729,HC DRAINAGE CATHETER FLEXIMA 10FR 25CM (LAW116250),374.22,224.53,63.62,7411.0,39
CPT,C1729,HC DRAINAGE CATHETER FLEXIMA 12FR 25CM (LAW116253),374.22,224.53,63.62,7411.0,39
CPT,C1729,HC DRAINAGE CATHETER FLEXIMA 14FR 25CM (LAW116254),374.22,224.53,63.62,7411.0,39
CPT,C1729,HC DRAINAGE CATHETER FLEXIMA 6FR,374.22,224.53,63.62,7411.0,39
CPT,C1729,HC DRAINAGE CATHETER FLEXIMA 8FR,374.22,224.53,63.62,7411.0,39
CPT,C1729,HC INTEGRA CRANIAL ACCESS KIT W/ DRAINAGE CATHETER (LAW249114),4513.43,2708.06,767.28,3610.74,55
CPT,C1729,"HC KIT, PLEURX PLEURAL CATHETER",2358.9,1415.34,401.01,7411.0,39
CPT,C1729,HC MERIT KIT PERICARDIOCENTESIS PIGTAIL 6FRX60 CM,609.13,365.48,103.55,7411.0,39
CPT,C1729,HC MUELLER CHEST TUBE,648.11,388.87,110.18,7411.0,39
CPT,C1729,"HC PACK, PERICARDIOCENTESIS",375.0,225.0,63.75,7411.0,39
CPT,C1729,HC PNEUMOTHORAX  KIT,376.36,225.82,63.98,7411.0,39
CPT,C1729,"HC SAFE-T-CENTESIS PLUS, 6F DRAINAGE CATH TRAY",481.73,289.04,81.89,7411.0,39
CPT,C1729,"HC TELEFLEX DRAIN PLEUR-EVAC, INFANT",189.9,113.94,32.28,7411.0,39
CPT,C1729,HC TELEFLEX THORACENTESIS KIT PNEUMOTHORAX (LAW140784),430.89,258.53,73.25,7411.0,39
CPT,C1729,HC THORACENTESIS KIT,190.9,114.54,32.45,7411.0,39
CPT,C1729,HC THORACIC TROCAR CATH 32FR SOFT 10/CA (LAW534821),80.97,48.58,13.76,64.78,55
CPT,C1729,"HC THORACIC, CHEST CATH/TUBE",69.99,41.99,11.9,7411.0,39
CPT,C1729,"HC TRAY, CHEST TUBE",392.0,235.2,66.64,313.6,55
CPT,C1729,"HC TRAY, THORACENTESIS/PARACENTESIS/PERICARDIOCENTESIS",298.41,179.05,50.73,7411.0,39
CPT,C1729,HC URETERAL CONNECTING TUBE,69.0,41.4,11.73,7411.0,39
CPT,C1730,HC BSW LASSO DECAPOLAR CATHETER,4235.0,2541.0,719.95,7411.0,39
CPT,C1730,HC CATH ELCTRPHYSILGY DIAG OTHR THN 3D MPPNG (19 OR FWR ELECTRODES),2265.95,1359.57,385.21,7411.0,39
CPT,C1730,HC CATHETER PACING,998.97,599.38,169.82,7411.0,39
CPT,C1730,"HC CATHETER, STEERABLE DECAPOLAR",1778.65,1067.19,302.37,7411.0,39
CPT,C1730,"HC CATHETER,B-W QUAD WEBSTER",1403.42,842.05,238.58,7411.0,39
CPT,C1730,"HC CATHETER,LIVEWIRE STEERABLE <19 ELECTRODES",1656.82,994.09,281.66,7411.0,39
CPT,C1730,"HC CATHETER,SJM (6FR) SUPREME",502.52,301.51,85.43,7411.0,39
CPT,C1730,"HC CATHETER,SJM SUPREME 5F DIAGNOSTIC",1705.55,1023.33,289.94,7411.0,39
CPT,C1732,HC CATH ADVISOR HD MAP SJM,8497.5,5098.5,1444.58,7411.0,39
CPT,C1732,HC SJC ADVISOR CATHETER 12-POLE BI-DIRECTIONAL,4673.63,2804.18,794.52,7411.0,39
CPT,C1733,"HC CATHETER,ABL EZ STEER TMC BI-DIR",4435.7,2661.42,754.07,7411.0,39
CPT,C1733,"HC CATHETER,B-W EZ STEER BIDIRECT",974.6,584.76,165.68,7411.0,39
CPT,C1750,HC BARD CATHETER HEMODIALYSIS 14.5FR L19 CM (LAW128603),1108.22,664.93,188.4,886.58,55
CPT,C1750,HC BARD CATHETER HEMODIALYSIS 14.5FRX28CM 23 CM (LAW128605),1108.22,664.93,188.4,886.58,55
CPT,C1750,HC BARD DUOGLIDE WITH STRAIGHT EXT LEGS - FULL TRAY 13FR X 20CM (LAW532532),645.96,387.58,109.81,516.77,55
CPT,C1750,HC BARD HEMODIALYSIS POWERTRIALYSIS 13FR 15CM TRIPLE LUMEN CATHETER (LAW234015),508.19,304.91,86.39,406.55,55
CPT,C1750,HC CATHETER HEMODIALYSIS 14.5FR X 36CM (LAW206919),2239.0,1343.4,380.63,1791.2,55
CPT,C1750,"HC CATHETER, DIALYSIS VAS-CATH",1266.98,760.19,215.39,1013.58,55
CPT,C1750,"HC CATHETER,DIALYSIS NEXTSTEP",1007.0,604.2,171.19,805.6,55
CPT,C1750,"HC CATHETER,PALINDROME SPORT PACK",1778.65,1067.19,302.37,1422.92,55
CPT,C1750,"HC ECMO ECLS CATHETER 24, 26, 28, 30, 32 FR CRESCENT DUAL LUMEN JUGULAR (LAW 529313)",8072.63,4843.58,1372.35,6458.1,55
CPT,C1750,HC HEMODIALYSIS CATH MAHURKAR 12FR,599.18,359.51,101.86,479.34,55
CPT,C1750,HC HEMODIALYSIS SET DURAFLOW 7FR,293.15,175.89,49.84,234.52,55
CPT,C1750,HC HEMODIALYSIS/PERITONEAL CATH,485.04,291.02,82.46,388.03,55
CPT,C1750,"HC KIT,CATHETER HEMODIALYSIS",1266.98,760.19,215.39,1013.58,55
CPT,C1750,"HC KIT,TRIPLE LUMEN CATH POWER TR",536.03,321.62,91.13,428.82,55
CPT,C1750,HC PALINDROME DIALYSIS CATH,1756.72,1054.03,298.64,1405.38,55
CPT,C1751,HC 4FR ANGIOJET ULTRA SPIROFLEX,654.67,392.8,111.29,523.74,55
CPT,C1751,HC ANGIODYNAMICS BIOFLO DIALYSIS CATH KIT,1509.2,905.52,256.56,7411.0,39
CPT,C1751,HC ARGON L- CATH D/L 2.6 FR (REF#384466),2248.89,1349.33,382.31,1799.11,55
CPT,C1751,HC ARROW CVC KIT QUAD LUMEN 8.5FR X 16C  (LAW226208),2833.72,1700.23,481.73,2266.98,55
CPT,C1751,HC ARROWGARD TRIPLE LUMEN CVC (LAW519386),623.74,374.24,106.04,498.99,55
CPT,C1751,HC BARD 3FR SL PROVENA POWER MIDLINE BARRIER PLUS TRAY,1324.24,794.54,225.12,1059.39,55
CPT,C1751,HC BARD 4F SINGLE LUMEN POWERPICC KIT (LAW244488),347.49,208.49,59.07,277.99,55
CPT,C1751,HC BARD 5F DUAL LUMEN POWERPICC KIT,449.06,269.44,76.34,359.25,55
CPT,C1751,HC BARD 5F TRIPLE LUMEN POWERPICC PROVENA,656.88,394.13,111.67,525.5,55
CPT,C1751,HC BARD 5F TRIPLE LUMEN POWERPICC PROVENA W/SHERLOCK KIT,1265.52,759.31,215.14,1012.42,55
CPT,C1751,HC BARD 5F TRIPLE LUMEN PROVENA POWERPICC W/SHERLOCK KIT,1265.52,759.31,215.14,1012.42,55
CPT,C1751,HC BARD 5FR CVC SINGLE LUMEN POWERLINE (LAW230343),1125.66,675.4,191.36,900.53,55
CPT,C1751,HC BARD DUOGLIDE DUAL LUMEN 13FRX20CM CURVED BASIC (LAW486884),545.78,327.47,92.78,436.62,55
CPT,C1751,HC BARD GLIDEPATH 14.5FR 19CM CATH (LAW252999),1480.66,888.4,251.71,1184.53,55
CPT,C1751,HC BARD GLIDEPATH 14.5FR 23CM (LAW253001),1480.66,888.4,251.71,1184.53,55
CPT,C1751,HC BARD MIDLINE PROVENA 3F CATHETER,694.06,416.44,117.99,555.25,55
CPT,C1751,"HC BARD POWERGLIDE PRO MIDLINE CATHETER, BASIC TRAY",310.07,186.04,52.71,248.06,55
CPT,C1751,"HC BARD POWERGLIDE PRO MIDLINE CATHETER, FULL TRAY",507.87,304.72,86.34,406.3,55
CPT,C1751,HC BARD POWERPICC 4F CATHETER,1062.46,637.48,180.62,849.97,55
CPT,C1751,HC BARD POWERPICC PROVENA 4F CATHETER,1099.88,659.93,186.98,879.9,55
CPT,C1751,HC BARD POWERPICC PROVENA 5F CATHETER,1320.05,792.03,224.41,1056.04,55
CPT,C1751,HC BARD POWERPICC PROVENA MAX BARRIER,1168.3,700.98,198.61,934.64,55
CPT,C1751,HC BARD POWERPICC SOLO 4F CATHETER,1128.73,677.24,191.88,902.98,55
CPT,C1751,HC BARD POWERPICC SOLO 5F CATHETER,1190.04,714.02,202.31,952.03,55
CPT,C1751,HC BARD POWERPICC SOLO PROVENA 5F CATHETER,1410.2,846.12,239.73,1128.16,55
CPT,C1751,HC BARD PROVENA MIDLINE CATHETER 4F DL (LAW519940),829.92,497.95,141.09,663.94,55
CPT,C1751,HC CATH CENTRAL VENOUS 16GA L20CM SINGLE LUMEN - TELEFLEX LLC (LAW519964),356.04,213.62,60.53,284.83,55
CPT,C1751,"HC CATH MIDLINE PWRGLID 18, 10CM",263.84,158.3,44.85,211.07,55
CPT,C1751,"HC CATH MIDLINE PWRGLID 18, 8 CM BASIC",263.84,158.3,44.85,211.07,55
CPT,C1751,HC CATH PEDIATRIC BROVIAC 2.7FR (LAW102489),411.64,246.98,69.98,329.31,55
CPT,C1751,HC CATH PICC SINGLE LUMEN 1.9 FR (LAW233268),288.93,173.36,49.12,231.14,55
CPT,C1751,HC CATH PICC SINGLE LUMEN 4FR (LAW532246),518.03,310.82,88.07,414.42,55
CPT,C1751,HC CATH POWER MIDLINE 4F SINGLE LUMEN,648.11,388.87,110.18,518.49,55
CPT,C1751,HC CATH POWERPICC PROVENA 4FR DUAL LUMEN SHERLOCK 3CG (LAW260241),1099.88,659.93,186.98,879.9,55
CPT,C1751,"HC CATH, POWER PICC 5F (3 LUMENS)",1216.79,730.07,206.85,973.43,55
CPT,C1751,"HC CATH, SINGLE LUMEN PICC",269.11,161.47,45.75,215.29,55
CPT,C1751,"HC CATH,DIALYSIS ARROWGARD",444.5,266.7,75.56,355.6,55
CPT,C1751,"HC CATH,DOUBLE LUMEN PICC",441.05,264.63,74.98,352.84,55
CPT,C1751,"HC CATH,DOUBLE LUMEN PICC-POWER",422.87,253.72,71.89,338.3,55
CPT,C1751,"HC CATH,LUMEN PICC-MAX BARRIER",1049.64,629.78,178.44,839.71,55
CPT,C1751,"HC CATH,SINGLE LUMEN PICC-POWER",1016.51,609.91,172.81,813.21,55
CPT,C1751,HC CATHETER CENTRAL VENOUS HEMODIALYSIS,833.0,499.8,141.61,7411.0,39
CPT,C1751,"HC CATHETER KIT, QUAD LUMEN",539.2,323.52,91.66,7411.0,39
CPT,C1751,"HC CATHETER KIT, TRIPLE LUMEN",205.0,123.0,34.85,7411.0,39
CPT,C1751,"HC CATHETER, CENTRAL VENOUS,HOHN",978.5,587.1,166.34,782.8,55
CPT,C1751,"HC CATHETER, HICKMAN",1218.25,730.95,207.1,974.6,55
CPT,C1751,"HC CATHETER, TRIFUSION APHERERIS",400.95,240.57,68.16,320.76,55
CPT,C1751,"HC CATHETER,MICROMEWI",808.92,485.35,137.52,647.14,55
CPT,C1751,HC CENTRAL VENOUS CATH,864.27,518.56,146.93,691.42,55
CPT,C1751,HC CENTRAL VENOUS CATH KIT,534.6,320.76,90.88,427.68,55
CPT,C1751,HC COOK KIT CATH CENTRAL VENOUS DOUBLE LUMEN PEDIATRIC,759.6,455.76,129.13,607.68,55
CPT,C1751,HC CVC CATH ARROW DUAL LUMEN  (LAW243498),2436.5,1461.9,414.2,1949.2,55
CPT,C1751,HC CVC CATH ARROW DUAL LUMEN 7FR 16CM (LAW520895),128.04,76.82,21.77,102.43,55
CPT,C1751,HC CVC CATH ARROW TRIPLE LUMEN 7FR 16CM (LAW232582),179.41,107.65,30.5,143.53,55
CPT,C1751,HC CVC CATH ARROWGARD TRIPLE LUMEN 7FR 16CM (LAW519380),567.07,340.24,96.4,453.66,55
CPT,C1751,HC CVC CATH ARROWGARD TRIPLE LUMEN 7FR 20CM (LAW519382),550.25,330.15,93.54,440.2,55
CPT,C1751,HC CVC CATH ARROWGARD TRIPLE LUMEN 7FR 8IN (LAW233022),444.52,266.71,75.57,355.62,55
CPT,C1751,HC CVC CATH BROVIAC SINGLE LUMEN 4.2 FR (LAW102491),599.38,359.63,101.89,479.5,55
CPT,C1751,HC CVC CATH COOK SPECTRUM DUAL LUMEN 4FR 12CM (LAW259428),166.97,100.18,28.38,133.58,55
CPT,C1751,HC CVC CATH COOK SPECTRUM DUAL LUMEN 4FR 8CM (LAW248337),813.64,488.18,138.32,650.91,55
CPT,C1751,HC CVC CATH COOK SPECTRUM TRIPLE LUMEN 7FR 20CM (LAW146157),710.48,426.29,120.78,568.38,55
CPT,C1751,HC CVC CATH COOK TRIPLE LUMEN 5FR 8CM (LAW259429),883.67,530.2,150.22,706.94,55
CPT,C1751,HC CVC CATH TELEFLEX QUAD LUMEN 8.5FR 20CM (LAW519383),821.59,492.95,139.67,657.27,55
CPT,C1751,HC CVC MULTI LUMEN ARROW,573.06,343.84,97.42,458.45,55
CPT,C1751,HC CVC PED CATH COOK DUAL LUMEN 4FR 5CM (LAW248336),795.96,477.58,135.31,636.77,55
CPT,C1751,HC CVC PED CATH COOK TRIPLE LUMEN 5FR 12 CM (LAW248338),781.53,468.92,132.86,625.22,55
CPT,C1751,HC CVC SINGLE LUMEN 4.2FR BARD,614.0,368.4,104.38,491.2,55
CPT,C1751,HC CVC TRAY 2.7 FR 71 CM BARD (LAW102489),411.64,246.98,69.98,329.31,55
CPT,C1751,HC DOUBLE LUMEN PICC,944.0,566.4,160.48,7411.0,39
CPT,C1751,HC DVC ENDOVASC EKOSONC MACH 4 6M,9840.11,5904.07,1672.82,7872.09,55
CPT,C1751,HC FOOTPRINT POLY PICC 1.4FR SINGLE LUMEN (LAW824654),281.42,168.85,47.84,225.14,55
CPT,C1751,HC FOOTPRINT POLY PICC CATHETER 1.9FR DUAL LUMEN (LAW824662),454.41,272.65,77.25,363.53,55
CPT,C1751,HC FOOTPRINT POLY PICC COMPLETE KIT 1.4FR SINGLE LUMEN (LAW824655),604.25,362.55,102.72,483.4,55
CPT,C1751,"HC GLIDE BASIC POWER 20, 8CM KIT",263.84,158.3,44.85,211.07,55
CPT,C1751,"HC GLIDE KIT BASIC POWER 20, 10CM",263.84,158.3,44.85,211.07,55
CPT,C1751,"HC INFUSION SET,MULTI SIDEPORT",534.6,320.76,90.88,427.68,55
CPT,C1751,HC IV PICC CATHETER,268.03,160.82,45.57,214.42,55
CPT,C1751,HC KIT CENTRAL VENOUS 7 FR 16 CM LENGTH DOUBLE LUMEN (LAW599993),574.04,344.42,97.59,459.23,55
CPT,C1751,HC KIT CVC CATHETER 7FR 3 LUMEN (LAW714914),671.5,402.9,114.16,537.2,55
CPT,C1751,"HC KIT, TRIPLE-LUMEN CATH W/ARROW",574.01,344.41,97.58,459.21,55
CPT,C1751,"HC KIT, TRIPLE-LUMEN CATH W/ARROWG",471.2,282.72,80.1,376.96,55
CPT,C1751,HC MIDLINE CATH PROVENA MAX BARRIER DUAL LUMEN 4FR (LAW501405),804.05,482.43,136.69,643.24,55
CPT,C1751,HC MIDLINE CATHETER POWERLINE BARD,779.68,467.81,132.55,623.74,55
CPT,C1751,HC MIDLINE/POWERGLIDE KIT,586.15,351.69,99.65,468.92,55
CPT,C1751,HC NEONATAL PICC TRAY (LAW121052),264.42,158.65,44.95,211.54,55
CPT,C1751,HC PALINDROME HEMO 14.5FR 23CM CATH (LAW223083),1754.96,1052.98,298.34,1403.97,55
CPT,C1751,HC PICC ARGON CATH L-CATH 1.9FR 30CM (LAW121048),293.15,175.89,49.84,234.52,55
CPT,C1751,HC PICC CATH L-CATH 1.2FR 25CM (LAW121047),419.77,251.86,71.36,335.82,55
CPT,C1751,HC PICC CATH POWERGLIDE 22GA 8CM (LAW529198),550.65,330.39,93.61,440.52,55
CPT,C1751,HC PICC CATH POWERGLIDE BASIC TRAY 18GA 10CM (LAW259324),310.07,186.04,52.71,248.06,55
CPT,C1751,HC PICC CATH POWERGLIDE BASIC TRAY 18GA 10CM (LAW530873),358.18,214.91,60.89,286.54,55
CPT,C1751,HC PICC CATH POWERGLIDE BASIC TRAY 18GA 8CM (LAW259771),310.07,186.04,52.71,248.06,55
CPT,C1751,HC PICC CATH POWERGLIDE BASIC TRAY 20GA 10CM (LAW530877),358.18,214.91,60.89,286.54,55
CPT,C1751,HC PICC CATH POWERGLIDE BASIC TRAY 20GA 8CM (LAW259769),310.07,186.04,52.71,248.06,55
CPT,C1751,HC PICC CATH POWERGLIDE FULL TRAY W/ GARDIVA 20GA 8CM (LAW530389),363.53,218.12,61.8,290.82,55
CPT,C1751,HC PICC CATH POWERMIDLINE 4FR SINGLE LUMEN (LAW260035),648.11,388.87,110.18,518.49,55
CPT,C1751,HC PICC CATH POWERPICC 4FR SINGLE LUMEN (LAW519941),1062.46,637.48,180.62,849.97,55
CPT,C1751,HC PICC CATH POWERPICC PROVENA 4FR DOUBLE LUMEN (LAW519943),1099.88,659.93,186.98,879.9,55
CPT,C1751,HC PICC CATH POWERPICC PROVENA 5FR TRIPLE LUMEN (LAW519945),1320.05,792.03,224.41,1056.04,55
CPT,C1751,HC PICC CATH POWERPICC SHERLOCK 4FR DOUBLE LUMEN (LAW260241),1062.46,637.48,180.62,849.97,55
CPT,C1751,HC PICC CATH POWERPICC SHERLOCK 5FR TRIPLE LUMEN (LAW526501),1265.52,759.31,215.14,1012.42,55
CPT,C1751,HC PICC CATH POWERPICC SOLO 4FR DUAL LUMEN (LAW519944),1190.04,714.02,202.31,952.03,55
CPT,C1751,HC PICC CATH POWERPICC SOLO 4FR SINGLE LUMEN (LAW519942),1128.73,677.24,191.88,902.98,55
CPT,C1751,HC PICC CATH POWERPICC SOLO 5FR TRIPLE LUMEN (LAW305364),1190.04,714.02,202.31,952.03,55
CPT,C1751,HC PICC CATH POWERPICC SOLO 5FR TRIPLE LUMEN (LAW519946),1190.04,714.02,202.31,952.03,55
CPT,C1751,HC PICC CATH POWERPICC SOLO W/ BIOPATCH 5FR TRIPLE LUMEN (LAW531712),1410.2,846.12,239.73,1128.16,55
CPT,C1751,HC PICC CATH POWERPICC W/ BIOPATCH 4FR SINGLE LUMEN (LAW528254),1172.44,703.46,199.31,937.95,55
CPT,C1751,HC PICC CATH PROVENA MIDLINE 3FR SINGLE LUMEN (LAW519939),694.06,416.44,117.99,555.25,55
CPT,C1751,HC PICC CATH PROVENA MIDLINE W/ BIOPATCH 3FR SINGLE LUMEN (LAW521500),818.66,491.2,139.17,654.93,55
CPT,C1751,HC PICC TRAY 5FR DUAL LUMEN (2 LUMENS),1049.64,629.78,178.44,839.71,55
CPT,C1751,HC POWERGLIDE FULL TRAY 18 GA 10CM (LAW530892),534.6,320.76,90.88,427.68,55
CPT,C1751,HC POWERGLIDE FULL TRAY 20 GA 10CM (LAW530893),534.6,320.76,90.88,427.68,55
CPT,C1751,HC POWERPICC PROVENA CATHETER DUAL LUMEN 4FR TRAY (LAW260320),1265.76,759.46,215.18,1012.61,55
CPT,C1751,HC POWERPICC PROVENA SINGLE LUMEN 3FR (LAW261018),1133.75,680.25,192.74,907.0,55
CPT,C1751,"HC SET, MCNAMARA-CRAGG INFUSION",623.74,374.24,106.04,498.99,55
CPT,C1751,HC SINGLE LUMEN PICC,534.6,320.76,90.88,427.68,55
CPT,C1751,"HC TRAY, CATHETER ARROWGARD QUAD-",534.6,320.76,90.88,427.68,55
CPT,C1751,HC UMBILICAL CATH TRAY,250.0,150.0,42.5,7411.0,39
CPT,C1751,HC UNI FUSE INFUSION CATHETER,732.9,439.74,124.59,7411.0,39
CPT,C1751,HC UNIT PRSS MNTR INTRCRAN CAMINO BOLT DRLBT SFTY STP TRNSDCR (LAW106510),3476.26,2085.76,590.96,2781.01,55
CPT,C1751,HC VYGON 2FR DUAL LUMEN CATH 30CM (LAW717549),517.65,310.59,88.0,414.12,55
CPT,C1752,HC BARD CATHETER HEMODIALYSIS KIT SHORT TERM TRIPLE LUMEN 13FR (LAW530029),767.06,460.24,130.4,613.65,55
CPT,C1752,HC BARD DUOGLIDE DUAL LUMEN 13FRX15CM (LAW532531),627.64,376.58,106.7,502.11,55
CPT,C1752,HC BARD HEMODIALYSIS CATHETER 13FR 15CM (LAW216432),1038.24,622.94,176.5,830.59,55
CPT,C1752,HC BARD POWERTRIALYSIS SHORT-TERM TRIPLE LUMEN 13FR 20CM CATH(LAW216242),790.5,474.3,134.38,632.4,55
CPT,C1752,HC CATH HEMDIALYSIS TRIPLE 13FR 24CM TRIPLE LUMEN - BCTN DCKNSN (LAW210269),780.56,468.34,132.7,624.45,55
CPT,C1752,HC CATHETER CVC KIT 8.5FR X 16CM (LAW534836),733.87,440.32,124.76,587.1,55
CPT,C1752,HC CATHETER HEMODIALYSIS 13FR 12.5CM TRIPLE LUMEN POWER TRIALYSIS - BECTON DICKINSON (LAW532766),1075.57,645.34,182.85,860.46,55
CPT,C1752,HC CATHETER HEMODIALYSIS 13FR 15CM TRIPLE LUMEN POWER TRIALYSIS - BARD (LAW219526),852.78,511.67,144.97,682.22,55
CPT,C1752,HC CATHETER HEMODIALYSIS 13FR 15CM TRIPLE LUMEN POWER TRIALYSIS - BECTON DICKINSON (LAW530028),766.72,460.03,130.34,613.38,55
CPT,C1752,HC HEMODIALYSIS CATH 13FR 24CM POWER TRIALYSIS BARD,1096.43,657.86,186.39,877.14,55
CPT,C1752,HC HEMODIALYSIS CATH DUAL 15.5FR L28CM DUAL VALVE (LAWSON 529670),1681.19,1008.71,285.8,1344.95,55
CPT,C1752,HC HEMODIALYSIS CATH DUAL LUMEN 13FRX20CM DUOGLIDE (LAWSON 486886),767.25,460.35,130.43,613.8,55
CPT,C1752,HC HEMODIALYSIS CATH SLIM-CATH 3 LUMEN 12FR 30CM (MANF# 5855300),1069.67,641.8,181.84,855.74,55
CPT,C1752,HC HEMODIALYSIS CATH TRIPLE LUMEN 13FRX20CM TRIALYSIS (LAWSON 530029),766.72,460.03,130.34,613.38,55
CPT,C1752,HC KIT CVC ARROW BLUE PRESSURE,393.12,235.87,66.83,7411.0,39
CPT,C1752,HC TRIPLE LUMEN CATH TRAY MAHURKAR,600.0,360.0,102.0,480.0,55
CPT,C1753,"HC CATH,VOLCANO EAGLE EYE IVUS",2964.5,1778.7,503.96,7411.0,39
CPT,C1753,"HC CATHETER,IVUS",2500.94,1500.56,425.16,7411.0,39
CPT,C1757,HC ANGIOJET SOLENT OMNI,9452.62,5671.57,1606.95,8034.73,39
CPT,C1757,HC ANGIOJET SOLENT PROXYIMAL,5234.46,3140.68,889.86,7411.0,39
CPT,C1757,HC ANGIOJET ZELANTEDVT THROMBECTOMY SET ULTRA,9687.15,5812.29,1646.82,8234.08,39
CPT,C1757,"HC CATHETER, FOGARTY THRU-LUMEN",465.1,279.06,79.07,7411.0,39
CPT,C1757,"HC FLOWTRIEVER CATHETER, INARI MEDICAL",33990.0,20394.0,5778.3,28891.5,39
CPT,C1757,HC PENUMBRA CATH INDIGO XTORQ TIP 115CM,9823.11,5893.87,1669.93,8349.64,39
CPT,C1757,HC PENUMBRA SEPARATOR 8,6390.12,3834.07,1086.32,7411.0,39
CPT,C1759,"HC CATHETER, VIEWFLEX XTRA",7137.9,4282.74,1213.44,7411.0,39
CPT,C1759,HC SOUND STAR 8F,6630.0,3978.0,1127.1,7411.0,39
CPT,C1760,"HC CLOSURE DEVICE, 6FR PERCLOSE",1266.98,760.19,215.39,1013.58,55
CPT,C1760,"HC CLOSURE DEVICE,ANGIO-SEAL STS",950.24,570.14,161.54,760.19,55
CPT,C1760,HC VASCADE CLOSURE SYSTEM,998.97,599.38,169.82,799.18,55
CPT,C1764,"HC CONFIRM RX, DM3500 CARDIAC MONITOR",15635.4,9381.24,2658.02,12508.32,55
CPT,C1764,HC EVENT RECORDER DEVICE,12370.0,7422.0,2102.9,9896.0,55
CPT,C1764,HC LNQ22 INSERTABLE CARDIAC MONITOR (LAW534724),15295.5,9177.3,2600.24,12236.4,55
CPT,C1764,HC REVEAL LNQ11 CARDIAC MONITOR (LAW230141),15295.5,9177.3,2600.24,12236.4,55
CPT,C1765,HC BARRIER INTERCEED,1211.14,726.68,205.89,968.91,50
CPT,C1765,HC GYNECARE INTERCEED ADHESION BARRIER 3CM X 4CM (LAW521016),1286.47,771.88,218.7,1029.18,50
CPT,C1765,HC GYNECARE INTERCEED ADHESION BARRIER 4IN X 3IN (LAW123661),1413.17,847.9,240.24,1130.54,50
CPT,C1766,HC GUIDING SHEATH VIZIGO BI-DIRECTIONAL,4044.43,2426.66,687.55,7411.0,39
CPT,C1768,HC GORE PERIPHERAL COVERED STENT 5X2.5/6X2.5,10319.36,6191.62,1754.29,8255.49,55
CPT,C1769,"HB BS GUIDEWIRE, DREAMWIRE",830.75,498.45,141.23,7411.0,39
CPT,C1769,HC ABBOTT WORKHORSE HI-TORQUE COMMAND GUIDE WIRE,584.76,350.86,99.41,7411.0,39
CPT,C1769,HC ARGON ARTERIAL LINE 18GA W/ GUIDEWIRE,81.98,49.19,13.94,7411.0,39
CPT,C1769,HC ARGON ARTERIAL LINE 20GA W/ GUIDEWIRE,78.65,47.19,13.37,7411.0,39
CPT,C1769,HC BAYLIS PROTRACK PIGTAIL WIRE,730.95,438.57,124.26,7411.0,39
CPT,C1769,HC BOSTON SCI DREAMWIRE (ALL SIZES),830.8,498.48,141.24,7411.0,39
CPT,C1769,HC BOSTON SCI GUIDEWIRE 260CM JAGWIRE,519.68,311.81,88.35,7411.0,39
CPT,C1769,HC BOSTON SCI GUIDEWIRE 480CM (LAW146022),529.25,317.55,89.97,7411.0,39
CPT,C1769,HC BOSTON SCI GUIDEWIRE BILIARY JAGWIRE .035,544.8,326.88,92.62,7411.0,39
CPT,C1769,"HC BOSTON SCI GUIDEWIRE NOVAGOLD 018""",852.78,511.67,144.97,7411.0,39
CPT,C1769,HC BOSTON SCI GW GI JAGTOME RX 39-20-260-025 (LAW259540),1474.81,884.89,250.72,7411.0,39
CPT,C1769,HC BOSTON SCI GW GI JAGTOME RX 39-30-260-025 (LAW534961),2022.25,1213.35,343.78,7411.0,39
CPT,C1769,HC BOSTON SCI HYDRA JAGWIRE .035 X 450CM STR (LAW128132),830.8,498.48,141.24,7411.0,39
CPT,C1769,HC BOSTON SCI JAG HINI 025.450 ANG BX 2 (LAW520186),544.8,326.88,92.62,7411.0,39
CPT,C1769,HC BOSTON SCI JAGWIRE REVOLUTION 0.25FR 260 CM (LAW526308),828.41,497.05,140.83,7411.0,39
CPT,C1769,HC BOSTON SCI JAGWIRE REVOLUTION 025 ST,828.41,497.05,140.83,7411.0,39
CPT,C1769,HC BOSTON SCI JAGWIRE REVOLUTION 025/450 ANG (LAW520430),969.73,581.84,164.85,7411.0,39
CPT,C1769,HC BOSTON SCI NOVAGOLD GUIDEWIRE 0.018 INCHE (LAW520092),852.78,511.67,144.97,7411.0,39
CPT,C1769,HC BOSTON SCI SPHINCTEROTOME JAGWIRE 0.025INX450CM,1381.89,829.13,234.92,7411.0,39
CPT,C1769,HC BOSTON SCI SPHINTOM BIL CAN (LAW124099 & LAW124107),1015.14,609.08,172.57,7411.0,39
CPT,C1769,HC BS AMPLATZ SUPER STIFF,246.19,147.71,41.85,7411.0,39
CPT,C1769,HC BS DREAMTOME WIRE,1963.33,1178.0,333.77,7411.0,39
CPT,C1769,HC BS GUIDEWIRE NAVIPRO,533.53,320.12,90.7,7411.0,39
CPT,C1769,HC BS GUIDEWIRE NOVAGOLD,852.78,511.67,144.97,7411.0,39
CPT,C1769,"HC BS GUIDEWIRE SENTAI, SAMURAI/MARVEL",400.95,240.57,68.16,7411.0,39
CPT,C1769,"HC BS GUIDEWIRE, DREAMTOME (LAW260804 & LAW216408)",1963.33,1178.0,333.77,7411.0,39
CPT,C1769,HC BS SAFARI GUIDEWIRE,969.73,581.84,164.85,7411.0,39
CPT,C1769,HC BS ZIPWIRE,873.58,524.15,148.51,7411.0,39
CPT,C1769,HC BS-CHOICE PT GUIDEWIRE,454.41,272.65,77.25,7411.0,39
CPT,C1769,HC COOK BLUE RHINO INTRODUCER 8FR (LAW145851),1205.58,723.35,204.95,7411.0,39
CPT,C1769,"HC COOK BLUE RHINO INTRODUCER SET 7.5, 8.5, 9.0 (LAW532092)",1573.98,944.39,267.58,7411.0,39
CPT,C1769,HC COOK TRACH KT PERC W/28FR DIL 8MM,2324.42,1394.65,395.15,7411.0,39
CPT,C1769,HC ECMO BOSTON SCI AMPLATZ GUIDEWIRE J TIP 180CM 0.035IN (LAW224419),235.22,141.13,39.99,7411.0,39
CPT,C1769,HC ECMO BOSTON SCI AMPLATZ GUIDEWIRE STRAIGHT 180CM 0.038IN (MANF# M001465191),235.22,141.13,39.99,7411.0,39
CPT,C1769,HC ECMO BOSTON SCI AMPLATZ GUIDEWIRE STRAIGHT 260CM 0.038IN (MANF# M001465201),246.19,147.71,41.85,7411.0,39
CPT,C1769,HC ECMO BOSTON SCIENTIFIC AMPLATZ GUIDEWIRE 180CM 0.035IN (LAW124663),235.22,141.13,39.99,7411.0,39
CPT,C1769,HC ECMO EDWARDS LIFE ARTERIAL LINE KIT W/ GUIDEWIRE (LAW227482),303.92,182.35,51.67,7411.0,39
CPT,C1769,HC ECMO LIVANOVA DILATOR KIT W/ GUIDEWIRE (LAW322597),534.6,320.76,90.88,7411.0,39
CPT,C1769,HC ECMO MEDTRONIC BIO-MEDICUS INSERTION KIT W/ GUIDEWIRE (LAW525981),99.67,59.8,16.94,7411.0,39
CPT,C1769,HC ECMO MEDTRONIC VASCULAR ACCESS KIT W/ GUIDEWIRE (LAW529461),730.95,438.57,124.26,7411.0,39
CPT,C1769,HC ECMO TERUMO GUIDEWIRE 0.035INX180CM GLIDEWIRE (LAW146313),232.76,139.66,39.57,7411.0,39
CPT,C1769,HC ECMO TERUMO GUIDEWIRE 0.035INX80CM GLIDEWIRE (LAW227450),170.03,102.02,28.91,7411.0,39
CPT,C1769,HC FIRM WIRE GUIDEWIRE,107.23,64.34,18.23,7411.0,39
CPT,C1769,HC GLIDEWIRE 150CM X .035IN,170.03,102.02,28.91,7411.0,39
CPT,C1769,HC GLIDEWIRE 180CM X .035IN,232.76,139.66,39.57,7411.0,39
CPT,C1769,HC GLIDEWIRE 80CM X .035IN,170.03,102.02,28.91,7411.0,39
CPT,C1769,"HC GLIDEWIRE,GOLD",587.2,352.32,99.82,7411.0,39
CPT,C1769,"HC GUIDE EXTENSION CATHETER, MEDTRONIC TELESCOPE",1827.38,1096.43,310.65,7411.0,39
CPT,C1769,HC GUIDE WIRE,117.59,70.55,19.99,7411.0,39
CPT,C1769,"HC GUIDE WIRE, WHOLEY WIRE",320.76,192.46,54.53,7411.0,39
CPT,C1769,HC GUIDEWIRE ASAHI TREASURE WIRE,779.68,467.81,132.55,7411.0,39
CPT,C1769,HC GUIDEWIRE ENDOSCOPIC 260X.038 (LAW206334),838.16,502.9,142.49,7411.0,39
CPT,C1769,HC GUIDEWIRE LAUREATE,146.58,87.95,24.92,7411.0,39
CPT,C1769,"HC GUIDEWIRE SUPERSTIFF 180CM X .035IN, BOSTON SCI",235.22,141.13,39.99,7411.0,39
CPT,C1769,HC GUIDEWIRE VAK 210CM,655.61,393.37,111.45,7411.0,39
CPT,C1769,HC GUIDEWIRE VISIBLIDE (LAW258993),749.22,449.53,127.37,7411.0,39
CPT,C1769,"HC GUIDEWIRE, FATHOM 16-STEERABLE",828.41,497.05,140.83,7411.0,39
CPT,C1769,"HC GUIDEWIRE, PLATINUM PLUS EXC",424.1,254.46,72.1,7411.0,39
CPT,C1769,"HC GUIDEWIRE, SJM TIGERWIRE",400.95,240.57,68.16,7411.0,39
CPT,C1769,"HC GUIDEWIRE, THRUWAY 300CM",427.68,256.61,72.71,7411.0,39
CPT,C1769,"HC GUIDEWIRE, V-18",507.87,304.72,86.34,7411.0,39
CPT,C1769,"HC GUIDEWIRE,ACROBAT",828.41,497.05,140.83,7411.0,39
CPT,C1769,"HC GUIDEWIRE,AGILITY",1778.55,1067.13,302.35,7411.0,39
CPT,C1769,"HC GUIDEWIRE,AMPLATZ",155.99,93.59,26.52,7411.0,39
CPT,C1769,"HC GUIDEWIRE,CHOICE/LUGE",454.41,272.65,77.25,7411.0,39
CPT,C1769,"HC GUIDEWIRE,COOK TRACER METRO DIRECT",1539.87,923.92,261.78,7411.0,39
CPT,C1769,"HC GUIDEWIRE,COPE MANDRIL",215.76,129.46,36.68,7411.0,39
CPT,C1769,"HC GUIDEWIRE,EXCHANGE RENAL",821.59,492.95,139.67,7411.0,39
CPT,C1769,"HC GUIDEWIRE,FUSION LOOP",58.11,34.87,9.88,7411.0,39
CPT,C1769,"HC GUIDEWIRE,GLIDEWIRE ADVANTAGE",828.41,497.05,140.83,7411.0,39
CPT,C1769,"HC GUIDEWIRE,GUIDANT 4588 WHISPER",481.14,288.68,81.79,7411.0,39
CPT,C1769,"HC GUIDEWIRE,HYDRATOME",1963.33,1178.0,333.77,7411.0,39
CPT,C1769,"HC GUIDEWIRE,JAGWIRE",519.68,311.81,88.35,7411.0,39
CPT,C1769,"HC GUIDEWIRE,METRO",536.03,321.62,91.13,7411.0,39
CPT,C1769,"HC GUIDEWIRE,OMNI TONE",170.03,102.02,28.91,7411.0,39
CPT,C1769,"HC GUIDEWIRE,ROADRUNNER",529.25,317.55,89.97,7411.0,39
CPT,C1769,"HC GUIDEWIRE,SPARTACOR/SUPRACOR/S",320.76,192.46,54.53,7411.0,39
CPT,C1769,"HC GUIDEWIRE,TRANSEND",828.41,497.05,140.83,7411.0,39
CPT,C1769,"HC GUIDEWIRE,V-18 CONTROL WIRE",507.87,304.72,86.34,7411.0,39
CPT,C1769,HC GW .035 180 15 STRAIGHT,64.57,38.74,10.98,7411.0,39
CPT,C1769,HC GW BIL JAGWIRE 260CM 0.35IN (LAW128122),830.77,498.46,141.23,7411.0,39
CPT,C1769,HC GW VASC AMPTZ SUP STIFF 75CM 6CM .035IN SS PTFE CTD STR,235.22,141.13,39.99,188.18,55
CPT,C1769,HC GW VASC COPE MNDL 60CM 3CM,213.3,127.98,36.26,7411.0,39
CPT,C1769,HC HYDRA JAGWIRE GUIDEWIRE .035 X 260,830.8,498.48,141.24,7411.0,39
CPT,C1769,HC JAGWIRE HIGH PERFORMANCE GUIDEWIRE .025 X 260,1588.89,953.33,270.11,7411.0,39
CPT,C1769,HC LUMBAR CATH HERMETIC 80CM CLOSED TIP (LAW212588),1308.74,785.24,222.49,7411.0,39
CPT,C1769,HC MAQUET VASCULAR ACCESS KIT AVALON ELITE J 210,152.2,91.32,25.87,7411.0,39
CPT,C1769,"HC PERCUTANEOUS INSERTION KIT, ARTERIAL/VENOUS",446.93,268.16,75.98,7411.0,39
CPT,C1769,HC PRESSURE WIRE ST JUDE MEDICAL,2436.5,1461.9,414.2,7411.0,39
CPT,C1769,HC SPHINCTEROTOME JAGTOME CUTTING WIRE,1474.81,884.89,250.72,7411.0,39
CPT,C1769,HC TERUMO GUIDEWIRE 0.018IN X 150CM (LAW238614),304.72,182.83,51.8,7411.0,39
CPT,C1769,HC TERUMO GUIDEWIRE ANGIOGRAPHY GLIDEWIRE J TIP,232.76,139.66,39.57,7411.0,39
CPT,C1769,HC TERUMO RADIFOCUS GLIDEWIRE,232.76,139.66,39.57,7411.0,39
CPT,C1769,HC VASCULAR DILATOR KIT LIVANOVA W/ GUIDEWIRE,534.6,320.76,90.88,7411.0,39
CPT,C1769,HC VERRATA PLUS PRESSURE GUIDE WIRE,2541.0,1524.6,431.97,7411.0,39
CPT,C1769,HC VOLCANO FFR PRESSURE WIRE,2541.0,1524.6,431.97,7411.0,39
CPT,C1769,HC WIRE FILTER DELIVERY,682.22,409.33,115.98,7411.0,39
CPT,C1773,HC COOK 9-13FR EVOLUTION SHEATH SET,5948.25,3568.95,1011.2,7411.0,39
CPT,C1773,HC RETRIEVAL DEVICE INSERTABLE,1612.96,967.78,274.2,7411.0,39
CPT,C1773,HC SNARE ENDOVASCULAR ENSNARE,1612.96,967.78,274.2,1290.37,55
CPT,C1776,HC DISC PROSTHESIS PRESTIGE LP MEDTRONIC,13086.15,7851.69,2224.65,10468.92,55
CPT,C1777,HC DURATA DEFIBRILLATION LEAD,2765.0,1659.0,470.05,2212.0,57
CPT,C1777,"HC ICD LEAD,SJM 7022/7122",8497.5,5098.5,1444.58,6798.0,57
CPT,C1777,HC LEAD SJM LDA210Q/LDA220Q,8497.5,5098.5,1444.58,6798.0,57
CPT,C1777,"HC LEAD,MEDTRONIC 6935",9517.2,5710.32,1617.92,7613.76,57
CPT,C1777,HC PLEXA PRO MRI LEAD BIOTRONIK,7477.8,4486.68,1271.23,5982.24,55
CPT,C1777,HC RELIANCE SINGLE COIL LEAD,10105.23,6063.14,1717.89,8084.18,57
CPT,C1778,HC LEAD KIT INFINION,2964.5,1778.7,503.96,2371.6,55
CPT,C1778,"HC SJM SPINAL CORD STIMULATOR LEAD, OCTRODE",5081.51,3048.91,863.86,4065.21,55
CPT,C1785,HC AZURE S DR MEDTRONIC,8704.76,5222.86,1479.81,6963.81,57
CPT,C1785,HC AZURE XT DR MEDTRONIC,12849.88,7709.93,2184.48,10279.9,57
CPT,C1785,"HC GENERATOR,SJM ZEPHYR 5826/5820",6458.1,3874.86,1097.88,5166.48,57
CPT,C1785,"HC GENERATOR,ST JUDE 221/2240/2160",4940.0,2964.0,839.8,3952.0,57
CPT,C1785,HC REVO/DEVISA MRI SURESCAN DR GENERATOR,10197.0,6118.2,1733.49,8157.6,57
CPT,C1786,HC AZURE S SR MEDTRONIC,6632.2,3979.32,1127.47,5305.76,57
CPT,C1786,HC AZURE XT SR MEDTRONIC,10777.32,6466.39,1832.14,8621.86,57
CPT,C1786,"HC MICA-AV TRANSCATHETER PACING SYSTEM, MC1AVR1",41637.75,24982.65,7078.42,33310.2,57
CPT,C1787,HC MEDTRONIC EXTERNAL NEUROSTIMULATOR,3388.0,2032.8,575.96,2710.4,55
CPT,C1787,HC MEDTRONIC STIMULATOR NERVE SMALL EXTERNAL (LAW233552),1062.31,637.39,180.59,7411.0,39
CPT,C1817,HC AMPLATZER ASO OCCLUDER,20394.0,12236.4,3466.98,16315.2,55
CPT,C1874,HC BOSTON SCI STENT WALLFLEX ESOPHAGEAL (LAW220315),7987.65,4792.59,1357.9,6390.12,55
CPT,C1874,HC BOSTON SCI STENT WALLFLEX ESOPHAGEAL (LAW250198),7987.65,4792.59,1357.9,6390.12,55
CPT,C1874,HC BOSTON SCI STENT WALLFLEX ESOPHAGEAL FC (LAW220311),8052.26,4831.36,1368.88,6441.81,55
CPT,C1874,HC BOSTON SCI STENT WALLFLEX ESOPHAGEAL METAL (LAW235917),7987.65,4792.59,1357.9,6390.12,55
CPT,C1874,HC BOSTON SCI WALLFLEX ESOPHAGEAL STENT (LAW256721),8052.26,4831.36,1368.88,6441.81,55
CPT,C1874,HC BS STENT AGILE ESO 23/18MM 11.9CM (LAW656191),9857.1,5914.26,1675.71,7885.68,55
CPT,C1874,HC BS STENT AGILE ESO FC 23/18MM 9.7CM (LAW580712),9857.1,5914.26,1675.71,7885.68,55
CPT,C1874,HC BS STENT AXIOS W/ELECTROCAUTERY DELIVERY SYSTEM,14955.6,8973.36,2542.45,11964.48,55
CPT,C1874,HC BS STENT ULTRAFLEX COVERED ESOPHAGEAL STENT,8277.0,4966.2,1407.09,6621.6,55
CPT,C1874,HC BS WALLFLEX BILIARY STENT,8052.26,4831.36,1368.88,6441.81,55
CPT,C1874,HC GORE STENT BILIARY ENDOSCOPIC ENDOPROSTHESIS VIABIL,7137.9,4282.74,1213.44,5710.32,55
CPT,C1874,HC GRAFT COOK ILIAC ZENITH SPIRAL,11124.93,6674.96,1891.24,8899.94,55
CPT,C1874,HC MERIT MED STENT ESOPHAGEAL ENDOMAXX,9517.2,5710.32,1617.92,7613.76,55
CPT,C1874,HC SIERRA XIENCE EVEROLIMUS STENT,3176.25,1905.75,539.96,2541.0,55
CPT,C1874,HC STENT VIATORR,14605.5,8763.3,2482.93,11684.4,55
CPT,C1874,"HC STENT, ESOPHAGEAL COVERED",3705.0,2223.0,629.85,2964.0,55
CPT,C1874,"HC STENT,COVERED VIABIL",9724.54,5834.72,1653.17,7779.63,55
CPT,C1874,"HC STENT,ESOPHAGEAL",6774.0,4064.4,1151.58,5419.2,55
CPT,C1874,"HC STENT,PROMUS(DRUG ELUTING)",2964.5,1778.7,503.96,2371.6,55
CPT,C1874,"HC STENT,WALLSTENT",3409.18,2045.51,579.56,2727.34,55
CPT,C1875,HC CONMED STENT NITINOL BILIARY (LAW248514),7647.75,4588.65,1300.12,6118.2,55
CPT,C1876,HC BILIARY STENT WALLFLEX 10X40,5704.41,3422.65,969.75,4563.53,55
CPT,C1876,HC BOSTON SCI EPIC BILIARY STENT (LAW520176),5081.51,3048.91,863.86,4065.21,55
CPT,C1876,HC BOSTON SCI EPIC BILIARY STENT 6 X 80 MM (LAW520174),5081.51,3048.91,863.86,4065.21,55
CPT,C1876,HC BOSTON SCI STENT WALLFLEX BILIARY (LAW214473),5704.41,3422.65,969.75,4563.53,55
CPT,C1876,HC BOSTON SCI STENT WALLFLEX BILIARY (LAW216471),5704.41,3422.65,969.75,4563.53,55
CPT,C1876,HC BOSTON SCI STENT WALLFLEX BILIARY RX UNCOVERED (LAW217324),6010.32,3606.19,1021.75,4808.26,55
CPT,C1876,HC BOSTON SCI STENT WALLFLEX DUODENAL (LAW216989 & LAW251430),8374.49,5024.69,1423.66,6699.59,55
CPT,C1876,HC BOSTON SCI STENT WALLFLEX ENTERAL COLONIC (LAW206193),8374.49,5024.69,1423.66,6699.59,55
CPT,C1876,HC CONMED VIABIL STENT BILIARY 10 X 10 (LAW581067),8157.6,4894.56,1386.79,6526.08,55
CPT,C1876,HC COOK EVOLUTION BILIARY STENT,5159.68,3095.81,877.15,4127.74,55
CPT,C1876,HC COOK EVOLUTION COLONIC CONTROLLED-RELEASE STENT,6628.05,3976.83,1126.77,5302.44,55
CPT,C1876,HC MEDTRONIC STENT PROTEGE EVERFLEX SELF EXP (5/120/80),3599.75,2159.85,611.96,2879.8,55
CPT,C1876,HC MEDTRONIC STENT PROTEGE EVERFLEX SELF EXP 5 FR,3214.37,1928.62,546.44,2571.5,55
CPT,C1876,HC MEDTRONIC STENT PROTEGE EVERFLEX SELF EXP 6 FR,2900.8,1740.48,493.14,2320.64,55
CPT,C1876,HC MEDTRONIC STENT PROTEGE EVERFLEX SELF EXP 8 FR,10468.92,6281.35,1779.72,8375.14,55
CPT,C1876,HC PROTÉGÉ STENT 7X200X120/5X100X120,10468.92,6281.35,1779.72,8375.14,55
CPT,C1876,HC STENT GRAFTMASTER OTW CORONARY (2.8/3.5)X16MM,8140.61,4884.37,1383.9,6512.49,55
CPT,C1876,HC STENT REBEL BS,2095.39,1257.23,356.22,1676.31,55
CPT,C1876,"HC STENT, VISI-PRO BILIARY",2900.98,1740.59,493.17,2320.78,55
CPT,C1876,"HC STENT, XACT CAROTID",7171.89,4303.13,1219.22,5737.51,55
CPT,C1876,"HC STENT,BILIARY WALLFLIX ENTRL",10017.0,6010.2,1702.89,8013.6,55
CPT,C1876,"HC STENT,INTEGRITY/DRIVER",3345.65,2007.39,568.76,2676.52,55
CPT,C1876,"HC STENT,PROTEGE EVERFLEX 100MM",4235.0,2541.0,719.95,3388.0,55
CPT,C1876,HC SUPERA SELF EXPANDING STENT,4741.61,2844.97,806.07,3793.29,55
CPT,C1876,HC TERUMO MISAGO SELF-EXPANDING PERIPHERAL STENT,3049.2,1829.52,518.36,2439.36,55
CPT,C1876,HC VIABIL STENT 10MMX6CM (LAW580718),8157.6,4894.56,1386.79,6526.08,55
CPT,C1876,HC XACT CAROTID STENT,6984.95,4190.97,1187.44,5587.96,55
CPT,C1880,"HC FILTER,OPTION VENA CAVA",3568.95,2141.37,606.72,2855.16,55
CPT,C1882,HC AMPLIA MEDTRONIC,52292.31,31375.39,8889.69,41833.85,55
CPT,C1882,HC CLARIA MEDTRONIC,54471.15,32682.69,9260.1,43576.92,55
CPT,C1882,HC COBALT HF QUAD CRT-D DTPB2QQ,57783.0,34669.8,9823.11,46226.4,57
CPT,C1882,HC COMPIA MEDTRONIC,47934.6,28760.76,8148.88,38347.68,55
CPT,C1882,HC CRT-D QUADRA ASSURA MP PULSE GENERATOR,37389.0,22433.4,6356.13,29911.2,57
CPT,C1882,HC ICD GENERATOR SJM 3257/3265/3357/3365,35689.5,21413.7,6067.22,28551.6,57
CPT,C1882,HC ST JUDE UNIFY QUADRA CS3249-Q,27633.87,16580.32,4697.76,22107.1,57
CPT,C1882,"HC VIVA QUAD S CRT-D DTBB1Q1/QQ, DTBA1Q1/QQ, DTBA1D4/D1",45755.77,27453.46,7778.48,36604.62,57
CPT,C1883,HC LEAD ADAPTER 501206,1690.0,1014.0,287.3,1352.0,57
CPT,C1886,HC CATH BALLOON EXPRESS COVIDIEN,8093.02,4855.81,1375.81,7411.0,39
CPT,C1886,HC CATHETER ABLATION BARRX HALO 360 4MMX160CM 40X13 (LAW228505),6831.99,4099.19,1161.44,7411.0,39
CPT,C1886,HC CATHETER ABLT HALO 60,5270.0,3162.0,895.9,7411.0,39
CPT,C1886,HC CATHETER ENDO ABLATION BAEEX CHANNEL,5455.4,3273.24,927.42,7411.0,39
CPT,C1886,HC EXTRAVASCULAR TISSUE ABLATION CATHETER,5268.45,3161.07,895.64,7411.0,39
CPT,C1887,HC CATH GUIDE VISTA BRITE CARDINAL,229.24,137.54,38.97,7411.0,39
CPT,C1887,"HC CATHER,QUICK CROSS",813.79,488.27,138.34,7411.0,39
CPT,C1887,"HC CATHETER, FRONTRUNNER CTO MICRO",3900.44,2340.26,663.07,7411.0,39
CPT,C1887,"HC CATHETER,ANGIO DIAGNOSTIC",81.8,49.08,13.91,7411.0,39
CPT,C1887,"HC CATHETER,CROSS/SUPPORT",813.79,488.27,138.34,7411.0,39
CPT,C1887,"HC CATHETER,MED LAUNCHER",263.84,158.3,44.85,7411.0,39
CPT,C1887,"HC CATHETER,RENEGADE MICRO-INFUSI",3557.4,2134.44,604.76,7411.0,39
CPT,C1887,"HC CLOSURE DEVICE,STARCLOSE VASCU",269.7,161.82,45.85,7411.0,39
CPT,C1887,HC COOK OASIS ONE ACTION STENT INTRODUCTION SYSTEM,536.03,321.62,91.13,7411.0,39
CPT,C1887,HC COOK PUSHING CATH 5FR (LAW258100),609.13,365.48,103.55,7411.0,39
CPT,C1887,HC CXI SUPPORT CATH COOK,901.51,540.91,153.26,7411.0,39
CPT,C1887,HC GUIDE CATH TRAILBLAZER 5FR 65CM,4120.66,2472.4,700.51,7411.0,39
CPT,C1887,"HC GUIDE CATHETER,CORDIS",229.24,137.54,38.97,7411.0,39
CPT,C1887,HC MICROCATHETER ASAHI CORSAIR PRO,2436.5,1461.9,414.2,7411.0,39
CPT,C1887,"HC RENEGADE MICROCATHETER, BS",1457.03,874.22,247.7,7411.0,39
CPT,C1887,"HC STENT,INTRODUCER OASIS",507.87,304.72,86.34,7411.0,39
CPT,C1888,HC ABLATION CATH CLOSUREFAST 7FR 60CM,4158.77,2495.26,706.99,7411.0,39
CPT,C1888,HC HALO 60 / HALO 90 ABLATION CATHETER,5268.45,3161.07,895.64,7411.0,39
CPT,C1889,HC BARRIGEL RECTAL SPACER (REF# 10263069),11386.65,6831.99,1935.73,9109.32,55
CPT,C1889,HC SPACEOAR SYSTEM 10ML (LAW532564),10078.04,6046.82,1713.27,8062.43,55
CPT,C1889,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",,,,,0
CPT,C1892,HC COOK CATHETER DILATOR COAXIAL,311.05,186.63,52.88,7411.0,39
CPT,C1892,HC FOOTPRINT PICC SHEATH INTRODUCTER ONLY 1.4 FR. (LAW824700),263.84,158.3,44.85,7411.0,39
CPT,C1892,HC FOOTPRINT PICC SHEATH INTRODUCTER ONLY 1.9 FR. (LAW824701),246.25,147.75,41.86,7411.0,39
CPT,C1892,HC SAFE SHEATH SEALING ADAPTER,381.7,229.02,64.89,7411.0,39
CPT,C1892,HC SHEATH 8FR INTRODUCER KIT,294.03,176.42,49.99,7411.0,39
CPT,C1893,"HC INTRODUCER,SWARTZ/RAMP",774.81,464.89,131.72,7411.0,39
CPT,C1893,HC SJM CPS CATH DIRECT UPSIZE 135,2507.12,1504.27,426.21,7411.0,39
CPT,C1894,HC BARD INTRO CATH 5FR 7CM (LAW201628),184.1,110.46,31.3,7411.0,39
CPT,C1894,HC BARD INTRODUCER SHEATH 50CM 5FRX7CM (LAW 201628),184.1,110.46,31.3,7411.0,39
CPT,C1894,"HC CATHETER GUIDE,9 FR,VISTA BRIT",72.36,43.42,12.3,7411.0,39
CPT,C1894,"HC CATHETER, 6F NEURON",2669.0,1601.4,453.73,7411.0,39
CPT,C1894,HC COOK PERFORMER INTRODUCER SHEATH,730.95,438.57,124.26,7411.0,39
CPT,C1894,HC COOK Z STENT TRACHEOBRONCHIAL INTRODUCER,1130.54,678.32,192.19,7411.0,39
CPT,C1894,HC ECMO SHEATH PINNACLE INTRODUCER 6FR X 10CM (LAW149706),48.43,29.06,8.23,7411.0,39
CPT,C1894,HC GLIDESHEATH SLENDER 5/6FR,294.03,176.42,49.99,7411.0,39
CPT,C1894,HC INTRO SHEATH 9.5FR 13X45CM .038IN (LAW306544),347.49,208.49,59.07,7411.0,39
CPT,C1894,HC INTRO SHEATH 9FR 13CM .038IN (LAW306543),347.49,208.49,59.07,7411.0,39
CPT,C1894,HC INTRO SHEATH PINNACLE,411.64,246.98,69.98,7411.0,39
CPT,C1894,HC INTRO/SHEATH BRITE TIP,125.84,75.5,21.39,7411.0,39
CPT,C1894,"HC INTRODUCER KIT, ARROW-FLEX",150.0,90.0,25.5,7411.0,39
CPT,C1894,"HC INTRODUCER SET PEDAL MICROPUNCTURE, TRANSITIONLESS, 4FR",234.52,140.71,39.87,7411.0,39
CPT,C1894,HC INTRODUCER SHEATH ARROWG-CATH GARD TELEFLEX/ARROW,555.08,333.05,94.36,7411.0,39
CPT,C1894,"HC INTRODUCER,ENDOVASCULAR SHEATH",382.24,229.34,64.98,7411.0,39
CPT,C1894,"HC INTRODUCER,MICROPUNCTURE KIT",234.52,140.71,39.87,7411.0,39
CPT,C1894,"HC INTRODUCER/SHEATH, NON-GUIDING",103.82,62.29,17.65,7411.0,39
CPT,C1894,"HC INTRODUCER/SHEATH,DESTINATION-",411.64,246.98,69.98,7411.0,39
CPT,C1894,HC MERIT MEDICAL SHEATH INTRODUCER,127.38,76.43,21.65,7411.0,39
CPT,C1894,HC MICRO INTRODUCER RADSTIC,310.07,186.04,52.71,7411.0,39
CPT,C1894,HC OCCLUDER VSACULAR DELIVERY SYSTEM 9FR 80MM,2879.8,1727.88,489.57,7411.0,39
CPT,C1894,"HC SHEATH, ARROW FLEX INTRODUCER",442.65,265.59,75.25,7411.0,39
CPT,C1894,"HC SHEATH, LONG PEEL AWAY",265.36,159.22,45.11,7411.0,39
CPT,C1894,HC TELEFLEX INTRO SHEATH 6 FR 10 CM (LAW140822),179.99,107.99,30.6,7411.0,39
CPT,C1894,HC TELEFLEX PSI 8.5FR X 10CM (LAW534951),593.53,356.12,100.9,7411.0,39
CPT,C1894,HC TELEFLEX PSI 8.5FR X 10CM (LAW577973),614.0,368.4,104.38,7411.0,39
CPT,C1894,HC TELEFLEX PSI KIT 9FR X 10CM (LAW534952),641.29,384.77,109.02,7411.0,39
CPT,C1894,HC TERUMO DESTINATION SHEATH,411.64,246.98,69.98,7411.0,39
CPT,C1894,HC TRANSJUGLAR INTRAHEPATIC,2291.53,1374.92,389.56,7411.0,39
CPT,C1895,HC DURATA-7120/7121Q (BIV LEAD),8497.5,5098.5,1444.58,6798.0,57
CPT,C1895,"HC LEAD QUATTRO, 6947/M - 6935/M",9517.2,5710.32,1617.92,7613.76,57
CPT,C1895,"HC LEAD, SPRINT QUATTRO SECURE TACHY",9517.2,5710.32,1617.92,7613.76,57
CPT,C1896,HC LEAD CARDIO-DEFIB TOHERTHAN SINGLE/DUAL COIL,9517.2,5710.32,1617.92,7613.76,57
CPT,C1896,HC Q-TRAK SQ ELECTRODE,10197.0,6118.2,1733.49,8157.6,57
CPT,C1897,HC ABBOTT OCTRODE TRIAL LEAD KIT (PAIN CLINICS),3811.5,2286.9,647.96,3049.2,55
CPT,C1897,HC AXONICS PNE LEAD (LAW574835),234.52,140.71,39.87,187.62,55
CPT,C1897,HC AXONICS PNE LEAD IMPLANT KIT (LAW574833),1266.98,760.19,215.39,1013.58,55
CPT,C1897,HC BOSTON SCI INFINION TRIAL LEAD KIT (PAIN CLINICS),2192.85,1315.71,372.78,1754.28,55
CPT,C1897,HC BOSTON SCI WAVEWRITER ALPHA PATIENT TRIAL KIT (PAIN CLINICS),263.84,158.3,44.85,211.07,55
CPT,C1897,"HC KIT,LEAD NEUROSTIMULATOR TEST",2541.0,1524.6,431.97,2032.8,55
CPT,C1897,HC MEDTRONIC LEAD KIT TEST (LAW530690),534.6,320.76,90.88,427.68,55
CPT,C1897,HC MEDTRONIC LEAD STIMULATION TEST INTERSTIM (LAW530688),320.76,192.46,54.53,256.61,55
CPT,C1897,HC MEDTRONIC TRIAL LEAD KIT (PAIN CLINICS),3434.59,2060.75,583.88,2747.67,55
CPT,C1897,HC NEVRO TRIAL LEAD KIT (PAIN CLINICS),3811.5,2286.9,647.96,3049.2,55
CPT,C1897,HC VERTOS MILD TRIAL LEAD KIT (PAIN CLINICS),11777.54,7066.52,2002.18,9422.03,55
CPT,C1898,HC BS INGEVITY MRI PACEMAKER LEAD (PASSIVE/ACTIVE FIXATION),1344.95,806.97,228.64,1075.96,57
CPT,C1898,HC BS LEAD PACEMAKER (4135/6/7/) DEXTRUS IS-1,1827.38,1096.43,310.65,1461.9,57
CPT,C1898,"HC BS PACEMAKER, BRADY LEAD, DEXTRUS/STEROX/FINELINE",1827.38,1096.43,310.65,1461.9,57
CPT,C1898,HC CAPSUREFIX SURESCAN 5086-45/52/58,1949.2,1169.52,331.36,1559.36,57
CPT,C1898,"HC LEAD, PACEMAKER MEDTRONIC, OTHER THAN VDD SINGLE PASS",1949.2,1169.52,331.36,1559.36,57
CPT,C1898,"HC LEAD,MEDTRONIC 5086",1949.2,1169.52,331.36,1559.36,57
CPT,C1898,"HC LEAD,SJM 1944 ISOFLEX",1980.53,1188.32,336.69,1584.42,57
CPT,C1898,"HC LEAD,SJM,LP1200M",1344.95,806.97,228.64,1075.96,57
CPT,C1898,"HC LEAD,ST JUDE 2088TC",1145.16,687.1,194.68,916.13,57
CPT,C1898,HC PPM LEAD ST JUDE TENDRIL DX,1344.95,806.97,228.64,1075.96,57
CPT,C1898,HC PPM/GDT/MDT LEAD MEDTRON CAPSURE FIX,1949.2,1169.52,331.36,1559.36,57
CPT,C1898,HC SJM TENDRIL MRI PACEMAKER LEAD 46CM,1344.95,806.97,228.64,1075.96,57
CPT,C1898,HC SJM TENDRIL MRI PACEMAKER LEAD 52CM,1145.16,687.1,194.68,916.13,57
CPT,C1898,HC SJM TENDRIL MRI PACEMAKER LEAD 58CM,1145.16,687.1,194.68,916.13,57
CPT,C1898,HC ST JUDE TENDRIL ST OPTIM 52CM,1344.95,806.97,228.64,1075.96,57
CPT,C1900,HC ATTAIN PERFORMA 4298/4598/4398,5310.94,3186.56,902.86,4248.75,57
CPT,C1900,HC BS ACUITY X4 QUADRIPOLAR LVA LEAD STRAIGHT,5057.71,3034.63,859.81,4046.17,57
CPT,C1900,"HC LEAD, MEDTRONIC ATTAIN",4758.6,2855.16,808.96,3806.88,57
CPT,C1900,"HC LEAD,SJM 1458Q",4758.6,2855.16,808.96,3806.88,57
CPT,C1900,"HC LEAD,ST JUDE 1258T/75",4588.65,2753.19,780.07,3670.92,57
CPT,C2596,"PROBE, IMAGE-GUIDED, ROBOTIC, WATERJET ABLATION",,,,,0
CPT,C2617,HC ADVANIX BILI STENT CB 10F 12CM (LAW521227),636.32,381.79,108.17,509.06,55
CPT,C2617,HC ADVANIX BILI STENT CB 10F 7CM (LAW520431),636.32,381.79,108.17,509.06,55
CPT,C2617,HC BOSTON SCI ADVANIX BILI STENT CB 7F 5CM (LAW520110),293.15,175.89,49.84,234.52,55
CPT,C2617,HC BOSTON SCI BILIARY DOUBLE PIGTAIL STENT 10FR 10CM (LAW151006),293.15,175.89,49.84,234.52,55
CPT,C2617,HC BOSTON SCI C-FLEX BILI DBL.PIGTAIL STENT (LAW520107),293.15,175.89,49.84,234.52,55
CPT,C2617,HC BOSTON SCI CATH FLEXIMA NASOBILIARY 7.5F (LAW529654),534.6,320.76,90.88,427.68,55
CPT,C2617,HC BOSTON SCI CTR BEND STENT W/DELI 7FRX12CM (LAW520742),636.32,381.79,108.17,509.06,55
CPT,C2617,HC BOSTON SCI STENT BILIARY 10FR 7CM (LAW250071),290.51,174.31,49.39,232.41,55
CPT,C2617,HC BOSTON SCIENTIFIC STENT ADVANIX DOUBLE PIGTAIL (ALL SIZES),293.15,175.89,49.84,234.52,55
CPT,C2617,HC BS ADVANIX CENTER BEND BILIARY STENT,293.15,175.89,49.84,234.52,55
CPT,C2617,"HC BS ADVANIX PANCREATIC STENT 10F, STRAIT LEADING BARB",462.8,277.68,78.68,370.24,55
CPT,C2617,"HC BS ADVANIX PANCREATIC STENT 5F, RX PIGTAIL, LEADING BARB",826.02,495.61,140.42,660.82,55
CPT,C2617,"HC BS ADVANIX PANCREATIC STENT 5F, SINGLE PINGTAIL LEADING BARB",409.61,245.77,69.63,327.69,55
CPT,C2617,"HC BS ADVANIX PANCREATIC STENT 5F, STRAIT LEADING BARB",409.61,245.77,69.63,327.69,55
CPT,C2617,"HC BS ADVANIX PANCREATIC STENT 7F, SINGLE PINGTAIL LEADING BARB",462.8,277.68,78.68,370.24,55
CPT,C2617,"HC BS ADVANIX PANCREATIC STENT 7F, STRAIT LEADING BARB",462.8,277.68,78.68,370.24,55
CPT,C2617,"HC BS ADVANIX PANCREATIC STENT, S PINGTAIL NO LEADING BARB",409.61,245.77,69.63,327.69,55
CPT,C2617,"HC BS ADVANIX PANCREATIC STENT, SINGLE PIGTAIL",462.8,277.68,78.68,370.24,55
CPT,C2617,HC BS DOUBLE PIGTAIL BILIARY STENT,293.15,175.89,49.84,234.52,55
CPT,C2617,HC BS PERCUFLEX DEODENAL BEND BILIARY STENT,290.51,174.31,49.39,232.41,55
CPT,C2617,HC COOK STENT BILIARY COTTON-LEUNG (LAW202731),416.99,250.19,70.89,333.59,55
CPT,C2617,"HC GEENEN STENT PANCREATIC, 3-5FR, GEPD 3-5-9",586.15,351.69,99.65,468.92,55
CPT,C2617,HC STENT BILIARY PROXIMAL/DISTAL FLAP COTTON-LEUNG 10 FR X 5 CM,263.84,158.3,44.85,211.07,55
CPT,C2617,"HC STENT,COTTON-LEUNG",379.57,227.74,64.53,303.66,55
CPT,C2617,"HC STENT,PANCREATIC ZIMM/FREEMN",263.84,158.3,44.85,211.07,55
CPT,C2617,HC URETERAL STENTS,669.55,401.73,113.82,535.64,55
CPT,C2618,HC CRYOABLATION NEEDLE ICEFORCE 2.1,7477.8,4486.68,1271.23,7411.0,39
CPT,C2618,HC IR CRYO SYSTEM,6414.05,3848.43,1090.39,7411.0,39
CPT,C2621,"HC PACEMAKER,SYNCRA CRT-P CTR01 MEDTRONIC",13816.94,8290.16,2348.88,11053.55,57
CPT,C2623,HC BARD LUTONIX 035 DRUG COATED BALLOON OTW,5608.35,3365.01,953.42,7411.0,39
CPT,C2623,HC MEDTRONIC IN.PACT ADMIRAL DRUG COATED BALLOON,3874.86,2324.92,658.73,7411.0,39
CPT,C2624,HC CARDIOMEMS MONITORING DEVICE (IMPLANT),76477.5,45886.5,13001.17,61182.0,55
CPT,C2625,HC BOSTON SCI ADVANIX PANCREATIC STENT 5FR 5CM (LAW532793),824.27,494.56,140.13,659.42,55
CPT,C2625,HC BOSTON SCI FLEXIMA BILI STENT 7FR,534.6,320.76,90.88,427.68,55
CPT,C2625,HC BOSTON SCI FLEXIMA BILIARY STENT 10FR,483.92,290.35,82.27,387.14,55
CPT,C2625,HC BOSTON SCI PANC STRAIGHT STENT KIT 5FR,824.27,494.56,140.13,659.42,55
CPT,C2625,HC BS ADVANIX RX PRELOADED CENTER BEND BILIARY STENT,636.32,381.79,108.17,509.06,55
CPT,C2625,HC BS ADVANIX RX PRELOADED DUODENAL BEND BILIARY STENT,636.32,381.79,108.17,509.06,55
CPT,C2625,HC BS FLEXIMA PRELOADED DUODENAL BEND BILIARY STENT,483.92,290.35,82.27,387.14,55
CPT,C2625,HC BS NAVIFLEX RX PANCREATIC STENT DELIVERY SYSTEM,391.92,235.15,66.63,313.54,55
CPT,C2625,HC BS PERCUFLEX DUODENAL BEND BILIARY STENT,458.15,274.89,77.89,366.52,55
CPT,C2625,HC COOK STENT BILIARY COTTON-LEUNG (LAW151837),507.87,304.72,86.34,406.3,55
CPT,C2625,HC NAVIFLEX DELIVERY SYSTEM 7FR & 10 FR,427.52,256.51,72.68,342.02,55
CPT,C2625,HC STENT COTTON-LEUNG W/ DELIVERY,672.47,403.48,114.32,537.98,55
CPT,C2625,HC STENT DOUBLE ENDED FLAP GEENEN W/GUIDEWIRE GUIDING AND PUSHING CATH,586.15,351.69,99.65,468.92,55
CPT,C2625,"HC STENT,GEENN,ZIMMON,SOLUS",507.87,304.72,86.34,406.3,55
CPT,C2627,"HC CATHETER, SUPRAPUBIC",534.6,320.76,90.88,427.68,55
CPT,C2628,"HC BALLOON, HYPERGLIDE",5863.28,3517.97,996.76,7411.0,39
CPT,C2628,"HC CATHETER, LUMEND OUTBACK LTD R",5621.95,3373.17,955.73,7411.0,39
CPT,C2628,"HC CATHETER,HSG BALLOON SILICONE",186.0,111.6,31.62,148.8,55
CPT,C2630,HC THERMOCOOL SF ABLATION CATH,4622.64,2773.58,785.85,7411.0,39
CPT,C5271,"APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LESS WOUND SURFACE AREA",,,839.96,4345.0,11
CPT,C5271,HC APPLY SKIN SUBST GRAFT LW TRNK/ARM/LG </=25SQ,1876.87,1126.12,319.07,7411.0,40
CPT,C5272,HC APPLY SKIN SUBST GRAFT LW TRNK/ARM/LG EA AD 25,1155.81,693.49,196.49,7411.0,39
CPT,C5273,HC APPLY SKIN SUBST GRAFT LW TRNK/ARM/LG>/=100SQ,2640.4,1584.24,448.87,7411.0,40
CPT,C5274,HC APPLY SKIN SUBST GRAFT LW TRNK/ARM/LGEA AD 100,1282.42,769.45,218.01,7411.0,39
CPT,C5275,"APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ ",,,839.96,4345.0,11
CPT,C5275,HC APPLY SKIN SUBST GRAFT LW FCE/SCLP </=25SQ CM,2188.44,1313.06,372.03,7411.0,40
CPT,C5276,"APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; EACH ADDITIO",,,1896.0,2107.0,3
CPT,C5276,HC APPLY SKIN SUBST GRAFT LW FCE/SCLP/ EA AD 25,4047.75,2428.65,688.12,7411.0,39
CPT,C7511,"BRONCHOSCOPY, RIGID OR FLEXIBLE, WITH SINGLE OR MULTIPLE BRONCHIAL OR ENDOBRONCHIAL BIOPSY(IES), SINGLE OR MULTIPLE SITES, WITH COMPUTER-ASSISTED IMAGE-GUIDED NAVIGATION, INCLUDING FLUOROSCOPIC GUIDAN",,,1826.96,12700.0,10
CPT,C7567,HC BRONCH/NEEDLE BX(S) W/ NAV,4796.84,2878.1,815.46,7411.0,37
CPT,C7900,"HC HOPD MENTAL HEALTH EVAL/TRMT REMOTE, INITIAL 15-29 MIN",171.84,103.1,29.21,7411.0,55
CPT,C7901,"HC HOPD MENTAL HEALTH EVAL/TRMT REMOTE, INITIAL 30-60 MIN",343.66,206.2,58.42,7411.0,55
CPT,C7902,"HC HOPD MENTAL HEALTH EVAL/TRMT REMOTE, EACH ADDL 15 MINS",75.0,45.0,12.75,7411.0,39
CPT,C8004,HC SIM ANG W/PRS CATH RAD EMB,21668.44,13001.06,3683.63,24933.1,52
CPT,C8903,"HC MRI W/ CONTRAST, BREAST - UNILATERAL",3398.51,2039.11,167.39,7411.0,55
CPT,C8905,"HC MRI W/O CONTRAST FOLLOWED BY W/ CONTRAST, BREAST - UNILATERAL",3231.0,1938.6,332.94,7411.0,55
CPT,C8906,"HC MRI W/ CONTRAST, BREAST - BILATERAL",3324.03,1994.42,332.94,7411.0,55
CPT,C8908,"HC MRI W/O CONTRAST FOLLOWED BY W/ CONTRAST, BREAST - BILATERAL",3427.81,2056.69,332.94,7411.0,55
CPT,C8912,HC MR ANGIO LWR EXT W CM BI,2819.92,1691.95,479.39,7411.0,40
CPT,C8913,HC MR ANGIO LWR EXT WO CM BI,2819.92,1691.95,466.08,7411.0,40
CPT,C8914,HC MR ANGIO LWR EXT WWO CM BI,3276.37,1965.82,556.98,7411.0,40
CPT,C8930,"HC TTE W OR W/O CONTR,CONT ECG",3663.9,2198.34,622.86,7411.0,55
CPT,C8931,"HC MRA, W/DYE, SPINAL CANAL",1722.32,1033.39,292.79,7411.0,55
CPT,C8932,"HC MRA, W/O DYE, SPINAL CANAL",1722.32,1033.39,227.71,7411.0,55
CPT,C8933,"HC MRA, W/O&W/DYE, SPINAL CANAL",2651.26,1590.76,332.94,7411.0,55
CPT,C8937,HC CAD BREAST MRI,226.8,136.08,37.48,7411.0,39
CPT,C9399,HC AMTAGVITM (LIFILEUCEL),2952484.63,1771490.78,6299.0,2509611.94,39
CPT,C9399,HC OMISIRGE,3299518.1,1979710.86,6299.0,2804590.38,39
CPT,C9600,HC STENT DES INI LC,37592.54,22555.52,6299.0,51722.27,39
CPT,C9600,HC STENT DES INI LD,37592.54,22555.52,6299.0,51722.27,39
CPT,C9600,HC STENT DES INI LM,37592.54,22555.52,6299.0,51722.27,39
CPT,C9600,HC STENT DES INI RC,37592.54,22555.52,6299.0,51722.27,39
CPT,C9600,HC STENT DES INI RI,37592.54,22555.52,6299.0,51722.27,39
CPT,C9600,HC TRANSCATH PLACEMNT STENT DRUG-ELUT - SNG (C9600),39718.35,23831.01,6299.0,51722.27,54
CPT,C9601,HC STENT DES ADD LM,32001.48,19200.89,5440.25,27201.26,33
CPT,C9601,HC STENT DES ADD RI,32001.48,19200.89,5440.25,27201.26,33
CPT,C9601,HC TRANSCATH PLACEMNT STENT DRUG-ELUT - EA ADD BRNCH (C9601),0.01,0.01,0.0017,21149.0,33
CPT,C9602,HC TRANSLUMNL ATHERECTMY W/DRG-ELUT STNT - SNG (C9602),44187.45,26512.47,6299.0,83206.64,54
CPT,C9603,HC STENT DES W ATHRECTOMY ADD LC,32701.42,19620.85,5559.24,27796.21,33
CPT,C9603,HC STENT DES W ATHRECTOMY ADD LD,32701.42,19620.85,5559.24,27796.21,33
CPT,C9603,HC STENT DES W ATHRECTOMY ADD LM,32701.42,19620.85,5559.24,27796.21,33
CPT,C9603,HC STENT DES W ATHRECTOMY ADD RC,32701.42,19620.85,5559.24,27796.21,33
CPT,C9603,HC STENT DES W ATHRECTOMY ADD RI,32701.42,19620.85,5559.24,27796.21,33
CPT,C9603,HC TRANSLUMNL ATHERECTMY W/DRG-EULT STNT - EA ADD (C9603),0.01,0.01,0.0017,21149.0,33
CPT,C9604,HC REVASC DES BYPASS GRAFT INI LM,36317.1,21790.26,6173.91,51722.27,39
CPT,C9604,HC TRANSLUMNL REVASC W/DRG-ELUT STNT - SNGL VESSEL (C9604),36317.1,21790.26,6173.91,51722.27,54
CPT,C9605,HC REVASC DES BYPASS GRAFT ADD LC,36561.77,21937.06,6215.5,31077.5,33
CPT,C9605,HC REVASC DES BYPASS GRAFT ADD LD,36561.77,21937.06,6215.5,31077.5,33
CPT,C9605,HC REVASC DES BYPASS GRAFT ADD LM,36561.77,21937.06,6215.5,31077.5,33
CPT,C9605,HC REVASC DES BYPASS GRAFT ADD RI,36561.77,21937.06,6215.5,31077.5,33
CPT,C9605,HC TRANSLUMNL REVASC W/DRG-ELUT STNT - EA ADD BRNCH (C9605),0.01,0.01,0.0017,21149.0,33
CPT,C9606,HC TRANSLUMNL REVASC MYOCRD INFARCT W/DRG-ELUT STNT (C9606),42653.22,25591.93,6299.0,36255.24,38
CPT,C9607,HC PERQ TRLUML REVSC CHRNC TOT OCCLS 1 C ART ANTGRD,41735.77,25041.46,6299.0,83206.64,54
CPT,C9607,HC TRANSLUMNL REVASC CHRONIC OCC W/DES LM,38638.85,23183.31,6299.0,83206.64,39
CPT,C9607,HC TRANSLUMNL REVASC CHRONIC OCC W/DES RI,38638.85,23183.31,6299.0,83206.64,39
CPT,C9608,HC TRANSLUMNL REVASC CHRONIC OCC W/DES - EA ADD LD,31512.01,18907.21,5357.04,26785.21,33
CPT,C9608,HC TRANSLUMNL REVASC CHRONIC OCC W/DES - EA ADD LM,31512.01,18907.21,5357.04,26785.21,33
CPT,C9608,HC TRANSLUMNL REVASC CHRONIC OCC W/DES - EA ADD RC,31512.01,18907.21,5357.04,26785.21,33
CPT,C9608,HC TRANSLUMNL REVASC CHRONIC OCC W/DES - EA ADD RI,31512.01,18907.21,5357.04,26785.21,33
CPT,C9608,HC TRANSLUMNL REVASC CHRONIC OCC W/DRG-ELUT - EA ADD (C9608),0.01,0.01,0.0017,21149.0,33
CPT,C9728,HC IR PLCMT FUDICIAL MARKER,2638.34,1583.0,448.52,7411.0,53
CPT,C9739,"HC CYSTOURETHROSCOPY, WITH INSERTION OF TRANSPROSTATIC IMPLANT; 1 TO 3 IMPLANTS",9569.0,5741.4,2780.78,12818.21,55
CPT,C9740,"HC CYSTOURETHROSCOPY, WITH INSERTION OF TRANSPROSTATIC IMPLANT; 4 OR MORE IMPLANTS",10952.5,6571.5,3942.9,22821.27,55
CPT,C9756,INTRAOPERATIVE NEAR-INFRARED FLUORESCENCE LYMPHATIC MAPPING OF LYMPH NODE(S) (SENTINEL OR TUMOR DRAINING) WITH ADMINISTRATION OF INDOCYANINE GREEN (ICG) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMAR,,,136.66,2107.0,6
CPT,C9758,HC INTERATRIAL SHUNT IDE,24790.0,14874.0,4214.3,45501.3,55
CPT,C9761,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY, WITH LITHOTRIPSY, AND URETERAL CATHETERIZATION FOR STEERABLE VACUUM ASPIRATION OF THE KIDNEY, COLLECTING SYSTEM, URETER, BLADDER, AND URETHRA IF",,,4302.0,22821.27,30
CPT,C9764,HC REVASC INTRAVASC LITHOTRIPSY,28124.2,16874.52,4781.11,27252.71,53
CPT,C9764,"HC REVASC INTRAVASC LITHOTRIPSY; LOWER EXTREM ART, EXCEPT TIBIAL/PERONEAL",28124.2,16874.52,4781.11,27252.71,55
CPT,C9765,HC REVASC INTRA LITHOTRIP-STENT,43798.86,26279.32,6299.0,43439.01,53
CPT,C9765,"HC REVASC INTRAVASC LITHOTRIPSY-STENT; LOWER EXTREM ART, EXCEPT TIBIAL/PERONEAL",43798.86,26279.32,6299.0,43439.01,55
CPT,C9766,HC REVASC INTRA LITHOTRIP-ATHER,48004.44,28802.66,6299.0,43439.01,53
CPT,C9766,"HC REVASC INTRAVASC LITHOTRIPSY-ATHER; LOWER EXTREM ART, EXCEPT TIBIAL/PERONEAL",48004.44,28802.66,6299.0,43439.01,55
CPT,C9767,"HC REVASC INTRAVASC LITHOTRIPSY-STENT-ATHER; LOWER EXTREM ART, EXCEPT TIBIAL/PERONEAL",84763.57,50858.14,6299.0,63572.68,55
CPT,C9767,HC REVASC LITHOTRIP-STENT-ATHER,84763.57,50858.14,6299.0,63572.68,53
CPT,C9771,HC NSL/SINS CRYO POST NASAL TIS,5472.78,3283.67,930.37,7411.0,39
CPT,C9772,HC REVASC LITHOTRIP TIBI/PERONE,24422.24,14653.34,4750.24,35853.3,53
CPT,C9772,HC REVASC LITHOTRIPSY TIBIAL/PERONEAL,24422.24,14653.34,4750.24,27252.71,55
CPT,C9773,HC REVASC LITHOTR-STENT TIB/PER,37203.94,22322.36,6299.0,57348.48,53
CPT,C9773,HC REVASC LITHOTRIPSY-STENT TIBIAL/PERONEAL,37203.94,22322.36,6299.0,43439.01,55
CPT,C9774,HC REVASC LITHOTR-ATHER TIB/PER,35512.85,21307.71,6299.0,57348.48,53
CPT,C9774,HC REVASC LITHOTRIPSY-ATHER TIBIAL/PERONEAL,35512.85,21307.71,6299.0,43439.01,55
CPT,C9775,HC REVASC LITH-STEN-ATH TIB/PER,31316.44,18789.86,6299.0,57348.48,53
CPT,C9775,HC REVASC LITHTRIPSY-STENT-ATH TIBIAL/PERONEAL,31316.44,18789.86,6299.0,43439.01,55
CPT,C9776,"INTRAOPERATIVE NEAR-INFRARED FLUORESCENCE IMAGING OF MAJOR EXTRA-HEPATIC BILE DUCT(S) (E.G., CYSTIC DUCT, COMMON BILE DUCT AND COMMON HEPATIC DUCT) WITH INTRAVENOUS ADMINISTRATION OF INDOCYANINE GREEN",,,135.66,145.16,3
CPT,C9779,"ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD), INCLUDING ENDOSCOPY OR COLONOSCOPY, MUCOSAL CLOSURE, WHEN PERFORMED",,,3679.39,12700.0,60
CPT,C9781,"ARTHROSCOPY, SHOULDER, SURGICAL; WITH IMPLANTATION OF SUBACROMIAL SPACER (E.G., BALLOON), INCLUDES DEBRIDEMENT (E.G., LIMITED OR EXTENSIVE), SUBACROMIAL DECOMPRESSION, ACROMIOPLASTY, AND BICEPS TENODE",,,7038.0,32603.53,30
CPT,C9784,"GASTRIC RESTRICTIVE PROCEDURE, ENDOSCOPIC SLEEVE GASTROPLASTY, WITH ESOPHAGOGASTRODUODENOSCOPY AND INTRALUMINAL TUBE INSERTION, IF PERFORMED, INCLUDING ALL SYSTEM AND TISSUE ANCHORING COMPONENTS",,,9126.0,32441.66,9
CPT,C9784,HC ENDO SLEEVE GASTRO W/TUBE,18888.18,11332.91,3210.99,32441.66,38
CPT,C9785,"ENDOSCOPIC OUTLET REDUCTION, GASTRIC POUCH APPLICATION, WITH ENDOSCOPY AND INTRALUMINAL TUBE INSERTION, IF PERFORMED, INCLUDING ALL SYSTEM AND TISSUE ANCHORING COMPONENTS",,,9126.0,32441.66,28
CPT,C9785,HC ENDO OUTLET RESTRICT W/TUBE,18888.18,11332.91,3210.99,32441.66,53
CPT,C9797,HC VASC EMB/OCC W/PRS CATH,26767.56,16060.54,4550.49,43439.01,53
CPT,C9803,"HC SPECIMEN COLLECT COVID-19, ANY SPECIMEN SOURCE",54.75,32.85,9.31,7411.0,39
CPT,D0120,HC PERIODIC ORAL EVALUATION,60.0,36.0,10.2,7411.0,51
CPT,D0140,HC LIMIT ORAL EVAL PROBLM FOCUS,60.0,36.0,10.2,7411.0,51
CPT,D0470,HC DIAGNOSTIC CASTS,140.0,84.0,23.8,7411.0,36
CPT,D1110,HC DENTAL PROPHYLAXIS ADULT,110.0,66.0,18.7,7411.0,51
CPT,D1120,HC DENTAL PROPHYLAXIS CHILD,60.0,36.0,10.2,7411.0,36
CPT,D1206,HC TOPICAL FLUORIDE VARNISH,20.0,12.0,3.4,7411.0,36
CPT,D1351,HC SEALANT PER TOOTH,20.0,12.0,3.4,7411.0,36
CPT,D2330,HC RESIN ONE SURFACE-ANTERIOR,120.0,72.0,20.4,7411.0,51
CPT,D2331,HC RESIN TWO SURFACES-ANTERIOR,140.0,84.0,23.8,7411.0,51
CPT,D2332,HC RESIN THREE SURFACES-ANTERIO,160.0,96.0,27.2,7411.0,51
CPT,D2335,HC RESIN 4/> SURF OR W INCIS AN,200.0,120.0,34.0,7411.0,51
CPT,D2391,HC POST 1 SRFC RESINBASED CMPST,120.0,72.0,20.4,7411.0,51
CPT,D2392,HC POST 2 SRFC RESINBASED CMPST,140.0,84.0,23.8,7411.0,51
CPT,D2393,HC POST 3 SRFC RESINBASED CMPST,160.0,96.0,27.2,7411.0,51
CPT,D2750,HC PORCELIN CROWN,1500.0,900.0,255.0,7411.0,51
CPT,D2920,HC DENTAL RECEMENT CROWN,60.0,36.0,10.2,7411.0,51
CPT,D2940,HC PROTECTIVE RESTORATION,105.0,63.0,17.85,7411.0,51
CPT,D3110,HC END THXPY ANTERIOR TOOTH,579.6,347.76,98.53,7411.0,38
CPT,D3320,"HC END THXPY, BICUSPID TOOTH",627.9,376.74,106.74,7411.0,38
CPT,D3330,HC ENDODONTIC THERAPY MOLAR,753.48,452.09,128.09,7411.0,38
CPT,D4341,HC PERIODONTAL SCALING & ROOT,120.0,72.0,20.4,7411.0,51
CPT,D4355,HC FULL MOUTH DEBRIDEMENT,542.1,325.26,92.16,7411.0,38
CPT,D4381,HC LOCALIZED DELIVERY ANTIMICRO,850.38,510.23,144.56,7411.0,37
CPT,D5110,HC COMPLETE MAXILLARY DENTURE,2000.0,1200.0,340.0,7411.0,36
CPT,D5120,HC COMPLETE MANDIBULAR DENTURE,2000.0,1200.0,340.0,7411.0,36
CPT,D5130,HC IMMEDIATE MAXILLARY DENTURE,2600.0,1560.0,442.0,7411.0,36
CPT,D5140,HC IMMEDIATE MANDIBULAR DENTURE,2600.0,1560.0,442.0,7411.0,36
CPT,D5211,HC MAX. PARTIAL DENTURE-RESIN BAS,800.0,480.0,136.0,7411.0,36
CPT,D5212,HC MAN PARTIAL DENTURE RESIN BASE,800.0,480.0,136.0,7411.0,36
CPT,D5213,HC MAXILLARY PARTIAL CAST FRAME,2800.0,1680.0,476.0,7411.0,36
CPT,D5214,HC MANDIBULAR PARTIAL CAST FRAME,2800.0,1680.0,476.0,7411.0,36
CPT,D5410,HC DENTURES ADJUST CMPLT MAXIL,80.0,48.0,13.6,7411.0,36
CPT,D5411,HC DENTURES ADJUST CMPLT MAND,80.0,48.0,13.6,7411.0,36
CPT,D5520,HC REPLACE TEETH REPAIR,200.0,120.0,34.0,7411.0,36
CPT,D5730,HC RELINE COMPLETE MAX. CHAIRSIDE,200.0,120.0,34.0,7411.0,36
CPT,D5731,HC RELINE COMPLETE MAND. CHAIRSID,200.0,120.0,34.0,7411.0,36
CPT,D5750,HC RELINE COMPLETE MAX LAB,300.0,180.0,51.0,7411.0,36
CPT,D5931,HC OBTURATOR SURGICAL,2146.0,1287.6,364.82,7411.0,36
CPT,D5932,HC OBTURATOR DEFINITIVE,4014.0,2408.4,682.38,7411.0,36
CPT,D5933,HC OBTURATOR MODIFICATION,362.0,217.2,61.54,7411.0,36
CPT,D5935,HC MAND. RESECTION PROS.,3660.0,2196.0,622.2,7411.0,36
CPT,D5982,HC SURGICAL STENT,500.0,300.0,85.0,7411.0,36
CPT,D5986,HC FLUORIDE APPLICATOR,200.0,120.0,34.0,7411.0,36
CPT,D7140,HC EXTRACTION ERUPTED TOOTH/EXR,757.9,454.74,128.84,7411.0,38
CPT,D7210,HC REM IMP TOOTH W MUCOPER FLP,751.84,451.1,127.81,7411.0,38
CPT,D7220,HC IMPACT TOOTH REMOV SOFT TISS,767.24,460.34,130.43,7411.0,38
CPT,D7230,HC IMPACT TOOTH REMOV PART BONY,1094.27,656.56,186.03,7411.0,38
CPT,D7240,HC IMPACT TOOTH REMOV COMP BONY,1234.83,740.9,209.92,7411.0,38
CPT,D7250,HC TOOTH ROOT REMOVAL,754.32,452.59,128.23,7411.0,38
CPT,D7286,HC BIOPSY OF ORAL TISSUE SOFT,300.0,180.0,51.0,7411.0,36
CPT,D9230,HC ANALGESIA,110.0,66.0,18.7,7411.0,36
CPT,D9951,HC LIMITED OCCLUSAL ADJUSTMENT,501.21,300.73,85.21,7411.0,38
CPT,D9952,HC COMPLETE OCCLUSAL ADJUSTMENT,850.38,510.23,144.56,7411.0,38
CPT,E0100,HC ALUMINUM ADJUSTABLE CANE,50.56,30.34,8.6,7411.0,39
CPT,E0484,HC OSCILLATORY PEP DEVICE,106.84,64.1,18.16,7411.0,36
CPT,G0008,HC ADMIN INFLUENZA INTRANASAL-SEASONAL,25.0,15.0,4.25,7411.0,55
CPT,G0008,HC ADMINISTER FLU VACCINE,25.0,15.0,4.25,7411.0,55
CPT,G0009,HC ADMINISTER PNEUMOCOCCAL VACCINE,70.83,42.5,12.04,7411.0,55
CPT,G0010,HC ADMIN HEPATITIS B VACCINE,111.62,66.97,18.98,7411.0,55
CPT,G0101,HC CA SCREEN - PELVIC/BREAST EXAM,157.69,94.61,26.81,7411.0,55
CPT,G0102,PROSTATE CANCER SCREENING; DIGITAL RECTAL EXAMINATION,,,27.66,58.38,5
CPT,G0103,HC SCREENING PROSTATE SPEC ANTIGN,245.91,147.55,10.0,7411.0,55
CPT,G0104,COLORECTAL CANCER SCREENING; FLEXIBLE SIGMOIDOSCOPY,,,130.67,3167.0,62
CPT,G0105,COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK,,,328.5,4779.0,34
CPT,G0105,HC COLONOSCOPY SCRN HI RISK,3776.04,2265.62,328.5,7411.0,53
CPT,G0108,HC DIABETES MANAGEMENT INDIVIDUAL-30 MINS,168.3,100.98,28.61,7411.0,39
CPT,G0109,HC DIABETES MANAGEMENT GROUP-30 MINS,98.94,59.36,16.82,7411.0,39
CPT,G0121,COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK,,,328.5,4779.0,68
CPT,G0136,HC ADM OF SOC DTR ASSESS 5-15 M,54.68,32.81,9.3,7411.0,41
CPT,G0176,HC ACTIVITY THERAPY/DAY,264.0,158.4,44.88,7411.0,39
CPT,G0177,HC EDUCATION/TRAINING GROUP/DAY,281.35,168.81,47.83,7411.0,36
CPT,G0179,HC HOME HEALTH RE-CERT,170.73,102.44,29.02,7411.0,36
CPT,G0180,HC HOME HEALTH INITIAL CERT,213.64,128.18,36.32,7411.0,36
CPT,G0237,HC RESPIRATORY THERAPY MUSCLE EA 15MIN,238.94,143.36,27.61,7411.0,55
CPT,G0238,HC RESPIRATORY FUNCTION THERAPY 15MIN,199.31,119.59,27.61,7411.0,55
CPT,G0239,HC RESP FUNCTIONS STRENGTH GROUP,288.71,173.23,35.64,7411.0,55
CPT,G0249,HC PROVIDE INR TEST MATER/EQUIP,251.9,151.14,42.82,7411.0,55
CPT,G0250,HC MD INR TEST REVIEW INTER MGMT,22.88,13.73,3.89,7411.0,36
CPT,G0257,"HC DIALYSIS TREATMENT,UNSCHEDULED/EMERGENCY",3252.71,1951.63,552.96,7411.0,110
CPT,G0259,HC ARTHRO SACROILIAC W INJ BI,1394.0,836.4,236.98,7411.0,34
CPT,G0259,HC ARTHRO SACROILIAC W INJ LT,1394.0,836.4,236.98,7411.0,34
CPT,G0259,HC ARTHRO SACROILIAC W INJ RT,1394.0,836.4,236.98,7411.0,34
CPT,G0260,HC INJECTION SACROILIAC JOINT STEROID/THERAPEUTIC BI,2636.87,1582.12,448.27,7411.0,38
CPT,G0260,HC INJECTION SACROILIAC JOINT STEROID/THERAPEUTIC LT,2636.87,1582.12,448.27,7411.0,38
CPT,G0260,HC INJECTION SACROILIAC JOINT STEROID/THERAPEUTIC RT,2636.87,1582.12,448.27,7411.0,38
CPT,G0260,HC INJECTION SACROILIAC JT,2636.87,1582.12,448.27,7411.0,55
CPT,G0260,HC INJECTION SACROILIAC JT BI,2636.87,1582.12,448.27,7411.0,40
CPT,G0260,HC SACROILIAC JOINT INJECTION BI,2636.87,1582.12,448.27,7411.0,30
CPT,G0260,"INJECTION PROCEDURE FOR SACROILIAC JOINT; PROVISION OF ANESTHETIC, STEROID AND/OR OTHER THERAPEUTIC AGENT, WITH OR WITHOUT ARTHROGRAPHY",,,673.64,4345.0,31
CPT,G0269,HC OCCLUSIVE DEVICE IN,1542.86,925.72,262.29,7411.0,39
CPT,G0269,"PLACEMENT OF OCCLUSIVE DEVICE INTO EITHER A VENOUS OR ARTERIAL ACCESS SITE, POST SURGICAL OR INTERVENTIONAL PROCEDURE (E.G., ANGIOSEAL PLUG, VASCULAR PLUG)",,,1896.0,2107.0,3
CPT,G0270,HC MNT SUBS TX FOR CHANGE DX,95.88,57.53,16.3,7411.0,39
CPT,G0271,HC GROUP MNT 2 OR MORE 30 MIN,110.92,66.55,18.86,7411.0,39
CPT,G0277,HC HYPERBARIC OXYGEN,1195.19,717.11,131.33,7411.0,55
CPT,G0278,HC ILIAC ART ANGIO,3951.51,2370.91,671.76,7411.0,33
CPT,G0281,HC ELEC STIM - ULCERS - ONE OR MORE A (G0281),275.52,165.31,44.27,7411.0,40
CPT,G0283,HC ELECTRICAL STIMULATION - UNATTENDED (G0283),145.56,87.34,24.75,7411.0,40
CPT,G0283,HC PT ELEC MUSCLE STIM UNATTEND (G0283),145.56,87.34,24.75,7411.0,40
CPT,G0288,HC CT ANGIO RECON SURGICAL PLAN,848.18,508.91,72.8,7411.0,39
CPT,G0296,HC VISIT TO DETERM LDCT ELIG,163.56,98.14,27.81,7411.0,96
CPT,G0297,HC CT LOW DOSE LUNG SCREENING,260.1,156.06,44.22,7411.0,39
CPT,G0303,HC PRE LVRS PULM REHAB 10-15 DAYS,6513.1,3907.86,206.06,7411.0,55
CPT,G0304,HC PRE LVRS PULM REHAB 1-9 DAYS,3437.1,2062.26,356.12,7411.0,55
CPT,G0328,HC HEMOCCULT FECAL BLOOD TEST,68.48,41.09,10.0,7411.0,55
CPT,G0341,HC IR INFSN ISLET CELL TRANSPLANT,3118.13,1870.88,530.08,8280.0,30
CPT,G0378,HC OBSERVATION CARVE-OUT GENERAL,179.69,107.81,30.55,7411.0,36
CPT,G0378,HC OBSERVATION PER HOUR,179.69,107.81,30.55,7411.0,36
CPT,G0379,HC DIRECT REFER HOSPITAL OBSERV,923.88,554.33,157.06,7411.0,55
CPT,G0390,HC LVL 1 HOSP-TRAUMA ACT CONSULT/EVAL,7881.09,4728.65,1272.03,7543.0,65
CPT,G0390,HC LVL 1 HOSP-TRAUMA ACT LVL 1,13378.27,8026.96,1272.03,10033.7,65
CPT,G0390,HC LVL 1 HOSP-TRAUMA ACT LVL 2,10601.64,6360.98,1272.03,7951.23,65
CPT,G0390,HC LVL 2 HOSP-TRAUMA ACT CONSULT/EVAL,6304.87,3782.92,1071.83,7543.0,62
CPT,G0390,HC LVL 2 HOSP-TRAUMA ACT LVL 1,10702.62,6421.57,1272.03,8026.97,62
CPT,G0390,HC LVL 2 HOSP-TRAUMA ACT LVL 2,8481.31,5088.79,1272.03,7543.0,62
CPT,G0390,HC LVL 3 HOSP-TRAUMA ACT CONSULT/EVAL,5043.9,3026.34,857.46,7543.0,62
CPT,G0390,HC LVL 3 HOSP-TRAUMA ACT LVL 1,8562.09,5137.25,1272.03,7543.0,62
CPT,G0390,HC LVL 3 HOSP-TRAUMA ACT LVL 2,6785.05,4071.03,1153.46,7543.0,62
CPT,G0390,HC LVL 4 HOSP-TRAUMA ACT LVL 1 FULL,1277.26,766.36,217.13,7543.0,62
CPT,G0390,HC LVL 4 HOSP-TRAUMA ACT LVL 1 PARTIAL,985.71,591.43,167.57,7543.0,62
CPT,G0399,HC HOME SLEEP TEST/TYPE 3 PORTA,1098.0,658.8,186.66,7411.0,55
CPT,G0402,HC INITIAL PREVENTION EXAM,297.62,178.57,50.6,7411.0,41
CPT,G0402,HC INITIAL PREVENTIVE EXAM,297.62,178.57,50.6,7411.0,41
CPT,G0404,HC ECG - RTNE W/INTERP & REPAIRT - INIT,137.08,82.25,23.3,7411.0,55
CPT,G0410,HC GROUP PSYCHOTHERAPY 1.0 HR,159.67,95.8,27.14,7411.0,36
CPT,G0410,HC GRP PSYCHOTHER 1HR FULL (TRIC),159.67,95.8,27.14,7411.0,36
CPT,G0410,HC GRP PSYCHOTHER 1HR HALF (TRIC),159.67,95.8,27.14,7411.0,36
CPT,G0410,HC GRP PSYCHOTHER 2HR FULL (TRIC),159.67,95.8,27.14,7411.0,36
CPT,G0410,HC GRP PSYCHOTHER 2HR HALF (TRIC),159.67,95.8,27.14,7411.0,36
CPT,G0413,HC PELVIC RING FRACTURE,5152.56,3091.54,875.94,17722.46,55
CPT,G0416,HC SURG PATH PROSTATE BX 10-20 SPECIMENS,1023.51,614.11,35.0,7411.0,55
CPT,G0424,"HC PULMONARY REHAB INCL EXERCISE,",287.52,172.51,48.88,7411.0,39
CPT,G0455,HC PREPARATION FECAL MICROBIOTA,1495.78,897.47,254.28,7411.0,108
CPT,G0463,HC HOSPITAL OUTPT CLINIC VISIT,325.0,195.0,55.25,7411.0,40
CPT,G0463,HC HOSPITAL OUTPT CLINIC VISIT TECH/NURSE,325.0,195.0,55.25,7411.0,40
CPT,G0463,HC LACTATION CONSULT,325.0,195.0,55.25,7411.0,40
CPT,G0463,HC LEVEL 1 TECH/NURSE,325.0,195.0,55.25,7411.0,40
CPT,G0463,HC LEVEL 2 TECH/NURSE,206.58,123.95,35.12,7411.0,40
CPT,G0463,HC LEVEL 3 TECH/NURSE,325.0,195.0,55.25,7411.0,40
CPT,G0463,HC LEVEL 4 TECH/NURSE,249.98,149.99,42.5,7411.0,40
CPT,G0463,HC OB EXAM LVL 1,187.8,112.68,31.93,7411.0,53
CPT,G0463,HC OB EXAM LVL 2,206.58,123.95,35.12,7411.0,53
CPT,G0463,HC OB EXAM LVL 3,227.26,136.36,38.63,7411.0,53
CPT,G0463,HC OB EXAM LVL 4,249.98,149.99,42.5,7411.0,53
CPT,G0463,HC OB EXAM LVL 5,275.0,165.0,46.75,7411.0,53
CPT,G0463,HC OFFICE/OUTPATIENT VISIT LVL1,325.0,195.0,55.25,7411.0,40
CPT,G0463,HC OFFICE/OUTPATIENT VISIT LVL2,325.0,195.0,55.25,7411.0,40
CPT,G0463,HC OFFICE/OUTPATIENT VISIT LVL3,325.0,195.0,55.25,7411.0,40
CPT,G0463,HC OFFICE/OUTPATIENT VISIT LVL4,325.0,195.0,55.25,7411.0,40
CPT,G0463,HC OFFICE/OUTPATIENT VISIT LVL5,325.0,195.0,55.25,7411.0,40
CPT,G0463,HC PEG TUBE REMOVAL IF ORIGINAL WAS NOT PLACED BY BSWH,302.5,181.5,51.42,7411.0,40
CPT,G0463,HC POST-OP VISIT,325.0,195.0,55.25,7411.0,40
CPT,G0463,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,,,129.73,751.23,23
CPT,G0465,HC AUTOLOG PRP DIAB WOUND ULCER,3778.4,2267.04,642.33,7411.0,55
CPT,G0475,"HC HIV COMBO ASSAY, SCREENING",48.16,28.9,8.19,7411.0,55
CPT,G0480,HC ALCOHOLS BIOMARKERS 1 OR 2,253.96,152.38,10.0,7411.0,55
CPT,G0480,HC BENZODIAZEPINES BY LC/MS (U),253.96,152.38,10.0,7411.0,55
CPT,G0480,HC CHG DRUG SCREENING STIMULANTS SYNTHETIC,253.96,152.38,10.0,7411.0,55
CPT,G0480,HC CHG DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3,253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, ALKALOIDS (NICOTINE)",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, AMPHETAMINES 1-2",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, AMPHETAMINES 5+",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, ANABOLIC STEROIDS",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, ANALGESICS NON-OPIOD (SALICYLATE)",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, ANTIDEPRESSANT (AMPHETAMINES)",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, ANTIDEPRESSANT (AMYTRIPTYLINE)",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, ANTIDEPRESSANT (DESIPRAMINE)",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, ANTIDEPRESSANT (TRICYCLIC OTHER)",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, ANTIDEPRESSANTS, OTHER",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, BARBITURATES",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, BENZODIAZEPINES",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, CANNABINOIDS",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, COCAINE",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, FENTANYL",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, METHADONE",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, OPIATES",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC DEFINITIVE TEST, OXYCODONE",253.96,152.38,10.0,7411.0,55
CPT,G0480,HC DRUG TEST DEF 2-7 CLASSES,253.96,152.38,10.0,7411.0,1540
CPT,G0480,HC OPIATE MONITORING PANEL,253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC OPIATES CONFIRMATION, URINE",253.96,152.38,10.0,7411.0,55
CPT,G0480,"HC REF ARUP 0092570, FENTANYL & METABOLITE, QUANT",114.43,68.66,10.0,7411.0,55
CPT,G0480,"HC REF ARUP, 2013014 MITOTANE SERUM/PLASMA",359.63,215.78,10.0,7411.0,55
CPT,G0480,"HC REF ARUP, 3005636 (18) HYPOGLYCEMIA PANEL (SULFONYLUREAS), S/P",336.0,201.6,10.0,7411.0,55
CPT,G0480,"HC REF ARUP, 3005860 TRAZODONE",117.76,70.66,10.0,7411.0,55
CPT,G0480,"HC REF MAYO, FLEVA LEVAMISOLE URINE",577.5,346.5,10.0,7411.0,55
CPT,G0482,HC REF MAYO CSMEU COMP CPT G0482,339.95,203.97,10.0,7411.0,55
CPT,G0483,HC DRUG TEST DEF 22+ CLASSES,799.33,479.6,10.0,7411.0,55
CPT,G0491,HC OP ACUTE HEMODIALYSIS TREATMENT,1500.0,900.0,255.0,7411.0,39
CPT,G0500,"HC MOD CONS SED BY SAME PHYS, GI, >5YRS, 1ST 15 MIN",625.57,375.34,17.71,7411.0,39
CPT,G0512,HC COCM BY RHC/FQHC 60 MIN MO,145.21,87.13,24.69,7411.0,39
CPT,G2066,HC INTERROGATE DVCE EVALUATE - UP TO 30,393.97,236.38,66.97,7411.0,39
CPT,G2082,HC VISIT ESKETAMINE 56M OR LESS,1301.0,780.6,221.17,7411.0,41
CPT,G2083,"HC VISIT ESKETAMINE, > 56M",1849.9,1109.94,314.48,7411.0,41
CPT,G2170,HC PERCUTANEOUS AV FISTULA CREATION BY TISSUE W THERMAL E,28350.0,17010.0,4819.5,24097.5,37
CPT,G2171,HC PERCUTANEOUS AV FISTULA CREATION USE MAGNETIC/ART/VEN,26892.5,16135.5,4571.73,22858.62,37
CPT,G2214,HC  INIT/SUB PSYCH CARE M 1ST 30,149.74,89.84,25.46,7411.0,55
CPT,G8978,HC FL-MOBILITY - WALK/MOVE  CURRENT STATUS (G8978),0.01,0.01,0.0017,7411.0,80
CPT,G8979,HC FL-MOBILITY - WALK/MOVE GOAL STATUS (G8979),0.01,0.01,0.0017,7411.0,80
CPT,G8980,HC FL-MOBILITY - WALK/MOVE DISCHARGE STATUS (G8980),0.01,0.01,0.0017,7411.0,80
CPT,G8981,HC FL-CHANGE/MAINTAIN BODY POSTN - CURRENT STAT (G8981),0.01,0.01,0.0017,7411.0,80
CPT,G8982,HC FL-CHANGE/MAINTAIN BODY POSTN - GOAL STATUS (G8982),0.01,0.01,0.0017,7411.0,80
CPT,G8983,HC FL-CHANGE/MAINTAIN BODY POSTN - DISCHARGE ST (G8983),0.01,0.01,0.0017,7411.0,80
CPT,G8984,HC FL-CARRY/MOVE/HANDLE OBJECT - CURRENT STATU (G8984),0.01,0.01,0.0017,7411.0,40
CPT,G8984,HC FL-CARRY/MOVE/HANDLE OBJECTS - CURRENT STAT (G8984),0.01,0.01,0.0017,7411.0,40
CPT,G8985,HC FL-CARRY/MOVE/HANDLE OBJECS - GOAL STATUS (G8985),0.01,0.01,0.0017,7411.0,40
CPT,G8985,HC FL-CARRY/MOVE/HANDLE OBJECTS - GOAL STATUS (G8985),0.01,0.01,0.0017,7411.0,40
CPT,G8986,HC FL-CARRY/MOVE/HANDLE OBJECTS - DISCHARGE STA (G8986),0.01,0.01,0.0017,7411.0,80
CPT,G8987,HC FL-SELF CARE - CURRENT STATUS (G8987),0.01,0.01,0.0017,7411.0,80
CPT,G8988,HC FL-SELF CARE - GOAL STATUS (G8988),0.01,0.01,0.0017,7411.0,80
CPT,G8989,HC FL-SELF CARE - DISCHARGE STATUS (G8989),0.01,0.01,0.0017,7411.0,80
CPT,G8990,HC FL-OTHER PT/OT PRIMARY FUNCT - CURRENT STA (G8990),0.01,0.01,0.0017,7411.0,80
CPT,G8991,HC FL-OTHER PT/OT PRIMARY FUNCT - GOAL STATUS (G8991),0.01,0.01,0.0017,7411.0,80
CPT,G8992,HC FL-OTHER PT/OT PRIMARY FUNCT - DISCHARGE STA (G8992),0.01,0.01,0.0017,7411.0,80
CPT,G8993,HC FL-OTHER PT/OT SECNDRY FUNCT - CURRENT STA (G8993),0.01,0.01,0.0017,7411.0,80
CPT,G8994,HC FL-OTHER PT/OT SECNDRY FUNCT - GOAL STATUS (G8994),0.01,0.01,0.0017,7411.0,80
CPT,G8995,HC FL-OTHER PT/OT SECNDRY FUNCT - DISCHARGE STA (G8995),0.01,0.01,0.0017,7411.0,80
CPT,G8996,HC FL-SWALLOW FUNCTION - CURRENT STATUS (G8996),0.01,0.01,0.0017,7411.0,40
CPT,G8997,HC FL-SWALLOW FUNCTION - GOAL STATUS (G8997),0.01,0.01,0.0017,7411.0,40
CPT,G8998,HC FL-SWALLOW FUNCTION - DISCHARGE STATUS (G8998),0.01,0.01,0.0017,7411.0,40
CPT,G8999,HC FL-MOTOR SPEECH FUNCT - CURRENT STATUS (G8999),0.01,0.01,0.0017,7411.0,40
CPT,G9158,HC FL-MOTOR SPEECH FUNCT - DISCHARGE STATUS (G9158),0.01,0.01,0.0017,7411.0,40
CPT,G9159,HC FL-SPOKEN LANG COMP - CURRENT STATUS (G9159),0.01,0.01,0.0017,7411.0,40
CPT,G9160,HC FL-SPOKEN LANG COMP - GOAL STATUS (G9160),0.01,0.01,0.0017,7411.0,40
CPT,G9161,HC FL-SPOKEN LANG COMP - DISCHARGE STAT (G9161),0.01,0.01,0.0017,7411.0,40
CPT,G9162,HC FL-SPOKEN LANG EXPRESS - CURRENT STATUS (G9162),0.01,0.01,0.0017,7411.0,40
CPT,G9163,HC FL-SPOKEN LANGU EXPRESS - GOAL STATUS (G9163),0.01,0.01,0.0017,7411.0,40
CPT,G9164,HC FL-SPOKEN LANGEXPRESS - DISCHARGE STATU (G9164),0.01,0.01,0.0017,7411.0,40
CPT,G9165,HC FL-ATTENTION FUNCT - CURRENT STATUS (G9165),0.01,0.01,0.0017,7411.0,40
CPT,G9166,HC FL-ATTENTION FUNCT - GOAL STATUS (G9166),0.01,0.01,0.0017,7411.0,40
CPT,G9167,HC FL-ATTENTION FUNCT - DISCHARGE STATUS (G9167),0.01,0.01,0.0017,7411.0,40
CPT,G9168,HC FL-MEMORY FUNCTION - CURRENT STATUS (G9168),0.01,0.01,0.0017,7411.0,40
CPT,G9169,HC FL-MEMORY FUNCTION - GOAL STATUS (G9169),0.01,0.01,0.0017,7411.0,40
CPT,G9170,HC FL-MEMORY FUNCTION - DISCHARGE STATUS (G9170),0.01,0.01,0.0017,7411.0,40
CPT,G9171,HC FL-VOICE FUNCTION - CURRENT STATUS (G9171),0.01,0.01,0.0017,7411.0,40
CPT,G9172,HC FL-VOICE FUNCTION - GOAL STATUS (G9172),0.01,0.01,0.0017,7411.0,40
CPT,G9173,HC FL-VOICE FUNCTION - DISCHARGE STATUS (G9173),0.01,0.01,0.0017,7411.0,40
CPT,G9174,HC FL-OTHER SPEECH LANG PATH - CURRENT STATUS (G9174),0.01,0.01,0.0017,7411.0,40
CPT,G9175,HC FL-OTHER SPEECH LANG PATH - GOAL STATUS (G9175),0.01,0.01,0.0017,7411.0,40
CPT,G9176,HC FL-OTHER SPEECH LANG PATH - DISCHARGE STATUS (G9176),0.01,0.01,0.0017,7411.0,40
CPT,G9186,HC FL-MOTOR SPEECH FUNCT - GOAL STATUS (G9186),0.01,0.01,0.0017,7411.0,40
CPT,J1100,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1 MG",,,0.121,0.121,1
CPT,J2704,"INJECTION, PROPOFOL, 10 MG",,,0.1012,0.1012,3
CPT,J2790,HC RHOGAM INJ,256.75,154.05,43.65,7411.0,42
CPT,J2795,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG",,,0.0506,0.0506,1
CPT,J3590,HC OPENBIOME STOOL FOR FMT,5761.31,3456.79,979.42,7411.0,41
CPT,J7030,HC NORMAL SALINE 1000CC IV,31.44,18.86,2.4,7411.0,41
CPT,J7297,"LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM (LILETTA), 52 MG",,,,,0
CPT,J7298,"LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM (MIRENA), 52 MG",,,,,0
CPT,J8501,"APREPITANT, ORAL, 5 MG",,,2.63,2.63,1
CPT,L0120,"HC CO COLLAR, FOARM:FLEX (MILLER BRACE)",134.76,80.86,22.91,107.81,57
CPT,L0120,HC MJC OCCIAN CERVICAL BRACE,804.05,482.43,136.69,643.24,57
CPT,L0172,HC CO COLLAR - PHIL (MILLER BRACE),477.28,286.37,81.14,381.82,57
CPT,L0174,HC CTO COLLAR W/EXT (MILLER BRACE),1081.32,648.79,183.82,7411.0,39
CPT,L0174,HC MIAMI J PAD,347.49,208.49,59.07,277.99,57
CPT,L0174,"HC TRANSITIONAL 172 COLLAR SET, ADULT REGULAR",193.13,115.88,32.83,154.5,57
CPT,L0174,"HC TRANSITIONAL 172 COLLAR SET, ADULT SHORT",193.13,115.88,32.83,154.5,57
CPT,L0174,"HC TRANSITIONAL 172 COLLAR SET, ADULT TALL",193.13,115.88,32.83,154.5,57
CPT,L0174,"HC TRANSITIONAL 172 COLLAR SET, ADULT XTALL",193.13,115.88,32.83,154.5,57
CPT,L0174,"HC TRANSITIONAL 172 COLLAR SET, CHILD REGULAR",203.92,122.35,34.67,163.14,57
CPT,L0174,"HC TRANSITIONAL 172 COLLAR SET, CHILD SHORT",203.92,122.35,34.67,163.14,57
CPT,L0174,"HC TRANSITIONAL 172 COLLAR SET, CHILD TOT",203.92,122.35,34.67,163.14,57
CPT,L0174,"HC TRANSITIONAL 172 COLLAR SET, INFANT REGULAR",203.92,122.35,34.67,163.14,57
CPT,L0174,"HC TRANSITIONAL 172 COLLAR SET, INFANT SHORT",203.92,122.35,34.67,163.14,57
CPT,L0174,"HC VISTA COLLAR SET, ADULT, UNIV",258.97,155.38,44.02,207.18,57
CPT,L0174,"HC VISTA COLLAR, ADULT",223.2,133.92,37.94,178.56,57
CPT,L0174,"HC VISTA COLLAR, REPL PADS, ADULT",109.35,65.61,18.59,87.48,57
CPT,L0174,"HC XTEND 174 CLR W/REPL.PAD,PED 0",280.49,168.29,47.68,224.39,57
CPT,L0174,"HC XTEND 174 CLR W/REPL.PAD,PED 1",272.16,163.3,46.27,217.73,57
CPT,L0174,"HC XTEND 174 CLR W/REPL.PAD,PED 2",272.16,163.3,46.27,217.73,57
CPT,L0174,"HC XTEND 174 CLR W/REPL.PAD,PED 3",214.88,128.93,36.53,171.9,57
CPT,L0174,"HC XTEND 174 COLLAR, PED 0",254.1,152.46,43.2,203.28,57
CPT,L0174,"HC XTEND 174 COLLAR, PED 1",254.28,152.57,43.23,203.42,57
CPT,L0174,"HC XTEND 174 COLLAR,L",214.88,128.93,36.53,171.9,57
CPT,L0174,"HC XTEND 174 COLLAR,M",214.88,128.93,36.53,171.9,57
CPT,L0174,"HC XTEND 174 COLLAR,PED 2",254.28,152.57,43.23,203.42,57
CPT,L0174,"HC XTEND 174 COLLAR,PED,3",214.88,128.93,36.53,171.9,57
CPT,L0174,"HC XTEND 174 COLLAR,S",214.88,128.93,36.53,171.9,57
CPT,L0174,"HC XTEND 174 COLLAR,STOUT",214.88,128.93,36.53,171.9,57
CPT,L0174,"HC XTEND 174 COLLAR,W/REPL.PAD,L",247.95,148.77,42.15,198.36,57
CPT,L0174,"HC XTEND 174 COLLAR,W/REPL.PAD,M",247.95,148.77,42.15,198.36,57
CPT,L0174,"HC XTEND 174 COLLAR,W/REPL.PAD,S",247.95,148.77,42.15,198.36,57
CPT,L0174,"HC XTEND 174 COLLAR,W/REPL.PAD,STOUT",247.95,148.77,42.15,198.36,57
CPT,L0174,"HC XTEND 174 COLLAR,W/REPL.PAD,XS",272.16,163.3,46.27,217.73,57
CPT,L0174,"HC XTEND 174 REPL. PAD SET, PED 1",86.2,51.72,14.65,68.96,57
CPT,L0174,"HC XTEND 174 REPL.PAD SET,PED 2",86.2,51.72,14.65,68.96,57
CPT,L0174,"HC XTEND 174 REPL.PAD SET,PED 3",96.58,57.95,16.42,77.26,57
CPT,L0174,"HC XTEND 174 REPL.PAD,SET ADULT",86.2,51.72,14.65,68.96,57
CPT,L0174,HC XTEND 174 SUPER SHORT COLLAR,250.88,150.53,42.65,200.7,57
CPT,L0174,HC XTEND 174 SUPER SHORT W/REPL PAD,214.88,128.93,36.53,171.9,57
CPT,L0200,HC CERVCL THORC MIAMI JTO,869.0,521.4,147.73,695.2,57
CPT,L0200,"HC CTO COLLAR,ADJ POST W/EXT (MILLER BRACE)",1512.72,907.63,257.16,1210.18,57
CPT,L0460,HC TLSO 2MOD SYMPHYSIS-STERN PRE (MILLER BRACE),2558.58,1535.15,434.96,2046.86,57
CPT,L0464,"HC DONJOY BACK BRACE II TLSO , L (LAW256427)",1157.82,694.69,196.83,926.26,57
CPT,L0464,"HC DONJOY BACK BRACE II TLSO , XL (LAW256430)",1157.82,694.69,196.83,926.26,57
CPT,L0464,"HC DONJOY BACK BRACE II TLSO, 2XL",1157.82,694.69,196.83,926.26,57
CPT,L0464,"HC DONJOY BACK BRACE II TLSO, M (LAW256426)",1157.82,694.69,196.83,926.26,57
CPT,L0464,"HC DONJOY BACK BRACE II TLSO, S (LAW256418)",1157.82,694.69,196.83,926.26,57
CPT,L0464,HC TLSO 4 RIGID PLASTIC SHELL PRE (MILLER BRACE),4388.11,2632.87,745.98,3510.49,57
CPT,L0466,HC TLSO RIGID FRAME PRE SOFT AP (MILLER BRACE),1087.26,652.36,184.83,869.81,57
CPT,L0470,HC TLSO - ARNOLD/KOSAIR (MILLER BRACE),2436.5,1461.9,414.2,1949.2,57
CPT,L0472,HC TLSO HYPREXTN - JEWETT/CASH (MILLER BRACE),1130.34,678.2,192.16,904.27,57
CPT,L0482,HC TLSO B-JCKT W/PD=MOLD (MILLER BRACE),4245.35,2547.21,721.71,3396.28,57
CPT,L0484,HC TLSO BODY JACKT=2 PC:MOLD (MILLER BRACE),3911.93,2347.16,665.03,3129.54,57
CPT,L0486,HC TLSO B-JCKT W/PD=2PC:MOLD (MILLER BRACE),5265.8,3159.48,895.19,4212.64,57
CPT,L0491,HC BACK BRACE TSLO II 2XL (LAW531701),949.89,569.93,161.48,759.91,57
CPT,L0631,HC LSP SAG-CORO RIGID FRAME PRE (MILLER BRACE),3776.35,2265.81,641.98,3021.08,57
CPT,L0635,HC LSO SAGIT RIGID PANEL PREFAB (MILLER BRACE),2521.88,1513.13,428.72,2017.5,57
CPT,L0637,HC LSO SAG-CORONAL PANEL PREFAB (LAW267046),4235.0,2541.0,719.95,3388.0,57
CPT,L0650,"HC EXOS FORM II 637, L/XL (LAW259432)",723.64,434.18,123.02,578.91,57
CPT,L0650,"HC EXOS FORM II 637, S/M",723.64,434.18,123.02,578.91,57
CPT,L0650,HC LUMBAR-SACRAL ORTHOSIS EVERGREEN 637 L/XL (LAW258526),771.2,462.72,131.1,616.96,57
CPT,L0700,HC CTLSO - MINERVA:MOLD (MILLER BRACE),5635.54,3381.32,958.04,7411.0,39
CPT,L0810,HC CTO - HALO W/JACKET (MILLER BRACE),6028.67,3617.2,1024.87,4822.94,57
CPT,L0820,HC CTO - HALO W/PLASTER JCKT (MILLER BRACE),5085.52,3051.31,864.54,4068.42,57
CPT,L0830,HC CTO - HALO W/MILWAUKEE (MILLER BRACE),9216.06,5529.64,1566.73,7372.85,57
CPT,L1680,HC HO ABD - RANCHO:CSTFAB (MILLER BRACE),3170.65,1902.39,539.01,2536.52,57
CPT,L1686,"HC HO ABD, POST-OP:CSTFIT (MILLER BRACE)",2250.0,1350.0,382.5,1800.0,57
CPT,L1820,"HC KO ELAST W/COND PAD, W/JT (MILLER BRACE)",487.24,292.34,82.83,389.79,57
CPT,L1830,"HC KNEE ORTHOSIS, IMMOBILIZER, CANVAS LONGITUDINAL",133.0,79.8,22.61,106.4,57
CPT,L1832,"HC KO POSITION,ADJ/JT:CSTFIT (MILLER BRACE)",2093.44,1256.06,355.88,1674.75,57
CPT,L1902,HC ASO ANKLE STABILIZER EVO,263.54,158.12,44.8,210.83,57
CPT,L1906,"HC AFO SUPT,MULTILIGM:PREFAB (MILLER BRACE)",407.28,244.37,69.24,325.82,57
CPT,L1930,HC AFO PLSTC:CSTFIT (MILLER BRACE),801.15,480.69,136.2,640.92,57
CPT,L1930,HC BRACE PROCARE WALKING POST OP UNIVERSAL ADULT BILATERAL (LAW220048),169.26,101.56,28.77,135.41,57
CPT,L1930,HC SPLINT POST ANKLE LFT LG (LAW232854),98.97,59.38,16.82,79.18,57
CPT,L1930,HC SPLINT POST ANKLE LT MED (LAW232853),98.97,59.38,16.82,79.18,57
CPT,L1930,HC SPLINT POST ANKLE LT SM CARDINAL (LAW233104),100.73,60.44,17.12,80.58,57
CPT,L1930,HC SPLINT POST ANKLE RT LG (LAW232857),98.97,59.38,16.82,79.18,57
CPT,L1930,HC SPLINT POST ANKLE RT MED (LAW232856),98.97,59.38,16.82,79.18,57
CPT,L1930,HC SPLINT POST ANKLE RT SM CARDINAL (LAW511690),100.23,60.14,17.04,80.18,57
CPT,L1940,HC AFO POSTRIOR LEAF SPRING L1940,189.96,113.98,32.29,151.97,57
CPT,L1951,HC AFO SPIRAL PREFABRICATED (MILLER BRACE),2188.44,1313.06,372.03,1750.75,57
CPT,L2020,HC KAFO W/2 JT:CSTFAB:BASE (MILLER BRACE),2768.02,1660.81,470.56,2214.42,57
CPT,L2128,"HC KAFO-FX, PLASTIC:MOLD (MILLER BRACE)",3774.58,2264.75,641.68,3019.66,57
CPT,L2136,HC KAFO FEMORAL FX CAST RIGID (MILLER BRACE),2836.57,1701.94,482.22,2269.26,57
CPT,L2200,"HC O+L A-JT, LIMITED=EA (MILLER BRACE)",268.32,160.99,45.61,214.66,57
CPT,L2210,"HC O+L A-JT, SINGLE ADJ=EA (MILLER BRACE)",284.55,170.73,48.37,227.64,57
CPT,L2250,"HC O+L-F PLATE, STIRRUP:MOLD (MILLER BRACE)",902.54,541.52,153.43,722.03,57
CPT,L2270,HC O+L-A VARUS/VALGUS STRAP (MILLER BRACE),227.35,136.41,38.65,181.88,57
CPT,L2320,HC O+L-C LACER=EA:CSTFAB (MILLER BRACE),600.0,360.0,102.0,480.0,57
CPT,L2330,HC O+L-C LACER=EA:MOLD (MILLER BRACE),1057.02,634.21,179.69,845.62,57
CPT,L2405,HC O+L K-JT DROP LOCK=EA (MILLER BRACE),375.0,225.0,63.75,300.0,57
CPT,L2624,HC O+L H-JT ADJ FLEX/ABD=EA (MILLER BRACE),903.12,541.87,153.53,722.5,57
CPT,L2820,"HC O+L-C PLSTC, FOAM LINER (MILLER BRACE)",367.6,220.56,62.49,294.08,57
CPT,L2830,"HC O+L-T-PLSTC, FOAM LINER (MILLER BRACE)",375.0,225.0,63.75,300.0,57
CPT,L3002,HC FO-INSRT - PLASTZOT:MOLD=EA (MILLER BRACE),588.04,352.82,99.97,470.43,57
CPT,L3002,HC FOOT INSERT PLASTOZOTE L003,609.13,365.48,103.55,487.3,57
CPT,L3215,"HC SHOE,ORTHOPAEDIC, LDY (MILLER BRACE)",129.47,77.68,22.01,103.58,57
CPT,L3224,"HC SHOE,ORTHO, WOMEN (MILLER BRACE)",248.95,149.37,42.32,199.16,57
CPT,L3225,"HC SHOE,ORTHO,MEN (MILLER BRACE)",291.85,175.11,49.61,233.48,57
CPT,L3250,HC ORTHO SHOE REMEDY PRO L (LAW266259),64.57,38.74,10.98,51.66,57
CPT,L3250,HC ORTHO SHOE REMEDY PRO M (LAW261628),64.57,38.74,10.98,51.66,57
CPT,L3250,HC ORTHO SHOE REMEDY PRO XL (LAW233719),64.57,38.74,10.98,51.66,57
CPT,L3260,HC BOOT MULTI PODUS SM-XL,383.04,229.82,65.12,7411.0,39
CPT,L3330,"HC O+SHOE EVEL,METL SKATE=IN (MILLER BRACE)",1545.5,927.3,262.74,1236.4,57
CPT,L3332,"HC O+SHOE EVEL,INSIDE""=1/2IN (MILLER BRACE)",335.7,201.42,57.07,268.56,57
CPT,L3340,"HC O+SHOE WEDGE, HEEL - SACH (MILLER BRACE)",375.0,225.0,63.75,300.0,57
CPT,L3650,HC SHOULDER ORTHOSIS,246.0,147.6,41.82,196.8,57
CPT,L3670,HC SHOULDER IMMOBILIZER L3670,168.0,100.8,28.56,134.4,57
CPT,L3730,HC ELBOW SPLINT SECURESLEEVE M (LAW136668),71.1,42.66,12.09,56.88,57
CPT,L3730,HC ELBOW SPLINT SECURESLEEVE SM (LAW136669),66.51,39.91,11.31,53.21,57
CPT,L3760,"HC EO WITH JOINT, PREFABRICATED (MILLER BRACE)",580.48,348.29,98.68,7411.0,39
CPT,L3763,HC CUSTOM MADE ELBOW WRIST HAND ORTHOSIS W/O JNTS (L3763),1469.16,881.5,249.76,1175.33,57
CPT,L3806,HC WHFO W/JOINT(S) CUSTOM FAB (L3806),776.46,465.88,132.0,621.17,57
CPT,L3808,HC CUSTOM MADE WRIST HAND FINGER W/O JNTS (L3808),701.26,420.76,119.21,561.01,57
CPT,L3908,HC 10' UNIV WRIST/FOREARM SUPP- LEFT,30.19,18.11,5.13,24.15,57
CPT,L3908,HC 10' UNIV WRIST/FOREARM SUPP-RIGHT,30.19,18.11,5.13,24.15,57
CPT,L3908,HC 7' UNIV WRIST SUPPORT/LEFT,29.58,17.75,5.03,23.66,57
CPT,L3908,HC 7' UNIV WRIST SUPPORT/RIGHT,29.58,17.75,5.03,23.66,57
CPT,L3908,HC QUICK FIT SHOULDER IMMOBILIZER W/ 15' ABDUCTION PILLOW,172.08,103.25,29.25,137.66,57
CPT,L3908,"HC QUICK FIT WRIST, XL/UNIV,LT",47.07,28.24,8.0,37.66,57
CPT,L3908,"HC QUICK FIT WRIST, XL/UNIV,RT",47.07,28.24,8.0,37.66,57
CPT,L3908,"HC QUICK FIT WRIST,UNIV,LT",47.07,28.24,8.0,37.66,57
CPT,L3908,"HC QUICK FIT WRIST,UNIV,RT",47.07,28.24,8.0,37.66,57
CPT,L3908,HC WHO W-SUPT - COCK-UP:CANVAS (MILLER BRACE),248.2,148.92,42.19,198.56,57
CPT,L3919,HC HO W/O JOINTS CF (L3919),375.0,225.0,63.75,300.0,57
CPT,L3929,"HC WHO FINGR-EXT,DORSL SPRNG (MILLER BRACE)",375.0,225.0,63.75,300.0,57
CPT,L3982,HC EWHO-FX RADL/ULNAR:CSTFIT (MILLER BRACE),1032.48,619.49,175.52,825.98,57
CPT,L4360,HC BRACE WALKING DJO MAXTRAX AIR LG (LAW232905),182.05,109.23,30.95,145.64,57
CPT,L4360,HC BRACE WALKING DJO MAXTRAX AIR MED (LAW232904),182.05,109.23,30.95,145.64,57
CPT,L4360,HC BRACE WALKING DJO MAXTRAX AIR SM (LAW232903),185.33,111.2,31.51,148.26,57
CPT,L4360,HC BRACE WALKING POST OP L (LAW246411),231.24,138.74,39.31,184.99,57
CPT,L4360,HC BRACE WALKING POST OP M (LAW246410),231.24,138.74,39.31,184.99,57
CPT,L4360,HC BRACE WALKING POST OP XL (LAW246412),228.36,137.02,38.82,182.69,57
CPT,L4387,"HC MINITRAX, L",232.0,139.2,39.44,185.6,57
CPT,L4387,"HC MINITRAX, M",232.0,139.2,39.44,185.6,57
CPT,L4387,"HC MINITRAX, S",232.0,139.2,39.44,185.6,57
CPT,L4387,"HC PRO-STEP WALKER,LARGE",125.84,75.5,21.39,100.67,57
CPT,L4387,"HC PRO-STEP WALKER,MEDIUM",125.84,75.5,21.39,100.67,57
CPT,L4387,"HC PRO-STEP WALKER,SMALL",125.84,75.5,21.39,100.67,57
CPT,L4387,"HC XCELTRAX, LARGE",131.86,79.12,22.42,105.49,57
CPT,L4387,"HC XCELTRAX, MEDIUM",131.86,79.12,22.42,105.49,57
CPT,L4387,"HC XCELTRAX, PED/XS",131.86,79.12,22.42,105.49,57
CPT,L4387,"HC XCELTRAX, SMALL",131.86,79.12,22.42,105.49,57
CPT,L4387,"HC XCELTRAX, X-LARGE",137.37,82.42,23.35,109.9,57
CPT,L4396,HC ANKLE/FOOT ORTHOSIS NIGHT SPLINT SM (LAW314376),218.98,131.39,37.23,175.18,57
CPT,L5450,HC BKP RIGID DRESS:IMDFIT (MILLER BRACE),1469.91,881.95,249.88,1175.93,57
CPT,L8420,"HC P+ SOCK,BELOW KNEE=EA (MILLER BRACE)",96.48,57.89,16.4,77.18,57
CPT,L8500,HC STANDARD VOICE PROSTHESIS,127.0,76.2,21.59,101.6,57
CPT,L8501,HC SPEAKING VALVE AQUA 15X22MM,565.61,339.37,96.15,452.49,57
CPT,L8501,HC SPEAKING VALVE PURPLE 15X23MM,557.52,334.51,94.78,446.02,57
CPT,L8501,HC TRACHEOSTOMY SPEAKING VALVE,439.0,263.4,74.63,351.2,57
CPT,L8509,HC PROVOX 2 VOICE PROSTH,1476.52,885.91,251.01,1181.22,57
CPT,L8509,"HC PROVOX ACTIVALVE LIGHT, STRONG, XTRA STRONG (ALL SIZES)",4401.71,2641.03,748.29,3521.37,57
CPT,L8509,HC PROVOX VEGA VOICE PROSTH,1296.22,777.73,220.36,1036.98,57
CPT,L8606,HC BULKAMID PER 2 ML W/ NEEDLE (LAW535243),2436.5,1461.9,414.2,1949.2,55
CPT,L8606,HC COAPTITE 1ML W/ RIGID NEEDLE (LAW205179),2128.53,1277.12,361.85,1702.82,55
CPT,L8606,HC DURASPHERE SYRINGE 1 ML,1145.16,687.1,194.68,916.13,55
CPT,L8606,HC MACROPLASTIQUE SOFT TISSUE BULKING AGENT,2375.84,1425.5,403.89,1900.67,55
CPT,L8681,HC ACCESS REVIEW,4871.04,2922.62,828.08,7411.0,29
CPT,L8692,HC NON OSSEOINTEGRATED PROC BAHA SOFTBAND,6358.88,3815.33,1081.01,5087.1,57
CPT,M0220,HC INJ TIXAGEV AND CILGAV AND POST ADMIN MNITRING,301.0,180.6,51.17,7411.0,40
CPT,M0222,HC BEBTELOVIMAB INJ AND POST ADMIN MNITRING,701.0,420.6,119.17,7411.0,40
CPT,M0224,HC PEMIVIBART INFUSION,867.6,520.56,147.49,7411.0,55
CPT,M0239,"HC INTRAVENOUS INFUSION, BAMLANIVIMAB-XXXX, INCLUDES INFUSION AND POST ADMINISTRATION MONITORING",696.67,418.0,118.43,7411.0,39
CPT,M0240,"HC INTRVNS INFSN /SBCTNOUS INJCTN, CASIRIVIMAB AND IMDEVIMAB INCLUDES INFSN OR INJCTN, AND POST ADMINISTRATION MONITORING",900.0,540.0,153.0,7411.0,40
CPT,M0243,"HC INTRAVENOUS INFUSION, CASIRIVIMAB AND IMDEVIMAB INCLUDES INFUSION AND POST ADMINISTRATION MONITORING",900.0,540.0,153.0,7411.0,40
CPT,M0245,"HC INTRAVENOUS INFSN, BAMLANIVIMAB/ETESEVIMAB, INFSN & POST ADMIN MNITRING",900.0,540.0,153.0,7411.0,40
CPT,M0247,"HC INTRAVENOUS INFUSION, SOTROVIMAB, INCLUDES INFUSION AND POST ADMINISTRATION MONITORING",900.0,540.0,153.0,7411.0,40
CPT,M0249,HC INTRAVENOUS INFSN TOCILIZUMAB COVID-19 1ST DOSE,900.0,540.0,153.0,7411.0,55
CPT,M0250,HC INTRAVENOUS INFSN TOCILIZUMAB COVID-19 2ND DOSE,900.0,540.0,153.0,7411.0,55
CPT,P9010,"HC BLOOD(WHOLE),FOR TRANSFUSION U",813.2,487.92,138.24,7411.0,55
CPT,P9011,"HC BLOOD, SPLIT UNIT – LRBC",190.95,114.57,32.46,7411.0,55
CPT,P9012,"HC CRYOPRECIPITATE,EACH UNIT",241.3,144.78,41.02,7411.0,55
CPT,P9016,HC RBC LEUKOCYTE REDUCED,683.05,409.83,116.12,7411.0,55
CPT,P9016,HC REF RBC RARE BLOOD UNIT,1422.5,853.5,172.72,7411.0,55
CPT,P9017,HC PLASMA 1 DONOR FROZEN-JUMBO,273.6,164.16,46.51,7411.0,55
CPT,P9019,"HC PLATELETS, EACH UNIT",400.41,240.25,49.67,7411.0,55
CPT,P9021,HC RBC AUTOLOGOUS,690.55,414.33,117.39,7411.0,55
CPT,P9022,HC RED CELLS WASHED EACH UNI,972.8,583.68,165.38,7411.0,55
CPT,P9031,HC PLATELET RANDOM EACH UNIT,474.05,284.43,80.59,7411.0,55
CPT,P9033,HC LR-TRR PLT RANDOM,623.2,373.92,105.94,7411.0,55
CPT,P9034,"HC PLATELETS-PHERESIS,EA UNT",2100.6,1260.36,288.6,7411.0,55
CPT,P9035,HC PLATELETS APHERESIS,1925.65,1155.39,327.36,7411.0,55
CPT,P9035,HC PLATELETS APHERESIS W/BAC TESTING,2091.65,1254.99,355.58,7411.0,55
CPT,P9037,HC PLATE PHERES LEUKORED IRRAD,2146.05,1287.63,364.83,7411.0,55
CPT,P9037,HC PLATE PHERES LEUKORED IRRAD W/BAC TESTING,2312.05,1387.23,393.05,7411.0,55
CPT,P9038,HC RED BLOOD CELLS IRRADIATE,863.1,517.86,135.65,7411.0,55
CPT,P9039,"HC RED BLOOD CELLS,DEGLYCEROLIZED",1427.85,856.71,242.73,7411.0,55
CPT,P9040,HC RBC LEUKOREDUCED IRRADIATED,873.05,523.83,148.42,7411.0,55
CPT,P9044,"HC CRYOPRECIPITATE REDUCED PLASMA, EACH UNIT",287.96,172.78,48.95,7411.0,55
CPT,P9050,HC APH GRANULOCYTES IRR,6303.25,3781.95,1071.55,7411.0,39
CPT,P9051,HC PACKED RBC LR CMV NEG EA,836.48,501.89,141.59,7411.0,55
CPT,P9053,HC PLATELET PHER LR CMV NEG IRR,2024.4,1214.64,344.15,7411.0,55
CPT,P9055,HC PLT APHER PHER LR CMV NEG EA,1848.8,1109.28,233.99,7411.0,55
CPT,P9057,HC LR IRR RBC DEGL,1572.25,943.35,267.28,7411.0,55
CPT,P9058,HC RBC LR CMV NEG IRRAD EA,962.85,577.71,163.68,7411.0,55
CPT,P9059,HC FFP 8-24 HR EA,270.75,162.45,46.03,7411.0,55
CPT,P9073,HC PLATELETS PHERESIS PATH REDU,1371.0,822.6,233.07,7411.0,55
CPT,P9099,"HC CONVALESCENT PLASMA, MAYO PROTOCOL",0.01,0.01,0.0017,7411.0,55
CPT,P9100,HC PATHOGEN TEST FOR PLATELETS,49.84,29.9,8.47,7411.0,110
CPT,P9612,HC CATHETERIZE FOR URINE SPECIMEN,158.39,95.03,8.87,7411.0,55
CPT,Q0477,HC EVAHEART AC/DC ADAPTER AA310,1461.0,876.6,248.37,1168.8,57
CPT,Q0477,HC HEARTMATE 3 LVAD MODULAR CABLE,16825.05,10095.03,2860.26,13460.04,57
CPT,Q0477,HC POWER MODULE PATIENT CABLE 14 VOLT,4248.75,2549.25,722.29,3399.0,57
CPT,Q0478,HC AUTOMOBILE DC POWER CABLE,1096.43,657.86,186.39,877.14,58
CPT,Q0478,HC HW DC ADAPTER,4680.0,2808.0,795.6,3744.0,58
CPT,Q0479,HC HEARTMATE LVAD POWER MODULE,27192.0,16315.2,4622.64,21753.6,58
CPT,Q0481,HC EVAHEART CONTROLLER CONNECTION KIT CT320,1558.4,935.04,264.93,1246.72,58
CPT,Q0481,HC EVAHEART CONTROLLER CT310,14280.0,8568.0,2427.6,11424.0,58
CPT,Q0481,HC EVAHEART EMERGENCY CONTROLLER CT330,4235.0,2541.0,719.95,3388.0,58
CPT,Q0481,HC HMII SYSTEM CONTROLLER (POCKET CONTROLLER),18694.5,11216.7,3178.07,14955.6,58
CPT,Q0481,"HC SHELL Q0481, MICROPROCESSOR CONTROL UNIT FOR VAD",18694.5,11216.7,3178.07,14955.6,58
CPT,Q0482,HC EVAHEART CONTROLLER REPLACE,10782.02,6469.21,1832.94,8625.62,58
CPT,Q0482,HC EVAHEART CS LINE FLUSHING SET CS320,1948.0,1168.8,331.16,1558.4,58
CPT,Q0482,HC EVAHEART CSU CS310,6800.0,4080.0,1156.0,5440.0,58
CPT,Q0482,HC HM POCKET CONTROLLER,18694.5,11216.7,3178.07,14955.6,58
CPT,Q0482,HC HW CONTROLLER REPLACE,10782.02,6469.21,1832.94,8625.62,58
CPT,Q0486,HC HM II POWER MOD DC INP CABLE,675.0,405.0,114.75,540.0,58
CPT,Q0486,HC HM II POWER MOD PATIENT CABLE,2660.0,1596.0,452.2,2128.0,58
CPT,Q0489,HC HM II POWER MODULE REPLACE,27192.0,16315.2,4622.64,21753.6,58
CPT,Q0495,HC BRIOVAD BATTERY CHARGER (1) REPLACEMENT ONLY,26321.86,15793.12,4474.72,22373.58,36
CPT,Q0495,HC EVAHEART BATTERY CHARGER CH310,4240.0,2544.0,720.8,3392.0,58
CPT,Q0495,HC EVAHEART BATTERY CHARGER REPLACE,9895.42,5937.25,1682.22,7916.34,58
CPT,Q0495,HC HEARTWARE BATTERY CHARGER,24472.8,14683.68,4160.38,19578.24,58
CPT,Q0495,HC HM II UNIVERSAL BATTERY CHARGE,24472.8,14683.68,4160.38,19578.24,58
CPT,Q0495,HC HW BATTERY CHARGER REPLACE,9895.42,5937.25,1682.22,7916.34,58
CPT,Q0496,"HC HEARTMATE POWER MODULE BATTERY BACKUP, EA",555.3,333.18,94.4,444.24,58
CPT,Q0496,HC HM POWER MODULE BATTERY,375.0,225.0,63.75,300.0,58
CPT,Q0497,HC 14 VOLT BATTERY CLIP SET OF 2 (1 EA),2436.5,1461.9,414.2,1949.2,58
CPT,Q0497,HC HMII 14V LI-ION BAT CLIP REPLC,2860.0,1716.0,486.2,2288.0,58
CPT,Q0497,"HC SET,BATTERY CLIPS",4235.0,2541.0,719.95,3388.0,58
CPT,Q0498,HC EVAHEART PT PACK CARRY CASE RPL,1404.0,842.4,238.68,1123.2,58
CPT,Q0498,HC HEARTMATE BATTERY HOLSTER (POCKET CONTROLLER),1064.53,638.72,180.97,851.62,58
CPT,Q0498,HC HM II HOLSTER REPLACE,1185.0,711.0,201.45,948.0,58
CPT,Q0498,HC HOLSTER VEST REPLACEMENT-VAD,1924.84,1154.9,327.22,1539.87,58
CPT,Q0498,HC HW PT PACK CARRY CASE RPL,1404.0,842.4,238.68,1123.2,58
CPT,Q0498,HC HW SHOULDER PACK,1350.0,810.0,229.5,1080.0,58
CPT,Q0498,HC HW WAIST PACK,1275.0,765.0,216.75,1020.0,58
CPT,Q0499,HC BRIOVAD CARRY BAG (1) REPLACEMENT ONLY,1067.19,640.31,181.42,7411.0,36
CPT,Q0499,HC EVAHEART CARRYING BAG PS310,2436.5,1461.9,414.2,1949.2,58
CPT,Q0499,HC EVAHEART OUTER BELT PS31,1070.0,642.0,181.9,856.0,58
CPT,Q0499,HC HEARTMATE CONSOLIDATED BAG,1583.73,950.24,269.23,1266.98,58
CPT,Q0499,HC HM PC CONSOLDIATED BAG,975.0,585.0,165.75,780.0,58
CPT,Q0499,HC HM PC HOLSTER VEST,1185.0,711.0,201.45,948.0,58
CPT,Q0501,HC BRIOVAD SHOWER BAG (1) REPLACEMENT ONLY,701.71,421.03,119.29,7411.0,36
CPT,Q0501,HC EVAHEART DRIVELINE COVER PS280,535.0,321.0,90.95,428.0,58
CPT,Q0501,HC EVAHEART SHOWER COVER REPLACE,1395.99,837.59,237.32,1116.79,58
CPT,Q0501,HC HEARTMATE SHOWER BAG (EA),1212.75,727.65,206.17,970.2,58
CPT,Q0501,HC HM PC SHOWER BAG,1350.0,810.0,229.5,1080.0,58
CPT,Q0501,HC HW SHOWER COVER REPLACE,1395.99,837.59,237.32,1116.79,58
CPT,Q0506,HC 11 VOLT LI-ION POCKET CONTROLLER BATTERY,2695.0,1617.0,458.15,2156.0,58
CPT,Q0506,HC BRIOVAD CONTROLLER BATTERY (1) REPLACEMENT ONLY,2693.46,1616.08,457.89,7411.0,36
CPT,Q0506,HC BRIOVAD SYSTEM BATTERY (1) REPLACEMENT ONLY,2850.16,1710.1,484.53,7411.0,36
CPT,Q0506,HC EVAHEART EMERGENCY BATTERY BT320,3392.0,2035.2,576.64,2713.6,58
CPT,Q0506,HC EVAHEART EXTERNAL BATTERY BT310,4240.0,2544.0,720.8,3392.0,58
CPT,Q0506,HC EVAHEART LITHIUM ION BATTERY RPL,2250.0,1350.0,382.5,1800.0,58
CPT,Q0506,HC HM II 14-VOLT LI-ION BAT REPLC,8497.5,5098.5,1444.58,6798.0,58
CPT,Q0506,HC HM II 14-VOLT LI-ION BATTERY SET OF 4 (1 EA),2646.88,1588.13,449.97,2117.5,58
CPT,Q0506,HC HM PC BACKUP BATTERY,2436.5,1461.9,414.2,1949.2,58
CPT,Q0506,HC HW LITHIUM ION BATTERY RPL,2250.0,1350.0,382.5,1800.0,58
CPT,Q0508,HC BRIOVAD CONTROLLER AC MODULE (1) W/ IMP VENTRICULAR ASSIST DEV,29194.01,17516.41,4962.98,24814.91,36
CPT,Q0508,HC BRIOVAD CONTROLLER WITH BATTERY,19894.35,11936.61,3382.04,16910.2,36
CPT,Q0508,HC BRIOVAD MONITOR KIT,18001.1,10800.66,3060.19,15300.93,36
CPT,Q0508,HC BRIOVAD PATIENT SUPPORT KIT,68479.65,41087.79,6299.0,58207.7,36
CPT,Q0508,HC DRIVELINE MANAGEMENT SYS 1-VAD,123.0,73.8,20.91,98.4,57
CPT,Q0508,HC HEARTMATE POCKET CONTROLLER WEARABLE ACCESSORY KIT,828.41,497.05,140.83,662.73,57
CPT,Q0508,HC HEARTMATE POWER MODULE/AC CORD,242.9,145.74,41.29,194.32,57
CPT,Q0508,HC HEARTMATE STABILIZATION BELT,534.6,320.76,90.88,427.68,57
CPT,Q0508,HC HEARTMATE TRAVEL CASE,779.68,467.81,132.55,623.74,57
CPT,Q0508,HC HM II TRAVEL CASE,480.0,288.0,81.6,384.0,57
CPT,Q0508,HC HM PC ACCESSORY KIT,510.0,306.0,86.7,408.0,57
CPT,Q2041,HC YESCARTA (INCLUDING APHERESIS),2601654.52,1560992.71,6299.0,1951240.89,55
CPT,Q2042,HC KYMRIAH-ADULT (INCL APHERESIS),2303448.96,1382069.38,6299.0,1727586.72,53
CPT,Q2053,HC TECARTUS (INCLUDING APHERESIS),2383505.36,1430103.22,6299.0,1787629.02,55
CPT,Q2054,HC BREYANZI CAR T,2630508.07,1578304.84,6299.0,1972881.05,55
CPT,Q2055,HC ABECMA (INCLUDING APHERESIS),2573261.98,1543957.19,6299.0,1929946.49,55
CPT,Q2056,HC CARVYKTI (INCLUDING APHERESIS),2621787.28,1573072.37,6299.0,1966340.46,55
CPT,Q2057,HC TECELRA AUTOLEUCEL (INCLUDEING LEUKAPHERESIS),3541780.23,2125068.14,6299.0,2656335.17,55
CPT,Q2058,HC AUCATZYL (INCLUDING APHERESIS),2709484.0,1625690.4,6299.0,2032113.0,54
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT) OFFICE/OUTPATIENT VISIT LVL1,325.0,195.0,55.25,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT) OFFICE/OUTPATIENT VISIT LVL2,325.0,195.0,55.25,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT) OFFICE/OUTPATIENT VISIT LVL3,325.0,195.0,55.25,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT) OFFICE/OUTPATIENT VISIT LVL4,325.0,195.0,55.25,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT) OFFICE/OUTPATIENT VISIT LVL5,325.0,195.0,55.25,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)BEHAV CHNG SMOKING 3-10 MIN,81.19,48.71,13.8,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)BEHAV CHNG SMOKING > 10 MIN,115.53,69.32,19.64,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)EYE EXAM NEW PATIENT,249.9,149.94,42.48,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)FAMILY PSYTX W/PT 50 MIN,317.1,190.26,53.91,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)GROUP PSYCHOTHERAPY,268.0,160.8,45.56,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV ASSMT/REASSESSMENT,467.93,280.76,79.55,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV IVNTJ FAM 1ST 30,364.35,218.61,61.94,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV IVNTJ FAM EA ADDL,143.94,86.36,24.47,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV IVNTJ FAM W/O PT EA,153.07,91.84,26.02,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV IVNTJ FAM WO PT 1ST,321.45,192.87,54.65,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV IVNTJ GRP 1ST 30,243.92,146.35,41.47,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV IVNTJ GRP EA ADDL,121.96,73.18,20.73,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV IVNTJ INDIV 1ST 30,347.06,208.24,59.0,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)HLTH BHV IVNTJ INDIV EA ADDL,171.19,102.71,29.1,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)MNT SUBS TX FOR CHANGE DX,95.88,57.53,16.3,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)NRPSYC TST EVAL PHYS/QHP 1ST,679.0,407.4,115.43,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)NRPSYC TST EVAL PHYS/QHP EA,528.94,317.36,89.92,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)NUBHVL XM PHY/QHP EA ADDL HR,622.04,373.22,105.75,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)NUBHVL XM PHYS/QHP 1ST HR,776.65,465.99,132.03,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)PHONE E/M PHYS/QHP 11-20 MIN,325.0,195.0,55.25,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)PHONE E/M PHYS/QHP 21-30 MIN,325.0,195.0,55.25,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)PHONE E/M PHYS/QHP 5-10 MIN,325.0,195.0,55.25,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYCH DIAG EVAL W/MED SRVCS,547.13,328.28,93.01,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYCH DIAGNOSTIC EVALUATION,640.58,384.35,108.9,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYCL TST EVAL PHYS/QHP 1ST,565.66,339.4,96.16,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYCL TST EVAL PHYS/QHP EA,468.6,281.16,79.66,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYCL/NRPSYC TECH 1ST,461.72,277.03,78.49,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYCL/NRPSYC TST PHY/QHP 1ST,374.58,224.75,63.68,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYCL/NRPSYC TST PHY/QHP EA,301.71,181.03,51.29,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYTX W PT 45 MINUTES,457.5,274.5,77.78,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)PSYTX W PT 60 MINUTES,479.11,287.47,81.45,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)TRANS CARE MGMT 14 DAY DISCH,112.77,67.66,19.17,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)TRANS CARE MGMT 7 DAY DISCH,148.39,89.03,25.23,7411.0,34
CPT,Q3014,HC (Q3014-CHG ROUTING DO NOT SELECT)VISIT TO DETERM LDCT ELIG,163.56,98.14,27.81,7411.0,34
CPT,Q3014,HC TELESTROKE CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN,179.0,107.4,30.43,7411.0,34
CPT,Q3014,"HC TELESTROKE INITIAL HOSPITAL IP OR OBS CARE, PER DAY, HIGH MDM LEVEL OR 75 MINS MET OR EXCEEDED",179.0,107.4,30.43,7411.0,34
CPT,Q3014,"HC TELESTROKE INITIAL HOSPITAL IP OR OBS CARE, PER DAY, MODERATE MDM LEVEL OR 55 MINUTES MET OR EXCEEDED.",179.0,107.4,30.43,7411.0,34
CPT,Q3014,"HC TELESTROKE INITIAL HOSPITAL IP OR OBS CARE, PER DAY, SF OR LOW MDM LEVEL OR 40 MINUTES MET OR EXCEEDED",179.0,107.4,30.43,7411.0,34
CPT,Q3014,"HC TELESTROKE IP OR OBS CONSULT FOR A NEW OR EST PATIENT, WHICH REQUIRES HIGH MDM LEVEL OR 80 MINUTES MET OR EXCEEDED.",179.0,107.4,30.43,7411.0,34
CPT,Q3014,"HC TELESTROKE IP OR OBS CONSULT FOR A NEW OR EST PATIENT, WHICH REQUIRES LOW MDM LEVEL OR 45 MINUTES MET OR EXCEEDED.",179.0,107.4,30.43,7411.0,34
CPT,Q3014,"HC TELESTROKE IP OR OBS CONSULT FOR A NEW OR EST PATIENT, WHICH REQUIRES MODERATE MDM LEVEL OR 60 MINUTES MET OR EXCEEDED",179.0,107.4,30.43,7411.0,34
CPT,Q3014,"HC TELESTROKE IP OR OBS CONSULT FOR A NEW OR EST PATIENT, WHICH REQUIRES SF MDM LEVEL OR 35 MINUTES MET OR EXCEEDED",179.0,107.4,30.43,7411.0,34
CPT,Q3014,"HC TELESTROKE SUBSEQUENT HOSPITAL IP OR OBS CARE, PER DAY, HIGH MDM LEVEL OR 50 MINUTES MET OR EXCEEDED.",179.0,107.4,30.43,7411.0,34
CPT,Q3014,"HC TELESTROKE SUBSEQUENT HOSPITAL IP OR OBS CARE, PER DAY, MODERATE MDM LEVEL OR 35 MINUTES MET OR EXCEEDED.",179.0,107.4,30.43,7411.0,34
CPT,Q3014,"HC TELESTROKE SUBSEQUENT HOSPITAL IP OR OBS CARE, PER DAY, SF OR LOW MDM LEVEL OR 25 MINUTES MET OR EXCEEDED.",179.0,107.4,30.43,7411.0,34
CPT,Q3014,HC TELESTROKE-CRITICAL CARE TELEHEALTH CONSULT 60,179.0,107.4,30.43,7411.0,34
CPT,Q3014,HC TELESTROKE-INPT TELEHEALTH CONSULT 30M,179.0,107.4,30.43,7411.0,34
CPT,Q3014,HC TELESTROKE-INPT TELEHEALTH CONSULT 50M,179.0,107.4,30.43,7411.0,34
CPT,Q3014,HC TELESTROKE-NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 11-20 MIN,179.0,107.4,30.43,7411.0,34
CPT,Q3014,HC TELESTROKE-NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 21-30 MIN,179.0,107.4,30.43,7411.0,34
CPT,Q3014,HC TELESTROKE-NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5-10 MIN,179.0,107.4,30.43,7411.0,34
CPT,Q3014,"HC TELESTROKE-TELESTROKE STATISTICAL CHARGE, <30 MIN",179.0,107.4,30.43,7411.0,34
CPT,Q4101,"HC APLIGRAF 3IN DISC, PER SQ CM",776.63,465.98,118.76,7411.0,56
CPT,Q4101,"HC APLIGRAF 44SQ CM, PER SQ CM",169.89,101.93,28.88,7411.0,56
CPT,Q4105,HC DRSG WND BIL MATRX 2 IN X 2 IN (25 SQ CM) PER SQ CM (LAW223678),480.54,288.32,81.69,7411.0,56
CPT,Q4114,HC INTEGRA FLOWABLE WOUND MATRIX,14382.87,8629.72,2445.09,12225.44,41
CPT,Q4133,HC GRAFIX PL 1.5CM X 2CM PER SQ CM (MANF# PS13015),1275.1,765.06,118.76,7411.0,56
CPT,Q4133,"HC GRAFIX/PL PRIME, STRAVIX/PM, PER SQCM (LAW268868)",1030.18,618.11,118.76,7411.0,56
CPT,Q4133,HC GRAFT HUMAN TISSUE GRAFIX DISC DIA16MM PER SQ CM (MANF# PS13016),1030.18,618.11,118.76,7411.0,56
CPT,Q4133,HC GRAFT HUMAN TISSUE GRAFIX W2XL3CM PER SQ CM (MANF# PS13023),808.09,484.85,118.76,7411.0,56
CPT,Q4133,HC GRAFT HUMAN TISSUE GRAFIX W3XL3CM PER SQ CM (MANF# PS13033),609.13,365.48,103.55,7411.0,56
CPT,Q4133,HC GRAFT HUMAN TISSUE GRAFIX W3XL4CM PER SQ CM (MANF# PS13034),534.6,320.76,90.88,7411.0,56
CPT,Q4133,HC GRAFT HUMAN TISSUE GRAFIX W5XL5CM PER SQ CM (MANF# PS13055),523.91,314.35,89.06,7411.0,56
CPT,Q4158,HC KERECIS OMEGA3 MARIGEN 11CM (REF# 50200S01B0D) PER SQ CM,433.03,259.82,73.62,7411.0,56
CPT,Q4158,HC KERECIS OMEGA3 MARIGEN 19CM (REF# 50200P02D0D) PER SQ CM,363.25,217.95,61.75,7411.0,56
CPT,Q4158,HC KERECIS OMEGA3 MARIGEN 21CM (REF# 50200S02B0D) PER SQ CM,249.88,149.93,42.48,7411.0,56
CPT,Q4158,HC KERECIS OMEGA3 MARIGEN 35CM (REF# 50200S05B0D) PER SQ CM,263.84,158.3,44.85,7411.0,56
CPT,Q4158,HC KERECIS OMEGA3 MARIGEN 49CM (REF# 50200S04B0D) PER SQ CM,262.64,157.58,44.65,7411.0,56
CPT,Q4158,HC KERECIS OMEGA3 MARIGEN 70CM (REF# 50200S03B0D) PER SQ CM,250.85,150.51,42.64,7411.0,56
CPT,Q4158,HC KERECIS OMEGA3 MARIGEN 8CM (REF# 50200P01B0D) PER SQ CM,418.99,251.39,71.23,7411.0,56
CPT,Q4158,HC KERECIS OMEGA3 MARIGEN EXPANSE 56CM (REF# 50200N11B0D) PER SQ CM,278.49,167.09,47.34,7411.0,56
CPT,Q4158,HC KERECIS OMEGA3 MARIGEN MICRO 38CM (REF# 50200P04D0D) PER SQ CM,280.81,168.49,47.74,7411.0,56
CPT,Q4158,HC KERECIS OMEGA3 MARIGEN MICRO 4CM (REF# 50200P00B0D) PER SQ CM,646.89,388.13,109.97,7411.0,56
CPT,Q4159,HC AFFINITY PER SQ CM 1.5CM X 1.5CM (MANF# AF1150),2541.0,1524.6,118.76,7411.0,56
CPT,Q4159,HC AFFINITY PER SQ CM 2.5CM X 2.5CM (MANF# AF1250),1910.22,1146.13,118.76,7411.0,56
CPT,Q4160,"HC ALLOGRAFT 4CM X 4CM NUSHIELD, PER SQ CM (LAW261335)",426.01,255.61,72.42,7411.0,56
CPT,Q4160,"HC ALLOGRAFT 6CM X 6CM NUSHIELD, PER SQ CM (LAW508133)",330.41,198.25,56.17,7411.0,56
CPT,Q4186,HC EPIFIX PER SQCM,394.85,236.91,67.12,7411.0,56
CPT,Q4196,"HC PURAPLY 5CM X 5CM, PER SQ CM (MANF# 515008)",506.79,304.07,86.15,7411.0,56
CPT,Q4196,"HC PURAPLY AM 2CM X 2CM, PER SQCM (LAW259434)",913.69,548.21,118.76,7411.0,56
CPT,Q4196,"HC PURAPLY AM 2CM X 4CM, PER SQCM (LAW261212)",548.21,328.93,93.2,7411.0,56
CPT,Q4196,"HC PURAPLY AM 5CM X 5CM, PER SQCM (LAW520389)",506.79,304.07,86.15,7411.0,56
CPT,Q4196,"HC PURAPLY AM 6CM X 9CM, PER SQCM (LAW520390)",507.87,304.72,86.34,7411.0,56
CPT,Q4196,HC PURAPLY AM PER SQ CM,794.06,476.44,118.76,7411.0,56
CPT,Q4196,"HC PURAPLYAM 3CM X 4CM, PER SQ CM (MANF# 515065)",507.6,304.56,86.29,7411.0,56
CPT,Q4206,HC FLUID GF PER CC (MANF GF0200),8157.6,4894.56,1386.79,7411.0,41
CPT,Q4229,"HC COGENEX AMNIOTIC MEMBRANE, PER SQ CM (DONATION ONLY)",0.01,0.01,0.0017,7411.0,56
CPT,Q4258,"HC ENVERSE 15MM DISK, PER SQ CM (MANF# EN0015)",852.78,511.67,118.76,7411.0,56
CPT,Q4258,"HC ENVERSE 2CM X 3CM, PER SQ CM (MANF# EN2030)",649.73,389.84,110.45,7411.0,56
CPT,Q4258,"HC ENVERSE 4CM X 4CM, PER SQ CM (MANF# EN4040)",459.42,275.65,78.1,7411.0,56
CPT,Q4258,"HC ENVERSE 4CM X 6CM, PER SQ CM (MANF# EN4060)",395.38,237.23,67.21,7411.0,56
CPT,Q4258,"HC ENVERSE 6CM X 8CM, PER SQ CM (MANF# EN6080)",320.76,192.46,54.53,7411.0,56
CPT,S2070,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH ENDOSCOPIC LASER TREATMENT OF URETERAL CALCULI (INCLUDES URETERAL CATHETERIZATION)",,,1826.96,3859.31,5
CPT,S2083,HC BAND ADJUSTMENT,345.85,207.51,58.79,7411.0,29
CPT,S2900,SURGICAL TECHNIQUES REQUIRING USE OF ROBOTIC SURGICAL SYSTEM (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,1826.96,3859.31,5
CPT,S3620,HC NEWBORN METABOLIC SCREENING,139.05,83.43,10.0,7411.0,39
CPT,S9443,HC OP LACTATION PUMPING GROUP CLASS,333.04,199.82,56.62,7411.0,39
CPT,S9449,HC OP COLOSTRUM HARVEST GROUP CLASS,333.04,199.82,56.62,7411.0,78
CPT,S9449,HC WEIGHT MGMT CLASS PER SESSION,130.91,78.55,22.25,7411.0,39
CPT,S9452,HC NUTRITION CLASS PER SESSION,124.96,74.98,21.24,7411.0,39
CPT,S9470,HC NUTRITIONAL COUNSELING DIET,121.35,72.81,20.63,7411.0,39
CPT,U0002,HC COVID-19 LAB TEST NON_CDC,97.2,58.32,10.0,7411.0,55
CPT,U0002,"HC SARS-COV-2 (COVID 19), ASYMPTOMATIC",97.2,58.32,10.0,7411.0,55
CPT,U0002,"HC SARS-COV-2 (COVID 19), NAA",97.2,58.32,10.0,7411.0,55
CPT,U0002,"HC SARS-COV-2 (COVID 19), SYMPTOMATIC, NON-PCR RAPID NAA",97.2,58.32,10.0,7411.0,55
CPT,U0003,"HC SARS-COV-2, AMPLIFIED PROBE TECHNIQUE, HIGH THROUGHPUT TECH",181.13,108.68,10.0,7411.0,39
CPT,U0005,HC INFEC AGEN DETEC AMPLI PROBE (ADD ON CODE),56.7,34.02,9.64,7411.0,39
CPT,V2632,HC INTRAOCULAR LENS ACRYSOF SP 20.5,726.08,435.65,123.43,7411.0,82
CPT,V2788,HC VIVITY OR,845.0,507.0,143.65,7411.0,36
HCPCS,86580,tuberculin PPD 5 tub. unit/0.1 mL intradermal injection solution,98.535,59.120000000000005,10.0,7411.0,110
HCPCS,90371,hepatitis B immune globulin 110 unit/0.5 mL intramuscular syringe,404.03,242.42,68.69,7411.0,57
HCPCS,90371,hepatitis B immune globulin 220 unit/mL intramuscular solution,756.56,453.94,128.62,7411.0,57
HCPCS,90371,hepatitis B immune globulin 220 unit/mL intramuscular syringe,756.56,453.94,128.62,7411.0,57
HCPCS,90377,rabies immune globulin (PF) 150 unit/mL intramuscular solution,6229.29,3737.5750000000003,230.07,7661.79,114
HCPCS,90378,palivizumab 100 mg/mL intramuscular solution,10318.76,6191.26,414.91,7739.07,57
HCPCS,90378,palivizumab 50 mg/0.5 mL intramuscular solution,5466.98,3280.19,414.91,7411.0,57
HCPCS,90586,BCG live 50 mg intravesical suspension,814.46,488.68,138.46,7411.0,41
HCPCS,90620,"meningococcal B vac,4-cmp 50 mcg-50 mcg-50 mcg-25 mcg/0.5mL IM syringe",1009.48,605.69,171.61,7411.0,41
HCPCS,90632,"hepatitis A vaccine (PF) 1,440 ELISA unit/mL intramuscular syringe",375.52,225.31,63.84,7411.0,42
HCPCS,90648,haemophilus B polysaccharid conj-tetanus tox(PF) 10 mcg/0.5 mL IM soln,78.32,46.99,13.31,7411.0,41
HCPCS,90653,flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe,135.0,81.0,22.95,7411.0,42
HCPCS,90656,flu vaccine ts 2025-26(6mos up)(PF) 45 mcg(15mcg x3)/0.5 mL IM syringe,45.0,27.0,7.65,7411.0,42
HCPCS,90662,flu vaccine ts2025-26(65yr up)(PF)180 mcg/0.5 mL intramuscular syringe,135.0,81.0,22.95,7411.0,42
HCPCS,90675,"rabies vaccine, purified chicken embryo cell (PF) 2.5 unit IM susp",1711.68,1027.01,290.99,7411.0,57
HCPCS,90675,"rabies vaccine,human diploid (PF) 2.5 unit intramuscular solution",1958.15,1174.89,299.46,7411.0,57
HCPCS,90677,pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe,1216.55,729.93,206.81,7411.0,42
HCPCS,90698,DP(a)T-polio-hib conj-tet (PF) 15 Lf unit-20 mcg-5 Lf /0.5 mL IM kit,466.92,280.15,79.38,7411.0,41
HCPCS,90700,"diph,pertus(acel),tet ped(PF) 25 Lf unit-58 mcg-10 Lf/0.5mL IM syringe",165.27,99.16,28.1,7411.0,41
HCPCS,90700,"diph,pertus(acel),tet pedi (PF) 15 Lf unit-10 mcg-5 Lf/0.5 mL IM susp",168.37,101.02,28.62,7411.0,41
HCPCS,90700,"diph,pertus(acel),tet pedi (PF) 25 Lf unit-58 mcg-10 Lf/0.5mL IM susp",150.35,90.21,25.56,7411.0,41
HCPCS,90707,"measles,mumps,rubella vacc live(PF)10exp3.4-4.2-3.3CCID50/0.5mL subcut",412.1,247.26,70.06,7411.0,41
HCPCS,90707,"measles,mumps,rubella vaccine live(PF)1,000-12,500TCID50/0.5 mL subcut",424.28,254.57,72.13,7411.0,41
HCPCS,90713,poliovirus vaccine 40 unit-8 unit-32 unit/0.5 mL injection suspension,1890.96,1134.58,321.46,7411.0,41
HCPCS,90714,tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM susp,219.60500000000002,131.765,37.33,7411.0,84
HCPCS,90714,tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM syringe,219.60500000000002,131.765,37.33,7411.0,84
HCPCS,90715,"diphth,pertus(acel)tetanus(PF)2Lf-(2.5-5-3-5mcg)-5 Lf/0.5 mL IM susp",279.48,167.69,43.43,7411.0,42
HCPCS,90715,"diphth,pertussis(acel),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5mL IM syringe",276.85,166.11,43.43,7411.0,42
HCPCS,90715,"diphth,pertussis(acell),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5 mL IM susp",276.85,166.11,43.43,7411.0,42
HCPCS,90716,"varicella virus vaccine live (PF) 1,350 unit/0.5 mL subcutaneous susp",826.13,495.68,140.44,7411.0,41
HCPCS,90734,"meningoc vac A,C,Y,W-135 dip(PF) 10 mcg-5 mcg/0.5 mL IM kit (2 vials)",710.71,426.43,120.82,7411.0,41
HCPCS,90734,"meningoco C,Y,W-135 vacc 1 of 2(PF) 5 mcg x3/0.5 mL(final) IM solution",591.0,354.6,100.47,7411.0,41
HCPCS,90734,meningococcal A conj vacc 2 of 2(PF) 10 mcg/0.5 mL (final) IM solution,710.71,426.43,120.82,7411.0,41
HCPCS,90734,"meningococcal vac A,C,Y,W-135 dip(PF) 10 mcg-5 mcg/0.5 mL IM solution",710.7,426.42,120.82,7411.0,41
HCPCS,90739,hepatitis B vaccine 20 mcg/0.5 mL-adjuvant CpG 1018 (PF) IM syringe,670.34,402.2,113.96,7411.0,42
HCPCS,90744,hepatitis B virus vaccine recomb (PF) 10 mcg/0.5 mL IM syringe,172.03,103.22,29.25,7411.0,42
HCPCS,90744,hepatitis B virus vaccine recomb (PF) 5 mcg/0.5 mL intramuscular susp,168.94,101.36,28.72,7411.0,42
HCPCS,90746,hepatitis B virus vaccine recomb (PF) 10 mcg/mL intramuscular susp,299.81,179.89,50.97,7411.0,42
HCPCS,A2004,"Shell A2004, Xcellistem, per 1 Mg",12.21,7.33,2.07,7411.0,123
HCPCS,A2006,"Shell A2006, Novosorb Synpath Dermal Matrix, per Square Centimeter",99.1,59.46,5.01,7411.0,280
HCPCS,A2032,"Shell A2032, Myriad Matrix, per Sq Cm",68.885,41.335,9.68,7411.0,164
HCPCS,A2033,"Shell A2033, Myriad Morcells, 4 Miligrams",45.97,27.58,7.15,7411.0,123
HCPCS,A4314,"HC Shell A4314, Cath W/Drainage 2-Way Latex",159.57,95.74,27.13,7411.0,39
HCPCS,A4344,"HC Shell A4344, Indwelling Cath - Foley Type, 2-Way All Silicone, Ea",41.77,25.06,7.1,7411.0,39
HCPCS,A4346,"HC Shell A4346, Indwelling Catheter, Foley Type, 3-Way Cont Irr, Ea",20.3,12.18,3.45,7411.0,39
HCPCS,A4565,"HC Shell A4565, Slings",68.5,41.1,11.64,54.8,57
HCPCS,A4648,"HC Shell A4648, Tissue Marker",438.37,263.02,11.29,8492.0,2035
HCPCS,A6010,"HC Shell A6010, Collagen Based Wound Filler, per Gram of Collagen",1578.855,947.315,56.13,7411.0,78
HCPCS,A7521,"HC Shell A7521, Tracheostomy/Laryngectomy Tube, Cuffed, Ea",533.145,319.885,30.65,7411.0,234
HCPCS,A9283,"Shell A9283, Foot Pressure Off Loading/Supportive Device, Any Type",64.57,38.74,10.98,7411.0,39
HCPCS,A9500,kit preparation of Tc 99m-sestamibi combo no.1 IV solution,182.7,109.62,31.06,7411.0,39
HCPCS,A9541,kit for preparation of Tc 99m-sodium thiosulfate 2 mg Solution,342.59,205.55,58.24,7411.0,39
HCPCS,A9551,kit for preparation Tc-99m-succimer 1 mg intravenous solution,4950.0,2970.0,626.93,7411.0,54
HCPCS,A9573,gadopiclenol 0.5 mmol/mL intravenous solution,1507.01,904.21,3.54,7411.0,42
HCPCS,A9573,gadopiclenol 5 mmol/10 mL (0.5 mmol/mL) intravenous syringe,596.25,357.75,3.54,7411.0,42
HCPCS,A9576,gadoteridol 279.3 mg/mL intravenous solution,472.95,283.77,1.53,402.01,53
HCPCS,A9577,gadobenate dimeglumine 529 mg/mL(0.1 mmol/0.2 mL) intravenous solution,472.95,283.77,1.97,402.01,53
HCPCS,A9579,gadoteridol 279.3 mg/mL intravenous solution,261.72,157.03,1.59,222.46,53
HCPCS,A9579,gadoteridol 279.3 mg/mL intravenous syringe,414.55,248.73,1.59,352.37,53
HCPCS,A9586,florbetapir F-18 10 mCi (370 MBq) intravenous solution,8268.0,4960.8,1405.56,7411.0,54
HCPCS,A9587,kit for the preparation of Ga-68-dotatate 40 mcg intravenous soln,10500.0,6300.0,47.15,7875.0,54
HCPCS,A9588,fluciclovine F18 10 mCi (370 MBq) intravenous solution,13218.0,7930.8,306.16,9913.5,54
HCPCS,A9589,hexaminolevulinate 100 mg intravesical solution,3933.0,2359.8,668.61,3343.05,53
HCPCS,A9612,fluorescein 500 mg/5 mL (10 %) intravenous solution,285.075,171.04500000000002,41.85,7411.0,78
HCPCS,A9697,"Shell A9697, Magtrace per Study Dose",2922.15,1753.29,496.77,2696.1,68
HCPCS,C1601,"Shell C1601, Pass-Through Device, Endoscope, Single-Use (I.E. Disposable), Pulmonary, Imaging/Illumination Device (Insertable)",1705.55,1023.33,103.55,7411.0,117
HCPCS,C1602,"Shell C1602, Pass-Through Device, Orthopedic/Device/Drug Matrix/Absorbable Bone Void Filler, Antimicrobial-Eluting (Implantable)",15805.35,9483.21,2476.0,21568.7,165
HCPCS,C1603,"Shell C1603, Pass-Through Device, Retrieval Device, Insertable, Laser (Used to Retrieve Intravascular Inferior Vena Cava Filter)",10180.01,6108.01,1730.6,8653.01,39
HCPCS,C1604,"Shell C1604, Pass-Through Device, Graft, Transmural Transvenous Arterial Bypass (Implantable), With All Delivery System Components",84975.0,50985.0,14445.75,67980.0,55
HCPCS,C1605,"Shell C1605, Ptd, Pacemaker, Leadless, Dual Chamber, Rate-Responsive, Including All Necssary Compnts for Implantation",81576.0,48945.6,13867.92,65260.8,57
HCPCS,C1713,"HC Shell C1713, Anchor/Screw, Bone-to-Bone or Soft Tissue-to-Bone (Implt)",1778.65,1070.6399999999999,0.0017,49180.13,304975
HCPCS,C1714,"HC Shell C1714, Catheter, Transluminal Atherectomy, Directional",11046.75,6628.05,115.38,11139.0,507
HCPCS,C1721,"HC Shell C1721, Cardioverter-Defibrillator Dual Chamber",33990.0,20394.0,49.84,39202.8,1197
HCPCS,C1722,"HC Shell C1722, Cardioverter-Defibrillator Single Chamber",36369.3,21821.58,1574.2,54384.0,1539
HCPCS,C1722,"HC Shell C1722, Cardioverter-Defibrillator, Single Chamber (Implantable)",40108.2,24064.92,5157.71,39530.4,165
HCPCS,C1724,"HC Shell C1724, Catheter, Transluminal Atherectomy, Rotational",9177.3,5506.38,428.37,14431.31,897
HCPCS,C1725,"HC Shell C1725, Cath, Translumin Non-Laser",1193.15,715.89,0.0017,22174.23,10569
HCPCS,C1725,"HC Shell C1725, Catheter, Transluml Angio, Nonlaser (Guidance,Inf/Perf Cap)",1019.84,611.905,81.79,2371.6,550
HCPCS,C1726,"HC Shell C1726, Catheter, Balloon Dilatation, Nonvascular",1193.89,716.33,141.11,4394.22,275
HCPCS,C1726,"HC Shell C1726, Catheter, Balloon Dilation, Non-Vascular",1705.55,1023.33,99.65,9895.34,1131
HCPCS,C1726,"HC Shell C1726, Catheter, Balloon Dilation, Nonvascular",1386.95,832.17,15.88,10834.31,4485
HCPCS,C1727,"HC Shell C1727, Catheter, Balloon Tissue Dissector,Nonvascular",838.16,502.9,54.27,7411.0,585
HCPCS,C1728,"HC Shell C1728, Catheter, Brachytherapy Seed Administration",1870.33,1122.2,0.0017,2666.88,385
HCPCS,C1729,"HC Shell C1729, Cath, Drainage",475.155,285.095,4.05,7411.0,8034
HCPCS,C1729,"HC Shell C1729, Catheter, Drainage",534.6,320.76,10.1,1767.22,385
HCPCS,C1730,"HC Shell C1730, Cath Electrophysiology Diagnostic Other Than 3d Mapping",1003.84,602.3,8.78,7411.0,3393
HCPCS,C1730,"HC Shell C1730, Catheter, Ep, Diagnostic, Other Than 3d Mapping (<19 Elec)",2335.025,1401.015,85.43,3388.0,220
HCPCS,C1731,"HC Shell C1731, Catheter, Ep, Diagnostic, Other Than 3d Mapping (20+ Elec)",4014.78,2408.87,14.16,10400.94,468
HCPCS,C1732,"HC Shell C1732, Catheter, Ep, Diagnostic/Ablation, 3d or Vector Mapping",7182.085,4309.25,35.88,11412.14,2184
HCPCS,C1733,"HC Shell C1733, Catheter, Ep, Diagnstc/Abltn, Not 3d/Vec Map, Not Cool-Tip",3646.34,2187.8,35.88,31780.65,1131
HCPCS,C1735,"Shell C1735, Pass-Through Device, Cath Renal Denerv Radiofreq",54384.0,32630.4,6299.0,46226.4,39
HCPCS,C1736,"Shell C1736, Pass-Through Device, Cath Renal Denerv Ultrasnd",33990.005,20394.005,0.0017,57783.0,78
HCPCS,C1737,"Shell C1737, Pass-Through Device, Si&Pelvis Fusn&Fixn Dev",11896.5,7137.9,2022.4,9517.2,55
HCPCS,C1747,"C1747, Endoscope, Single-Use Urinary Tract Imaging/Illumination Device (Insrtbl)",3123.315,1873.99,31.57,10097.58,390
HCPCS,C1749,"HC Shell C1749, Endoscope, Retrograde Imag/Illumin Colonscp Device (Implt)",5980.765,3588.46,25.5,10039.8,78
HCPCS,C1750,"HC Shell C1750, Catheter, Hemodialysis/Peritoneal, Long-Term",1535.0,921.0,48.78,7315.4,4565
HCPCS,C1751,"HC C1751, Cath, Inf, per/Cent/Midline",658.975,395.385,18.18,7872.09,9460
HCPCS,C1751,"HC Shell C1751, Cath, Infusion, Insert Periph, Centr, or Mid (Not Hemodial)",545.78,327.47,39.87,7411.0,195
HCPCS,C1752,"HC Shell C1752, Catheter, Hemodialysis/Peritoneal, Short-Term",599.5899999999999,359.755,72.76,7411.0,1603
HCPCS,C1753,"HC Shell C1753, Catheter, Intravascular Ultrasound",3028.03,1816.82,372.78,7411.0,585
HCPCS,C1756,"HC Shell C1756, Catheter, Pacing, Transesophageal",484.4,290.64,82.35,387.52,55
HCPCS,C1757,"HC Shell C1757, Catheter, Thrombectomy/Embolectomy",7520.29,4512.175,0.0017,41892.68,5299
HCPCS,C1758,"HC Shell C1758, Catheter, Ureteral",105.71,63.43,7.84,778.4,3025
HCPCS,C1759,"HC Shell C1759, Catheter, Intracardiac Echocardiography",7792.21,4675.325,514.77,10400.94,546
HCPCS,C1760,"HC Shell C1760, Closure Device, Vascular (Implantable/Insertable)",1047.375,628.425,72.71,6667.2,1100
HCPCS,C1760,"Shell C1760, Closure Device, Vascular Insertable",0.01,0.01,0.0017,7411.0,39
HCPCS,C1761,"Shell C1761, Catheter, Translum Lithotripsy",15975.3,9585.18,2715.8,13579.0,34
HCPCS,C1762,"HC Shell C1762, Connective Tissue, Human (Includes Synthetic)",6921.85,4153.11,114.32,27709.46,3905
HCPCS,C1763,"HC Shell C1763, Connective Tissue, Nonhuman (Includes Fascia Lata)",4693.2,2815.92,15.57,40135.39,2585
HCPCS,C1764,"HC Shell C1764, Event Recorder, Cardiac (Implantable)",12916.2,7749.72,164.93,12595.34,605
HCPCS,C1765,"HC Shell C1765, Adhesion Barrier",1349.8200000000002,809.89,33.62,3034.4,500
HCPCS,C1767,"HC Shell C1767, Generator, Neurostimulator (Implt), Nonrechargeable",55651.05,33390.63,4527.78,72903.18,1705
HCPCS,C1768,"HC Shell C1768, Graft, Vascular",5351.73,3211.035,11.98,67980.0,12870
HCPCS,C1769,"HC Shell C1769, Guide Wire",534.6,320.76,9.19,7411.0,1119
HCPCS,C1769,"Shell C1769, Guide Wire",380.905,230.14499999999998,0.0017,33225.22,23946
HCPCS,C1771,"HC Shell C1771, Repair Device, Urinary, Incontinence, With Sling Graft",4689.23,2813.54,218.7,22085.62,1650
HCPCS,C1772,"HC Shell C1772, Infusion Pump, Programmable, Implantable",33990.0,20394.0,4641.0,32086.56,165
HCPCS,C1776,"HC Shell C1776, Joint Device (Implantable)",6745.01,4047.19,0.0017,67980.0,85580
HCPCS,C1776,"Shell C1776, Arthrex Knee 1 Non-Cemented Implant",10197.0,6118.200000000001,1155.66,10876.8,110
HCPCS,C1776,"Shell C1776, Arthrex Knee 2 Cemented Implant",16295.85,9777.51,1906.84,17100.0,110
HCPCS,C1776,"Shell C1776, Arthrex Shoulder Partial Construct",19017.41,11410.45,3232.96,15213.93,55
HCPCS,C1776,"Shell C1776, Arthrex Shoulder Reverse Construct",34328.965,20597.379999999997,5214.92,30385.56,110
HCPCS,C1776,"Shell C1776, Arthrex Shoulder Total Construct",26639.665,15983.8,3019.16,22272.61,220
HCPCS,C1776,"Shell C1776, Conformis Knee 2 Cemented Implant",21375.0,12825.0,3633.75,17100.0,55
HCPCS,C1776,"Shell C1776, Conformis Total Hip 1 Dual Mobility Implant",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Conformis Total Hip 2 Primary Implant",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Depuy Synthes Knee 1 Non-Cemented Implant",11556.599999999999,6933.96,1641.5,17100.0,330
HCPCS,C1776,"Shell C1776, Depuy Synthes Knee 2 Cemented Implant",10961.775000000001,6577.0650000000005,736.73,17100.0,220
HCPCS,C1776,"Shell C1776, Depuy Synthes Knee 3 Poly Implant",17485.5,10491.3,2311.32,17100.0,110
HCPCS,C1776,"Shell C1776, Depuy Synthes Shoulder Partial Construct",19017.41,11410.45,3232.96,15213.93,55
HCPCS,C1776,"Shell C1776, Depuy Synthes Shoulder Reverse Construct",30037.725,18022.635,3755.89,30385.56,110
HCPCS,C1776,"Shell C1776, Depuy Synthes Shoulder Total Construct",27840.76,16704.46,4732.93,22272.61,55
HCPCS,C1776,"Shell C1776, Depuy Synthes Total Hip 1 Dual Mobility Implant",13765.95,8259.57,2253.54,19680.0,165
HCPCS,C1776,"Shell C1776, Depuy Synthes Total Hip 2 Primary Implant",11308.73,6785.24,414.2,19680.0,220
HCPCS,C1776,"Shell C1776, Depuy Synthes Total Hip 3 and 4 Hemiarthorplasty",15189.15,9113.49,982.31,19680.0,110
HCPCS,C1776,"Shell C1776, Djo Knee 2 Cemented Implant",16805.7,10083.42,2080.19,17100.0,110
HCPCS,C1776,"Shell C1776, Djo Shoulder Partial Construct",19017.41,11410.45,3232.96,15213.93,55
HCPCS,C1776,"Shell C1776, Djo Shoulder Reverse Construct",14014.0,8408.4,719.95,19034.4,110
HCPCS,C1776,"Shell C1776, Djo Shoulder Total Construct",27840.76,16704.46,4732.93,22272.61,55
HCPCS,C1776,"Shell C1776, Djo Total Hip 2 Primary Implant",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Djo Total Hip 3 and 4 Hemiarthorplasty",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Exactech Knee 1 Non-Cemented Implant",16805.7,10083.42,2080.19,17100.0,110
HCPCS,C1776,"Shell C1776, Exactech Knee 2 Cemented Implant",10621.875,6373.125,1791.27,8565.48,110
HCPCS,C1776,"Shell C1776, Exactech Shoulder Partial Construct",19017.41,11410.45,3232.96,15213.93,55
HCPCS,C1776,"Shell C1776, Exactech Shoulder Reverse Construct",24642.75,14785.65,3958.14,30385.56,165
HCPCS,C1776,"Shell C1776, Exactech Shoulder Total Construct",23777.48,14266.49,3351.41,22272.61,110
HCPCS,C1776,"Shell C1776, Exactech Total Hip 2 Primary Implant",12746.25,7647.75,2166.86,10197.0,55
HCPCS,C1776,"Shell C1776, Exactech Total Hip 3 and 4 Hemiarthorplasty",15189.15,9113.49,982.31,19680.0,110
HCPCS,C1776,"Shell C1776, Globus Medical Hip 2 Primary Implant",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Globus Medical Hip 3 and 4 Hemiarthorplasty",5778.3,3466.98,982.31,4622.64,55
HCPCS,C1776,"Shell C1776, Globus Medical Knee 1 Non-Cemented Implant",16550.775,9930.465,1993.51,17100.0,110
HCPCS,C1776,"Shell C1776, Globus Medical Knee 2 Cemented Implant",16040.925,9624.555,1820.16,17100.0,110
HCPCS,C1776,"Shell C1776, Lima Corporate Shoulder Partial Construct",19017.41,11410.45,3232.96,15213.93,55
HCPCS,C1776,"Shell C1776, Lima Corporate Shoulder Reverse Construct",37981.95,22789.17,6456.93,30385.56,55
HCPCS,C1776,"Shell C1776, Lima Corporate Shoulder Total Construct",27840.76,16704.46,4732.93,22272.61,55
HCPCS,C1776,"Shell C1776, Lima Knee 1 Non-Cemented Implant",21375.0,12825.0,3633.75,17100.0,55
HCPCS,C1776,"Shell C1776, Lima Knee 2 Cemented Implant",21375.0,12825.0,3633.75,17100.0,55
HCPCS,C1776,"Shell C1776, Lima Total Hip 1 Dual Mobility Implant",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Lima Total Hip 2 Primary Implant",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Lima Total Hip 3 and 4 Hemiarthorplasty",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Medacta Knee 1 Non-Cemented Implant",10706.85,6424.11,1820.16,8565.48,55
HCPCS,C1776,"Shell C1776, Medacta Knee 2 Cemented Implant",16040.925,9624.555,1820.16,17100.0,110
HCPCS,C1776,"Shell C1776, Medacta Total Hip 1 Dual Mobility Implant",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Medacta Total Hip 2 Primary Implant",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Medacta Total Hip 3 and 4 Hemiarthorplasty",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Microport Hip 1 Dual Mobility Implant",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Microport Hip 2 Primary Implant",12236.4,7341.84,2080.19,9789.12,55
HCPCS,C1776,"Shell C1776, Microport Hip 3 and 4 Hemiarthroplasty",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Microport Knee 1 Non-Cemented Implant",11726.55,7035.93,1993.51,9381.24,55
HCPCS,C1776,"Shell C1776, Microport Knee 2 Cemented Implant",21375.0,12825.0,3633.75,17100.0,55
HCPCS,C1776,"Shell C1776, Smith & Nephew Knee 1 Non-Cemented Implant",14105.85,8463.51,2051.3,17100.0,165
HCPCS,C1776,"Shell C1776, Smith & Nephew Knee 2 Cemented Implant",16040.925,9624.555,1820.16,17100.0,110
HCPCS,C1776,"Shell C1776, Smith & Nephew Total Hip 1 Dual Mobility Implant",15125.55,9075.33,2253.54,19680.0,165
HCPCS,C1776,"Shell C1776, Smith & Nephew Total Hip 2 - All Primary",15125.55,9075.33,2080.19,19680.0,165
HCPCS,C1776,"Shell C1776, Smith & Nephew Total Hip 3 and 4 Hemiarthorplasty",15189.15,9113.49,982.31,19680.0,110
HCPCS,C1776,"Shell C1776, Stelkast Knee 1 Non-Cemented Implant",21375.0,12825.0,3633.75,17100.0,55
HCPCS,C1776,"Shell C1776, Stelkast Knee 2 Cemented Implant",16295.85,9777.51,1906.84,17100.0,110
HCPCS,C1776,"Shell C1776, Stelkast Total Hip 2 Primary Implant",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Stelkast Total Hip 3 and 4 Hemiarthorplasty",5778.3,3466.98,982.31,4622.64,55
HCPCS,C1776,"Shell C1776, Stryker Knee 1 Non-Cemented Implant",12236.4,7341.84,2080.19,9789.12,55
HCPCS,C1776,"Shell C1776, Stryker Knee 2 Cemented Implant",11216.7,6730.02,1906.84,8973.36,55
HCPCS,C1776,"Shell C1776, Stryker Shoulder Partial Construct",19017.41,11410.45,3232.96,15213.93,55
HCPCS,C1776,"Shell C1776, Stryker Shoulder Reverse Construct",29774.305,17864.585,3666.33,30385.56,110
HCPCS,C1776,"Shell C1776, Stryker Shoulder Total Construct",27840.76,16704.46,4732.93,22272.61,55
HCPCS,C1776,"Shell C1776, Stryker Total Hip 1 Dual Mobility Implant",13935.9,8361.54,2369.1,11148.72,55
HCPCS,C1776,"Shell C1776, Stryker Total Hip 2 Primary Implant",12746.25,7647.75,2166.86,10197.0,55
HCPCS,C1776,"Shell C1776, Stryker Total Hip 3 and 4 Hemiarthorplasty",16038.9,9623.34,1271.23,19680.0,110
HCPCS,C1776,"Shell C1776, Tjo Knee 1 Non-Cemented Implant",16550.775,9930.465,1993.51,17100.0,110
HCPCS,C1776,"Shell C1776, Tjo Knee 2 Cemented Implant",11726.55,7035.93,1820.16,17100.0,165
HCPCS,C1776,"Shell C1776, Tjo Total Hip 2 Primary Implant",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Tornier Shoulder Partial Construct",15253.015,9151.810000000001,1953.07,15213.93,110
HCPCS,C1776,"Shell C1776, Tornier Shoulder Reverse Construct",27749.44,16649.66,719.95,30385.56,385
HCPCS,C1776,"Shell C1776, Tornier Shoulder Total Construct",17882.135000000002,10729.285,1953.07,22272.61,220
HCPCS,C1776,"Shell C1776, Uoc Knee 1 Non-Cemented Implant",16805.7,10083.42,2080.19,17100.0,110
HCPCS,C1776,"Shell C1776, Uoc Knee 2 Cemented Implant",16040.925,9624.555,1820.16,17100.0,110
HCPCS,C1776,"Shell C1776, Uoc Total Hip 1 Dual Mobility Implant",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Uoc Total Hip 2 Primary Implant",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Uoc Total Hip 3 and 4 Hemiarthorplasty",24600.0,14760.0,4182.0,19680.0,55
HCPCS,C1776,"Shell C1776, Zimmer Biomet Hip Revision",15719.85,9431.91,2672.37,12575.88,55
HCPCS,C1776,"Shell C1776, Zimmer Biomet Knee 1 Non-Cemented Implant",4248.75,2549.25,575.96,5030.52,275
HCPCS,C1776,"Shell C1776, Zimmer Biomet Knee 2 Cemented Implant",11046.75,6628.05,455.01,16065.03,385
HCPCS,C1776,"Shell C1776, Zimmer Biomet Knee 3 Poly Implant",6798.0,4078.8,575.96,17100.0,275
HCPCS,C1776,"Shell C1776, Zimmer Biomet Shoulder Partial Construct",14607.205,8764.325,1733.49,15213.93,110
HCPCS,C1776,"Shell C1776, Zimmer Biomet Shoulder Reverse Construct",24472.8,14683.68,3958.14,30385.56,165
HCPCS,C1776,"Shell C1776, Zimmer Biomet Shoulder Total Construct",18864.45,11318.67,2600.24,22272.61,220
HCPCS,C1776,"Shell C1776, Zimmer Biomet Total Hip 1 Dual Mobility Implant",13596.0,8157.6,2311.32,10876.8,55
HCPCS,C1776,"Shell C1776, Zimmer Biomet Total Hip 2 Primary Implant",12576.3,7545.78,2137.97,10061.04,55
HCPCS,C1776,"Shell C1776, Zimmer Biomet Total Hip 3 and 4 Hemiarthorplasty",14849.25,8909.55,866.75,19680.0,110
HCPCS,C1777,"HC Shell C1777, Lead Cardioverter-Defibrillator Endocardial Single Coil",7856.0650000000005,4713.639999999999,323.08,10808.0,912
HCPCS,C1777,"HC Shell C1777, Lead, Cardio-Defibrillator, Endocardial Single Coil (Implt)",10456.615,6273.97,366.52,13582.41,330
HCPCS,C1778,"HC Shell C1778, Lead, Neurostimulator (Implantable)",9653.16,5791.9,0.0017,27192.0,2695
HCPCS,C1780,"HC Shell C1780, Lens, Intraocular (New Technology)",888.1700000000001,532.905,77.25,7411.0,492
HCPCS,C1781,"HC Shell C1781, Mesh (Implantable)",3433.2,2059.92,27.41,67980.0,21340
HCPCS,C1782,"HC Shell C1782, Morcellator",3041.085,1824.65,192.42,7411.0,390
HCPCS,C1783,"HC Shell C1783, Ocular Implant, Aqueous Drainage Assist Device",4652.425,2791.455,431.97,6730.02,440
HCPCS,C1784,"HC Shell C1784, Ocular Device, Intraoperative, Detached Retina",3599.75,2159.85,9.88,43985.78,385
HCPCS,C1785,"HC Shell C1785, Pacemaker, Dual Chamber, Rate-Responsive",9136.630000000001,5481.98,952.84,11814.93,1254
HCPCS,C1786,"HC Shell C1786, Pacemaker, Single Chamber, Rate Responsive",10197.0,6118.200000000001,728.07,43235.28,1368
HCPCS,C1787,"HC Shell C1787 External, Patient Programmer, Neurostimulator",3687.74,2212.645,0.0017,7851.32,624
HCPCS,C1787,"HC Shell C1787, Patient Programmer, Neurostimulator",4235.0,2541.0,0.0017,47586.0,825
HCPCS,C1788,"HC Shell C1788, Port, Indwelling (Implantable)",1583.73,950.24,50.17,4078.8,2145
HCPCS,C1789,"HC Shell C1789, Prosthesis, Breast (Implantable)",3811.5,2286.9,49.84,13867.92,4015
HCPCS,C1813,"HC Shell C1813, Prosthesis, Penile, Inflatable",34955.32,20973.190000000002,0.0017,48738.94,1650
HCPCS,C1814,"HC Shell C1814, Retinal Tamponade Device, Silicone Oil",2079.94,1247.96,347.06,1920.04,165
HCPCS,C1815,"HC Shell C1815, Prosthesis, Urinary Sphincter (Implantable)",11459.25,6875.55,1495.48,18395.39,385
HCPCS,C1817,"HC Shell C1817, Septal Defect Implant System, Intracardiac",22229.46,13337.68,84.57,28551.6,935
HCPCS,C1819,"HC Shell C1819, Surgical Tissue Localization and Excision Device (Implt)",31932.13,19159.28,21.39,30576.0,275
HCPCS,C1820,"HC Shell C1820, Generator, Neurostim (Implt), W Recharg Batt/Charg System",47847.75,28708.65,0.8228,67980.0,2090
HCPCS,C1821,"HC Shell C1821, Interspinous Process Distraction Device (Implantable)",9721.14,5832.68,32.39,15440.0,275
HCPCS,C1822,"HC Shell C1822, Generator, Neurostim (Implt), Hi Freq, W Batt/Charg Sys",72170.965,43302.58,10092.38,67980.0,110
HCPCS,C1823,"HC Shell C1823, Gnrtr Neurostm, N-Rchrgbl, W/Trnsvns Snsing & Stmltn Leads",84975.0,50985.0,14445.75,67980.0,50
HCPCS,C1826,"C1826, Genrtr Neurstmltr Implntble Incls Clsd Leads & All Implntble Comps W/ Rechrgble Bttry & Chrgng Sys",76477.5,45886.5,9651.92,67980.0,110
HCPCS,C1827,"C1827, Genrtr Neurstmltr Implntble Nonrechrgble W/ Implntble Stmltn Lead & Ext Paired Stmltn Cntrllr",84975.0,50985.0,9651.92,67980.0,55
HCPCS,C1830,"HC Shell C1830, Powered Bone Marrow Biopsy Needle",2348.79,1409.27,383.83,7411.0,117
HCPCS,C1832,"Shell C1832, Autograft Suspension, Including Cell Processing and Application, and All System Components",21031.315000000002,12618.79,4.98,19862.91,78
HCPCS,C1839,"Shell C1839, Iris Prosthesis",33650.1,20190.06,5720.52,26920.08,55
HCPCS,C1874,"HC Shell C1874, Stent, Coated/Covered, With Delivery System",9657.72,5794.63,1.03,67980.0,14465
HCPCS,C1875,"HC Shell C1875, Stent, Coated/Covered, Without Delivery System",7702.98,4621.79,81.79,10973.14,495
HCPCS,C1876,"HC Shell C1876, Stent, Noncoated/Noncovered, With Delivery System",5439.325,3263.5950000000003,44.85,46938.83,11880
HCPCS,C1876,"Shell C1876, Fda Investigational Device, Stent, Noncoated/Noncovered, W/ Delivery System",0.01,0.01,0.0017,7411.0,36
HCPCS,C1877,"HC Shell C1877, Stent, Noncoated/Noncovered, Without Delivery System",4006.4750000000004,2403.885,91.13,6390.12,880
HCPCS,C1878,"HC Shell C1878, Material for Vocal Cord Medialization, Synthetic, (Implt)",1954.07,1172.44,216.25,2490.18,495
HCPCS,C1880,"HC Shell C1880, Vena Cava Filter",4051.25,2430.75,90.88,4554.66,935
HCPCS,C1881,"HC Shell C1881, Dialysis Access System (Implantable)",6137.665,3682.6,719.95,6432.26,110
HCPCS,C1882,"HC Shell C1882, Cardio-Defibrillator, Not Single or Dual Chamber (Implt)",53279.325,31967.595,5200.47,47496.26,220
HCPCS,C1883,"HC Shell C1883, Adaptor/Extension, Pacing Lead or Neurostim Lead (Implt)",2679.01,1607.4099999999999,397.67,2415.01,110
HCPCS,C1884,"HC Shell C1884, Embolization Protective System",5095.75,3057.45,72.71,15774.76,1052
HCPCS,C1885,"HC Shell C1885, Catheter, Transluminal Angioplasty, Laser",10301.005000000001,6180.605,895.9,9823.11,234
HCPCS,C1886,"HC Shell C1886, Catheter, Extravascular Tissue Abltn, and Modality (Insert)",6592.365,3955.415,274.2,13001.17,780
HCPCS,C1887,"HC Shell C1887, Catheter, Guiding (May Incl Infusion/Perfusion Capability)",682.605,409.565,44.85,3303.3,220
HCPCS,C1887,"Shell C1887, Catheter, Guiding",1385.94,831.565,0.0017,16164.8,13416
HCPCS,C1887,"Shell C1887, Fda Investigational Device, Catheter, Guiding",6798.0,4078.8,1155.66,7411.0,36
HCPCS,C1888,"HC Shell C1888, Endovas Non-Cardiac Abl Cath",1815.1950000000002,1089.115,264.3,7411.0,156
HCPCS,C1889,"Shell C1889, Implant/Insert Device, Not Otherwise Classified",10706.85,6424.11,103.55,14955.6,463
HCPCS,C1892,"HC Shell C1892, Intro/Sheath, Guid, Intracard Ep, Fixed Curve, Pullaway",376.085,225.65,0.0017,7411.0,2028
HCPCS,C1893,"HC Shell C1893, Intro/Sheath, Guid, Intracard Ep, Fixed Curve, Not Pullaway",1035.5149999999999,621.31,20.22,7411.0,1560
HCPCS,C1894,"HC Shell C1894, Intro/Sheath, Other Than Guid, Not Intracard Ep, Nonlaser",296.97,178.18,12.84,664.05,605
HCPCS,C1894,"Shell C1894, Intro/Sheath, Other Than Guiding, Nonlaser",391.09000000000003,235.15,0.0017,13001.17,14430
HCPCS,C1895,"HC Shell C1895, Lead Left Ventricular Coronary Venous System",9517.2,5710.32,331.36,14112.65,513
HCPCS,C1895,"HC Shell C1895, Lead, Cardiovert-Defib, Endocard Dual Coil (Implnt)",9088.93,5453.360000000001,323.08,10808.0,330
HCPCS,C1896,"HC Shell C1896, Lead Cardioverter-Defibrillator Other Than Endocardial Coil",8497.5,5098.5,331.36,14656.49,399
HCPCS,C1897,"HC Shell C1897, Lead, Neurostimulator Test Kit(Implantable)",925.87,555.52,0.0017,10761.68,1320
HCPCS,C1898,"HC Shell C1898, Lead Pacemaker Other Than Transvenous Vdd Single Pass",1705.55,1023.33,44.85,6458.1,1311
HCPCS,C1898,"HC Shell C1898, Lead, Pacemaker, Other Than Transvenous Vdd Single Pass",1863.9250000000002,1118.355,194.68,1754.28,330
HCPCS,C1899,"HC Shell C1899, Lead, Pacemaker/Cardioverter-Defibrillator Combo (Implt)",8497.5,5098.5,1444.58,6798.0,55
HCPCS,C1900,"HC Shell C1900, Lead Left Ventricular Coronary Venous System",5098.5,3059.1,414.2,67980.0,1083
HCPCS,C1900,"HC Shell C1900, Lead, Left Ventricular Coronary Venous System",8529.25,5117.55,1062.59,8646.4,110
HCPCS,C1982,"Shell C1982, Catheter, One-Way Valve, Occlusive",26342.25,15805.35,4478.18,22390.91,39
HCPCS,C2596,"Shell C2596, Probe, Image-Guided, Robotic, Waterjet Ablation",11046.75,6628.05,1877.95,9389.74,39
HCPCS,C2613,"HC Shell C2613, Lung Bopsy Plug With Delivery System",1705.55,1023.33,289.94,1364.44,50
HCPCS,C2615,"HC Shell C2615, Sealant, Pulmonary, Liquid",4216.195,2529.715,713.56,3388.0,110
HCPCS,C2617,"HC Shell C2617, Stent, Noncoronary, Temporary, Without Delivery Sys",714.7950000000001,428.88,12.35,8160.32,9790
HCPCS,C2617,"HC Shell C2617, Stent, Noncoronary, Temporary, Without Delivery System",391.92,235.15,66.63,7411.0,39
HCPCS,C2618,"HC Shell C2618, Probe/Needle, Cryoablation",7817.7,4690.62,414.2,17906.95,819
HCPCS,C2621,"HC Shell C2621, Pacemaker, Other Than Single or Dual Chamber (Implantable)",18524.55,11114.73,74.06,19442.28,855
HCPCS,C2621,"Shell C2621, Fda Investigational Device, Pacemaker, Other Than Single or Dual Chamber (Implantable)",35689.5,21413.7,4333.73,72228.75,108
HCPCS,C2622,"HC Shell C2622, Prosthesis, Penile, Noninflatable",25348.62,15209.17,0.0017,31266.4,385
HCPCS,C2623,"HC Shell C2623, Catheter, Translumin Angioplasty, Drug-Coated, Non-Laser",5521.68,3313.01,160.35,8378.53,1287
HCPCS,C2624,"HC Shell C2624, Impl Wireless Pulm Art Pressure Sens W Deliv Cath, Incl Sys",76477.5,45886.5,13001.17,61182.0,55
HCPCS,C2625,"HC Shell C2625, Stent, Noncoronary, Temporary, With Delivery System",626.6600000000001,375.995,4.4,4894.56,2420
HCPCS,C2626,"HC Shell C2626, Infusion Pump, Nonprogrammable, Temporary (Implantable)",507.87,304.72,53.09,468.92,165
HCPCS,C2627,"HC Shell C2627, Catheter, Suprapubic/Cystoscopic",297.67,178.6,21.14,1703.24,825
HCPCS,C2628,"HC Shell C2628, Catheter, Occlusion",4767.605,2860.5649999999996,28.79,65260.8,2277
HCPCS,C2629,"HC Shell C2629, Intro/Sheath, Not Guiding, Not Intracardiac Ep, Laser",846.4,507.84,143.89,677.12,55
HCPCS,C2629,"HC Shell C2629, Introducer/Sheath Other Than Guiding/Intracardiac Laser",347.49,208.49,14.62,8653.01,117
HCPCS,C2630,"HC Shell C2630, Catheter, Ep, Diagn/Abltn, Not3d or Vect Map, Cool-Tip",6288.15,3772.89,49.82,13884.75,507
HCPCS,C9254,lacosamide 200 mg/20 mL intravenous solution,247.485,148.49,10.2,7411.0,82
HCPCS,C9293,"glucarpidase 1,000 unit intravenous solution",123522.0,74113.2,426.64,92641.5,56
HCPCS,C9352,"Shell C9352, Microporous Collagen Implant Tube (Neurawrap) per Cm Length",5880.27,3528.16,454.47,5149.54,275
HCPCS,C9353,"HC Shell C9353, Microporous Collagen Implantable (Neurawrap) per Centimeter",5543.77,3326.26,942.44,4435.02,55
HCPCS,C9358,"HC Shell C9358, Surgimend, Native, Fetal Bovine, per 0.5 Sq Cm",68.32499999999999,40.995000000000005,7.32,7411.0,410
HCPCS,C9360,"HC Shell C9360, Surgimend, Native, Neonatal Bovine, per 0.5 Sq Cm",51.66,31.0,4.62,7411.0,369
HCPCS,C9399,"HC Shell C9399, Unclassified Drugs or Biologicals",5667.835,3400.7,2.4,10332.96,550
HCPCS,C9399,baricitinib 1 mg tablet,182.67,109.6,31.05,7411.0,41
HCPCS,C9399,baricitinib 2 mg tablet,182.67,109.6,31.05,7411.0,41
HCPCS,C9399,dasatinib 50 mg tablet,679.92,407.95,115.59,7411.0,41
HCPCS,C9399,dasatinib 70 mg tablet,679.92,407.95,115.59,7411.0,41
HCPCS,C9399,idaruCIZUmab 2.5 gram/50 mL intravenous solution,14746.6,8847.96,2506.92,12534.61,41
HCPCS,C9399,polidocanol 1 % (20 mg/2 mL) intravenous solution,120.0,72.0,20.4,7411.0,41
HCPCS,C9399,sodium benzoate 10 %-sodium phenylacetate 10 % intravenous solution,109512.0,65707.2,6299.0,93085.2,41
HCPCS,C9399,sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution,717.5,430.5,121.97,7411.0,41
HCPCS,C9460,cangrelor 50 mg intravenous solution,2891.29,1734.77,19.02,7411.0,57
HCPCS,C9488,conivaptan 20 mg/100 mL in 5 % dextrose IV,2685.9,1611.54,122.82,7411.0,42
HCPCS,C9610,"Shell C9610, Pass-Through Device, Cath Coronary Drug-Delivery",19204.35,11522.61,3264.74,16323.7,39
HCPCS,C9808,"Shell C9808, Cryo Probe Non-Opioid Dev",8667.45,5200.469999999999,1329.01,8089.62,156
HCPCS,C9810,"HC Shell C9810, Ptd, Water Circulating Motorized Device, Non-Opioid Device",241.35,144.81,27.53,7411.0,78
HCPCS,E0749,"HC Shell E0749, Osteogenesis Stimulator",19034.4,11420.64,515.36,15227.52,55
HCPCS,J0013,esketamine 56 mg (28 mg x 2) nasal spray,772.41,463.45,131.31,7411.0,39
HCPCS,J0122,eravacycline 100 mg intravenous solution,500.0,300.0,1.23,7411.0,57
HCPCS,J0122,eravacycline 50 mg intravenous solution,281.75,169.05,1.23,7411.0,57
HCPCS,J0130,abciximab 10 mg/5 mL intravenous solution,4072.54,2443.52,692.33,7411.0,41
HCPCS,J0131,"acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution",65.4,39.24,0.0561,7411.0,42
HCPCS,J0132,acetylcysteine 200 mg/mL (20 %) intravenous solution,713.275,427.965,0.5621,7411.0,84
HCPCS,J0133,acyclovir sodium 50 mg/mL intravenous solution,117.8,70.68,0.0187,7411.0,126
HCPCS,J0134,"acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution",57.6,34.56,0.0583,7411.0,42
HCPCS,J0153,adenosine (diagnostic) 3 mg/mL intravenous solution,881.96,529.18,0.48,7411.0,43
HCPCS,J0153,adenosine 3 mg/mL intravenous solution,35.7,21.42,0.48,7411.0,129
HCPCS,J0163,EPINEPHrine 4 mg/250 mL (16 mcg/mL) in 0.9 % sodium chloride IV soln,274.0,164.4,0.33,7411.0,42
HCPCS,J0165,EPINEPHrine 0.1 mg/mL injection syringe,47.56,28.535000000000004,0.3454,7411.0,84
HCPCS,J0165,EPINEPHrine 1 mg/mL (1 mL) injection solution,16.6,9.96,0.3454,7411.0,42
HCPCS,J0165,EPINEPHrine HCl (PF) 1 mg/mL (1 mL) injection solution,70.0,42.0,0.3454,7411.0,42
HCPCS,J0166,EPINEPHrine HCl (PF) 1 mg/mL (1 mL) injection solution,70.0,42.0,0.9196,7411.0,42
HCPCS,J0168,EPINEPHrine 0.1 mg/mL injection syringe,63.1,37.86,3.16,7411.0,42
HCPCS,J0169,EPINEPHrine 1 mg/mL (1 mL) injection solution,93.76,56.26,0.9559,7411.0,42
HCPCS,J0169,"EPINEPHrine 1 mg/mL (1:1,000) injection solution",1131.52,678.91,0.9559,7411.0,42
HCPCS,J0169,EPINEPHrine 1 mg/mL injection solution,1131.52,678.91,0.9559,7411.0,42
HCPCS,J0180,agalsidase beta 35 mg intravenous solution,22364.19,13418.51,212.8,16773.14,57
HCPCS,J0185,aprepitant 130 mg/18 mL (7.2 mg/mL) intravenous emulsion,1966.19,1179.71,1.61,7411.0,57
HCPCS,J0206,allopurinol 500 mg intravenous solution,11830.59,7098.355,3.62,8970.89,114
HCPCS,J0209,sodium thiosulfate 12.5 gram/50 mL (250 mg/mL) intravenous solution,261.0,156.6,0.836,7411.0,110
HCPCS,J0210,methyldopate 250 mg/5 mL intravenous solution,240.0,144.0,40.8,7411.0,41
HCPCS,J0216,ALfentanil 500 mcg/mL injection solution,27.72,16.63,4.71,7411.0,41
HCPCS,J0221,alglucosidase alfa 50 mg intravenous solution,2707.605,1624.56,187.25,7411.0,114
HCPCS,J0222,patisiran (lipid complex) 2 mg/mL intravenous solution,29355.0,17613.0,90.41,22016.25,57
HCPCS,J0223,givosiran 189 mg/mL subcutaneous solution,127848.0,76708.8,107.3,95886.0,57
HCPCS,J0248,remdesivir 100 mg intravenous powder for solution,1565.0,939.0,6.55,7411.0,57
HCPCS,J0256,"alpha-1-proteinase inhibitor (human) 1,000 mg (+/-)/20 mL IV solution",3.42,2.05,0.5814,7411.0,57
HCPCS,J0256,"alpha-1-proteinase inhibitor (human) 1,000 mg intravenous solution",31.2,18.72,4.88,7411.0,57
HCPCS,J0270,alprostadil 10 mcg intracavernosal kit,767.34,460.4,130.45,7411.0,41
HCPCS,J0270,alprostadil 500 mcg/mL injection solution,691.2,414.72,117.5,7411.0,41
HCPCS,J0278,"amikacin 1,000 mg/4 mL injection solution",73.4,44.04,0.671,7411.0,84
HCPCS,J0280,aminophylline 250 mg/10 mL intravenous solution,99.12,59.47,12.46,7411.0,42
HCPCS,J0280,aminophylline 500 mg/20 mL intravenous solution,4.32,2.59,0.7344,7411.0,42
HCPCS,J0281,aminocaproic acid 250 mg/mL intravenous solution,71.68,43.01,1.72,7411.0,42
HCPCS,J0282,"amiodarone 150 mg/100 mL (1.5 mg/mL) in dextrose, iso-osmotic IV",208.2,124.92,0.4279,7411.0,43
HCPCS,J0282,"amiodarone 360 mg/200 mL (1.8 mg/mL) in dextrose, iso-osmotic IV",277.2,166.32,0.4279,7411.0,43
HCPCS,J0282,amiodarone 50 mg/mL intravenous solution,15.22,9.135,0.4279,7411.0,258
HCPCS,J0285,amphotericin B 50 mg solution for injection,293.0,175.8,48.76,7411.0,42
HCPCS,J0289,amphotericin B liposome 50 mg intravenous suspension,1273.5300000000002,764.12,21.67,7411.0,116
HCPCS,J0290,ampicillin 1 gram intravenous solution,90.98,54.59,0.7062,7411.0,42
HCPCS,J0290,ampicillin 1 gram solution for injection,34.535,20.72,0.7062,7411.0,84
HCPCS,J0290,ampicillin 2 gram solution for injection,47.63,28.58,0.7062,7411.0,126
HCPCS,J0290,ampicillin 250 mg solution for injection,15.85,9.51,0.7062,7411.0,42
HCPCS,J0290,ampicillin 500 mg solution for injection,19.22,11.53,0.7062,7411.0,42
HCPCS,J0295,ampicillin-sulbactam 1.5 gram solution for injection,25.67,15.4,1.49,7411.0,168
HCPCS,J0295,ampicillin-sulbactam 3 gram solution for injection,44.195,26.520000000000003,1.49,7411.0,84
HCPCS,J0300,amobarbital 500 mg solution for injection,2199.15,1319.49,297.02,7411.0,42
HCPCS,J0330,succinylcholine chloride 20 mg/mL injection solution,120.22,72.13,20.44,7411.0,41
HCPCS,J0330,"succinylcholine chloride 20 mg/mL injection solution,succinylcholine chloride 200 mg/10 mL (20 mg/mL) intravenous solution,succinylcholine(PF)200 mg/10 mL(20 mg/mL)-NaCl,iso intravenous syringe,succin",73.0,43.8,6.8,7411.0,287
HCPCS,J0348,anidulafungin 50 mg intravenous solution,434.53,260.72,0.5357,7411.0,42
HCPCS,J0360,hydrALAZINE 20 mg/mL injection solution,85.92,51.55,3.93,7411.0,126
HCPCS,J0456,azithromycin 500 mg intravenous solution,45.56,27.335,2.14,7411.0,84
HCPCS,J0457,aztreonam 1 gram solution for injection,202.415,121.44999999999999,2.52,7411.0,84
HCPCS,J0457,aztreonam 2 gram solution for injection,316.2,189.72,2.52,7411.0,84
HCPCS,J0461,atropine 0.1 mg/mL injection syringe,65.62,39.37,0.1122,7411.0,126
HCPCS,J0461,atropine 0.4 mg/mL injection solution,133.3,79.97999999999999,0.1122,7411.0,84
HCPCS,J0461,"atropine 0.4 mg/mL injection solution,atropine 0.4 mg/mL intravenous solution",71.38,42.83,0.1122,7411.0,126
HCPCS,J0462,atropine 0.4 mg/mL intravenous solution,71.38,42.83,0.1133,7411.0,42
HCPCS,J0470,dimercaprol 100 mg/mL intramuscular solution,761.72,457.03,129.49,7411.0,42
HCPCS,J0475,"baclofen 2,000 mcg/mL intrathecal solution",3548.275,2128.965,81.77,7411.0,116
HCPCS,J0475,"baclofen 40,000 mcg/20 mL (2,000 mcg/mL) intrathecal solution",2839.42,1703.65,81.77,7411.0,58
HCPCS,J0475,"baclofen 40,000 mcg/20 mL (2,000 mcg/mL) intrathecal syringe",3053.74,1832.24,81.77,7411.0,58
HCPCS,J0475,baclofen 500 mcg/mL intrathecal solution,1067.35,640.41,81.77,7411.0,58
HCPCS,J0476,baclofen 50 mcg/mL intrathecal solution,201.82,121.09,30.46,7411.0,43
HCPCS,J0480,basiliximab 20 mg intravenous solution,13409.31,8045.59,2279.58,10346.47,57
HCPCS,J0485,belatacept 250 mg intravenous solution,2909.64,1745.78,3.59,7411.0,57
HCPCS,J0500,dicyclomine 10 mg/mL intramuscular solution,266.93,160.16,10.3,7411.0,84
HCPCS,J0500,dicyclomine 20 mg tablet,1.36,0.8049999999999999,0.204,7411.0,210
HCPCS,J0515,benztropine 1 mg/mL injection solution,467.21,280.325,14.87,7411.0,84
HCPCS,J0561,"penicillin G benzathine 1,200,000 unit/2 mL intramuscular syringe",1377.45,826.47,29.9,7411.0,57
HCPCS,J0561,"penicillin G benzathine 2,400,000 unit/4 mL intramuscular syringe",942.46,565.48,29.9,7411.0,57
HCPCS,J0561,"penicillin G benzathine 600,000 unit/mL intramuscular syringe",797.43,478.46,29.9,7411.0,57
HCPCS,J0571,buprenorphine HCl 2 mg sublingual tablet,2.035,1.22,0.1819,7411.0,78
HCPCS,J0571,buprenorphine HCl 8 mg sublingual tablet,3.48,2.09,0.5661,7411.0,78
HCPCS,J0572,buprenorphine 2 mg-naloxone 0.5 mg sublingual film,10.02,6.01,1.7,7411.0,39
HCPCS,J0572,buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet,1.85,1.11,0.3145,7411.0,39
HCPCS,J0574,buprenorphine 8 mg-naloxone 2 mg sublingual tablet,2.685,1.61,0.3179,7411.0,156
HCPCS,J0583,bivalirudin 250 mg intravenous powder for solution,2953.0,1771.8,0.1364,7411.0,43
HCPCS,J0585,onabotulinumtoxinA 100 unit solution for injection,1938.0,1162.8,6.01,7411.0,58
HCPCS,J0592,buprenorphine HCl 0.3 mg/mL injection solution,91.02,54.61,4.58,7411.0,42
HCPCS,J0595,butorphanol 2 mg/mL injection solution,54.44,32.66,1.63,7411.0,126
HCPCS,J0597,C1 esterase inhibitor 500 unit (10 mL) intravenous kit,12204.6,7322.76,72.25,9153.45,58
HCPCS,J0597,C1 esterase inhibitor 500 unit (10 mL) intravenous solution,12204.6,7322.76,72.25,9153.45,58
HCPCS,J0601,sevelamer carbonate 800 mg tablet,2.09,1.255,0.1003,7411.0,156
HCPCS,J0602,sevelamer carbonate 0.8 gram oral powder packet,18.91,11.35,3.21,7411.0,39
HCPCS,J0602,sevelamer carbonate 2.4 gram oral powder packet,35.7,21.42,6.07,7411.0,39
HCPCS,J0607,"lanthanum 1,000 mg chewable tablet",22.8,13.68,3.67,7411.0,78
HCPCS,J0607,lanthanum 500 mg chewable tablet,21.59,12.95,1.89,7411.0,117
HCPCS,J0612,calcium gluconate 100 mg/mL (10 %) intravenous solution,85.56,51.335,0.0308,7411.0,168
HCPCS,J0613,"calcium gluconate 1 gram/50 mL in sodium chloride, iso-osm IV solution",130.5,78.3,0.077,7411.0,42
HCPCS,J0613,"calcium gluconate 2 gram/100 mL in sodium chloride,iso-osm IV solution",249.0,149.4,0.077,7411.0,42
HCPCS,J0615,calcium acetate 667 mg tablet,0.265,0.16,0.0442,7411.0,78
HCPCS,J0616,metoprolol tartrate 5 mg/5 mL intravenous solution,13.870000000000001,8.32,0.1375,7411.0,168
HCPCS,J0618,calcium chloride 100 mg/mL (10 %) intravenous solution,133.32,79.99,22.66,7411.0,39
HCPCS,J0618,calcium chloride 100 mg/mL (10 %) intravenous syringe,75.0,45.0,11.22,7411.0,117
HCPCS,J0630,calcitonin (salmon) 200 unit/mL injection solution,9396.3,5637.78,1597.37,7986.85,42
HCPCS,J0636,calcitriol 1 mcg/mL intravenous solution,52.355000000000004,31.415,7.65,7411.0,82
HCPCS,J0637,caspofungin 70 mg intravenous solution,1583.96,950.38,3.93,7411.0,43
HCPCS,J0640,leucovorin calcium 10 mg/mL injection solution,382.5,229.5,3.95,7411.0,42
HCPCS,J0640,leucovorin calcium 100 mg solution for injection,86.4,51.84,3.95,7411.0,84
HCPCS,J0640,leucovorin calcium 200 mg solution for injection,240.0,144.0,3.95,7411.0,42
HCPCS,J0640,leucovorin calcium 350 mg solution for injection,113.7,68.22,3.95,7411.0,42
HCPCS,J0640,leucovorin calcium 50 mg solution for injection,60.0,36.0,3.95,7411.0,42
HCPCS,J0651,levothyroxine 100 mcg intravenous powder for solution,475.11,285.07,6.61,7411.0,57
HCPCS,J0651,levothyroxine 20 mcg/mL intravenous solution,399.11,239.47,6.61,7411.0,57
HCPCS,J0651,levothyroxine 200 mcg intravenous powder for solution,950.22,570.13,6.61,7411.0,57
HCPCS,J0654,liothyronine 10 mcg/mL intravenous solution,5416.88,3250.13,37.33,7411.0,56
HCPCS,J0665,BUPivacaine (PF) 0.25 % (2.5 mg/mL) injection solution,18.21,10.925,0.011,7411.0,168
HCPCS,J0665,BUPivacaine (PF) 0.5 % (5 mg/mL) injection solution,21.96,13.174999999999999,0.011,7411.0,252
HCPCS,J0665,BUPivacaine (PF) 0.75 % (7.5 mg/mL) in 8.25 % dextrose injection,28.295,16.975,0.011,7411.0,168
HCPCS,J0665,BUPivacaine (PF) 0.75 % (7.5 mg/mL) injection solution,39.239999999999995,23.545,0.011,7411.0,84
HCPCS,J0665,BUPivacaine HCl 0.25 % (2.5 mg/mL) injection solution,1.03,0.62,0.011,7411.0,168
HCPCS,J0665,BUPivacaine HCl 0.5 % (5 mg/mL) injection solution,0.74,0.44,0.011,7411.0,42
HCPCS,J0666,BUPivacaine liposome(PF) 1.3 %(13.3 mg/mL) suspension for infiltration,846.27,507.76,1.32,7411.0,57
HCPCS,J0670,mepivacaine (PF) 10 mg/mL (1 %) injection solution,45.54,27.325000000000003,4.1,7411.0,84
HCPCS,J0670,mepivacaine (PF) 15 mg/mL (1.5 %) injection solution,1.5,0.9,0.255,7411.0,42
HCPCS,J0670,mepivacaine (PF) 20 mg/mL (2 %) injection solution,30.36,18.22,4.1,7411.0,42
HCPCS,J0675,carboprost tromethamine 250 mcg/mL intramuscular solution,630.0,378.0,14.78,7411.0,56
HCPCS,J0687,ceFAZolin 3 gram intravenous solution,40.4,24.24,0.8096,7411.0,42
HCPCS,J0688,ceFAZolin 3 gram intravenous solution,57.65,34.59,0.935,7411.0,42
HCPCS,J0690,ceFAZolin 1 gram solution for injection,13.575,8.145,0.9295,7411.0,252
HCPCS,J0690,ceFAZolin 2 gram solution for injection,40.1,24.06,0.9295,7411.0,42
HCPCS,J0690,ceFAZolin 500 mg solution for injection,17.01,10.21,0.9295,7411.0,42
HCPCS,J0692,cefepime 1 gram intravenous solution,39.74,23.84,1.39,7411.0,42
HCPCS,J0692,cefepime 1 gram solution for injection,39.5,23.7,1.39,7411.0,210
HCPCS,J0692,cefepime 1 gram/50 mL in dextrose (iso-osmotic) intravenous piggyback,167.0,100.2,1.39,7411.0,42
HCPCS,J0692,cefepime 2 gram intravenous solution,63.74,38.24,1.39,7411.0,42
HCPCS,J0692,cefepime 2 gram solution for injection,63.8,38.28,1.39,7411.0,126
HCPCS,J0694,cefOXitin 1 gram intravenous solution,55.67,33.4,3.91,7411.0,84
HCPCS,J0694,cefOXitin 2 gram intravenous solution,124.7,74.82,3.91,7411.0,42
HCPCS,J0695,ceftolozane-tazobactam 1.5 gram intravenous solution,718.93,431.36,8.4,7411.0,57
HCPCS,J0696,cefTRIAXone 1 gram solution for injection,22.7,13.620000000000001,0.473,7411.0,252
HCPCS,J0696,cefTRIAXone 10 gram solution for injection,173.0,103.8,0.473,7411.0,42
HCPCS,J0696,cefTRIAXone 2 gram solution for injection,43.075,25.845,0.473,7411.0,168
HCPCS,J0696,cefTRIAXone 250 mg solution for injection,13.04,7.82,0.473,7411.0,126
HCPCS,J0696,cefTRIAXone 500 mg solution for injection,10.79,6.47,0.473,7411.0,42
HCPCS,J0697,cefuroxime sodium 1.5 gram intravenous solution,38.44,23.064999999999998,2.19,7411.0,84
HCPCS,J0697,cefuroxime sodium 750 mg solution for injection,22.54,13.52,2.19,7411.0,42
HCPCS,J0699,cefiderocol 1 gram intravenous solution,993.47,596.08,2.28,7411.0,57
HCPCS,J0702,betamethasone acetate and sodium phos 6 mg/mL suspension for injection,247.64,148.58,7.67,7411.0,42
HCPCS,J0706,caffeine citrate 60 mg/3 mL (20 mg/mL) intravenous solution,153.4,92.03999999999999,20.4,7411.0,82
HCPCS,J0706,"caffeine citrated 60 mg/3 mL (20 mg/mL) intravenous solution,caffeine citrate 60 mg/3 mL oral solution,caffeine citrate 60 mg/3 mL (20 mg/mL) oral solution",62.26,37.36,10.58,7411.0,41
HCPCS,J0712,ceftaroline fosamil 400 mg intravenous solution,1108.4,665.04,4.04,7411.0,57
HCPCS,J0712,ceftaroline fosamil 600 mg intravenous solution,1108.4,665.04,4.04,7411.0,57
HCPCS,J0713,cefTAZidime 1 gram intravenous solution,40.71,24.43,1.55,7411.0,42
HCPCS,J0713,cefTAZidime 1 gram solution for injection,33.39,20.035,1.55,7411.0,84
HCPCS,J0713,cefTAZidime 2 gram intravenous solution,77.56,46.54,1.55,7411.0,42
HCPCS,J0713,cefTAZidime 2 gram solution for injection,66.655,39.995000000000005,1.55,7411.0,84
HCPCS,J0713,cefTAZidime 500 mg solution for injection,44.6,26.76,1.55,7411.0,42
HCPCS,J0713,cefTAZidime 6 gram solution for injection,135.13,81.08,1.55,7411.0,42
HCPCS,J0713,ceftazidime 500 mg Solution for Injection,44.6,26.76,1.55,7411.0,42
HCPCS,J0714,cefTAZidime-avibactam 2.5 gram intravenous solution,1785.14,1071.08,99.51,7411.0,57
HCPCS,J0717,certolizumab pegol 400 mg/2 mL (200 mg/mL x2) subcutaneous syringe kit,8578.79,5147.27,3.6,7411.0,57
HCPCS,J0735,"cloNIDine (PF) 1,000 mcg/10 mL (100 mcg/mL) epidural solution",188.04,112.82,19.71,7411.0,42
HCPCS,J0735,"cloNIDine (PF) 5,000 mcg/10 mL epidural solution",731.25,438.75,19.71,7411.0,42
HCPCS,J0736,clindamycin 150 mg/mL injection solution,28.875,17.325,0.7546,7411.0,168
HCPCS,J0736,clindamycin 300 mg/50 mL in 5 % dextrose intravenous piggyback,52.1,31.26,0.7546,7411.0,42
HCPCS,J0736,clindamycin 600 mg/50 mL in 5 % dextrose intravenous piggyback,52.55,31.529999999999998,0.7546,7411.0,84
HCPCS,J0736,clindamycin 900 mg/50 mL in 5 % dextrose intravenous piggyback,92.0,55.2,0.7546,7411.0,42
HCPCS,J0740,cidofovir 75 mg/mL intravenous solution,2598.08,1558.85,378.25,7411.0,114
HCPCS,J0743,imipenem-cilastatin 500 mg intravenous solution,192.89499999999998,115.74000000000001,6.96,7411.0,86
HCPCS,J0744,ciprofloxacin 200 mg/100 mL in 5 % dextrose intravenous piggyback,22.4,13.44,0.8305,7411.0,126
HCPCS,J0744,ciprofloxacin 400 mg/200 mL in 5 % dextrose intravenous piggyback,25.4,15.24,0.8305,7411.0,42
HCPCS,J0750,emtricitabine 200 mg-tenofovir disoproxil fumarate 300 mg tablet,123.32,73.99,0.4655,7411.0,55
HCPCS,J0751,emtricitabine 200 mg-tenofovir alafenamide fumarate 25 mg tablet,147.32,88.39,25.04,7411.0,55
HCPCS,J0759,clevidipine 25 mg/50 mL intravenous emulsion,384.98,230.99,2.7,7411.0,57
HCPCS,J0770,colistin (colistimethate sodium) 150 mg solution for injection,172.94,103.76,15.69,7411.0,42
HCPCS,J0780,prochlorperazine edisylate 10 mg/2 mL (5 mg/mL) injection solution,27.6,16.56,3.67,7411.0,126
HCPCS,J0834,cosyntropin 0.25 mg solution for injection,420.255,252.15499999999997,17.88,7411.0,84
HCPCS,J0840,crotalidae polyval immune fab 1 gram solution for injection,9600.0,5760.0,1632.0,7411.0,58
HCPCS,J0841,antivenin Crotalidae (equine) 120 mg solution for injection,2641.0,1584.6,448.97,7411.0,40
HCPCS,J0850,cytomegalovirus immune globulin 50 mg/mL intravenous solution,4450.2,2670.12,756.53,7411.0,58
HCPCS,J0878,DAPTOmycin 350 mg intravenous solution,226.25,135.75,0.0374,7411.0,86
HCPCS,J0878,DAPTOmycin 500 mg intravenous solution,2009.66,1205.8,0.0374,7411.0,43
HCPCS,J0881,darbepoetin alfa 100 mcg/mL in polysorbate injection,2350.0,1410.0,2.92,7411.0,57
HCPCS,J0881,darbepoetin alfa 200 mcg/mL in polysorbate injection,1421.2,852.72,2.92,7411.0,57
HCPCS,J0881,darbepoetin alfa 25 mcg/mL in polysorbate injection,898.75,539.25,2.92,7411.0,57
HCPCS,J0881,darbepoetin alfa 40 mcg/mL in polysorbate injection,1421.2,852.72,2.92,7411.0,57
HCPCS,J0881,darbepoetin alfa 60 mcg/mL in polysorbate injection,2117.8,1270.68,2.92,7411.0,57
HCPCS,J0884,argatroban 1 mg/mL in 0.9 % sodium chloride intravenous solution,815.5,489.3,1.11,7411.0,43
HCPCS,J0884,argatroban 100 mg/mL intravenous solution,1220.5,732.3,1.11,7411.0,86
HCPCS,J0885,"epoetin alfa 10,000 unit/mL injection solution",1230.63,738.38,6.94,7411.0,57
HCPCS,J0885,"epoetin alfa 2,000 unit/mL injection solution",268.57,161.14,6.94,7411.0,57
HCPCS,J0885,"epoetin alfa 20,000 unit/mL injection solution",1631.5,978.9,6.94,7411.0,57
HCPCS,J0885,"epoetin alfa 40,000 unit/mL injection solution",3235.0,1941.0,6.94,7411.0,57
HCPCS,J0894,decitabine 50 mg intravenous solution,5183.0,3109.8,1.1,7411.0,42
HCPCS,J0895,deferoxamine 500 mg solution for injection,56.75,34.05,9.43,7411.0,42
HCPCS,J0896,luspatercept-aamt 25 mg subcutaneous solution,11888.26,7132.96,38.76,8916.19,57
HCPCS,J0896,luspatercept-aamt 75 mg subcutaneous solution,35608.66,21365.2,38.76,26706.49,57
HCPCS,J0897,denosumab 120 mg/1.7 mL (70 mg/mL) subcutaneous solution,9856.41,5913.85,28.03,7411.0,57
HCPCS,J0897,denosumab 60 mg/mL subcutaneous syringe,5358.36,3215.02,28.03,7411.0,57
HCPCS,J1010,methylPREDNISolone acetate 40 mg/mL suspension for injection,63.0,37.8,0.1232,7411.0,252
HCPCS,J1050,medroxyPROGESTERone 150 mg/mL intramuscular suspension,275.22,165.13,46.79,7411.0,41
HCPCS,J1071,testosterone cypionate 200 mg/mL intramuscular oil,126.99000000000001,76.19,0.0264,7411.0,84
HCPCS,J1100,dexAMETHasone sodium phosphate (PF) 10 mg/mL injection solution,45.0,27.0,0.121,7411.0,42
HCPCS,J1100,dexAMETHasone sodium phosphate 4 mg/mL injection solution,17.28,10.37,0.121,7411.0,126
HCPCS,J1110,dihydroergotamine 1 mg/mL injection solution,474.235,284.54,58.66,7411.0,168
HCPCS,J1120,acetaZOLAMIDE 500 mg solution for injection,189.0,113.4,26.8,7411.0,42
HCPCS,J1160,digoxin 100 mcg/mL (0.1 mg/mL) injection solution,619.79,371.87,11.41,7411.0,42
HCPCS,J1160,digoxin 250 mcg/mL (0.25 mg/mL) injection solution,33.0,19.8,5.61,7411.0,42
HCPCS,J1162,digoxin immune fab 40 mg intravenous solution,14355.0,8613.0,2440.35,11109.03,58
HCPCS,J1163,"dilTIAZem HCl 100 mg/100 mL (1 mg/mL) in sod chloride,iso-osm IV soln",230.4,138.24,0.044,7411.0,40
HCPCS,J1165,phenytoin sodium 50 mg/mL intravenous solution,11.97,7.18,0.4631,7411.0,126
HCPCS,J1170,"HYDROmorphone 15 mg/30 mL (0.5 mg/mL) in 0.9 % NaCl IV PCA syringe,1. HYDROmorphone 25 mg/50 mL (0.5 mg/mL) in 0.9 % NaCl IV PCA syringe,1. HYDROmorphone 15 mg/30 mL (0.5 mg/mL) in 0.9% sod.chloride P",142.98,85.79,24.31,7411.0,41
HCPCS,J1171,HYDROmorphone (PF) 0.5 mg/0.5 mL injection syringe,30.9,18.54,0.1111,7411.0,42
HCPCS,J1171,HYDROmorphone (PF) 1 mg/mL injection solution,31.92,19.15,0.1111,7411.0,42
HCPCS,J1171,HYDROmorphone (PF) 1 mg/mL injection syringe,30.9,18.54,0.1111,7411.0,42
HCPCS,J1171,"HYDROmorphone (PF) 1 mg/mL injection syringe,HYDROmorphone (PF) 1 mg/mL injection solution",24.9,14.94,0.1111,7411.0,126
HCPCS,J1171,HYDROmorphone (PF) 10 mg/mL injection solution,71.34,42.8,0.1111,7411.0,126
HCPCS,J1171,HYDROmorphone (PF) 2 mg/mL injection solution,7.745,4.645,0.1111,7411.0,84
HCPCS,J1171,"HYDROmorphone (PF) 2 mg/mL injection solution,HYDROmorphone (PF) 2 mg/mL injection syringe",8.16,4.9,0.1111,7411.0,126
HCPCS,J1171,HYDROmorphone (PF) 2 mg/mL injection syringe,27.6,16.56,0.1111,7411.0,42
HCPCS,J1171,"HYDROmorphone 0.2 mg/mL in 0.9 % sodium chloride intravenous,HYDROmorphone 10 mg/50 mL (0.2 mg/mL) in 0.9 % NaCl IV PCA syringe,HYDROMORPHONE(PF) 10 MG/50 ML (0.2 MG/ML)-0.9 % NACL IV PUMP RESERVOIR",253.65,152.19,0.1111,7411.0,84
HCPCS,J1171,HYDROmorphone 0.25 mg/0.5 mL injection syringe,25.08,15.05,0.1111,7411.0,42
HCPCS,J1171,HYDROmorphone 0.5 mg/0.5 mL injection syringe,25.08,15.05,0.1111,7411.0,42
HCPCS,J1171,HYDROmorphone 1 mg/mL injection solution,22.24,13.34,0.1111,7411.0,42
HCPCS,J1171,HYDROmorphone 1 mg/mL injection syringe,9.12,5.47,0.1111,7411.0,42
HCPCS,J1171,"HYDROmorphone 1 mg/mL injection syringe,HYDROmorphone 1 mg/mL injection solution",9.25,5.55,0.1111,7411.0,126
HCPCS,J1171,"HYDROmorphone 15 mg/30 mL (0.5 mg/mL) in 0.9 % NaCl IV PCA syringe,1. HYDROmorphone 25 mg/50 mL (0.5 mg/mL) in 0.9 % NaCl IV PCA syringe,1. HYDROmorphone 15 mg/30 mL (0.5 mg/mL) in 0.9% sod.chloride P",142.98,85.79,0.1111,7411.0,42
HCPCS,J1171,HYDROmorphone 2 mg/mL injection solution,15.41,9.25,0.1111,7411.0,210
HCPCS,J1171,"HYDROmorphone 2 mg/mL injection solution,HYDROmorphone 2 mg/mL injection syringe",18.925,11.355,0.1111,7411.0,168
HCPCS,J1171,HYDROmorphone 2 mg/mL injection syringe,8.02,4.81,0.1111,7411.0,126
HCPCS,J1171,HYDROmorphone 30 mg/30 mL in 0.9 % sod. chloride PCA intravenous soln,157.92,94.75,0.1111,7411.0,42
HCPCS,J1171,"Hydromorphone 1 mg/mL PCA 2015,HYDROmorphone 30 mg/30 mL (1 mg/mL) in 0.9 % NaCl IV PCA syringe,HYDROmorphone 50 mg/50 mL (1 mg/mL) in 0.9 % sod.chloride IV pump resv,HYDROmorphone (PF) 5.5 mg/55 mL(0",157.92,94.75,0.1111,7411.0,42
HCPCS,J1171,hydromorphone (PF) 10 mg/mL Injection,21.0,12.6,0.1111,7411.0,42
HCPCS,J1190,dexrazoxane HCl 250 mg intravenous solution,1056.96,634.18,47.25,7411.0,58
HCPCS,J1190,dexrazoxane HCl 500 mg intravenous solution,2113.97,1268.38,47.25,7411.0,58
HCPCS,J1200,diphenhydrAMINE 50 mg/mL injection solution,9.6,5.76,0.7557,7411.0,126
HCPCS,J1205,chlorothiazide sodium 500 mg intravenous solution,1351.65,810.99,51.61,7411.0,43
HCPCS,J1212,dimethyl sulfoxide 50 % intravesical solution,2097.0,1258.2,356.49,7411.0,57
HCPCS,J1230,methadone 10 mg/mL injection solution,1929.75,1157.85,16.18,7411.0,42
HCPCS,J1250,"DOBUTamine 1,000 mg/250 mL(4,000 mcg/mL) in 5 % dextrose IV",152.5,91.5,8.67,7411.0,84
HCPCS,J1250,DOBUTamine 250 mg/20 mL (12.5 mg/mL) intravenous solution,45.64,27.38,7.76,7411.0,42
HCPCS,J1250,DOBUTamine 250 mg/250 mL (1 mg/mL) in 5 % dextrose intravenous,139.0,83.4,8.67,7411.0,42
HCPCS,J1250,"DOBUTamine 500 mg/250 mL (2,000 mcg/mL) in 5 % dextrose IV",170.5,102.30000000000001,8.67,7411.0,84
HCPCS,J1250,DOBUTamine 500 mg/40 mL (12.5 mg/mL) intravenous solution,74.8,44.88,8.67,7411.0,42
HCPCS,J1265,DOPamine 200 mg/5 mL (40 mg/mL) intravenous solution,28.03,16.82,0.8811,7411.0,42
HCPCS,J1265,DOPamine 400 mg/10 mL (40 mg/mL) intravenous solution,23.38,14.03,0.8811,7411.0,42
HCPCS,J1265,"DOPamine 400 mg/250 mL (1,600 mcg/mL) in 5 % dextrose intravenous soln",86.5,51.9,0.8811,7411.0,42
HCPCS,J1265,DOPamine 400 mg/500 mL (800 mcg/mL) in 5 % dextrose intravenous soln,112.0,67.2,0.8811,7411.0,42
HCPCS,J1265,"DOPamine 800 mg/250 mL (3,200 mcg/mL) in 5 % dextrose intravenous soln",124.75,74.85,0.8811,7411.0,84
HCPCS,J1271,doxycycline hyclate 100 mg intravenous powder for solution,162.98,97.79,0.0968,7411.0,42
HCPCS,J1290,ecallantide 10 mg/mL (1 mL) subcutaneous solution,49863.3,29917.98,540.47,37397.47,57
HCPCS,J1299,eculizumab 300 mg/30 mL intravenous solution,19568.97,11741.38,42.47,14676.73,57
HCPCS,J1303,ravulizumab-cwvz 10 mg/mL intravenous solution,19262.03,11557.22,206.22,14446.52,57
HCPCS,J1303,ravulizumab-cwvz 100 mg/mL intravenous solution,44877.99,26926.795,206.22,52870.49,114
HCPCS,J1308,famotidine (PF) 20 mg/2 mL intravenous solution,2.7,1.62,0.0099,7411.0,126
HCPCS,J1308,famotidine (PF) 20 mg/50 mL in 0.9 % NaCl (iso) intravenous piggyback,33.6,20.16,0.0099,7411.0,42
HCPCS,J1308,famotidine 10 mg/mL intravenous solution,3.205,1.925,0.0099,7411.0,84
HCPCS,J1308,famotidine 20 mg/10 mL in 0.9 % sodium chloride intravenous syringe,10.5,6.3,0.0099,7411.0,42
HCPCS,J1325,epoprostenol 0.5 mg intravenous solution,156.42,93.85,16.36,7411.0,43
HCPCS,J1325,epoprostenol 1.5 mg intravenous solution,250.79500000000002,150.475,16.36,7411.0,86
HCPCS,J1327,eptifibatide 2 mg/mL IV,810.28,486.17,3.1,7411.0,58
HCPCS,J1327,eptifibatide 2 mg/mL intravenous solution,2674.99,1604.9950000000001,3.1,7411.0,116
HCPCS,J1335,ertapenem 1 gram solution for injection,583.97,350.38,7.94,7411.0,42
HCPCS,J1364,erythromycin lactobionate 500 mg intravenous solution,413.98,248.39,70.38,7411.0,42
HCPCS,J1410,conjugated estrogens 25 mg solution for injection,1656.23,993.74,281.56,7411.0,57
HCPCS,J1439,ferric carboxymaltose 50 mg iron/mL intravenous solution,4317.09,2590.25,1.04,7411.0,57
HCPCS,J1440,"Shell J1440, Fecal Microbiota Live, per Ml",5421.41,3252.85,57.97,7411.0,57
HCPCS,J1442,filgrastim 300 mcg/0.5 mL injection syringe,1529.66,917.795,0.9625,7411.0,114
HCPCS,J1442,filgrastim 300 mcg/mL injection solution,1444.74,866.84,0.9625,7411.0,57
HCPCS,J1442,filgrastim 480 mcg/1.6 mL injection solution,1531.99,919.19,0.9625,7411.0,57
HCPCS,J1450,fluconazole 100 mg/50 mL in sodium chloride(iso) intravenous piggyback,35.0,21.0,4.26,7411.0,42
HCPCS,J1450,fluconazole 200 mg/100 mL in sod. chloride (iso) intravenous piggyback,90.2,54.12,4.26,7411.0,84
HCPCS,J1450,fluconazole 400 mg/200 mL in sod. chloride(iso) intravenous piggyback,47.0,28.2,4.26,7411.0,42
HCPCS,J1451,fomepizole 1 gram/mL intravenous solution,3086.115,1851.67,6.21,7411.0,116
HCPCS,J1453,fosaprepitant 150 mg intravenous powder for solution,237.0,142.2,0.1166,7411.0,126
HCPCS,J1455,foscarnet 24 mg/mL intravenous solution,2165.0,1299.0,9.19,7411.0,42
HCPCS,J1460,"immune glob,gamma(IgG) 15 %-18 % range-glycine intramuscular solution",2072.63,1243.58,46.5,7411.0,57
HCPCS,J1566,"immune glob,gamma(IgG) 10 gram-gly-gluc-IgA 0 to 50 mcg/mL IV solution",6733.8,4040.28,76.38,7411.0,58
HCPCS,J1566,"immune glob,gamma(IgG) 5 gram-gly-gluc-IgA 0 to 50 mcg/mL IV solution",3369.9,2021.94,76.38,7411.0,58
HCPCS,J1569,"immune glob,gamma (IgG) 10 %-gly-IgA over 50 mcg/mL injection solution",3820.2000000000003,2292.12,46.63,7632.9,232
HCPCS,J1570,ganciclovir sodium 500 mg intravenous solution,329.0,197.4,37.45,7411.0,42
HCPCS,J1580,gentamicin 100 mg/50 mL in sodium chloride(iso) intravenous piggyback,29.9,17.94,2.12,7411.0,42
HCPCS,J1580,gentamicin 120 mg/100 mL in sodium chloride(iso) intravenous piggyback,30.2,18.12,2.12,7411.0,42
HCPCS,J1580,gentamicin 20 mg/2 mL injection solution,29.0,17.4,2.12,7411.0,42
HCPCS,J1580,gentamicin 40 mg/mL injection solution,118.88,71.325,2.12,7411.0,84
HCPCS,J1580,gentamicin 80 mg/50 mL in sodium chloride(iso) intravenous piggyback,29.3,17.58,2.12,7411.0,42
HCPCS,J1580,gentamicin sulfate (pediatric) (PF) 20 mg/2 mL injection solution,42.02,25.21,2.12,7411.0,42
HCPCS,J1596,glycopyrrolate 0.2 mg/mL injection solution,20.8,12.48,0.4015,7411.0,294
HCPCS,J1602,golimumab 12.5 mg/mL intravenous solution,5997.58,3598.55,10.73,7411.0,57
HCPCS,J1610,glucagon 1 mg/mL solution for injection,772.2,463.32,131.27,7411.0,57
HCPCS,J1610,glucagon HCl 1 mg/mL solution for injection,1137.06,682.24,139.01,7411.0,57
HCPCS,J1630,haloperidol lactate 5 mg/mL injection solution,36.39,21.83,0.8679,7411.0,168
HCPCS,J1631,haloperidol decanoate 100 mg/mL intramuscular solution,136.07999999999998,81.65,6.68,7411.0,84
HCPCS,J1631,haloperidol lactate 5 mg/mL intramuscular syringe,24.0,14.4,4.08,7411.0,42
HCPCS,J1640,hemin 350 mg intravenous powder for solution,32083.56,19250.14,33.54,24062.67,57
HCPCS,J1642,heparin lock flush (porcine) 100 unit/mL intravenous solution,58.12,34.870000000000005,0.0198,7411.0,84
HCPCS,J1642,"heparin, porcine (PF) 10 unit/mL intravenous solution",72.58,43.55,0.0198,7411.0,42
HCPCS,J1642,"heparin, porcine (PF) 10 unit/mL intravenous syringe",29.42,17.655,0.0198,7411.0,84
HCPCS,J1642,"heparin, porcine (PF) 100 unit/mL intravenous syringe",31.39,18.835,0.0198,7411.0,84
HCPCS,J1643,"heparin (porcine) (PF) 1,000 unit/500 mL in 0.9 % sodium chloride IV",61.0,36.6,1.26,7411.0,42
HCPCS,J1644,"heparin (porcine) (PF) 2,000 unit/1,000 mL in 0.9 % sodium chloride IV",64.0,38.4,0.2431,7411.0,42
HCPCS,J1644,"heparin (porcine) 1,000 unit/mL injection solution",31.369999999999997,18.825000000000003,0.2431,7411.0,252
HCPCS,J1644,"heparin (porcine) 20,000 unit/mL injection solution",108.28,64.97,0.2431,7411.0,126
HCPCS,J1644,"heparin (porcine) 25,000 unit/250 mL (100 unit/mL) in dextrose 5 % IV",103.75,62.25,0.2431,7411.0,84
HCPCS,J1644,"heparin (porcine) 25,000 unit/250 mL in 0.45 % sodium chloride IV soln",99.25,59.55,0.2431,7411.0,84
HCPCS,J1644,"heparin (porcine) 25,000 unit/500 mL in 0.45 % sodium chloride IV soln",82.0,49.2,0.2431,7411.0,42
HCPCS,J1644,"heparin (porcine) 5,000 unit/mL injection solution",40.12,24.07,0.2431,7411.0,294
HCPCS,J1644,"heparin, porcine (PF) 1,000 unit/mL injection solution",63.385,38.03,0.2431,7411.0,168
HCPCS,J1644,"heparin, porcine (PF) 5,000 unit/0.5 mL injection syringe",46.6,27.96,0.2431,7411.0,42
HCPCS,J1650,enoxaparin 100 mg/mL subcutaneous syringe,156.22,93.73,0.5962,7411.0,215
HCPCS,J1650,enoxaparin 120 mg/0.8 mL subcutaneous syringe,206.88,124.13,0.5962,7411.0,43
HCPCS,J1650,enoxaparin 150 mg/mL subcutaneous syringe,288.3,172.98000000000002,0.5962,7411.0,86
HCPCS,J1650,enoxaparin 30 mg/0.3 mL subcutaneous syringe,66.49,39.89,0.5962,7411.0,215
HCPCS,J1650,enoxaparin 40 mg/0.4 mL subcutaneous syringe,81.59,48.95,0.5962,7411.0,172
HCPCS,J1650,enoxaparin 60 mg/0.6 mL subcutaneous syringe,117.41,70.45,0.5962,7411.0,129
HCPCS,J1650,enoxaparin 80 mg/0.8 mL subcutaneous syringe,130.56,78.34,0.5962,7411.0,215
HCPCS,J1652,fondaparinux 10 mg/0.8 mL subcutaneous solution syringe,274.645,164.78500000000003,0.8767,7411.0,86
HCPCS,J1652,fondaparinux 2.5 mg/0.5 mL subcutaneous solution syringe,166.48,99.89,0.8767,7411.0,43
HCPCS,J1652,fondaparinux 5 mg/0.4 mL subcutaneous solution syringe,281.84000000000003,169.10000000000002,0.8767,7411.0,86
HCPCS,J1652,fondaparinux 7.5 mg/0.6 mL subcutaneous solution syringe,274.645,164.78500000000003,0.8767,7411.0,86
HCPCS,J1670,tetanus immune globulin (PF) 250 unit/mL intramuscular syringe,1953.51,1172.11,332.1,7411.0,57
HCPCS,J1720,"hydrocortisone sod succinate (PF) 1,000 mg/8 mL solution for injection",713.57,428.14,24.36,7411.0,42
HCPCS,J1720,hydrocortisone sod succinate (PF) 100 mg/2 mL solution for injection,128.52,77.11,21.85,7411.0,42
HCPCS,J1720,"hydrocortisone sod succinate (PF) 100 mg/2 mL solution for injection,hydrocortisone sodium succinate 100 mg solution for injection",128.54500000000002,77.125,21.85,7411.0,84
HCPCS,J1720,hydrocortisone sod succinate (PF) 250 mg/2 mL solution for injection,237.82999999999998,142.695,24.36,7411.0,84
HCPCS,J1720,hydrocortisone sod succinate (PF) 500 mg/4 mL solution for injection,356.9,214.14,24.36,7411.0,42
HCPCS,J1720,hydrocortisone sodium succinate 100 mg solution for injection,95.16,57.1,16.18,7411.0,42
HCPCS,J1720,hydrocortisone sodium succinate 250 mg/2 mL solution for injection,42.9,25.74,7.29,7411.0,42
HCPCS,J1726,HYDROXYprogesterone caproate (pregnancy preserving) 250 mg/mL IM oil,2409.0,1445.4,18.68,7411.0,42
HCPCS,J1729,HYDROXYprogesterone (PF)(pregnancy preserving) 250 mg/mL (1 mL) IM oil,2047.65,1228.59,14.24,7411.0,42
HCPCS,J1740,ibandronate 3 mg/3 mL intravenous syringe,1582.2,949.32,9.96,7411.0,42
HCPCS,J1742,ibutilide fumarate 0.1 mg/mL intravenous solution,1494.4499999999998,896.67,208.26,7411.0,114
HCPCS,J1744,icatibant 30 mg/3 mL subcutaneous syringe,33442.479999999996,20065.485,326.17,28426.12,84
HCPCS,J1745,inFLIXimab 100 mg intravenous solution,3503.46,2102.08,29.49,7411.0,57
HCPCS,J1750,iron dextran 50 mg/mL injection solution,241.05,144.63,17.2,7411.0,57
HCPCS,J1756,iron sucrose 100 mg iron/5 mL intravenous solution,311.77,187.06,0.2453,7411.0,42
HCPCS,J1756,"iron sucrose 100 mg iron/5 mL intravenous solution,iron sucrose 200 mg iron/10 mL intravenous solution",169.86,101.92,0.2453,7411.0,126
HCPCS,J1756,iron sucrose 200 mg iron/10 mL intravenous solution,307.6,184.56,0.2453,7411.0,84
HCPCS,J1790,droPERidol 2.5 mg/mL injection solution,43.56,26.135,4.94,7411.0,84
HCPCS,J1800,propranolol 1 mg/mL intravenous solution,48.0,28.8,8.16,7411.0,41
HCPCS,J1805,esmolol 100 mg/10 mL (10 mg/mL) intravenous solution,68.25,40.95,0.2596,7411.0,84
HCPCS,J1805,"esmolol 2,000 mg/100 mL (20 mg/mL) in sodium chloride (iso-osmotic) IV",1025.85,615.51,0.2596,7411.0,84
HCPCS,J1805,"esmolol 2,500 mg/250 mL (10 mg/mL) in sodium chloride (iso-osmotic) IV",582.75,349.65,0.2596,7411.0,42
HCPCS,J1806,"esmolol 2,000 mg/100 mL (20 mg/mL) in sterile water intravenous soln",582.75,349.65,0.2156,7411.0,42
HCPCS,J1808,folic acid 5 mg/mL injection solution,206.26,123.755,0.0594,7411.0,84
HCPCS,J1815,insulin NPH isophane U-100 human 100 unit/mL subcutaneous suspension,89.22,53.53,15.17,7411.0,39
HCPCS,J1815,insulin U-100 regular human 100 unit/mL injection solution,92.81,55.685,15.17,7411.0,78
HCPCS,J1815,insulin aspart U-100  100 unit/mL subcutaneous solution,144.68,86.81,24.6,7411.0,39
HCPCS,J1815,insulin glargine (U-100) 100 unit/mL subcutaneous solution,128.52,77.11,21.85,7411.0,39
HCPCS,J1815,insulin glargine-yfgn (U-100) 100 unit/mL subcutaneous solution,332.35,199.41,21.41,7411.0,78
HCPCS,J1815,insulin human U-100 NPH-regulr 70-30 mix 100 unit/mL subcutaneous susp,89.22,53.53,15.17,7411.0,39
HCPCS,J1815,insulin lispro (U-100) 100 unit/mL subcutaneous solution,164.47,98.68,22.58,7411.0,78
HCPCS,J1815,insulin lispro protamine-lispro 100 unit/mL (75-25) subcutaneous susp,170.82,102.49,29.04,7411.0,39
HCPCS,J1815,insulin regular 100 unit/100 mL (1 unit/mL) in 0.9 % NaCl IV solution,210.0,126.0,35.7,7411.0,39
HCPCS,J1815,"insulin regular 100 units/100 mL in NS,insulin regular 100 unit/100 mL (1 unit/mL) in 0.9 % NaCl IV solution",140.0,84.0,11.9,7411.0,121
HCPCS,J1815,insulin regular human U-500(concentrate) 500 unit/mL subcutaneous soln,2974.0,1784.4,505.58,7411.0,39
HCPCS,J1833,isavuconazonium sulfate 372 mg intravenous solution,1645.97,987.58,0.9595,7411.0,57
HCPCS,J1836,metroNIDAZOLE 500 mg/100 mL in sodium chlor(iso) intravenous piggyback,21.5,12.899999999999999,0.0231,7411.0,84
HCPCS,J1885,ketorolac 15 mg/mL injection solution,14.28,8.57,0.323,7411.0,114
HCPCS,J1885,ketorolac 30 mg/mL (1 mL) injection solution,34.2,20.52,0.323,7411.0,171
HCPCS,J1885,ketorolac 60 mg/2 mL intramuscular solution,15.81,9.485,0.323,7411.0,228
HCPCS,J1920,labetalol 5 mg/mL intravenous solution,54.72,32.835,0.154,7411.0,168
HCPCS,J1920,"labetalol 5 mg/mL intravenous solution,labetalol 20 mg/4 mL (5 mg/mL) intravenous syringe,labetalol 25 mg/5 mL (5 mg/mL) intravenous syringe,labetalol 10 mg/2 mL (5 mg/mL) intravenous syringe",1.37,0.93,0.154,7411.0,168
HCPCS,J1930,lanreotide 120 mg/0.5 mL subcutaneous syringe,26268.0,15760.8,33.93,19701.0,57
HCPCS,J1930,lanreotide 60 mg/0.2 mL subcutaneous syringe,16725.0,10035.0,33.93,12543.75,57
HCPCS,J1930,lanreotide 90 mg/0.3 mL subcutaneous syringe,22275.0,13365.0,33.93,16706.25,57
HCPCS,J1931,laronidase 2.9 mg/5 mL intravenous solution,3211.68,1927.01,36.89,7411.0,57
HCPCS,J1938,furosemide 10 mg/mL injection solution,25.2,15.12,0.0187,7411.0,546
HCPCS,J1953,"levETIRAcetam 1,000 mg/100 mL in sodium chloride(iso-osm) IV piggyback",48.9,29.340000000000003,0.0374,7411.0,84
HCPCS,J1953,"levETIRAcetam 1,500 mg/100 mL in sodium chloride(iso-osm) IV piggyback",27.6,16.56,0.0374,7411.0,168
HCPCS,J1953,levETIRAcetam 500 mg/5 mL intravenous solution,48.0,28.8,0.0374,7411.0,210
HCPCS,J1955,levOCARNitine 200 mg/mL intravenous solution,227.7,136.62,25.4,7411.0,42
HCPCS,J1956,levoFLOXacin 250 mg/50 mL in 5 % dextrose intravenous piggyback,41.0,24.6,2.38,7411.0,43
HCPCS,J1956,levoFLOXacin 500 mg/100 mL in 5 % dextrose intravenous piggyback,71.0,42.6,2.38,7411.0,43
HCPCS,J1956,levoFLOXacin 750 mg/150 mL in 5 % dextrose intravenous piggyback,70.7,42.42,2.38,7411.0,129
HCPCS,J2002,lidocaine (PF) 4 mg/mL (0.4 %) in 5 % dextrose intravenous solution,45.0,27.0,0.0033,7411.0,84
HCPCS,J2003,lidocaine (PF) 10 mg/mL (1 %) injection solution,19.62,11.77,2.26,7411.0,205
HCPCS,J2003,lidocaine (PF) 100 mg/5 mL (2 %) intravenous syringe,43.26,25.955,6.4,7411.0,82
HCPCS,J2003,lidocaine (PF) 20 mg/mL (2 %) injection solution,16.994999999999997,10.2,2.25,7411.0,246
HCPCS,J2003,lidocaine (PF) 20 mg/mL (2 %) intravenous solution,20.64,12.38,3.51,7411.0,41
HCPCS,J2003,lidocaine (PF) 40 mg/mL (4 %) injection solution,29.01,17.41,4.93,7411.0,41
HCPCS,J2003,lidocaine HCl 10 mg/mL (1 %) injection solution,15.120000000000001,9.07,1.61,7411.0,164
HCPCS,J2003,lidocaine HCl 20 mg/mL (2 %) injection solution,20.7,12.42,2.39,7411.0,205
HCPCS,J2004,"lidocaine 1 %-epinephrine 1:100,000 injection solution",7.88,4.73,0.0816,7411.0,246
HCPCS,J2004,"lidocaine 20 mg/mL (2 %)-epinephrine 1:100,000 injection solution",0.625,0.375,0.085,7411.0,82
HCPCS,J2004,"lidocaine-epinephrine (PF) 1 %-1:100,000 injection solution",47.16,28.3,8.02,7411.0,41
HCPCS,J2004,"lidocaine-epinephrine (PF) 1 %-1:200,000 injection solution",69.53999999999999,41.725,9.87,7411.0,82
HCPCS,J2004,"lidocaine-epinephrine (PF) 1.5 %-1:200,000 injection solution",45.015,27.01,5.53,7411.0,82
HCPCS,J2004,"lidocaine-epinephrine (PF) 2 %-1:200,000 injection solution",45.93,27.555,5.14,7411.0,82
HCPCS,J2004,"lidocaine-epinephrine 0.5 %-1:200,000 injection solution",0.71,0.43,0.0782,7411.0,82
HCPCS,J2020,linezolid in 5% dextrose in water 600 mg/300 mL intravenous piggyback,285.8,171.48,2.73,7411.0,129
HCPCS,J2060,LORazepam 2 mg/mL injection solution,7.445,4.47,1.08,7411.0,84
HCPCS,J2060,"LORazepam 2 mg/mL injection solution,LORazepam 2 mg/mL injection syringe",6.515,3.91,0.1921,7411.0,336
HCPCS,J2060,LORazepam 2 mg/mL injection syringe,21.53,12.92,1.83,7411.0,42
HCPCS,J2060,LORazepam 4 mg/mL injection solution,18.64,11.18,1.83,7411.0,42
HCPCS,J2150,mannitol 25 % intravenous solution,29.7,17.82,5.05,7411.0,41
HCPCS,J2175,meperidine (PF) 100 mg/mL injection solution,23.38,14.03,3.97,7411.0,42
HCPCS,J2175,meperidine (PF) 25 mg/mL injection solution,21.22,12.73,3.61,7411.0,42
HCPCS,J2175,meperidine (PF) 25 mg/mL injection syringe,42.24,25.34,7.18,7411.0,42
HCPCS,J2175,meperidine (PF) 50 mg/mL injection solution,21.85,13.11,3.71,7411.0,42
HCPCS,J2175,meperidine (PF) 50 mg/mL injection syringe,51.32,30.79,8.72,7411.0,42
HCPCS,J2185,meropenem 1 gram intravenous solution,71.0,42.6,0.4081,7411.0,129
HCPCS,J2185,meropenem 500 mg intravenous solution,31.4,18.84,0.4081,7411.0,86
HCPCS,J2186,meropenem-vaborbactam 2 gram intravenous solution,977.0,586.2,2.06,7411.0,57
HCPCS,J2210,methylergonovine 0.2 mg/mL (1 mL) injection solution,150.39,90.235,20.16,7411.0,84
HCPCS,J2212,methylnaltrexone 12 mg/0.6 mL subcutaneous syringe,721.39,432.83,3.07,7411.0,42
HCPCS,J2248,micafungin 100 mg intravenous solution,846.5,507.9,0.2805,7411.0,42
HCPCS,J2248,micafungin 50 mg intravenous solution,425.75,255.45,0.2805,7411.0,42
HCPCS,J2250,midazolam (PF) 1 mg/mL injection solution,1.485,0.895,0.1156,7411.0,168
HCPCS,J2250,"midazolam (PF) 1 mg/mL injection solution,midazolam (PF) 2 mg/2mL (1 mg/mL) injection syringe",1.36,0.82,0.1003,7411.0,378
HCPCS,J2250,midazolam (PF) 5 mg/mL injection solution,6.97,4.18,0.1815,7411.0,42
HCPCS,J2250,midazolam 1 mg/mL injection solution,5.85,3.51,0.1815,7411.0,168
HCPCS,J2250,midazolam 5 mg/mL injection solution,30.0,18.0,0.1815,7411.0,210
HCPCS,J2251,midazolam (PF) 1 mg/mL in 0.9 % sodium chloride intravenous solution,156.0,93.6,0.1749,7411.0,84
HCPCS,J2260,milrinone 1 mg/mL intravenous solution,55.08,33.05,1.3,7411.0,126
HCPCS,J2260,milrinone 20 mg/100 mL(200 mcg/mL) in 5 % dextrose intravenous piggybk,91.2,54.72,1.3,7411.0,126
HCPCS,J2260,milrinone 40 mg/200 mL(200 mcg/mL) in 5 % dextrose intravenous piggybk,192.0,115.2,1.3,7411.0,42
HCPCS,J2265,minocycline 100 mg intravenous solution,1080.5,648.3,2.53,7411.0,57
HCPCS,J2270,"MORPHINE 150 MG/30 ML (5 MG/ML) IN 0.9 % SOD. CHLORIDE IV PCA SYRINGE,morphine 150 mg/30 mL (5 mg/mL) in 0.9 % sod. chloride IV PCA syringe,morphine 275 mg/55 mL (5 mg/mL) in 0.9% sodium chloride IV P",65.58,39.35,4.89,7411.0,42
HCPCS,J2270,morphine (PF) 150 mg/30 mL PCA intravenous solution,65.58,39.35,4.89,7411.0,42
HCPCS,J2270,morphine (PF) 50 mg/50 mL(1 mg/mL) in 0.9% NaCl IV pump reservoir,261.38,156.83,4.89,7411.0,42
HCPCS,J2270,morphine 10 mg/mL injection solution,24.3,14.58,4.13,7411.0,42
HCPCS,J2270,morphine 10 mg/mL injection syringe,21.78,13.07,3.7,7411.0,42
HCPCS,J2270,"morphine 10 mg/mL injection syringe,morphine 10 mg/mL injection solution,morphine 10 mg/ml intravenous solution,morphine 10 mg/ml intravenous syringe",22.795,13.675,3.62,7411.0,84
HCPCS,J2270,morphine 10 mg/mL intravenous solution,13.64,8.18,2.32,7411.0,42
HCPCS,J2270,morphine 10 mg/mL intravenous syringe,19.85,11.91,2.15,7411.0,126
HCPCS,J2270,"morphine 2 mg/mL injection syringe,morphine 2 mg/ml injection solution,morphine 2 mg/ml intravenous syringe",19.32,11.59,3.28,7411.0,42
HCPCS,J2270,morphine 2 mg/mL intravenous syringe,19.32,11.59,3.28,7411.0,42
HCPCS,J2270,morphine 4 mg/mL injection solution,23.22,13.93,3.95,7411.0,42
HCPCS,J2270,morphine 4 mg/mL injection syringe,23.22,13.93,3.95,7411.0,42
HCPCS,J2270,morphine 4 mg/mL intravenous solution,12.76,7.654999999999999,2.05,7411.0,84
HCPCS,J2270,"morphine 4 mg/mL intravenous solution,morphine 4 mg/mL injection syringe,morphine 4 mg/mL intravenous syringe,morphine 4 mg/ml injection solution",15.585,9.35,2.01,7411.0,168
HCPCS,J2270,morphine 4 mg/mL intravenous syringe,19.32,11.59,3.28,7411.0,42
HCPCS,J2270,morphine 5 mg/mL injection solution,23.22,13.93,3.95,7411.0,42
HCPCS,J2270,"morphine 5 mg/mL injection solution,morphine 5 mg/mL injection syringe",23.22,13.93,3.95,7411.0,42
HCPCS,J2270,"morphine 50 mg/50 mL (1 mg/mL) in 0.9 % sodium chloride IV PCA syringe,morphine 30 mg/30 mL (1 mg/mL) intravenous PCA syringe,morphine (PF) 30 mg/30 mL PCA intravenous solution,morphine (PF) 55 mg/55 ",261.38,156.83,4.89,7411.0,42
HCPCS,J2270,morphine 50 mg/mL intravenous solution,99.48,59.69,4.89,7411.0,42
HCPCS,J2270,morphine 8 mg/mL injection solution,23.64,14.18,4.02,7411.0,42
HCPCS,J2274,morphine (PF) 0.5 mg/mL injection solution,179.76,107.86,13.36,7411.0,42
HCPCS,J2274,morphine (PF) 1 mg/mL injection solution,17.415,10.45,1.95,7411.0,84
HCPCS,J2274,morphine (PF) 10 mg/mL injection solution,942.0,565.2,13.36,7411.0,42
HCPCS,J2274,morphine (PF) 25 mg/mL injection solution,1597.47,958.48,13.36,7411.0,42
HCPCS,J2278,ziconotide 25 mcg/mL intrathecal solution,12026.7,7216.02,9.94,9020.02,57
HCPCS,J2280,"moxifloxacin 400 mg/250 mL-sodium acet,sul-water intravenous piggyback",276.0,165.6,9.62,7411.0,42
HCPCS,J2290,nafcillin 1 gram solution for injection,75.07,45.04,0.0528,7411.0,42
HCPCS,J2290,nafcillin 2 gram solution for injection,110.0,66.0,0.0528,7411.0,84
HCPCS,J2300,nalbuphine 10 mg/mL injection solution,131.065,78.64,3.76,7411.0,84
HCPCS,J2305,nitroglycerin 100 mg/250 mL (400 mcg/mL) in 5 % dextrose intravenous,101.25,60.75,1.56,7411.0,84
HCPCS,J2305,nitroglycerin 25 mg/250 mL (100 mcg/mL) in 5 % dextrose  intravenous,40.5,24.3,1.56,7411.0,42
HCPCS,J2305,nitroglycerin 50 mg/250 mL (200 mcg/mL) in 5 % dextrose intravenous,135.0,81.0,1.56,7411.0,84
HCPCS,J2312,naloxone 0.4 mg/mL injection solution,78.57,47.14,0.0715,7411.0,126
HCPCS,J2312,naloxone 1 mg/mL injection syringe,198.0,118.8,0.0715,7411.0,42
HCPCS,J2323,natalizumab 300 mg/15 mL intravenous solution,25613.15,15367.89,23.1,19209.86,57
HCPCS,J2350,ocrelizumab 30 mg/mL intravenous solution,59143.14,35485.88,56.62,44357.36,57
HCPCS,J2354,"octreotide acetate 1,000 mcg/mL injection solution",2235.96,1341.58,0.6864,7411.0,43
HCPCS,J2354,octreotide acetate 100 mcg/mL (1 mL) injection syringe,40.24,24.14,0.6864,7411.0,43
HCPCS,J2354,octreotide acetate 100 mcg/mL injection solution,49.32,29.59,0.6864,7411.0,86
HCPCS,J2354,"octreotide acetate 100 mcg/mL injection solution,octreotide acetate 100 mcg/mL injection syringe",13.41,8.05,0.6864,7411.0,129
HCPCS,J2354,octreotide acetate 200 mcg/mL injection solution,306.0,183.6,0.6864,7411.0,43
HCPCS,J2354,octreotide acetate 50 mcg/mL injection solution,55.85,33.51,0.6864,7411.0,172
HCPCS,J2354,"octreotide acetate 50 mcg/mL injection solution,octreotide acetate 50 mcg/mL (1 mL) injection syringe",28.235,16.94,0.6864,7411.0,86
HCPCS,J2354,octreotide acetate 500 mcg/mL injection solution,278.42499999999995,167.055,0.6864,7411.0,86
HCPCS,J2354,"octreotide acetate 500 mcg/mL injection solution,octreotide acetate 500 mcg/mL (1 mL) injection syringe",107.18,64.31,0.6864,7411.0,86
HCPCS,J2359,OLANZapine 10 mg intramuscular solution,197.295,118.375,0.7821,7411.0,84
HCPCS,J2371,phenylephrine 0.8 mg/10 mL (80 mcg/mL) in 0.9 %sod.chloride IV syringe,32.56,19.54,0.0022,7411.0,42
HCPCS,J2371,phenylephrine 10 mg/mL injection solution,136.51,81.91,0.0022,7411.0,294
HCPCS,J2372,"phenylephrine 0.1 mg/mL intravenous solution,phenylephrine 1 mg/10 ml (100 mcg/ml) in 0.9 % sod chloride iv syringe",34.0,20.4,0.1672,7411.0,42
HCPCS,J2373,phenylephrine 0.1 mg/mL intravenous solution,64.0,38.4,0.1419,7411.0,42
HCPCS,J2401,chloroprocaine (PF) 20 mg/mL (2 %) injection solution,127.92,76.75,0.0418,7411.0,42
HCPCS,J2401,chloroprocaine (PF) 30 mg/mL (3 %) injection solution,134.28,80.57,0.0418,7411.0,42
HCPCS,J2404,niCARdipine 2.5 mg/mL intravenous syringe,18.44,11.06,0.0726,7411.0,42
HCPCS,J2405,ondansetron HCl (PF) 4 mg/2 mL injection solution,7.7,4.62,0.0968,7411.0,294
HCPCS,J2405,ondansetron HCl 2 mg/mL intravenous solution,47.16,28.3,0.0968,7411.0,42
HCPCS,J2430,pamidronate 30 mg/10 mL (3 mg/mL) intravenous solution,84.12,50.47,13.67,7411.0,42
HCPCS,J2440,papaverine 30 mg/mL injection solution,184.23000000000002,110.54,20.4,7411.0,82
HCPCS,J2469,palonosetron 0.25 mg/5 mL intravenous solution,240.0,144.0,0.7139,7411.0,126
HCPCS,J2470,pantoprazole 40 mg intravenous solution,30.45,18.27,5.18,7411.0,41
HCPCS,J2506,pegfilgrastim 6 mg/0.6 mL (deliverable) wearable subcutaneous injector,19281.97,11569.18,121.01,14461.48,57
HCPCS,J2506,pegfilgrastim 6 mg/0.6 mL subcutaneous syringe,19281.97,11569.18,121.01,14461.48,57
HCPCS,J2515,PENTobarbital sodium 50 mg/mL injection solution,5200.83,3120.5,35.0,7411.0,112
HCPCS,J2516,pentamidine 300 mg solution for injection,756.01,453.61,0.176,7411.0,42
HCPCS,J2540,penicillin G pot 3 million unit/50 mL-dextrose intravenous piggyback,69.5,41.7,0.7513,7411.0,42
HCPCS,J2540,penicillin G potassium 20 million unit solution for injection,268.73,161.24,0.7513,7411.0,84
HCPCS,J2540,penicillin G potassium 5 million unit solution for injection,81.33,48.8,0.7513,7411.0,42
HCPCS,J2543,piperacillin-tazobactam 2.25 gram intravenous solution,46.6,27.96,1.19,7411.0,84
HCPCS,J2543,piperacillin-tazobactam 3.375 gram intravenous solution,63.68,38.21,1.19,7411.0,294
HCPCS,J2543,piperacillin-tazobactam 4.5 gram intravenous solution,70.78,42.47,1.19,7411.0,126
HCPCS,J2543,piperacillin-tazobactam 40.5 gram intravenous solution,665.47,399.28,1.19,7411.0,42
HCPCS,J2547,peramivir (PF) 200 mg/20 mL (10 mg/mL) intravenous solution,1429.97,857.98,1.46,7411.0,57
HCPCS,J2550,promethazine 50 mg/mL injection solution,21.6,12.96,3.67,7411.0,42
HCPCS,J2560,PHENobarbital sodium 130 mg/mL injection solution,307.79,184.67,26.01,7411.0,42
HCPCS,J2560,PHENobarbital sodium 65 mg/mL injection solution,158.12,94.87,26.01,7411.0,42
HCPCS,J2562,plerixafor 24 mg/1.2 mL (20 mg/mL) subcutaneous solution,29932.21,17959.33,19.25,22449.16,57
HCPCS,J2590,oxytocin 10 unit/mL injection solution,8.94,5.36,0.4284,7411.0,123
HCPCS,J2590,oxytocin 20 unit/1000 mL in 0.9 % sodium chloride intravenous,60.0,36.0,9.18,7411.0,82
HCPCS,J2590,oxytocin 30 unit/500 mL in 0.9 % sodium chloride intravenous,75.0,45.0,12.75,7411.0,41
HCPCS,J2590,oxytocin 40 unit/1000 mL in 0.9 % sodium chloride intravenous,84.0,50.4,14.28,7411.0,41
HCPCS,J2596,vasopressin 20 unit/100 mL (0.2 unit/mL) in 0.9 % sodium chloride IV,292.5,175.5,1.3,7411.0,42
HCPCS,J2597,desmopressin 4 mcg/mL injection solution,923.64,554.185,3.75,7411.0,84
HCPCS,J2598,vasopressin 0.2 unit/mL intravenous solution,955.8,573.48,0.462,7411.0,42
HCPCS,J2598,vasopressin 20 unit/mL intravenous solution,711.22,426.73,0.462,7411.0,126
HCPCS,J2601,vasopressin 20 unit/100 mL (0.2 unit/mL) in 0.9 % sodium chloride IV,337.5,202.5,1.45,7411.0,57
HCPCS,J2675,progesterone 50 mg/mL intramuscular oil,17.94,10.76,0.7205,7411.0,42
HCPCS,J2680,fluPHENAZine decanoate 25 mg/mL injection solution,69.74,41.84,6.14,7411.0,42
HCPCS,J2690,procainamide 100 mg/mL injection solution,414.27,248.56,70.43,7411.0,57
HCPCS,J2690,procainamide 100 mg/mL intravenous syringe,382.5,229.5,65.03,7411.0,57
HCPCS,J2690,procainamide 500 mg/mL injection solution,327.43,196.46,55.66,7411.0,57
HCPCS,J2704,propofol 10 mg/mL IV,90.0,54.0,0.1012,7411.0,210
HCPCS,J2704,propofol 10 mg/mL intravenous emulsion,35.85,21.51,0.1012,7411.0,336
HCPCS,J2710,neostigmine methylsulfate 1 mg/mL intravenous solution,114.16,68.5,19.41,7411.0,41
HCPCS,J2720,protamine 10 mg/mL intravenous solution,193.465,116.08,1.84,7411.0,84
HCPCS,J2730,pralidoxime 1 gram solution for injection,390.15,234.09,66.33,7411.0,41
HCPCS,J2760,phentolamine 5 mg injection solution,2050.965,1230.58,244.58,7411.0,228
HCPCS,J2765,metoclopramide 5 mg/mL injection solution,8.4,5.04,1.05,7411.0,126
HCPCS,J2765,"metoclopramide 5 mg/mL injection solution,metoclopramide 5 mg/ml injection syringe",7.925000000000001,4.755,1.05,7411.0,84
HCPCS,J2770,quinupristin-dalfopristin 500 mg intravenous solution,2102.04,1261.22,16.2,7411.0,42
HCPCS,J2783,rasburicase 1.5 mg intravenous solution,3223.55,1934.13,363.08,7411.0,58
HCPCS,J2785,regadenoson 0.4 mg/5 mL intravenous syringe,1159.92,695.95,3.19,7411.0,42
HCPCS,J2791,"rho(D) immune globulin 1,500 unit (300 mcg)/2 mL injection syringe",749.36,449.62,5.33,7411.0,42
HCPCS,J2794,"risperiDONE microspheres ER 25 mg/2 mL intramuscular susp,ext release",1843.68,1106.21,10.26,7411.0,58
HCPCS,J2794,"risperiDONE microspheres ER 37.5 mg/2 mL intramuscular susp,ext releas",2765.64,1659.38,10.26,7411.0,58
HCPCS,J2795,ROPivacaine (PF) 0.2 % in 0.9 % sodium chloride epidural solution,935.55,561.33,0.0506,7411.0,42
HCPCS,J2795,ROPivacaine (PF) 10 mg/mL (1 %) injection solution,102.15,61.29,0.0506,7411.0,42
HCPCS,J2795,ROPivacaine (PF) 2 mg/mL (0.2 %) injection solution,257.1,154.26,0.0506,7411.0,252
HCPCS,J2795,ROPivacaine (PF) 5 mg/mL (0.5 %) injection solution,4.27,2.56,0.0506,7411.0,84
HCPCS,J2795,ROPivacaine (PF) 7.5 mg/mL (0.75 %) injection solution,78.87,47.325,0.0506,7411.0,84
HCPCS,J2795,ropivacaine (PF) 2 mg/mL (0.2 %) Injection,976.8,586.08,0.0506,7411.0,42
HCPCS,J2795,"ropivacaine (PF) 2 mg/mL (0.2 %) Injection,ropivacaine (PF) 0.2 % in 0.9% sodium chloride epidural solution",344.59,206.755,0.0506,7411.0,252
HCPCS,J2795,ropivacaine (PF) 5 mg/mL (0.5 %) Injection,1520.4,912.24,0.0506,7411.0,42
HCPCS,J2800,methocarbamol 100 mg/mL injection solution,115.0,69.0,4.62,7411.0,84
HCPCS,J2802,romiPLOStim 125 mcg subcutaneous solution,3960.94,2376.56,10.55,7411.0,57
HCPCS,J2802,romiPLOStim 250 mcg subcutaneous solution,7893.76,4736.26,10.55,7411.0,57
HCPCS,J2804,rifAMPin 600 mg intravenous solution,808.52,485.11,0.1881,7411.0,42
HCPCS,J2810,theophylline 400 mg/500 mL in dextrose 5 % intravenous,24.0,14.4,4.08,7411.0,41
HCPCS,J2860,siltuximab 100 mg intravenous solution,3569.78,2141.87,151.74,7411.0,57
HCPCS,J2860,siltuximab 400 mg intravenous solution,14129.09,8477.45,151.74,10596.82,57
HCPCS,J2865,sulfamethoxazole 400 mg-trimethoprim 80 mg/5 mL intravenous solution,155.48,93.285,0.0407,7411.0,84
HCPCS,J2916,sodium ferric gluconate complex in sucrose 62.5 mg/5 mL intravenous,218.8,131.28,2.63,7411.0,42
HCPCS,J2919,"methylPREDNISolone sod succ (PF) 1,000 mg/8 mL intravenous solution",310.14,186.08,0.2651,7411.0,42
HCPCS,J2919,methylPREDNISolone sod succ (PF) 125 mg/2 mL solution for injection,62.51,37.51,0.2651,7411.0,42
HCPCS,J2919,methylPREDNISolone sod succ (PF) 40 mg/mL solution for injection,38.81,23.29,0.2651,7411.0,42
HCPCS,J2919,methylPREDNISolone sod succ (PF) 500 mg/4 mL intravenous solution,284.28,170.57,0.2651,7411.0,42
HCPCS,J2919,"methylPREDNISolone sodium succinate 1,000 mg intravenous solution",257.61,154.565,0.2651,7411.0,84
HCPCS,J2919,methylPREDNISolone sodium succinate 125 mg solution for injection,69.9,41.94,0.2651,7411.0,42
HCPCS,J2919,"methylPREDNISolone sodium succinate 125 mg solution for injection,methylPREDNISolone sodium succinate 125/2 mL solution for injection",38.76,23.26,0.2651,7411.0,42
HCPCS,J2919,methylPREDNISolone sodium succinate 2 gram intravenous solution,374.0,224.4,0.2651,7411.0,42
HCPCS,J2919,methylPREDNISolone sodium succinate 40 mg solution for injection,30.479999999999997,18.29,0.2651,7411.0,84
HCPCS,J2919,methylPREDNISolone sodium succinate 500 mg intravenous solution,145.68,87.41,0.2651,7411.0,42
HCPCS,J2997,alteplase 100 mg intravenous solution,26429.08,15857.45,90.34,19821.81,57
HCPCS,J2997,alteplase 2 mg intra-catheter solution,821.56,492.935,90.34,7411.0,114
HCPCS,J2997,alteplase 50 mg intravenous solution,13228.54,7937.12,90.34,9921.41,57
HCPCS,J3010,"FENTANYL (PF) 1,500 MCG/30 ML (50 MCG/ML) IN 0.9 % NACL PCA INJ SOLN,FENTANYL (PF) 1,500 MCG/30 ML (50 MCG/ML) INTRAVENOUS PCA SYRINGE,FENTANYL (PF) 1,500 MCG/30 ML (50 MCG/ML) PCA INTRAVENOUS SOLUTIO",208.14,124.88,1.28,7411.0,42
HCPCS,J3010,"fentaNYL (PF) 1,500 mcg/30 mL (50 mcg/mL) PCA intravenous solution",208.14,124.88,1.28,7411.0,42
HCPCS,J3010,fentaNYL (PF) 10 mcg/mL in 0.9 % sodium chloride intravenous,142.5,85.5,1.28,7411.0,84
HCPCS,J3010,"fentaNYL (PF) 2,500 mcg/50 mL (50 mcg/mL) intravenous PCA syringe",103.8,62.28,1.28,7411.0,42
HCPCS,J3010,fentaNYL (PF) 50 mcg/mL Injection,136.5,81.9,1.28,7411.0,42
HCPCS,J3010,fentaNYL (PF) 50 mcg/mL injection solution,19.5,11.7,1.28,7411.0,420
HCPCS,J3010,"fentaNYL (PF) 50 mcg/mL injection solution,fentaNYL (PF) 50 mcg/mL injection syringe",19.5,11.7,1.28,7411.0,420
HCPCS,J3010,fentaNYL (PF) 750 mcg/30 mL (25 mcg/mL) in 0.9 % NaCl PCA inj solution,239.46,143.68,1.28,7411.0,40
HCPCS,J3030,SUMAtriptan 6 mg/0.5 mL subcutaneous pen injector,396.16,237.7,67.35,7411.0,41
HCPCS,J3032,eptinezumab-jjmr 100 mg/mL intravenous solution,5483.49,3290.09,19.52,7411.0,57
HCPCS,J3101,tenecteplase 25 mg intravenous solution,24919.78,14951.87,187.57,18689.83,58
HCPCS,J3101,"tenecteplase 50 mg intravenous kit,tenecteplase 50 mg intravenous solution",21097.690000000002,12658.615,187.57,17633.1,116
HCPCS,J3101,tenecteplase 50 mg intravenous solution,21097.690000000002,12658.615,187.57,17633.1,116
HCPCS,J3105,terbutaline 1 mg/mL subcutaneous solution,122.2,73.32,3.26,7411.0,42
HCPCS,J3230,chlorproMAZINE 25 mg/mL injection solution,185.97000000000003,111.58500000000001,23.05,7411.0,84
HCPCS,J3260,tobramycin 1.2 gram solution for injection,372.875,223.725,2.22,7411.0,84
HCPCS,J3260,tobramycin 40 mg/mL injection solution,25.34,15.2,2.22,7411.0,126
HCPCS,J3262,tocilizumab 200 mg/10 mL (20 mg/mL) intravenous solution,3983.73,2390.24,5.25,7411.0,57
HCPCS,J3262,tocilizumab 400 mg/20 mL (20 mg/mL) intravenous solution,3226.82,1936.09,5.25,7411.0,57
HCPCS,J3262,tocilizumab 80 mg/4 mL (20 mg/mL) intravenous solution,1593.48,956.09,5.25,7411.0,57
HCPCS,J3285,treprostinil sodium 1 mg/mL injection solution,3819.96,2291.98,52.43,7411.0,58
HCPCS,J3285,treprostinil sodium 10 mg/mL injection solution,38199.6,22919.76,52.43,28649.7,58
HCPCS,J3291,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution",73.0,43.8,8.33,7411.0,246
HCPCS,J3301,triamcinolone acetonide 10 mg/mL suspension for injection,3.63,2.18,0.6171,7411.0,42
HCPCS,J3301,triamcinolone acetonide 40 mg/mL suspension for injection,170.61,102.37,0.9845,7411.0,84
HCPCS,J3303,triamcinolone hexacetonide 20 mg/mL suspension for injection,205.38,123.23,34.91,7411.0,41
HCPCS,J3358,ustekinumab 130 mg/26 mL intravenous solution,6073.55,3644.13,11.04,7411.0,57
HCPCS,J3360,diazePAM 5 mg/mL injection solution,225.5,135.3,9.36,7411.0,42
HCPCS,J3360,diazePAM 5 mg/mL injection syringe,174.825,104.89500000000001,9.36,7411.0,84
HCPCS,J3370,vancomycin 10 gram intravenous solution,982.54,589.52,167.03,7411.0,41
HCPCS,J3370,vancomycin 500 mg intravenous solution,53.97,32.38,9.17,7411.0,41
HCPCS,J3371,vancomycin 1.25 gram intravenous solution,125.6,75.36,15.44,7411.0,42
HCPCS,J3371,vancomycin 1.5 gram intravenous solution,149.72,89.83,15.44,7411.0,42
HCPCS,J3373,"vancomycin 1,000 mg intravenous injection",50.0,30.0,0.033,7411.0,126
HCPCS,J3373,vancomycin 1.25 gram/250 mL in 0.9 % sodium chloride intravenous,114.5,68.7,0.033,7411.0,42
HCPCS,J3373,vancomycin 1.5 gram intravenous solution,108.06,64.83500000000001,0.033,7411.0,84
HCPCS,J3373,vancomycin 1.5 gram/250 mL in 0.9 % sodium chloride intravenous,114.5,68.7,0.033,7411.0,42
HCPCS,J3373,vancomycin 5 gram intravenous solution,333.845,200.305,0.033,7411.0,168
HCPCS,J3373,vancomycin 500 mg intravenous solution,38.485,23.090000000000003,0.033,7411.0,84
HCPCS,J3373,vancomycin 750 mg intravenous solution,63.14,37.88,0.033,7411.0,126
HCPCS,J3374,"vancomycin 1,000 mg intravenous injection",101.24,60.74,0.1078,7411.0,42
HCPCS,J3374,vancomycin 1.25 gram intravenous solution,125.6,75.36,0.1078,7411.0,42
HCPCS,J3374,vancomycin 1.5 gram intravenous solution,149.72,89.83,0.1078,7411.0,42
HCPCS,J3375,"vancomycin 1,000 mg intravenous injection",23.0,13.8,0.1782,7411.0,42
HCPCS,J3375,vancomycin 500 mg intravenous solution,23.0,13.8,0.1782,7411.0,42
HCPCS,J3379,valproate sodium 500 mg/5 mL (100 mg/mL) intravenous solution,40.2,24.12,0.044,7411.0,42
HCPCS,J3380,vedolizumab 300 mg intravenous solution,25999.74,15599.84,19.93,19499.81,57
HCPCS,J3396,verteporfin 15 mg intravenous solution,5129.13,3077.48,10.53,7411.0,57
HCPCS,J340,glucose 2 gram chewable tablet,0.16,0.1,0.0272,7411.0,39
HCPCS,J3410,hydrOXYzine HCl 25 mg/mL intramuscular solution,168.0,100.8,16.68,7411.0,42
HCPCS,J3410,hydrOXYzine HCl 50 mg/mL intramuscular solution,93.96,56.375,0.459,7411.0,84
HCPCS,J3411,thiamine HCl (vitamin B1) 100 mg/mL injection solution,51.22,30.73,1.71,7411.0,126
HCPCS,J3415,pyridoxine (vitamin B6) 100 mg/mL injection solution,130.38,78.23,16.38,7411.0,42
HCPCS,J3420,"cyanocobalamin (vit B-12) 1,000 mcg/mL injection solution",41.7,25.02,0.7337,7411.0,84
HCPCS,J3424,hydroxocobalamin 5 gram intravenous solution,2463.96,1478.38,5.17,7411.0,57
HCPCS,J3430,phytonadione (vitamin K1) 1 mg/0.5 mL injection solution,36.0,21.6,3.47,7411.0,42
HCPCS,J3430,phytonadione (vitamin K1) 1 mg/0.5 mL injection syringe,148.38,89.03,3.47,7411.0,42
HCPCS,J3430,phytonadione (vitamin K1) 10 mg/mL injection solution,275.20000000000005,165.12,3.47,7411.0,84
HCPCS,J3465,voriconazole 200 mg IV,276.35,165.81,0.7172,7411.0,86
HCPCS,J3465,voriconazole 200 mg intravenous powder for solution,276.35,165.81,0.7172,7411.0,43
HCPCS,J3470,hyaluronidase 150 unit/mL injection solution,64.5,38.7,5.61,7411.0,84
HCPCS,J3471,hyaluronidase (ovine) 200 unit/mL injection solution,543.72,326.23,92.43,7411.0,41
HCPCS,J3473,"hyaluronidase, human recombinant 150 unit/mL injection solution",251.1,150.66,0.3993,7411.0,42
HCPCS,J3475,magnesium sulfate 1 gram/100 mL in dextrose 5 % intravenous piggyback,48.900000000000006,29.34,0.4741,7411.0,84
HCPCS,J3475,magnesium sulfate 2 gram/50 mL (4 %) in water intravenous piggyback,69.0,41.4,0.4741,7411.0,84
HCPCS,J3475,magnesium sulfate 4 gram/50 mL (8 %) IV Piggy Back,45.0,27.0,0.4741,7411.0,42
HCPCS,J3475,magnesium sulfate 4 gram/50 mL (8 %) in water intravenous piggyback,32.4,19.44,0.4741,7411.0,210
HCPCS,J3475,magnesium sulfate 4 gram/50 mL (8 %) intravenous pig,45.0,27.0,0.4741,7411.0,42
HCPCS,J3475,magnesium sulfate 4 gram/50 mL in dextrose 5 % intravenous piggyback,30.150000000000002,18.09,0.4741,7411.0,84
HCPCS,J3475,"magnesium sulfate 40 gram/1,000 mL (4 %) in water intravenous solution",48.0,28.8,0.4741,7411.0,42
HCPCS,J3475,magnesium sulfate 500 mg/mL (50 %) injection solution,10.38,6.23,0.4741,7411.0,126
HCPCS,J3480,potassium chloride 10 mEq/100mL in sterile water intravenous piggyback,38.4,23.04,0.1397,7411.0,84
HCPCS,J3480,potassium chloride 10 mEq/50 mL in sterile water intravenous piggyback,38.55,23.13,0.1397,7411.0,168
HCPCS,J3480,potassium chloride 2 mEq/mL intravenous solution,32.7,19.62,0.1397,7411.0,294
HCPCS,J3480,potassium chloride 20 mEq/L in 0.45 % sodium chloride intravenous soln,42.0,25.2,0.1397,7411.0,84
HCPCS,J3480,potassium chloride 20 mEq/L in 0.9 % sodium chloride intravenous,78.0,46.8,0.1397,7411.0,42
HCPCS,J3480,potassium chloride 40 mEq/100mL in sterile water intravenous piggyback,31.2,18.72,0.1397,7411.0,42
HCPCS,J3480,potassium chloride 40 mEq/L in 0.9 % sodium chloride intravenous,78.0,46.8,0.1397,7411.0,42
HCPCS,J3485,zidovudine 10 mg/mL intravenous solution,180.2,108.12,1.43,7411.0,57
HCPCS,J3486,ziprasidone 20 mg/mL (final concentration) intramuscular solution,289.93,173.96,6.46,7411.0,42
HCPCS,J3489,zoledronic acid 4 mg/100 mL in mannitol 5 %-water intravenous piggybck,285.0,171.0,8.49,7411.0,43
HCPCS,J3489,zoledronic acid 4 mg/100 mL-mannitol-0.9 % NaCl intravenous piggyback,810.0,486.0,8.49,7411.0,43
HCPCS,J3489,zoledronic acid 4 mg/5 mL intravenous solution,810.0,486.0,8.49,7411.0,43
HCPCS,J3489,zoledronic acid 5 mg/100 mL in mannitol 5 %-water intravenous piggybck,3927.3,2356.38,8.49,7411.0,43
HCPCS,J3490,ALPRAZolam 0.25 mg tablet,0.07500000000000001,0.045,0.0085,7411.0,156
HCPCS,J3490,ALPRAZolam 0.5 mg tablet,0.1,0.065,0.0136,7411.0,195
HCPCS,J3490,ALPRAZolam 1 mg tablet,0.13,0.08,0.0153,7411.0,117
HCPCS,J3490,ARIPiprazole 15 mg tablet,0.61,0.37,0.1037,7411.0,39
HCPCS,J3490,ARIPiprazole 2 mg tablet,19.765,11.860000000000001,0.1037,7411.0,78
HCPCS,J3490,ARIPiprazole 20 mg tablet,0.81,0.49,0.1377,7411.0,39
HCPCS,J3490,ARIPiprazole 5 mg tablet,0.54,0.325,0.0799,7411.0,78
HCPCS,J3490,B complex 11-folic acid 1 mg-C 100 mg-biotin 300 mcg-zinc 50 mg tablet,0.39,0.23,0.0663,7411.0,39
HCPCS,J3490,B-complex with vitamin C tablet,0.08,0.05,0.0085,7411.0,117
HCPCS,J3490,"BUPivacaine-EPINEPHrine (PF) 0.25 %-1:200,000 injection solution",40.26,24.16,4.73,7411.0,117
HCPCS,J3490,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 injection solution",42.24,25.345,2.7,7411.0,78
HCPCS,J3490,"BUPivacaine-EPINEPHrine 0.25 %-1:200,000 injection solution",1.47,0.88,0.2499,7411.0,39
HCPCS,J3490,"BUPivacaine-EPINEPHrine 0.5 %-1:200,000 injection solution",98.1,58.86,16.68,7411.0,39
HCPCS,J3490,"DULoxetine 20 mg capsule,delayed release",3.53,2.12,0.102,7411.0,117
HCPCS,J3490,"DULoxetine 30 mg capsule,delayed release",0.645,0.385,0.102,7411.0,156
HCPCS,J3490,"DULoxetine 60 mg capsule,delayed release",0.825,0.495,0.102,7411.0,156
HCPCS,J3490,"EPINEPHrine 0.3 mg/0.3 mL injection, auto-injector",679.0,407.4,115.43,7411.0,39
HCPCS,J3490,FLUoxetine 10 mg capsule,0.12,0.085,0.0187,7411.0,117
HCPCS,J3490,FLUoxetine 20 mg capsule,0.16,0.095,0.0204,7411.0,156
HCPCS,J3490,FLUoxetine 20 mg/5 mL (4 mg/mL) oral solution,119.16,71.495,17.05,7411.0,78
HCPCS,J3490,HYDROcodone 10 mg-chlorpheniramine 8 mg/5 mL oral susp extend.rel 12hr,4.91,2.95,0.8347,7411.0,39
HCPCS,J3490,HYDROcodone 7.5 mg-ibuprofen 200 mg tablet,3.82,2.29,0.6494,7411.0,39
HCPCS,J3490,HYDROmorphone 1 mg/mL oral liquid,5.32,3.1900000000000004,0.6188,7411.0,78
HCPCS,J3490,HYDROmorphone 2 mg tablet,3.33,2.0,0.5576,7411.0,195
HCPCS,J3490,HYDROmorphone 3 mg rectal suppository,22.63,13.58,3.85,7411.0,39
HCPCS,J3490,HYDROmorphone 4 mg tablet,3.435,2.06,0.5678,7411.0,156
HCPCS,J3490,HYDROmorphone 8 mg tablet,4.52,2.71,0.7684,7411.0,39
HCPCS,J3490,LORazepam 0.5 mg tablet,0.12,0.07,0.0153,7411.0,78
HCPCS,J3490,LORazepam 1 mg tablet,0.12,0.07,0.017,7411.0,117
HCPCS,J3490,LORazepam 2 mg tablet,0.24,0.14,0.0272,7411.0,117
HCPCS,J3490,LORazepam 2 mg/mL oral concentrate,139.77,83.86500000000001,15.33,7411.0,78
HCPCS,J3490,"Lactobacillus acidophilus, bulgaricus 100 million cell granules packet",2.16,1.295,0.2924,7411.0,78
HCPCS,J3490,Lactobacillus rhamnosus GG 15 billion cell sprinkle capsule,1.09,0.65,0.1853,7411.0,39
HCPCS,J3490,NIFEdipine 10 mg capsule,1.44,0.86,0.1309,7411.0,117
HCPCS,J3490,NIFEdipine 20 mg capsule,2.67,1.605,0.2822,7411.0,78
HCPCS,J3490,"NIFEdipine ER 30 mg tablet,extended release",0.5,0.3,0.085,7411.0,39
HCPCS,J3490,"NIFEdipine ER 30 mg tablet,extended release 24 hr",1.44,0.865,0.0867,7411.0,156
HCPCS,J3490,"NIFEdipine ER 30 mg tablet,extended release 24 hr,NIFEdipine ER 30 mg tablet,extended release",1.98,1.19,0.153,7411.0,117
HCPCS,J3490,"NIFEdipine ER 60 mg tablet,extended release 24 hr",2.75,1.6500000000000001,0.0935,7411.0,78
HCPCS,J3490,"NIFEdipine ER 60 mg tablet,extended release,NIFEdipine ER 60 mg tablet, extended release 24 hr",2.75,1.6500000000000001,0.0935,7411.0,78
HCPCS,J3490,"NIFEdipine ER 90 mg tablet,extended release",3.85,2.31,0.6545,7411.0,39
HCPCS,J3490,"NIFEdipine ER 90 mg tablet,extended release 24 hr",5.255,3.1500000000000004,0.1547,7411.0,156
HCPCS,J3490,"NIFEdipine ER 90 mg tablet,extended release 24 hr,NIFEdipine ER 90 mg tablet,extended release",1.73,1.04,0.2941,7411.0,39
HCPCS,J3490,OLANZapine 10 mg tablet,0.96,0.58,0.1632,7411.0,39
HCPCS,J3490,OLANZapine 2.5 mg tablet,0.88,0.53,0.1496,7411.0,39
HCPCS,J3490,OLANZapine 5 mg disintegrating tablet,3.57,2.14,0.2907,7411.0,117
HCPCS,J3490,OLANZapine 5 mg tablet,0.46,0.28,0.0561,7411.0,117
HCPCS,J3490,OLANZapine 7.5 mg tablet,0.56,0.34,0.0952,7411.0,39
HCPCS,J3490,OXcarbazepine 150 mg tablet,0.8400000000000001,0.505,0.102,7411.0,78
HCPCS,J3490,OXcarbazepine 300 mg tablet,1.435,0.8600000000000001,0.187,7411.0,78
HCPCS,J3490,OXcarbazepine 300 mg/5 mL (60 mg/mL) oral suspension,643.25,385.95,56.27,7411.0,78
HCPCS,J3490,PARoxetine 20 mg tablet,0.57,0.34,0.0476,7411.0,117
HCPCS,J3490,PARoxetine 30 mg tablet,1.48,0.89,0.2516,7411.0,39
HCPCS,J3490,"PARoxetine ER 25 mg tablet,extended release 24 hr",3.265,1.96,0.3961,7411.0,78
HCPCS,J3490,PHENobarbital 16.2 mg tablet,0.86,0.52,0.1445,7411.0,117
HCPCS,J3490,PHENobarbital 20 mg/5 mL (4 mg/mL) oral elixir,156.09,93.65,24.28,7411.0,117
HCPCS,J3490,PHENobarbital 32.4 mg tablet,1.41,0.85,0.2397,7411.0,39
HCPCS,J3490,PHENobarbital 64.8 mg tablet,1.35,0.81,0.2295,7411.0,39
HCPCS,J3490,PHENobarbital 97.2 mg tablet,1.9,1.14,0.323,7411.0,39
HCPCS,J3490,PHYSostigmine 1 mg/mL injection solution,356.29,213.77,60.57,7411.0,39
HCPCS,J3490,QUEtiapine 100 mg tablet,0.14,0.08,0.0238,7411.0,39
HCPCS,J3490,QUEtiapine 25 mg tablet,0.1,0.06,0.0119,7411.0,117
HCPCS,J3490,QUEtiapine 300 mg tablet,0.5,0.3,0.085,7411.0,39
HCPCS,J3490,"QUEtiapine ER 200 mg tablet,extended release 24 hr",0.93,0.56,0.1581,7411.0,39
HCPCS,J3490,"QUEtiapine ER 50 mg tablet,extended release 24 hr",1.51,0.91,0.2567,7411.0,39
HCPCS,J3490,SITagliptin phosphate 100 mg tablet,38.2,22.92,6.49,7411.0,39
HCPCS,J3490,SITagliptin phosphate 25 mg tablet,38.2,22.92,6.49,7411.0,39
HCPCS,J3490,SITagliptin phosphate 50 mg tablet,38.2,22.92,6.49,7411.0,39
HCPCS,J3490,SUFentanil citrate 50 mcg/mL intravenous solution,11.38,6.83,1.67,7411.0,117
HCPCS,J3490,SUMAtriptan 100 mg tablet,3.54,2.12,0.6018,7411.0,39
HCPCS,J3490,SUMAtriptan 25 mg tablet,3.54,2.12,0.6018,7411.0,39
HCPCS,J3490,SUMAtriptan 50 mg tablet,151.44,90.86,25.74,7411.0,39
HCPCS,J3490,aMILoride 5 mg tablet,1.1300000000000001,0.68,0.0765,7411.0,78
HCPCS,J3490,abacavir 20 mg/mL oral solution,294.26,176.56,50.02,7411.0,39
HCPCS,J3490,abacavir 300 mg-lamivudine 150 mg-zidovudine 300 mg tablet,54.16,32.5,9.21,7411.0,39
HCPCS,J3490,abacavir 600 mg-lamivudine 300 mg tablet,7.17,4.3,1.21,7411.0,117
HCPCS,J3490,"acamprosate 333 mg tablet,delayed release",2.2,1.32,0.2788,7411.0,117
HCPCS,J3490,acarbose 50 mg tablet,0.8400000000000001,0.505,0.1122,7411.0,78
HCPCS,J3490,acebutolol 200 mg capsule,1.56,0.94,0.2652,7411.0,39
HCPCS,J3490,acebutolol 400 mg capsule,2.06,1.24,0.3502,7411.0,39
HCPCS,J3490,acetaZOLAMIDE 250 mg tablet,0.615,0.37,0.0901,7411.0,78
HCPCS,J3490,"acetaZOLAMIDE ER 500 mg capsule,extended release",2.0,1.2,0.17,7411.0,156
HCPCS,J3490,acetaminophen 120 mg rectal suppository,0.62,0.37,0.1054,7411.0,39
HCPCS,J3490,"acetaminophen 120 mg-codeine 12 mg/5 mL (5 mL) oral solution,acetaminophen 120 mg-codeine 12 mg/5 mL oral solution",3.17,1.9,0.5389,7411.0,39
HCPCS,J3490,acetaminophen 120 mg-codeine 12 mg/5 mL oral solution,3.1,1.86,0.527,7411.0,39
HCPCS,J3490,acetaminophen 160 mg/5 mL (5 mL) oral solution,3.24,1.94,0.5508,7411.0,39
HCPCS,J3490,acetaminophen 160 mg/5 mL oral liquid,8.51,5.11,1.13,7411.0,117
HCPCS,J3490,acetaminophen 300 mg-codeine 30 mg tablet,3.45,2.07,0.5542,7411.0,195
HCPCS,J3490,acetaminophen 300 mg-codeine 60 mg tablet,4.16,2.5,0.6086,7411.0,117
HCPCS,J3490,acetaminophen 325 mg rectal suppository,1.5,0.8999999999999999,0.1649,7411.0,78
HCPCS,J3490,acetaminophen 325 mg tablet,0.04,0.025,0.0034,7411.0,195
HCPCS,J3490,acetaminophen 325 mg/10.15 mL oral suspension,1.96,1.1749999999999998,0.3315,7411.0,78
HCPCS,J3490,acetaminophen 500 mg tablet,0.06,0.04,0.0034,7411.0,351
HCPCS,J3490,acetaminophen 650 mg rectal suppository,0.56,0.34,0.0952,7411.0,39
HCPCS,J3490,acetaminophen 80 mg chewable tablet,0.13,0.08,0.0221,7411.0,39
HCPCS,J3490,acetic acid 0.25 % irrigation solution,42.0,25.2,7.14,7411.0,39
HCPCS,J3490,acetic acid 2 % ear solution,56.01,33.61,9.52,7411.0,39
HCPCS,J3490,acetylcholine chloride 1 % (10 mg/mL) intraocular kit,578.88,347.33,98.41,7411.0,39
HCPCS,J3490,acetylcysteine 100 mg/mL (10 %) solution,62.4,37.44,10.61,7411.0,39
HCPCS,J3490,acetylcysteine 200 mg/mL (20 %) solution,90.96,54.58,14.1,7411.0,117
HCPCS,J3490,acetylcysteine 600 mg capsule,0.2,0.12,0.0255,7411.0,117
HCPCS,J3490,"activated charcoaL 25 gram/120 mL oral suspension,activated charcol 15 g/72 ml oral suspension,activated charcoal 50 gram/240 ml oral suspension",32.28,19.365000000000002,4.53,7411.0,78
HCPCS,J3490,activated charcoal 25 gram oral suspension,28.24,16.94,4.8,7411.0,39
HCPCS,J3490,"activated charcoal-sorbitoL 50 gram/240 mL oral suspension,activated charcoal-sorbitoL 25 gram/120 mL oral suspension",65.76,39.46,11.18,7411.0,39
HCPCS,J3490,activated charcoal-sorbitol 50 gram/240 mL oral suspension,65.76,39.46,11.18,7411.0,39
HCPCS,J3490,acyclovir 200 mg/5 mL oral suspension,712.84,427.7,121.18,7411.0,39
HCPCS,J3490,acyclovir 400 mg tablet,0.85,0.51,0.1275,7411.0,117
HCPCS,J3490,adefovir 10 mg tablet,109.18,65.51,18.56,7411.0,39
HCPCS,J3490,albendazole 200 mg tablet,273.16999999999996,163.9,10.29,7411.0,78
HCPCS,J3490,albuterol sulfate 2 mg tablet,6.0,3.6,0.5066,7411.0,117
HCPCS,J3490,albuterol sulfate 90 mcg/actuation breath activated powder inhaler,137.4,82.44,23.36,7411.0,39
HCPCS,J3490,albuterol sulfate HFA 90 mcg/actuation aerosol inhaler,46.44,27.86,7.89,7411.0,39
HCPCS,J3490,"albuterol sulfate HFA 90 mcg/actuation aerosol inhaler,albuterol sulfate 90 mcg/actuation breath activated power inhaler",160.46,96.28,27.28,7411.0,39
HCPCS,J3490,albuterol sulfate concentrate 5 mg/mL(0.5 %) solution for nebulization,61.3,36.78,4.25,7411.0,78
HCPCS,J3490,alendronate 70 mg tablet,63.92,38.35,10.87,7411.0,39
HCPCS,J3490,"alfuzosin ER 10 mg tablet,extended release 24 hr",1.63,0.98,0.2652,7411.0,78
HCPCS,J3490,aliskiren 150 mg tablet,11.765,7.0600000000000005,1.88,7411.0,78
HCPCS,J3490,allopurinol 100 mg tablet,0.23,0.14,0.0374,7411.0,117
HCPCS,J3490,allopurinol 300 mg tablet,1.17,0.7,0.0714,7411.0,234
HCPCS,J3490,aluminum hydroxide gel 320 mg/5 mL oral suspension,13.24,7.94,2.25,7411.0,39
HCPCS,J3490,aluminum-mag hydroxide-simethicone 200 mg-200 mg-20 mg/5 mL oral susp,6.345,3.8049999999999997,1.07,7411.0,78
HCPCS,J3490,aluminum-magnesium hydroxide 200 mg-200 mg/5 mL oral suspension,9.42,5.65,1.6,7411.0,39
HCPCS,J3490,alvimopan 12 mg capsule,363.68,218.21,61.83,7411.0,39
HCPCS,J3490,amLODIPine 10 mg tablet,0.1,0.06,0.0136,7411.0,117
HCPCS,J3490,amLODIPine 2.5 mg tablet,0.28,0.17,0.0476,7411.0,39
HCPCS,J3490,amLODIPine 5 mg tablet,0.06,0.035,0.0068,7411.0,78
HCPCS,J3490,amantadine HCl 100 mg capsule,1.61,0.97,0.2737,7411.0,39
HCPCS,J3490,amantadine HCl 50 mg/5 mL oral solution,44.935,26.96,6.11,7411.0,78
HCPCS,J3490,ambrisentan 10 mg tablet,471.085,282.65000000000003,13.06,7411.0,78
HCPCS,J3490,amino acid 10 % intravenous solution,225.0,135.0,38.25,7411.0,39
HCPCS,J3490,amino acid 3.5 % pedi-D10W-calc gluc 3.75 mEq/250 mL intravenous soln,265.13,159.08,45.07,7411.0,40
HCPCS,J3490,amino acid 4.25 % no.1-dextrose 5 %-electrolytes no.39 IV solution,372.0,223.2,63.24,7411.0,40
HCPCS,J3490,amino acids 5 % with lytes and calcium in D25W intravenous solution,183.0,109.8,31.11,7411.0,39
HCPCS,J3490,aminocaproic acid 250 mg/mL (25 %) oral solution,1421.95,853.17,241.73,7411.0,39
HCPCS,J3490,"aminocaproic acid 250 mg/mL (25%) intravenous solution,aminocaproic acid 250 mg/mL (25 %) oral solution",71.68,43.01,12.19,7411.0,39
HCPCS,J3490,aminocaproic acid 500 mg tablet,28.88,17.33,4.02,7411.0,117
HCPCS,J3490,aminolevulinic acid HCl 30 mg/mL oral solution,6392.0,3835.2,1086.64,7411.0,39
HCPCS,J3490,amiodarone 200 mg tablet,0.545,0.325,0.068,7411.0,156
HCPCS,J3490,amisulpride 5 mg/2 mL (2.5 mg/mL) intravenous solution,540.0,324.0,91.8,7411.0,41
HCPCS,J3490,"amisulpride 5 mg/2 ml (2.5 mg/ml) intervenous solution,amisulpride 10 mg/4 ml (2.5 mg/ml) intervenous solution",472.5,283.5,68.85,7411.0,82
HCPCS,J3490,amitriptyline 10 mg tablet,0.21999999999999997,0.13,0.0221,7411.0,156
HCPCS,J3490,amitriptyline 100 mg tablet,1.43,0.86,0.102,7411.0,117
HCPCS,J3490,amitriptyline 25 mg tablet,0.37,0.22000000000000003,0.0289,7411.0,78
HCPCS,J3490,amitriptyline 50 mg tablet,1.14,0.68,0.1938,7411.0,39
HCPCS,J3490,ammonia aromatic 15 % (w/v) solution for inhalation,2.63,1.58,0.4471,7411.0,39
HCPCS,J3490,ammonium lactate 12 % lotion,31.2,18.72,5.3,7411.0,39
HCPCS,J3490,ammonium lactate 12 % topical cream,28.28,16.97,3.57,7411.0,117
HCPCS,J3490,amoxicillin 250 mg capsule,0.73,0.44,0.1241,7411.0,39
HCPCS,J3490,amoxicillin 250 mg chewable tablet,1.15,0.69,0.1955,7411.0,39
HCPCS,J3490,amoxicillin 250 mg-potassium clavulanate 125 mg tablet,7.14,4.28,1.21,7411.0,39
HCPCS,J3490,amoxicillin 250 mg/5 mL oral suspension,8.850000000000001,5.3100000000000005,0.9826,7411.0,234
HCPCS,J3490,amoxicillin 400 mg-potassium clavulanate 57 mg/5 mL oral suspension,25.9,15.54,3.76,7411.0,78
HCPCS,J3490,amoxicillin 500 mg capsule,0.86,0.52,0.1156,7411.0,117
HCPCS,J3490,amoxicillin 500 mg-potassium clavulanate 125 mg tablet,2.86,1.7149999999999999,0.408,7411.0,78
HCPCS,J3490,amoxicillin 875 mg-potassium clavulanate 125 mg tablet,1.7,1.02,0.2091,7411.0,195
HCPCS,J3490,amphotericin B (bulk) powder,20370.5,12222.3,3462.99,17314.92,39
HCPCS,J3490,anagrelide 0.5 mg capsule,11.105,6.66,0.6239,7411.0,78
HCPCS,J3490,anastrozole 1 mg tablet,6.205,3.7249999999999996,0.952,7411.0,78
HCPCS,J3490,angiotensin II 2.5 mg/mL intravenous solution,4860.0,2916.0,826.2,7411.0,39
HCPCS,J3490,"antivenin, Micrurus fulvius 250 unit solution for injection",22873.98,13724.39,3888.58,19442.88,39
HCPCS,J3490,apixaban 2.5 mg tablet,21.814999999999998,13.09,3.71,7411.0,78
HCPCS,J3490,apixaban 5 mg tablet,21.814999999999998,13.09,3.71,7411.0,78
HCPCS,J3490,apraclonidine 1 % eye drops in a dropperette,55.46,33.28,9.43,7411.0,39
HCPCS,J3490,arginine (L-arginine) oral powder,49.0,29.4,8.33,7411.0,39
HCPCS,J3490,"arginine HCl (L-arginine) 1,000 mg tablet",0.26,0.16,0.0442,7411.0,39
HCPCS,J3490,arginine HCl (L-arginine) 10 % intravenous solution,252.0,151.2,42.84,7411.0,39
HCPCS,J3490,artificial tears(dextran-hypromel-glycern) 0.1 %-0.3 %-0.2 % eye drops,13.23,7.94,2.25,7411.0,39
HCPCS,J3490,ascorbic acid (vitamin C) 250 mg tablet,0.035,0.02,0.0051,7411.0,78
HCPCS,J3490,ascorbic acid (vitamin C) 500 mg tablet,0.07,0.04,0.0085,7411.0,117
HCPCS,J3490,ascorbic acid (vitamin C) 500 mg/mL injection solution,407.25,244.35,69.23,7411.0,39
HCPCS,J3490,ascorbic acid (vitamin C) 500 mg/mL intravenous solution,1210.275,726.165,204.48,7411.0,78
HCPCS,J3490,"asparaginase (Erwinia chrysanthemi) 10,000 unit solution for injection",12142.52,7285.51,2064.23,10321.14,39
HCPCS,J3490,"aspirin 25 mg-dipyridamole 200 mg capsule,ext.release 12 hr multiphase",18.8,11.28,0.2737,7411.0,117
HCPCS,J3490,aspirin 300 mg rectal suppository,2.33,1.4,0.3961,7411.0,39
HCPCS,J3490,aspirin 325 mg tablet,0.03,0.02,0.0034,7411.0,117
HCPCS,J3490,"aspirin 325 mg tablet,delayed release",0.07,0.04,0.0068,7411.0,156
HCPCS,J3490,aspirin 81 mg chewable tablet,0.05,0.04,0.0034,7411.0,273
HCPCS,J3490,"aspirin 81 mg tablet,delayed release",0.04,0.02,0.0034,7411.0,195
HCPCS,J3490,aspirin-acetaminophen-caffeine 250 mg-250 mg-65 mg tablet,0.05,0.03,0.0085,7411.0,39
HCPCS,J3490,atazanavir 200 mg capsule,11.04,6.62,1.09,7411.0,117
HCPCS,J3490,atazanavir 300 mg capsule,21.57,12.94,2.1,7411.0,117
HCPCS,J3490,atenolol 100 mg tablet,0.43,0.26,0.0731,7411.0,39
HCPCS,J3490,atenolol 25 mg tablet,0.13,0.08,0.0119,7411.0,117
HCPCS,J3490,atenolol 50 mg tablet,0.125,0.075,0.0119,7411.0,78
HCPCS,J3490,atomoxetine 10 mg capsule,3.26,1.96,0.5542,7411.0,39
HCPCS,J3490,atomoxetine 40 mg capsule,3.505,2.1,0.5899,7411.0,78
HCPCS,J3490,atorvastatin 10 mg tablet,0.41500000000000004,0.245,0.0289,7411.0,234
HCPCS,J3490,atorvastatin 20 mg tablet,0.48,0.29,0.0612,7411.0,117
HCPCS,J3490,atorvastatin 80 mg tablet,0.675,0.405,0.0527,7411.0,156
HCPCS,J3490,atovaquone 250 mg-proguanil 100 mg tablet,12.85,7.71,2.18,7411.0,39
HCPCS,J3490,atovaquone 750 mg/5 mL oral suspension,1539.565,923.74,11.36,7411.0,78
HCPCS,J3490,atracurium 10 mg/mL intravenous solution,53.455,32.075,7.86,7411.0,78
HCPCS,J3490,atropine 1 % eye drops,88.74,53.24,12.21,7411.0,117
HCPCS,J3490,atropine 1 % eye ointment,35.02,21.01,5.95,7411.0,39
HCPCS,J3490,azelastine 137 mcg (0.1 %) nasal spray,39.75,23.85,6.12,7411.0,78
HCPCS,J3490,azithromycin 200 mg/5 mL oral suspension,28.73,17.24,4.88,7411.0,39
HCPCS,J3490,azithromycin 250 mg tablet,6.0649999999999995,3.6399999999999997,0.8211,7411.0,78
HCPCS,J3490,bacitracin 500 unit/gram topical ointment,4.43,2.66,0.6936,7411.0,117
HCPCS,J3490,bacitracin 500 unit/gram topical packet,0.27,0.16,0.0459,7411.0,39
HCPCS,J3490,"bacitracin zinc 500 unit-polymyxin B 10,000 unit/gram topical ointment",10.05,6.03,1.71,7411.0,39
HCPCS,J3490,"bacitracin zinc 500 unit-polymyxin B 10,000 unit/gram topical ointment,bacitracin 500 unit-polymyxin B 10,000 unit/gram topical ointment",10.05,6.03,1.71,7411.0,39
HCPCS,J3490,bacitracin zinc 500 unit/gram topical ointment,8.525,5.115,0.9282,7411.0,78
HCPCS,J3490,bacitracin zinc 500 unit/gram topical ointment in packet,0.34,0.2,0.0578,7411.0,39
HCPCS,J3490,"bacitracin-polymyxin B 500 unit-10,000 unit/gram eye ointment",27.8,16.68,4.73,7411.0,39
HCPCS,J3490,baclofen 10 mg tablet,1.36,0.82,0.187,7411.0,117
HCPCS,J3490,baclofen 20 mg tablet,2.43,1.46,0.2924,7411.0,117
HCPCS,J3490,balanced salt solution combination no.1 intraocular irrigation,447.75,268.65,76.12,7411.0,39
HCPCS,J3490,balanced salt solution combination no.2 intraocular irrigation,72.99,43.79,12.41,7411.0,39
HCPCS,J3490,balanced salt solution non-surgical no.3 eye wash,51.15,30.689999999999998,6.78,7411.0,78
HCPCS,J3490,balsalazide 750 mg capsule,1.43,0.86,0.1921,7411.0,117
HCPCS,J3490,balsam peru-zinc oxide topical ointment,12.43,7.46,2.11,7411.0,39
HCPCS,J3490,bamlanivimab 700 mg/20 mL (35 mg/mL) intravenous soln (1 of 2) (EUA),0.02,0.01,0.0034,7411.0,41
HCPCS,J3490,barium sulfate 2 % (w/v) oral suspension,9.0,5.4,1.38,7411.0,78
HCPCS,J3490,"barium sulfate 40 % (w/v), 30% (w/w) oral paste",100.74,60.44,17.13,7411.0,39
HCPCS,J3490,barium sulfate 60 % oral cream,217.92,130.75,37.05,7411.0,39
HCPCS,J3490,barium sulfate 700 mg tablet,4.63,2.78,0.7871,7411.0,39
HCPCS,J3490,barium sulfate 98 % oral powder for suspension,12.03,7.22,2.05,7411.0,39
HCPCS,J3490,beclomethasone diprop 80 mcg/actuation HFA breath activated aerosol,572.23,343.34,97.28,7411.0,39
HCPCS,J3490,belladonna alkaloids-opium 16.2 mg-30 mg rectal suppository,47.03,28.22,8.0,7411.0,39
HCPCS,J3490,belladonna alkaloids-opium 16.2 mg-60 mg rectal suppository,56.52,33.91,9.61,7411.0,39
HCPCS,J3490,benznidazole 100 mg tablet,6.5,3.9,1.1,7411.0,39
HCPCS,J3490,benzocaine 10 % mucosal gel,9.344999999999999,5.605,1.36,7411.0,78
HCPCS,J3490,benzocaine 20 % mucosal aerosol spray,1.03,0.62,0.1751,7411.0,39
HCPCS,J3490,benzocaine 20 % mucosal spray,20.935000000000002,12.565000000000001,3.44,7411.0,78
HCPCS,J3490,benzocaine 20 % topical aerosol,7.75,4.65,1.32,7411.0,39
HCPCS,J3490,benzocaine 20 %-menthol 0.5 % topical aerosol,9.07,5.44,1.54,7411.0,39
HCPCS,J3490,benzocaine 6 mg-menthol 10 mg lozenges,0.29,0.17,0.0493,7411.0,39
HCPCS,J3490,benzonatate 100 mg capsule,0.34,0.2,0.0493,7411.0,195
HCPCS,J3490,benztropine 0.5 mg tablet,0.98,0.59,0.1666,7411.0,39
HCPCS,J3490,benztropine 1 mg tablet,0.27,0.16,0.0374,7411.0,78
HCPCS,J3490,beractant 25 mg/mL in 0.9 % sodium chloride intratracheal suspension,1878.5700000000002,1127.1399999999999,293.0,7411.0,78
HCPCS,J3490,"betaxolol 0.25 % eye drops,suspension",652.12,391.27,110.86,7411.0,39
HCPCS,J3490,bethanechol chloride 10 mg tablet,2.36,1.42,0.4012,7411.0,39
HCPCS,J3490,bethanechol chloride 25 mg tablet,1.91,1.15,0.3247,7411.0,39
HCPCS,J3490,bethanechol chloride 5 mg tablet,1.505,0.905,0.2516,7411.0,78
HCPCS,J3490,bicalutamide 50 mg tablet,6.0,3.6,0.9486,7411.0,117
HCPCS,J3490,bictegravir 50 mg-emtricitabine 200 mg-tenofovir alafenam 25 mg tablet,265.91,159.55,45.2,7411.0,39
HCPCS,J3490,bisacodyl 10 mg rectal suppository,1.31,0.79,0.0782,7411.0,195
HCPCS,J3490,"bisacodyl 5 mg tablet,delayed release",0.15,0.09,0.0051,7411.0,195
HCPCS,J3490,bismuth subsalicylate 262 mg chewable tablet,0.13,0.08,0.0187,7411.0,117
HCPCS,J3490,bismuth subsalicylate 262 mg/15 mL oral suspension,1.26,0.755,0.153,7411.0,156
HCPCS,J3490,bisoprolol fumarate 5 mg tablet,0.455,0.275,0.0646,7411.0,78
HCPCS,J3490,brexpiprazole 0.5 mg tablet,98.1,58.86,16.68,7411.0,39
HCPCS,J3490,brimonidine 0.2 % eye drops,22.0,13.2,3.4,7411.0,78
HCPCS,J3490,brivaracetam 25 mg tablet,143.71,86.23,24.43,7411.0,39
HCPCS,J3490,bromocriptine 2.5 mg tablet,8.325,4.995,1.13,7411.0,78
HCPCS,J3490,brompheniramine-pseudoephedrine-DM 2 mg-30 mg-10 mg/5 mL oral syrup,1.83,1.0950000000000002,0.2601,7411.0,156
HCPCS,J3490,budesonide 0.25 mg/2 mL suspension for nebulization,15.06,9.04,0.9639,7411.0,117
HCPCS,J3490,budesonide 0.5 mg/2 mL suspension for nebulization,10.0,6.0,0.34,7411.0,195
HCPCS,J3490,"budesonide DR - ER 3 mg capsule,delayed,extended release",4.45,2.67,0.7565,7411.0,39
HCPCS,J3490,bumetanide 0.25 mg/mL injection solution,31.68,19.01,4.21,7411.0,205
HCPCS,J3490,bumetanide 0.5 mg tablet,0.9,0.54,0.1156,7411.0,117
HCPCS,J3490,bumetanide 1 mg tablet,0.795,0.48,0.1156,7411.0,78
HCPCS,J3490,bumetanide 2 mg tablet,1.52,0.915,0.2312,7411.0,78
HCPCS,J3490,bupivacaine (PF) 0.25 % (2.5 mg/mL) Injection,171.36,102.82,29.13,7411.0,39
HCPCS,J3490,bupivacaine (PF) 0.5 % (5 mg/mL) Injection,13.86,8.32,2.36,7411.0,39
HCPCS,J3490,"bupivacaine (PF) 0.5 % (5 mg/mL) Injection,bupivacaine 0.5 % (5 mg/mL) Injection",442.8,265.68,75.28,7411.0,39
HCPCS,J3490,buprenorphine 10 mcg/hour weekly transdermal patch,154.09,92.45,26.2,7411.0,39
HCPCS,J3490,buprenorphine 15 mcg/hour weekly transdermal patch,260.92,156.55,44.36,7411.0,39
HCPCS,J3490,buprenorphine 5 mcg/hour weekly transdermal patch,104.095,62.459999999999994,17.39,7411.0,78
HCPCS,J3490,buprenorphine 7.5 mcg/hour weekly transdermal patch,150.33,90.2,25.56,7411.0,39
HCPCS,J3490,buprenorphine HCl 300 mcg buccal film,22.405,13.445,3.81,7411.0,78
HCPCS,J3490,buprenorphine HCl 450 mcg buccal film,30.445,18.265,5.17,7411.0,78
HCPCS,J3490,bupropion HCl 100 mg tablet,3.27,1.96,0.2431,7411.0,117
HCPCS,J3490,bupropion HCl 75 mg tablet,2.46,1.48,0.4182,7411.0,39
HCPCS,J3490,"bupropion HCl SR 100 mg tablet,12 hr sustained-release",0.47,0.28,0.0765,7411.0,117
HCPCS,J3490,"bupropion HCl SR 150 mg tablet,12 hr sustained-release",0.9,0.54,0.085,7411.0,195
HCPCS,J3490,"bupropion HCl XL 150 mg 24 hr tablet, extended release",0.37,0.315,0.0374,7411.0,351
HCPCS,J3490,buspirone 10 mg tablet,0.15,0.09,0.0153,7411.0,195
HCPCS,J3490,buspirone 5 mg tablet,0.1,0.06,0.0102,7411.0,117
HCPCS,J3490,buspirone 7.5 mg tablet,0.76,0.46,0.0595,7411.0,195
HCPCS,J3490,butalbital-acetaminophen-caffeine 50 mg-325 mg-40 mg tablet,1.795,1.0750000000000002,0.0629,7411.0,156
HCPCS,J3490,butorphanol 10 mg/mL nasal spray,112.8,67.68,19.18,7411.0,39
HCPCS,J3490,cabergoline 0.5 mg tablet,19.375,11.625,1.06,7411.0,78
HCPCS,J3490,caffeine 200 mg tablet,0.39,0.23,0.0663,7411.0,39
HCPCS,J3490,caffeine-sodium benzoate 250 mg/mL(125 mg/mL caffeine) injection soln,34.68,20.81,5.9,7411.0,39
HCPCS,J3490,calamine 8 %-zinc oxide 8 % lotion,7.08,4.25,1.2,7411.0,39
HCPCS,J3490,calcitonin (salmon) 200 unit/actuation nasal spray,80.0,48.0,13.6,7411.0,39
HCPCS,J3490,calcitriol 0.25 mcg capsule,1.295,0.775,0.0918,7411.0,78
HCPCS,J3490,calcitriol 0.5 mcg capsule,3.06,1.84,0.1445,7411.0,117
HCPCS,J3490,calcitriol 1 mcg/mL oral solution,286.41,171.85,48.69,7411.0,39
HCPCS,J3490,calcium 200 mg (as calcium carbonate 500 mg) chewable tablet,0.045,0.03,0.0051,7411.0,156
HCPCS,J3490,calcium 200 mg (as calcium citrate 950 mg) tablet,0.07,0.04,0.0085,7411.0,117
HCPCS,J3490,"calcium 250 mg (as carbonate)-vitamin D3 3.125 mcg (125 unit) tablet,calcium 250 mg (as carbonate)-vitamin D3 3 mcg(120 unit) tablet",0.06,0.04,0.0102,7411.0,39
HCPCS,J3490,calcium 315 mg (as citrate)-vitamin D3 6.25 mcg (250 unit) tablet,0.31,0.185,0.0323,7411.0,78
HCPCS,J3490,"calcium 500 mg (as calcium carbonate 1,250 mg) tablet",0.07,0.035,0.0051,7411.0,195
HCPCS,J3490,calcium 500 mg (as carbonate)-vitamin D3 5 mcg (200 unit) tablet,0.075,0.045,0.0068,7411.0,156
HCPCS,J3490,"calcium 500 mg/5 mL (as calcium carb 1,250 mg/5 mL) oral suspension",18.0,10.8,0.8704,7411.0,117
HCPCS,J3490,calcium 600 mg (as carbonate)-vitamin D3 10 mcg (400 unit) tablet,0.3,0.18,0.051,7411.0,39
HCPCS,J3490,"calcium acetate 952 mg-aluminum sulfate 1,347 mg topical powder packet",1.24,0.74,0.2108,7411.0,39
HCPCS,J3490,calcium polycarbophil 500 mg chewable tablet,0.27,0.16,0.0459,7411.0,39
HCPCS,J3490,calfactant 35 mg/mL in 0.9% sodium chloride intratracheal suspension,2045.16,1227.1,347.68,7411.0,39
HCPCS,J3490,candesartan 8 mg tablet,2.67,1.6,0.4539,7411.0,39
HCPCS,J3490,candida albicans skin test FDA STANDARD intradermal,133.2,79.92,22.64,7411.0,39
HCPCS,J3490,cannabidiol 100 mg/mL oral solution,2943.0,1765.8,500.31,7411.0,39
HCPCS,J3490,capsaicin 0.025 % topical cream,13.92,8.35,2.37,7411.0,39
HCPCS,J3490,capsaicin 0.075 % topical cream,9.35,5.61,1.59,7411.0,39
HCPCS,J3490,captopril 12.5 mg tablet,2.03,1.22,0.272,7411.0,117
HCPCS,J3490,captopril 25 mg tablet,1.935,1.1600000000000001,0.289,7411.0,78
HCPCS,J3490,carBAMazepine 100 mg chewable tablet,1.02,0.61,0.1734,7411.0,39
HCPCS,J3490,"carBAMazepine 100 mg/5 mL (5 mL) oral suspension,carBAMazepine 100 mg/5 mL oral suspension",196.975,118.185,1.03,7411.0,78
HCPCS,J3490,carBAMazepine 100 mg/5 mL oral suspension,264.6,158.76,24.02,7411.0,78
HCPCS,J3490,carBAMazepine 200 mg tablet,1.305,0.78,0.051,7411.0,156
HCPCS,J3490,"carBAMazepine ER 100 mg tablet,extended release,12 hr",2.06,1.2349999999999999,0.153,7411.0,78
HCPCS,J3490,"carBAMazepine ER 200 mg tablet,extended release,12 hr",1.7000000000000002,1.02,0.272,7411.0,78
HCPCS,J3490,"carBAMazepine ER 400 mg tablet,extended release,12 hr",3.2,1.92,0.544,7411.0,39
HCPCS,J3490,carbachol 0.01 % intraocular solution,268.08,160.85,45.57,7411.0,39
HCPCS,J3490,carbamide peroxide 6.5 % ear drops,4.68,2.81,0.6426,7411.0,195
HCPCS,J3490,carbidopa 10 mg-levodopa 100 mg tablet,0.48,0.28500000000000003,0.0748,7411.0,78
HCPCS,J3490,carbidopa 25 mg-levodopa 100 mg tablet,0.56,0.34,0.0646,7411.0,195
HCPCS,J3490,carbidopa 25 mg-levodopa 250 mg tablet,0.55,0.33,0.0833,7411.0,117
HCPCS,J3490,"carbidopa ER 36.25 mg-levodopa 145 mg capsule,extended release",8.31,4.99,1.41,7411.0,39
HCPCS,J3490,"carbidopa ER 48.75 mg-levodopa 195 mg capsule,extended release",8.31,4.99,1.41,7411.0,39
HCPCS,J3490,"carbidopa ER 50 mg-levodopa 200 mg tablet,extended release",1.62,0.9750000000000001,0.238,7411.0,156
HCPCS,J3490,carboxymethylcellulose sodium 0.5 % eye drops in a dropperette,0.5700000000000001,0.33999999999999997,0.0935,7411.0,78
HCPCS,J3490,cardioplegic soln #17(induct 4:1) 50 mEq/500 mL (potassium) perfusion,426.0,255.6,72.42,7411.0,39
HCPCS,J3490,cardioplegic solution no.19 (maint 4:1) 40mEq/L (potassium) perfusion,597.0,358.2,101.49,7411.0,39
HCPCS,J3490,cardioplegic solution no.25 29 mmol/L (potassium) for perfusion,363.0,217.8,61.71,7411.0,39
HCPCS,J3490,carisoprodol 350 mg tablet,1.28,0.77,0.1938,7411.0,195
HCPCS,J3490,carvedilol 12.5 mg tablet,0.17,0.1,0.017,7411.0,117
HCPCS,J3490,carvedilol 3.125 mg tablet,0.14,0.085,0.0136,7411.0,234
HCPCS,J3490,carvedilol 6.25 mg tablet,0.19,0.11,0.017,7411.0,195
HCPCS,J3490,"carvedilol phosphate ER 10 mg capsule,ext.release24hr multiphase",18.35,11.01,3.12,7411.0,39
HCPCS,J3490,cefdinir 125 mg/5 mL oral suspension,79.3,47.58,13.48,7411.0,39
HCPCS,J3490,cefdinir 300 mg capsule,5.17,3.1,0.3689,7411.0,78
HCPCS,J3490,cefprozil 125 mg/5 mL oral suspension,47.75,28.65,8.12,7411.0,39
HCPCS,J3490,cefuroxime axetil 250 mg tablet,2.715,1.6300000000000001,0.2295,7411.0,156
HCPCS,J3490,cefuroxime axetil 500 mg tablet,5.720000000000001,3.435,0.6511,7411.0,78
HCPCS,J3490,celecoxib 100 mg capsule,0.6,0.36,0.051,7411.0,117
HCPCS,J3490,celecoxib 200 mg capsule,1.2,0.72,0.0306,7411.0,273
HCPCS,J3490,cenobamate 100 mg tablet,78.67,47.2,13.37,7411.0,39
HCPCS,J3490,cenobamate 50 mg tablet,78.67,47.2,13.37,7411.0,39
HCPCS,J3490,cephalexin 125 mg/5 mL oral suspension,38.5,23.1,6.54,7411.0,39
HCPCS,J3490,cephalexin 250 mg capsule,0.8,0.48,0.1292,7411.0,78
HCPCS,J3490,cephalexin 250 mg/5 mL oral suspension,46.5,27.9,4.5,7411.0,117
HCPCS,J3490,cephalexin 500 mg capsule,1.005,0.6000000000000001,0.1462,7411.0,156
HCPCS,J3490,cetirizine 1 mg/mL oral solution,17.94,10.76,1.39,7411.0,117
HCPCS,J3490,cetirizine 10 mg tablet,0.2,0.12,0.0153,7411.0,195
HCPCS,J3490,cetirizine 5 mg tablet,0.15,0.09,0.0238,7411.0,117
HCPCS,J3490,"cetirizine 5 mg-pseudoephedrine ER 120 mg tablet,extended release,12hr",1.55,0.93,0.2465,7411.0,117
HCPCS,J3490,cevimeline 30 mg capsule,5.73,3.435,0.8993,7411.0,78
HCPCS,J3490,chlordiazePOXIDE 25 mg capsule,0.6950000000000001,0.42000000000000004,0.0561,7411.0,78
HCPCS,J3490,chlordiazePOXIDE 5 mg capsule,1.29,0.77,0.2193,7411.0,39
HCPCS,J3490,chlordiazepoxide-clidinium 5 mg-2.5 mg capsule,3.98,2.39,0.442,7411.0,117
HCPCS,J3490,chlorhexidine gluconate 0.12 % mouthwash,3.45,2.07,0.4488,7411.0,195
HCPCS,J3490,chloroquine 250 mg tablet,4.88,2.9299999999999997,0.5202,7411.0,78
HCPCS,J3490,chlorpheniramine 4 mg tablet,0.045000000000000005,0.025,0.0034,7411.0,78
HCPCS,J3490,chlorproMAZINE 25 mg tablet,7.56,4.54,0.289,7411.0,117
HCPCS,J3490,chlorthalidone 25 mg tablet,3.83,2.3,0.6511,7411.0,39
HCPCS,J3490,chlorzoxazone 500 mg tablet,1.56,0.94,0.2652,7411.0,39
HCPCS,J3490,cholecalciferol (vitamin D3) 10 mcg (400 unit) tablet,0.05,0.03,0.0051,7411.0,117
HCPCS,J3490,"cholecalciferol (vitamin D3) 125 mcg (5,000 unit) tablet",0.155,0.09,0.0204,7411.0,78
HCPCS,J3490,"cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet",0.05500000000000001,0.03,0.0034,7411.0,234
HCPCS,J3490,cholestyramine (with sugar) 4 gram powder for susp in a packet,4.1,2.46,0.697,7411.0,39
HCPCS,J3490,chondroitin sulf-sodium hyaluronate 40 mg-17 mg/mL intraocular syringe,1429.61,857.77,243.03,7411.0,39
HCPCS,J3490,chondroitin-sod hyaluron 4 %-3 % (40 mg-30 mg/mL) intraocular syringe,1715.76,1029.46,291.68,7411.0,39
HCPCS,J3490,chromium chloride 4 mcg/mL intravenous solution,130.98,78.59,22.27,7411.0,39
HCPCS,J3490,ciclopirox 0.77 % topical cream,30.75,18.45,5.23,7411.0,39
HCPCS,J3490,cilostazol 100 mg tablet,2.73,1.64,0.4522,7411.0,117
HCPCS,J3490,cilostazol 50 mg tablet,2.63,1.58,0.4369,7411.0,117
HCPCS,J3490,cinacalcet 30 mg tablet,27.39,16.435000000000002,0.17,7411.0,78
HCPCS,J3490,ciprofloxacin 0.3 % eye drops,28.0,16.8,4.76,7411.0,39
HCPCS,J3490,"ciprofloxacin 0.3 %-dexamethasone 0.1 % ear drops,suspension",498.18,298.91,84.69,7411.0,39
HCPCS,J3490,ciprofloxacin 250 mg tablet,0.9450000000000001,0.565,0.1343,7411.0,78
HCPCS,J3490,ciprofloxacin 500 mg tablet,0.88,0.53,0.1479,7411.0,117
HCPCS,J3490,ciprofloxacin 750 mg tablet,1.94,1.16,0.3298,7411.0,39
HCPCS,J3490,cisatracurium 2 mg/mL intravenous solution,72.03999999999999,43.225,7.41,7411.0,156
HCPCS,J3490,cisatracurium concentrate 10 mg/mL (ICU USE ONLY) intravenous solution,1340.5,804.3,227.88,7411.0,39
HCPCS,J3490,citalopram 10 mg tablet,0.13,0.08,0.0187,7411.0,78
HCPCS,J3490,citalopram 20 mg tablet,0.14,0.085,0.0204,7411.0,78
HCPCS,J3490,clarithromycin 250 mg/5 mL oral suspension,349.5,209.7,59.41,7411.0,39
HCPCS,J3490,clarithromycin 500 mg tablet,2.415,1.45,0.4046,7411.0,78
HCPCS,J3490,"clarithromycin ER 500 mg tablet,extended release 24 hr",14.82,8.89,2.52,7411.0,39
HCPCS,J3490,clindamycin 1 % lotion,230.76,138.46,39.23,7411.0,39
HCPCS,J3490,clindamycin 1 % topical gel,165.84,99.5,28.19,7411.0,39
HCPCS,J3490,clindamycin 2 % vaginal cream,191.16,114.7,29.54,7411.0,78
HCPCS,J3490,clindamycin 75 mg/5 mL oral solution,270.2,162.12,43.08,7411.0,78
HCPCS,J3490,clindamycin HCl 150 mg capsule,1.16,0.7,0.1343,7411.0,117
HCPCS,J3490,clindamycin HCl 300 mg capsule,2.71,1.63,0.4607,7411.0,39
HCPCS,J3490,cloBAZam 10 mg tablet,1.46,0.88,0.204,7411.0,117
HCPCS,J3490,cloNIDine 0.1 mg/24 hr weekly transdermal patch,145.12,87.07,24.67,7411.0,39
HCPCS,J3490,cloNIDine 0.2 mg/24 hr weekly transdermal patch,89.23,53.54,15.17,7411.0,39
HCPCS,J3490,cloNIDine 0.3 mg/24 hr weekly transdermal patch,123.78,74.27,21.04,7411.0,39
HCPCS,J3490,cloNIDine HCl 0.1 mg tablet,0.09,0.09,0.0119,7411.0,195
HCPCS,J3490,cloZAPine 100 mg disintegrating tablet,13.08,7.85,2.22,7411.0,39
HCPCS,J3490,cloZAPine 100 mg tablet,3.3049999999999997,1.98,0.3927,7411.0,156
HCPCS,J3490,cloZAPine 25 mg disintegrating tablet,4.8,2.88,0.816,7411.0,39
HCPCS,J3490,cloZAPine 25 mg tablet,1.3,0.78,0.221,7411.0,39
HCPCS,J3490,clobetasol 0.05 % topical cream,78.48,47.09,10.21,7411.0,78
HCPCS,J3490,clobetasol 0.05 % topical ointment,29.97,17.98,5.09,7411.0,39
HCPCS,J3490,clomiPRAMINE 25 mg capsule,1.0,0.6,0.1139,7411.0,117
HCPCS,J3490,clonazePAM 0.5 mg tablet,0.14,0.08,0.0102,7411.0,195
HCPCS,J3490,clonazePAM 1 mg disintegrating tablet,2.11,1.27,0.3587,7411.0,39
HCPCS,J3490,clonazePAM 1 mg tablet,0.14,0.11,0.0136,7411.0,234
HCPCS,J3490,clopidogrel 300 mg tablet,28.57,17.14,4.86,7411.0,39
HCPCS,J3490,clopidogrel 75 mg tablet,2.375,1.4249999999999998,0.3604,7411.0,234
HCPCS,J3490,clorazepate dipotassium 3.75 mg tablet,1.99,1.19,0.3383,7411.0,39
HCPCS,J3490,clorazepate dipotassium 7.5 mg tablet,2.79,1.67,0.4743,7411.0,39
HCPCS,J3490,clotrimazole 1 % topical cream,2.47,1.48,0.4199,7411.0,39
HCPCS,J3490,clotrimazole 1 % topical solution,72.2,43.32,12.27,7411.0,39
HCPCS,J3490,clotrimazole 1 % vaginal cream,8.1,4.86,1.38,7411.0,39
HCPCS,J3490,clotrimazole 10 mg troche,4.035,2.42,0.4369,7411.0,78
HCPCS,J3490,clotrimazole-betamethasone 1 %-0.05 % topical cream,38.64,23.185000000000002,5.73,7411.0,78
HCPCS,J3490,codeine 10 mg-guaifenesin 100 mg/5 mL oral liquid,43.58,26.15,1.15,7411.0,78
HCPCS,J3490,codeine sulfate 30 mg tablet,4.72,2.83,0.7735,7411.0,117
HCPCS,J3490,colchicine 0.6 mg tablet,7.44,4.46,0.2091,7411.0,195
HCPCS,J3490,colesevelam 625 mg tablet,1.81,1.085,0.1904,7411.0,156
HCPCS,J3490,collagenase clostridium histolyticum 250 unit/gram topical ointment,604.68,362.81,102.8,7411.0,39
HCPCS,J3490,compounding vehicle suspension sugar-free no.20 oral,35.0,21.0,5.95,7411.0,39
HCPCS,J3490,compounding vehicle suspension sugar-free no.3 oral,30.0,18.0,5.1,7411.0,39
HCPCS,J3490,compounding vehicle syrup no.23,35.0,21.0,5.95,7411.0,39
HCPCS,J3490,conjugated estrogens 0.3 mg tablet,13.81,8.29,2.35,7411.0,39
HCPCS,J3490,conjugated estrogens 0.625 mg tablet,13.81,8.29,2.35,7411.0,39
HCPCS,J3490,conjugated estrogens 0.625 mg/gram vaginal cream,900.12,540.07,153.02,7411.0,39
HCPCS,J3490,cromolyn 4 % eye drops,45.0,27.0,7.65,7411.0,39
HCPCS,J3490,cupric chloride 0.4 mg/mL intravenous solution,202.26,121.36,34.38,7411.0,39
HCPCS,J3490,"cyanocobalamin (vit B-12) 1,000 mcg tablet",0.09,0.05,0.0102,7411.0,117
HCPCS,J3490,cyanocobalamin (vit B-12) 100 mcg tablet,0.03,0.02,0.0051,7411.0,39
HCPCS,J3490,cycloSERINE 250 mg capsule,139.83,83.9,23.77,7411.0,39
HCPCS,J3490,cycloSPORINE 0.05 % eye drops in a dropperette,8.5,5.1,1.09,7411.0,156
HCPCS,J3490,cyclobenzaprine 10 mg tablet,1.1,0.66,0.1785,7411.0,156
HCPCS,J3490,cyclopentolate 1 % eye drops,56.355000000000004,33.815,4.11,7411.0,156
HCPCS,J3490,cyclopentolate-phenylephrine 0.2 %-1 % eye drops,70.52,42.31,11.99,7411.0,39
HCPCS,J3490,cyproheptadine 4 mg tablet,0.77,0.46,0.0374,7411.0,78
HCPCS,J3490,d-mannose oral powder,150.0,90.0,25.5,7411.0,39
HCPCS,J3490,danazol 100 mg capsule,7.62,4.57,1.3,7411.0,39
HCPCS,J3490,danazol 200 mg capsule,12.69,7.61,2.16,7411.0,39
HCPCS,J3490,danazol 50 mg capsule,5.08,3.05,0.8636,7411.0,39
HCPCS,J3490,dantrolene 100 mg capsule,4.28,2.57,0.7276,7411.0,39
HCPCS,J3490,dantrolene 20 mg intravenous solution,362.99,217.79500000000002,54.93,7411.0,78
HCPCS,J3490,dantrolene 25 mg capsule,2.88,1.725,0.4454,7411.0,78
HCPCS,J3490,dapagliflozin propanediol 10 mg tablet,32.025,19.215,4.29,7411.0,78
HCPCS,J3490,dapagliflozin propanediol 5 mg tablet,38.82,23.29,6.6,7411.0,39
HCPCS,J3490,dapsone 25 mg tablet,2.47,1.48,0.3842,7411.0,117
HCPCS,J3490,darunavir 150 mg tablet,18.48,11.09,3.14,7411.0,39
HCPCS,J3490,darunavir 600 mg tablet,72.44,43.46,12.31,7411.0,39
HCPCS,J3490,darunavir 800 mg tablet,144.38,86.63,24.54,7411.0,39
HCPCS,J3490,dasatinib 140 mg tablet,1221.42,732.85,207.64,7411.0,39
HCPCS,J3490,dasatinib 20 mg tablet,342.46,205.48,58.22,7411.0,39
HCPCS,J3490,desipramine 10 mg tablet,1.815,1.09,0.2992,7411.0,78
HCPCS,J3490,desipramine 100 mg tablet,9.18,5.51,1.56,7411.0,39
HCPCS,J3490,desipramine 25 mg tablet,2.18,1.3050000000000002,0.3604,7411.0,78
HCPCS,J3490,desipramine 50 mg tablet,4.1,2.46,0.6766,7411.0,78
HCPCS,J3490,desmopressin 0.1 mg tablet,2.95,1.77,0.1513,7411.0,156
HCPCS,J3490,desmopressin 10 mcg/spray (0.1 mL) nasal spray (non-refrigerated),320.13,192.07999999999998,41.86,7411.0,78
HCPCS,J3490,desogestrel 0.15 mg-ethinyl estradiol 0.03 mg tablet,1.47,0.88,0.2499,7411.0,39
HCPCS,J3490,"desvenlafaxine succinate ER 25 mg tablet,extended release 24 hr",1.95,1.17,0.3315,7411.0,39
HCPCS,J3490,"desvenlafaxine succinate ER 50 mg tablet,extended release 24 hr",12.38,7.43,0.2567,7411.0,78
HCPCS,J3490,dexAMETHasone 1.5 mg tablet,0.8,0.48,0.136,7411.0,39
HCPCS,J3490,dexAMETHasone sodium phosphate 0.1 % eye drops,107.8,64.68,18.33,7411.0,39
HCPCS,J3490,dexmedeTOMIDine 100 mcg/mL intravenous solution,195.64,117.38499999999999,5.51,7411.0,156
HCPCS,J3490,dexmedeTOMIDine 200 mcg/50 mL (4 mcg/mL) in 0.9 % sodium chloride IV,168.0,100.8,28.56,7411.0,39
HCPCS,J3490,dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in 0.9 % sodium chloride IV,288.0,172.8,28.66,7411.0,195
HCPCS,J3490,dextran 40 10 % in 5 % dextrose intravenous,246.0,147.6,41.82,7411.0,39
HCPCS,J3490,dextroamphetamine sulfate 10 mg tablet,3.4,2.04,0.578,7411.0,39
HCPCS,J3490,dextroamphetamine sulfate 5 mg tablet,2.76,1.66,0.1632,7411.0,117
HCPCS,J3490,dextroamphetamine-amphetamine 10 mg tablet,1.24,0.745,0.1275,7411.0,78
HCPCS,J3490,dextroamphetamine-amphetamine 20 mg tablet,0.22,0.13,0.0374,7411.0,39
HCPCS,J3490,dextroamphetamine-amphetamine 30 mg tablet,1.73,1.04,0.2941,7411.0,39
HCPCS,J3490,dextroamphetamine-amphetamine 5 mg tablet,1.73,1.04,0.2941,7411.0,39
HCPCS,J3490,"dextroamphetamine-amphetamine ER 20 mg 24hr capsule,extend release",6.005000000000001,3.605,0.374,7411.0,78
HCPCS,J3490,"dextroamphetamine-amphetamine ER 30 mg 24hr capsule,extend release",2.265,1.3599999999999999,0.204,7411.0,156
HCPCS,J3490,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral syrup,4.16,2.5,0.4879,7411.0,117
HCPCS,J3490,"dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral syrup,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral liquid",3.515,2.11,0.4879,7411.0,78
HCPCS,J3490,dextromethorphan-guaifenesin 30 mg-600 mg tablet extended release12 hr,0.995,0.595,0.1309,7411.0,156
HCPCS,J3490,dextrose 1.2 gram/3 mL (40 %) oral gel in syringe (ORAL USE ONLY),1.74,1.04,0.2958,7411.0,39
HCPCS,J3490,dextrose 10 % and 0.2 % sodium chloride intravenous solution,36.0,21.6,6.12,7411.0,39
HCPCS,J3490,dextrose 10 % in water (D10W) intravenous solution,48.75,29.25,6.88,7411.0,160
HCPCS,J3490,dextrose 20 % in water (D20W) intravenous solution,81.0,48.6,13.77,7411.0,40
HCPCS,J3490,dextrose 25 % in water (D25W) intravenous syringe,114.06,68.44,19.39,7411.0,39
HCPCS,J3490,dextrose 40 % oral gel,6.3,3.78,1.07,7411.0,39
HCPCS,J3490,dextrose 5 % and 0.45 % sodium chloride IV,31.5,18.9,4.59,7411.0,80
HCPCS,J3490,dextrose 5% and lactated ringers IV,36.0,21.6,6.12,7411.0,40
HCPCS,J3490,dextrose 50 % in water (D50W) intravenous solution,60.9,36.54,6.43,7411.0,80
HCPCS,J3490,dextrose 50 % in water (D50W) intravenous syringe,111.9,67.14,19.02,7411.0,39
HCPCS,J3490,dextrose 70 % in water (D70W) intravenous solution,109.5,65.7,14.79,7411.0,80
HCPCS,J3490,diazePAM 10 mg tablet,0.16999999999999998,0.1,0.0255,7411.0,78
HCPCS,J3490,diazePAM 2 mg tablet,0.095,0.06,0.0102,7411.0,78
HCPCS,J3490,diazePAM 5 mg tablet,0.125,0.07500000000000001,0.017,7411.0,156
HCPCS,J3490,dibucaine 1 % rectal ointment,12.02,7.21,2.04,7411.0,39
HCPCS,J3490,dibucaine 1 % topical ointment,10.02,6.01,1.7,7411.0,39
HCPCS,J3490,diclofenac 1 % topical gel,25.4,15.239999999999998,4.08,7411.0,234
HCPCS,J3490,"diclofenac sodium 50 mg tablet,delayed release",0.55,0.33,0.0833,7411.0,117
HCPCS,J3490,"diclofenac sodium 75 mg tablet,delayed release",0.675,0.405,0.0969,7411.0,78
HCPCS,J3490,dicyclomine 10 mg capsule,1.7,1.02,0.1972,7411.0,156
HCPCS,J3490,dicyclomine 10 mg/5 mL oral solution,228.04,136.82,38.77,7411.0,39
HCPCS,J3490,digoxin 125 mcg (0.125 mg) tablet,1.6500000000000001,0.99,0.102,7411.0,78
HCPCS,J3490,digoxin 250 mcg (0.25 mg) tablet,1.485,0.8899999999999999,0.102,7411.0,78
HCPCS,J3490,digoxin 50 mcg/mL (0.05 mg/mL) oral solution,258.96,155.38,40.45,7411.0,78
HCPCS,J3490,dilTIAZem 100 mg intravenous solution,68.47,41.08,11.64,7411.0,39
HCPCS,J3490,dilTIAZem 30 mg tablet,0.32,0.19,0.051,7411.0,78
HCPCS,J3490,dilTIAZem 5 mg/mL intravenous solution,20.52,12.31,0.3978,7411.0,195
HCPCS,J3490,dilTIAZem 60 mg tablet,0.74,0.445,0.0799,7411.0,78
HCPCS,J3490,dilTIAZem 90 mg tablet,0.685,0.41000000000000003,0.1088,7411.0,78
HCPCS,J3490,"dilTIAZem CD 120 mg capsule,extended release 24 hr",1.1,0.66,0.1105,7411.0,78
HCPCS,J3490,"dilTIAZem CD 180 mg capsule,extended release 24 hr",1.05,0.63,0.0731,7411.0,156
HCPCS,J3490,"dilTIAZem CD 240 mg capsule,extended release 24 hr",2.125,1.275,0.2584,7411.0,78
HCPCS,J3490,"dilTIAZem CD 300 mg capsule,extended release 24 hr",0.71,0.43,0.1207,7411.0,39
HCPCS,J3490,"dilTIAZem ER 60 mg capsule,extended release 12 hr",5.85,3.51,0.8636,7411.0,78
HCPCS,J3490,"dilTIAZem ER 90 mg capsule,extended release 12 hr",7.79,4.67,1.32,7411.0,39
HCPCS,J3490,diphenhydrAMINE 12.5 mg/5 mL oral elixir,8.33,5.0,1.42,7411.0,39
HCPCS,J3490,diphenhydrAMINE 12.5 mg/5 mL oral liquid,4.26,2.56,0.697,7411.0,117
HCPCS,J3490,diphenhydrAMINE 25 mg capsule,0.07,0.04,0.0119,7411.0,39
HCPCS,J3490,diphenhydrAMINE 25 mg tablet,0.05500000000000001,0.03,0.0068,7411.0,78
HCPCS,J3490,diphenhydramine-zinc acetate 2 %-0.1 % topical cream,6.364999999999999,3.82,0.6001,7411.0,78
HCPCS,J3490,diphenoxylate-atropine 2.5 mg-0.025 mg tablet,0.93,0.56,0.0646,7411.0,195
HCPCS,J3490,dipyridamole 50 mg tablet,3.81,2.29,0.6477,7411.0,39
HCPCS,J3490,dipyridamole 75 mg tablet,3.755,2.255,0.4097,7411.0,78
HCPCS,J3490,disopyramide phosphate 100 mg capsule,3.99,2.39,0.6783,7411.0,39
HCPCS,J3490,disopyramide phosphate 150 mg capsule,4.49,2.69,0.7633,7411.0,39
HCPCS,J3490,disulfiram 250 mg tablet,11.6,6.96,0.9622,7411.0,78
HCPCS,J3490,"divalproex 125 mg capsule,delayed release sprinkle",1.4049999999999998,0.845,0.1921,7411.0,78
HCPCS,J3490,"divalproex 250 mg tablet,delayed release",0.25,0.15,0.0425,7411.0,39
HCPCS,J3490,"divalproex 500 mg tablet,delayed release",0.5,0.3,0.0663,7411.0,117
HCPCS,J3490,"divalproex ER 250 mg tablet,extended release 24 hr",3.04,1.82,0.2091,7411.0,195
HCPCS,J3490,docosanol 10 % topical cream,35.4,21.24,6.02,7411.0,39
HCPCS,J3490,docusate sodium 100 mg capsule,0.07,0.04,0.0119,7411.0,39
HCPCS,J3490,docusate sodium 283 mg/5 mL enema,2.24,1.3450000000000002,0.1275,7411.0,78
HCPCS,J3490,docusate sodium 50 mg/5 mL oral liquid,2.96,1.7750000000000001,0.1836,7411.0,156
HCPCS,J3490,dofetilide 125 mcg capsule,12.68,7.61,0.544,7411.0,78
HCPCS,J3490,dofetilide 250 mcg capsule,22.16,13.3,3.77,7411.0,39
HCPCS,J3490,dofetilide 500 mcg capsule,12.68,7.61,0.544,7411.0,78
HCPCS,J3490,dolutegravir 50 mg tablet,151.0,90.6,25.67,7411.0,39
HCPCS,J3490,donepezil 10 mg tablet,1.225,0.7350000000000001,0.1904,7411.0,78
HCPCS,J3490,donepezil 5 mg tablet,1.33,0.8,0.2159,7411.0,117
HCPCS,J3490,doravirine 100 mg tablet,117.88,70.73,20.04,7411.0,39
HCPCS,J3490,dorzolamide 2 % eye drops,58.99,35.394999999999996,8.5,7411.0,78
HCPCS,J3490,dorzolamide 22.3 mg-timolol 6.8 mg/mL eye drops,40.0,24.0,6.8,7411.0,39
HCPCS,J3490,doxazosin 1 mg tablet,1.69,1.01,0.2873,7411.0,39
HCPCS,J3490,doxepin 10 mg capsule,1.07,0.64,0.1819,7411.0,39
HCPCS,J3490,doxepin 25 mg capsule,1.315,0.79,0.2091,7411.0,78
HCPCS,J3490,doxepin 50 mg capsule,1.8599999999999999,1.115,0.3009,7411.0,78
HCPCS,J3490,doxepin 75 mg capsule,2.72,1.63,0.4624,7411.0,39
HCPCS,J3490,doxycycline monohydrate 100 mg capsule,2.17,1.3,0.3587,7411.0,117
HCPCS,J3490,doxycycline monohydrate 25 mg/5 mL oral suspension,36.98,22.19,6.29,7411.0,39
HCPCS,J3490,doxylamine succinate 25 mg tablet,0.47,0.28,0.0646,7411.0,117
HCPCS,J3490,dronedarone 400 mg tablet,24.275,14.565000000000001,3.73,7411.0,78
HCPCS,J3490,droxidopa 100 mg capsule,4.11,2.47,0.6987,7411.0,39
HCPCS,J3490,ePHEDrine sulfate 50 mg/mL intravenous solution,170.74,102.44,12.04,7411.0,195
HCPCS,J3490,efavirenz 200 mg capsule,20.81,12.485,3.29,7411.0,78
HCPCS,J3490,efavirenz 600 mg tablet,5.83,3.5,0.9911,7411.0,39
HCPCS,J3490,efavirenz 600 mg-emtricitabine 200 mg-tenofovir disoprox 300 mg tablet,103.075,61.845,1.02,7411.0,78
HCPCS,J3490,electrolyte-A intravenous solution,75.75,45.45,6.38,7411.0,78
HCPCS,J3490,electrolyte-R (pH 7.4) intravenous solution,30.75,18.45,3.31,7411.0,78
HCPCS,J3490,"electrolyte-R (pH 7.4) intravenous solution,electrolyte-r intravenous solution",42.0,25.2,7.14,7411.0,39
HCPCS,J3490,electrolyte-R intravenous solution,42.0,25.2,7.14,7411.0,39
HCPCS,J3490,eltrombopag olamine 25 mg tablet,485.11,291.07,82.47,7411.0,39
HCPCS,J3490,eltrombopag olamine 50 mg tablet,876.27,525.76,148.97,7411.0,39
HCPCS,J3490,elviteg 150 mg-cob 150 mg-emtricit 200 mg-tenofo ALAFENAM 10 mg tablet,265.91,159.55,45.2,7411.0,39
HCPCS,J3490,empagliflozin 10 mg tablet,40.74,24.44,6.93,7411.0,39
HCPCS,J3490,empagliflozin 25 mg tablet,40.74,24.44,6.93,7411.0,39
HCPCS,J3490,emtricitabine 200 mg capsule,32.63,19.58,5.34,7411.0,117
HCPCS,J3490,emtricitabine 200 mg-rilpivirine 25 mg-tenofovir alafenam 25 mg tablet,242.05,145.23,41.15,7411.0,39
HCPCS,J3490,enalapril maleate 10 mg tablet,0.725,0.435,0.0765,7411.0,78
HCPCS,J3490,enalapril maleate 2.5 mg tablet,0.8300000000000001,0.495,0.1258,7411.0,78
HCPCS,J3490,enalapril maleate 20 mg tablet,1.44,0.865,0.2397,7411.0,78
HCPCS,J3490,enalapril maleate 5 mg tablet,0.945,0.565,0.1598,7411.0,78
HCPCS,J3490,enalaprilat 1.25 mg/mL intravenous solution,37.175,22.305,2.97,7411.0,78
HCPCS,J3490,entacapone 200 mg tablet,8.33,4.995,0.2108,7411.0,78
HCPCS,J3490,entecavir 0.5 mg tablet,52.915,31.75,2.35,7411.0,78
HCPCS,J3490,eplerenone 25 mg tablet,6.2,3.72,0.476,7411.0,117
HCPCS,J3490,"ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule",0.45,0.27,0.0765,7411.0,39
HCPCS,J3490,"ergocalciferol (vitamin D2) 200 mcg/mL (8,000 unit/mL) oral drops",199.56,119.74,33.93,7411.0,39
HCPCS,J3490,"erythromycin 250 mg tablet,delayed release",13.92,8.35,1.78,7411.0,117
HCPCS,J3490,erythromycin 5 mg/gram (0.5 %) eye ointment,19.86,11.92,2.46,7411.0,117
HCPCS,J3490,erythromycin ethylsuccinate 200 mg/5 mL oral powder for suspension,584.3,350.58,70.67,7411.0,78
HCPCS,J3490,escitalopram 10 mg tablet,0.4,0.24,0.0544,7411.0,156
HCPCS,J3490,escitalopram 20 mg tablet,0.365,0.21500000000000002,0.051,7411.0,156
HCPCS,J3490,eslicarbazepine 400 mg tablet,84.72,50.83,14.4,7411.0,39
HCPCS,J3490,esomeprazole magnesium DR 40 mg granules delayed release for susp,17.38,10.43,2.65,7411.0,78
HCPCS,J3490,esterified estrogens-methyltestosterone 1.25 mg-2.5 mg tablet,6.0,3.6,1.02,7411.0,39
HCPCS,J3490,estradiol 0.0375 mg/24 hr semiweekly transdermal patch,32.62,19.57,5.55,7411.0,39
HCPCS,J3490,estradiol 0.05 mg/24 hr weekly transdermal patch,37.13,22.28,6.31,7411.0,39
HCPCS,J3490,estradiol 1 mg tablet,0.39,0.235,0.0289,7411.0,78
HCPCS,J3490,estradiol 10 mcg vaginal tablet,40.67,24.4,6.6,7411.0,78
HCPCS,J3490,ethacrynate sodium 50 mg intravenous solution,10383.99,6230.395,971.04,12797.58,78
HCPCS,J3490,ethacrynic acid 25 mg tablet,16.95,10.17,0.663,7411.0,78
HCPCS,J3490,ethambutol 400 mg tablet,2.06,1.24,0.3502,7411.0,39
HCPCS,J3490,ethanol (ethyl alcohol) 98 % injection solution,1296.575,777.9449999999999,99.07,7411.0,78
HCPCS,J3490,ethiodized oil 480 mg iodine/mL for injection,1641.0,984.6,278.97,7411.0,39
HCPCS,J3490,ethosuximide 250 mg capsule,1.6199999999999999,0.97,0.1428,7411.0,78
HCPCS,J3490,ethyl alcohol (bulk) 95 % liquid,31.6,18.96,5.37,7411.0,39
HCPCS,J3490,ethyl alcohol 70 % topical solution,6.15,3.69,0.8041,7411.0,78
HCPCS,J3490,ethyl alcohol 99 % intra-arterial solution,2472.19,1483.315,333.09,7411.0,78
HCPCS,J3490,etodolac 300 mg capsule,2.59,1.55,0.4403,7411.0,39
HCPCS,J3490,etodolac 400 mg tablet,2.12,1.27,0.3604,7411.0,39
HCPCS,J3490,etomidate 2 mg/mL intravenous solution,40.32,24.19,4.53,7411.0,195
HCPCS,J3490,etravirine 100 mg tablet,25.46,15.28,4.33,7411.0,39
HCPCS,J3490,exemestane 25 mg tablet,12.66,7.6,1.42,7411.0,117
HCPCS,J3490,ezetimibe 10 mg tablet,0.6,0.36,0.0714,7411.0,273
HCPCS,J3490,famciclovir 500 mg tablet,4.895,2.94,0.4811,7411.0,78
HCPCS,J3490,famotidine 20 mg tablet,0.245,0.15000000000000002,0.0238,7411.0,390
HCPCS,J3490,famotidine 40 mg/5 mL (8 mg/mL) oral suspension,60.0,36.0,10.2,7411.0,39
HCPCS,J3490,fat emulsion 20 % intravenous,216.0,129.6,29.58,7411.0,117
HCPCS,J3490,fat emulsion-soybean oil-mct-olive oil-fish oil 20 % intravenous,144.0,86.4,24.48,7411.0,39
HCPCS,J3490,febuxostat 40 mg tablet,3.175,1.905,0.17,7411.0,156
HCPCS,J3490,febuxostat 80 mg tablet,1.04,0.62,0.17,7411.0,117
HCPCS,J3490,felbamate 600 mg/5 mL oral suspension,3613.3,2167.98,614.26,7411.0,39
HCPCS,J3490,fenofibrate 54 mg tablet,0.85,0.51,0.0731,7411.0,78
HCPCS,J3490,fenoldopam 10 mg/mL intravenous solution,1523.16,913.9,258.94,7411.0,39
HCPCS,J3490,fentaNYL (PF) 2 mcg/mL-BUPivacaine 0.0625 %-NaCl injection solution,59.88,35.93,10.18,7411.0,39
HCPCS,J3490,fentaNYL 100 mcg/hr transdermal patch,21.5,12.9,3.65,7411.0,39
HCPCS,J3490,fentaNYL 12 mcg/hr transdermal patch,35.48,21.29,6.03,7411.0,39
HCPCS,J3490,fentaNYL 200 mcg lozenge on a handle,27.37,16.42,4.65,7411.0,39
HCPCS,J3490,fentaNYL 25 mcg/hr transdermal patch,17.26,10.36,2.93,7411.0,39
HCPCS,J3490,fentaNYL 50 mcg/hr transdermal patch,28.33,17.0,4.82,7411.0,39
HCPCS,J3490,fentaNYL 75 mcg/hr transdermal patch,43.04,25.82,7.32,7411.0,39
HCPCS,J3490,fentaNYL-BUPivacaine-NaCl (PF) 5 mcg/mL-0.0625 % epidural solution,169.95,101.97,21.42,7411.0,78
HCPCS,J3490,ferric subsulfate 0.2 gram to 0.22 gram/mL topical soln and applicator,41.835,25.1,5.3,7411.0,78
HCPCS,J3490,ferric subsulfate 259 mg/g topical solution,126.26,75.76,21.46,7411.0,39
HCPCS,J3490,ferrous gluconate 324 mg (37.5 mg iron) tablet,2.07,1.245,0.3502,7411.0,117
HCPCS,J3490,ferrous sulfate 300 mg (60 mg iron)/5 mL oral liquid,8.79,5.27,1.49,7411.0,39
HCPCS,J3490,ferrous sulfate 325 mg (65 mg iron) tablet,2.0549999999999997,1.2349999999999999,0.3451,7411.0,156
HCPCS,J3490,fidaxomicin 200 mg tablet,498.58,299.15,84.76,7411.0,39
HCPCS,J3490,finasteride 5 mg tablet,0.27,0.16,0.0272,7411.0,117
HCPCS,J3490,flecainide 100 mg tablet,1.505,0.905,0.1921,7411.0,78
HCPCS,J3490,flecainide 50 mg tablet,0.9199999999999999,0.5499999999999999,0.1173,7411.0,78
HCPCS,J3490,fluPHENAZine 1 mg tablet,1.98,1.19,0.1632,7411.0,78
HCPCS,J3490,fluPHENAZine 2.5 mg/mL injection solution,43.22,25.93,7.35,7411.0,41
HCPCS,J3490,fluPHENAZine 5 mg tablet,2.9,1.74,0.2261,7411.0,117
HCPCS,J3490,fluconazole 100 mg tablet,3.26,1.955,0.425,7411.0,78
HCPCS,J3490,fluconazole 150 mg tablet,4.7,2.82,0.799,7411.0,39
HCPCS,J3490,fluconazole 200 mg tablet,2.495,1.495,0.3094,7411.0,78
HCPCS,J3490,fluconazole 40 mg/mL oral suspension,99.34,59.605000000000004,13.69,7411.0,78
HCPCS,J3490,flucytosine 500 mg capsule,147.54000000000002,88.525,6.88,7411.0,78
HCPCS,J3490,fludrocortisone 0.1 mg tablet,1.11,0.665,0.1615,7411.0,156
HCPCS,J3490,flumazenil 0.1 mg/mL intravenous solution,44.52,26.71,3.04,7411.0,117
HCPCS,J3490,fluocinolone 0.025 % topical cream,172.77,103.66,9.95,7411.0,78
HCPCS,J3490,fluocinolone 0.025 % topical ointment,112.83000000000001,67.7,9.62,7411.0,78
HCPCS,J3490,fluorescein 0.25 %-benoxinate 0.4 % eye drops,0.75,0.45,0.1275,7411.0,39
HCPCS,J3490,fluorescein 0.25 %-proparacaine 0.5 % eye drops,18.3,10.98,3.11,7411.0,39
HCPCS,J3490,fluorescein 1 mg eye strips,0.42,0.25,0.0714,7411.0,39
HCPCS,J3490,"fluorometholone 0.1 % eye drops,suspension",154.88,92.93,26.33,7411.0,39
HCPCS,J3490,flurbiprofen 0.03 % eye drops,72.0,43.2,12.24,7411.0,39
HCPCS,J3490,flutamide 125 mg capsule,8.120000000000001,4.87,1.38,7411.0,78
HCPCS,J3490,fluticasone furoate 100 mcg-vilanterol 25 mcg/dose inhalation powder,12.21,7.33,2.08,7411.0,39
HCPCS,J3490,fluticasone furoate 100 mcg/actuation blister powder for inhalation,13.9,8.34,2.36,7411.0,39
HCPCS,J3490,fluticasone furoate 200 mcg-vilanterol 25 mcg/dose inhalation powder,13.39,8.035,2.08,7411.0,78
HCPCS,J3490,fluticasone furoate 200 mcg/actuation blister powder for inhalation,18.61,11.17,3.16,7411.0,39
HCPCS,J3490,"fluticasone propionate 50 mcg/actuation nasal spray,suspension",27.3,16.38,2.65,7411.0,117
HCPCS,J3490,fluvoxaMINE 50 mg tablet,1.1,0.6599999999999999,0.17,7411.0,78
HCPCS,J3490,folic acid 1 mg tablet,0.125,0.07500000000000001,0.0153,7411.0,234
HCPCS,J3490,folic acid 400 mcg tablet,0.035,0.02,0.0051,7411.0,78
HCPCS,J3490,folic acid-vit B6-vit B12 2.5 mg-25 mg-2 mg tablet,1.04,0.62,0.0408,7411.0,117
HCPCS,J3490,fosfomycin tromethamine 3 gram oral packet,183.04,109.82,31.12,7411.0,39
HCPCS,J3490,furosemide 20 mg tablet,0.1,0.07,0.0136,7411.0,156
HCPCS,J3490,furosemide 40 mg tablet,0.12000000000000001,0.07,0.017,7411.0,78
HCPCS,J3490,furosemide 40 mg/5 mL (8 mg/mL) oral solution,40.55,24.330000000000002,0.697,7411.0,78
HCPCS,J3490,furosemide 80 mg tablet,0.24,0.14,0.0408,7411.0,39
HCPCS,J3490,gabapentin 100 mg capsule,0.20500000000000002,0.125,0.0119,7411.0,312
HCPCS,J3490,gabapentin 250 mg/5 mL oral solution,204.215,122.53,23.81,7411.0,156
HCPCS,J3490,"gabapentin 250 mg/5 mL oral solution,gabapentin 250 mg/5 mL (5 mL) oral solution",222.31,133.39,23.81,7411.0,117
HCPCS,J3490,gabapentin 300 mg capsule,0.18,0.11,0.0187,7411.0,195
HCPCS,J3490,gabapentin 400 mg capsule,0.21,0.13,0.017,7411.0,195
HCPCS,J3490,galantamine 4 mg tablet,3.17,1.9,0.3927,7411.0,117
HCPCS,J3490,ganciclovir 0.15 % eye gel,940.14,564.08,159.82,7411.0,39
HCPCS,J3490,gemfibrozil 600 mg tablet,0.435,0.26,0.0595,7411.0,78
HCPCS,J3490,gent violet-brlnt grn-proflav 2.29 mg-2.29 mg-1.14 mg/mL topical swab,9.34,5.6,1.59,7411.0,39
HCPCS,J3490,gentamicin 0.1 % topical cream,78.99,47.39,13.43,7411.0,39
HCPCS,J3490,gentamicin 0.3 % eye drops,40.07,24.04,1.48,7411.0,78
HCPCS,J3490,glimepiride 1 mg tablet,0.18,0.11,0.0136,7411.0,117
HCPCS,J3490,glimepiride 2 mg tablet,0.58,0.34500000000000003,0.0493,7411.0,78
HCPCS,J3490,glimepiride 4 mg tablet,0.64,0.38,0.0272,7411.0,117
HCPCS,J3490,glipiZIDE 10 mg tablet,0.71,0.43,0.0272,7411.0,78
HCPCS,J3490,glipiZIDE 5 mg tablet,0.1,0.06,0.0153,7411.0,117
HCPCS,J3490,"glipiZIDE ER 10 mg tablet, extended release 24 hr",1.1400000000000001,0.685,0.0867,7411.0,78
HCPCS,J3490,"glipiZIDE ER 2.5 mg tablet, extended release 24 hr",1.35,0.81,0.0731,7411.0,78
HCPCS,J3490,"glipiZIDE ER 5 mg tablet, extended release 24 hr",1.2,0.72,0.204,7411.0,39
HCPCS,J3490,glucose 3.75 gram chewable tablet,0.47,0.28,0.0799,7411.0,39
HCPCS,J3490,glucose 4 gram chewable tablet,1.54,0.92,0.2618,7411.0,39
HCPCS,J3490,glyBURIDE 2.5 mg tablet,0.455,0.275,0.068,7411.0,78
HCPCS,J3490,glyBURIDE 5 mg tablet,0.64,0.38,0.068,7411.0,117
HCPCS,J3490,glyBURIDE micronized 3 mg tablet,0.42,0.25,0.0714,7411.0,39
HCPCS,J3490,glycerin (adult) rectal suppository,0.2,0.12,0.0306,7411.0,117
HCPCS,J3490,glycerin (laxative) 2.8 gram/2.7 mL rectal solution,1.67,1.0,0.2839,7411.0,39
HCPCS,J3490,glycerin 99.5 % topical solution,42.57,25.54,2.71,7411.0,117
HCPCS,J3490,glycopyrrolate 1 mg tablet,1.5550000000000002,0.93,0.2108,7411.0,78
HCPCS,J3490,glycopyrrolate 1 mg/5 mL (0.2 mg/mL) oral solution,877.9449999999999,526.77,128.5,7411.0,78
HCPCS,J3490,guaiFENesin 100 mg/5 mL oral liquid,1.73,1.04,0.1598,7411.0,156
HCPCS,J3490,"guaiFENesin ER 600 mg tablet, extended release 12 hr",0.74,0.44,0.0901,7411.0,117
HCPCS,J3490,guanFACINE 1 mg tablet,0.41,0.25,0.0493,7411.0,117
HCPCS,J3490,haloperidol 0.5 mg tablet,0.55,0.32999999999999996,0.0884,7411.0,78
HCPCS,J3490,haloperidol 1 mg tablet,0.78,0.46499999999999997,0.1258,7411.0,78
HCPCS,J3490,haloperidol 2 mg tablet,1.12,0.67,0.1904,7411.0,39
HCPCS,J3490,haloperidol 5 mg tablet,1.4449999999999998,0.865,0.1003,7411.0,156
HCPCS,J3490,haloperidol lactate 2 mg/mL oral concentrate,0.7,0.42,0.0595,7411.0,78
HCPCS,J3490,hetastarch 6 % in 0.9 % sodium chloride intravenous solution,171.0,102.6,29.07,7411.0,39
HCPCS,J3490,hydrALAZINE 10 mg tablet,0.275,0.165,0.0153,7411.0,78
HCPCS,J3490,hydrALAZINE 25 mg tablet,0.31,0.19,0.0204,7411.0,195
HCPCS,J3490,hydrALAZINE 50 mg tablet,0.18,0.11,0.0255,7411.0,117
HCPCS,J3490,hydrOXYzine HCl 10 mg tablet,0.315,0.185,0.0153,7411.0,78
HCPCS,J3490,hydrOXYzine HCl 10 mg/5 mL oral solution,192.98,115.79,32.81,7411.0,39
HCPCS,J3490,hydrOXYzine HCl 25 mg tablet,0.11,0.07,0.0187,7411.0,39
HCPCS,J3490,hydrOXYzine HCl 50 mg tablet,0.72,0.435,0.1156,7411.0,78
HCPCS,J3490,hydroCHLOROthiazide 12.5 mg capsule,0.26,0.155,0.0272,7411.0,156
HCPCS,J3490,hydroCHLOROthiazide 25 mg tablet,0.06,0.05,0.0051,7411.0,156
HCPCS,J3490,hydrocodone 10 mg-acetaminophen 325 mg tablet,3.83,2.1799999999999997,0.578,7411.0,195
HCPCS,J3490,hydrocodone 5 mg-acetaminophen 325 mg tablet,3.38,2.0300000000000002,0.544,7411.0,234
HCPCS,J3490,hydrocodone 7.5 mg-acetaminophen 325 mg tablet,3.97,2.38,0.6749,7411.0,39
HCPCS,J3490,hydrocodone 7.5 mg-acetaminophen 325 mg/15 mL oral solution,11.49,6.89,1.95,7411.0,39
HCPCS,J3490,hydrocortisone 1 % lotion,12.04,7.22,2.05,7411.0,39
HCPCS,J3490,hydrocortisone 1 % topical ointment,4.2,2.52,0.4471,7411.0,117
HCPCS,J3490,hydrocortisone 1 %-pramoxine 1 % rectal foam,370.24,222.14,62.94,7411.0,39
HCPCS,J3490,hydrocortisone 10 mg tablet,0.96,0.58,0.0969,7411.0,117
HCPCS,J3490,hydrocortisone 100 mg/60 mL enema,42.84,25.7,7.28,7411.0,39
HCPCS,J3490,hydrocortisone 2.5 % lotion,59.94,35.96,10.19,7411.0,39
HCPCS,J3490,hydrocortisone 2.5 % topical cream,5.78,3.47,0.9826,7411.0,39
HCPCS,J3490,hydrocortisone 2.5 % topical cream with perineal applicator,89.89,53.935,6.76,7411.0,78
HCPCS,J3490,hydrocortisone 2.5 % topical ointment,69.92,41.95,1.12,7411.0,117
HCPCS,J3490,hydrocortisone 20 mg tablet,1.42,0.855,0.1751,7411.0,78
HCPCS,J3490,hydrocortisone 5 mg tablet,0.57,0.34,0.0578,7411.0,117
HCPCS,J3490,hydrocortisone acetate 10 % (80 mg) rectal foam,877.2,526.32,149.12,7411.0,39
HCPCS,J3490,hydrocortisone acetate 25 mg rectal suppository,23.0,13.8,3.91,7411.0,39
HCPCS,J3490,hydrocortisone-aloe vera 1 % topical cream,2.86,1.72,0.4862,7411.0,39
HCPCS,J3490,hydrocortisone-pramoxine 1 %-1 % topical foam,190.7,114.42,32.42,7411.0,39
HCPCS,J3490,hydrogen peroxide 3 % solution,2.01,1.205,0.1207,7411.0,156
HCPCS,J3490,hydroxychloroquine 200 mg tablet,2.2,1.32,0.1972,7411.0,195
HCPCS,J3490,hydroxyethyl starch 130/0.4  6 % in 0.9 % NaCl intravenous solution,358.5,215.1,60.95,7411.0,39
HCPCS,J3490,hydroxyurea (sickle cell) 100 mg tablet,17.14,10.28,2.91,7411.0,39
HCPCS,J3490,hydroxyurea 500 mg capsule,6.48,3.885,1.04,7411.0,78
HCPCS,J3490,hyoscyamine 0.125 mg disintegrating tablet,2.35,1.41,0.3995,7411.0,39
HCPCS,J3490,"hyoscyamine ER 0.375 mg tablet,extended release,12 hr",6.6,3.96,0.4386,7411.0,78
HCPCS,J3490,ibuprofen 100 mg/5 mL oral suspension,26.38,15.825,0.4454,7411.0,78
HCPCS,J3490,ibuprofen 200 mg tablet,0.08,0.05,0.0068,7411.0,195
HCPCS,J3490,ibuprofen 400 mg tablet,0.14,0.08,0.0238,7411.0,39
HCPCS,J3490,ibuprofen 600 mg tablet,0.185,0.11,0.0238,7411.0,156
HCPCS,J3490,ibuprofen 800 mg tablet,0.225,0.135,0.0255,7411.0,156
HCPCS,J3490,ibuprofen lysine (PF) 20 mg/2 mL intravenous solution,3231.09,1938.65,549.29,7411.0,39
HCPCS,J3490,icosapent ethyl 1 gram capsule,5.470000000000001,3.285,0.8551,7411.0,78
HCPCS,J3490,imatinib 100 mg tablet,7.43,4.46,1.26,7411.0,117
HCPCS,J3490,imipramine 10 mg tablet,0.36,0.22,0.0612,7411.0,39
HCPCS,J3490,imipramine 25 mg tablet,0.69,0.41500000000000004,0.0816,7411.0,78
HCPCS,J3490,indacaterol 75 mcg capsule with inhalation device,18.18,10.91,3.09,7411.0,39
HCPCS,J3490,indapamide 2.5 mg tablet,0.57,0.34,0.068,7411.0,117
HCPCS,J3490,indocyanine green 25 mg solution for injection,434.47,260.68,60.56,7411.0,78
HCPCS,J3490,indomethacin 25 mg capsule,0.41000000000000003,0.245,0.0646,7411.0,78
HCPCS,J3490,indomethacin 50 mg capsule,0.495,0.29500000000000004,0.0765,7411.0,78
HCPCS,J3490,indomethacin 50 mg rectal suppository,690.0,414.0,117.3,7411.0,39
HCPCS,J3490,iodine strong (Lugols) 5 % oral solution,64.51,38.71,10.97,7411.0,39
HCPCS,J3490,iodine-potassium iodide 5 %-10 % topical solution,17.36,10.42,2.95,7411.0,39
HCPCS,J3490,ipratropium 0.5 mg-albuterol 3 mg (2.5 mg base)/3 mL nebulization soln,1.9,1.1400000000000001,0.272,7411.0,156
HCPCS,J3490,ipratropium bromide 17 mcg/actuation HFA aerosol inhaler,945.13,567.08,160.67,7411.0,39
HCPCS,J3490,ipratropium bromide 21 mcg (0.03 %) nasal spray,72.0,43.2,12.24,7411.0,39
HCPCS,J3490,ipratropium bromide 42 mcg (0.06 %) nasal spray,72.495,43.495000000000005,12.24,7411.0,78
HCPCS,J3490,irbesartan 150 mg tablet,0.575,0.345,0.0595,7411.0,156
HCPCS,J3490,isavuconazonium sulfate 186 mg capsule,202.43,121.46,31.56,7411.0,117
HCPCS,J3490,isoniazid 300 mg tablet,4.65,2.79,0.17,7411.0,78
HCPCS,J3490,isoniazid 50 mg/5 mL oral solution,584.18,350.51,99.31,7411.0,39
HCPCS,J3490,isoproterenol 0.2 mg/mL injection solution,3112.68,1867.6100000000001,107.78,7411.0,156
HCPCS,J3490,isosorbide dinitrate 10 mg tablet,1.4449999999999998,0.87,0.0714,7411.0,156
HCPCS,J3490,isosorbide dinitrate 20 mg tablet,1.67,1.005,0.2159,7411.0,156
HCPCS,J3490,isosorbide dinitrate 40 mg tablet,40.37,24.22,6.86,7411.0,39
HCPCS,J3490,isosorbide dinitrate 5 mg tablet,1.315,0.79,0.1785,7411.0,78
HCPCS,J3490,isosorbide mononitrate 20 mg tablet,4.0,2.4000000000000004,0.1734,7411.0,78
HCPCS,J3490,"isosorbide mononitrate ER 30 mg tablet,extended release 24 hr",0.42,0.375,0.0697,7411.0,117
HCPCS,J3490,"isosorbide mononitrate ER 60 mg tablet,extended release 24 hr",0.8,0.48,0.0731,7411.0,117
HCPCS,J3490,itraconazole 10 mg/mL oral solution,593.3,355.98,85.1,7411.0,78
HCPCS,J3490,itraconazole 100 mg capsule,9.585,5.75,0.6511,7411.0,78
HCPCS,J3490,ivabradine 5 mg tablet,19.87,11.92,2.74,7411.0,117
HCPCS,J3490,ivermectin 3 mg tablet,9.295,5.58,1.49,7411.0,78
HCPCS,J3490,ketamine 10 mg/mL injection solution,115.8,69.48,19.69,7411.0,39
HCPCS,J3490,"ketamine 10 mg/mL injection solution,ketamine 50 mg/5 mL (10 mg/mL) in 0.9 % sodium chloride IV syringe,ketamine 20 mg/2 mL (10 mg/mL) in 0.9% sodium chloride IV syringe,ketamine 50 mg/5 mL (10 mg/mL)",72.0,43.2,4.79,7411.0,82
HCPCS,J3490,ketamine 100 mg/mL injection solution,54.9,32.94,8.48,7411.0,117
HCPCS,J3490,ketamine 50 mg/5 mL (10 mg/mL) in 0.9 % sodium chloride IV syringe,28.2,16.92,4.79,7411.0,41
HCPCS,J3490,"ketamine 50 mg/mL (1 mL) intravenous syringe,ketamine 50 mg/mL injection solution,ketamine 50 mg/mL in sterile water injection syringe",0.32,0.19,0.0374,7411.0,78
HCPCS,J3490,ketamine 50 mg/mL injection solution,0.32,0.19,0.0374,7411.0,78
HCPCS,J3490,ketoconazole 2 % shampoo,44.16,26.5,7.51,7411.0,39
HCPCS,J3490,ketoconazole 2 % topical cream,45.36,27.22,5.1,7411.0,117
HCPCS,J3490,ketoconazole 200 mg tablet,2.6,1.56,0.442,7411.0,39
HCPCS,J3490,ketorolac 0.5 % eye drops,64.04,38.42,10.89,7411.0,39
HCPCS,J3490,ketorolac 10 mg tablet,2.16,1.3,0.3672,7411.0,39
HCPCS,J3490,ketotifen 0.025 % (0.035 %) eye drops,21.2,12.72,3.11,7411.0,117
HCPCS,J3490,labetalol 100 mg tablet,0.63,0.38,0.068,7411.0,117
HCPCS,J3490,labetalol 200 mg tablet,1.17,0.7,0.0969,7411.0,117
HCPCS,J3490,labetalol 300 mg tablet,1.155,0.6950000000000001,0.1292,7411.0,78
HCPCS,J3490,lacosamide 10 mg/mL oral solution,138.23000000000002,82.94,16.67,7411.0,78
HCPCS,J3490,lacosamide 200 mg tablet,40.965,24.58,6.63,7411.0,78
HCPCS,J3490,lacosamide 50 mg tablet,23.56,14.14,0.102,7411.0,117
HCPCS,J3490,"lactase 3,000 unit tablet",0.16,0.1,0.0272,7411.0,39
HCPCS,J3490,"lactase 9,000 unit tablet",0.32,0.195,0.0527,7411.0,78
HCPCS,J3490,lactated Ringers irrigation solution,120.0,72.0,20.4,7411.0,39
HCPCS,J3490,lactulose 10 gram/15 mL oral solution,9.0,5.4,0.2652,7411.0,273
HCPCS,J3490,lamiVUDine 10 mg/mL oral solution,194.42000000000002,116.655,28.32,7411.0,78
HCPCS,J3490,lamiVUDine 100 mg tablet,28.475,17.085,4.07,7411.0,78
HCPCS,J3490,lamiVUDine 150 mg tablet,15.5,9.3,2.63,7411.0,39
HCPCS,J3490,lamiVUDine 150 mg-zidovudine 300 mg tablet,4.95,2.97,0.8415,7411.0,39
HCPCS,J3490,lamoTRIgine 100 mg tablet,0.23,0.19,0.0221,7411.0,156
HCPCS,J3490,lamoTRIgine 25 mg tablet,0.37,0.22,0.0629,7411.0,39
HCPCS,J3490,lanolin alcohols-mineral oil-w.petrolatum-ceresin topical cream,8.17,4.9,1.39,7411.0,39
HCPCS,J3490,lanolin topical cream,10.03,6.02,1.71,7411.0,39
HCPCS,J3490,lanolin-mineral oil lotion,3.78,2.27,0.6426,7411.0,39
HCPCS,J3490,latanoprost 0.005 % eye drops,31.1,18.66,3.64,7411.0,117
HCPCS,J3490,leflunomide 10 mg tablet,50.55,30.330000000000002,0.2499,7411.0,78
HCPCS,J3490,leflunomide 20 mg tablet,1.47,0.88,0.2261,7411.0,117
HCPCS,J3490,leucovorin calcium 25 mg tablet,19.939999999999998,11.965,3.04,7411.0,78
HCPCS,J3490,leucovorin calcium 5 mg tablet,3.15,1.89,0.3706,7411.0,117
HCPCS,J3490,levETIRAcetam 100 mg/mL oral solution,59.6,35.76,10.13,7411.0,39
HCPCS,J3490,levETIRAcetam 250 mg tablet,0.46,0.275,0.0255,7411.0,78
HCPCS,J3490,levETIRAcetam 500 mg tablet,0.325,0.195,0.0238,7411.0,156
HCPCS,J3490,levOCARNitine 330 mg tablet,2.105,1.2650000000000001,0.2992,7411.0,78
HCPCS,J3490,levalbuterol 0.31 mg/3 mL solution for nebulization,7.75,4.65,0.714,7411.0,78
HCPCS,J3490,levalbuterol 0.63 mg/3 mL solution for nebulization,4.2,2.52,0.578,7411.0,117
HCPCS,J3490,levalbuterol 1.25 mg/3 mL solution for nebulization,6.59,3.95,0.578,7411.0,195
HCPCS,J3490,levoFLOXacin 250 mg/10 mL oral solution,447.3,268.38,76.04,7411.0,39
HCPCS,J3490,levoFLOXacin 500 mg tablet,1.3199999999999998,0.79,0.1683,7411.0,78
HCPCS,J3490,levoFLOXacin 750 mg tablet,1.38,0.83,0.2346,7411.0,39
HCPCS,J3490,levobunolol 0.5 % eye drops,35.82,21.49,6.09,7411.0,39
HCPCS,J3490,levothyroxine 100 mcg tablet,0.94,0.56,0.0527,7411.0,195
HCPCS,J3490,levothyroxine 112 mcg tablet,1.08,0.65,0.0391,7411.0,273
HCPCS,J3490,levothyroxine 125 mcg tablet,0.99,0.59,0.1139,7411.0,117
HCPCS,J3490,levothyroxine 150 mcg tablet,1.02,0.61,0.0527,7411.0,195
HCPCS,J3490,levothyroxine 175 mcg tablet,2.245,1.345,0.2278,7411.0,78
HCPCS,J3490,levothyroxine 200 mcg tablet,1.22,0.73,0.0697,7411.0,117
HCPCS,J3490,levothyroxine 25 mcg tablet,0.77,0.465,0.1122,7411.0,78
HCPCS,J3490,levothyroxine 50 mcg tablet,0.83,0.5,0.0493,7411.0,195
HCPCS,J3490,levothyroxine 75 mcg tablet,0.9650000000000001,0.5800000000000001,0.051,7411.0,156
HCPCS,J3490,levothyroxine 88 mcg tablet,0.93,0.56,0.1428,7411.0,117
HCPCS,J3490,lidocaine 2 % mucosal jelly in applicator,36.0,21.6,6.07,7411.0,117
HCPCS,J3490,lidocaine 4 % topical cream,10.5,6.300000000000001,1.19,7411.0,78
HCPCS,J3490,lidocaine 4 % topical patch,2.18,1.31,0.3706,7411.0,39
HCPCS,J3490,lidocaine 4 %-racepinephrine 0.05 %-tetracaine 0.5 % topical gel,15.69,9.41,2.67,7411.0,39
HCPCS,J3490,lidocaine 5 % topical ointment,480.0,288.0,81.6,7411.0,39
HCPCS,J3490,lidocaine 5 % topical patch,5.99,3.59,0.7361,7411.0,117
HCPCS,J3490,"lidocaine 70 mg-tetracaine 70 mg patch, medicated self-heating",33.9,20.34,5.76,7411.0,39
HCPCS,J3490,lidocaine HCl 2 % mucosal solution,7.47,4.48,0.306,7411.0,117
HCPCS,J3490,lidocaine HCl 4 % (40 mg/mL) mucosal solution,80.0,48.0,13.6,7411.0,39
HCPCS,J3490,lidocaine HCl 5 mg/mL (0.5 %) injection solution,33.3,19.98,5.66,7411.0,39
HCPCS,J3490,lidocaine-prilocaine 2.5 %-2.5 % topical cream,14.17,8.5,2.41,7411.0,39
HCPCS,J3490,lidocaine-transparent dressing 4 % topical kit,60.06,36.035,6.8,7411.0,78
HCPCS,J3490,linaCLOtide 145 mcg capsule,36.06,21.64,6.13,7411.0,39
HCPCS,J3490,linaCLOtide 290 mcg capsule,36.06,21.64,6.13,7411.0,39
HCPCS,J3490,linaCLOtide 72 mcg capsule,36.06,21.64,6.13,7411.0,39
HCPCS,J3490,lindane 1 % shampoo,219.0,131.4,37.23,7411.0,39
HCPCS,J3490,linezolid 100 mg/5 mL oral suspension,902.0,541.2,83.57,7411.0,78
HCPCS,J3490,linezolid 600 mg tablet,6.68,4.01,1.02,7411.0,78
HCPCS,J3490,liothyronine 25 mcg tablet,1.67,1.0,0.1802,7411.0,117
HCPCS,J3490,liothyronine 5 mcg tablet,1.315,0.79,0.1309,7411.0,156
HCPCS,J3490,"lipase-protease-amylas(pork)24,000-76,000-120,000 unit capsule,del rel",16.47,9.88,2.8,7411.0,39
HCPCS,J3490,"lipase-protease-amylase (pork) 20,000-63,000-84k unit capsule, del rel",15.4,9.239999999999998,2.51,7411.0,78
HCPCS,J3490,"lipase-protease-amylase (pork) 3,000-10,000-14k unit capsule,del rel",4.16,2.495,0.6783,7411.0,78
HCPCS,J3490,"lipase-protease-amylase (pork)6,000-19,000-30,000 unit capsule,del rel",4.0600000000000005,2.44,0.6732,7411.0,78
HCPCS,J3490,"lipase-protease-amylase(pork)10,000-32,000-42,000 unit capsule,del rel",7.85,4.71,1.28,7411.0,78
HCPCS,J3490,"lipase-protease-amylase(pork)12,000-38,000-60,000 unit capsule,del rel",8.31,4.99,1.41,7411.0,39
HCPCS,J3490,"lipase-protease-amylase(pork)5,000-17,000-24,000 unit capsule, del rel",3.9699999999999998,2.385,0.6477,7411.0,78
HCPCS,J3490,lisinopril 10 mg tablet,0.24,0.14,0.0153,7411.0,117
HCPCS,J3490,lisinopril 2.5 mg tablet,0.05,0.03,0.0085,7411.0,39
HCPCS,J3490,lisinopril 20 mg tablet,0.14,0.125,0.0221,7411.0,117
HCPCS,J3490,lisinopril 40 mg tablet,0.24,0.14,0.0408,7411.0,39
HCPCS,J3490,lisinopril 5 mg tablet,0.06,0.04,0.0102,7411.0,39
HCPCS,J3490,lithium carbonate 150 mg capsule,0.3,0.18,0.051,7411.0,39
HCPCS,J3490,lithium carbonate 300 mg capsule,0.59,0.35,0.1003,7411.0,39
HCPCS,J3490,"lithium carbonate ER 300 mg tablet,extended release",0.67,0.4,0.1139,7411.0,39
HCPCS,J3490,"lithium carbonate ER 450 mg tablet,extended release",0.815,0.49,0.1309,7411.0,78
HCPCS,J3490,loperamide 1 mg/7.5 mL oral liquid,0.6699999999999999,0.405,0.1071,7411.0,78
HCPCS,J3490,loperamide 2 mg capsule,0.73,0.44,0.1054,7411.0,117
HCPCS,J3490,lopinavir-ritonavir 200 mg-50 mg tablet,17.57,10.54,2.99,7411.0,39
HCPCS,J3490,lopinavir-ritonavir 400 mg-100 mg/5 mL oral solution,1024.5,614.7,174.16,7411.0,39
HCPCS,J3490,loratadine 10 mg tablet,0.12,0.07,0.017,7411.0,117
HCPCS,J3490,"loratadine 5 mg-pseudoephedrine ER 120 mg tablet,extended release,12hr",1.255,0.755,0.1666,7411.0,78
HCPCS,J3490,loratadine 5 mg/5 mL oral solution,15.84,9.5,2.69,7411.0,39
HCPCS,J3490,"loratadine-pseudoephedrine ER 10 mg-240 mg tablet,extended release24hr",0.92,0.55,0.1564,7411.0,39
HCPCS,J3490,losartan 25 mg tablet,1.03,0.62,0.0272,7411.0,195
HCPCS,J3490,losartan 50 mg tablet,0.39,0.24,0.017,7411.0,390
HCPCS,J3490,lovastatin 20 mg tablet,0.43,0.26,0.0731,7411.0,39
HCPCS,J3490,loxapine succinate 10 mg capsule,1.37,0.8200000000000001,0.221,7411.0,78
HCPCS,J3490,lubiprostone 24 mcg capsule,7.949999999999999,4.77,0.6001,7411.0,78
HCPCS,J3490,lubiprostone 8 mcg capsule,7.185,4.31,0.34,7411.0,78
HCPCS,J3490,lubricants topical gel,5.88,3.53,0.9996,7411.0,39
HCPCS,J3490,lurasidone 20 mg tablet,94.58,56.75,16.08,7411.0,39
HCPCS,J3490,lurasidone 40 mg tablet,1.85,1.11,0.2261,7411.0,117
HCPCS,J3490,lurasidone 60 mg tablet,94.58,56.75,16.08,7411.0,39
HCPCS,J3490,macitentan 10 mg tablet,842.35,505.41,143.2,7411.0,39
HCPCS,J3490,"magnesium L-lactate ER 84 mg tablet,extended release",0.62,0.37,0.0714,7411.0,117
HCPCS,J3490,magnesium carbonate 54 mg/5 mL oral liquid,16.33,9.8,2.78,7411.0,39
HCPCS,J3490,magnesium chloride 200 mg/mL (20 %) injection solution,91.8,55.08,15.61,7411.0,39
HCPCS,J3490,magnesium citrate oral solution,5.92,3.55,1.01,7411.0,39
HCPCS,J3490,magnesium hydroxide 400 mg/5 mL oral suspension,3.96,2.375,0.6035,7411.0,156
HCPCS,J3490,magnesium oxide 400 mg (241.3 mg magnesium) tablet,0.15,0.09,0.0085,7411.0,195
HCPCS,J3490,magnesium sulfate (bulk) 100 % crystals,32.64,19.58,5.55,7411.0,39
HCPCS,J3490,magnesium sulfate (laxative) 495 mg/5 gram oral granules,32.58,19.55,3.24,7411.0,117
HCPCS,J3490,mannitoL 20 % intravenous solution,295.5,177.3,50.23,7411.0,39
HCPCS,J3490,mannitol 20 % intravenous solution,295.5,177.3,50.23,7411.0,39
HCPCS,J3490,maprotiline 50 mg tablet,2.73,1.64,0.4641,7411.0,39
HCPCS,J3490,meclizine 12.5 mg tablet,0.34,0.2,0.0102,7411.0,117
HCPCS,J3490,meclizine 25 mg tablet,0.7849999999999999,0.47,0.0646,7411.0,78
HCPCS,J3490,medroxyPROGESTERone 10 mg tablet,0.53,0.32,0.0901,7411.0,39
HCPCS,J3490,medroxyPROGESTERone 2.5 mg tablet,0.28,0.17,0.0476,7411.0,39
HCPCS,J3490,megestrol 40 mg tablet,0.64,0.38,0.0799,7411.0,117
HCPCS,J3490,megestrol 400 mg/10 mL (40 mg/mL) oral suspension,178.56,107.135,24.48,7411.0,78
HCPCS,J3490,meloxicam 15 mg tablet,0.1,0.06,0.017,7411.0,39
HCPCS,J3490,meloxicam 7.5 mg tablet,0.08,0.05,0.0136,7411.0,39
HCPCS,J3490,memantine 5 mg tablet,0.83,0.5,0.085,7411.0,117
HCPCS,J3490,menthol 0.44 %-zinc oxide 20.6 % topical ointment,7.81,4.69,1.33,7411.0,39
HCPCS,J3490,mercaptopurine 50 mg tablet,11.34,6.8,1.93,7411.0,39
HCPCS,J3490,"mesalamine 1,000 mg rectal suppository",13.975000000000001,8.385,1.13,7411.0,156
HCPCS,J3490,mesalamine 4 gram/60 mL enema,26.16,15.7,4.45,7411.0,39
HCPCS,J3490,mesalamine 400 mg capsule (with delayed release tablets inside),6.7,4.02,0.7922,7411.0,117
HCPCS,J3490,"metFORMIN 1,000 mg tablet",0.29000000000000004,0.17,0.0238,7411.0,78
HCPCS,J3490,metFORMIN 500 mg tablet,0.08,0.05,0.0085,7411.0,117
HCPCS,J3490,metFORMIN 850 mg tablet,0.12,0.07,0.0119,7411.0,117
HCPCS,J3490,metOLazone 2.5 mg tablet,3.325,1.995,0.1989,7411.0,78
HCPCS,J3490,metOLazone 5 mg tablet,6.22,3.73,0.2295,7411.0,117
HCPCS,J3490,metaxalone 800 mg tablet,4.0,2.4,0.68,7411.0,39
HCPCS,J3490,methIMAzole 10 mg tablet,0.675,0.405,0.0884,7411.0,78
HCPCS,J3490,methIMAzole 5 mg tablet,0.39,0.235,0.051,7411.0,78
HCPCS,J3490,methadone 10 mg tablet,3.435,2.065,0.5457,7411.0,78
HCPCS,J3490,methadone 10 mg/mL oral concentrate,101.28,60.77,7.41,7411.0,78
HCPCS,J3490,methadone 5 mg tablet,3.58,2.15,0.6086,7411.0,39
HCPCS,J3490,methadone 5 mg/5 mL oral solution,37.01,22.205000000000002,1.19,7411.0,78
HCPCS,J3490,methenamine 81 mg-m.blue 10.8 mg-sod phos 40.8 mg-p.salicy-hyos tablet,14.22,8.530000000000001,1.7,7411.0,78
HCPCS,J3490,methenamine hippurate 1 gram tablet,1.94,1.16,0.3298,7411.0,39
HCPCS,J3490,methocarbamol 500 mg tablet,1.125,0.675,0.187,7411.0,78
HCPCS,J3490,methocarbamol 750 mg tablet,1.1549999999999998,0.6950000000000001,0.1921,7411.0,78
HCPCS,J3490,methohexital 500 mg solution for injection,436.41,261.85,74.19,7411.0,39
HCPCS,J3490,methyl salicylate 30 %-menthol 10 % topical cream,7.414999999999999,4.45,0.9027,7411.0,78
HCPCS,J3490,methyl salicylate-menthol 29 %-7.6 % topical ointment,10.52,6.31,1.79,7411.0,39
HCPCS,J3490,methylcellulose (bulk) 1 % gel,22.1,13.26,2.07,7411.0,78
HCPCS,J3490,methylcellulose (with sugar) 2 gram/19 gram oral powder,12.71,7.63,2.16,7411.0,39
HCPCS,J3490,methyldopa 250 mg tablet,0.295,0.18,0.0391,7411.0,78
HCPCS,J3490,methylergonovine 0.2 mg tablet,107.51,64.51,5.64,7411.0,117
HCPCS,J3490,methylphenidate 10 mg tablet,0.5,0.30000000000000004,0.0748,7411.0,78
HCPCS,J3490,methylphenidate 5 mg tablet,0.7849999999999999,0.47,0.034,7411.0,156
HCPCS,J3490,"methylphenidate ER 18 mg tablet,extended release 24 hr",13.625,8.175,0.2465,7411.0,78
HCPCS,J3490,"methylphenidate ER 20 mg tablet,extended release",3.61,2.17,0.6137,7411.0,39
HCPCS,J3490,"methylphenidate ER 27 mg tablet,extended release 24 hr",8.0,4.8,1.36,7411.0,39
HCPCS,J3490,metoclopramide 10 mg tablet,1.2,0.72,0.0255,7411.0,117
HCPCS,J3490,metoclopramide 5 mg tablet,0.14,0.08,0.0238,7411.0,39
HCPCS,J3490,metoclopramide 5 mg/5 mL oral solution,10.8,6.48,1.38,7411.0,117
HCPCS,J3490,"metoprolol succinate ER 100 mg tablet,extended release 24 hr",1.625,0.975,0.1275,7411.0,78
HCPCS,J3490,"metoprolol succinate ER 25 mg tablet,extended release 24 hr",0.4,0.24,0.0238,7411.0,234
HCPCS,J3490,"metoprolol succinate ER 50 mg tablet,extended release 24 hr",1.5,0.9,0.0221,7411.0,195
HCPCS,J3490,metoprolol tartrate 100 mg tablet,0.12,0.07,0.0119,7411.0,195
HCPCS,J3490,metoprolol tartrate 25 mg tablet,0.135,0.08,0.0119,7411.0,156
HCPCS,J3490,metoprolol tartrate 50 mg tablet,0.1,0.06,0.0102,7411.0,117
HCPCS,J3490,metroNIDAZOLE 0.75 % (37.5 mg/5 gram) vaginal gel,244.58,146.75,41.58,7411.0,39
HCPCS,J3490,metroNIDAZOLE 1 % topical gel,310.56,186.34,52.8,7411.0,39
HCPCS,J3490,metroNIDAZOLE 250 mg tablet,1.31,0.79,0.2227,7411.0,39
HCPCS,J3490,metroNIDAZOLE 500 mg tablet,1.51,0.905,0.2499,7411.0,156
HCPCS,J3490,mexiletine 150 mg capsule,1.7799999999999998,1.065,0.1649,7411.0,78
HCPCS,J3490,mexiletine 200 mg capsule,3.15,1.89,0.5355,7411.0,39
HCPCS,J3490,miSOPROStol 100 mcg tablet,4.13,2.48,0.2261,7411.0,117
HCPCS,J3490,miSOPROStol 200 mcg tablet,1.93,1.16,0.3281,7411.0,39
HCPCS,J3490,miconazole nitrate 2 % vaginal cream,13.995000000000001,8.4,2.02,7411.0,78
HCPCS,J3490,miconazole nitrate 200 mg vaginal suppository,31.83,19.1,5.41,7411.0,39
HCPCS,J3490,"midazolam 10 mg/5 mL (2 mg/mL) oral syrup,midazolam 2 mg/mL oral syrup",2.58,1.545,0.374,7411.0,156
HCPCS,J3490,midazolam 2 mg/mL oral syrup,7.470000000000001,4.48,0.4148,7411.0,156
HCPCS,J3490,midodrine 2.5 mg tablet,2.05,1.23,0.2516,7411.0,78
HCPCS,J3490,midodrine 5 mg tablet,1.72,1.03,0.221,7411.0,117
HCPCS,J3490,mineral oil,11.64,6.985,0.0476,7411.0,78
HCPCS,J3490,mineral oil enema,2.66,1.6,0.4522,7411.0,39
HCPCS,J3490,"mineral oil oral,mineral oil topical",5.68,3.41,0.9656,7411.0,39
HCPCS,J3490,mineral oil topical,6.61,3.97,1.12,7411.0,39
HCPCS,J3490,"mineral oil, light sterile",119.88,71.93,20.38,7411.0,39
HCPCS,J3490,minocycline 100 mg capsule,1.41,0.85,0.2397,7411.0,39
HCPCS,J3490,minoxidil 10 mg tablet,1.28,0.77,0.2176,7411.0,39
HCPCS,J3490,minoxidil 2.5 mg tablet,1.04,0.62,0.1768,7411.0,39
HCPCS,J3490,"mirabegron ER 25 mg tablet,extended release 24 hr",28.6,17.16,4.51,7411.0,78
HCPCS,J3490,mirtazapine 15 mg disintegrating tablet,8.5,5.1,1.45,7411.0,39
HCPCS,J3490,mirtazapine 15 mg tablet,0.59,0.35,0.0901,7411.0,117
HCPCS,J3490,modafinil 100 mg tablet,9.18,5.51,0.136,7411.0,273
HCPCS,J3490,montelukast 10 mg tablet,0.32,0.19,0.0272,7411.0,117
HCPCS,J3490,morphine 10 mg/5 mL oral solution,5.72,3.43,0.9724,7411.0,39
HCPCS,J3490,morphine 15 mg immediate release tablet,4.1899999999999995,2.5149999999999997,0.6562,7411.0,78
HCPCS,J3490,morphine 30 mg immediate release tablet,5.02,3.01,0.7599,7411.0,78
HCPCS,J3490,"morphine ER 100 mg tablet,extended release",8.53,5.12,0.8262,7411.0,78
HCPCS,J3490,"morphine ER 15 mg tablet,extended release",4.305,2.585,0.612,7411.0,156
HCPCS,J3490,"morphine ER 30 mg tablet,extended release",5.119999999999999,3.075,0.6902,7411.0,78
HCPCS,J3490,"morphine ER 60 mg tablet,extended release",6.975,4.185,0.8075,7411.0,78
HCPCS,J3490,morphine concentrate 100 mg/5 mL (20 mg/mL) oral solution,4.15,2.49,0.7055,7411.0,39
HCPCS,J3490,"morphine concentrate 20 mg/mL oral syringe  (FOR ORAL USE ONLY),morphine concentrate 100 mg/5 mL (20 mg/mL) oral solution,morphine concentrate 10 mg/0.5 mL oral syringe (FOR ORAL USE ONLY)",4.15,2.49,0.7055,7411.0,39
HCPCS,J3490,moxifloxacin 0.5 % eye drops,241.06,144.635,22.76,7411.0,78
HCPCS,J3490,moxifloxacin 400 mg tablet,6.38,3.83,1.08,7411.0,39
HCPCS,J3490,multivit and minerals-ferrous gluconate 9 mg iron/15 mL oral liquid,0.69,0.41500000000000004,0.0969,7411.0,78
HCPCS,J3490,multivit-minerals no.73-iron fumarate 106 mg-folic acid 1 mg capsule,3.14,1.88,0.5015,7411.0,117
HCPCS,J3490,"multivit-mins no.56-FA 200 mcg-vit K 1,000 mcg-coQ10 10 mg chew tablet",1.0,0.6,0.17,7411.0,39
HCPCS,J3490,multivitamin with folic acid 400 mcg tablet,0.07,0.045,0.0102,7411.0,78
HCPCS,J3490,multivitamin with minerals-ferrous sulfate 4.5 mg iron tablet,0.04,0.02,0.0068,7411.0,39
HCPCS,J3490,multivitamin-iron 9 mg-folic acid 400 mcg-calcium and minerals tablet,0.07500000000000001,0.05,0.0102,7411.0,156
HCPCS,J3490,multivitamin-min no.51-FA 100 mcg-vit K 350 mcg-coQ10 5 mg chew tablet,1.0,0.6,0.17,7411.0,39
HCPCS,J3490,mupirocin 2 % topical ointment,17.01,10.21,2.09,7411.0,117
HCPCS,J3490,mupirocin calcium 2 % topical cream,392.25,235.35,66.68,7411.0,39
HCPCS,J3490,"mvi, adult no.4, vit K (vial 2 of 2) 600 mcg-60 mcg-5 mcg/5 mL IV soln",46.14,27.68,7.84,7411.0,39
HCPCS,J3490,"mvi, pedi no.1 with vit K 80 mg-400 unit-200 mcg/5 mL intravenous soln",1106.78,664.07,188.15,7411.0,39
HCPCS,J3490,"mvi, pedi no.2 with vit K 80 mg-400 unit-200 mcg intravenous solution",75.98,45.59,12.92,7411.0,39
HCPCS,J3490,"mvi,adult no.4 with vit K 3300 unit-150 mcg/10 mL intravenous solution",52.8,31.68,7.84,7411.0,117
HCPCS,J3490,"mvi,adult no.4,vit K,comp(vial 1 of 2) 3,300 unit-150 mcg/5 mL IV soln",46.14,27.68,7.84,7411.0,39
HCPCS,J3490,nadolol 20 mg tablet,1.44,0.86,0.0544,7411.0,117
HCPCS,J3490,nadolol 40 mg tablet,1.135,0.6849999999999999,0.0748,7411.0,156
HCPCS,J3490,naloxegol 12.5 mg tablet,26.39,15.83,4.03,7411.0,117
HCPCS,J3490,naltrexone 50 mg tablet,3.0,1.8,0.2941,7411.0,117
HCPCS,J3490,naphazoline 0.025 %-pheniramine 0.3 % eye drops,9.69,5.81,1.65,7411.0,39
HCPCS,J3490,naproxen 250 mg tablet,0.13,0.07500000000000001,0.0136,7411.0,195
HCPCS,J3490,"natamycin 5 % eye drops,suspension",1893.99,1136.39,321.98,7411.0,39
HCPCS,J3490,nateglinide 120 mg tablet,2.46,1.48,0.4182,7411.0,39
HCPCS,J3490,nebivolol 5 mg tablet,11.83,7.1,0.9571,7411.0,117
HCPCS,J3490,"neomycin 1.75 mg-polymyxin 10,000 unit-gramicidin 0.025mg/mL eye drops",102.1,61.26,17.36,7411.0,39
HCPCS,J3490,"neomycin 3.5 mg/g-polymyxin B 10,000 unit/g-dexameth 0.1 % eye oint",31.78,19.07,5.4,7411.0,39
HCPCS,J3490,neomycin 500 mg tablet,2.72,1.63,0.4318,7411.0,117
HCPCS,J3490,"neomycin-bacitracin-polymyxn 3.5 mg-400 unit-10,000 unit/gram eye oint",91.14,54.68,15.49,7411.0,39
HCPCS,J3490,"neomycin-bacitracn Zn-polymyx 3.5 mg-400 unit-5,000 unit/gram top oint",5.609999999999999,3.37,0.68,7411.0,156
HCPCS,J3490,"neomycin-bacitracn Zn-polymyxn 3.5 mg-400 unit-5,000 unit top oint pkt",0.26,0.16,0.0391,7411.0,117
HCPCS,J3490,neomycin-polymyxin B-bacitracin-hydrocortisone 1 % top ointment,319.47,191.68,54.31,7411.0,39
HCPCS,J3490,"neomycin-polymyxin-dexameth 3.5 mg/mL-10,000 unit/mL-0.1% eye drops",33.89,20.335,5.4,7411.0,78
HCPCS,J3490,"neomycin-polymyxin-hydrocort 3.5 mg-10,000 unit/mL-1 % ear drops,susp",167.8,100.68,28.53,7411.0,39
HCPCS,J3490,"neomycin-polymyxin-hydrocort 3.5 mg/mL-10,000 unit/mL-1 % ear solution",167.8,100.68,28.53,7411.0,39
HCPCS,J3490,nevirapine 50 mg/5 mL oral suspension,393.14,235.88,66.83,7411.0,39
HCPCS,J3490,niCARdipine 20 mg capsule,6.67,4.0,1.13,7411.0,39
HCPCS,J3490,niCARdipine 25 mg/10 mL intravenous solution,151.32,90.78999999999999,20.09,7411.0,82
HCPCS,J3490,niCARdipine 30 mg capsule,5.11,3.07,0.8687,7411.0,39
HCPCS,J3490,niMODipine 30 mg capsule,27.13,16.28,4.61,7411.0,39
HCPCS,J3490,niacin 100 mg tablet,0.03,0.02,0.0051,7411.0,39
HCPCS,J3490,"niacin ER 250 mg capsule,extended release",0.13,0.08,0.0187,7411.0,117
HCPCS,J3490,"niacin ER 500 mg tablet,extended release 24 hr",0.71,0.43,0.1207,7411.0,39
HCPCS,J3490,"niacin ER 750 mg tablet,extended release 24 hr",5.445,3.2649999999999997,0.2074,7411.0,78
HCPCS,J3490,nicotine (polacrilex) 2 mg gum,1.77,1.06,0.2788,7411.0,78
HCPCS,J3490,nicotine 14 mg/24 hr daily transdermal patch,4.635,2.785,0.7531,7411.0,156
HCPCS,J3490,nicotine 21 mg/24 hr daily transdermal patch,4.88,2.93,0.7752,7411.0,78
HCPCS,J3490,nicotine 7 mg/24 hr daily transdermal patch,4.88,2.93,0.7752,7411.0,78
HCPCS,J3490,nitazoxanide 500 mg tablet,260.68,156.41,19.99,7411.0,117
HCPCS,J3490,nitrofurantoin macrocrystal 50 mg capsule,4.09,2.45,0.6953,7411.0,39
HCPCS,J3490,nitrofurantoin monohydrate/macrocrystals 100 mg capsule,5.63,3.38,0.3009,7411.0,117
HCPCS,J3490,nitroglycerin 0.1 mg/hr transdermal 24 hour patch,1.76,1.06,0.2992,7411.0,39
HCPCS,J3490,nitroglycerin 0.2 mg/hr transdermal 24 hour patch,1.41,0.85,0.2397,7411.0,39
HCPCS,J3490,nitroglycerin 0.3 mg/hr transdermal 24 hour patch,11.12,6.67,1.89,7411.0,39
HCPCS,J3490,nitroglycerin 0.4 mg sublingual tablet,1.99,1.195,0.1275,7411.0,78
HCPCS,J3490,nitroglycerin 0.4 mg/hr transdermal 24 hour patch,1.63,0.98,0.2771,7411.0,39
HCPCS,J3490,nitroglycerin 0.6 mg/hr transdermal 24 hour patch,1.98,1.185,0.3213,7411.0,78
HCPCS,J3490,nitroglycerin 2 % transdermal ointment,4.84,2.9,0.8228,7411.0,39
HCPCS,J3490,nitroglycerin 400 mcg/spray translingual,374.12,224.47,63.6,7411.0,39
HCPCS,J3490,"nitroglycerin ER 2.5 mg capsule,extended release",0.59,0.35,0.1003,7411.0,39
HCPCS,J3490,"nitroglycerin ER 6.5 mg capsule,extended release",0.69,0.41,0.1173,7411.0,39
HCPCS,J3490,norepinephrine bitartrate 1 mg/mL intravenous solution,96.39000000000001,57.834999999999994,9.17,7411.0,78
HCPCS,J3490,norepinephrine bitartrate 16 mg/250 mL (64 mcg/mL) in 0.9 % NaCl IV,359.5,215.7,61.12,7411.0,39
HCPCS,J3490,norepinephrine bitartrate 4 mg/250 mL (16 mcg/mL) in 0.9 % NaCl IV,196.0,117.6,28.22,7411.0,78
HCPCS,J3490,norepinephrine bitartrate 4 mg/250 mL (16 mcg/mL) in dextrose 5 % IV,139.0,83.4,23.63,7411.0,39
HCPCS,J3490,norethindrone 1 mg-ethinyl estradiol 20 mcg (21)-iron 75 mg (7) tablet,1.54,0.92,0.2618,7411.0,39
HCPCS,J3490,norethindrone acetate 1 mg-ethinyl estradiol 20 mcg tablet,1.01,0.61,0.1717,7411.0,39
HCPCS,J3490,norethindrone acetate 5 mg tablet,1.2,0.72,0.204,7411.0,39
HCPCS,J3490,norflurane-pentafluoropropane topical spray,0.45499999999999996,0.27,0.0544,7411.0,78
HCPCS,J3490,nortriptyline 10 mg capsule,0.39,0.45,0.0646,7411.0,117
HCPCS,J3490,nortriptyline 25 mg capsule,0.685,0.41000000000000003,0.0901,7411.0,78
HCPCS,J3490,nortriptyline 50 mg capsule,0.495,0.29500000000000004,0.0578,7411.0,78
HCPCS,J3490,"nystatin 100,000 unit/gram topical cream",22.71,13.625,2.96,7411.0,78
HCPCS,J3490,"nystatin 100,000 unit/gram topical ointment",27.99,16.79,4.76,7411.0,39
HCPCS,J3490,"nystatin 100,000 unit/gram topical powder",42.66,25.6,2.38,7411.0,117
HCPCS,J3490,"nystatin 100,000 unit/mL oral suspension",63.88,38.33,0.442,7411.0,195
HCPCS,J3490,"nystatin 500,000 unit tablet",2.51,1.51,0.4267,7411.0,39
HCPCS,J3490,"nystatin-triamcinolone 100,000 unit/g-0.1 % topical cream",41.91,25.15,7.12,7411.0,39
HCPCS,J3490,"nystatin-triamcinolone 100,000 unit/gram-0.1 % topical ointment",31.2,18.72,5.3,7411.0,39
HCPCS,J3490,ofloxacin 0.3 % ear drops,193.57,116.14,22.1,7411.0,78
HCPCS,J3490,ofloxacin 0.3 % eye drops,59.28,35.57,6.95,7411.0,78
HCPCS,J3490,"omega-3 fatty acids-fish oil 360 mg-1,200 mg capsule",0.135,0.085,0.017,7411.0,156
HCPCS,J3490,omeprazole 2 mg-sodium bicarbonate 84 mg/mL oral suspension,600.1500000000001,360.09000000000003,85.02,7411.0,78
HCPCS,J3490,ondansetron 4 mg disintegrating tablet,0.7050000000000001,0.42000000000000004,0.0833,7411.0,78
HCPCS,J3490,ondansetron 8 mg disintegrating tablet,1.48,0.885,0.2074,7411.0,156
HCPCS,J3490,ondansetron HCl 4 mg tablet,1.05,0.63,0.1785,7411.0,39
HCPCS,J3490,ondansetron HCl 8 mg tablet,1.22,0.73,0.2074,7411.0,39
HCPCS,J3490,opium tincture 10 mg/mL (morphine) oral,6.955,4.175,1.07,7411.0,78
HCPCS,J3490,oseltamivir 30 mg capsule,28.37,17.02,4.82,7411.0,39
HCPCS,J3490,oseltamivir 45 mg capsule,28.37,17.02,4.82,7411.0,39
HCPCS,J3490,oseltamivir 6 mg/mL oral suspension,201.02,120.61,10.29,7411.0,117
HCPCS,J3490,oseltamivir 75 mg capsule,30.88,18.53,5.25,7411.0,39
HCPCS,J3490,oxandrolone 10 mg tablet,29.33,17.6,4.99,7411.0,39
HCPCS,J3490,oxyBUTYnin chloride 5 mg tablet,0.91,0.55,0.0408,7411.0,117
HCPCS,J3490,oxyBUTYnin chloride 5 mg/5 mL oral syrup,39.73,23.84,6.75,7411.0,39
HCPCS,J3490,"oxyBUTYnin chloride ER 10 mg tablet,extended release 24 hr",0.5,0.3,0.0612,7411.0,117
HCPCS,J3490,"oxyBUTYnin chloride ER 5 mg tablet,extended release 24 hr",5.14,3.08,0.085,7411.0,195
HCPCS,J3490,oxyCODONE 10 mg tablet,4.15,2.49,0.5882,7411.0,156
HCPCS,J3490,oxyCODONE 15 mg tablet,4.16,2.495,0.5746,7411.0,156
HCPCS,J3490,oxyCODONE 20 mg/mL oral concentrate,766.46,459.88,130.3,7411.0,39
HCPCS,J3490,oxyCODONE 5 mg tablet,3.4450000000000003,2.065,0.544,7411.0,390
HCPCS,J3490,oxyCODONE 5 mg/5 mL oral solution,14.965,8.975000000000001,2.47,7411.0,78
HCPCS,J3490,"oxyCODONE ER 10 mg tablet,crush resistant,extended release 12 hr",13.66,8.2,1.33,7411.0,117
HCPCS,J3490,"oxyCODONE ER 20 mg tablet,crush resistant,extended release 12 hr",23.145,13.885,3.89,7411.0,78
HCPCS,J3490,"oxyCODONE ER 40 mg tablet,crush resistant,extended release 12 hr",37.92,22.75,6.45,7411.0,39
HCPCS,J3490,"oxyCODONE ER 80 mg tablet,crush resistant,extended release 12 hr",63.2,37.92,10.61,7411.0,78
HCPCS,J3490,oxyCODONE-acetaminophen 10 mg-325 mg tablet,6.785,4.07,1.15,7411.0,78
HCPCS,J3490,oxyCODONE-acetaminophen 5 mg-325 mg tablet,3.77,2.26,0.5678,7411.0,195
HCPCS,J3490,oxymetazoline 0.05 % nasal spray,4.5,2.7,0.6783,7411.0,117
HCPCS,J3490,"oxymetazoline 0.05 % nasal spray,oxymetazoline 0.05 % masal mist",11.49,6.895,0.765,7411.0,78
HCPCS,J3490,"paliperidone ER 3 mg tablet,extended release 24 hr",24.52,14.71,4.17,7411.0,39
HCPCS,J3490,"paliperidone ER 6 mg tablet,extended release 24 hr",23.27,13.96,3.74,7411.0,78
HCPCS,J3490,"pantoprazole 40 mg tablet,delayed release",0.365,0.22000000000000003,0.0204,7411.0,156
HCPCS,J3490,paraben-cetyl alcohol-stearyl alcohol-propy glycol-sls topical cleaner,18.92,11.35,3.22,7411.0,39
HCPCS,J3490,parenteral amino acid 10 % combination no.1 intravenous solution,204.0,122.4,34.68,7411.0,40
HCPCS,J3490,"parenteral amino acid 10 % combination no.2 intravenous solution,parenteral amino acid 10 % combination no.1 intravenous solution,parenteral amino acid 10 % combination no.6 intravenous solution,paren",229.5,137.7,22.44,7411.0,156
HCPCS,J3490,parenteral amino acid 10 % combination no.6 intravenous solution,198.0,118.80000000000001,22.44,7411.0,80
HCPCS,J3490,parenteral amino acid 10 % combination no.7 intravenous solution,255.0,153.0,43.35,7411.0,39
HCPCS,J3490,parenteral amino acid 15 % combination no.2 intravenous solution,264.0,158.4,44.88,7411.0,39
HCPCS,J3490,"parenteral amino acid 15 % combination no.2 intravenous solution,, parenteral amino acid 15 % combination no.5 intravenous solution,paremteral aminio acid 15 % combination no 5 intravenous solution,pa",264.0,158.4,37.74,7411.0,117
HCPCS,J3490,parenteral amino acid 15 % combination no.5 intravenous solution,264.0,158.4,44.88,7411.0,39
HCPCS,J3490,parenteral amino acid 6 % combination no.1 intravenous solution,249.0,149.4,42.33,7411.0,40
HCPCS,J3490,paricalcitol 1 mcg capsule,2.0,1.2,0.34,7411.0,39
HCPCS,J3490,pediatric multivitamin no.212 250 mcg-50 mg-10 mcg-5 mg/mL oral drops,0.2,0.12,0.034,7411.0,39
HCPCS,J3490,peg 3350-electrolytes 236 gram-22.74 gram-6.74 gram-5.86 gram solution,144.0,86.4,24.48,7411.0,39
HCPCS,J3490,peg 400-hypromellose-glycerin 1 %-0.2 %-0.2 % eye drops,3.39,2.03,0.5763,7411.0,39
HCPCS,J3490,peg 400-propylene glycol 0.4 %-0.3 % eye drops,19.3,11.58,3.28,7411.0,39
HCPCS,J3490,penicillAMINE 250 mg capsule,523.77,314.26,89.04,7411.0,39
HCPCS,J3490,penicillin G sodium 5 million unit solution for injection,281.47,168.88,47.85,7411.0,39
HCPCS,J3490,penicillin V potassium 125 mg/5 mL oral solution,16.5,9.9,2.81,7411.0,39
HCPCS,J3490,penicillin V potassium 250 mg/5 mL oral solution,18.3,10.98,3.11,7411.0,39
HCPCS,J3490,penicillin V potassium 500 mg tablet,1.15,0.69,0.1717,7411.0,117
HCPCS,J3490,pentosan polysulfate sodium 100 mg capsule,22.6,13.56,3.84,7411.0,39
HCPCS,J3490,"pentoxifylline ER 400 mg tablet,extended release",2.62,1.57,0.4454,7411.0,39
HCPCS,J3490,peppermint spirit oral,15.78,9.47,2.68,7411.0,39
HCPCS,J3490,perampanel 2 mg tablet,41.4,24.84,7.04,7411.0,39
HCPCS,J3490,perampanel 4 mg tablet,81.8,49.08,13.91,7411.0,39
HCPCS,J3490,peritoneal dialysis soln 7-2.5 % dext.low calc 2.5 mEq/L-mag 0.5 mEq/L,300.0,180.0,50.49,7411.0,117
HCPCS,J3490,permethrin 1 % topical liquid,17.82,10.69,3.03,7411.0,39
HCPCS,J3490,permethrin 5 % topical cream,198.0,118.8,33.66,7411.0,39
HCPCS,J3490,phenazopyridine 100 mg tablet,0.5900000000000001,0.35,0.0918,7411.0,78
HCPCS,J3490,phenazopyridine 200 mg tablet,0.74,0.44,0.1258,7411.0,39
HCPCS,J3490,phenelzine 15 mg tablet,1.33,0.8,0.2244,7411.0,117
HCPCS,J3490,phenobarb-hyoscyamn-atropine-scop 16.2 mg-0.1037 mg-0.0194 mg tablet,20.01,12.01,3.4,7411.0,39
HCPCS,J3490,phenol 1.4 % mucosal aerosol spray,4.96,2.98,0.8432,7411.0,39
HCPCS,J3490,phenol 89 % topical swab,9.1,5.46,1.55,7411.0,39
HCPCS,J3490,phenylephrine 0.25 % nasal spray,6.93,4.16,1.18,7411.0,39
HCPCS,J3490,phenylephrine 0.25 %-cocoa butter 88.44 % rectal suppository,1.05,0.63,0.0816,7411.0,156
HCPCS,J3490,phenylephrine 0.25 %-mineral oil 14 %-petrolatm 74.9 % rectal ointment,11.2,6.72,0.8908,7411.0,117
HCPCS,J3490,phenylephrine 0.5 % nasal spray,6.63,3.98,1.08,7411.0,78
HCPCS,J3490,phenylephrine 1 % nasal spray,7.545,4.529999999999999,1.21,7411.0,78
HCPCS,J3490,phenylephrine 2.5 % eye drops,65.0,39.0,11.05,7411.0,39
HCPCS,J3490,phenytoin 100 mg/4 mL oral suspension,12.239999999999998,7.34,1.66,7411.0,78
HCPCS,J3490,phenytoin 125 mg/5 mL oral suspension,54.51,32.71,9.27,7411.0,39
HCPCS,J3490,phenytoin 50 mg chewable tablet,1.89,1.13,0.1428,7411.0,117
HCPCS,J3490,phenytoin sodium extended 100 mg capsule,2.25,1.35,0.1921,7411.0,78
HCPCS,J3490,phenytoin sodium extended 30 mg capsule,2.9450000000000003,1.7650000000000001,0.493,7411.0,78
HCPCS,J3490,phytonadione (vitamin K1) 100 mcg tablet,0.07,0.04,0.0119,7411.0,39
HCPCS,J3490,phytonadione (vitamin K1) 5 mg tablet,45.01,27.01,7.65,7411.0,39
HCPCS,J3490,pilocarpine 1 % eye drops,157.71,94.63,26.81,7411.0,39
HCPCS,J3490,pilocarpine 2 % eye drops,161.31,96.79,27.42,7411.0,39
HCPCS,J3490,pilocarpine 4 % eye drops,0.66,0.4,0.1122,7411.0,39
HCPCS,J3490,pilocarpine 5 mg tablet,2.2,1.32,0.3094,7411.0,117
HCPCS,J3490,pioglitazone 15 mg tablet,0.515,0.31,0.0459,7411.0,156
HCPCS,J3490,pirfenidone 267 mg tablet,20.35,12.21,3.46,7411.0,39
HCPCS,J3490,polyethylene glycol 3350 17 gram oral powder packet,2.9699999999999998,1.7850000000000001,0.4216,7411.0,156
HCPCS,J3490,polyethylene glycol 3350 17 gram/dose oral powder,13.8,8.28,1.38,7411.0,117
HCPCS,J3490,"polymyxin B sulfate 10,000 unit-trimethoprim 1 mg/mL eye drops",21.5,12.9,3.65,7411.0,39
HCPCS,J3490,"polymyxin B sulfate 500,000 unit solution for injection",72.5,43.5,12.32,7411.0,39
HCPCS,J3490,polysaccharide iron complex 150 mg iron capsule,2.25,1.35,0.3825,7411.0,39
HCPCS,J3490,pomalidomide 4 mg capsule,2189.64,1313.78,372.24,7411.0,39
HCPCS,J3490,poractant alfa 120 mg/1.5 mL intratracheal suspension,1712.94,1027.76,291.2,7411.0,39
HCPCS,J3490,poractant alfa 240 mg/3 mL intratracheal suspension,3377.73,2026.64,574.21,7411.0,39
HCPCS,J3490,"posaconazole 100 mg tablet,delayed release",32.83,19.7,2.63,7411.0,117
HCPCS,J3490,posaconazole 200 mg/5 mL (40 mg/mL) oral suspension,2879.6,1727.76,489.53,7411.0,39
HCPCS,J3490,potassium acetate 2 mEq/mL intravenous solution,57.0,34.2,5.92,7411.0,78
HCPCS,J3490,potassium alum (bulk) powder,322.52,193.51,54.83,7411.0,39
HCPCS,J3490,potassium bicarbonate-citric acid 10 mEq effervescent tablet,0.95,0.57,0.1615,7411.0,39
HCPCS,J3490,potassium chloride 20 mEq oral packet,6.265,3.76,0.5661,7411.0,78
HCPCS,J3490,potassium chloride 20 mEq/L in D5-0.9 % sodium chloride intravenous,78.0,46.8,13.26,7411.0,39
HCPCS,J3490,potassium chloride 20 mEq/L in dextrose 5 %-0.2 % sodium chloride IV,66.0,39.6,11.22,7411.0,39
HCPCS,J3490,potassium chloride 20 mEq/L in dextrose 5 %-0.45 % sodium chloride IV,51.0,30.6,8.16,7411.0,78
HCPCS,J3490,potassium chloride 40 mEq/L in D5-0.9 % sodium chloride intravenous,66.0,39.6,11.22,7411.0,39
HCPCS,J3490,potassium chloride 40 mEq/L in dextrose 5 %-0.45 % sodium chloride IV,63.0,37.8,9.18,7411.0,78
HCPCS,J3490,"potassium chloride ER 10 mEq tablet,extended release",1.09,0.65,0.1853,7411.0,39
HCPCS,J3490,"potassium chloride ER 20 mEq tablet,extended release(part/cryst)",1.2349999999999999,0.74,0.17,7411.0,156
HCPCS,J3490,"potassium chloride ER 8 mEq tablet,extended release",0.915,0.55,0.1462,7411.0,78
HCPCS,J3490,"potassium citrate ER 10 mEq (1,080 mg) tablet,extended release",2.83,1.7,0.1122,7411.0,117
HCPCS,J3490,potassium iodide 65 mg/mL oral drops,37.5,22.5,6.38,7411.0,39
HCPCS,J3490,potassium phos-mono-dibasic 3 mmol/mL (4.7 mEq potassium/mL) IV soln,236.37,141.82,40.18,7411.0,39
HCPCS,J3490,potassium phosphates-mbasic and dibasic 3 mmol/mL intravenous solution,100.74,60.44,17.13,7411.0,39
HCPCS,J3490,"potassium, sodium phosphates 280 mg-160 mg-250 mg oral powder packet",1.09,0.65,0.1853,7411.0,39
HCPCS,J3490,povidone-iodine 10 % topical ointment,3.01,1.81,0.5117,7411.0,39
HCPCS,J3490,povidone-iodine 10 % topical solution,5.3100000000000005,3.185,0.6018,7411.0,78
HCPCS,J3490,povidone-iodine 5 % eye solution,34.14,20.48,5.8,7411.0,39
HCPCS,J3490,povidone-iodine 5 % topical cream,7.71,4.63,1.31,7411.0,39
HCPCS,J3490,pramipexole 0.125 mg tablet,0.31,0.185,0.0374,7411.0,156
HCPCS,J3490,pramipexole 0.25 mg tablet,0.29,0.17,0.0374,7411.0,117
HCPCS,J3490,pramipexole 0.5 mg tablet,0.29,0.17,0.0374,7411.0,117
HCPCS,J3490,pramipexole 1 mg tablet,0.255,0.15000000000000002,0.0374,7411.0,78
HCPCS,J3490,"pramlintide 1,500 mcg/1.5 mL subcutaneous pen injector",10.36,6.22,1.76,7411.0,39
HCPCS,J3490,pramoxine 1 % lotion,15.54,9.32,2.64,7411.0,39
HCPCS,J3490,prasugrel HCl 10 mg tablet,3.65,2.19,0.561,7411.0,117
HCPCS,J3490,prasugrel HCl 5 mg tablet,18.125,10.875,0.6205,7411.0,78
HCPCS,J3490,pravastatin 10 mg tablet,0.79,0.47,0.1343,7411.0,39
HCPCS,J3490,pravastatin 20 mg tablet,0.525,0.315,0.0476,7411.0,156
HCPCS,J3490,praziquantel 600 mg tablet,166.58,99.95,28.32,7411.0,39
HCPCS,J3490,prazosin 1 mg capsule,1.94,1.165,0.1462,7411.0,78
HCPCS,J3490,prazosin 2 mg capsule,3.975,2.385,0.6358,7411.0,78
HCPCS,J3490,prazosin 5 mg capsule,7.18,4.31,1.22,7411.0,39
HCPCS,J3490,"prednisoLONE acetate 1 % eye drops,suspension",88.5,53.1,14.96,7411.0,117
HCPCS,J3490,prednisoLONE sodium phosphate 1 % eye drops,105.42,63.25,17.92,7411.0,39
HCPCS,J3490,pregabalin 100 mg capsule,10.219999999999999,6.13,0.0221,7411.0,156
HCPCS,J3490,pregabalin 150 mg capsule,10.225,6.135000000000001,0.0289,7411.0,156
HCPCS,J3490,pregabalin 200 mg capsule,0.22,0.13,0.0272,7411.0,117
HCPCS,J3490,pregabalin 25 mg capsule,10.209999999999999,6.125,0.0306,7411.0,78
HCPCS,J3490,pregabalin 50 mg capsule,2.69,1.61,0.0306,7411.0,195
HCPCS,J3490,pregabalin 75 mg capsule,0.19,0.11,0.0221,7411.0,195
HCPCS,J3490,prenatal vits no.130-ferrous fum 27 mg iron-folic acid 800 mcg tablet,0.11,0.07,0.0102,7411.0,117
HCPCS,J3490,primaquine 26.3 mg (15 mg base) tablet,4.59,2.75,0.7803,7411.0,39
HCPCS,J3490,primidone 250 mg tablet,0.72,0.43,0.1224,7411.0,39
HCPCS,J3490,primidone 50 mg tablet,0.755,0.45499999999999996,0.0544,7411.0,156
HCPCS,J3490,probenecid 500 mg tablet,1.26,0.76,0.2023,7411.0,117
HCPCS,J3490,prochlorperazine 25 mg rectal suppository,17.43,10.46,2.96,7411.0,39
HCPCS,J3490,progesterone micronized 100 mg capsule,1.0,0.6,0.136,7411.0,78
HCPCS,J3490,promethazine 12.5 mg rectal suppository,19.5,11.7,3.31,7411.0,39
HCPCS,J3490,promethazine 12.5 mg tablet,0.53,0.32,0.0272,7411.0,78
HCPCS,J3490,promethazine 25 mg rectal suppository,19.5,11.7,3.31,7411.0,39
HCPCS,J3490,promethazine 25 mg tablet,0.515,0.31,0.034,7411.0,78
HCPCS,J3490,promethazine 50 mg rectal suppository,53.65,32.19,9.12,7411.0,39
HCPCS,J3490,promethazine 6.25 mg-codeine 10 mg/5 mL syrup,0.28,0.17,0.0221,7411.0,78
HCPCS,J3490,promethazine 6.25 mg/5 mL oral syrup,21.76,13.06,3.7,7411.0,39
HCPCS,J3490,propafenone 150 mg tablet,0.77,0.46,0.0799,7411.0,117
HCPCS,J3490,propafenone 225 mg tablet,0.91,0.55,0.1309,7411.0,156
HCPCS,J3490,proparacaine 0.5 % eye drops,70.185,42.11,11.93,7411.0,78
HCPCS,J3490,propranolol 10 mg tablet,0.47,0.28,0.0544,7411.0,117
HCPCS,J3490,propranolol 20 mg tablet,0.41,0.25,0.068,7411.0,117
HCPCS,J3490,propranolol 20 mg/5 mL (4 mg/mL) oral solution,97.0,58.2,16.49,7411.0,39
HCPCS,J3490,propranolol 40 mg tablet,0.51,0.31,0.0867,7411.0,39
HCPCS,J3490,"propranolol ER 160 mg capsule,24 hr,extended release",2.07,1.24,0.3519,7411.0,39
HCPCS,J3490,"propranolol ER 60 mg capsule,24 hr,extended release",1.09,0.65,0.0697,7411.0,117
HCPCS,J3490,"propranolol ER 80 mg capsule,24 hr,extended release",0.865,0.52,0.0765,7411.0,78
HCPCS,J3490,"propylene glycol (bulk) 99.5 % (not less than, USP) liquid",17.03,10.22,2.9,7411.0,39
HCPCS,J3490,propylthiouracil 50 mg tablet,3.55,2.13,0.255,7411.0,78
HCPCS,J3490,pseudoephedrine 30 mg tablet,1.04,0.62,0.1768,7411.0,39
HCPCS,J3490,pseudoephedrine 60 mg tablet,1.09,0.65,0.1802,7411.0,117
HCPCS,J3490,"psyllium husk (aspartame) 3.4 gram oral powder packet,psyllium husk (aspartame) 3.5 gram oral powder packet,psyllium husk (sweetleaf) 3.5 gram oral powder packet,psyllium husk (sweetleaf) 3.5 gram/5.8",0.79,0.47,0.1258,7411.0,78
HCPCS,J3490,psyllium husk 3 gram oral powder packet,0.61,0.37,0.1037,7411.0,39
HCPCS,J3490,psyllium husk 3.4 gram oral powder packet,0.595,0.355,0.0765,7411.0,78
HCPCS,J3490,psyllium oral packet,0.8,0.48,0.136,7411.0,39
HCPCS,J3490,psyllium oral powder,15.34,9.2,2.61,7411.0,39
HCPCS,J3490,pyRIDostigmine bromide 5 mg/mL injection solution,206.56,123.94,35.12,7411.0,39
HCPCS,J3490,pyRIDostigmine bromide 60 mg tablet,3.04,1.82,0.4471,7411.0,117
HCPCS,J3490,pyRIDostigmine bromide 60 mg/5 mL oral syrup,3283.62,1970.17,558.22,7411.0,39
HCPCS,J3490,pyrazinamide 500 mg tablet,10.125,6.075,1.59,7411.0,78
HCPCS,J3490,pyridoxine (vitamin B6) 100 mg tablet,0.07500000000000001,0.045,0.0068,7411.0,156
HCPCS,J3490,pyridoxine (vitamin B6) 50 mg tablet,0.03,0.02,0.0051,7411.0,39
HCPCS,J3490,pyrimethamine (bulk) powder,741.4,444.84,126.04,7411.0,39
HCPCS,J3490,quiNIDine sulfate 200 mg tablet,0.49,0.29,0.0833,7411.0,39
HCPCS,J3490,quiNINE 324 mg capsule,11.82,7.09,2.01,7411.0,39
HCPCS,J3490,rOPINIRole 0.25 mg tablet,0.24,0.14,0.0408,7411.0,39
HCPCS,J3490,rOPINIRole 0.5 mg tablet,0.24,0.14,0.0408,7411.0,39
HCPCS,J3490,rOPINIRole 1 mg tablet,0.24,0.14,0.0408,7411.0,39
HCPCS,J3490,rOPINIRole 2 mg tablet,0.24,0.14,0.0408,7411.0,39
HCPCS,J3490,racepinephrine 2.25 % solution for nebulization,5.0,3.0,0.85,7411.0,39
HCPCS,J3490,raloxifene 60 mg tablet,0.83,0.5,0.1411,7411.0,39
HCPCS,J3490,raltegravir 400 mg tablet,67.06,40.24,11.4,7411.0,39
HCPCS,J3490,ramelteon 8 mg tablet,7.1,4.26,0.3842,7411.0,234
HCPCS,J3490,ramipril 1.25 mg capsule,0.16,0.1,0.0272,7411.0,39
HCPCS,J3490,ramipril 10 mg capsule,0.42,0.25,0.0714,7411.0,39
HCPCS,J3490,ramipril 2.5 mg capsule,0.38,0.23,0.0646,7411.0,39
HCPCS,J3490,ramipril 5 mg capsule,0.5449999999999999,0.32499999999999996,0.068,7411.0,78
HCPCS,J3490,"ranolazine ER 500 mg tablet,extended release,12 hr",1.33,0.8,0.0986,7411.0,195
HCPCS,J3490,rasagiline 0.5 mg tablet,46.089999999999996,27.650000000000002,2.71,7411.0,78
HCPCS,J3490,remifentanil 1 mg intravenous solution,281.72,169.035,47.88,7411.0,78
HCPCS,J3490,remifentanil 2 mg intravenous solution,557.61,334.57,94.79,7411.0,39
HCPCS,J3490,repaglinide 1 mg tablet,0.62,0.37,0.1054,7411.0,39
HCPCS,J3490,ribavirin 200 mg capsule,3.17,1.9,0.5389,7411.0,39
HCPCS,J3490,riboflavin (vitamin B2) 100 mg tablet,0.14,0.08499999999999999,0.017,7411.0,78
HCPCS,J3490,rifAMPin 150 mg capsule,2.48,1.49,0.4199,7411.0,117
HCPCS,J3490,rifAMPin 300 mg capsule,3.0149999999999997,1.81,0.4556,7411.0,156
HCPCS,J3490,rifAXIMin 200 mg tablet,21.68,13.01,3.69,7411.0,39
HCPCS,J3490,rifAXIMin 550 mg tablet,109.41,65.65,18.6,7411.0,39
HCPCS,J3490,rifabutin 150 mg capsule,33.949999999999996,20.369999999999997,4.84,7411.0,78
HCPCS,J3490,rilpivirine HCl 25 mg tablet,99.39,59.63,16.9,7411.0,39
HCPCS,J3490,riluzole 50 mg tablet,1.33,0.8,0.2261,7411.0,39
HCPCS,J3490,riociguat 0.5 mg tablet,307.42,184.45,52.26,7411.0,39
HCPCS,J3490,riociguat 1 mg tablet,307.42,184.45,52.26,7411.0,39
HCPCS,J3490,riociguat 2.5 mg tablet,307.42,184.45,52.26,7411.0,39
HCPCS,J3490,risperiDONE 0.5 mg tablet,0.545,0.325,0.0918,7411.0,78
HCPCS,J3490,risperiDONE 1 mg disintegrating tablet,8.17,4.9,1.39,7411.0,39
HCPCS,J3490,risperiDONE 1 mg tablet,0.34,0.2,0.0459,7411.0,117
HCPCS,J3490,risperiDONE 1 mg/mL oral solution,42.0,25.2,7.14,7411.0,39
HCPCS,J3490,risperiDONE 2 mg tablet,0.665,0.39999999999999997,0.0646,7411.0,78
HCPCS,J3490,risperiDONE 3 mg tablet,1.25,0.75,0.2125,7411.0,39
HCPCS,J3490,ritonavir 100 mg oral powder packet,17.64,10.58,3.0,7411.0,39
HCPCS,J3490,ritonavir 100 mg tablet,11.17,6.7,0.9911,7411.0,117
HCPCS,J3490,rivaroxaban 10 mg tablet,39.97,23.98,6.79,7411.0,39
HCPCS,J3490,rivaroxaban 15 mg tablet,39.97,23.98,6.79,7411.0,39
HCPCS,J3490,rivaroxaban 2.5 mg tablet,20.99,12.59,3.57,7411.0,39
HCPCS,J3490,rivaroxaban 20 mg tablet,39.97,23.98,6.79,7411.0,39
HCPCS,J3490,rivastigmine 1.5 mg capsule,5.075,3.045,0.3689,7411.0,78
HCPCS,J3490,rivastigmine 3 mg capsule,4.945,2.965,0.3689,7411.0,78
HCPCS,J3490,rivastigmine 4.6 mg/24 hour transdermal patch,46.72,28.03,7.94,7411.0,39
HCPCS,J3490,rivastigmine 9.5 mg/24 hour transdermal patch,46.73,28.04,7.94,7411.0,39
HCPCS,J3490,rizatriptan 10 mg disintegrating tablet,73.14,43.88,12.43,7411.0,39
HCPCS,J3490,rizatriptan 5 mg disintegrating tablet,73.14,43.88,12.43,7411.0,39
HCPCS,J3490,rocuronium 10 mg/mL intravenous solution,44.980000000000004,26.990000000000002,5.27,7411.0,234
HCPCS,J3490,roflumilast 500 mcg tablet,15.395,9.235,0.204,7411.0,78
HCPCS,J3490,ropiv 2.46-epi 0.005-clonid 0.0008-ketorol 0.3 mg/mL periarticulr syrg,138.83,83.3,23.6,7411.0,39
HCPCS,J3490,rosuvastatin 10 mg tablet,0.27,0.16,0.0221,7411.0,195
HCPCS,J3490,rosuvastatin 5 mg tablet,1.28,0.77,0.0646,7411.0,156
HCPCS,J3490,rotigotine 6 mg/24 hour transdermal 24 hour patch,56.19,33.71,9.55,7411.0,39
HCPCS,J3490,rufinamide 200 mg tablet,16.27,9.76,1.04,7411.0,78
HCPCS,J3490,sacubitril 24 mg-valsartan 26 mg tablet,22.93,13.76,3.9,7411.0,39
HCPCS,J3490,sacubitril 49 mg-valsartan 51 mg tablet,22.93,13.76,3.9,7411.0,39
HCPCS,J3490,sacubitril 97 mg-valsartan 103 mg tablet,22.93,13.76,3.9,7411.0,39
HCPCS,J3490,saliva stimulant combination no.7 oral mucosal gel,11.26,6.76,1.91,7411.0,39
HCPCS,J3490,salmeterol 50 mcg/dose blister powder for inhalation,486.41,291.85,82.69,7411.0,39
HCPCS,J3490,scopolamine 1 mg over 3 days transdermal patch,19.79,11.87,3.23,7411.0,117
HCPCS,J3490,selegiline 5 mg capsule,3.35,2.01,0.5695,7411.0,39
HCPCS,J3490,selenium 200 mcg tablet,0.1,0.06,0.017,7411.0,39
HCPCS,J3490,selenium 40 mcg/mL intravenous solution,327.0,196.2,55.59,7411.0,39
HCPCS,J3490,sennosides 8.6 mg tablet,0.27,0.2,0.0034,7411.0,312
HCPCS,J3490,sennosides 8.6 mg-docusate sodium 50 mg tablet,0.2,0.12,0.0068,7411.0,351
HCPCS,J3490,sertraline 100 mg tablet,0.33499999999999996,0.2,0.0289,7411.0,156
HCPCS,J3490,sertraline 25 mg tablet,0.475,0.28500000000000003,0.034,7411.0,78
HCPCS,J3490,sertraline 50 mg tablet,0.19,0.11499999999999999,0.0272,7411.0,195
HCPCS,J3490,sildenafil (pulmonary hypertension) 20 mg tablet,1.03,0.62,0.034,7411.0,117
HCPCS,J3490,sildenafil 50 mg tablet,3.3,1.98,0.0901,7411.0,117
HCPCS,J3490,silodosin 4 mg capsule,3.0,1.8,0.51,7411.0,39
HCPCS,J3490,silver nitrate applicators 75 %-25 % topical stick,14.06,8.44,0.0816,7411.0,117
HCPCS,J3490,silver sulfADIAZINE 1 % topical cream,56.7,34.019999999999996,1.99,7411.0,156
HCPCS,J3490,simethicone 125 mg capsule,0.27,0.165,0.0221,7411.0,78
HCPCS,J3490,"simethicone 40 mg/0.6 mL oral drops,suspension",8.7,5.22,0.6324,7411.0,273
HCPCS,J3490,simethicone 80 mg chewable tablet,0.32499999999999996,0.195,0.0306,7411.0,78
HCPCS,J3490,simple syrup,27.43,16.46,4.66,7411.0,39
HCPCS,J3490,sod bicarb-citric ac-simeth 2.21 gram-1.53 gram/4 gram granules efferv,4.73,2.84,0.8041,7411.0,39
HCPCS,J3490,sodium acetate 2 mEq/mL intravenous solution,39.9,23.94,5.3,7411.0,117
HCPCS,J3490,sodium acetate 4 mEq/mL intravenous solution,64.8,38.88,11.02,7411.0,39
HCPCS,J3490,sodium bicarbonate (bulk) powder,16.91,10.15,2.87,7411.0,39
HCPCS,J3490,sodium bicarbonate 1 mEq/mL (8.4 %) intravenous solution,70.5,42.3,11.98,7411.0,39
HCPCS,J3490,sodium bicarbonate 10 mEq/10 mL (8.4 %) intravenous syringe,264.9,158.94,45.03,7411.0,39
HCPCS,J3490,sodium bicarbonate 4 % intravenous solution,59.69,35.81,10.15,7411.0,39
HCPCS,J3490,sodium bicarbonate 4.2 % (0.5 mEq/mL) intravenous syringe,76.86,46.12,13.07,7411.0,39
HCPCS,J3490,sodium bicarbonate 4.2 % intravenous solution,34.2,20.52,5.81,7411.0,39
HCPCS,J3490,sodium bicarbonate 50 mEq/50 mL (8.4 %) intravenous syringe,119.4,71.64,20.3,7411.0,39
HCPCS,J3490,sodium bicarbonate 650 mg tablet,0.11,0.045000000000000005,0.0034,7411.0,195
HCPCS,J3490,sodium chloride 0.45 % IV,50.0,30.0,8.5,7411.0,40
HCPCS,J3490,sodium chloride 0.45 % intravenous solution,50.0,30.0,8.5,7411.0,40
HCPCS,J3490,sodium chloride 0.65 % nasal spray aerosol,1.85,1.11,0.3145,7411.0,39
HCPCS,J3490,sodium chloride 0.9 % (flush) injection syringe,13.8,8.28,2.23,7411.0,117
HCPCS,J3490,sodium chloride 0.9 % for nebulization,0.6,0.36,0.068,7411.0,195
HCPCS,J3490,sodium chloride 0.9 % injection solution,17.880000000000003,10.725,2.51,7411.0,156
HCPCS,J3490,"sodium chloride 0.9 % injection solution,,,",17.64,10.58,3.0,7411.0,39
HCPCS,J3490,"sodium chloride 0.9 % injection syringe,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,",13.91,8.345,2.23,7411.0,78
HCPCS,J3490,sodium chloride 0.9 % irrigation solution,50.0,30.0,8.5,7411.0,39
HCPCS,J3490,"sodium chloride 0.9 %, bacteriostatic injection solution",50.0,30.0,8.5,7411.0,39
HCPCS,J3490,"sodium chloride 0.9% (flush) injection syringe,sodium chloride 0.9 % injection syringe,",13.8,8.28,2.23,7411.0,117
HCPCS,J3490,"sodium chloride 1 gram tablet,sodium chloride 1,000 mg soluble tablet",0.305,0.185,0.0272,7411.0,78
HCPCS,J3490,"sodium chloride 1,000 mg soluble tablet",0.305,0.185,0.0272,7411.0,78
HCPCS,J3490,sodium chloride 2 % eye drops,30.36,18.22,5.16,7411.0,39
HCPCS,J3490,sodium chloride 2.5 mEq/mL intravenous solution,52.08,31.25,8.85,7411.0,39
HCPCS,J3490,sodium chloride 3 % for nebulization,1.23,0.74,0.1122,7411.0,156
HCPCS,J3490,sodium chloride 3.5 % for nebulization,1.46,0.88,0.2482,7411.0,39
HCPCS,J3490,sodium chloride 5 % eye ointment,20.73,12.435,3.49,7411.0,78
HCPCS,J3490,sodium chloride 7 % for nebulization,1.26,0.76,0.085,7411.0,195
HCPCS,J3490,sodium citrate-citric acid 500 mg-334 mg/5 mL oral solution,15.99,9.595,0.612,7411.0,78
HCPCS,J3490,sodium di- and monophosphate-potassium phos monobasic 250 mg tablet,0.98,0.59,0.1156,7411.0,117
HCPCS,J3490,sodium hyaluronate 10 mg/mL intraocular syringe,470.92,282.55,76.5,7411.0,117
HCPCS,J3490,sodium hypochlorite 0.125 % solution,68.76,41.26,11.69,7411.0,39
HCPCS,J3490,sodium hypochlorite 0.25 % solution,92.885,55.735,11.69,7411.0,78
HCPCS,J3490,sodium hypochlorite 0.5 % solution,92.885,55.735,11.69,7411.0,78
HCPCS,J3490,sodium nitroprusside 25 mg/mL intravenous solution,286.44,171.86,48.69,7411.0,39
HCPCS,J3490,sodium phosphate 3 mmol/mL intravenous solution,108.84,65.3,4.39,7411.0,117
HCPCS,J3490,sodium phosphates 19 gram-7 gram/118 mL enema,2.93,1.76,0.4981,7411.0,39
HCPCS,J3490,sodium phosphates 9.5 gram-3.5 gram/59 mL enema,2.77,1.66,0.4709,7411.0,39
HCPCS,J3490,sodium polystyrene sulfonate 15 gram oral powder,6.6,3.96,1.12,7411.0,39
HCPCS,J3490,sodium polystyrene sulfonate 15 gram-sorbitol 20 gram/60 mL oral susp,234.79,140.875,8.43,7411.0,78
HCPCS,J3490,sodium tetradecyl sulfate 1 % (10 mg/mL) intravenous solution,351.57,210.94,59.77,7411.0,39
HCPCS,J3490,sodium tetradecyl sulfate 3 % (30 mg/mL) intravenous solution,351.57,210.94,59.77,7411.0,39
HCPCS,J3490,sodium zirconium cyclosilicate 10 gram oral powder packet,54.7,32.82,9.3,7411.0,39
HCPCS,J3490,sodium zirconium cyclosilicate 5 gram oral powder packet,54.7,32.82,9.3,7411.0,39
HCPCS,J3490,sofosbuvir 400 mg-velpatasvir 100 mg tablet,571.93,343.16,97.23,7411.0,39
HCPCS,J3490,solifenacin 5 mg tablet,1.39,0.83,0.1139,7411.0,195
HCPCS,J3490,sorbitol 70 % solution,13.670000000000002,8.205,0.9486,7411.0,78
HCPCS,J3490,sorbitol-mannitol-xanthan gum oral liquid,16.0,9.6,2.72,7411.0,39
HCPCS,J3490,sotalol 160 mg tablet,0.63,0.38,0.0527,7411.0,78
HCPCS,J3490,sotalol 80 mg tablet,0.56,0.34,0.0306,7411.0,117
HCPCS,J3490,spironolactone 100 mg tablet,1.52,0.915,0.1547,7411.0,78
HCPCS,J3490,spironolactone 25 mg tablet,0.355,0.21500000000000002,0.0425,7411.0,78
HCPCS,J3490,spironolactone 25 mg/5 mL oral suspension,788.24,472.94,134.0,7411.0,39
HCPCS,J3490,sterile talc 4 gram intrapleural aerosol powder,252.0,151.2,42.84,7411.0,39
HCPCS,J3490,sterile talc 4 gram intrapleural suspension,765.0,459.0,130.05,7411.0,39
HCPCS,J3490,sterile talc 5 gram intrapleural suspension,447.75,268.65,76.12,7411.0,39
HCPCS,J3490,succimer 100 mg capsule,44.07,26.44,7.49,7411.0,39
HCPCS,J3490,sucralfate 1 gram tablet,0.63,0.38,0.0544,7411.0,195
HCPCS,J3490,sucralfate 100 mg/mL oral suspension,200.06,120.03999999999999,3.06,7411.0,156
HCPCS,J3490,sugammadex 100 mg/mL intravenous solution,583.47,350.08,99.19,7411.0,39
HCPCS,J3490,sulfADIAZINE 500 mg tablet,20.57,12.344999999999999,1.46,7411.0,78
HCPCS,J3490,sulfaSALAzine 500 mg tablet,2.305,1.38,0.1479,7411.0,156
HCPCS,J3490,sulfacetamide sodium 10 % eye drops,93.27000000000001,55.96,15.14,7411.0,78
HCPCS,J3490,sulfamethoxazole 200 mg-trimethoprim 40 mg/5 mL oral suspension,179.29,107.57,30.48,7411.0,39
HCPCS,J3490,sulfamethoxazole 400 mg-trimethoprim 80 mg tablet,0.87,0.52,0.1479,7411.0,39
HCPCS,J3490,sulfamethoxazole 800 mg-trimethoprim 160 mg tablet,0.9,0.54,0.1071,7411.0,117
HCPCS,J3490,surgical lubricant jelly topical,4.2,2.52,0.714,7411.0,39
HCPCS,J3490,tadalafil 20 mg tablet,2.635,1.58,0.306,7411.0,156
HCPCS,J3490,tadalafil 5 mg tablet,10.445,6.265,0.2839,7411.0,78
HCPCS,J3490,tamoxifen 10 mg tablet,5.859999999999999,3.52,0.9792,7411.0,78
HCPCS,J3490,tamsulosin 0.4 mg capsule,1.55,0.93,0.1887,7411.0,273
HCPCS,J3490,tapentadol 50 mg tablet,24.17,14.5,4.11,7411.0,39
HCPCS,J3490,tecovirimat 10 mg/mL intravenous solution,4.0,2.4,0.68,7411.0,39
HCPCS,J3490,telmisartan 40 mg tablet,5.745,3.4450000000000003,0.3638,7411.0,78
HCPCS,J3490,telmisartan 80 mg tablet,1.905,1.1400000000000001,0.187,7411.0,156
HCPCS,J3490,temazepam 15 mg capsule,0.19,0.12,0.0306,7411.0,117
HCPCS,J3490,temazepam 7.5 mg capsule,9.969999999999999,5.9799999999999995,1.02,7411.0,78
HCPCS,J3490,tenofovir disoproxil fumarate 300 mg tablet,42.81999999999999,25.689999999999998,0.2669,7411.0,78
HCPCS,J3490,terazosin 1 mg capsule,0.36,0.22,0.051,7411.0,117
HCPCS,J3490,terazosin 2 mg capsule,0.36,0.22,0.0612,7411.0,39
HCPCS,J3490,terazosin 5 mg capsule,0.36,0.22,0.051,7411.0,117
HCPCS,J3490,terbinafine HCl 250 mg tablet,0.9199999999999999,0.55,0.1428,7411.0,78
HCPCS,J3490,terbutaline 2.5 mg tablet,8.155000000000001,4.895,1.12,7411.0,78
HCPCS,J3490,terbutaline 5 mg tablet,7.8,4.68,1.33,7411.0,39
HCPCS,J3490,terlipressin 0.85 mg intravenous powder for solution,2850.0,1710.0,484.5,7411.0,39
HCPCS,J3490,testosterone 1.62 % (40.5 mg/2.5 gram) transdermal gel packet,44.27,26.56,7.53,7411.0,39
HCPCS,J3490,tetracaine HCl (PF) 0.5 % eye drops,26.44,15.86,4.49,7411.0,39
HCPCS,J3490,tetracaine HCl (PF) 1 % (10 mg/mL) injection solution,341.74,205.04,58.1,7411.0,39
HCPCS,J3490,tetracycline 250 mg capsule,2.255,1.35,0.2618,7411.0,78
HCPCS,J3490,theophylline 80 mg/15 mL oral solution,149.47,89.68,25.41,7411.0,39
HCPCS,J3490,"theophylline ER 300 mg tablet,extended release,12 hr",2.59,1.55,0.4403,7411.0,39
HCPCS,J3490,"thiamine HCl (vitamin B1) 100 mg tablet,thiamine mononitrate (vitamin B1) 100 mg tablet",0.34,0.2,0.0578,7411.0,39
HCPCS,J3490,thiamine mononitrate (vitamin B1) 100 mg tablet,0.23500000000000001,0.08,0.0102,7411.0,234
HCPCS,J3490,thioguanine 40 mg tablet,55.55,33.33,9.44,7411.0,39
HCPCS,J3490,thioridazine 25 mg tablet,1.2000000000000002,0.72,0.1802,7411.0,78
HCPCS,J3490,thiothixene 5 mg capsule,3.81,2.29,0.6477,7411.0,39
HCPCS,J3490,"thrombin (bovine) 5,000 unit nasal spray syringe",406.9,244.14,69.17,7411.0,39
HCPCS,J3490,"thrombin (bovine) 5,000 unit topical spray syringe",388.9,233.34,66.11,7411.0,39
HCPCS,J3490,"thrombin (recombinant) 5,000 unit topical solution",415.0,249.0,70.55,7411.0,39
HCPCS,J3490,thyroid (pork) 30 mg tablet,1.93,1.16,0.3281,7411.0,39
HCPCS,J3490,thyroid (pork) 60 mg tablet,2.14,1.28,0.3638,7411.0,39
HCPCS,J3490,tiZANidine 4 mg capsule,1.53,0.92,0.2601,7411.0,39
HCPCS,J3490,tiZANidine 4 mg tablet,2.05,1.23,0.204,7411.0,117
HCPCS,J3490,tiaGABine 4 mg tablet,18.259999999999998,10.955,2.16,7411.0,78
HCPCS,J3490,ticagrelor 60 mg tablet,17.04,10.22,2.9,7411.0,39
HCPCS,J3490,ticagrelor 90 mg tablet,17.04,10.22,2.9,7411.0,39
HCPCS,J3490,timolol 0.25 % eye drops,2.76,1.66,0.4692,7411.0,39
HCPCS,J3490,timolol maleate 0.25 % eye drops,10.4,6.24,1.77,7411.0,39
HCPCS,J3490,timolol maleate 0.25 % eye gel forming solution,317.2,190.32,53.92,7411.0,39
HCPCS,J3490,timolol maleate 0.5 % eye drops,22.82,13.695,2.95,7411.0,78
HCPCS,J3490,timolol maleate 0.5 % eye gel forming solution,347.62,208.57,59.1,7411.0,39
HCPCS,J3490,tobramycin 0.3 % eye drops,23.4,14.04,3.96,7411.0,78
HCPCS,J3490,"tobramycin 0.3 %-dexamethasone 0.1 % eye drops,suspension",202.8,121.68,34.48,7411.0,39
HCPCS,J3490,tobramycin-dexamethasone 0.3 %-0.1 % eye ointment,456.42,273.85,77.59,7411.0,39
HCPCS,J3490,tolterodine 1 mg tablet,1.67,1.0,0.1377,7411.0,117
HCPCS,J3490,tolterodine 2 mg tablet,2.365,1.42,0.1411,7411.0,156
HCPCS,J3490,tolvaptan 15 mg tablet,580.195,348.115,20.4,7411.0,78
HCPCS,J3490,tolvaptan 30 mg tablet,961.05,576.63,163.38,7411.0,39
HCPCS,J3490,topiramate 100 mg tablet,3.375,2.025,0.0391,7411.0,78
HCPCS,J3490,topiramate 25 mg sprinkle capsule,2.65,1.59,0.4505,7411.0,39
HCPCS,J3490,topiramate 25 mg tablet,0.365,0.22,0.0221,7411.0,78
HCPCS,J3490,torsemide 20 mg tablet,0.83,0.5,0.0731,7411.0,78
HCPCS,J3490,traMADol 50 mg tablet,3.15,1.89,0.5202,7411.0,195
HCPCS,J3490,traZODone 100 mg tablet,0.36,0.185,0.0425,7411.0,117
HCPCS,J3490,traZODone 50 mg tablet,0.13,0.08,0.0221,7411.0,39
HCPCS,J3490,trace elements #1 5.33 mcg-0.34 mg-0.54 mg/mL intravenous solution,108.0,64.8,18.36,7411.0,40
HCPCS,J3490,trace elements Cr-Cu-Mn-Se-Zn 4-400-100-20 mcg-1000 mcg/mL IV solution,91.62,54.97,15.58,7411.0,39
HCPCS,J3490,trace elements Cr-Cu-Mn-Zn 10 mcg-1 mg-0.5 mg-5 mg/mL intravenous soln,102.0,61.2,17.34,7411.0,39
HCPCS,J3490,trace elements Zn 3 mg-Cu 0.3 mg-Mn 55 mcg-Se 60 mcg/mL IV solution,166.92,100.15,28.38,7411.0,39
HCPCS,J3490,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution",87.94,52.76,7.82,7411.0,195
HCPCS,J3490,"tranexamic acid 1,000 mg/100 mL(10 mg/mL)in sod chlor,iso IV piggyback",152.5,91.5,25.67,7411.0,78
HCPCS,J3490,tranexamic acid 650 mg tablet,9.01,5.405,1.25,7411.0,78
HCPCS,J3490,"treprostinil diolamine ER 0.125 mg tablet,extended release",13.89,8.33,2.36,7411.0,39
HCPCS,J3490,"treprostinil diolamine ER 0.25 mg tablet,extended release",27.775,16.665,4.72,7411.0,78
HCPCS,J3490,"treprostinil diolamine ER 5 mg tablet, extended release",555.51,333.31,94.44,7411.0,39
HCPCS,J3490,tretinoin (antineoplastic) 10 mg capsule,60.05,36.03,9.99,7411.0,117
HCPCS,J3490,tretinoin 0.1 % topical cream,219.12,131.47,37.25,7411.0,39
HCPCS,J3490,triamcinolone acetonide 0.025 % topical cream,7.32,4.390000000000001,1.22,7411.0,78
HCPCS,J3490,triamcinolone acetonide 0.025 % topical ointment,9.93,5.96,1.69,7411.0,39
HCPCS,J3490,triamcinolone acetonide 0.1 % dental paste,128.94,77.36,21.92,7411.0,39
HCPCS,J3490,triamcinolone acetonide 0.1 % lotion,65.4,39.24,11.12,7411.0,39
HCPCS,J3490,triamcinolone acetonide 0.1 % topical cream,39.04,23.42,1.44,7411.0,117
HCPCS,J3490,triamcinolone acetonide 0.1 % topical ointment,49.92,29.950000000000003,1.47,7411.0,156
HCPCS,J3490,triamcinolone acetonide 0.147 mg/gram topical aerosol,1059.28,635.57,180.08,7411.0,39
HCPCS,J3490,triamcinolone acetonide 0.5 % topical cream,16.38,9.83,2.78,7411.0,39
HCPCS,J3490,triamcinolone acetonide 0.5 % topical ointment,16.35,9.81,2.78,7411.0,39
HCPCS,J3490,triamcinolone acetonide 55 mcg nasal spray aerosol,34.65,20.79,5.89,7411.0,39
HCPCS,J3490,triamterene 37.5 mg-hydrochlorothiazide 25 mg tablet,0.55,0.33,0.0935,7411.0,39
HCPCS,J3490,triamterene 50 mg capsule,29.42,17.65,5.0,7411.0,39
HCPCS,J3490,triamterene 75 mg-hydrochlorothiazide 50 mg tablet,0.995,0.6,0.0952,7411.0,78
HCPCS,J3490,triazolam 0.125 mg tablet,5.87,3.52,0.9979,7411.0,39
HCPCS,J3490,triazolam 0.25 mg tablet,2.02,1.21,0.3434,7411.0,39
HCPCS,J3490,trifluoperazine 2 mg tablet,2.565,1.54,0.306,7411.0,78
HCPCS,J3490,trifluoperazine 5 mg tablet,2.27,1.36,0.3859,7411.0,39
HCPCS,J3490,trifluridine 1 % eye drops,392.03,235.22,66.65,7411.0,39
HCPCS,J3490,trihexyphenidyl 2 mg tablet,0.3,0.18,0.051,7411.0,39
HCPCS,J3490,trimethoprim 100 mg tablet,2.6700000000000004,1.605,0.1887,7411.0,78
HCPCS,J3490,tromethamine 36 mg/mL (0.3 M) intravenous solution,1584.75,950.85,269.41,7411.0,39
HCPCS,J3490,tropicamide 1 % eye drops,60.0,36.0,2.72,7411.0,117
HCPCS,J3490,ulipristal 30 mg tablet,71.5,42.9,12.15,7411.0,39
HCPCS,J3490,umeclidinium 62.5 mcg-vilanterol 25 mcg/actuation powdr for inhalation,17.3,10.38,2.94,7411.0,39
HCPCS,J3490,umeclidinium 62.5 mcg/actuation blister powder for inhalation,23.525,14.115,3.81,7411.0,78
HCPCS,J3490,urea 15 gram oral powder packet,7.25,4.35,1.23,7411.0,39
HCPCS,J3490,urea 40 % topical cream,177.14,106.28,30.11,7411.0,39
HCPCS,J3490,ursodiol 250 mg tablet,2.83,1.7,0.255,7411.0,117
HCPCS,J3490,ursodiol 300 mg capsule,2.5,1.5,0.357,7411.0,117
HCPCS,J3490,valACYclovir 500 mg tablet,4.755,2.8550000000000004,0.2176,7411.0,78
HCPCS,J3490,valGANciclovir 450 mg tablet,10.5,6.3,1.43,7411.0,117
HCPCS,J3490,valGANciclovir 50 mg/mL oral solution,1590.48,954.29,268.68,7411.0,117
HCPCS,J3490,valproic acid (as sodium salt) 250 mg/5 mL oral solution,26.015,15.61,4.18,7411.0,78
HCPCS,J3490,valproic acid 250 mg capsule,0.75,0.44999999999999996,0.119,7411.0,78
HCPCS,J3490,valsartan 160 mg tablet,1.58,0.9450000000000001,0.1411,7411.0,156
HCPCS,J3490,valsartan 40 mg tablet,0.53,0.405,0.0697,7411.0,195
HCPCS,J3490,valsartan 80 mg tablet,0.67,0.4,0.0816,7411.0,195
HCPCS,J3490,vancomycin (bulk) 900 mcg/mg (not less than) powder,14540.0,8724.0,2471.8,12359.0,39
HCPCS,J3490,vancomycin 125 mg capsule,5.5,3.3,0.765,7411.0,117
HCPCS,J3490,vancomycin 25 mg/mL oral solution,5.805,3.4850000000000003,0.9384,7411.0,156
HCPCS,J3490,varenicline tartrate 0.5 mg tablet,10.360000000000001,6.22,0.5032,7411.0,78
HCPCS,J3490,varenicline tartrate 1 mg tablet,17.76,10.66,3.02,7411.0,39
HCPCS,J3490,vasopressin 20 unit/100 mL (0.2 unit/mL) in 0.9 % sodium chloride IV,292.5,175.5,49.73,7411.0,41
HCPCS,J3490,vecuronium bromide 10 mg intravenous solution,55.0,33.0,9.35,7411.0,39
HCPCS,J3490,vecuronium bromide 20 mg intravenous solution,74.35,44.61,12.31,7411.0,78
HCPCS,J3490,venetoclax 100 mg tablet,261.98,157.19,44.53,7411.0,117
HCPCS,J3490,venetoclax 50 mg tablet,133.5,80.1,22.7,7411.0,39
HCPCS,J3490,venlafaxine 37.5 mg tablet,0.26,0.16,0.0425,7411.0,117
HCPCS,J3490,venlafaxine 50 mg tablet,0.28,0.17,0.0442,7411.0,117
HCPCS,J3490,"venlafaxine ER 150 mg capsule,extended release 24 hr",1.17,0.7,0.1037,7411.0,117
HCPCS,J3490,"venlafaxine ER 37.5 mg capsule,extended release 24 hr",11.885,7.13,0.1394,7411.0,78
HCPCS,J3490,"venlafaxine ER 75 mg capsule,extended release 24 hr",0.52,0.31000000000000005,0.0799,7411.0,78
HCPCS,J3490,verapamil 120 mg tablet,0.18,0.11,0.0306,7411.0,39
HCPCS,J3490,verapamil 2.5 mg/mL intravenous solution,109.81,65.89,10.2,7411.0,117
HCPCS,J3490,verapamil 40 mg tablet,0.31,0.19,0.0527,7411.0,39
HCPCS,J3490,verapamil 80 mg tablet,0.195,0.12000000000000001,0.0272,7411.0,78
HCPCS,J3490,"verapamil ER (SR) 120 mg tablet,extended release",2.53,1.52,0.204,7411.0,78
HCPCS,J3490,"verapamil ER (SR) 180 mg tablet,extended release",2.4000000000000004,1.4400000000000002,0.1105,7411.0,78
HCPCS,J3490,"verapamil ER (SR) 240 mg tablet,extended release",2.42,1.45,0.1054,7411.0,78
HCPCS,J3490,vilazodone 40 mg tablet,23.16,13.9,3.94,7411.0,39
HCPCS,J3490,vit A 300 mcg-C 200 mg-E 27 mg-lutein 2 mg and minerals tablet,0.18,0.11,0.0289,7411.0,117
HCPCS,J3490,"vitamin A 10,000 unit capsule,vitamin A palmitate 10,000 unit capsule",0.08,0.05,0.0136,7411.0,39
HCPCS,J3490,"vitamin A 3,000 mcg (10,000 unit) capsule",0.08499999999999999,0.05,0.0136,7411.0,78
HCPCS,J3490,vitamin B comp no.3-folic acid 1 mg-vit C 60 mg-biotin 300 mcg tablet,0.38,0.23,0.0646,7411.0,39
HCPCS,J3490,"vitamin E (dl, acetate) 180 mg (400 unit) capsule",0.125,0.07500000000000001,0.0153,7411.0,156
HCPCS,J3490,"vitamin E (dl, acetate) 22.5 mg (50 unit)/mL oral drops",54.96,32.98,9.34,7411.0,39
HCPCS,J3490,"vitamin E (dl, acetate) 45 mg (100 unit) capsule",0.03,0.02,0.0051,7411.0,39
HCPCS,J3490,"vitamin E (dl, acetate) 90 mg (200 unit) capsule",0.08,0.05,0.0136,7411.0,39
HCPCS,J3490,vitamins A and D-white petrolatum-lanolin topical ointment,4.42,2.65,0.7514,7411.0,39
HCPCS,J3490,voriconazole 200 mg tablet,15.5,9.3,2.63,7411.0,39
HCPCS,J3490,voriconazole 50 mg tablet,4.155,2.495,0.5916,7411.0,78
HCPCS,J3490,vortioxetine 20 mg tablet,32.64,19.58,5.55,7411.0,39
HCPCS,J3490,warfarin 1 mg tablet,2.59,1.5499999999999998,0.4148,7411.0,78
HCPCS,J3490,warfarin 10 mg tablet,3.22,1.93,0.4641,7411.0,117
HCPCS,J3490,warfarin 2 mg tablet,2.76,1.66,0.4182,7411.0,117
HCPCS,J3490,warfarin 2.5 mg tablet,2.71,1.625,0.4199,7411.0,156
HCPCS,J3490,warfarin 5 mg tablet,2.82,1.69,0.4216,7411.0,117
HCPCS,J3490,warfarin 7.5 mg tablet,8.17,4.9,1.39,7411.0,39
HCPCS,J3490,water (bulk) liquid,236.0,141.6,40.12,7411.0,39
HCPCS,J3490,"water for injection, sterile 100 % injection solution",28.17,16.9,1.06,7411.0,312
HCPCS,J3490,"water for injection, sterile 100 % intravenous solution",36.0,21.6,5.1,7411.0,117
HCPCS,J3490,"water for irrigation, sterile solution",39.75,23.85,3.06,7411.0,234
HCPCS,J3490,white petrolatum 41 % topical ointment,19.55,11.729999999999999,1.67,7411.0,78
HCPCS,J3490,white petrolatum 57.7 %-mineral oil 31.9 % eye ointment,11.1,6.66,1.89,7411.0,39
HCPCS,J3490,white petrolatum topical jelly,5.15,3.09,0.7293,7411.0,195
HCPCS,J3490,white petrolatum topical ointment in packet,0.44,0.26,0.0748,7411.0,39
HCPCS,J3490,white petrolatum-mineral oil 56.8 %-42.5 % eye ointment,19.54,11.72,3.32,7411.0,39
HCPCS,J3490,white petrolatum-mineral oil 57.3 %-42.5 % eye ointment,17.16,10.3,2.92,7411.0,39
HCPCS,J3490,white petrolatum-mineral oil 83 %-15 % eye ointment,10.78,6.47,1.83,7411.0,39
HCPCS,J3490,white petrolatum-mineral oil 94 %-3 % eye ointment,16.3,9.78,2.21,7411.0,117
HCPCS,J3490,witch hazel 50 % topical pads,0.21,0.13,0.0357,7411.0,39
HCPCS,J3490,zidovudine 10 mg/mL oral syrup,72.5,43.5,12.32,7411.0,39
HCPCS,J3490,zidovudine 100 mg capsule,3.53,2.12,0.6001,7411.0,39
HCPCS,J3490,"zinc chloride 1 mg/mL intravenous solution,zinc sulfate 1 mg/mL intravenous solution",154.14,92.48,26.2,7411.0,39
HCPCS,J3490,zinc oxide 20 % topical ointment,7.324999999999999,4.395,0.7038,7411.0,78
HCPCS,J3490,zinc oxide-cod liver oil 40 % topical paste,8.44,5.06,1.43,7411.0,39
HCPCS,J3490,zinc sulfate 5 mg/mL intravenous solution,357.38,214.43,60.75,7411.0,39
HCPCS,J3490,zinc sulfate 50 mg zinc (220 mg) capsule,0.13,0.08,0.0068,7411.0,156
HCPCS,J3490,ziprasidone 20 mg capsule,1.835,1.1,0.17,7411.0,78
HCPCS,J3490,zolpidem 5 mg tablet,0.175,0.10500000000000001,0.0153,7411.0,156
HCPCS,J3490,zonisamide 100 mg capsule,0.74,0.44,0.1258,7411.0,39
HCPCS,J3490,zonisamide 25 mg capsule,0.365,0.22,0.0527,7411.0,78
HCPCS,J3590,cholecalciferol (vitamin D3) 10 mcg/mL (400 unit/mL) oral drops,0.115,0.07,0.0119,7411.0,78
HCPCS,J3590,"thrombin (bovine) 20,000 unit topical solution",1308.07,784.84,222.37,7411.0,39
HCPCS,J3590,"thrombin (bovine) 20,000 unit topical spray",1493.07,895.84,253.82,7411.0,39
HCPCS,J3590,"thrombin (bovine) 5,000 unit topical solution",352.59,211.55,59.94,7411.0,39
HCPCS,J7030,sodium chloride 0.9 % IV,66.75,40.05,2.4,7411.0,164
HCPCS,J7030,sodium chloride 0.9 % intravenous piggyback,50.0,30.0,2.4,7411.0,41
HCPCS,J7030,sodium chloride 0.9 % intravenous solution,50.0,30.0,2.4,7411.0,41
HCPCS,J7040,sodium chloride 0.9 % IV,50.0,30.0,1.49,7411.0,41
HCPCS,J7040,sodium chloride 0.9 % intravenous solution,50.0,30.0,1.49,7411.0,41
HCPCS,J7042,dextrose 5 % and 0.2 % sodium chloride IV,33.0,19.8,1.41,7411.0,82
HCPCS,J7042,dextrose 5 % and 0.2 % sodium chloride intravenous solution,45.0,27.0,1.41,7411.0,123
HCPCS,J7042,dextrose 5 % and 0.45 % sodium chloride intravenous solution,45.0,27.0,1.41,7411.0,123
HCPCS,J7042,dextrose 5 % and 0.9 % sodium chloride IV,30.0,18.0,1.27,7411.0,205
HCPCS,J7042,dextrose 5 % and 0.9 % sodium chloride intravenous solution,48.0,28.8,1.41,7411.0,41
HCPCS,J7050,dextrose 5 % in water (D5W) IV,28.5,17.1,0.7733,7411.0,82
HCPCS,J7050,dextrose 5 % in water (D5W) intravenous solution,40.5,24.3,0.7733,7411.0,82
HCPCS,J7050,sodium chloride 0.9 % IV,50.0,30.0,0.7733,7411.0,41
HCPCS,J7050,sodium chloride 0.9 % intravenous piggyback,50.0,30.0,0.7733,7411.0,41
HCPCS,J7050,sodium chloride 0.9 % intravenous solution,50.0,30.0,0.7733,7411.0,41
HCPCS,J7060,dextrose 5 % in water (D5W) IV,16.35,9.81,2.06,7411.0,246
HCPCS,J7060,dextrose 5 % in water (D5W) intravenous piggyback,45.15,27.09,2.06,7411.0,164
HCPCS,J7060,dextrose 5 % in water (D5W) intravenous solution,40.5,24.3,2.06,7411.0,82
HCPCS,J7070,dextrose 5 % in water (D5W) IV,33.0,19.8,3.38,7411.0,82
HCPCS,J7070,dextrose 5 % in water (D5W) intravenous solution,28.35,17.01,3.38,7411.0,328
HCPCS,J7100,dextran 40 10 % in 0.9 % sodium chloride intravenous solution,252.0,151.2,42.84,7411.0,41
HCPCS,J7120,lactated Ringers intravenous solution,40.5,24.299999999999997,2.86,7411.0,168
HCPCS,J7120,lactated ringers IV,40.5,24.299999999999997,2.86,7411.0,82
HCPCS,J7121,dextrose 5 % and lactated ringers intravenous solution,45.0,27.0,7.14,7411.0,82
HCPCS,J7131,sodium chloride 3 % HYPERTONIC intravenous injection solution,50.0,30.0,8.5,7411.0,41
HCPCS,J7131,sodium chloride 4 mEq/mL intravenous solution,33.09,19.855,3.06,7411.0,164
HCPCS,J7168,"hum prothrombin cplx, 4-factor 1,000 unit (800-1,240 unit) IV solution",45.88,27.53,1.95,7411.0,57
HCPCS,J7168,"human prothrombin complex,4-factor 500 unit (400-620 unit) IV solution",45.88,27.53,1.95,7411.0,57
HCPCS,J7182,"antihemophilic FVIII, B-dom truncated 250 (+/-) unit intravenous soln",40.96,24.58,1.34,7411.0,57
HCPCS,J7182,"antihemophilic FVIII,B-dom truncated 1,000 (+/-) unit intravenous soln",40.96,24.58,1.34,7411.0,57
HCPCS,J7182,"antihemophilic FVIII,B-dom truncated 500 (+/-) unit intravenous soln",40.96,24.58,1.34,7411.0,57
HCPCS,J7183,"antihemophilic factor-vWF 1,000(vWF 1,000) unit/10 mL intravenous soln",38.02,22.81,1.25,7411.0,57
HCPCS,J7183,antihemophilic factor-vWF 500 (500 vWF) unit/5 mL intravenous solution,38.02,22.81,1.25,7411.0,57
HCPCS,J7185,"antihemophilic FVIII,rec B-domain deleted 1,000 (+/-) unit IV syringe",38.92,23.35,1.42,7411.0,57
HCPCS,J7185,"antihemophilic FVIII,rec B-domain deleted 2,000 (+/-) unit IV syringe",38.92,23.35,1.42,7411.0,57
HCPCS,J7185,"antihemophilic FVIII,rec B-domain deleted 250 (+/-) unit IV syringe",38.92,23.35,1.42,7411.0,57
HCPCS,J7185,"antihemophilic factor VIII,rec B-domain delet 1,000 (+/-) unit IV soln",38.92,23.35,1.42,7411.0,57
HCPCS,J7185,"antihemophilic factor VIII,rec B-domain deleted 250 (+/-) unit IV soln",38.92,23.35,1.42,7411.0,57
HCPCS,J7187,"antihemophilic factor-vWF 1,000 unit-2,400 unit intravenous solution",37.6,22.56,1.42,7411.0,58
HCPCS,J7187,antihemophilic factor-vWF 250 unit-600 unit intravenous solution,37.6,22.56,1.42,7411.0,58
HCPCS,J7187,"antihemophilic factor-vWF 500 unit-1,200 unit intravenous solution",37.6,22.56,1.42,7411.0,58
HCPCS,J7189,"coagulation factor VIIa recomb 1 mg (1,000 mcg) intravenous solution",44.08,26.45,2.51,7411.0,58
HCPCS,J7189,"coagulation factor VIIa recomb 2 mg (2,000 mcg) intravenous solution",44.08,26.45,2.51,7411.0,58
HCPCS,J7189,"coagulation factor VIIa recomb 5 mg (5,000 mcg) intravenous solution",44.08,26.45,2.51,7411.0,58
HCPCS,J7189,"coagulation factor VIIa recomb 8 mg (8,000 mcg) intravenous solution",44.08,26.45,2.51,7411.0,58
HCPCS,J7190,"antihemophilic factor 1,000 (+/-) unit intravenous powder for solution",36.64,21.98,1.32,7411.0,58
HCPCS,J7190,antihemophilic factor 250 (+/-) unit intravenous powder for solution,36.64,21.98,1.32,7411.0,58
HCPCS,J7190,antihemophilic factor 500 (+/-) unit intravenous powder for solution,36.64,21.98,1.32,7411.0,58
HCPCS,J7192,"antihemophilic factor (recomb) 1,000 (+/-) unit intravenous solution",39.4,23.64,1.49,7411.0,58
HCPCS,J7192,"antihemophilic factor (recomb) 2,000 (+/-) unit intravenous solution",39.4,23.64,1.49,7411.0,58
HCPCS,J7192,antihemophilic factor (recomb) 250 (+/-) unit intravenous solution,39.4,23.64,1.49,7411.0,58
HCPCS,J7192,antihemophilic factor (recomb) 500 (+/-) unit intravenous solution,39.4,23.64,1.49,7411.0,58
HCPCS,J7192,"antihemophilic factor VIII, full length 1,000 (+/-) unit IV solution",36.82,22.09,1.49,7411.0,58
HCPCS,J7192,"antihemophilic factor VIII, full length 2,000 (+/-) unit IV solution",39.4,23.64,1.49,7411.0,58
HCPCS,J7192,"antihemophilic factor VIII, full length 3,000 (+/-) unit IV solution",36.82,22.09,1.49,7411.0,58
HCPCS,J7192,"antihemophilic factor VIII, full length 500 (+/-) unit IV solution",36.82,22.09,1.49,7411.0,58
HCPCS,J7194,"factor IX complex no.4, 3-factor 1,000 (+/-) unit intravenous solution",36.1,21.66,1.44,7411.0,58
HCPCS,J7194,"factor IX complex no.4, 3-factor 1,500 (+/-) unit intravenous solution",36.49,21.895,1.44,7411.0,116
HCPCS,J7194,"factor IX complex no.4, 3-factor 500 (+/-) unit intravenous solution",36.1,21.66,1.44,7411.0,58
HCPCS,J7195,"coagulation factor IX (recomb) 1,000 unit intravenous solution",38.2,22.92,1.65,7411.0,58
HCPCS,J7195,"coagulation factor IX (recomb) 2,000 unit intravenous solution",38.2,22.92,1.65,7411.0,58
HCPCS,J7195,coagulation factor IX (recomb) 250 unit intravenous solution,38.2,22.92,1.65,7411.0,58
HCPCS,J7195,"coagulation factor IX (recomb) 3,000 unit intravenous solution",38.2,22.92,1.65,7411.0,58
HCPCS,J7195,coagulation factor IX (recomb) 500 unit intravenous solution,38.2,22.92,1.65,7411.0,58
HCPCS,J7197,antithrombin III (human) 500 (+/-) unit intravenous solution,53.98,32.39,3.9,7411.0,58
HCPCS,J7198,"anti-inhibitor coagulant complex 700 unit-1,300 unit intravenous soln",43.72,26.23,2.3,7411.0,58
HCPCS,J7198,"anti-inhibitor coagulant complx 1,750 unit-3,250 unit intravenous soln",43.72,26.23,2.3,7411.0,58
HCPCS,J7211,"antihemophilic factor VIII, full length 250 (+/-) unit IV solution",41.2,24.72,1.48,7411.0,57
HCPCS,J7298,levonorgestrel 21 mcg/24 hr (up to 8 years) 52 mg intrauterine device,3470.37,2082.22,589.96,7411.0,41
HCPCS,J7300,copper 380 square mm intrauterine device,3255.0,1953.0,553.35,7411.0,41
HCPCS,J7307,etonogestrel 68 mg subdermal implant,3280.38,1968.2250000000001,525.63,7411.0,82
HCPCS,J7325,hylan g-f 20 16 mg/2 mL intra-articular syringe,2054.43,1232.66,6.61,7411.0,57
HCPCS,J7500,azaTHIOprine 50 mg tablet,0.915,0.55,0.1156,7411.0,168
HCPCS,J7502,cycloSPORINE 100 mg capsule,35.1,21.06,1.57,7411.0,129
HCPCS,J7502,cycloSPORINE 100 mg/mL oral solution,1671.0,1002.6,1.57,7411.0,43
HCPCS,J7502,cycloSPORINE modified 100 mg capsule,15.115,9.065,1.49,7411.0,86
HCPCS,J7502,cycloSPORINE modified 100 mg/mL oral solution,1166.4,699.84,1.57,7411.0,43
HCPCS,J7503,"tacrolimus XR 0.75 mg tablet,extended release 24 hr",10.25,6.15,1.74,7411.0,42
HCPCS,J7503,"tacrolimus XR 1 mg tablet,extended release 24 hr",13.67,8.2,2.05,7411.0,42
HCPCS,J7503,"tacrolimus XR 4 mg tablet,extended release 24 hr",54.66,32.8,2.05,7411.0,42
HCPCS,J7504,"lymphocyte,anti-thymo immune globulin 50 mg/mL intravenous solution",12574.68,7544.81,2137.7,11378.72,58
HCPCS,J7507,"tacrolimus 0.5 mg capsule, immediate-release",0.74,0.44,0.1139,7411.0,129
HCPCS,J7507,"tacrolimus 1 mg capsule, immediate-release",1.6400000000000001,0.9850000000000001,0.17,7411.0,258
HCPCS,J7507,"tacrolimus 5 mg capsule, immediate-release",60.32,36.19,0.253,7411.0,129
HCPCS,J7509,methylPREDNISolone 4 mg tablet,1.72,1.03,0.1088,7411.0,126
HCPCS,J7510,prednisoLONE 15 mg/5 mL oral solution,106.08,63.65,0.814,7411.0,42
HCPCS,J7510,prednisoLONE sodium phosphate 15 mg/5 mL (3 mg/mL) oral solution,82.005,49.205,0.814,7411.0,84
HCPCS,J7511,anti-thymocyte globulin (rabbit) 25 mg intravenous solution,3198.48,1919.09,543.74,7411.0,58
HCPCS,J7512,predniSONE 1 mg tablet,0.41,0.25,0.0044,7411.0,126
HCPCS,J7512,predniSONE 10 mg tablet,0.35,0.21,0.0044,7411.0,126
HCPCS,J7512,predniSONE 2.5 mg tablet,0.275,0.165,0.0044,7411.0,84
HCPCS,J7512,predniSONE 20 mg tablet,0.39,0.235,0.0044,7411.0,168
HCPCS,J7512,predniSONE 5 mg tablet,0.36,0.22,0.0044,7411.0,126
HCPCS,J7512,predniSONE 50 mg tablet,0.66,0.395,0.0044,7411.0,84
HCPCS,J7515,cycloSPORINE 25 mg capsule,7.53,4.52,0.6886,7411.0,86
HCPCS,J7515,cycloSPORINE modified 25 mg capsule,5.36,3.22,0.2618,7411.0,129
HCPCS,J7516,cycloSPORINE 250 mg/5 mL intravenous solution,234.63,140.78,39.89,7411.0,43
HCPCS,J7517,mycophenolate mofetil 250 mg capsule,0.72,0.43,0.068,7411.0,126
HCPCS,J7518,"mycophenolate sodium 180 mg tablet,delayed release",4.39,2.63,0.0629,7411.0,126
HCPCS,J7518,"mycophenolate sodium 360 mg tablet,delayed release",8.77,7.015,0.1241,7411.0,210
HCPCS,J7519,mycophenolate 500 mg intravenous solution,406.075,243.645,0.4411,7411.0,84
HCPCS,J7520,sirolimus 0.5 mg tablet,11.05,6.63,1.39,7411.0,126
HCPCS,J7520,sirolimus 1 mg tablet,21.83,13.1,1.39,7411.0,126
HCPCS,J7520,sirolimus 1 mg/mL oral solution,64.255,38.555,1.39,7411.0,84
HCPCS,J7525,tacrolimus 5 mg/mL intravenous solution,1114.2,668.52,189.41,7411.0,58
HCPCS,J7527,everolimus (immunosuppressive) 0.5 mg tablet,42.2,25.32,1.37,7411.0,84
HCPCS,J7528,mycophenolate mofetil 200 mg/mL oral powder for suspension,36.25,21.75,0.3421,7411.0,120
HCPCS,J7605,arformoterol 15 mcg/2 mL solution for nebulization,13.83,8.3,0.7997,7411.0,120
HCPCS,J7608,acetylcysteine 200 mg/mL (20 %) Soln,30.32,18.19,4.7,7411.0,120
HCPCS,J7613,albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization,1.505,0.905,0.0836,7411.0,240
HCPCS,J7639,dornase alfa 1 mg/mL solution for inhalation,584.45,350.67,50.93,7411.0,42
HCPCS,J7644,ipratropium bromide 0.02 % solution for inhalation,1.5,0.9,0.221,7411.0,200
HCPCS,J7674,methacholine chloride 100 mg solution for inhalation,373.5,224.1,63.49,7411.0,41
HCPCS,J7682,tobramycin 300 mg/5 mL in 0.225 % sodium chloride for nebulization,62.55500000000001,37.535,2.51,7411.0,252
HCPCS,J7999,mitomycin 5 mg IV Solution,491.54,294.92,83.56,7411.0,39
HCPCS,J8499,dabigatran etexilate 150 mg capsule,8.61,5.17,1.46,7411.0,39
HCPCS,J8499,dabigatran etexilate 75 mg capsule,8.61,5.17,1.46,7411.0,39
HCPCS,J8499,patiromer calcium sorbitex 8.4 gram oral powder packet,79.80000000000001,47.88,11.61,7411.0,78
HCPCS,J8501,aprepitant 125 mg capsule,683.66,410.2,2.63,7411.0,42
HCPCS,J8501,aprepitant 40 mg capsule,236.08,141.65,2.63,7411.0,40
HCPCS,J8501,aprepitant 80 mg capsule,437.54,262.52,2.63,7411.0,42
HCPCS,J8522,capecitabine 150 mg tablet,131.35,78.81,0.0285,7411.0,57
HCPCS,J8522,capecitabine 500 mg tablet,188.615,113.16999999999999,0.0285,7411.0,114
HCPCS,J8530,cycloPHOSphamide 50 mg capsule,21.675,13.004999999999999,1.81,7411.0,84
HCPCS,J8540,dexAMETHasone 0.5 mg tablet,0.34,0.2,0.0297,7411.0,42
HCPCS,J8540,dexAMETHasone 0.5 mg/5 mL oral solution,66.88,40.13,0.0297,7411.0,84
HCPCS,J8540,dexAMETHasone 1 mg tablet,0.56,0.33499999999999996,0.0297,7411.0,84
HCPCS,J8540,dexAMETHasone 1 mg/mL drops (concentrate),143.1,85.86,0.0297,7411.0,42
HCPCS,J8540,dexAMETHasone 2 mg tablet,1.115,0.665,0.0297,7411.0,84
HCPCS,J8540,dexAMETHasone 4 mg tablet,1.9949999999999999,1.2,0.0297,7411.0,84
HCPCS,J8540,dexAMETHasone 6 mg tablet,3.0650000000000004,1.8399999999999999,0.0297,7411.0,84
HCPCS,J8597,chlorproMAZINE 10 mg tablet,3.245,1.9449999999999998,0.204,7411.0,78
HCPCS,J8597,chlorproMAZINE 100 mg tablet,9.955,5.970000000000001,0.7684,7411.0,78
HCPCS,J8597,droNABinol 2.5 mg capsule,3.925,2.3550000000000004,0.5729,7411.0,156
HCPCS,J8597,droNABinol 5 mg capsule,19.805,11.885,3.28,7411.0,156
HCPCS,J8600,melphalan 2 mg tablet,27.64,16.58,4.7,7411.0,41
HCPCS,J8610,methotrexate sodium 2.5 mg tablet,6.11,3.67,0.154,7411.0,126
HCPCS,J8700,temozolomide 100 mg capsule,54.97,32.98,0.4345,7411.0,42
HCPCS,J8700,temozolomide 20 mg capsule,17.26,10.36,0.4345,7411.0,42
HCPCS,J8700,temozolomide 250 mg capsule,107.28,64.37,0.4345,7411.0,42
HCPCS,J8999,"hydroxyurea (sickle cell) 1,000 mg tablet",323.02,193.81,54.91,7411.0,41
HCPCS,J8999,nintedanib 150 mg capsule,438.22,262.93,74.5,7411.0,39
HCPCS,J9000,DOXOrubicin 2 mg/mL intravenous solution,512.15,307.29,3.0,7411.0,84
HCPCS,J9000,DOXOrubicin 50 mg intravenous solution,1233.64,740.18,3.0,7411.0,42
HCPCS,J9015,aldesleukin 22 million unit intravenous solution,14100.8,8460.48,2397.14,10575.6,57
HCPCS,J9017,arsenic trioxide 1 mg/mL intravenous solution,1755.73,1053.44,7.09,7411.0,42
HCPCS,J9017,arsenic trioxide 2 mg/mL intravenous solution,2158.805,1295.28,7.09,7411.0,84
HCPCS,J9022,"atezolizumab 1,200 mg/20 mL (60 mg/mL) intravenous solution",32822.3,19693.38,89.3,24616.72,57
HCPCS,J9022,atezolizumab 840 mg/14 mL (60 mg/mL) intravenous solution,22990.57,13794.34,89.3,17242.93,57
HCPCS,J9025,azaCITIDine 100 mg solution for injection,1332.8600000000001,799.715,0.451,7411.0,84
HCPCS,J9026,tarlatamab-dlle 10 mg intravenous solution,45050.0,27030.0,1489.33,33787.5,57
HCPCS,J9032,belinostat 500 mg intravenous solution,6052.97,3631.78,47.46,7411.0,57
HCPCS,J9033,bendamustine 100 mg intravenous powder for solution,8965.4,5379.24,2.05,7411.0,57
HCPCS,J9033,bendamustine 25 mg intravenous powder for solution,2278.85,1367.31,2.05,7411.0,57
HCPCS,J9034,bendamustine 25 mg/mL intravenous solution,7471.4,4482.84,12.26,7411.0,57
HCPCS,J9035,bevacizumab 25 mg/mL intravenous solution,6027.05,3616.23,70.64,7411.0,114
HCPCS,J9039,blinatumomab 35 mcg intravenous kit,15485.48,9291.29,155.76,11614.11,57
HCPCS,J9040,bleomycin 15 unit solution for injection,262.895,157.735,18.26,7411.0,84
HCPCS,J9040,bleomycin 30 unit solution for injection,379.54,227.72,18.26,7411.0,42
HCPCS,J9041,bortezomib 3.5 mg IV Solution,4859.0,2915.4,1.98,7411.0,42
HCPCS,J9041,bortezomib 3.5 mg injection powder for solution,4859.0,2915.4,1.98,7411.0,42
HCPCS,J9042,brentuximab vedotin 50 mg intravenous solution,35276.0,21165.6,243.38,26457.0,57
HCPCS,J9043,cabazitaxel 10 mg/mL (first dilution) intravenous solution,169808.36,101885.02,219.5,127356.27,57
HCPCS,J9045,CARBOplatin 10 mg/mL intravenous solution,189.41,113.65,3.23,7411.0,126
HCPCS,J9047,carfilzomib 10 mg intravenous solution,1687.58,1012.55,53.43,7411.0,57
HCPCS,J9047,carfilzomib 60 mg intravenous solution,9875.54,5925.32,53.43,7411.0,57
HCPCS,J9050,carmustine 100 mg intravenous powder for solution,1245.675,747.405,139.63,7411.0,114
HCPCS,J9055,cetuximab 100 mg/50 mL intravenous solution,2462.3,1477.38,76.44,7411.0,57
HCPCS,J9055,cetuximab 200 mg/100 mL intravenous solution,4874.6,2924.76,76.44,7411.0,57
HCPCS,J9060,CISplatin 1 mg/mL intravenous solution,291.8,175.08,2.38,7411.0,42
HCPCS,J9065,cladribine 10 mg/10 mL intravenous solution,2007.5,1204.5,8.29,7411.0,57
HCPCS,J9075,cycloPHOSphamide 1 gram intravenous powder for solution,1946.87,1168.125,0.7315,7411.0,114
HCPCS,J9075,cycloPHOSphamide 200 mg/mL intravenous solution,2247.5,1348.5,0.7315,7411.0,57
HCPCS,J9075,cycloPHOSphamide 500 mg intravenous powder for solution,1504.495,902.7,0.7315,7411.0,114
HCPCS,J9100,cytarabine (PF) 100 mg/5 mL (20 mg/mL) injection solution,88.07,52.84,0.8789,7411.0,42
HCPCS,J9100,cytarabine (PF) 2 gram/20 mL (100 mg/mL) injection solution,171.92,103.15,0.8789,7411.0,42
HCPCS,J9100,cytarabine (PF) 20 mg/mL injection solution,220.1,132.06,0.8789,7411.0,42
HCPCS,J9100,cytarabine 20 mg/mL injection solution,146.3,87.78,0.8789,7411.0,42
HCPCS,J9119,cemiplimab-rwlc 50 mg/mL intravenous solution,31870.27,19122.16,28.27,23902.7,57
HCPCS,J9120,DACTINomycin 0.5 mg intravenous solution,8175.62,4905.37,320.79,7411.0,57
HCPCS,J9130,dacarbazine 200 mg intravenous solution,122.0,73.2,4.24,7411.0,42
HCPCS,J9144,"daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 mL subcut soln",30117.88,18070.73,52.28,22588.41,57
HCPCS,J9145,daratumumab 20 mg/mL intravenous solution,5564.945,3338.965,67.23,7411.0,114
HCPCS,J9150,DAUNOrubicin 5 mg/mL intravenous solution,653.63,392.18,27.22,7411.0,126
HCPCS,J9153,DAUNOrubicin 44 mg and cytarabine 100 mg in liposome IV solution,29270.0,17562.0,240.67,23561.25,114
HCPCS,J9155,degarelix 80 mg subcutaneous solution,2198.03,1318.82,4.24,7411.0,57
HCPCS,J9171,DOCEtaxel 160 mg/16 mL (10 mg/mL) intravenous solution,1705.1599999999999,1023.095,0.6116,7411.0,84
HCPCS,J9171,DOCEtaxel 20 mg/2 mL (10 mg/mL) intravenous solution,364.01,218.41,0.6116,7411.0,42
HCPCS,J9171,DOCEtaxel 20 mg/mL intravenous solution,2150.0,1290.0,0.6116,7411.0,42
HCPCS,J9171,DOCEtaxel 80 mg/4 mL (20 mg/mL) intravenous solution,1220.0,732.0,0.6116,7411.0,42
HCPCS,J9176,elotuzumab 300 mg intravenous solution,6743.12,4045.87,7.29,7411.0,57
HCPCS,J9176,elotuzumab 400 mg intravenous solution,8974.07,5384.44,7.29,7411.0,57
HCPCS,J9177,enfortumab vedotin-ejfv 20 mg intravenous solution,8477.0,5086.2,32.44,7411.0,57
HCPCS,J9177,enfortumab vedotin-ejfv 30 mg intravenous solution,12690.5,7614.3,32.44,9517.88,57
HCPCS,J9178,epiRUBicin 50 mg/25 mL intravenous solution,334.4,200.64,1.94,7411.0,84
HCPCS,J9179,eriBULin 1 mg/2 mL (0.5 mg/mL) intravenous solution,4280.0,2568.0,72.92,7411.0,57
HCPCS,J9181,etoposide 20 mg/mL intravenous solution,251.9,151.14,0.8778,7411.0,84
HCPCS,J9185,fludarabine 50 mg/2 mL intravenous solution,1273.46,764.08,216.49,7411.0,42
HCPCS,J9190,fluorouracil 1 gram/20 mL intravenous solution,144.86,86.91499999999999,2.26,7411.0,84
HCPCS,J9190,fluorouracil 2.5 gram/50 mL intravenous solution,166.4,99.84,2.26,7411.0,126
HCPCS,J9190,fluorouracil 500 mg/10 mL intravenous solution,107.96000000000001,64.77499999999999,2.26,7411.0,84
HCPCS,J9201,gemcitabine 1 gram intravenous solution,278.51,167.11,3.56,7411.0,42
HCPCS,J9201,gemcitabine 1 gram/26.3 mL (38 mg/mL) intravenous solution,281.18,168.71,3.56,7411.0,42
HCPCS,J9201,gemcitabine 2 gram intravenous solution,560.66,336.4,3.56,7411.0,42
HCPCS,J9201,gemcitabine 2 gram/52.6 mL (38 mg/mL) intravenous solution,396.53,237.92,3.56,7411.0,42
HCPCS,J9201,gemcitabine 200 mg intravenous solution,116.72,70.03,3.56,7411.0,42
HCPCS,J9202,goserelin 10.8 mg subcutaneous implant,8350.89,5010.53,1089.41,7411.0,42
HCPCS,J9202,goserelin 3.6 mg subcutaneous implant,2978.46,1787.08,506.34,7411.0,42
HCPCS,J9203,gemtuzumab ozogamicin 4.5 mg (1 mg/mL initial concentration) IV soln,29739.68,17843.81,215.63,22304.76,57
HCPCS,J9204,mogamulizumab-kpkc 4 mg/mL intravenous solution,13840.07,8304.04,225.36,10380.05,57
HCPCS,J9206,irinotecan 100 mg/5 mL intravenous solution,254.0,152.4,1.69,7411.0,42
HCPCS,J9206,irinotecan 40 mg/2 mL intravenous solution,215.84,129.5,1.69,7411.0,42
HCPCS,J9207,ixabepilone 15 mg intravenous solution,5975.18,3585.11,124.09,7411.0,57
HCPCS,J9207,ixabepilone 45 mg intravenous solution,17825.54,10695.32,124.09,13369.16,57
HCPCS,J9208,ifosfamide 1 gram intravenous solution,270.44,162.26,27.15,7411.0,42
HCPCS,J9208,ifosfamide 3 gram intravenous solution,527.385,316.43,27.15,7411.0,84
HCPCS,J9209,mesna 100 mg/mL intravenous solution,143.505,86.10499999999999,1.47,7411.0,84
HCPCS,J9211,IDArubicin 1 mg/mL intravenous solution,535.01,321.01,43.73,7411.0,126
HCPCS,J9214,interferon alfa-2b 50 million unit (1 mL) solution for injection,4659.5,2795.7,74.52,7411.0,42
HCPCS,J9214,interferon alfa-2b 6 million unit/mL injection solution,2186.23,1311.74,74.52,7411.0,42
HCPCS,J9217,leuprolide 30 mg (4 month) intramuscular syringe kit,24529.14,14717.48,167.39,18396.85,57
HCPCS,J9217,leuprolide 7.5 mg intramuscular syringe kit,6132.3,3679.38,167.39,7411.0,57
HCPCS,J9217,leuprolide acetate (6 month) 45 mg intramuscular syringe kit,36844.25,22106.55,167.39,27633.19,57
HCPCS,J9217,leuprolide acetate 22.5 mg (3 month) intramuscular syringe kit,18396.81,11038.09,167.39,13797.61,57
HCPCS,J9220,indigotindisulfonate sodium 8 mg/mL (0.8 %) injection solution,43.2,25.92,7.34,7411.0,56
HCPCS,J9220,indigotindisulfonate sodium 8 mg/mL (0.8 %) intravenous solution,1800.0,1080.0,8.84,7411.0,56
HCPCS,J9228,ipilimumab 200 mg/40 mL (5 mg/mL) intravenous solution,104487.44,62692.46,170.68,78365.58,57
HCPCS,J9228,ipilimumab 50 mg/10 mL (5 mg/mL) intravenous solution,26159.42,15695.65,170.68,19619.56,57
HCPCS,J9245,melphalan HCl 50 mg intravenous powder for solution,2300.0,1380.0,114.64,7411.0,57
HCPCS,J9246,melphalan 50 mg-betadex sulfobutyl ether sodium intravenous solution,6050.0,3630.0,18.46,7411.0,57
HCPCS,J9260,methotrexate sodium (PF) 25 mg/mL injection solution,191.20999999999998,114.725,2.94,7411.0,84
HCPCS,J9260,methotrexate sodium 25 mg/mL injection solution,161.67,97.0,2.94,7411.0,84
HCPCS,J9261,nelarabine 5 mg/mL intravenous solution,1625.0,975.0,50.07,7411.0,57
HCPCS,J9263,oxaliplatin 100 mg/20 mL intravenous solution,482.0,289.2,0.0858,7411.0,42
HCPCS,J9263,oxaliplatin 50 mg/10 mL (5 mg/mL) intravenous solution,338.0,202.8,0.0858,7411.0,42
HCPCS,J9264,PACLitaxel protein-bound 100 mg intravenous suspension,4790.18,2874.11,5.72,7411.0,57
HCPCS,J9266,pegaspargase 750 unit/mL injection solution,55854.14,33512.48,6299.0,61111.73,57
HCPCS,J9267,"PACLitaxel 6 mg/mL concentrate,intravenous",370.85,222.51,0.1617,7411.0,42
HCPCS,J9271,pembrolizumab 25 mg/mL intravenous solution,17396.24,10437.74,55.59,13047.18,57
HCPCS,J9272,dostarlimab-gxly 50 mg/mL intravenous solution,34739.36,20843.62,226.76,26054.52,57
HCPCS,J9273,tisotumab vedotin-tftv 40 mg intravenous solution,21419.0,12851.4,186.31,16064.25,57
HCPCS,J9280,mitoMYcin 20 mg intravenous solution,1945.94,1167.56,27.04,7411.0,57
HCPCS,J9280,mitoMYcin 40 mg intravenous solution,3841.88,2305.13,27.04,7411.0,57
HCPCS,J9280,mitoMYcin 5 mg intravenous solution,1144.72,686.83,27.04,7411.0,57
HCPCS,J9280,mitomycin 5 mg IV Solution,302.0,181.2,27.04,7411.0,57
HCPCS,J9281,mitoMYcin 40 mg x 2 intra-pyelocalyceal kit,72125.0,43275.0,293.89,54093.75,57
HCPCS,J9293,"mitoXANTRONE 2 mg/mL concentrate,intravenous",1355.495,813.2950000000001,36.68,7411.0,114
HCPCS,J9299,nivolumab 100 mg/10 mL intravenous solution,9593.27,5755.96,31.19,7411.0,57
HCPCS,J9299,nivolumab 40 mg/4 mL intravenous solution,3867.32,2320.39,31.19,7411.0,57
HCPCS,J9301,"obinutuzumab 1,000 mg/40 mL intravenous solution",24775.52,14865.31,77.72,18581.64,57
HCPCS,J9303,panitumumab 100 mg/5 mL (20 mg/mL) intravenous solution,5226.14,3135.68,165.67,7411.0,57
HCPCS,J9303,panitumumab 400 mg/20 mL (20 mg/mL) intravenous solution,20754.56,12452.74,165.67,15565.92,57
HCPCS,J9305,PEMEtrexed disodium 100 mg intravenous powder for solution,1352.9,811.74,3.84,7411.0,114
HCPCS,J9305,"PEMEtrexed disodium 100 mg intravenous powder for solution,PEMETREXED 100 MG INTRAVENOUS POWDER FOR SOLUTION",1352.9,811.74,3.84,7411.0,114
HCPCS,J9305,PEMEtrexed disodium 500 mg intravenous powder for solution,2300.0,1380.0,3.84,9134.25,171
HCPCS,J9305,"PEMEtrexed disodium 500 mg intravenous powder for solution,PEMETREXED 500 MG INTRAVENOUS POWDER FOR SOLUTION",2300.0,1380.0,3.84,9134.25,171
HCPCS,J9306,pertuzumab 420 mg/14 mL (30 mg/mL) intravenous solution,19630.36,11778.22,15.15,14722.77,57
HCPCS,J9307,PRALAtrexate 40 mg/2 mL (20 mg/mL) intravenous solution,40775.12,24465.07,325.97,30581.34,57
HCPCS,J9308,ramucirumab 10 mg/mL intravenous solution,4420.37,2652.22,70.38,7411.0,57
HCPCS,J9309,polatuzumab vedotin-piiq 140 mg intravenous solution,54257.99,32554.79,130.21,40693.49,57
HCPCS,J9312,"riTUXimab 10 mg/mL concentrate,intravenous",8505.68,5103.41,70.45,10607.1,114
HCPCS,J9319,romiDEPsin 10 mg/2 mL intravenous powder for solution,9645.95,5787.57,29.26,7411.0,57
HCPCS,J9321,epcoritamab-bysp 4 mg/0.8 mL subcutaneous solution,208.4,125.04,35.43,7411.0,57
HCPCS,J9321,epcoritamab-bysp 48 mg/0.8 mL subcutaneous solution,47571.08,28542.65,54.07,35678.31,57
HCPCS,J9330,temsirolimus 30 mg/3 mL (10 mg/mL) (first dilution) intravenous soln,15052.4,9031.44,28.58,11289.3,57
HCPCS,J9349,tafasitamab-cxix 200 mg intravenous solution,4094.6,2456.76,13.16,7411.0,57
HCPCS,J9351,topotecan 4 mg intravenous solution,1107.5,664.5,2.32,7411.0,42
HCPCS,J9354,ado-trastuzumab emtansine 100 mg intravenous solution,11842.01,7105.21,38.34,8881.51,57
HCPCS,J9354,ado-trastuzumab emtansine 160 mg intravenous solution,18917.18,11350.31,38.34,14187.89,57
HCPCS,J9355,trastuzumab 150 mg intravenous solution,4725.26,2835.16,69.76,7411.0,57
HCPCS,J9355,trastuzumab 440 mg intravenous solution,13764.11,8258.47,69.76,10323.08,57
HCPCS,J9358,fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution,8475.11,5085.07,29.7,7411.0,57
HCPCS,J9360,vinBLAStine 1 mg/mL intravenous solution,291.92,175.15,5.67,7411.0,42
HCPCS,J9370,vinCRIStine 1 mg/mL intravenous solution,156.5,93.9,8.92,7411.0,42
HCPCS,J9370,vinCRIStine 2 mg/2 mL intravenous solution,142.4,85.44,8.92,7411.0,42
HCPCS,J9380,teclistamab-cqyv 10 mg/mL subcutaneous solution,5764.88,3458.93,32.72,7411.0,57
HCPCS,J9380,teclistamab-cqyv 90 mg/mL subcutaneous solution,29195.93,17517.56,32.72,21896.95,57
HCPCS,J9390,vinorelbine 10 mg/mL intravenous solution,230.0,138.0,5.47,7411.0,42
HCPCS,J9390,vinorelbine 50 mg/5 mL intravenous solution,432.5,259.5,5.47,7411.0,42
HCPCS,J9395,fulvestrant 250 mg/5 mL intramuscular syringe,4213.63,2528.18,5.43,7411.0,126
HCPCS,J9400,ziv-aflibercept 100 mg/4 mL (25 mg/mL) intravenous solution,4850.0,2910.0,8.18,7411.0,57
HCPCS,J9400,ziv-aflibercept 200 mg/8 mL (25 mg/mL) intravenous solution,9650.0,5790.0,8.18,7411.0,57
HCPCS,J9999,letrozole 2.5 mg tablet,5.5,3.3,0.935,7411.0,41
HCPCS,L0172,"HC Shell L0172, Cervical Collar, Semi-Rgid, Two-Piece Prefab",130.92,78.55,21.39,142.3,171
HCPCS,L0174,"HC Shell L0174, Cervical Semi-Rigid Collar 2piece",287.71500000000003,172.625,30.45,259.82,228
HCPCS,L0464,"HC Shell L0464, Orthotic Triplanar Control",2754.99,1652.99,468.35,2203.99,57
HCPCS,L0637,"HC Shell L0637, Lso Sc R Ant/POS Pnl Pre Cst",4235.0,2541.0,719.95,3388.0,57
HCPCS,L1600,"HC Shell L1600, Abduct Pillow Hip Flex Frejka W Cvr",181.33,108.79500000000002,19.4,198.82,114
HCPCS,L1830,"HC Shell L1830, Basic Knee Orthosis, Immobilzer",102.25,61.35,9.8,399.11,285
HCPCS,L1832,"HC Shell L1832, Knee Orthss, Djstbl Joints, Pstnl Orths, Rigd Spprt",2093.44,1256.06,355.88,1674.75,57
HCPCS,L1845,"Shell L1845, Knee Orthosis, Upright, Customized to Fit Patient",888.8050000000001,533.28,46.65,1202.58,114
HCPCS,L2114,"Shell L2114, Nextep Contour Ankle Foot & Fracture Orthosis",202.74,121.64,34.47,162.19,57
HCPCS,L3260,"HC Shell L3260, Ambulatory Surgical Boot Eac",17.97,10.78,3.05,14.38,57
HCPCS,L3650,"HC Shell L3650, Shoulder Orthosis, Figure 8, Abd Restraint, Pf, Otf",293.15,175.89,49.84,234.52,57
HCPCS,L3670,"HC Shell L3670, So Acro/Clav Can Web Pre Ots",384.625,230.77499999999998,22.52,509.44,114
HCPCS,L3923,"HC Shell L3923, Hfo, W/O Joints, Prefab",179.75,107.85,30.56,143.8,57
HCPCS,L4350,"HC L4350, Brace Ankle Air-Stirrup",181.11,108.67,30.79,144.89,57
HCPCS,L4360,"HC Shell L4360, Pneumat Walking Boot Pre Cst",348.93,209.36,29.5,736.8,855
HCPCS,L4386,"HC Shell L4386, Non-Pneum Walk Boot Pre Cst",95.83,57.5,16.29,76.66,57
HCPCS,L4396,"HC Shell L4396, Static or Dynami Afo Pre Cst",326.53,195.92,55.51,261.22,57
HCPCS,L4397,"HC L4397, Boot Podus Universal",169.26,101.56,28.77,135.41,57
HCPCS,L8509,"HC Shell L8509, Trach-Esoph Voice Pros MD In",1430.875,858.525,77.25,1565.17,570
HCPCS,L8600,"HC Shell L8600, Implantable Breast Prosthesis, Silicone or Equal",3715.4,2229.24,152.43,14153.44,1320
HCPCS,L8606,"Shell L8606, Injectable Bulking Agent, Synthetic, 1ml",2282.5150000000003,1369.51,147.62,6010.22,330
HCPCS,L8613,"HC Shell L8613, Ossicular Implant",1900.47,1140.28,113.08,1929.71,1996
HCPCS,L8614,"HC Shell L8614, Cochlear Dvc, Includes All Internal/External Components",50235.0,30141.0,93.35,67980.0,1100
HCPCS,L8630,"HC Shell L8630, Metacarpophalangeal Implant",4930.299999999999,2958.18,659.47,8451.27,660
HCPCS,L8658,"Shell L8658, Interphalangeal Joint Spacer, Silicone",4044.1400000000003,2426.4849999999997,655.06,3388.0,110
HCPCS,L8680,"HC Shell L8680, Nevro Implantable Neurostimulator Lead",9857.1,5914.26,619.16,9517.2,165
HCPCS,L8681,"HC Shell L8681, Patient Programmer for Implantable Neurostim",4371.11,2622.67,743.09,7411.0,39
HCPCS,L8690,"HC Shell L8690, Auditory Osseointegrated Device, W/Int and Ext Comp (Baha)",14581.71,8749.03,767.59,29190.62,605
HCPCS,L8699,"HC Shell L8699, Prosthetic Implant, Not Otherwise Specified",7921.01,4752.605,77.25,15748.8,440
HCPCS,P9045,"albumin, human 5 % intravenous solution",336.63,201.98,48.43,7411.0,174
HCPCS,P9047,"albumin, human 25 % intravenous solution",541.6,324.96,50.43,7411.0,174
HCPCS,Q0138,ferumoxytol 510 mg/17 mL (30 mg/mL) intravenous solution,3504.57,2102.74,0.2185,7411.0,57
HCPCS,Q0164,prochlorperazine maleate 10 mg tablet,1.05,0.63,0.0969,7411.0,123
HCPCS,Q0164,prochlorperazine maleate 5 mg tablet,0.755,0.45499999999999996,0.119,7411.0,82
HCPCS,Q0175,perphenazine 4 mg tablet,3.03,1.8199999999999998,0.1581,7411.0,164
HCPCS,Q0243,casirivimab (REGN10933) 120 mg/mL intravenous solution (1 of 2) (EUA),0.04,0.02,0.0068,7411.0,41
HCPCS,Q0481,"HC Shell Q0481, Microprocessor Control Unit for Vad",23146.75,13888.050000000001,3178.07,22079.2,116
HCPCS,Q0508,"HC Shell Q0508, Misc Supply/Accessory for Implanted Lvad",828.41,497.05,34.89,1559.36,285
HCPCS,Q2009,fosphenytoin 100 mg PE/2 mL injection solution,144.0,86.4,1.26,7411.0,57
HCPCS,Q2009,fosphenytoin 500 mg PE/10 mL injection solution,135.0,81.0,1.26,7411.0,57
HCPCS,Q2043,sipuleucel-T in lactated ringers 50 million cell/250 mL IV suspension,187807.5,112684.5,6299.0,140855.62,57
HCPCS,Q2050,"DOXOrubicin, pegylated liposomal 2 mg/mL intravenous suspension",2935.94,1761.565,68.27,7411.0,114
HCPCS,Q4101,"HC Shell Q4101, Apligraf per Sq Cm",244.54,146.72,29.34,7411.0,168
HCPCS,Q4104,"HC Shell Q4104, Integra Bilayer Matrix Wound Dressing, per Sq Cm",181.07,108.64,10.68,7411.0,504
HCPCS,Q4105,"Shell Q4105, Integra Dermal Regeneration Template (Drt) or Integra Omnigraft Dermal Regeneration Matrix, per Sq Cm",152.175,91.305,20.04,7411.0,224
HCPCS,Q4107,"HC Shell Q4107, Graftjacket, per Sqcm",555.7,333.42,47.48,7411.0,1064
HCPCS,Q4108,"HC Shell Q4108, Integra Matrix, per Sqcm",448.25,268.95,27.87,7411.0,280
HCPCS,Q4114,"HC Shell Q4114, Integra Flowable Wound Matrix",5386.86,3232.12,915.77,7411.0,41
HCPCS,Q4116,"HC Shell Q4116, Alloderm per Sqcm",198.5,119.1,15.52,34504.1,3640
HCPCS,Q4116,"HC Shell Q4116, Alloderm per Sqcm, Breast",163.48,100.465,12.3,15133.67,1156
HCPCS,Q4118,"HC Shell Q4118, Matristem Micromatrix, per Mg",15.49,9.29,2.41,7411.0,123
HCPCS,Q4118,"HC Shell Q4118, Micromatrix, per Mg",16.82,10.09,2.86,7411.0,41
HCPCS,Q4121,"HC Shell Q4121, Theraskin per Sqcm",491.68,295.01,27.69,8777.07,560
HCPCS,Q4122,"HC Shell Q4122, Dermacell per Sq Cm, Breast Reconstruciton",161.64,96.98,15.67,268.77,204
HCPCS,Q4122,"Q4122, Dermacell per Sq Cm",366.66999999999996,220.02,27.48,7411.0,784
HCPCS,Q4125,"Shell Q4125, Arthroflex, per Sq Cm",863.01,517.81,58.38,7411.0,1064
HCPCS,Q4126,"HC Shell Q4126, Memoderm, Dermaspan, Tranzgraft or Integuply, per Sq Cm",307.595,184.555,39.3,7411.0,784
HCPCS,Q4128,"HC Shell Q4128, Flex Hd, Allopatch Hd, or Matrix Hd, per Sqcm",293.71500000000003,176.225,10.05,22010.61,2352
HCPCS,Q4130,"HC Shell Q4130, Strattice Tm, per Sqcm",141.34,84.685,11.71,7411.0,896
HCPCS,Q4130,"Shell Q4130, Strattice per Sq Cm",136.93,83.37,5.16,7411.0,840
HCPCS,Q4132,"HC Shell Q4132, Grafix Core, Grafixpl Core",613.0,367.8,66.57,7411.0,224
HCPCS,Q4133,"HC Shell Q4133, Grafix Stravix Prime Pl Sqcm",767.5,460.5,53.21,7411.0,1008
HCPCS,Q4142,"Shell Q4142, Xcm Biologic Tissue Matrix, per Sq Cm",173.285,103.97,17.03,24110.04,448
HCPCS,Q4145,"HC Shell Q4145, Epifix, Injectable, per 1 Mg",58.44,35.06,9.93,7411.0,41
HCPCS,Q4150,"HC Shell Q4150, Allowrap Ds or Dry, per Sq Cm",569.255,341.555,41.53,7411.0,448
HCPCS,Q4151,"HC Shell Q4151, Amnioband per Sq Cm",716.41,429.85,86.91,7411.0,616
HCPCS,Q4152,"HC Shell Q4152, Dermapure per Sqcm",193.53,116.12,32.89,7411.0,168
HCPCS,Q4160,"Shell Nushield (Q4160), per Sq Cm",476.13,285.68,56.17,7411.0,280
HCPCS,Q4166,"HC Shell Q4166, Cytal Wound Matrix/ Burn Matrix, per Sq Cm",132.5,79.5,4.13,8152.5,952
HCPCS,Q4170,"HC Shell Q4170, Cygnus per Sqcm",389.47,233.68,50.38,7411.0,168
HCPCS,Q4171,"Shell Q4171, Interfyl, 1 Mg",13.615,8.17,2.06,7411.0,82
HCPCS,Q4177,"HC Shell Q4177, Floweramnioflo, 0.1 Cc",573.5799999999999,344.15,79.45,7411.0,82
HCPCS,Q4180,"HC Shell Q4180, Revita, per Sqcm",459.42,275.65,67.21,7411.0,168
HCPCS,Q4186,"HC Shell Q4186, Epifix per Sq Cm",728.51,437.11,44.89,16562.29,728
HCPCS,Q4187,"HC Shell Q4187, Epicord per Sq Cm",706.99,424.19,118.76,7411.0,56
HCPCS,Q4195,"HC Shell Q4195, Puraply per Sq Cm",528.04,316.82500000000005,49.5,7411.0,224
HCPCS,Q4196,"HC Shell Q4196, Puraply Am per Sq Cm",724.86,434.915,90.88,7411.0,224
HCPCS,Q4199,"Shell Q4199, Cygnus Matrix, per Square Centimeter",446.89,268.13,15.96,7411.0,168
HCPCS,Q4201,"HC Shell Q4201, Matrion per Sq Cm",601.66,361.0,11.17,7411.0,56
HCPCS,Q4212,"HC Shell Q4212, Allogen, per Cc",3221.255,1932.755,501.27,7411.0,82
HCPCS,Q4258,"Shell Q4258, Enverse, per Sq Cm",617.25,370.35,104.93,7411.0,56
HCPCS,Q4315,"Shell Q4315, Regenelink Amniotic Membrane Allograft, per Sq Cm",493.455,296.075,64.22,7411.0,112
HCPCS,Q4432,"HC Shell Q4432, 510(K) Skin Substitute Product, Not Otherwise Specified",3984.84,2390.9049999999997,7.02,29709.04,1232
HCPCS,Q4433,"HC Shell Q4433, 361 Hct/P Skin Substitute Product, Not Otherwise Specified",6333.25,3799.95,36.11,42431.25,3864
HCPCS,Q5101,filgrastim-sndz 300 mcg/0.5 mL injection syringe,1262.62,757.57,0.3325,7411.0,57
HCPCS,Q5101,filgrastim-sndz 480 mcg/0.8 mL injection syringe,2003.41,1202.05,0.3325,7411.0,57
HCPCS,Q5104,inFLIXimab-abda 100 mg intravenous solution,2260.17,1356.1,25.46,7411.0,57
HCPCS,Q5108,pegfilgrastim-jmdb 6 mg/0.6 mL subcutaneous syringe,6290.5,3774.3,75.53,7411.0,57
HCPCS,Q5110,filgrastim-aafi 300 mcg/0.5 mL subcutaneous syringe,1013.5,608.1,0.266,7411.0,57
HCPCS,Q5110,filgrastim-aafi 480 mcg/0.8 mL subcutaneous syringe,1604.8,962.88,0.266,7411.0,57
HCPCS,Q5111,pegfilgrastim-cbqv 6 mg/0.6 mL subcutaneous syringe,12553.0,7531.8,129.1,9414.75,57
HCPCS,Q5112,trastuzumab-dttb 420 mg intravenous solution,11177.12,6706.27,28.32,8382.84,57
HCPCS,Q5113,trastuzumab-pkrb 150 mg intravenous solution,4257.5,2554.5,53.22,7411.0,57
HCPCS,Q5115,riTUXimab-abbs 10 mg/mL intravenous solution,2586.65,1551.99,29.72,7411.0,57
HCPCS,Q5118,bevacizumab-bvzr 25 mg/mL intravenous solution,970.1,582.06,24.56,7411.0,57
HCPCS,Q5120,pegfilgrastim-bmez 6 mg/0.6 mL subcutaneous syringe,11804.59,7082.75,113.66,8853.44,57
HCPCS,Q5126,bevacizumab-maly 25 mg/mL intravenous solution,1127.9,676.74,49.01,7411.0,57
HCPCS,Q5135,tocilizumab-aazg 200 mg/10 mL (20 mg/mL) intravenous solution,2937.6,1762.56,4.22,7411.0,57
HCPCS,Q5135,tocilizumab-aazg 400 mg/20 mL (20 mg/mL) intravenous solution,5875.2,3525.12,4.22,7411.0,57
HCPCS,Q9956,perflutren protein-type a microspheres 0.22 mg/mL intravenous susp,631.8,379.08,43.95,537.03,53
HCPCS,Q9957,perflutren lipid microspheres 1.1 mg/mL intravenous suspension,1566.57,939.94,43.95,1331.58,53
HCPCS,Q9958,diatrizoate meglumine 18 % urethral solution,194.4,116.64,0.0836,165.24,53
HCPCS,Q9958,diatrizoate meglumine 30 % urethral solution,248.4,149.04,0.0836,211.14,53
HCPCS,Q9963,diatrizoate meglumine-diatrizoate sodium 66 %-10 % oral solution,82.98,49.79,0.2398,113.02,106
HCPCS,Q9965,iohexol 180 mg iodine/mL intrathecal solution,268.44,161.06,1.27,228.17,53
HCPCS,Q9966,iohexol 240 mg iodine/mL intravenous solution,276.12,165.67,0.4774,234.7,53
HCPCS,Q9967,iodixanol 320 mg iodine/mL intravenous solution,476.55,285.93,0.1694,570.31,159
HCPCS,Q9967,iohexol 300 mg iodine/mL intravenous solution,270.0,162.0,0.1694,506.63,371
HCPCS,Q9967,iohexol 350 mg iodine/mL intravenous solution,227.25,136.35,0.1694,249.9,159
HCPCS,Q9967,iopromide 300 mg iodine/mL injection solution,2.4,1.44,0.1694,7411.0,42
HCPCS,Q9967,iopromide 300 mg iodine/mL intravenous solution,1.8,1.08,0.1694,7411.0,42
HCPCS,Q9967,iopromide 370 mg iodine/mL injection solution,2.82,1.69,0.1694,7411.0,42
HCPCS,Q9967,iopromide 370 mg iodine/mL intravenous solution,2.16,1.3,0.1694,7411.0,42
HCPCS,Q9967,ioversol 320 mg iodine/mL intravenous solution,432.09000000000003,259.255,0.1694,401.78,106
HCPCS,Q9967,ioversol 350 mg iodine/mL intravenous solution,247.5,148.5,0.1694,508.92,159
HCPCS,Q9967,ioversol 350 mg iodine/mL intravenous syringe,200.25,120.15,0.1694,170.21,53
HCPCS,Q9968,isosulfan blue 1 % subcutaneous solution,3642.57,2185.54,9.78,7411.0,57
HCPCS,Q9968,methylene blue (antidote) 1 % (10 mg/mL) intravenous solution,875.2049999999999,525.125,9.78,7411.0,228
HCPCS,Q9968,methylene blue (antidote) 5 mg/mL intravenous solution,1054.76,632.86,9.78,7411.0,57
HCPCS,Q9982,flutemetamol F-18 5 mCi (185 MBq) intravenous solution,8775.0,5265.0,1491.75,7411.0,54
HCPCS,V2632,"Shell V2632, Posterior Chamber Intraocular Lens",814.44,488.66,49.84,7411.0,1927
HCPCS,j0462,atropine 0.4 mg/mL intravenous solution,71.38,42.83,12.13,7411.0,41
MS-DRG,001,Combination Transplant (any combination of solid organ besides kidney/pancreas),,,,,0
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,,,6299.0,624232.37,24
MS-DRG,001,Heart-Lung Transplant,,,115000.0,115000.0,1
MS-DRG,001,MCSD Insertion,,,,,0
MS-DRG,002,Combination Transplant (any combination of solid organ besides kidney/pancreas),,,,,0
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,,,6299.0,252415.85,24
MS-DRG,002,Heart-Lung Transplant,,,115000.0,115000.0,1
MS-DRG,002,MCSD Insertion,,,,,0
MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",,,6299.0,472791.33,45
MS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",,,6299.0,308539.93,46
MS-DRG,005,Combination Transplant (any combination of solid organ besides kidney/pancreas),,,,,0
MS-DRG,005,Kidney-Liver Transplant,,,,,0
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,,,6299.0,207232.66,22
MS-DRG,005,Liver (CAD) Transplant,,,,,0
MS-DRG,006,Combination Transplant (any combination of solid organ besides kidney/pancreas),,,,,0
MS-DRG,006,Kidney-Liver Transplant,,,,,0
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC,,,6299.0,116500.0,20
MS-DRG,006,Liver (CAD) Transplant,,,,,0
MS-DRG,007,Combination Transplant (any combination of solid organ besides kidney/pancreas),,,,,0
MS-DRG,007,Double Lung Transplant,,,122500.0,130500.0,2
MS-DRG,007,Heart-Lung Transplant,,,115000.0,115000.0,1
MS-DRG,007,LUNG TRANSPLANT,,,6299.0,258144.45,19
MS-DRG,007,Single Lung (Cadaveric) Transplant,,,105500.0,105500.0,1
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,,,6299.0,116470.18,20
MS-DRG,010,Combination Transplant (any combination of solid organ besides kidney/pancreas),,,,,0
MS-DRG,010,PANCREAS TRANSPLANT,,,6299.0,146771.93,20
MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",,,6299.0,121490.08,46
MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",,,6299.0,93911.4,46
MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",,,6299.0,64192.1,46
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT,,,6299.0,240163.18,19
MS-DRG,014,Allo-Related Transplant,,,97500.0,99500.0,2
MS-DRG,014,Allo-Unrelated Transplant,,,119500.0,119500.0,1
MS-DRG,014,Allo/Auto Related Transplant,,,,,0
MS-DRG,014,Allo/Auto Unrelated Transplant,,,,,0
MS-DRG,014,IP Mini Allo Transplant,,,,,0
MS-DRG,014,"Tandem Transplant (Auto/Auto, Allo/Auto)",,,,,0
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,,,6299.0,122740.36,20
MS-DRG,016,Allo/Auto Related Transplant,,,,,0
MS-DRG,016,Allo/Auto Unrelated Transplant,,,,,0
MS-DRG,016,Auto/Auto Transplant,,,,,0
MS-DRG,016,"Tandem Transplant (Auto/Auto, Allo/Auto)",,,,,0
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,,,6299.0,113147.02,20
MS-DRG,017,Allo/Auto Related Transplant,,,,,0
MS-DRG,017,Allo/Auto Unrelated Transplant,,,,,0
MS-DRG,017,Auto/Auto Transplant,,,,,0
MS-DRG,017,"Tandem Transplant (Auto/Auto, Allo/Auto)",,,,,0
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,6299.0,961896.87,27
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,,,6299.0,147620.88,27
MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,,,6299.0,175277.52,42
MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,,,6299.0,117919.4,46
MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,,,6299.0,69656.89,46
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,37656.0,127642.43,40
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,6299.0,82165.0,7
MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,,,6299.0,87137.57,47
MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,,,6299.0,101277.74,47
MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,,,6299.0,69257.43,47
MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,6299.0,57033.61,47
MS-DRG,028,SPINAL PROCEDURES WITH MCC,,,6299.0,133834.88,47
MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,,,6299.0,75993.39,47
MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC,,,6299.0,50713.26,47
MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC,,,6299.0,99803.14,47
MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC,,,6299.0,49475.02,47
MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,,,6299.0,41688.0,47
MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC,,,6299.0,86219.84,47
MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC,,,6299.0,54479.98,47
MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,,,6299.0,45845.23,47
MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC,,,6299.0,73331.53,47
MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC,,,6299.0,39669.53,47
MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,6299.0,31046.37,47
MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",,,6299.0,86008.23,47
MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",,,6299.0,50780.75,47
MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",,,6299.0,41696.61,47
MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC,,,2950.0,43308.95,46
MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC,,,2950.0,27260.31,46
MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC,,,2950.0,37823.77,46
MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,,,2950.0,28039.54,46
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,,,2950.0,53180.03,46
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,,,2950.0,33362.71,46
MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,,,2950.0,41345.59,46
MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,,,2950.0,32307.71,46
MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,,,2950.0,26114.66,46
MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",,,2950.0,61550.59,46
MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",,,2950.0,42265.57,46
MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",,,2950.0,35449.59,46
MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,,,2950.0,47160.58,46
MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,,,2950.0,27860.14,46
MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,,,2950.0,21574.48,46
MS-DRG,067,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,2950.0,20968.0,7
MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,2979.0,36701.27,39
MS-DRG,068,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,2950.0,12698.0,7
MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,2979.0,25046.21,39
MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,2950.0,23780.97,46
MS-DRG,070,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC,,,2950.0,25042.0,7
MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC,,,2979.0,40483.45,39
MS-DRG,071,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC,,,2950.0,15178.0,7
MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC,,,2979.0,28162.94,39
MS-DRG,072,NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,2950.0,10804.0,7
MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,2979.0,22959.29,39
MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,,,2950.0,39316.6,46
MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,,,2950.0,28255.51,46
MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC,,,2950.0,45357.3,46
MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC,,,2950.0,24290.09,46
MS-DRG,077,HYPERTENSIVE ENCEPHALOPATHY WITH MCC,,,2950.0,22270.0,4
MS-DRG,078,HYPERTENSIVE ENCEPHALOPATHY WITH CC,,,2950.0,14371.0,4
MS-DRG,079,HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC,,,2950.0,9602.0,4
MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC,,,2950.0,43283.9,46
MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,,,2950.0,25647.95,46
MS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC,,,2950.0,52456.79,46
MS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC,,,2950.0,35295.24,46
MS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC,,,2950.0,26809.01,46
MS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC,,,2950.0,52192.56,46
MS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC,,,2950.0,33499.65,46
MS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC,,,2950.0,26016.31,46
MS-DRG,088,CONCUSSION WITH MCC,,,2950.0,34446.65,46
MS-DRG,089,CONCUSSION WITH CC,,,2950.0,29563.16,46
MS-DRG,090,CONCUSSION WITHOUT CC/MCC,,,2950.0,24251.53,46
MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,,,2950.0,42246.26,46
MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,,,2950.0,28105.11,46
MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,2950.0,23732.72,46
MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,,,2950.0,78394.63,46
MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,,,2950.0,58119.45,46
MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,2950.0,58119.45,46
MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,,,2950.0,80452.85,46
MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,,,2950.0,52636.17,46
MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,,,2950.0,34651.08,46
MS-DRG,100,SEIZURES WITH MCC,,,2950.0,45729.5,46
MS-DRG,101,SEIZURES WITHOUT MCC,,,2950.0,25782.93,46
MS-DRG,102,HEADACHES WITH MCC,,,2950.0,29993.26,46
MS-DRG,103,HEADACHES WITHOUT MCC,,,2950.0,24504.2,46
MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC,,,6299.0,53720.11,46
MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC,,,6299.0,34469.75,46
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,,,6299.0,37978.07,46
MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC,,,6299.0,43247.29,46
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC,,,6299.0,29298.95,46
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,,,2950.0,30811.04,46
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,,,2950.0,23530.22,46
MS-DRG,123,NEUROLOGICAL EYE DISORDERS,,,2950.0,23777.09,46
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC,,,2950.0,18779.0,7
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,,,2979.0,33893.11,39
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC,,,2950.0,23183.06,46
MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC,,,6299.0,50227.23,46
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,,,6299.0,27956.59,46
MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC,,,6299.0,37173.83,46
MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC,,,6299.0,25466.64,46
MS-DRG,139,SALIVARY GLAND PROCEDURES,,,6299.0,32207.41,46
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,6299.0,95009.56,46
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC,,,6299.0,50441.27,46
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,6299.0,39164.21,46
MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",,,6299.0,83455.51,46
MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",,,6299.0,41796.89,46
MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",,,6299.0,31563.25,46
MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",,,2950.0,49212.71,46
MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",,,2950.0,32897.91,46
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",,,2950.0,23748.14,46
MS-DRG,149,DYSEQUILIBRIUM,,,2950.0,22870.62,46
MS-DRG,150,EPISTAXIS WITH MCC,,,2950.0,34055.12,46
MS-DRG,151,EPISTAXIS WITHOUT MCC,,,2950.0,22531.14,46
MS-DRG,152,OTITIS MEDIA AND URI WITH MCC,,,2950.0,31175.62,46
MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC,,,2950.0,22612.15,46
MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",,,2950.0,38529.71,46
MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",,,2950.0,26051.02,46
MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC",,,2950.0,21703.73,46
MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC,,,2950.0,41486.38,46
MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC,,,2950.0,25921.79,46
MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC,,,2950.0,22039.31,46
MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC,,,6299.0,99832.1,46
MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC,,,6299.0,57054.8,46
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC,,,6299.0,45293.59,46
MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,,,6299.0,83257.27,46
MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,,,6299.0,43156.65,46
MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,34728.25,46
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,,,6764.0,66299.31,39
MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,,,2950.0,34867.09,46
MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC,,,2950.0,23900.51,46
MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,,,2950.0,38514.27,46
MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,,,2950.0,27198.57,46
MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,,,2950.0,22936.19,46
MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC,,,2950.0,42435.27,46
MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC,,,2950.0,29030.87,46
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC,,,2950.0,22913.04,46
MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC,,,2950.0,37881.69,46
MS-DRG,184,MAJOR CHEST TRAUMA WITH CC,,,2950.0,28897.76,46
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC,,,2950.0,23543.69,46
MS-DRG,186,PLEURAL EFFUSION WITH MCC,,,2950.0,38433.24,46
MS-DRG,187,PLEURAL EFFUSION WITH CC,,,2950.0,27451.27,46
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC,,,2950.0,22207.15,46
MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE,,,2950.0,32201.63,46
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,,,2950.0,29738.69,46
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,,,2950.0,24633.43,46
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,,,2950.0,20756.82,46
MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC,,,2950.0,33725.3,46
MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC,,,2950.0,23917.88,46
MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,,,2950.0,20496.42,46
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC,,,2950.0,44772.9,46
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC,,,2950.0,26679.76,46
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,,,2950.0,22187.83,46
MS-DRG,199,PNEUMOTHORAX WITH MCC,,,2950.0,42398.65,46
MS-DRG,200,PNEUMOTHORAX WITH CC,,,2950.0,29576.72,46
MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC,,,2950.0,22166.66,46
MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC,,,2950.0,27105.98,46
MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC,,,2950.0,21296.8,46
MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS,,,2950.0,23946.83,46
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,,,2950.0,43688.97,46
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,,,2950.0,26525.48,46
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,,,2950.0,143332.94,46
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,,,2950.0,61388.58,46
MS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES,,,6299.0,280554.79,36
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,,,6764.0,242220.58,39
MS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES,,,6299.0,141454.76,36
MS-DRG,215,MCSD Insertion,,,,,0
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT,,,6299.0,246800.38,46
MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,,,6299.0,242482.55,47
MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,,,6299.0,162979.46,47
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,6299.0,146464.81,47
MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,6299.0,190319.1,47
MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,,,6299.0,132182.09,47
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,6299.0,112270.46,47
MS-DRG,222,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC",,,6299.0,77779.0,3
MS-DRG,223,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC",,,6299.0,77779.0,3
MS-DRG,224,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC",,,6299.0,77779.0,3
MS-DRG,225,"CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC",,,6299.0,77779.0,3
MS-DRG,226,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,6299.0,77779.0,3
MS-DRG,227,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,,,6299.0,77779.0,3
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC,,,6299.0,122629.32,47
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,,,6299.0,86842.0,47
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC,,,6299.0,187776.02,47
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC,,,6299.0,135044.42,47
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,,,6299.0,189498.67,47
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,,,6299.0,135401.87,47
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,6299.0,145462.76,47
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,,,6299.0,103826.19,47
MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,,,6299.0,121992.31,46
MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,,,6299.0,63494.89,46
MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC,,,6299.0,35075.39,46
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,,,6299.0,71119.62,47
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,,,6299.0,52817.81,47
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,,,6299.0,44801.82,47
MS-DRG,245,AICD GENERATOR PROCEDURES,,,6299.0,113086.48,47
MS-DRG,246,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS,,,6299.0,25001.0,3
MS-DRG,247,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC,,,6299.0,25001.0,3
MS-DRG,248,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS,,,6299.0,25001.0,3
MS-DRG,249,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC,,,6299.0,25001.0,3
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC,,,6299.0,44434.0,7
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,,,16954.97,54096.8,40
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC,,,6299.0,30020.0,7
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,,,11610.17,37198.93,40
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC,,,6299.0,86463.17,47
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC,,,6299.0,64336.15,47
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,,,6299.0,42738.11,47
MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,,,6299.0,60399.16,46
MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,,,6299.0,41121.85,46
MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC,,,6299.0,29439.74,46
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,,,6299.0,69990.28,47
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,,,6299.0,47374.68,47
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,,,6299.0,72456.12,47
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,,,6299.0,44836.54,47
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC,,,6299.0,39810.36,47
MS-DRG,263,VEIN LIGATION AND STRIPPING,,,6299.0,68103.59,46
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,,,6299.0,82802.18,46
MS-DRG,265,AICD LEAD PROCEDURES,,,6299.0,80595.4,47
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,,,6299.0,151902.32,47
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,,,6299.0,118004.14,47
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,,,6299.0,170479.89,46
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,,,6299.0,104678.85,46
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,,,6299.0,130781.64,46
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,,,6299.0,88148.66,46
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,,,6299.0,63280.24,46
MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,,,6299.0,91895.51,46
MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,,,6299.0,81590.12,46
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,55393.23,158829.66,40
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,,,46662.87,133797.02,40
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,,,35879.28,102877.09,40
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,,,27798.0,123987.1,40
MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,,,27798.0,80332.56,40
MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",,,6299.0,39760.22,47
MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",,,6299.0,27789.0,47
MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",,,5617.47,22320.91,47
MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",,,2950.0,46578.13,46
MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",,,2950.0,21724.95,46
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC",,,2950.0,19925.49,46
MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",,,6299.0,54847.83,47
MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",,,6299.0,29013.5,47
MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,,,2950.0,60568.88,46
MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,,,2950.0,42308.28,46
MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC,,,2950.0,26305.64,46
MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC,,,2950.0,33135.09,46
MS-DRG,292,HEART FAILURE AND SHOCK WITH CC,,,2950.0,24749.14,46
MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC,,,2950.0,19290.89,46
MS-DRG,294,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC,,,2950.0,17685.0,4
MS-DRG,295,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC,,,2950.0,11375.0,4
MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC",,,2950.0,38498.83,46
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC",,,2950.0,20602.45,46
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC",,,2950.0,17152.02,46
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC,,,2950.0,39864.37,46
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC,,,2950.0,28963.35,46
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,,,2950.0,22255.37,46
MS-DRG,302,ATHEROSCLEROSIS WITH MCC,,,2950.0,31453.27,46
MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC,,,2950.0,21358.52,46
MS-DRG,304,HYPERTENSION WITH MCC,,,2950.0,31326.02,46
MS-DRG,305,HYPERTENSION WITHOUT MCC,,,2950.0,22938.14,46
MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,,,2950.0,39058.76,46
MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,,,2950.0,25987.4,46
MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,,,2950.0,31596.01,46
MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,,,2950.0,22563.97,46
MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,,,2950.0,19292.89,46
MS-DRG,311,ANGINA PECTORIS,,,2950.0,21912.06,46
MS-DRG,312,SYNCOPE AND COLLAPSE,,,2950.0,25185.04,46
MS-DRG,313,CHEST PAIN,,,2950.0,22261.13,46
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,,,2950.0,51685.06,46
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,,,2950.0,26953.65,46
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,,,2950.0,21530.14,46
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,,,6299.0,148941.79,39
MS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE,,,6299.0,60038.15,36
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,,,6299.0,99411.1,47
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,,,6299.0,86842.0,47
MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,,,21136.81,60850.48,40
MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,,,13696.04,42377.41,40
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,,,33617.84,96392.84,40
MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,24478.86,86842.0,40
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,,,24940.31,86842.0,40
MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",,,6299.0,111094.34,46
MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",,,6299.0,55515.72,46
MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",,,6299.0,39278.04,46
MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,6299.0,102387.04,46
MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,6299.0,54609.25,46
MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,6299.0,40832.54,46
MS-DRG,332,RECTAL RESECTION WITH MCC,,,6299.0,80651.09,46
MS-DRG,333,RECTAL RESECTION WITH CC,,,6299.0,53548.42,46
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC,,,6299.0,39964.62,46
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC,,,6299.0,79541.8,46
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC,,,6299.0,49044.95,46
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,,,6299.0,37980.02,46
MS-DRG,338,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC,,,6299.0,7411.0,3
MS-DRG,339,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC,,,6299.0,7411.0,3
MS-DRG,340,APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,6299.0,7411.0,3
MS-DRG,341,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC,,,6299.0,7411.0,3
MS-DRG,342,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC,,,6299.0,7411.0,3
MS-DRG,343,APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,6299.0,7411.0,3
MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,6299.0,58188.87,46
MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,6299.0,37395.6,46
MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,6299.0,31252.7,46
MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC,,,6299.0,52649.66,46
MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC,,,6299.0,33617.29,46
MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,,,6299.0,25165.77,46
MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,,,6299.0,56435.72,46
MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,,,6299.0,37777.5,46
MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,,,6299.0,30897.8,46
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,,,6299.0,64642.05,46
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,,,6299.0,40822.93,46
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,,,6299.0,34315.5,46
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,,,6299.0,97849.62,46
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,,,6299.0,53226.37,46
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,35335.78,46
MS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC,,,6299.0,85231.27,36
MS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,6299.0,59842.34,36
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC,,,2950.0,39077.44,46
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC,,,2950.0,27665.33,46
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,,,2950.0,21890.81,46
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,,,2950.0,42572.2,46
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,,,2950.0,28066.52,46
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,,,2950.0,22403.82,46
MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC,,,2950.0,49623.52,46
MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC,,,2950.0,31704.01,46
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC,,,2950.0,26201.47,46
MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC,,,2950.0,43631.11,46
MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC,,,2950.0,27289.21,46
MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,,,2950.0,20533.01,46
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC,,,2950.0,46219.38,46
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC,,,2950.0,29271.93,46
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,,,2950.0,23815.68,46
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC,,,2950.0,35003.98,46
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,,,2950.0,24861.0,46
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC,,,2950.0,38892.29,46
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC,,,2950.0,27204.38,46
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,,,2950.0,21514.74,46
MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC,,,2950.0,36857.49,46
MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC,,,2950.0,23607.37,46
MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,,,2950.0,18866.62,46
MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",,,2950.0,32836.22,46
MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",,,2950.0,23410.63,46
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,,,2950.0,39220.11,46
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,,,2950.0,26421.31,46
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,2950.0,20891.76,46
MS-DRG,397,APPENDIX PROCEDURES WITH MCC,,,6764.0,54564.84,39
MS-DRG,398,APPENDIX PROCEDURES WITH CC,,,6764.0,37567.26,39
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC,,,6764.0,30452.31,39
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,6299.0,89556.64,39
MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",,,6299.0,121855.39,46
MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",,,6299.0,64601.96,46
MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",,,6299.0,51183.82,46
MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,,,6299.0,79423.74,46
MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,,,6299.0,50368.0,46
MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,,,6299.0,38996.44,46
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC,,,6299.0,73581.01,46
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC,,,6299.0,48925.36,46
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,,,6299.0,40400.52,46
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,,,6299.0,79356.91,46
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,,,6299.0,48234.85,46
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,,,6299.0,34668.45,46
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,,,6299.0,54400.88,46
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,,,6299.0,41000.31,46
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,,,6299.0,34716.64,46
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,,,6299.0,75893.15,46
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,,,6299.0,41885.65,46
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,,,6299.0,35366.63,46
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,,,6299.0,92508.07,46
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,,,6299.0,50572.47,46
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,37310.71,46
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,6299.0,245497.23,39
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,,,6299.0,160794.32,39
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,,,6299.0,125230.05,39
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,,,6299.0,200688.84,39
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,,,6299.0,128462.15,39
MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,,,2950.0,46335.11,46
MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,,,2950.0,28745.44,46
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,,,2950.0,22116.48,46
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,,,2950.0,43798.9,46
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,,,2950.0,30190.03,46
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,,,2950.0,24832.07,46
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,,,2950.0,39816.12,46
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,,,2950.0,24598.72,46
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,,,2950.0,20359.48,46
MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",,,2950.0,42988.83,46
MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",,,2950.0,26992.24,46
MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",,,2950.0,21869.62,46
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC,,,2950.0,40601.09,46
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC,,,2950.0,29482.16,46
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,,,2950.0,24330.63,46
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,6299.0,148832.64,39
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,6299.0,94463.82,39
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,6299.0,118716.84,39
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,6299.0,71957.16,39
MS-DRG,453,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC,,,6299.0,37499.0,3
MS-DRG,454,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC,,,6299.0,37499.0,3
MS-DRG,455,COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC,,,6299.0,37499.0,3
MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",,,6299.0,187185.73,47
MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",,,6299.0,132828.05,47
MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",,,6299.0,92944.66,47
MS-DRG,459,SPINAL FUSION EXCEPT CERVICAL WITH MCC,,,6299.0,37499.0,3
MS-DRG,460,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,6299.0,37499.0,3
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,,,6299.0,119407.37,47
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,,,6299.0,59677.85,47
MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,6299.0,126956.36,47
MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,,,6299.0,69379.94,47
MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,6299.0,43548.13,47
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,,,6299.0,115950.29,48
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC,,,6299.0,78555.01,48
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,,,6299.0,61375.07,48
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,,,6299.0,67564.53,48
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,,,6299.0,45577.12,48
MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC,,,6299.0,107559.29,48
MS-DRG,472,CERVICAL SPINAL FUSION WITH CC,,,6299.0,65624.38,48
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,,,6299.0,55459.79,48
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,6299.0,95624.35,47
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,,,6299.0,52265.88,47
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,6299.0,31137.05,47
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,6299.0,76951.21,47
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,,,6299.0,55805.03,47
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,,,6299.0,44227.05,47
MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,,,6299.0,64871.48,47
MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,,,6299.0,48771.03,47
MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,,,6299.0,39831.58,47
MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,,,6299.0,61836.04,47
MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,,,6299.0,71883.65,47
MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,,,6299.0,48705.47,47
MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,6299.0,38581.76,47
MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,,,6299.0,42491.22,47
MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,6299.0,29914.21,47
MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",,,6299.0,81784.89,47
MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",,,6299.0,57288.18,47
MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",,,6299.0,47073.81,47
MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,,,6299.0,80762.47,47
MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,,,6299.0,43166.3,47
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,,,6299.0,31678.96,47
MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,,,6299.0,67199.22,47
MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,,,6299.0,47233.9,47
MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC,,,6299.0,70495.92,47
MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC,,,6299.0,42090.07,47
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC,,,6299.0,34332.84,47
MS-DRG,503,FOOT PROCEDURES WITH MCC,,,6299.0,62206.33,47
MS-DRG,504,FOOT PROCEDURES WITH CC,,,6299.0,44425.72,47
MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC,,,6299.0,42952.17,47
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES,,,6299.0,34396.5,47
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,,,6299.0,43214.48,47
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,,,6299.0,37582.7,47
MS-DRG,509,ARTHROSCOPY,,,6299.0,25299.0,4
MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC",,,6299.0,67281.64,47
MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",,,6299.0,48479.82,47
MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",,,6299.0,40302.15,47
MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",,,6299.0,38737.96,47
MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",,,6299.0,28091.55,47
MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,,,6299.0,70988.2,47
MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,,,6299.0,48454.72,47
MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,38012.78,47
MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,,,6299.0,83248.36,48
MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,,,6299.0,46952.29,48
MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,,,6299.0,38650.0,48
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,6299.0,63933.71,47
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,,,6299.0,49218.52,47
MS-DRG,533,FRACTURES OF FEMUR WITH MCC,,,2950.0,38610.69,46
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC,,,2950.0,23921.75,46
MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC,,,2950.0,33100.38,46
MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC,,,2950.0,23950.68,46
MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",,,2950.0,26780.08,46
MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC",,,2950.0,22266.93,46
MS-DRG,539,OSTEOMYELITIS WITH MCC,,,2950.0,46364.02,46
MS-DRG,540,OSTEOMYELITIS WITH CC,,,2950.0,33376.2,46
MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC,,,2950.0,23561.05,46
MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,,,2950.0,42444.95,46
MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,,,2950.0,28201.5,46
MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,,,2950.0,22928.46,46
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC,,,2950.0,56238.93,46
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC,,,2950.0,30620.1,46
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,2950.0,24502.3,46
MS-DRG,548,SEPTIC ARTHRITIS WITH MCC,,,2950.0,45615.69,46
MS-DRG,549,SEPTIC ARTHRITIS WITH CC,,,2950.0,31657.72,46
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC,,,2950.0,25233.27,46
MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC,,,2950.0,40701.39,46
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC,,,2950.0,26915.07,46
MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC,,,2950.0,33376.2,46
MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,,,2950.0,24384.63,46
MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,2950.0,33867.99,46
MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,,,2950.0,24394.27,46
MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",,,2950.0,37052.33,46
MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",,,2950.0,25601.6,46
MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",,,2950.0,44342.76,46
MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",,,2950.0,30093.58,46
MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",,,2950.0,23879.31,46
MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",,,2950.0,35854.58,46
MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",,,2950.0,25645.97,46
MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,,,2950.0,38145.86,46
MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,,,2950.0,27167.76,46
MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,,,2950.0,22826.26,46
MS-DRG,570,SKIN DEBRIDEMENT WITH MCC,,,6299.0,65513.0,46
MS-DRG,571,SKIN DEBRIDEMENT WITH CC,,,6299.0,40959.87,46
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC,,,6299.0,30483.12,46
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,6299.0,145932.43,46
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,,,6299.0,77325.43,46
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,6299.0,43033.2,46
MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,6299.0,109174.23,46
MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,,,6299.0,59498.43,46
MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,6299.0,39357.07,46
MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",,,6299.0,72137.59,46
MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",,,6299.0,41702.42,46
MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",,,6299.0,36207.53,46
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC,,,6299.0,45532.78,46
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,,,6299.0,41632.95,46
MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",,,6299.0,49662.08,46
MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",,,6299.0,45581.0,46
MS-DRG,592,SKIN ULCERS WITH MCC,,,2950.0,45700.57,46
MS-DRG,593,SKIN ULCERS WITH CC,,,2950.0,31254.6,46
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC,,,2950.0,25092.43,46
MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC,,,2950.0,49276.37,46
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC,,,2950.0,29252.64,46
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC,,,2950.0,40527.82,46
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC,,,2950.0,30193.86,46
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,2950.0,23213.91,46
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,,,2950.0,28463.83,46
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,2950.0,20043.13,46
MS-DRG,602,CELLULITIS WITH MCC,,,2950.0,35787.09,46
MS-DRG,603,CELLULITIS WITHOUT MCC,,,2950.0,25171.56,46
MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC",,,2950.0,36766.88,46
MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",,,2950.0,26041.41,46
MS-DRG,606,MINOR SKIN DISORDERS WITH MCC,,,2950.0,37559.56,46
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC,,,2950.0,25856.23,46
MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,,,6299.0,50647.69,46
MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,,,6299.0,35362.75,46
MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,6299.0,77681.84,46
MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,6299.0,44446.91,46
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,6299.0,35729.21,46
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,,,6299.0,64316.83,46
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC,,,6299.0,39239.45,46
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,,,6299.0,37467.01,46
MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,6299.0,79281.18,46
MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,6299.0,42973.39,46
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,6299.0,32519.86,46
MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",,,6299.0,67272.73,46
MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",,,6299.0,37293.4,46
MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",,,6299.0,33993.38,46
MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",,,6299.0,83014.47,46
MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",,,6299.0,50396.95,46
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",,,6299.0,36523.82,46
MS-DRG,637,DIABETES WITH MCC,,,2950.0,36084.09,46
MS-DRG,638,DIABETES WITH CC,,,2950.0,25659.51,46
MS-DRG,639,DIABETES WITHOUT CC/MCC,,,2950.0,20355.58,46
MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",,,2950.0,34134.17,46
MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",,,2950.0,23383.6,46
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,,,2950.0,35802.53,46
MS-DRG,643,ENDOCRINE DISORDERS WITH MCC,,,2950.0,40122.8,46
MS-DRG,644,ENDOCRINE DISORDERS WITH CC,,,2950.0,28143.69,46
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC,,,2950.0,23192.71,46
MS-DRG,650,Combination Transplant (any combination of solid organ besides kidney/pancreas),,,,,0
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,6299.0,104723.68,22
MS-DRG,650,Kidney (CAD) Transplant,,,42500.0,42750.0,2
MS-DRG,650,Kidney (LRD) Transplant,,,30000.0,34500.0,2
MS-DRG,650,Kidney-Liver Transplant,,,,,0
MS-DRG,651,Combination Transplant (any combination of solid organ besides kidney/pancreas),,,,,0
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,6299.0,82546.7,22
MS-DRG,651,Kidney (CAD) Transplant,,,42500.0,42750.0,2
MS-DRG,651,Kidney (LRD) Transplant,,,30000.0,34500.0,2
MS-DRG,651,Kidney-Liver Transplant,,,,,0
MS-DRG,652,Combination Transplant (any combination of solid organ besides kidney/pancreas),,,,,0
MS-DRG,652,KIDNEY TRANSPLANT,,,6299.0,70661.75,17
MS-DRG,652,Kidney (CAD) Transplant,,,42500.0,42750.0,2
MS-DRG,652,Kidney (LRD) Transplant,,,30000.0,34500.0,2
MS-DRG,652,Kidney-Liver Transplant,,,,,0
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC,,,6299.0,115749.81,46
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC,,,6299.0,62364.49,46
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,,,6299.0,49197.27,46
MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,,,6299.0,70919.15,46
MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,,,6299.0,43669.65,46
MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,,,6299.0,38304.01,46
MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,,,6299.0,57380.73,46
MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,,,6299.0,33866.11,46
MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,,,6299.0,28344.24,46
MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC,,,6299.0,68194.91,46
MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC,,,6299.0,37694.59,46
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC,,,6299.0,28566.04,46
MS-DRG,665,PROSTATECTOMY WITH MCC,,,6299.0,69524.73,46
MS-DRG,666,PROSTATECTOMY WITH CC,,,6299.0,42113.2,46
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC,,,6299.0,29709.76,46
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC,,,6299.0,65043.0,46
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC,,,6299.0,38307.91,46
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,,,6299.0,27223.65,46
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC,,,6299.0,42994.61,46
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC,,,6299.0,29194.83,46
MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,,,6299.0,93590.64,46
MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,,,6299.0,53478.97,46
MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,,,6299.0,40032.16,46
MS-DRG,682,RENAL FAILURE WITH MCC,,,2950.0,36938.5,46
MS-DRG,683,RENAL FAILURE WITH CC,,,2950.0,25266.05,46
MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC,,,2950.0,19952.46,46
MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,,,2950.0,43162.38,46
MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,,,2950.0,28583.4,46
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,,,2950.0,23617.03,46
MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,,,2950.0,30753.18,46
MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,,,2950.0,23987.32,46
MS-DRG,693,URINARY STONES WITH MCC,,,2950.0,34305.84,46
MS-DRG,694,URINARY STONES WITHOUT MCC,,,2950.0,23451.17,46
MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,,,2950.0,30434.94,46
MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,,,2950.0,21663.26,46
MS-DRG,697,URETHRAL STRICTURE,,,2950.0,29162.02,46
MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,,,2950.0,40282.83,46
MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,,,2950.0,27950.78,46
MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,,,2950.0,21680.58,46
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,,,6299.0,46954.22,46
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,,,6299.0,37964.58,46
MS-DRG,709,PENIS PROCEDURES WITH CC/MCC,,,6299.0,53257.2,46
MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC,,,6299.0,35399.39,46
MS-DRG,711,TESTES PROCEDURES WITH CC/MCC,,,6299.0,48564.68,46
MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC,,,6299.0,29584.36,46
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,,,6299.0,37370.52,46
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,,,6299.0,28768.58,46
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,,,6299.0,51525.21,46
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,,,6299.0,36745.66,46
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,,,6299.0,44836.54,46
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,,,6299.0,34278.86,46
MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",,,2950.0,43278.14,46
MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",,,2950.0,30413.72,46
MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,2950.0,21020.99,46
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC,,,2950.0,30944.14,46
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,,,2950.0,22299.71,46
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,,,2950.0,36975.14,46
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,,,2950.0,24020.08,46
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,,,2950.0,28793.61,46
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,2950.0,21335.37,46
MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",,,6299.0,49455.73,46
MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC",,,6299.0,34325.13,46
MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,,,6299.0,79621.99,46
MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,,,6299.0,48117.24,46
MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,6299.0,36697.41,46
MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,,,6299.0,78548.33,46
MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,,,6299.0,43276.19,46
MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,6299.0,35879.64,46
MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,,,6299.0,43762.22,46
MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,,,6299.0,32303.83,46
MS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",,,6299.0,47895.4,46
MS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",,,6299.0,30313.47,46
MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",,,6299.0,41877.89,46
MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",,,6299.0,24955.52,46
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,6299.0,35131.32,46
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,,,6299.0,57895.75,46
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,36838.22,46
MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,2950.0,43895.3,46
MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,2950.0,29354.88,46
MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,2950.0,26899.65,46
MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,2950.0,35991.54,46
MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,2950.0,27256.43,46
MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,2950.0,21173.36,46
MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,,,2950.0,27806.14,46
MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,,,2950.0,19377.77,46
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C,,,4310.0,30419.51,46
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,,,6299.0,47968.35,46
MS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,6299.0,28463.64,46
MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,,,2950.0,21001.72,46
MS-DRG,779,ABORTION WITHOUT D&C,,,2950.0,24600.6,46
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC,,,6299.0,69692.92,46
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC,,,6299.0,30093.06,46
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,,,6299.0,27189.07,46
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,,,6299.0,46824.36,46
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC,,,6299.0,31702.6,46
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,,,6299.0,27217.46,46
MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY",,,561.0,43133.47,45
MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",,,561.0,123006.52,45
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS,,,561.0,86660.29,45
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS,,,561.0,55612.16,45
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS,,,561.0,88793.43,45
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS,,,561.0,36840.15,45
MS-DRG,795,NORMAL NEWBORN,,,561.0,12228.04,45
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC,,,4310.0,33127.63,46
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC,,,4310.0,28398.35,46
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC,,,4310.0,27169.2,46
MS-DRG,799,SPLENECTOMY WITH MCC,,,6299.0,68479.0,7
MS-DRG,799,SPLENIC PROCEDURES WITH MCC,,,6764.0,100881.25,39
MS-DRG,800,SPLENECTOMY WITH CC,,,6299.0,41964.0,7
MS-DRG,800,SPLENIC PROCEDURES WITH CC,,,6764.0,62579.39,39
MS-DRG,801,SPLENECTOMY WITHOUT CC/MCC,,,6299.0,23645.0,7
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC,,,6764.0,45191.39,39
MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,,,6299.0,88745.83,46
MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,,,6299.0,44227.05,46
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,,,6299.0,34527.63,46
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC,,,2950.0,30635.25,46
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC,,,2950.0,22916.94,46
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC,,,2950.0,21377.81,46
MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,,,2950.0,50958.2,46
MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,,,2950.0,32789.9,46
MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,,,2950.0,28560.26,46
MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC,,,2950.0,35459.2,46
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC,,,2950.0,26083.8,46
MS-DRG,813,COAGULATION DISORDERS,,,2950.0,37792.91,46
MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,,,2950.0,49392.11,46
MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,,,2950.0,27931.49,46
MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,,,2950.0,20563.89,46
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,,,6299.0,52379.67,46
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,,,6299.0,30731.91,46
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,24959.4,46
MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,,,6299.0,130638.42,46
MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,,,6299.0,51550.33,46
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,31596.01,46
MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,,,6299.0,102126.42,46
MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,,,6299.0,52071.04,46
MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,,,6299.0,34400.31,46
MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,,,6299.0,104197.99,46
MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,,,6299.0,52950.55,46
MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,41235.66,46
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,,,6299.0,70389.0,46
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,,,6299.0,37401.4,46
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,,,2950.0,31567.08,46
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,,,2950.0,22292.03,46
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,,,2950.0,18459.67,46
MS-DRG,834,ACUTE LEUKEMIA WITH MCC,,,2979.0,122287.52,39
MS-DRG,834,ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC,,,2950.0,79604.0,7
MS-DRG,835,ACUTE LEUKEMIA WITH CC,,,2979.0,48603.24,39
MS-DRG,835,ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC,,,2950.0,30762.0,7
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC,,,2979.0,31894.98,39
MS-DRG,836,ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,2950.0,18302.0,7
MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,,,2950.0,107015.78,46
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,,,2950.0,48634.12,46
MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,2950.0,36222.99,46
MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,,,2950.0,72057.4,46
MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,,,2950.0,39839.24,46
MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,,,2950.0,27862.09,46
MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,,,2950.0,46848.17,46
MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,,,2950.0,31854.49,46
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,,,2950.0,24799.27,46
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,,,2950.0,58375.95,46
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,,,2950.0,33605.73,46
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,2950.0,24756.9,46
MS-DRG,849,RADIOTHERAPY,,,2950.0,60632.54,46
MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES,,,6299.0,192890.36,37
MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,,,6299.0,110007.32,46
MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,,,6299.0,46911.78,46
MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,37250.95,46
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,,,6299.0,101322.29,46
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,,,6299.0,49677.52,46
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,35239.33,46
MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,,,2950.0,43548.13,46
MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,,,2950.0,27620.98,46
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS,,,2950.0,25495.55,46
MS-DRG,865,VIRAL ILLNESS WITH MCC,,,2950.0,37272.15,46
MS-DRG,866,VIRAL ILLNESS WITHOUT MCC,,,2950.0,25146.43,46
MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,,,2950.0,48745.96,46
MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,,,2950.0,28261.29,46
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,,,2950.0,22448.21,46
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,,,2950.0,153960.35,46
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC,,,2950.0,45839.43,46
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC,,,2950.0,28110.89,46
MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,,,1539.0,86090.65,45
MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,,,1539.0,26893.87,45
MS-DRG,881,DEPRESSIVE NEUROSES,,,1539.0,26521.65,45
MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE,,,1539.0,29084.87,45
MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,1539.0,46298.48,46
MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,,,1539.0,39405.29,45
MS-DRG,885,PSYCHOSES,,,1539.0,35314.55,45
MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS,,,1539.0,48400.76,45
MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES,,,1539.0,29028.96,45
MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",,,1539.0,20272.65,45
MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",,,1539.0,35677.16,46
MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",,,1539.0,42032.22,45
MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",,,1539.0,25401.06,45
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,,,6299.0,93479.26,46
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC,,,6299.0,45299.4,46
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,,,6299.0,30932.58,46
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC,,,6299.0,81818.3,46
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,,,6299.0,36984.82,46
MS-DRG,906,HAND PROCEDURES FOR INJURIES,,,6299.0,46259.89,46
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,,,6299.0,85520.41,46
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC,,,6299.0,46855.8,46
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,,,6299.0,33692.51,46
MS-DRG,913,TRAUMATIC INJURY WITH MCC,,,2950.0,39900.96,46
MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC,,,2950.0,25453.11,46
MS-DRG,915,ALLERGIC REACTIONS WITH MCC,,,2950.0,40807.47,46
MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC,,,2950.0,21225.44,46
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,,,2950.0,38624.18,46
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,,,2950.0,24905.42,46
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC,,,2950.0,43685.09,46
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC,,,2950.0,27705.89,46
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,,,2950.0,21651.68,46
MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",,,2950.0,42115.15,46
MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",,,2950.0,28002.91,46
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT,,,6299.0,420160.64,40
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,,,6299.0,159771.89,40
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,,,6299.0,71743.32,40
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT,,,2979.0,85016.99,40
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,,,2979.0,51010.28,40
MS-DRG,935,NON-EXTENSIVE BURNS,,,2979.0,48105.63,40
MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,,,6299.0,80824.84,46
MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,,,6299.0,53446.19,46
MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,,,6299.0,47482.69,46
MS-DRG,945,REHABILITATION WITH CC/MCC,,,1106.0,38242.3,47
MS-DRG,946,REHABILITATION WITHOUT CC/MCC,,,1106.0,30492.82,47
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC,,,2950.0,32857.42,46
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC,,,2950.0,23813.75,46
MS-DRG,949,AFTERCARE WITH CC/MCC,,,2950.0,31320.26,46
MS-DRG,950,AFTERCARE WITHOUT CC/MCC,,,2950.0,20480.93,46
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,,,2950.0,19098.1,46
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,6299.0,149935.25,47
MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",,,6299.0,83820.82,47
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,6299.0,169733.27,47
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,6299.0,93864.62,47
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,6299.0,65579.83,47
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,2950.0,61101.22,46
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,2950.0,37933.7,46
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,2950.0,26513.9,46
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,,,6299.0,136351.96,46
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,,,6299.0,59241.97,46
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC,,,2950.0,64285.65,46
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC,,,2950.0,33351.15,46
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,,,2950.0,25784.86,46
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,,,2950.0,33403.18,46
MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,6299.0,104509.85,46
MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,6299.0,55791.49,46
MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,6299.0,41432.38,46
MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,6299.0,76367.61,46
MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,6299.0,40074.6,46
MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,6299.0,31503.47,46
MS-DRG,998,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS,,,6299.0,7411.0,4
MS-DRG,999,UNGROUPABLE,,,6299.0,7411.0,4
NDC,00000320100,hyaluronidase 150 unit/mL injection solution,96.0,57.6,16.32,7411.0,42
NDC,00000320200,hyaluronidase 150 unit/mL injection solution,33.0,19.8,5.61,7411.0,42
NDC,00000425300,oxytocin 20 unit/1000 mL in 0.9 % sodium chloride intravenous,54.0,32.4,9.18,7411.0,41
NDC,00002120001,florbetapir F-18 10 mCi (370 MBq) intravenous solution,8268.0,4960.8,1405.56,7411.0,54
NDC,00002323560,"DULoxetine 20 mg capsule,delayed release",16.68,10.01,2.84,7411.0,39
NDC,00002418230,baricitinib 2 mg tablet,182.67,109.6,31.05,7411.0,41
NDC,00002445301,OLANZapine 5 mg disintegrating tablet,33.46,20.08,5.69,7411.0,39
NDC,00002446230,tadalafil 5 mg tablet,19.22,11.53,3.27,7411.0,39
NDC,00002446430,tadalafil 20 mg tablet,112.6,67.56,19.14,7411.0,39
NDC,00002473230,baricitinib 1 mg tablet,182.67,109.6,31.05,7411.0,41
NDC,00002512130,prasugrel HCl 5 mg tablet,32.6,19.56,5.54,7411.0,39
NDC,00002512301,prasugrel HCl 10 mg tablet,32.6,19.56,5.54,7411.0,39
NDC,00002512330,prasugrel HCl 10 mg tablet,32.6,19.56,5.54,7411.0,39
NDC,00002751001,insulin lispro (U-100) 100 unit/mL subcutaneous solution,132.8,79.68,22.58,7411.0,39
NDC,00002751101,insulin lispro protamine-lispro 100 unit/mL (75-25) subcutaneous susp,170.82,102.49,29.04,7411.0,39
NDC,00002759701,OLANZapine 10 mg intramuscular solution,226.17,135.7,0.7821,7411.0,42
NDC,00002762301,PEMEtrexed disodium 500 mg intravenous powder for solution,12179.0,7307.4,3.84,9134.25,57
NDC,00002762301,"PEMEtrexed disodium 500 mg intravenous powder for solution,PEMETREXED 500 MG INTRAVENOUS POWDER FOR SOLUTION",12179.0,7307.4,3.84,9134.25,57
NDC,00002764001,PEMEtrexed disodium 100 mg intravenous powder for solution,2475.8,1485.48,3.84,7411.0,57
NDC,00002764001,"PEMEtrexed disodium 100 mg intravenous powder for solution,PEMETREXED 100 MG INTRAVENOUS POWDER FOR SOLUTION",2475.8,1485.48,3.84,7411.0,57
NDC,00002766901,ramucirumab 10 mg/mL intravenous solution,4420.37,2652.22,70.38,7411.0,57
NDC,00002791001,bamlanivimab 700 mg/20 mL (35 mg/mL) intravenous soln (1 of 2) (EUA),0.02,0.01,0.0034,7411.0,41
NDC,00002821501,insulin U-100 regular human 100 unit/mL injection solution,89.22,53.53,15.17,7411.0,39
NDC,00002821517,insulin U-100 regular human 100 unit/mL injection solution,89.22,53.53,15.17,7411.0,39
NDC,00002831501,insulin NPH isophane U-100 human 100 unit/mL subcutaneous suspension,89.22,53.53,15.17,7411.0,39
NDC,00002850101,insulin regular human U-500(concentrate) 500 unit/mL subcutaneous soln,2974.0,1784.4,505.58,7411.0,39
NDC,00002871501,insulin human U-100 NPH-regulr 70-30 mix 100 unit/mL subcutaneous susp,89.22,53.53,15.17,7411.0,39
NDC,00003029305,triamcinolone acetonide 40 mg/mL suspension for injection,56.16,33.7,0.9845,7411.0,42
NDC,00003029320,triamcinolone acetonide 40 mg/mL suspension for injection,285.06,171.04,0.9845,7411.0,42
NDC,00003037113,belatacept 250 mg intravenous solution,2909.64,1745.78,3.59,7411.0,57
NDC,00003049420,triamcinolone acetonide 10 mg/mL suspension for injection,3.63,2.18,0.6171,7411.0,42
NDC,00003052411,dasatinib 70 mg tablet,679.92,407.95,115.59,7411.0,41
NDC,00003052711,dasatinib 20 mg tablet,342.46,205.48,58.22,7411.0,39
NDC,00003052811,dasatinib 50 mg tablet,679.92,407.95,115.59,7411.0,41
NDC,00003085722,dasatinib 140 mg tablet,1221.42,732.85,207.64,7411.0,39
NDC,00003089321,apixaban 2.5 mg tablet,21.81,13.09,3.71,7411.0,39
NDC,00003089331,apixaban 2.5 mg tablet,21.82,13.09,3.71,7411.0,39
NDC,00003089421,apixaban 5 mg tablet,21.81,13.09,3.71,7411.0,39
NDC,00003089431,apixaban 5 mg tablet,21.82,13.09,3.71,7411.0,39
NDC,00003161112,entecavir 0.5 mg tablet,92.0,55.2,15.64,7411.0,39
NDC,00003229111,elotuzumab 300 mg intravenous solution,6743.12,4045.87,7.29,7411.0,57
NDC,00003232711,ipilimumab 50 mg/10 mL (5 mg/mL) intravenous solution,26159.42,15695.65,170.68,19619.56,57
NDC,00003232822,ipilimumab 200 mg/40 mL (5 mg/mL) intravenous solution,104487.44,62692.46,170.68,78365.58,57
NDC,00003256016,aztreonam 1 gram solution for injection,183.35,110.01,2.52,7411.0,42
NDC,00003362212,atazanavir 300 mg capsule,97.13,58.28,16.51,7411.0,39
NDC,00003363112,atazanavir 200 mg capsule,49.28,29.57,8.38,7411.0,39
NDC,00003377211,nivolumab 40 mg/4 mL intravenous solution,3867.32,2320.39,31.19,7411.0,57
NDC,00003377412,nivolumab 100 mg/10 mL intravenous solution,9593.27,5755.96,31.19,7411.0,57
NDC,00003452211,elotuzumab 400 mg intravenous solution,8974.07,5384.44,7.29,7411.0,57
NDC,00004003822,valGANciclovir 450 mg tablet,177.3,106.38,30.14,7411.0,39
NDC,00004003909,valGANciclovir 50 mg/mL oral solution,2140.84,1284.5,363.94,7411.0,39
NDC,00004006801,clonazePAM 0.5 mg tablet,5.1,3.06,0.867,7411.0,39
NDC,00004019109,ibandronate 3 mg/3 mL intravenous syringe,1582.2,949.32,9.96,7411.0,42
NDC,00004025901,mycophenolate mofetil 250 mg capsule,17.99,10.79,0.1529,7411.0,42
NDC,00004026129,mycophenolate mofetil 200 mg/mL oral powder for suspension,51.78,31.07,0.3421,7411.0,40
NDC,00004029809,mycophenolate 500 mg intravenous solution,485.9,291.54,0.4411,7411.0,42
NDC,00004029830,mycophenolate 500 mg intravenous solution,485.9,291.54,82.6,7411.0,41
NDC,00004080085,oseltamivir 75 mg capsule,30.88,18.53,5.25,7411.0,39
NDC,00004080185,oseltamivir 45 mg capsule,28.37,17.02,4.82,7411.0,39
NDC,00004080285,oseltamivir 30 mg capsule,28.37,17.02,4.82,7411.0,39
NDC,00004082205,oseltamivir 6 mg/mL oral suspension,304.22,182.53,51.72,7411.0,39
NDC,00004110020,capecitabine 150 mg tablet,131.35,78.81,0.0285,7411.0,57
NDC,00004110150,capecitabine 500 mg tablet,321.12,192.67,0.0285,7411.0,57
NDC,00005200001,pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe,1216.55,729.93,206.81,7411.0,42
NDC,00005200002,pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe,1216.55,729.93,206.81,7411.0,41
NDC,00005434462,multivit and minerals-ferrous gluconate 9 mg iron/15 mL oral liquid,0.81,0.49,0.1377,7411.0,39
NDC,00006003144,alendronate 70 mg tablet,63.92,38.35,10.87,7411.0,39
NDC,00006003220,ivermectin 3 mg tablet,9.81,5.89,1.67,7411.0,39
NDC,00006011201,SITagliptin phosphate 50 mg tablet,38.2,22.92,6.49,7411.0,39
NDC,00006011231,SITagliptin phosphate 50 mg tablet,38.2,22.92,6.49,7411.0,39
NDC,00006011254,SITagliptin phosphate 50 mg tablet,38.2,22.92,6.49,7411.0,39
NDC,00006022101,SITagliptin phosphate 25 mg tablet,38.2,22.92,6.49,7411.0,39
NDC,00006022761,raltegravir 400 mg tablet,67.06,40.24,11.4,7411.0,39
NDC,00006027701,SITagliptin phosphate 100 mg tablet,38.2,22.92,6.49,7411.0,39
NDC,00006027754,SITagliptin phosphate 100 mg tablet,38.2,22.92,6.49,7411.0,39
NDC,00006046101,aprepitant 80 mg capsule,437.54,262.52,2.63,7411.0,42
NDC,00006046102,aprepitant 80 mg capsule,437.54,262.52,74.38,7411.0,41
NDC,00006046206,aprepitant 125 mg capsule,683.66,410.2,2.63,7411.0,42
NDC,00006046401,aprepitant 40 mg capsule,236.08,141.65,2.63,7411.0,40
NDC,00006302601,pembrolizumab 25 mg/mL intravenous solution,17396.24,10437.74,55.59,13047.18,57
NDC,00006302602,pembrolizumab 25 mg/mL intravenous solution,17396.24,10437.74,2957.36,14786.8,41
NDC,00006306901,doravirine 100 mg tablet,117.88,70.73,20.04,7411.0,39
NDC,00006351659,imipenem-cilastatin 500 mg intravenous solution,200.91,120.55,6.96,7411.0,43
NDC,00006380018,rizatriptan 5 mg disintegrating tablet,73.14,43.88,12.43,7411.0,39
NDC,00006380118,rizatriptan 10 mg disintegrating tablet,73.14,43.88,12.43,7411.0,39
NDC,00006382310,caspofungin 70 mg intravenous solution,1583.96,950.38,3.93,7411.0,43
NDC,00006384371,ertapenem 1 gram solution for injection,583.97,350.38,7.94,7411.0,42
NDC,00006430501,inFLIXimab-abda 100 mg intravenous solution,2260.17,1356.1,25.46,7411.0,57
NDC,00006430502,inFLIXimab-abda 100 mg intravenous solution,2260.17,1356.1,384.23,7411.0,41
NDC,00006468100,"measles,mumps,rubella vaccine live(PF)1,000-12,500TCID50/0.5 mL subcut",424.28,254.57,72.13,7411.0,41
NDC,00006468101,"measles,mumps,rubella vaccine live(PF)1,000-12,500TCID50/0.5 mL subcut",424.28,254.57,72.13,7411.0,41
NDC,00006482700,"varicella virus vaccine live (PF) 1,350 unit/0.5 mL subcutaneous susp",826.13,495.68,140.44,7411.0,41
NDC,00006496341,"zoster vaccine live (PF) 19,400 unit/0.65 mL subcutaneous suspension",963.0,577.8,163.71,7411.0,39
NDC,00006498100,hepatitis B virus vaccine recomb (PF) 5 mcg/0.5 mL intramuscular susp,168.94,101.36,28.72,7411.0,42
NDC,00006499500,hepatitis B virus vaccine recomb (PF) 10 mcg/mL intramuscular susp,299.81,179.89,50.97,7411.0,42
NDC,00006542312,sugammadex 100 mg/mL intravenous solution,583.47,350.08,99.19,7411.0,39
NDC,00007337013,"carvedilol phosphate ER 10 mg capsule,ext.release24hr multiphase",18.35,11.01,3.12,7411.0,39
NDC,00008042301,"antivenin, Micrurus fulvius 250 unit solution for injection",22873.98,13724.39,3888.58,19442.88,39
NDC,00008042303,"antivenin, Micrurus fulvius 250 unit solution for injection",22873.98,13724.39,3888.58,19442.88,39
NDC,00008083622,"venlafaxine ER 150 mg capsule,extended release 24 hr",41.75,25.05,7.1,7411.0,39
NDC,00008083702,"venlafaxine ER 37.5 mg capsule,extended release 24 hr",22.95,13.77,3.9,7411.0,39
NDC,00008092351,pantoprazole 40 mg intravenous solution,30.45,18.27,5.18,7411.0,41
NDC,00008092355,pantoprazole 40 mg intravenous solution,30.45,18.27,5.18,7411.0,41
NDC,00008104110,sirolimus 1 mg tablet,68.75,41.25,1.39,7411.0,42
NDC,00008117901,temsirolimus 30 mg/3 mL (10 mg/mL) (first dilution) intravenous soln,15052.4,9031.44,28.58,11289.3,57
NDC,00008117905,temsirolimus 30 mg/3 mL (10 mg/mL) (first dilution) intravenous soln,15052.4,9031.44,2558.91,12794.54,41
NDC,00008121150,"desvenlafaxine succinate ER 50 mg tablet,extended release 24 hr",23.25,13.95,3.95,7411.0,39
NDC,00008451001,gemtuzumab ozogamicin 4.5 mg (1 mg/mL initial concentration) IV soln,29739.68,17843.81,215.63,22304.76,57
NDC,00009000302,methylPREDNISolone sod succ (PF) 500 mg/4 mL intravenous solution,284.28,170.57,0.2651,7411.0,42
NDC,00009000501,"hydrocortisone sod succinate (PF) 1,000 mg/8 mL solution for injection",713.57,428.14,24.36,7411.0,42
NDC,00009001103,hydrocortisone sod succinate (PF) 100 mg/2 mL solution for injection,128.52,77.11,21.85,7411.0,42
NDC,00009001103,"hydrocortisone sod succinate (PF) 100 mg/2 mL solution for injection,hydrocortisone sodium succinate 100 mg solution for injection",128.52,77.11,21.85,7411.0,42
NDC,00009001104,"hydrocortisone sod succinate (PF) 100 mg/2 mL solution for injection,hydrocortisone sodium succinate 100 mg solution for injection",128.57,77.14,21.86,7411.0,42
NDC,00009001201,hydrocortisone 5 mg tablet,2.01,1.21,0.3417,7411.0,39
NDC,00009001305,hydrocortisone sod succinate (PF) 250 mg/2 mL solution for injection,237.84,142.7,24.36,7411.0,42
NDC,00009001306,hydrocortisone sod succinate (PF) 250 mg/2 mL solution for injection,237.82,142.69,24.36,7411.0,42
NDC,00009001612,hydrocortisone sod succinate (PF) 500 mg/4 mL solution for injection,356.9,214.14,24.36,7411.0,42
NDC,00009001820,"methylPREDNISolone sod succ (PF) 1,000 mg/8 mL intravenous solution",310.14,186.08,0.2651,7411.0,42
NDC,00009003930,methylPREDNISolone sod succ (PF) 40 mg/mL solution for injection,38.81,23.29,0.2651,7411.0,42
NDC,00009004725,methylPREDNISolone sod succ (PF) 125 mg/2 mL solution for injection,62.51,37.51,0.2651,7411.0,42
NDC,00009028002,methylPREDNISolone acetate 40 mg/mL suspension for injection,295.74,177.44,0.1232,7411.0,42
NDC,00009041701,testosterone cypionate 200 mg/mL intramuscular oil,142.74,85.64,0.0264,7411.0,42
NDC,00009043601,arginine HCl (L-arginine) 10 % intravenous solution,252.0,151.2,42.84,7411.0,39
NDC,00009069801,"methylPREDNISolone sodium succinate 1,000 mg intravenous solution",263.88,158.33,0.2651,7411.0,42
NDC,00009075801,methylPREDNISolone sodium succinate 500 mg intravenous solution,145.68,87.41,0.2651,7411.0,42
NDC,00009077526,clindamycin 150 mg/mL injection solution,22.66,13.6,0.7546,7411.0,42
NDC,00009079601,methylPREDNISolone sodium succinate 2 gram intravenous solution,374.0,224.4,0.2651,7411.0,42
NDC,00009082501,hydrocortisone sodium succinate 100 mg solution for injection,95.16,57.1,16.18,7411.0,42
NDC,00009085608,carboprost tromethamine 250 mcg/mL intramuscular solution,630.0,378.0,14.78,7411.0,56
NDC,00009090211,clindamycin 150 mg/mL injection solution,30.6,18.36,0.7546,7411.0,42
NDC,00009090218,clindamycin 150 mg/mL injection solution,30.6,18.36,5.2,7411.0,41
NDC,00009090916,hydrocortisone sodium succinate 250 mg/2 mL solution for injection,42.9,25.74,7.29,7411.0,42
NDC,00009307301,methylPREDNISolone acetate 40 mg/mL suspension for injection,68.16,40.9,0.1232,7411.0,42
NDC,00009316901,alprostadil 500 mcg/mL injection solution,691.2,414.72,117.5,7411.0,41
NDC,00009316906,alprostadil 500 mcg/mL injection solution,691.2,414.72,117.5,7411.0,41
NDC,00009379401,ibutilide fumarate 0.1 mg/mL intravenous solution,1646.55,987.93,208.26,7411.0,57
NDC,00009509101,epiRUBicin 50 mg/25 mL intravenous solution,330.2,198.12,1.94,7411.0,42
NDC,00009509125,epiRUBicin 50 mg/25 mL intravenous solution,338.6,203.16,1.94,7411.0,42
NDC,00009509505,clindamycin 150 mg/mL injection solution,30.6,18.36,5.2,7411.0,41
NDC,00009513601,linezolid 100 mg/5 mL oral suspension,491.6,294.96,83.57,7411.0,39
NDC,00009514001,linezolid in 5% dextrose in water 600 mg/300 mL intravenous piggyback,203.0,121.8,2.73,7411.0,43
NDC,00009722401,"lymphocyte,anti-thymo immune globulin 50 mg/mL intravenous solution",12574.68,7544.81,2137.7,11378.72,58
NDC,00009722402,"lymphocyte,anti-thymo immune globulin 50 mg/mL intravenous solution",12574.68,7544.81,2137.7,10688.48,41
NDC,00009752904,irinotecan 40 mg/2 mL intravenous solution,215.84,129.5,1.69,7411.0,42
NDC,00009766304,exemestane 25 mg tablet,81.75,49.05,13.9,7411.0,39
NDC,00013010110,sulfaSALAzine 500 mg tablet,3.72,2.23,0.6324,7411.0,39
NDC,00013111401,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution",150.4,90.24,25.57,7411.0,80
NDC,00013258691,IDArubicin 1 mg/mL intravenous solution,535.01,321.01,43.73,7411.0,42
NDC,00013530117,rifabutin 150 mg capsule,39.41,23.65,6.7,7411.0,39
NDC,00013830304,latanoprost 0.005 % eye drops,528.58,317.15,89.86,7411.0,39
NDC,00013871762,dexrazoxane HCl 250 mg intravenous solution,1056.96,634.18,47.25,7411.0,58
NDC,00013872789,dexrazoxane HCl 500 mg intravenous solution,2113.97,1268.38,47.25,7411.0,58
NDC,00015301260,carmustine 100 mg intravenous powder for solution,821.35,492.81,139.63,7411.0,57
NDC,00019132302,ioversol 320 mg iodine/mL intravenous solution,472.68,283.61,0.1694,401.78,53
NDC,00019132311,ioversol 320 mg iodine/mL intravenous solution,391.5,234.9,0.1694,332.77,53
NDC,00019133306,ioversol 350 mg iodine/mL intravenous solution,247.5,148.5,0.1694,210.38,53
NDC,00019133316,ioversol 350 mg iodine/mL intravenous solution,598.73,359.24,0.1694,508.92,53
NDC,00019133365,ioversol 350 mg iodine/mL intravenous solution,40.5,24.3,0.1694,34.42,53
NDC,00019133395,ioversol 350 mg iodine/mL intravenous syringe,200.25,120.15,0.1694,170.21,53
NDC,00019481604,diatrizoate meglumine-diatrizoate sodium 66 %-10 % oral solution,33.0,19.8,0.2398,28.05,53
NDC,00019909240,kit preparation of Tc 99m-sestamibi combo no.1 IV solution,182.7,109.62,31.06,7411.0,39
NDC,00023024004,white petrolatum-mineral oil 57.3 %-42.5 % eye ointment,17.16,10.3,2.92,7411.0,39
NDC,00023031204,white petrolatum-mineral oil 56.8 %-42.5 % eye ointment,19.54,11.72,3.32,7411.0,39
NDC,00023040330,carboxymethylcellulose sodium 0.5 % eye drops in a dropperette,0.59,0.35,0.1003,7411.0,39
NDC,00023040350,carboxymethylcellulose sodium 0.5 % eye drops in a dropperette,0.55,0.33,0.0935,7411.0,39
NDC,00023114501,onabotulinumtoxinA 100 unit solution for injection,1938.0,1162.8,6.01,7411.0,58
NDC,00023585318,mesalamine 400 mg capsule (with delayed release tablets inside),7.76,4.66,1.32,7411.0,39
NDC,00023608201,iron dextran 50 mg/mL injection solution,241.05,144.63,17.2,7411.0,57
NDC,00023608210,iron dextran 50 mg/mL injection solution,241.05,144.63,40.98,7411.0,41
NDC,00023611001,"lipase-protease-amylase(pork)10,000-32,000-42,000 unit capsule,del rel",7.53,4.52,1.28,7411.0,39
NDC,00023611101,"lipase-protease-amylase (pork) 15,000-47,000-63k unit capsule,del rel",10.87,6.52,1.85,7411.0,39
NDC,00023611201,"lipase-protease-amylase (pork) 20,000-63,000-84k unit capsule, del rel",14.77,8.86,2.51,7411.0,39
NDC,00023611301,"lipase-protease-amylase (pork) 3,000-10,000-14k unit capsule,del rel",3.99,2.39,0.6783,7411.0,39
NDC,00023611501,"lipase-protease-amylase(pork)5,000-17,000-24,000 unit capsule, del rel",3.81,2.29,0.6477,7411.0,39
NDC,00023916330,cycloSPORINE 0.05 % eye drops in a dropperette,21.52,12.91,3.66,7411.0,39
NDC,00024135202,phenylephrine 1 % nasal spray,7.11,4.27,1.21,7411.0,39
NDC,00024135301,phenylephrine 0.5 % nasal spray,6.33,3.8,1.08,7411.0,39
NDC,00024159601,primaquine 26.3 mg (15 mg base) tablet,4.59,2.75,0.7803,7411.0,39
NDC,00024279210,sodium ferric gluconate complex in sucrose 62.5 mg/5 mL intravenous,218.8,131.28,2.63,7411.0,42
NDC,00024414210,dronedarone 400 mg tablet,21.95,13.17,3.73,7411.0,39
NDC,00024414260,dronedarone 400 mg tablet,26.6,15.96,4.52,7411.0,39
NDC,00024515011,rasburicase 1.5 mg intravenous solution,3223.55,1934.13,363.08,7411.0,58
NDC,00024540131,zolpidem 5 mg tablet,42.97,25.78,7.3,7411.0,39
NDC,00024582411,cabazitaxel 10 mg/mL (first dilution) intravenous solution,169808.36,101885.02,219.5,127356.27,57
NDC,00024584001,ziv-aflibercept 100 mg/4 mL (25 mg/mL) intravenous solution,4850.0,2910.0,8.18,7411.0,57
NDC,00024584101,ziv-aflibercept 200 mg/8 mL (25 mg/mL) intravenous solution,9650.0,5790.0,8.18,7411.0,57
NDC,00024586201,plerixafor 24 mg/1.2 mL (20 mg/mL) subcutaneous solution,29932.21,17959.33,19.25,22449.16,57
NDC,00024592410,insulin lispro (U-100) 100 unit/mL subcutaneous solution,196.14,117.68,33.34,7411.0,39
NDC,00025145134,miSOPROStol 100 mcg tablet,8.38,5.03,1.42,7411.0,39
NDC,00025152031,celecoxib 100 mg capsule,20.02,12.01,3.4,7411.0,39
NDC,00025152531,celecoxib 200 mg capsule,32.84,19.7,5.58,7411.0,39
NDC,00025152534,celecoxib 200 mg capsule,32.84,19.7,5.58,7411.0,39
NDC,00025171001,eplerenone 25 mg tablet,29.57,17.74,5.03,7411.0,39
NDC,00026482101,"antihemophilic factor VIII, full length 250 (+/-) unit IV solution",41.2,24.72,1.48,7411.0,57
NDC,00032120601,"lipase-protease-amylase (pork)6,000-19,000-30,000 unit capsule,del rel",4.16,2.5,0.7072,7411.0,39
NDC,00032120607,"lipase-protease-amylase (pork)6,000-19,000-30,000 unit capsule,del rel",3.96,2.38,0.6732,7411.0,39
NDC,00032121201,"lipase-protease-amylase(pork)12,000-38,000-60,000 unit capsule,del rel",8.31,4.99,1.41,7411.0,39
NDC,00032121207,"lipase-protease-amylase(pork)12,000-38,000-60,000 unit capsule,del rel",8.31,4.99,1.41,7411.0,39
NDC,00032122401,"lipase-protease-amylas(pork)24,000-76,000-120,000 unit capsule,del rel",16.47,9.88,2.8,7411.0,39
NDC,00037044267,felbamate 600 mg/5 mL oral suspension,3613.3,2167.98,614.26,7411.0,39
NDC,00037200101,carisoprodol 350 mg tablet,22.42,13.45,3.81,7411.0,39
NDC,00037632190,methenamine 81 mg-m.blue 10.8 mg-sod phos 40.8 mg-p.salicy-hyos tablet,18.42,11.05,3.13,7411.0,39
NDC,00037682210,hydrocortisone 1 %-pramoxine 1 % rectal foam,370.24,222.14,62.94,7411.0,39
NDC,00037682410,hydrocortisone-pramoxine 1 %-1 % topical foam,190.7,114.42,32.42,7411.0,39
NDC,00037683015,hydrocortisone acetate 10 % (80 mg) rectal foam,877.2,526.32,149.12,7411.0,39
NDC,00045091060,"lactase 9,000 unit tablet",0.33,0.2,0.0561,7411.0,39
NDC,00046074905,conjugated estrogens 25 mg solution for injection,1656.23,993.74,281.56,7411.0,57
NDC,00046087221,conjugated estrogens 0.625 mg/gram vaginal cream,900.12,540.07,153.02,7411.0,39
NDC,00046110081,conjugated estrogens 0.3 mg tablet,13.81,8.29,2.35,7411.0,39
NDC,00046110281,conjugated estrogens 0.625 mg tablet,13.81,8.29,2.35,7411.0,39
NDC,00049011428,anidulafungin 50 mg intravenous solution,434.53,260.72,0.5357,7411.0,42
NDC,00049052083,penicillin G potassium 5 million unit solution for injection,81.33,48.8,0.7513,7411.0,42
NDC,00049052084,penicillin G potassium 5 million unit solution for injection,81.33,48.8,13.83,7411.0,41
NDC,00049053028,penicillin G potassium 20 million unit solution for injection,233.96,140.38,0.7513,7411.0,42
NDC,00049317030,voriconazole 50 mg tablet,3.48,2.09,0.5916,7411.0,39
NDC,00049319028,voriconazole 200 mg IV,276.35,165.81,0.7172,7411.0,86
NDC,00049319028,voriconazole 200 mg intravenous powder for solution,276.35,165.81,0.7172,7411.0,43
NDC,00049392020,ziprasidone 20 mg/mL (final concentration) intramuscular solution,289.93,173.96,6.46,7411.0,42
NDC,00049392083,ziprasidone 20 mg/mL (final concentration) intramuscular solution,289.93,173.96,49.29,7411.0,41
NDC,00052010630,mirtazapine 15 mg disintegrating tablet,8.5,5.1,1.45,7411.0,39
NDC,00052045016,rocuronium 10 mg/mL intravenous solution,247.96,148.78,42.15,7411.0,39
NDC,00052060202,BCG live 50 mg intravesical suspension,814.46,488.68,138.46,7411.0,41
NDC,00052433001,etonogestrel 68 mg subdermal implant,3091.92,1855.15,525.63,7411.0,41
NDC,00053768032,"albumin, human 25 % intravenous solution",430.0,258.0,50.43,7411.0,58
NDC,00053768091,"albumin, human 25 % intravenous solution",430.0,258.0,73.1,7411.0,41
NDC,00053813202,"antihemophilic factor VIII, full length 500 (+/-) unit IV solution",36.82,22.09,1.49,7411.0,58
NDC,00053813302,"antihemophilic factor VIII, full length 1,000 (+/-) unit IV solution",36.82,22.09,1.49,7411.0,58
NDC,00053813502,"antihemophilic factor VIII, full length 3,000 (+/-) unit IV solution",36.82,22.09,1.49,7411.0,58
NDC,00054000713,calcitriol 0.25 mcg capsule,2.05,1.23,0.3485,7411.0,39
NDC,00054001021,flecainide 50 mg tablet,1.15,0.69,0.1955,7411.0,39
NDC,00054001720,predniSONE 10 mg tablet,0.43,0.26,0.0044,7411.0,42
NDC,00054001820,predniSONE 20 mg tablet,0.46,0.28,0.0044,7411.0,42
NDC,00054001825,predniSONE 20 mg tablet,0.41,0.25,0.0044,7411.0,42
NDC,00054001920,predniSONE 50 mg tablet,0.67,0.4,0.0044,7411.0,42
NDC,00054002025,"lithium carbonate ER 450 mg tablet,extended release",0.86,0.52,0.1462,7411.0,39
NDC,00054002125,"lithium carbonate ER 300 mg tablet,extended release",0.67,0.4,0.1139,7411.0,39
NDC,00054002821,cilostazol 50 mg tablet,2.63,1.58,0.4471,7411.0,39
NDC,00054004544,ipratropium bromide 21 mcg (0.03 %) nasal spray,72.0,43.2,12.24,7411.0,39
NDC,00054004641,ipratropium bromide 42 mcg (0.06 %) nasal spray,72.0,43.2,12.24,7411.0,39
NDC,00054005746,digoxin 50 mcg/mL (0.05 mg/mL) oral solution,279.96,167.98,47.59,7411.0,39
NDC,00054007725,torsemide 20 mg tablet,0.43,0.26,0.0731,7411.0,39
NDC,00054007928,balsalazide 750 mg capsule,1.51,0.91,0.2567,7411.0,39
NDC,00054014125,acarbose 50 mg tablet,1.02,0.61,0.1734,7411.0,39
NDC,00054017613,buprenorphine HCl 2 mg sublingual tablet,3.0,1.8,0.51,7411.0,39
NDC,00054017713,buprenorphine HCl 8 mg sublingual tablet,3.63,2.18,0.6171,7411.0,39
NDC,00054018813,buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet,1.85,1.11,0.3145,7411.0,39
NDC,00054018913,buprenorphine 8 mg-naloxone 2 mg sublingual tablet,2.7,1.62,0.459,7411.0,39
NDC,00054023524,morphine 15 mg immediate release tablet,4.52,2.71,0.7684,7411.0,39
NDC,00054023525,morphine 15 mg immediate release tablet,3.86,2.32,0.6562,7411.0,39
NDC,00054023624,morphine 30 mg immediate release tablet,5.57,3.34,0.9469,7411.0,39
NDC,00054023625,morphine 30 mg immediate release tablet,4.47,2.68,0.7599,7411.0,39
NDC,00054024424,codeine sulfate 30 mg tablet,4.72,2.83,0.8024,7411.0,39
NDC,00054024425,codeine sulfate 30 mg tablet,4.55,2.73,0.7735,7411.0,39
NDC,00054033425,cevimeline 30 mg capsule,6.17,3.7,1.05,7411.0,39
NDC,00054035613,disulfiram 250 mg tablet,5.66,3.4,0.9622,7411.0,39
NDC,00054038325,cycloPHOSphamide 50 mg capsule,32.49,19.49,1.81,7411.0,42
NDC,00054040450,morphine concentrate 100 mg/5 mL (20 mg/mL) oral solution,4.15,2.49,0.7055,7411.0,39
NDC,00054040450,"morphine concentrate 20 mg/mL oral syringe  (FOR ORAL USE ONLY),morphine concentrate 100 mg/5 mL (20 mg/mL) oral solution,morphine concentrate 10 mg/0.5 mL oral syringe (FOR ORAL USE ONLY)",4.15,2.49,0.7055,7411.0,39
NDC,00054040713,ritonavir 100 mg tablet,11.17,6.7,1.9,7411.0,39
NDC,00054042523,rufinamide 200 mg tablet,6.14,3.68,1.04,7411.0,39
NDC,00054260211,droNABinol 5 mg capsule,20.0,12.0,3.4,7411.0,39
NDC,00054309036,butorphanol 10 mg/mL nasal spray,112.8,67.68,19.18,7411.0,39
NDC,00054311763,"calcium 500 mg/5 mL (as calcium carb 1,250 mg/5 mL) oral suspension",18.0,10.8,3.06,7411.0,39
NDC,00054312041,calcitriol 1 mcg/mL oral solution,286.41,171.85,48.69,7411.0,39
NDC,00054317644,dexAMETHasone 1 mg/mL drops (concentrate),143.1,85.86,0.0297,7411.0,42
NDC,00054317757,dexAMETHasone 0.5 mg/5 mL oral solution,101.76,61.06,0.0297,7411.0,42
NDC,00054317763,dexAMETHasone 0.5 mg/5 mL oral solution,32.0,19.2,0.0297,7411.0,42
NDC,00054327099,"fluticasone propionate 50 mcg/actuation nasal spray,suspension",27.3,16.38,4.64,7411.0,39
NDC,00054329863,furosemide 40 mg/5 mL (8 mg/mL) oral solution,77.0,46.2,13.09,7411.0,39
NDC,00054350547,lidocaine HCl 4 % (40 mg/mL) mucosal solution,80.0,48.0,13.6,7411.0,39
NDC,00054353244,LORazepam 2 mg/mL oral concentrate,189.36,113.62,32.19,7411.0,39
NDC,00054355344,methadone 10 mg/mL oral concentrate,43.56,26.14,7.41,7411.0,39
NDC,00054355563,methadone 5 mg/5 mL oral solution,67.0,40.2,11.39,7411.0,39
NDC,00054356699,"midazolam 10 mg/5 mL (2 mg/mL) oral syrup,midazolam 2 mg/mL oral syrup",2.2,1.32,0.374,7411.0,39
NDC,00054356699,midazolam 2 mg/mL oral syrup,260.07,156.04,44.21,7411.0,39
NDC,00054372763,propranolol 20 mg/5 mL (4 mg/mL) oral solution,97.0,58.2,16.49,7411.0,39
NDC,00054418125,dexAMETHasone 1 mg tablet,0.5,0.3,0.0297,7411.0,42
NDC,00054418225,dexAMETHasone 1.5 mg tablet,0.8,0.48,0.136,7411.0,39
NDC,00054418325,dexAMETHasone 2 mg tablet,0.99,0.59,0.0297,7411.0,42
NDC,00054418425,dexAMETHasone 4 mg tablet,1.98,1.19,0.0297,7411.0,42
NDC,00054418625,dexAMETHasone 6 mg tablet,2.97,1.78,0.0297,7411.0,42
NDC,00054429725,furosemide 20 mg tablet,0.11,0.07,0.0187,7411.0,39
NDC,00054449625,leucovorin calcium 5 mg tablet,2.18,1.31,0.3706,7411.0,39
NDC,00054458111,mercaptopurine 50 mg tablet,11.34,6.8,1.93,7411.0,39
NDC,00054474225,predniSONE 2.5 mg tablet,0.26,0.16,0.0044,7411.0,42
NDC,00054485825,triazolam 0.125 mg tablet,5.87,3.52,0.9979,7411.0,39
NDC,00054814622,clotrimazole 10 mg troche,5.5,3.3,0.935,7411.0,39
NDC,00054817425,dexAMETHasone 1 mg tablet,0.62,0.37,0.0297,7411.0,42
NDC,00054817525,dexAMETHasone 4 mg tablet,2.01,1.21,0.0297,7411.0,42
NDC,00054817625,dexAMETHasone 2 mg tablet,1.24,0.74,0.0297,7411.0,42
NDC,00054817925,dexAMETHasone 0.5 mg tablet,0.34,0.2,0.0297,7411.0,42
NDC,00054818325,dexAMETHasone 6 mg tablet,3.16,1.9,0.0297,7411.0,42
NDC,00054829725,furosemide 20 mg tablet,0.34,0.2,0.0578,7411.0,39
NDC,00054849619,leucovorin calcium 5 mg tablet,3.15,1.89,0.5355,7411.0,39
NDC,00054852625,lithium carbonate 150 mg capsule,0.3,0.18,0.051,7411.0,39
NDC,00054852725,lithium carbonate 300 mg capsule,0.59,0.35,0.1003,7411.0,39
NDC,00054872425,predniSONE 5 mg tablet,0.4,0.24,0.0044,7411.0,42
NDC,00054873925,predniSONE 1 mg tablet,0.45,0.27,0.0044,7411.0,42
NDC,00054874025,predniSONE 2.5 mg tablet,0.29,0.17,0.0044,7411.0,42
NDC,00054982825,predniSONE 5 mg tablet,0.36,0.22,0.0044,7411.0,42
NDC,00056017001,warfarin 2 mg tablet,6.3,3.78,1.07,7411.0,39
NDC,00056017201,warfarin 5 mg tablet,6.63,3.98,1.13,7411.0,39
NDC,00056017275,warfarin 5 mg tablet,6.63,3.98,1.13,7411.0,39
NDC,00056017301,warfarin 7.5 mg tablet,8.17,4.9,1.39,7411.0,39
NDC,00056017401,warfarin 10 mg tablet,8.4,5.04,1.43,7411.0,39
NDC,00056017601,warfarin 2.5 mg tablet,6.44,3.86,1.09,7411.0,39
NDC,00056047492,efavirenz 200 mg capsule,22.29,13.37,3.79,7411.0,39
NDC,00065002315,carbachol 0.01 % intraocular solution,268.08,160.85,45.57,7411.0,39
NDC,00065009265,fluorescein 500 mg/5 mL (10 %) intravenous solution,246.15,147.69,41.85,7411.0,39
NDC,00065024610,"betaxolol 0.25 % eye drops,suspension",652.12,391.27,110.86,7411.0,39
NDC,00065035902,cyclopentolate-phenylephrine 0.2 %-1 % eye drops,70.52,42.31,11.99,7411.0,39
NDC,00065039605,cyclopentolate 1 % eye drops,121.34,72.8,20.63,7411.0,39
NDC,00065041130,povidone-iodine 5 % eye solution,34.14,20.48,5.8,7411.0,39
NDC,00065042636,artificial tears(dextran-hypromel-glycern) 0.1 %-0.3 %-0.2 % eye drops,13.23,7.94,2.25,7411.0,39
NDC,00065050935,white petrolatum-mineral oil 94 %-3 % eye ointment,18.3,10.98,3.11,7411.0,39
NDC,00065051801,white petrolatum-mineral oil 94 %-3 % eye ointment,13.0,7.8,2.21,7411.0,39
NDC,00065053001,balanced salt solution non-surgical no.3 eye wash,39.9,23.94,6.78,7411.0,39
NDC,00065053004,balanced salt solution non-surgical no.3 eye wash,62.4,37.44,10.61,7411.0,39
NDC,00065064835,tobramycin-dexamethasone 0.3 %-0.1 % eye ointment,456.42,273.85,77.59,7411.0,39
NDC,00065066010,apraclonidine 1 % eye drops in a dropperette,55.46,33.28,9.43,7411.0,39
NDC,00065074114,tetracaine HCl (PF) 0.5 % eye drops,26.44,15.86,4.49,7411.0,39
NDC,00065079515,balanced salt solution combination no.2 intraocular irrigation,72.99,43.79,12.41,7411.0,39
NDC,00065080050,balanced salt solution combination no.1 intraocular irrigation,447.75,268.65,76.12,7411.0,39
NDC,00065143105,peg 400-propylene glycol 0.4 %-0.3 % eye drops,19.3,11.58,3.28,7411.0,39
NDC,00065401303,moxifloxacin 0.5 % eye drops,348.24,208.94,59.2,7411.0,39
NDC,00065853302,"ciprofloxacin 0.3 %-dexamethasone 0.1 % ear drops,suspension",498.18,298.91,84.69,7411.0,39
NDC,00068059701,rifAMPin 600 mg intravenous solution,808.52,485.11,0.1881,7411.0,42
NDC,00069004301,"heparin, porcine (PF) 1,000 unit/mL injection solution",99.87,59.92,0.2431,7411.0,42
NDC,00069004302,"heparin, porcine (PF) 1,000 unit/mL injection solution",99.87,59.92,16.98,7411.0,41
NDC,00069005904,"heparin (porcine) 5,000 unit/mL injection solution",53.21,31.93,0.2431,7411.0,42
NDC,00069012201,benzonatate 100 mg capsule,3.91,2.35,0.6647,7411.0,39
NDC,00069029101,filgrastim-aafi 300 mcg/0.5 mL subcutaneous syringe,1013.5,608.1,0.266,7411.0,57
NDC,00069029110,filgrastim-aafi 300 mcg/0.5 mL subcutaneous syringe,1013.5,608.1,172.29,7411.0,41
NDC,00069029201,filgrastim-aafi 480 mcg/0.8 mL subcutaneous syringe,1604.8,962.88,0.266,7411.0,57
NDC,00069029210,filgrastim-aafi 480 mcg/0.8 mL subcutaneous syringe,1604.8,962.88,272.82,7411.0,41
NDC,00069031401,meropenem 1 gram intravenous solution,179.84,107.9,0.4081,7411.0,43
NDC,00069031410,meropenem 1 gram intravenous solution,179.84,107.9,30.57,7411.0,41
NDC,00069031501,bevacizumab-bvzr 25 mg/mL intravenous solution,970.1,582.06,24.56,7411.0,57
NDC,00069034201,bevacizumab-bvzr 25 mg/mL intravenous solution,970.1,582.06,164.92,7411.0,41
NDC,00069046856,varenicline tartrate 0.5 mg tablet,17.76,10.66,3.02,7411.0,39
NDC,00069046956,varenicline tartrate 1 mg tablet,17.76,10.66,3.02,7411.0,39
NDC,00069265072,"NIFEdipine ER 30 mg tablet,extended release 24 hr",13.21,7.93,2.25,7411.0,39
NDC,00069265072,"NIFEdipine ER 30 mg tablet,extended release 24 hr,NIFEdipine ER 30 mg tablet,extended release",13.21,7.93,2.25,7411.0,39
NDC,00069303420,DOXOrubicin 2 mg/mL intravenous solution,344.3,206.58,3.0,7411.0,42
NDC,00069315083,azithromycin 500 mg intravenous solution,41.54,24.92,2.14,7411.0,42
NDC,00069315084,azithromycin 500 mg intravenous solution,41.54,24.92,7.06,7411.0,41
NDC,00069421066,sildenafil 50 mg tablet,174.85,104.91,29.72,7411.0,39
NDC,00069580060,dofetilide 125 mcg capsule,22.16,13.3,3.77,7411.0,39
NDC,00069581060,dofetilide 250 mcg capsule,22.16,13.3,3.77,7411.0,39
NDC,00069582043,dofetilide 500 mcg capsule,22.16,13.3,3.77,7411.0,39
NDC,00069582060,dofetilide 500 mcg capsule,22.16,13.3,3.77,7411.0,39
NDC,00071000724,phenytoin 50 mg chewable tablet,3.15,1.89,0.5355,7411.0,39
NDC,00071035060,phenelzine 15 mg tablet,5.1,3.06,0.867,7411.0,39
NDC,00071036924,phenytoin sodium extended 100 mg capsule,3.37,2.02,0.5729,7411.0,39
NDC,00071041813,nitroglycerin 0.4 mg sublingual tablet,3.23,1.94,0.5491,7411.0,39
NDC,00071080324,gabapentin 100 mg capsule,5.79,3.47,0.9843,7411.0,39
NDC,00071080624,gabapentin 400 mg capsule,17.36,10.42,2.95,7411.0,39
NDC,00071101268,pregabalin 25 mg capsule,20.24,12.14,3.44,7411.0,39
NDC,00071101341,pregabalin 50 mg capsule,22.26,13.36,3.78,7411.0,39
NDC,00071101368,pregabalin 50 mg capsule,20.24,12.14,3.44,7411.0,39
NDC,00071101441,pregabalin 75 mg capsule,22.26,13.36,3.78,7411.0,39
NDC,00071101468,pregabalin 75 mg capsule,20.24,12.14,3.44,7411.0,39
NDC,00071101541,pregabalin 100 mg capsule,22.26,13.36,3.78,7411.0,39
NDC,00071101568,pregabalin 100 mg capsule,20.24,12.14,3.44,7411.0,39
NDC,00071101641,pregabalin 150 mg capsule,22.26,13.36,3.78,7411.0,39
NDC,00071101668,pregabalin 150 mg capsule,20.24,12.14,3.44,7411.0,39
NDC,00071101768,pregabalin 200 mg capsule,20.24,12.14,3.44,7411.0,39
NDC,00071201223,gabapentin 250 mg/5 mL oral solution,831.9,499.14,141.42,7411.0,39
NDC,00071201223,"gabapentin 250 mg/5 mL oral solution,gabapentin 250 mg/5 mL (5 mL) oral solution",831.9,499.14,141.42,7411.0,39
NDC,00071374066,phenytoin sodium extended 30 mg capsule,2.9,1.74,0.493,7411.0,39
NDC,00074056607,venetoclax 50 mg tablet,133.5,80.1,22.7,7411.0,39
NDC,00074056611,venetoclax 50 mg tablet,133.5,80.1,22.7,7411.0,39
NDC,00074057611,venetoclax 100 mg tablet,261.96,157.18,44.53,7411.0,39
NDC,00074057622,venetoclax 100 mg tablet,262.0,157.2,44.54,7411.0,39
NDC,00074057630,venetoclax 100 mg tablet,261.98,157.19,44.54,7411.0,39
NDC,00074057634,venetoclax 100 mg tablet,262.0,157.2,44.54,7411.0,39
NDC,00074104004,beractant 25 mg/mL in 0.9 % sodium chloride intratracheal suspension,1723.5,1034.1,293.0,7411.0,39
NDC,00074104008,beractant 25 mg/mL in 0.9 % sodium chloride intratracheal suspension,2033.64,1220.18,345.72,7411.0,39
NDC,00074333330,ritonavir 100 mg tablet,17.64,10.58,3.0,7411.0,39
NDC,00074334603,leuprolide acetate 22.5 mg (3 month) intramuscular syringe kit,18396.81,11038.09,167.39,13797.61,57
NDC,00074339930,ritonavir 100 mg oral powder packet,17.64,10.58,3.0,7411.0,39
NDC,00074347303,leuprolide acetate (6 month) 45 mg intramuscular syringe kit,36844.25,22106.55,167.39,27633.19,57
NDC,00074364203,leuprolide 7.5 mg intramuscular syringe kit,6132.3,3679.38,167.39,7411.0,57
NDC,00074368303,leuprolide 30 mg (4 month) intramuscular syringe kit,24529.14,14717.48,167.39,18396.85,57
NDC,00074382611,"divalproex ER 250 mg tablet,extended release 24 hr",7.4,4.44,1.26,7411.0,39
NDC,00074395646,lopinavir-ritonavir 400 mg-100 mg/5 mL oral solution,1024.5,614.7,174.16,7411.0,39
NDC,00074437805,cisatracurium 2 mg/mL intravenous solution,98.08,58.85,16.67,7411.0,39
NDC,00074438220,cisatracurium concentrate 10 mg/mL (ICU USE ONLY) intravenous solution,1340.5,804.3,227.88,7411.0,39
NDC,00074455211,levothyroxine 50 mcg tablet,3.15,1.89,0.5355,7411.0,39
NDC,00074488820,sodium chloride 0.9 % injection solution,14.76,8.86,2.51,7411.0,39
NDC,00074518211,levothyroxine 75 mcg tablet,3.15,1.89,0.5355,7411.0,39
NDC,00074662411,levothyroxine 100 mcg tablet,3.15,1.89,0.5355,7411.0,39
NDC,00074679922,lopinavir-ritonavir 200 mg-50 mg tablet,17.57,10.54,2.99,7411.0,39
NDC,00074706911,levothyroxine 150 mcg tablet,3.15,1.89,0.5355,7411.0,39
NDC,00074707019,levothyroxine 175 mcg tablet,3.15,1.89,0.5355,7411.0,39
NDC,00074714811,levothyroxine 200 mcg tablet,3.15,1.89,0.5355,7411.0,39
NDC,00074797208,sodium chloride 0.9 % irrigation solution,50.0,30.0,8.5,7411.0,39
NDC,00074929690,levothyroxine 112 mcg tablet,3.15,1.89,0.5355,7411.0,39
NDC,00075062040,enoxaparin 40 mg/0.4 mL subcutaneous syringe,87.54,52.52,0.5962,7411.0,43
NDC,00075062160,enoxaparin 60 mg/0.6 mL subcutaneous syringe,117.41,70.45,0.5962,7411.0,43
NDC,00075062280,enoxaparin 80 mg/0.8 mL subcutaneous syringe,147.21,88.33,0.5962,7411.0,43
NDC,00075062300,enoxaparin 100 mg/mL subcutaneous syringe,177.02,106.21,0.5962,7411.0,43
NDC,00075062303,enoxaparin 100 mg/mL subcutaneous syringe,177.02,106.21,30.09,7411.0,41
NDC,00075062430,enoxaparin 30 mg/0.3 mL subcutaneous syringe,72.65,43.59,0.5962,7411.0,43
NDC,00075291201,enoxaparin 120 mg/0.8 mL subcutaneous syringe,206.88,124.13,0.5962,7411.0,43
NDC,00075291501,enoxaparin 150 mg/mL subcutaneous syringe,251.6,150.96,0.5962,7411.0,43
NDC,00078011022,cycloSPORINE 100 mg/mL oral solution,1671.0,1002.6,1.57,7411.0,43
NDC,00078018001,octreotide acetate 50 mcg/mL injection solution,84.7,50.82,0.6864,7411.0,43
NDC,00078018001,"octreotide acetate 50 mcg/mL injection solution,octreotide acetate 50 mcg/mL (1 mL) injection syringe",28.23,16.94,0.6864,7411.0,43
NDC,00078018061,octreotide acetate 50 mcg/mL injection solution,84.72,50.83,0.6864,7411.0,43
NDC,00078018061,"octreotide acetate 50 mcg/mL injection solution,octreotide acetate 50 mcg/mL (1 mL) injection syringe",28.24,16.94,0.6864,7411.0,43
NDC,00078024061,cycloSPORINE 25 mg capsule,8.9,5.34,0.6886,7411.0,43
NDC,00078024115,cycloSPORINE 100 mg capsule,35.1,21.06,1.57,7411.0,43
NDC,00078024161,cycloSPORINE 100 mg capsule,35.14,21.08,1.57,7411.0,43
NDC,00078024615,cycloSPORINE modified 25 mg capsule,5.36,3.22,0.6886,7411.0,43
NDC,00078024661,cycloSPORINE modified 25 mg capsule,5.4,3.24,0.6886,7411.0,43
NDC,00078024861,cycloSPORINE modified 100 mg capsule,21.44,12.86,1.57,7411.0,43
NDC,00078027422,cycloSPORINE modified 100 mg/mL oral solution,1166.4,699.84,1.57,7411.0,43
NDC,00078032705,entacapone 200 mg tablet,15.42,9.25,2.62,7411.0,39
NDC,00078033184,basiliximab 20 mg intravenous solution,13409.31,8045.59,2279.58,10346.47,57
NDC,00078035752,OXcarbazepine 300 mg/5 mL (60 mg/mL) oral suspension,955.5,573.3,162.44,7411.0,39
NDC,00078035834,valsartan 80 mg tablet,18.49,11.09,3.14,7411.0,39
NDC,00078035934,valsartan 160 mg tablet,19.88,11.93,3.38,7411.0,39
NDC,00078038566,"mycophenolate sodium 180 mg tablet,delayed release",13.57,8.14,0.3498,7411.0,42
NDC,00078038666,"mycophenolate sodium 360 mg tablet,delayed release",27.14,16.28,0.3498,7411.0,42
NDC,00078040134,imatinib 100 mg tablet,192.28,115.37,32.69,7411.0,39
NDC,00078041420,everolimus (immunosuppressive) 0.5 mg tablet,42.16,25.3,1.37,7411.0,42
NDC,00078041461,everolimus (immunosuppressive) 0.5 mg tablet,42.24,25.34,1.37,7411.0,42
NDC,00078043561,zoledronic acid 5 mg/100 mL in mannitol 5 %-water intravenous piggybck,3927.3,2356.38,8.49,7411.0,43
NDC,00078050161,rivastigmine 4.6 mg/24 hour transdermal patch,46.72,28.03,7.94,7411.0,39
NDC,00078050215,rivastigmine 9.5 mg/24 hour transdermal patch,46.73,28.04,7.94,7411.0,39
NDC,00078050883,"carBAMazepine 100 mg/5 mL (5 mL) oral suspension,carBAMazepine 100 mg/5 mL oral suspension",387.9,232.74,65.94,7411.0,39
NDC,00078050883,carBAMazepine 100 mg/5 mL oral suspension,387.9,232.74,65.94,7411.0,39
NDC,00078051005,"carBAMazepine ER 100 mg tablet,extended release,12 hr",3.22,1.93,0.5474,7411.0,39
NDC,00078056845,artemether-lumefantrine 20 mg-120 mg tablet,11.73,7.04,1.99,7411.0,39
NDC,00078065920,sacubitril 24 mg-valsartan 26 mg tablet,22.93,13.76,3.9,7411.0,39
NDC,00078068515,eltrombopag olamine 25 mg tablet,485.11,291.07,82.47,7411.0,39
NDC,00078068655,eltrombopag olamine 50 mg tablet,876.27,525.76,148.97,7411.0,39
NDC,00078069620,sacubitril 97 mg-valsartan 103 mg tablet,22.93,13.76,3.9,7411.0,39
NDC,00078077720,sacubitril 49 mg-valsartan 51 mg tablet,22.93,13.76,3.9,7411.0,39
NDC,00081079888,"bacitracin zinc 500 unit-polymyxin B 10,000 unit/gram topical ointment",10.05,6.03,1.71,7411.0,39
NDC,00081079888,"bacitracin zinc 500 unit-polymyxin B 10,000 unit/gram topical ointment,bacitracin 500 unit-polymyxin B 10,000 unit/gram topical ointment",10.05,6.03,1.71,7411.0,39
NDC,00085113204,"albuterol sulfate HFA 90 mcg/actuation aerosol inhaler,albuterol sulfate 90 mcg/actuation breath activated power inhaler",160.46,96.28,27.28,7411.0,39
NDC,00085116801,interferon alfa-2b 6 million unit/mL injection solution,2186.23,1311.74,74.52,7411.0,42
NDC,00085117701,eptifibatide 2 mg/mL IV,810.28,486.17,3.1,7411.0,58
NDC,00085117701,eptifibatide 2 mg/mL intravenous solution,810.28,486.17,3.1,7411.0,58
NDC,00085117702,eptifibatide 2 mg/mL intravenous solution,4539.7,2723.82,3.1,7411.0,58
NDC,00085132801,posaconazole 200 mg/5 mL (40 mg/mL) oral suspension,2879.6,1727.76,489.53,7411.0,39
NDC,00085331535,nitroglycerin 0.3 mg/hr transdermal 24 hour patch,11.12,6.67,1.89,7411.0,39
NDC,00085432402,"posaconazole 100 mg tablet,delayed release",137.56,82.54,23.39,7411.0,39
NDC,00085435201,interferon alfa-2b 50 million unit (1 mL) solution for injection,4659.5,2795.7,74.52,7411.0,42
NDC,00085720601,mometasone-formoterol HFA 100 mcg-5 mcg/actuation aerosol inhaler,622.7,373.62,105.86,7411.0,39
NDC,00087086644,cholecalciferol (vitamin D3) 10 mcg/mL (400 unit/mL) oral drops,0.16,0.1,0.0272,7411.0,39
NDC,00087511102,infant formula-iron-dha-ara 2.3 gram-5.3 gram/100 kcal oral liquid,4.27,2.56,0.7259,7411.0,39
NDC,00088216030,leflunomide 10 mg tablet,99.63,59.78,16.94,7411.0,39
NDC,00088216130,leflunomide 20 mg tablet,99.63,59.78,16.94,7411.0,39
NDC,00088222033,insulin glargine (U-100) 100 unit/mL subcutaneous solution,128.52,77.11,21.85,7411.0,39
NDC,00093001006,tolterodine 1 mg tablet,5.29,3.17,0.8993,7411.0,39
NDC,00093001806,tolterodine 2 mg tablet,5.43,3.26,0.9231,7411.0,39
NDC,00093005301,buspirone 5 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,00093005305,buspirone 5 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,00093005401,buspirone 10 mg tablet,0.14,0.08,0.0238,7411.0,39
NDC,00093007301,zolpidem 5 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,00093010901,carBAMazepine 200 mg tablet,2.56,1.54,0.4352,7411.0,39
NDC,00093015001,acetaminophen 300 mg-codeine 30 mg tablet,3.36,2.02,0.5712,7411.0,39
NDC,00093031101,loperamide 2 mg capsule,0.73,0.44,0.1241,7411.0,39
NDC,00093031401,ketorolac 10 mg tablet,2.16,1.3,0.3672,7411.0,39
NDC,00093031801,dilTIAZem 30 mg tablet,0.3,0.18,0.051,7411.0,39
NDC,00093031901,dilTIAZem 60 mg tablet,0.47,0.28,0.0799,7411.0,39
NDC,00093032001,dilTIAZem 90 mg tablet,0.64,0.38,0.1088,7411.0,39
NDC,00093078701,atenolol 25 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,00093081001,nortriptyline 10 mg capsule,0.39,0.23,0.0663,7411.0,39
NDC,00093081101,nortriptyline 25 mg capsule,0.53,0.32,0.0901,7411.0,39
NDC,00093081201,nortriptyline 50 mg capsule,0.65,0.39,0.1105,7411.0,39
NDC,00093083201,clonazePAM 0.5 mg tablet,0.06,0.04,0.0102,7411.0,39
NDC,00093106101,sotalol 80 mg tablet,0.56,0.34,0.0952,7411.0,39
NDC,00093106201,sotalol 160 mg tablet,0.95,0.57,0.1615,7411.0,39
NDC,00093117401,penicillin V potassium 500 mg tablet,1.15,0.69,0.1955,7411.0,39
NDC,00093117701,neomycin 500 mg tablet,2.72,1.63,0.4624,7411.0,39
NDC,00093171201,warfarin 1 mg tablet,2.44,1.46,0.4148,7411.0,39
NDC,00093171301,warfarin 2 mg tablet,2.46,1.48,0.4182,7411.0,39
NDC,00093171401,warfarin 2.5 mg tablet,2.47,1.48,0.4199,7411.0,39
NDC,00093172001,warfarin 10 mg tablet,2.73,1.64,0.4641,7411.0,39
NDC,00093172101,warfarin 5 mg tablet,2.48,1.49,0.4216,7411.0,39
NDC,00093220301,metoclopramide 10 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,00093220401,metoclopramide 5 mg tablet,0.14,0.08,0.0238,7411.0,39
NDC,00093221001,sucralfate 1 gram tablet,0.54,0.32,0.0918,7411.0,39
NDC,00093226801,amoxicillin 250 mg chewable tablet,1.15,0.69,0.1955,7411.0,39
NDC,00093227434,amoxicillin 500 mg-potassium clavulanate 125 mg tablet,3.32,1.99,0.5644,7411.0,39
NDC,00093227534,amoxicillin 875 mg-potassium clavulanate 125 mg tablet,3.88,2.33,0.6596,7411.0,39
NDC,00093301956,tadalafil 20 mg tablet,1.94,1.16,0.3298,7411.0,39
NDC,00093312701,disopyramide phosphate 100 mg capsule,3.99,2.39,0.6783,7411.0,39
NDC,00093312901,disopyramide phosphate 150 mg capsule,4.49,2.69,0.7633,7411.0,39
NDC,00093314501,cephalexin 250 mg capsule,0.76,0.46,0.1292,7411.0,39
NDC,00093314701,cephalexin 500 mg capsule,0.94,0.56,0.1598,7411.0,39
NDC,00093316006,cefdinir 300 mg capsule,8.17,4.9,1.39,7411.0,39
NDC,00093322308,estradiol 10 mcg vaginal tablet,38.8,23.28,6.6,7411.0,39
NDC,00093322319,estradiol 10 mcg vaginal tablet,38.8,23.28,6.6,7411.0,39
NDC,00093323401,sulfaSALAzine 500 mg tablet,0.87,0.52,0.1479,7411.0,39
NDC,00093323921,buprenorphine 7.5 mcg/hour weekly transdermal patch,150.33,90.2,25.56,7411.0,39
NDC,00093323940,buprenorphine 7.5 mcg/hour weekly transdermal patch,150.33,90.2,25.56,7411.0,39
NDC,00093342501,LORazepam 0.5 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,00093342601,LORazepam 1 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,00093365621,buprenorphine 5 mcg/hour weekly transdermal patch,105.91,63.55,18.0,7411.0,39
NDC,00093365640,buprenorphine 5 mcg/hour weekly transdermal patch,105.91,63.55,18.0,7411.0,39
NDC,00093406701,prazosin 1 mg capsule,0.86,0.52,0.1462,7411.0,39
NDC,00093412573,penicillin V potassium 125 mg/5 mL oral solution,16.5,9.9,2.81,7411.0,39
NDC,00093412773,penicillin V potassium 250 mg/5 mL oral solution,18.3,10.98,3.11,7411.0,39
NDC,00093414545,levalbuterol 0.31 mg/3 mL solution for nebulization,4.2,2.52,0.714,7411.0,39
NDC,00093414645,levalbuterol 0.63 mg/3 mL solution for nebulization,4.2,2.52,0.714,7411.0,39
NDC,00093414656,levalbuterol 0.63 mg/3 mL solution for nebulization,4.2,2.52,0.714,7411.0,39
NDC,00093414845,levalbuterol 1.25 mg/3 mL solution for nebulization,4.2,2.52,0.714,7411.0,39
NDC,00093414856,levalbuterol 1.25 mg/3 mL solution for nebulization,4.2,2.52,0.714,7411.0,39
NDC,00093415573,amoxicillin 250 mg/5 mL oral suspension,7.9,4.74,1.34,7411.0,39
NDC,00093415580,amoxicillin 250 mg/5 mL oral suspension,11.0,6.6,1.87,7411.0,39
NDC,00093417573,cephalexin 125 mg/5 mL oral suspension,38.5,23.1,6.54,7411.0,39
NDC,00093417773,cephalexin 250 mg/5 mL oral suspension,46.5,27.9,7.91,7411.0,39
NDC,00093417774,cephalexin 250 mg/5 mL oral suspension,82.5,49.5,14.03,7411.0,39
NDC,00093503156,tiaGABine 4 mg tablet,12.7,7.62,2.16,7411.0,39
NDC,00093505998,atorvastatin 20 mg tablet,0.36,0.22,0.0612,7411.0,39
NDC,00093526356,solifenacin 5 mg tablet,1.09,0.65,0.1853,7411.0,39
NDC,00093534201,sildenafil 50 mg tablet,3.3,1.98,0.561,7411.0,39
NDC,00093541784,cloZAPine 25 mg disintegrating tablet,4.8,2.88,0.816,7411.0,39
NDC,00093541984,cloZAPine 100 mg disintegrating tablet,13.08,7.85,2.22,7411.0,39
NDC,00093542088,cabergoline 0.5 mg tablet,32.5,19.5,5.53,7411.0,39
NDC,00093552706,atazanavir 200 mg capsule,11.04,6.62,1.88,7411.0,39
NDC,00093552856,atazanavir 300 mg capsule,21.57,12.94,3.67,7411.0,39
NDC,00093573101,"oxyCODONE ER 10 mg tablet,crush resistant,extended release 12 hr",7.84,4.7,1.33,7411.0,39
NDC,00093574219,cycloSPORINE modified 100 mg capsule,8.79,5.27,1.49,7411.0,43
NDC,00093574265,cycloSPORINE modified 100 mg capsule,8.79,5.27,1.49,7411.0,41
NDC,00093585101,escitalopram 10 mg tablet,0.43,0.26,0.0731,7411.0,39
NDC,00093590786,mesalamine 400 mg capsule (with delayed release tablets inside),6.7,4.02,1.14,7411.0,39
NDC,00093595511,arformoterol 15 mcg/2 mL solution for nebulization,13.83,8.3,0.7997,7411.0,40
NDC,00093595556,arformoterol 15 mcg/2 mL solution for nebulization,13.83,8.3,2.35,7411.0,39
NDC,00093681519,budesonide 0.25 mg/2 mL suspension for nebulization,15.06,9.04,2.56,7411.0,39
NDC,00093681545,budesonide 0.25 mg/2 mL suspension for nebulization,15.06,9.04,2.56,7411.0,39
NDC,00093681555,budesonide 0.25 mg/2 mL suspension for nebulization,15.06,9.04,2.56,7411.0,39
NDC,00093681573,budesonide 0.25 mg/2 mL suspension for nebulization,15.06,9.04,2.56,7411.0,39
NDC,00093681619,budesonide 0.5 mg/2 mL suspension for nebulization,17.73,10.64,3.01,7411.0,39
NDC,00093681645,budesonide 0.5 mg/2 mL suspension for nebulization,17.73,10.64,3.01,7411.0,39
NDC,00093681655,budesonide 0.5 mg/2 mL suspension for nebulization,17.73,10.64,3.01,7411.0,39
NDC,00093681673,budesonide 0.5 mg/2 mL suspension for nebulization,17.73,10.64,3.01,7411.0,39
NDC,00093720198,pravastatin 20 mg tablet,0.54,0.32,0.0918,7411.0,39
NDC,00093725401,glimepiride 1 mg tablet,0.21,0.13,0.0357,7411.0,39
NDC,00093725601,glimepiride 4 mg tablet,0.64,0.38,0.1088,7411.0,39
NDC,00093735301,calcitriol 0.5 mcg capsule,3.06,1.84,0.5202,7411.0,39
NDC,00093738598,"venlafaxine ER 75 mg capsule,extended release 24 hr",0.57,0.34,0.0969,7411.0,39
NDC,00093739386,"niacin ER 750 mg tablet,extended release 24 hr",9.67,5.8,1.64,7411.0,39
NDC,00093762998,imatinib 100 mg tablet,7.43,4.46,1.26,7411.0,39
NDC,00093777219,cloZAPine 100 mg tablet,3.32,1.99,0.5644,7411.0,39
NDC,00093777293,cloZAPine 100 mg tablet,3.31,1.99,0.5627,7411.0,39
NDC,00093803501,glyBURIDE micronized 3 mg tablet,0.42,0.25,0.0714,7411.0,39
NDC,00093811956,famciclovir 500 mg tablet,6.96,4.18,1.18,7411.0,39
NDC,00093873901,mexiletine 150 mg capsule,2.59,1.55,0.4403,7411.0,39
NDC,00093874001,mexiletine 200 mg capsule,3.15,1.89,0.5355,7411.0,39
NDC,00093902019,cycloSPORINE modified 100 mg capsule,8.79,5.27,1.49,7411.0,41
NDC,00093902065,cycloSPORINE modified 100 mg capsule,8.79,5.27,1.49,7411.0,41
NDC,00093970201,carbidopa 25 mg-levodopa 100 mg tablet,0.51,0.31,0.0867,7411.0,39
NDC,00113002808,"fluticasone propionate 50 mcg/actuation nasal spray,suspension",15.61,9.37,2.65,7411.0,39
NDC,00115133101,"dextroamphetamine-amphetamine ER 20 mg 24hr capsule,extend release",9.81,5.89,1.67,7411.0,39
NDC,00115165901,propranolol 10 mg tablet,0.32,0.19,0.0544,7411.0,39
NDC,00115166001,propranolol 20 mg tablet,0.4,0.24,0.068,7411.0,39
NDC,00115166101,propranolol 40 mg tablet,0.51,0.31,0.0867,7411.0,39
NDC,00115168776,budesonide 0.25 mg/2 mL suspension for nebulization,15.06,9.04,2.56,7411.0,39
NDC,00115168974,budesonide 0.5 mg/2 mL suspension for nebulization,17.73,10.64,3.01,7411.0,39
NDC,00115168976,budesonide 0.5 mg/2 mL suspension for nebulization,17.73,10.64,3.01,7411.0,39
NDC,00115169606,hydrocortisone 5 mg tablet,0.57,0.34,0.0969,7411.0,39
NDC,00115169701,hydrocortisone 10 mg tablet,0.96,0.58,0.1632,7411.0,39
NDC,00115170001,hydrocortisone 20 mg tablet,1.81,1.09,0.3077,7411.0,39
NDC,00115180001,methylphenidate 5 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,00115261101,terbutaline 2.5 mg tablet,6.6,3.96,1.12,7411.0,39
NDC,00115262201,terbutaline 5 mg tablet,7.8,4.68,1.33,7411.0,39
NDC,00115351101,pyRIDostigmine bromide 60 mg tablet,2.63,1.58,0.4471,7411.0,39
NDC,00115441101,dantrolene 25 mg capsule,2.62,1.57,0.4454,7411.0,39
NDC,00115443301,dantrolene 100 mg capsule,4.28,2.57,0.7276,7411.0,39
NDC,00115551110,fenofibrate 54 mg tablet,0.43,0.26,0.0731,7411.0,39
NDC,00115592201,pilocarpine 5 mg tablet,2.2,1.32,0.374,7411.0,39
NDC,00115681110,"bupropion HCl XL 150 mg 24 hr tablet, extended release",0.36,0.22,0.0612,7411.0,39
NDC,00115691101,"divalproex ER 250 mg tablet,extended release 24 hr",3.93,2.36,0.6681,7411.0,39
NDC,00115703301,fludrocortisone 0.1 mg tablet,1.18,0.71,0.2006,7411.0,39
NDC,00115982201,digoxin 250 mcg (0.25 mg) tablet,2.37,1.42,0.4029,7411.0,39
NDC,00115993276,levalbuterol 1.25 mg/3 mL solution for nebulization,3.4,2.04,0.578,7411.0,39
NDC,00115993278,levalbuterol 1.25 mg/3 mL solution for nebulization,3.4,2.04,0.578,7411.0,39
NDC,00116200115,chlorhexidine gluconate 0.12 % mouthwash,3.51,2.11,0.5967,7411.0,39
NDC,00116200116,chlorhexidine gluconate 0.12 % mouthwash,10.41,6.25,1.77,7411.0,39
NDC,00121043130,magnesium hydroxide 400 mg/5 mL oral suspension,3.9,2.34,0.663,7411.0,39
NDC,00121048905,diphenhydrAMINE 12.5 mg/5 mL oral elixir,8.33,5.0,1.42,7411.0,39
NDC,00121053005,ferrous sulfate 300 mg (60 mg iron)/5 mL oral liquid,8.79,5.27,1.49,7411.0,39
NDC,00121054410,docusate sodium 50 mg/5 mL oral liquid,2.22,1.33,0.3774,7411.0,39
NDC,00121057616,metoclopramide 5 mg/5 mL oral solution,58.65,35.19,9.97,7411.0,39
NDC,00121058105,haloperidol lactate 2 mg/mL oral concentrate,1.05,0.63,0.1785,7411.0,39
NDC,00121059516,sodium citrate-citric acid 500 mg-334 mg/5 mL oral solution,28.38,17.03,4.82,7411.0,39
NDC,00121059530,sodium citrate-citric acid 500 mg-334 mg/5 mL oral solution,3.6,2.16,0.612,7411.0,39
NDC,00121063800,"dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral syrup,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral liquid",4.16,2.5,0.7072,7411.0,39
NDC,00121063805,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral syrup,4.16,2.5,0.7072,7411.0,39
NDC,00121064616,amantadine HCl 50 mg/5 mL oral solution,53.92,32.35,9.17,7411.0,39
NDC,00121065705,acetaminophen 160 mg/5 mL (5 mL) oral solution,3.24,1.94,0.5508,7411.0,39
NDC,00121067516,valproic acid (as sodium salt) 250 mg/5 mL oral solution,24.6,14.76,4.18,7411.0,39
NDC,00121072104,FLUoxetine 20 mg/5 mL (4 mg/mL) oral solution,100.32,60.19,17.05,7411.0,39
NDC,00121074710,sucralfate 100 mg/mL oral suspension,18.0,10.8,3.06,7411.0,39
NDC,00121075908,prednisoLONE sodium phosphate 15 mg/5 mL (3 mg/mL) oral solution,103.81,62.29,0.814,7411.0,42
NDC,00121076616,"calcium 500 mg/5 mL (as calcium carb 1,250 mg/5 mL) oral suspension",19.87,11.92,3.38,7411.0,39
NDC,00121077001,LORazepam 2 mg/mL oral concentrate,90.18,54.11,15.33,7411.0,39
NDC,00121086205,"carBAMazepine 100 mg/5 mL (5 mL) oral suspension,carBAMazepine 100 mg/5 mL oral suspension",6.05,3.63,1.03,7411.0,39
NDC,00121086505,diphenhydrAMINE 12.5 mg/5 mL oral liquid,4.1,2.46,0.697,7411.0,39
NDC,00121086530,diphenhydrAMINE 12.5 mg/5 mL oral liquid,4.26,2.56,0.7242,7411.0,39
NDC,00121086720,vancomycin 125 mg capsule,4.5,2.7,0.765,7411.0,39
NDC,00121087308,lactulose 10 gram/15 mL oral solution,8.06,4.84,1.37,7411.0,39
NDC,00121087316,lactulose 10 gram/15 mL oral solution,27.43,16.46,4.66,7411.0,39
NDC,00121090315,lidocaine HCl 2 % mucosal solution,7.47,4.48,1.27,7411.0,39
NDC,00121090340,lidocaine HCl 2 % mucosal solution,7.47,4.48,1.27,7411.0,39
NDC,00121115440,lactulose 10 gram/15 mL oral solution,3.3,1.98,0.561,7411.0,39
NDC,00121157610,metoclopramide 5 mg/5 mL oral solution,8.1,4.86,1.38,7411.0,39
NDC,00121174410,guaiFENesin 100 mg/5 mL oral liquid,1.1,0.66,0.187,7411.0,39
NDC,00121176030,aluminum-magnesium hydroxide 200 mg-200 mg/5 mL oral suspension,9.42,5.65,1.6,7411.0,39
NDC,00121176130,aluminum-mag hydroxide-simethicone 200 mg-200 mg-20 mg/5 mL oral susp,6.3,3.78,1.07,7411.0,39
NDC,00121177505,codeine 10 mg-guaifenesin 100 mg/5 mL oral liquid,6.75,4.05,1.15,7411.0,39
NDC,00121187000,docusate sodium 50 mg/5 mL oral liquid,3.7,2.22,0.629,7411.0,39
NDC,00121187010,docusate sodium 50 mg/5 mL oral liquid,3.7,2.22,0.629,7411.0,39
NDC,00121202410,lacosamide 10 mg/mL oral solution,98.06,58.84,16.67,7411.0,39
NDC,00121202495,lacosamide 10 mg/mL oral solution,98.06,58.84,16.67,7411.0,39
NDC,00121203630,buprenorphine 8 mg-naloxone 2 mg sublingual tablet,2.67,1.6,0.4539,7411.0,39
NDC,00121457730,lactulose 10 gram/15 mL oral solution,1.56,0.94,0.2652,7411.0,39
NDC,00121476605,"calcium 500 mg/5 mL (as calcium carb 1,250 mg/5 mL) oral suspension",5.12,3.07,0.8704,7411.0,39
NDC,00121478505,"nystatin 100,000 unit/mL oral suspension",2.6,1.56,0.442,7411.0,39
NDC,00121482740,oxyCODONE 5 mg/5 mL oral solution,15.39,9.23,2.62,7411.0,39
NDC,00131181067,lacosamide 200 mg/20 mL intravenous solution,434.97,260.98,73.94,7411.0,41
NDC,00131247735,lacosamide 50 mg tablet,23.56,14.14,4.01,7411.0,39
NDC,00131247760,lacosamide 50 mg tablet,25.91,15.55,4.4,7411.0,39
NDC,00131248035,lacosamide 200 mg tablet,39.01,23.41,6.63,7411.0,39
NDC,00131248060,lacosamide 200 mg tablet,42.92,25.75,7.3,7411.0,39
NDC,00132007912,glycerin (adult) rectal suppository,0.2,0.12,0.034,7411.0,39
NDC,00132019012,glycerin (laxative) 2.8 gram/2.7 mL rectal solution,1.67,1.0,0.2839,7411.0,39
NDC,00132020220,sodium phosphates 9.5 gram-3.5 gram/59 mL enema,2.77,1.66,0.4709,7411.0,39
NDC,00135007027,calcium 200 mg (as calcium carbonate 500 mg) chewable tablet,0.05,0.03,0.0085,7411.0,39
NDC,00135020001,docosanol 10 % topical cream,35.4,21.24,6.02,7411.0,39
NDC,00143117101,captopril 12.5 mg tablet,2.03,1.22,0.3451,7411.0,39
NDC,00143117201,captopril 25 mg tablet,2.17,1.3,0.3689,7411.0,39
NDC,00143124001,digoxin 125 mcg (0.125 mg) tablet,0.6,0.36,0.102,7411.0,39
NDC,00143124101,digoxin 250 mcg (0.25 mg) tablet,0.6,0.36,0.102,7411.0,39
NDC,00143134601,naproxen 250 mg tablet,0.12,0.07,0.0204,7411.0,39
NDC,00143176901,isosorbide dinitrate 5 mg tablet,1.05,0.63,0.1785,7411.0,39
NDC,00143177101,isosorbide dinitrate 10 mg tablet,1.16,0.7,0.1972,7411.0,39
NDC,00143177201,isosorbide dinitrate 20 mg tablet,1.27,0.76,0.2159,7411.0,39
NDC,00143312601,dicyclomine 10 mg capsule,1.4,0.84,0.238,7411.0,39
NDC,00143914001,ceFAZolin 3 gram intravenous solution,57.65,34.59,0.935,7411.0,42
NDC,00143914025,ceFAZolin 3 gram intravenous solution,57.65,34.59,9.8,7411.0,41
NDC,00143915801,furosemide 10 mg/mL injection solution,72.0,43.2,0.0187,7411.0,42
NDC,00143920501,DOCEtaxel 80 mg/4 mL (20 mg/mL) intravenous solution,1220.0,732.0,0.6116,7411.0,42
NDC,00143929701,dantrolene 20 mg intravenous solution,323.1,193.86,54.93,7411.0,39
NDC,00143932801,BUPivacaine HCl 0.25 % (2.5 mg/mL) injection solution,1.2,0.72,0.011,7411.0,42
NDC,00143932810,BUPivacaine HCl 0.25 % (2.5 mg/mL) injection solution,1.2,0.72,0.204,7411.0,41
NDC,00143933801,"succinylcholine chloride 20 mg/mL injection solution,succinylcholine chloride 200 mg/10 mL (20 mg/mL) intravenous solution,succinylcholine(PF)200 mg/10 mL(20 mg/mL)-NaCl,iso intravenous syringe,succin",73.0,43.8,12.41,7411.0,41
NDC,00143935501,vancomycin 750 mg intravenous solution,63.14,37.88,0.033,7411.0,42
NDC,00143938001,midazolam (PF) 1 mg/mL in 0.9 % sodium chloride intravenous solution,180.0,108.0,0.1749,7411.0,42
NDC,00143938010,midazolam (PF) 1 mg/mL in 0.9 % sodium chloride intravenous solution,180.0,108.0,30.6,7411.0,41
NDC,00143938201,cefepime 1 gram solution for injection,20.0,12.0,1.39,7411.0,42
NDC,00143938210,cefepime 1 gram solution for injection,20.0,12.0,3.4,7411.0,41
NDC,00143939101,remifentanil 1 mg intravenous solution,281.63,168.98,47.88,7411.0,39
NDC,00143939110,remifentanil 1 mg intravenous solution,281.63,168.98,47.88,7411.0,39
NDC,00143950701,etomidate 2 mg/mL intravenous solution,40.32,24.19,6.85,7411.0,39
NDC,00143951501,droPERidol 2.5 mg/mL injection solution,29.04,17.42,4.94,7411.0,42
NDC,00143951525,droPERidol 2.5 mg/mL injection solution,29.04,17.42,4.94,7411.0,41
NDC,00143952501,dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in 0.9 % sodium chloride IV,192.0,115.2,32.64,7411.0,39
NDC,00143952510,dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in 0.9 % sodium chloride IV,192.0,115.2,32.64,7411.0,39
NDC,00143953301,allopurinol 500 mg intravenous solution,11700.0,7020.0,3.62,8775.0,57
NDC,00143955101,DAUNOrubicin 5 mg/mL intravenous solution,653.63,392.18,27.22,7411.0,42
NDC,00143955110,DAUNOrubicin 5 mg/mL intravenous solution,653.63,392.18,111.12,7411.0,41
NDC,00143956401,phentolamine 5 mg injection solution,2208.87,1325.32,244.58,7411.0,57
NDC,00143956410,phentolamine 5 mg injection solution,2208.83,1325.3,244.58,7411.0,57
NDC,00143957001,sodium ferric gluconate complex in sucrose 62.5 mg/5 mL intravenous,218.8,131.28,37.2,7411.0,41
NDC,00143957010,sodium ferric gluconate complex in sucrose 62.5 mg/5 mL intravenous,218.8,131.28,37.2,7411.0,41
NDC,00143959401,lidocaine (PF) 20 mg/mL (2 %) injection solution,13.26,7.96,2.25,7411.0,41
NDC,00143959425,lidocaine (PF) 20 mg/mL (2 %) injection solution,13.26,7.96,2.25,7411.0,41
NDC,00143966010,metoprolol tartrate 5 mg/5 mL intravenous solution,20.17,12.1,0.1375,7411.0,42
NDC,00143967301,levETIRAcetam 500 mg/5 mL intravenous solution,63.0,37.8,0.0374,7411.0,42
NDC,00143967325,levETIRAcetam 500 mg/5 mL intravenous solution,24.0,14.4,0.0374,7411.0,42
NDC,00143967401,argatroban 100 mg/mL intravenous solution,883.0,529.8,1.11,7411.0,43
NDC,00143968001,glycopyrrolate 0.2 mg/mL injection solution,64.0,38.4,0.4015,7411.0,42
NDC,00143968201,glycopyrrolate 0.2 mg/mL injection solution,19.6,11.76,0.4015,7411.0,42
NDC,00143968225,glycopyrrolate 0.2 mg/mL injection solution,19.6,11.76,3.33,7411.0,41
NDC,00143970910,milrinone 1 mg/mL intravenous solution,55.08,33.05,1.3,7411.0,42
NDC,00143971010,milrinone 1 mg/mL intravenous solution,37.5,22.5,1.3,7411.0,42
NDC,00143971801,milrinone 40 mg/200 mL(200 mcg/mL) in 5 % dextrose intravenous piggybk,192.0,115.2,1.3,7411.0,42
NDC,00143971901,milrinone 20 mg/100 mL(200 mcg/mL) in 5 % dextrose intravenous piggybk,91.2,54.72,1.3,7411.0,42
NDC,00143972001,levoFLOXacin 750 mg/150 mL in 5 % dextrose intravenous piggyback,42.8,25.68,2.38,7411.0,43
NDC,00143972201,levoFLOXacin 250 mg/50 mL in 5 % dextrose intravenous piggyback,41.0,24.6,2.38,7411.0,43
NDC,00143972301,"cloNIDine (PF) 5,000 mcg/10 mL epidural solution",731.25,438.75,19.71,7411.0,42
NDC,00143972905,benztropine 1 mg/mL injection solution,270.0,162.0,14.87,7411.0,42
NDC,00143975301,methylPREDNISolone sodium succinate 40 mg solution for injection,24.48,14.69,0.2651,7411.0,42
NDC,00143975325,methylPREDNISolone sodium succinate 40 mg solution for injection,24.48,14.69,4.16,7411.0,41
NDC,00143975401,"methylPREDNISolone sodium succinate 125 mg solution for injection,methylPREDNISolone sodium succinate 125/2 mL solution for injection",38.76,23.26,0.2651,7411.0,42
NDC,00143975425,"methylPREDNISolone sodium succinate 125 mg solution for injection,methylPREDNISolone sodium succinate 125/2 mL solution for injection",38.76,23.26,6.59,7411.0,41
NDC,00143978601,enalaprilat 1.25 mg/mL intravenous solution,56.89,34.13,9.67,7411.0,39
NDC,00143978610,enalaprilat 1.25 mg/mL intravenous solution,56.89,34.13,9.67,7411.0,39
NDC,00143985101,"methylPREDNISolone sodium succinate 1,000 mg intravenous solution",251.34,150.8,0.2651,7411.0,42
NDC,00143985701,cefTRIAXone 1 gram solution for injection,17.0,10.2,0.473,7411.0,42
NDC,00143987201,propranolol 1 mg/mL intravenous solution,48.0,28.8,8.16,7411.0,41
NDC,00143987801,cefOXitin 1 gram intravenous solution,64.4,38.64,3.91,7411.0,42
NDC,00143987825,cefOXitin 1 gram intravenous solution,64.4,38.64,10.95,7411.0,41
NDC,00143988915,amoxicillin 250 mg/5 mL oral suspension,9.8,5.88,1.67,7411.0,39
NDC,00143988980,amoxicillin 250 mg/5 mL oral suspension,5.78,3.47,0.9826,7411.0,39
NDC,00143989001,ondansetron HCl 2 mg/mL intravenous solution,47.16,28.3,0.0968,7411.0,42
NDC,00143992390,ceFAZolin 500 mg solution for injection,17.01,10.21,0.9295,7411.0,42
NDC,00143992490,ceFAZolin 1 gram solution for injection,13.21,7.93,0.9295,7411.0,42
NDC,00143992701,ciprofloxacin 250 mg tablet,0.79,0.47,0.1343,7411.0,39
NDC,00143992801,ciprofloxacin 500 mg tablet,0.92,0.55,0.1564,7411.0,39
NDC,00143997722,cefuroxime sodium 1.5 gram intravenous solution,40.08,24.05,2.19,7411.0,42
NDC,00143997790,cefuroxime sodium 1.5 gram intravenous solution,40.08,24.05,6.81,7411.0,41
NDC,00143997990,cefuroxime sodium 750 mg solution for injection,22.54,13.52,2.19,7411.0,42
NDC,00143998201,amoxicillin 400 mg-potassium clavulanate 57 mg/5 mL oral suspension,29.7,17.82,5.05,7411.0,39
NDC,00168000315,triamcinolone acetonide 0.025 % topical cream,7.44,4.46,1.26,7411.0,39
NDC,00168000616,triamcinolone acetonide 0.1 % topical ointment,49.9,29.94,8.48,7411.0,39
NDC,00168000715,"nystatin 100,000 unit/gram topical ointment",27.99,16.79,4.76,7411.0,39
NDC,00168002016,hydrocortisone 1 % topical ointment,131.54,78.92,22.36,7411.0,39
NDC,00168005345,white petrolatum topical ointment in packet,0.44,0.26,0.0748,7411.0,39
NDC,00168009915,ketoconazole 2 % topical cream,30.0,18.0,5.1,7411.0,39
NDC,00168009930,ketoconazole 2 % topical cream,49.98,29.99,8.5,7411.0,39
NDC,00168014616,hydrocortisone 2.5 % topical ointment,119.75,71.85,20.36,7411.0,39
NDC,00168014630,hydrocortisone 2.5 % topical ointment,6.58,3.95,1.12,7411.0,39
NDC,00168016346,clobetasol 0.05 % topical cream,96.93,58.16,16.48,7411.0,39
NDC,00168020230,clindamycin 1 % topical gel,165.84,99.5,28.19,7411.0,39
NDC,00168020360,clindamycin 1 % lotion,230.76,138.46,39.23,7411.0,39
NDC,00168020437,lidocaine 5 % topical ointment,480.0,288.0,81.6,7411.0,39
NDC,00168025815,clotrimazole-betamethasone 1 %-0.05 % topical cream,33.72,20.23,5.73,7411.0,39
NDC,00168027740,clindamycin 2 % vaginal cream,208.56,125.14,35.46,7411.0,39
NDC,00169183302,insulin U-100 regular human 100 unit/mL injection solution,96.4,57.84,16.39,7411.0,39
NDC,00169183311,insulin U-100 regular human 100 unit/mL injection solution,96.4,57.84,16.39,7411.0,39
NDC,00169210011,insulin aspart U-100  100 unit/mL subcutaneous solution,144.68,86.81,24.6,7411.0,39
NDC,00169517603,estradiol 10 mcg vaginal tablet,42.54,25.52,7.23,7411.0,39
NDC,00169720101,"coagulation factor VIIa recomb 1 mg (1,000 mcg) intravenous solution",44.08,26.45,2.51,7411.0,58
NDC,00169720201,"coagulation factor VIIa recomb 2 mg (2,000 mcg) intravenous solution",44.08,26.45,2.51,7411.0,58
NDC,00169720501,"coagulation factor VIIa recomb 5 mg (5,000 mcg) intravenous solution",44.08,26.45,2.51,7411.0,58
NDC,00169720801,"coagulation factor VIIa recomb 8 mg (8,000 mcg) intravenous solution",44.08,26.45,2.51,7411.0,58
NDC,00169750111,insulin aspart U-100  100 unit/mL subcutaneous solution,144.68,86.81,24.6,7411.0,39
NDC,00169781001,"antihemophilic FVIII,B-dom truncated 1,000 (+/-) unit intravenous soln",40.96,24.58,1.34,7411.0,57
NDC,00169782501,"antihemophilic FVIII, B-dom truncated 250 (+/-) unit intravenous soln",40.96,24.58,1.34,7411.0,57
NDC,00169785001,"antihemophilic FVIII,B-dom truncated 500 (+/-) unit intravenous soln",40.96,24.58,1.34,7411.0,57
NDC,00172208360,hydroCHLOROthiazide 25 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,00172392560,diazePAM 2 mg tablet,0.06,0.04,0.0102,7411.0,39
NDC,00172392660,diazePAM 5 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,00172392760,diazePAM 10 mg tablet,0.19,0.11,0.0323,7411.0,39
NDC,00172409660,baclofen 10 mg tablet,1.44,0.86,0.2448,7411.0,39
NDC,00172409760,baclofen 20 mg tablet,1.72,1.03,0.2924,7411.0,39
NDC,00172524160,anagrelide 0.5 mg capsule,3.67,2.2,0.6239,7411.0,39
NDC,00172541160,fluconazole 100 mg tablet,2.5,1.5,0.425,7411.0,39
NDC,00172541360,fluconazole 200 mg tablet,3.17,1.9,0.5389,7411.0,39
NDC,00172572860,famotidine 20 mg tablet,0.28,0.17,0.0476,7411.0,39
NDC,00172572880,famotidine 20 mg tablet,0.28,0.17,0.0476,7411.0,39
NDC,00173052000,salmeterol 50 mcg/dose blister powder for inhalation,486.41,291.85,82.69,7411.0,39
NDC,00173054700,atovaquone 750 mg/5 mL oral suspension,66.81,40.09,11.36,7411.0,39
NDC,00173066200,lamiVUDine 100 mg tablet,33.02,19.81,5.61,7411.0,39
NDC,00173066518,atovaquone 750 mg/5 mL oral suspension,3012.32,1807.39,512.09,7411.0,39
NDC,00173068224,albuterol sulfate HFA 90 mcg/actuation aerosol inhaler,46.44,27.86,7.89,7411.0,39
NDC,00173073601,SUMAtriptan 50 mg tablet,151.44,90.86,25.74,7411.0,39
NDC,00173085914,fluticasone furoate 100 mcg-vilanterol 25 mcg/dose inhalation powder,12.21,7.33,2.08,7411.0,39
NDC,00173086906,umeclidinium 62.5 mcg-vilanterol 25 mcg/actuation powdr for inhalation,17.3,10.38,2.94,7411.0,39
NDC,00173087306,umeclidinium 62.5 mcg/actuation blister powder for inhalation,22.44,13.46,3.81,7411.0,39
NDC,00173087310,umeclidinium 62.5 mcg/actuation blister powder for inhalation,24.61,14.77,4.18,7411.0,39
NDC,00173087410,fluticasone furoate 100 mcg/actuation blister powder for inhalation,13.9,8.34,2.36,7411.0,39
NDC,00173087414,fluticasone furoate 100 mcg/actuation blister powder for inhalation,13.9,8.34,2.36,7411.0,39
NDC,00173087610,fluticasone furoate 200 mcg/actuation blister powder for inhalation,18.61,11.17,3.16,7411.0,39
NDC,00173087614,fluticasone furoate 200 mcg/actuation blister powder for inhalation,18.61,11.17,3.16,7411.0,39
NDC,00173088210,fluticasone furoate 200 mcg-vilanterol 25 mcg/dose inhalation powder,14.57,8.74,2.48,7411.0,39
NDC,00173088214,fluticasone furoate 200 mcg-vilanterol 25 mcg/dose inhalation powder,12.21,7.33,2.08,7411.0,39
NDC,00173089803,dostarlimab-gxly 50 mg/mL intravenous solution,34739.36,20843.62,226.76,26054.52,57
NDC,00178031430,potassium iodide 65 mg/mL oral drops,37.5,22.5,6.38,7411.0,39
NDC,00178061001,"potassium citrate ER 10 mEq (1,080 mg) tablet,extended release",4.28,2.57,0.7276,7411.0,39
NDC,00179805202,"vitamin E (dl, acetate) 45 mg (100 unit) capsule",0.03,0.02,0.0051,7411.0,39
NDC,00182864389,simethicone 80 mg chewable tablet,0.18,0.11,0.0306,7411.0,39
NDC,00185005501,metOLazone 5 mg tablet,1.35,0.81,0.2295,7411.0,39
NDC,00185011801,labetalol 300 mg tablet,1.55,0.93,0.2635,7411.0,39
NDC,00185012801,bumetanide 0.5 mg tablet,0.9,0.54,0.153,7411.0,39
NDC,00185012901,bumetanide 1 mg tablet,0.91,0.55,0.1547,7411.0,39
NDC,00185013001,bumetanide 2 mg tablet,1.68,1.01,0.2856,7411.0,39
NDC,00185022360,cilostazol 100 mg tablet,3.2,1.92,0.544,7411.0,39
NDC,00185041060,"bupropion HCl SR 100 mg tablet,12 hr sustained-release",1.35,0.81,0.2295,7411.0,39
NDC,00185041501,"bupropion HCl SR 150 mg tablet,12 hr sustained-release",0.9,0.54,0.153,7411.0,39
NDC,00185041560,"bupropion HCl SR 150 mg tablet,12 hr sustained-release",0.9,0.54,0.153,7411.0,39
NDC,00185075701,sulfADIAZINE 500 mg tablet,8.58,5.15,1.46,7411.0,39
NDC,00185084201,dextroamphetamine-amphetamine 10 mg tablet,0.75,0.45,0.1275,7411.0,39
NDC,00185094098,cholestyramine (with sugar) 4 gram powder for susp in a packet,4.1,2.46,0.697,7411.0,39
NDC,00185434601,quiNIDine sulfate 200 mg tablet,0.49,0.29,0.0833,7411.0,39
NDC,00185505001,metOLazone 2.5 mg tablet,1.17,0.7,0.1989,7411.0,39
NDC,00186077660,ticagrelor 60 mg tablet,17.04,10.22,2.9,7411.0,39
NDC,00186077739,ticagrelor 90 mg tablet,17.04,10.22,2.9,7411.0,39
NDC,00186077760,ticagrelor 90 mg tablet,17.04,10.22,2.9,7411.0,39
NDC,00186086741,ROPivacaine (PF) 7.5 mg/mL (0.75 %) injection solution,28.38,17.03,0.0506,7411.0,42
NDC,00186198804,budesonide 0.25 mg/2 mL suspension for nebulization,17.43,10.46,2.96,7411.0,39
NDC,00186198904,budesonide 0.5 mg/2 mL suspension for nebulization,20.52,12.31,3.49,7411.0,39
NDC,00186404001,esomeprazole magnesium DR 40 mg granules delayed release for susp,19.15,11.49,3.26,7411.0,39
NDC,00187019201,isosorbide dinitrate 40 mg tablet,40.37,24.22,6.86,7411.0,39
NDC,00187301220,pyRIDostigmine bromide 60 mg/5 mL oral syrup,3283.62,1970.17,558.22,7411.0,39
NDC,00187430305,amobarbital 500 mg solution for injection,2199.15,1319.49,297.02,7411.0,42
NDC,00187433001,isoproterenol 0.2 mg/mL injection solution,4421.36,2652.82,751.63,7411.0,39
NDC,00187433005,isoproterenol 0.2 mg/mL injection solution,5374.33,3224.6,913.64,7411.0,39
NDC,00187560015,verteporfin 15 mg intravenous solution,5129.13,3077.48,10.53,7411.0,57
NDC,00206885208,piperacillin-tazobactam 2.25 gram intravenous solution,46.2,27.72,1.19,7411.0,42
NDC,00206885408,piperacillin-tazobactam 3.375 gram intravenous solution,66.81,40.09,1.19,7411.0,42
NDC,00223172101,sodium bicarbonate 650 mg tablet,0.11,0.07,0.0187,7411.0,39
NDC,00223176001,"sodium chloride 1 gram tablet,sodium chloride 1,000 mg soluble tablet",0.16,0.1,0.0272,7411.0,39
NDC,00223176001,"sodium chloride 1,000 mg soluble tablet",0.16,0.1,0.0272,7411.0,39
NDC,00224188400,"psyllium husk (aspartame) 3.4 gram oral powder packet,psyllium husk (aspartame) 3.5 gram oral powder packet,psyllium husk (sweetleaf) 3.5 gram oral powder packet,psyllium husk (sweetleaf) 3.5 gram/5.8",0.84,0.5,0.1428,7411.0,39
NDC,00224188400,psyllium husk (sweetleaf) 3.5 gram oral powder packet,0.84,0.5,0.1428,7411.0,39
NDC,00224188482,"psyllium husk (aspartame) 3.4 gram oral powder packet,psyllium husk (aspartame) 3.5 gram oral powder packet,psyllium husk (sweetleaf) 3.5 gram oral powder packet,psyllium husk (sweetleaf) 3.5 gram/5.8",0.84,0.5,0.1428,7411.0,39
NDC,00224188482,psyllium husk (sweetleaf) 3.5 gram oral powder packet,0.84,0.5,0.1428,7411.0,39
NDC,00224198400,"psyllium husk (aspartame) 3.4 gram oral powder packet,psyllium husk (aspartame) 3.5 gram oral powder packet,psyllium husk (sweetleaf) 3.5 gram oral powder packet,psyllium husk (sweetleaf) 3.5 gram/5.8",0.84,0.5,0.1428,7411.0,39
NDC,00224198400,psyllium husk (sweetleaf) 3.5 gram oral powder packet,0.84,0.5,0.1428,7411.0,39
NDC,00224198485,"psyllium husk (aspartame) 3.4 gram oral powder packet,psyllium husk (aspartame) 3.5 gram oral powder packet,psyllium husk (sweetleaf) 3.5 gram oral powder packet,psyllium husk (sweetleaf) 3.5 gram/5.8",0.84,0.5,0.1428,7411.0,39
NDC,00224198485,psyllium husk (sweetleaf) 3.5 gram oral powder packet,0.84,0.5,0.1428,7411.0,39
NDC,00225080047,phenylephrine 0.25 % nasal spray,6.93,4.16,1.18,7411.0,39
NDC,00225080547,phenylephrine 0.5 % nasal spray,6.93,4.16,1.18,7411.0,39
NDC,00228202710,ALPRAZolam 0.25 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,00228202910,ALPRAZolam 0.5 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,00228207610,temazepam 15 mg capsule,0.18,0.11,0.0306,7411.0,39
NDC,00228212710,cloNIDine HCl 0.1 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,00228234810,propylthiouracil 50 mg tablet,1.5,0.9,0.255,7411.0,39
NDC,00228253010,NIFEdipine 20 mg capsule,3.68,2.21,0.6256,7411.0,39
NDC,00228253810,carbidopa 10 mg-levodopa 100 mg tablet,0.44,0.26,0.0748,7411.0,39
NDC,00228253910,carbidopa 25 mg-levodopa 100 mg tablet,0.51,0.31,0.0867,7411.0,39
NDC,00228254050,carbidopa 25 mg-levodopa 250 mg tablet,0.55,0.33,0.0935,7411.0,39
NDC,00228255106,"diclofenac sodium 75 mg tablet,delayed release",0.78,0.47,0.1326,7411.0,39
NDC,00228262011,isosorbide mononitrate 20 mg tablet,1.02,0.61,0.1734,7411.0,39
NDC,00228300311,clonazePAM 0.5 mg tablet,0.06,0.04,0.0102,7411.0,39
NDC,00228300350,clonazePAM 0.5 mg tablet,0.06,0.04,0.0102,7411.0,39
NDC,00228300411,clonazePAM 1 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,00228306111,"dextroamphetamine-amphetamine ER 30 mg 24hr capsule,extend release",2.33,1.4,0.3961,7411.0,39
NDC,00245001289,sotalol 80 mg tablet,3.2,1.92,0.544,7411.0,39
NDC,00245007111,"potassium citrate ER 10 mEq (1,080 mg) tablet,extended release",2.83,1.7,0.4811,7411.0,39
NDC,00245014760,amiodarone 200 mg tablet,0.55,0.33,0.0935,7411.0,39
NDC,00245014789,amiodarone 200 mg tablet,0.74,0.44,0.1258,7411.0,39
NDC,00245021111,midodrine 2.5 mg tablet,1.48,0.89,0.2516,7411.0,39
NDC,00245021211,midodrine 5 mg tablet,1.72,1.03,0.2924,7411.0,39
NDC,00245086070,metroNIDAZOLE 0.75 % (37.5 mg/5 gram) vaginal gel,244.58,146.75,41.58,7411.0,39
NDC,00245531511,"potassium chloride ER 8 mEq tablet,extended release",0.86,0.52,0.1462,7411.0,39
NDC,00245531911,"potassium chloride ER 20 mEq tablet,extended release(part/cryst)",1.0,0.6,0.17,7411.0,39
NDC,00254200811,colchicine 0.6 mg tablet,11.23,6.74,1.91,7411.0,39
NDC,00254204502,"posaconazole 100 mg tablet,delayed release",32.83,19.7,5.58,7411.0,39
NDC,00254302802,lubiprostone 8 mcg capsule,2.0,1.2,0.34,7411.0,39
NDC,00259050116,glycopyrrolate 1 mg/5 mL (0.2 mg/mL) oral solution,999.98,599.99,170.0,7411.0,39
NDC,00264150990,"levETIRAcetam 1,500 mg/100 mL in sodium chloride(iso-osm) IV piggyback",25.2,15.12,0.0374,7411.0,42
NDC,00264196510,hetastarch 6 % in 0.9 % sodium chloride intravenous solution,171.0,102.6,29.07,7411.0,39
NDC,00264210100,"water for irrigation, sterile solution",18.0,10.8,3.06,7411.0,39
NDC,00264220100,sodium chloride 0.9 % irrigation solution,50.0,30.0,8.5,7411.0,79
NDC,00264220110,sodium chloride 0.9 % irrigation solution,50.0,30.0,8.5,7411.0,79
NDC,00264220150,sodium chloride 0.9 % irrigation solution,50.0,30.0,8.5,7411.0,79
NDC,00264320055,"parenteral amino acid 15 % combination no.2 intravenous solution,, parenteral amino acid 15 % combination no.5 intravenous solution,paremteral aminio acid 15 % combination no 5 intravenous solution,pa",222.0,133.2,37.74,7411.0,39
NDC,00264420552,magnesium sulfate 4 gram/50 mL (8 %) in water intravenous piggyback,26.1,15.66,0.4741,7411.0,42
NDC,00264446000,fat emulsion 20 % intravenous,234.0,140.4,39.78,7411.0,39
NDC,00264446010,fat emulsion 20 % intravenous,216.0,129.6,36.72,7411.0,39
NDC,00264446030,fat emulsion 20 % intravenous,174.0,104.4,29.58,7411.0,39
NDC,00264553532,metroNIDAZOLE 500 mg/100 mL in sodium chlor(iso) intravenous piggyback,24.2,14.52,0.0231,7411.0,42
NDC,00264762320,dextrose 10 % and 0.2 % sodium chloride intravenous solution,36.0,21.6,6.12,7411.0,39
NDC,00264775020,lactated Ringers intravenous solution,37.5,22.5,2.86,7411.0,42
NDC,00264780510,sodium chloride 3 % HYPERTONIC intravenous injection solution,50.0,30.0,8.5,7411.0,41
NDC,00264934155,amino acid 10 % intravenous solution,225.0,135.0,38.25,7411.0,39
NDC,00264955410,theophylline 400 mg/500 mL in dextrose 5 % intravenous,24.0,14.4,4.08,7411.0,41
NDC,00264958720,"heparin (porcine) 25,000 unit/250 mL (100 unit/mL) in dextrose 5 % IV",122.5,73.5,0.2431,7411.0,42
NDC,00264959420,lidocaine (PF) 4 mg/mL (0.4 %) in 5 % dextrose intravenous solution,48.0,28.8,0.0033,7411.0,42
NDC,00264987200,"heparin (porcine) (PF) 2,000 unit/1,000 mL in 0.9 % sodium chloride IV",64.0,38.4,0.2431,7411.0,42
NDC,00270014957,diatrizoate meglumine 30 % urethral solution,248.4,149.04,0.0836,211.14,53
NDC,00270044540,diatrizoate meglumine-diatrizoate sodium 66 %-10 % oral solution,132.96,79.78,0.2398,113.02,53
NDC,00270111101,gadoteridol 279.3 mg/mL intravenous solution,261.72,157.03,1.59,222.46,53
NDC,00270111103,gadoteridol 279.3 mg/mL intravenous solution,472.95,283.77,1.53,402.01,53
NDC,00270111145,gadoteridol 279.3 mg/mL intravenous syringe,414.55,248.73,1.59,352.37,53
NDC,00270141030,diatrizoate meglumine 18 % urethral solution,194.4,116.64,0.0836,165.24,53
NDC,00270516415,gadobenate dimeglumine 529 mg/mL(0.1 mmol/0.2 mL) intravenous solution,472.95,283.77,1.97,402.01,53
NDC,00270701546,gadopiclenol 0.5 mmol/mL intravenous solution,1507.01,904.21,3.54,7411.0,42
NDC,00280211010,"aspirin 325 mg tablet,delayed release",0.14,0.08,0.0238,7411.0,39
NDC,00281020502,surgical lubricant jelly topical,4.2,2.52,0.714,7411.0,39
NDC,00281032608,nitroglycerin 2 % transdermal ointment,4.84,2.9,0.8228,7411.0,39
NDC,00283061011,benzocaine 20 % mucosal spray,21.61,12.97,3.67,7411.0,39
NDC,00283061026,benzocaine 20 % mucosal spray,20.26,12.16,3.44,7411.0,39
NDC,00283067902,benzocaine 20 % mucosal aerosol spray,1.03,0.62,0.1751,7411.0,39
NDC,00299392116,paraben-cetyl alcohol-stearyl alcohol-propy glycol-sls topical cleaner,18.92,11.35,3.22,7411.0,39
NDC,00310009530,roflumilast 500 mcg tablet,29.59,17.75,5.03,7411.0,39
NDC,00310072010,fulvestrant 250 mg/5 mL intramuscular syringe,5867.15,3520.29,5.43,7411.0,42
NDC,00310075590,rosuvastatin 5 mg tablet,18.44,11.06,3.13,7411.0,39
NDC,00310110501,sodium zirconium cyclosilicate 5 gram oral powder packet,54.7,32.82,9.3,7411.0,39
NDC,00310110530,sodium zirconium cyclosilicate 5 gram oral powder packet,54.7,32.82,9.3,7411.0,39
NDC,00310110539,sodium zirconium cyclosilicate 5 gram oral powder packet,54.7,32.82,9.3,7411.0,39
NDC,00310111001,sodium zirconium cyclosilicate 10 gram oral powder packet,54.7,32.82,9.3,7411.0,39
NDC,00310111030,sodium zirconium cyclosilicate 10 gram oral powder packet,54.7,32.82,9.3,7411.0,39
NDC,00310111039,sodium zirconium cyclosilicate 10 gram oral powder packet,54.7,32.82,9.3,7411.0,39
NDC,00310196930,naloxegol 12.5 mg tablet,23.69,14.21,4.03,7411.0,39
NDC,00310620530,dapagliflozin propanediol 5 mg tablet,38.82,23.29,6.6,7411.0,39
NDC,00310621039,dapagliflozin propanediol 10 mg tablet,38.82,23.29,6.6,7411.0,39
NDC,00310661502,"pramlintide 1,500 mcg/1.5 mL subcutaneous pen injector",10.36,6.22,1.76,7411.0,39
NDC,00316023075,pramoxine 1 % lotion,15.54,9.32,2.64,7411.0,39
NDC,00338000137,"water for injection, sterile 100 % injection solution",100.22,60.13,17.04,7411.0,39
NDC,00338000402,"water for irrigation, sterile solution",40.5,24.3,6.88,7411.0,39
NDC,00338000403,"water for irrigation, sterile solution",39.0,23.4,6.63,7411.0,39
NDC,00338000404,"water for irrigation, sterile solution",18.0,10.8,3.06,7411.0,39
NDC,00338000405,"water for irrigation, sterile solution",48.0,28.8,8.16,7411.0,39
NDC,00338000801,fosaprepitant 150 mg intravenous powder for solution,180.0,108.0,0.1166,7411.0,42
NDC,00338001304,"water for injection, sterile 100 % intravenous solution",60.0,36.0,10.2,7411.0,39
NDC,00338001306,"water for injection, sterile 100 % intravenous solution",36.0,21.6,6.12,7411.0,39
NDC,00338001702,dextrose 5 % in water (D5W) IV,25.5,15.3,0.7733,7411.0,41
NDC,00338001702,dextrose 5 % in water (D5W) intravenous solution,37.5,22.5,0.7733,7411.0,41
NDC,00338001703,dextrose 5 % in water (D5W) IV,24.0,14.4,2.06,7411.0,41
NDC,00338001703,dextrose 5 % in water (D5W) intravenous solution,36.0,21.6,2.06,7411.0,41
NDC,00338001704,dextrose 5 % in water (D5W) IV,36.0,21.6,3.38,7411.0,41
NDC,00338001704,dextrose 5 % in water (D5W) intravenous solution,48.0,28.8,3.38,7411.0,41
NDC,00338001731,dextrose 5 % in water (D5W) IV,14.1,8.46,2.06,7411.0,41
NDC,00338001731,dextrose 5 % in water (D5W) intravenous solution,26.1,15.66,3.38,7411.0,41
NDC,00338001738,dextrose 5 % in water (D5W) IV,14.4,8.64,2.06,7411.0,41
NDC,00338001738,dextrose 5 % in water (D5W) intravenous solution,26.4,15.84,3.38,7411.0,41
NDC,00338001741,dextrose 5 % in water (D5W) IV,16.5,9.9,2.06,7411.0,41
NDC,00338001741,dextrose 5 % in water (D5W) intravenous solution,28.5,17.1,3.38,7411.0,41
NDC,00338001748,dextrose 5 % in water (D5W) IV,16.2,9.72,2.06,7411.0,41
NDC,00338001748,dextrose 5 % in water (D5W) intravenous solution,28.2,16.92,3.38,7411.0,41
NDC,00338002302,dextrose 10 % in water (D10W) intravenous solution,49.5,29.7,8.41,7411.0,40
NDC,00338002303,dextrose 10 % in water (D10W) IV Soln,36.0,21.6,6.12,7411.0,40
NDC,00338002303,dextrose 10 % in water (D10W) intravenous solution,48.0,28.8,8.16,7411.0,40
NDC,00338002304,dextrose 10 % in water (D10W) IV Soln,48.0,28.8,8.16,7411.0,40
NDC,00338002304,dextrose 10 % in water (D10W) intravenous solution,60.0,36.0,10.2,7411.0,40
NDC,00338004303,sodium chloride 0.45 % IV,50.0,30.0,8.5,7411.0,40
NDC,00338004303,sodium chloride 0.45 % intravenous solution,50.0,30.0,8.5,7411.0,40
NDC,00338004304,sodium chloride 0.45 % IV,50.0,30.0,8.5,7411.0,40
NDC,00338004304,sodium chloride 0.45 % intravenous solution,50.0,30.0,8.5,7411.0,40
NDC,00338004802,sodium chloride 0.9 % irrigation solution,50.0,30.0,8.5,7411.0,79
NDC,00338004803,sodium chloride 0.9 % irrigation solution,50.0,30.0,8.5,7411.0,40
NDC,00338004804,sodium chloride 0.9 % irrigation solution,50.0,30.0,8.5,7411.0,40
NDC,00338004902,sodium chloride 0.9 % IV,50.0,30.0,0.7733,7411.0,41
NDC,00338004902,sodium chloride 0.9 % intravenous solution,50.0,30.0,0.7733,7411.0,41
NDC,00338004903,sodium chloride 0.9 % IV,50.0,30.0,1.49,7411.0,41
NDC,00338004903,sodium chloride 0.9 % intravenous solution,50.0,30.0,1.49,7411.0,41
NDC,00338004904,sodium chloride 0.9 % IV,50.0,30.0,2.4,7411.0,41
NDC,00338004904,sodium chloride 0.9 % intravenous solution,50.0,30.0,2.4,7411.0,41
NDC,00338004931,sodium chloride 0.9 % IV,70.5,42.3,2.4,7411.0,41
NDC,00338004931,sodium chloride 0.9 % intravenous solution,50.0,30.0,8.5,7411.0,40
NDC,00338004938,sodium chloride 0.9 % IV,50.0,30.0,8.5,7411.0,40
NDC,00338004938,sodium chloride 0.9 % intravenous solution,50.0,30.0,8.5,7411.0,40
NDC,00338004941,sodium chloride 0.9 % IV,76.5,45.9,2.4,7411.0,41
NDC,00338004941,sodium chloride 0.9 % intravenous solution,50.0,30.0,8.5,7411.0,40
NDC,00338004948,sodium chloride 0.9 % IV,50.0,30.0,8.5,7411.0,40
NDC,00338004948,sodium chloride 0.9 % intravenous solution,50.0,30.0,8.5,7411.0,40
NDC,00338005403,sodium chloride 3 % HYPERTONIC intravenous injection solution,50.0,30.0,8.5,7411.0,41
NDC,00338007703,dextrose 5 % and 0.2 % sodium chloride IV,30.0,18.0,1.41,7411.0,41
NDC,00338007703,dextrose 5 % and 0.2 % sodium chloride intravenous solution,42.0,25.2,1.41,7411.0,41
NDC,00338007704,dextrose 5 % and 0.2 % sodium chloride IV,36.0,21.6,1.41,7411.0,41
NDC,00338007704,dextrose 5 % and 0.2 % sodium chloride intravenous solution,48.0,28.8,1.41,7411.0,41
NDC,00338008503,dextrose 5 % and 0.45 % sodium chloride IV,27.0,16.2,4.59,7411.0,40
NDC,00338008503,dextrose 5 % and 0.45 % sodium chloride intravenous solution,39.0,23.4,1.41,7411.0,41
NDC,00338008504,dextrose 5 % and 0.45 % sodium chloride IV,36.0,21.6,6.12,7411.0,40
NDC,00338008504,dextrose 5 % and 0.45 % sodium chloride intravenous solution,48.0,28.8,1.41,7411.0,41
NDC,00338008903,dextrose 5 % and 0.9 % sodium chloride IV,27.0,16.2,1.41,7411.0,41
NDC,00338008904,dextrose 5 % and 0.9 % sodium chloride IV,36.0,21.6,1.41,7411.0,41
NDC,00338008904,dextrose 5 % and 0.9 % sodium chloride intravenous solution,48.0,28.8,1.41,7411.0,41
NDC,00338011220,norepinephrine bitartrate 4 mg/250 mL (16 mcg/mL) in dextrose 5 % IV,139.0,83.4,23.63,7411.0,39
NDC,00338011702,lactated Ringers intravenous solution,39.0,23.4,2.86,7411.0,42
NDC,00338011703,lactated Ringers intravenous solution,39.0,23.4,6.63,7411.0,41
NDC,00338011703,lactated ringers IV,39.0,23.4,2.86,7411.0,41
NDC,00338011704,lactated Ringers intravenous solution,42.0,25.2,2.86,7411.0,42
NDC,00338011704,lactated ringers IV,42.0,25.2,2.86,7411.0,41
NDC,00338012504,dextrose 5 % and lactated ringers intravenous solution,48.0,28.8,8.16,7411.0,41
NDC,00338012504,dextrose 5% and lactated ringers IV,36.0,21.6,6.12,7411.0,40
NDC,00338012612,insulin regular 100 unit/100 mL (1 unit/mL) in 0.9 % NaCl IV solution,210.0,126.0,35.7,7411.0,39
NDC,00338012612,"insulin regular 100 units/100 mL in NS,insulin regular 100 unit/100 mL (1 unit/mL) in 0.9 % NaCl IV solution",140.0,84.0,11.9,7411.0,121
NDC,00338013727,lactated Ringers irrigation solution,120.0,72.0,20.4,7411.0,39
NDC,00338022104,electrolyte-A intravenous solution,75.75,45.45,6.38,7411.0,78
NDC,00338032201,"thrombin (recombinant) 5,000 unit topical solution",415.0,249.0,70.55,7411.0,39
NDC,00338032401,"thrombin (recombinant) 5,000 unit topical solution",415.0,249.0,70.55,7411.0,39
NDC,00338035703,mannitoL 20 % intravenous solution,295.5,177.3,50.23,7411.0,39
NDC,00338035703,mannitol 20 % intravenous solution,295.5,177.3,50.23,7411.0,39
NDC,00338040903,lidocaine (PF) 4 mg/mL (0.4 %) in 5 % dextrose intravenous solution,42.0,25.2,0.0033,7411.0,42
NDC,00338050206,"parenteral amino acid 15 % combination no.2 intravenous solution,, parenteral amino acid 15 % combination no.5 intravenous solution,paremteral aminio acid 15 % combination no 5 intravenous solution,pa",606.0,363.6,103.02,7411.0,39
NDC,00338050206,parenteral amino acid 15 % combination no.5 intravenous solution,264.0,158.4,44.88,7411.0,39
NDC,00338050748,gentamicin 120 mg/100 mL in sodium chloride(iso) intravenous piggyback,30.2,18.12,2.12,7411.0,42
NDC,00338050941,gentamicin 80 mg/50 mL in sodium chloride(iso) intravenous piggyback,29.3,17.58,2.12,7411.0,42
NDC,00338051141,gentamicin 100 mg/50 mL in sodium chloride(iso) intravenous piggyback,29.9,17.94,2.12,7411.0,42
NDC,00338055111,dextrose 5 % in water (D5W) intravenous piggyback,51.9,31.14,2.06,7411.0,41
NDC,00338055118,dextrose 5 % in water (D5W) intravenous piggyback,52.2,31.32,2.06,7411.0,41
NDC,00338055311,sodium chloride 0.9 % intravenous piggyback,50.0,30.0,2.4,7411.0,41
NDC,00338055318,sodium chloride 0.9 % intravenous piggyback,50.0,30.0,8.5,7411.0,40
NDC,00338064403,"parenteral amino acid 10 % combination no.2 intravenous solution,parenteral amino acid 10 % combination no.1 intravenous solution,parenteral amino acid 10 % combination no.6 intravenous solution,paren",132.0,79.2,22.44,7411.0,39
NDC,00338064403,parenteral amino acid 10 % combination no.6 intravenous solution,132.0,79.2,22.44,7411.0,40
NDC,00338064406,"parenteral amino acid 10 % combination no.2 intravenous solution,parenteral amino acid 10 % combination no.1 intravenous solution,parenteral amino acid 10 % combination no.6 intravenous solution,paren",264.0,158.4,44.88,7411.0,39
NDC,00338064406,parenteral amino acid 10 % combination no.6 intravenous solution,264.0,158.4,44.88,7411.0,40
NDC,00338066304,potassium chloride 20 mEq/L in dextrose 5 %-0.2 % sodium chloride IV,66.0,39.6,11.22,7411.0,39
NDC,00338067104,potassium chloride 20 mEq/L in dextrose 5 %-0.45 % sodium chloride IV,48.0,28.8,8.16,7411.0,39
NDC,00338067504,potassium chloride 40 mEq/L in dextrose 5 %-0.45 % sodium chloride IV,72.0,43.2,12.24,7411.0,39
NDC,00338069104,potassium chloride 20 mEq/L in 0.9 % sodium chloride intravenous,78.0,46.8,0.1397,7411.0,42
NDC,00338069504,potassium chloride 40 mEq/L in 0.9 % sodium chloride intravenous,78.0,46.8,0.1397,7411.0,42
NDC,00338070434,potassium chloride 20 mEq/L in 0.45 % sodium chloride intravenous soln,54.0,32.4,0.1397,7411.0,42
NDC,00338070541,potassium chloride 10 mEq/50 mL in sterile water intravenous piggyback,35.1,21.06,0.1397,7411.0,42
NDC,00338070948,potassium chloride 10 mEq/100mL in sterile water intravenous piggyback,35.4,21.24,0.1397,7411.0,42
NDC,00338071906,dextrose 70 % in water (D70W) intravenous solution,132.0,79.2,22.44,7411.0,40
NDC,00338080304,potassium chloride 20 mEq/L in D5-0.9 % sodium chloride intravenous,78.0,46.8,13.26,7411.0,39
NDC,00338080704,potassium chloride 40 mEq/L in D5-0.9 % sodium chloride intravenous,66.0,39.6,11.22,7411.0,39
NDC,00338100503,DOPamine 400 mg/500 mL (800 mcg/mL) in 5 % dextrose intravenous soln,112.0,67.2,0.8811,7411.0,42
NDC,00338100902,"DOPamine 800 mg/250 mL (3,200 mcg/mL) in 5 % dextrose intravenous soln",122.5,73.5,0.8811,7411.0,42
NDC,00338102541,penicillin G pot 3 million unit/50 mL-dextrose intravenous piggyback,69.5,41.7,0.7513,7411.0,42
NDC,00338104902,nitroglycerin 50 mg/250 mL (200 mcg/mL) in 5 % dextrose intravenous,135.0,81.0,1.56,7411.0,84
NDC,00338105102,nitroglycerin 100 mg/250 mL (400 mcg/mL) in 5 % dextrose intravenous,147.0,88.2,1.56,7411.0,42
NDC,00338105548,metroNIDAZOLE 500 mg/100 mL in sodium chlor(iso) intravenous piggyback,18.8,11.28,0.0231,7411.0,42
NDC,00338107302,DOBUTamine 250 mg/250 mL (1 mg/mL) in 5 % dextrose intravenous,139.0,83.4,8.67,7411.0,42
NDC,00338107502,"DOBUTamine 500 mg/250 mL (2,000 mcg/mL) in 5 % dextrose IV",244.0,146.4,8.67,7411.0,42
NDC,00338107702,"DOBUTamine 1,000 mg/250 mL(4,000 mcg/mL) in 5 % dextrose IV",179.5,107.7,8.67,7411.0,42
NDC,00338111304,amino acid 4.25 % no.1-dextrose 5 %-electrolytes no.39 IV solution,372.0,223.2,63.24,7411.0,40
NDC,00338112704,amino acids 5 % with lytes and calcium in D25W intravenous solution,183.0,109.8,31.11,7411.0,39
NDC,00338113003,"parenteral amino acid 10 % combination no.2 intravenous solution,parenteral amino acid 10 % combination no.1 intravenous solution,parenteral amino acid 10 % combination no.6 intravenous solution,paren",255.0,153.0,43.35,7411.0,39
NDC,00338113003,parenteral amino acid 10 % combination no.7 intravenous solution,255.0,153.0,43.35,7411.0,39
NDC,00338113103,parenteral amino acid 6 % combination no.1 intravenous solution,249.0,149.4,42.33,7411.0,40
NDC,00338130141,cefepime 1 gram/50 mL in dextrose (iso-osmotic) intravenous piggyback,167.0,100.2,1.39,7411.0,42
NDC,00338171940,magnesium sulfate 4 gram/50 mL (8 %) in water intravenous piggyback,38.1,22.86,0.4741,7411.0,42
NDC,00338399301,ifosfamide 3 gram intravenous solution,520.84,312.5,27.15,7411.0,42
NDC,00338519741,famotidine (PF) 20 mg/50 mL in 0.9 % NaCl (iso) intravenous piggyback,33.6,20.16,0.0099,7411.0,42
NDC,00338604648,fluconazole 200 mg/100 mL in sod. chloride (iso) intravenous piggyback,117.2,70.32,4.26,7411.0,42
NDC,00338703401,amino acid 5 % no.6-dextrose 20 %-electrolytes no.23 IV solution,282.0,169.2,47.94,7411.0,40
NDC,00338703406,amino acid 5 % no.6-dextrose 20 %-electrolytes no.23 IV solution,282.0,169.2,47.94,7411.0,40
NDC,00338955712,dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in 0.9 % sodium chloride IV,168.6,101.16,28.66,7411.0,39
NDC,00338964012,vasopressin 20 unit/100 mL (0.2 unit/mL) in 0.9 % sodium chloride IV,337.5,202.5,1.45,7411.0,57
NDC,00378001801,metoprolol tartrate 25 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,00378003001,clorazepate dipotassium 3.75 mg tablet,1.99,1.19,0.3383,7411.0,39
NDC,00378003201,metoprolol tartrate 50 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,00378004001,clorazepate dipotassium 7.5 mg tablet,2.79,1.67,0.4743,7411.0,39
NDC,00378004701,metoprolol tartrate 100 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,00378007801,carbidopa 10 mg-levodopa 100 mg tablet,0.52,0.31,0.0884,7411.0,39
NDC,00378008501,carbidopa 25 mg-levodopa 100 mg tablet,0.59,0.35,0.1003,7411.0,39
NDC,00378008701,maprotiline 50 mg tablet,2.73,1.64,0.4641,7411.0,39
NDC,00378009401,"carbidopa ER 50 mg-levodopa 200 mg tablet,extended release",2.81,1.69,0.4777,7411.0,39
NDC,00378014491,tamoxifen 10 mg tablet,5.76,3.46,0.9792,7411.0,39
NDC,00378015601,probenecid 500 mg tablet,1.26,0.76,0.2142,7411.0,39
NDC,00378018101,allopurinol 300 mg tablet,1.14,0.68,0.1938,7411.0,39
NDC,00378021601,furosemide 40 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,00378021801,atenolol 25 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,00378025701,haloperidol 1 mg tablet,0.74,0.44,0.1258,7411.0,39
NDC,00378032701,haloperidol 5 mg tablet,1.64,0.98,0.2788,7411.0,39
NDC,00378035101,haloperidol 0.5 mg tablet,0.52,0.31,0.0884,7411.0,39
NDC,00378041501,diphenoxylate-atropine 2.5 mg-0.025 mg tablet,1.4,0.84,0.238,7411.0,39
NDC,00378061401,thioridazine 25 mg tablet,1.34,0.8,0.2278,7411.0,39
NDC,00378087216,cloNIDine 0.2 mg/24 hr weekly transdermal patch,89.23,53.54,15.17,7411.0,39
NDC,00378087299,cloNIDine 0.2 mg/24 hr weekly transdermal patch,89.23,53.54,15.17,7411.0,39
NDC,00378087316,cloNIDine 0.3 mg/24 hr weekly transdermal patch,123.78,74.27,21.04,7411.0,39
NDC,00378087399,cloNIDine 0.3 mg/24 hr weekly transdermal patch,123.78,74.27,21.04,7411.0,39
NDC,00378092393,buprenorphine HCl 2 mg sublingual tablet,1.07,0.64,0.1819,7411.0,39
NDC,00378092493,buprenorphine HCl 8 mg sublingual tablet,3.33,2.0,0.5661,7411.0,39
NDC,00378100501,azaTHIOprine 50 mg tablet,0.93,0.56,0.1581,7411.0,42
NDC,00378103093,eplerenone 25 mg tablet,2.8,1.68,0.476,7411.0,39
NDC,00378113301,carbidopa 25 mg-levodopa 250 mg tablet,0.69,0.41,0.1173,7411.0,39
NDC,00378114001,buspirone 5 mg tablet,0.16,0.1,0.0272,7411.0,39
NDC,00378115001,buspirone 10 mg tablet,0.22,0.13,0.0374,7411.0,39
NDC,00378116001,guanFACINE 1 mg tablet,0.29,0.17,0.0493,7411.0,39
NDC,00378130001,"lithium carbonate ER 300 mg tablet,extended release",0.67,0.4,0.1139,7411.0,39
NDC,00378143077,niCARdipine 30 mg capsule,5.11,3.07,0.8687,7411.0,39
NDC,00378145001,"lithium carbonate ER 450 mg tablet,extended release",0.77,0.46,0.1309,7411.0,39
NDC,00378161001,dicyclomine 10 mg capsule,1.16,0.7,0.1972,7411.0,39
NDC,00378162001,dicyclomine 20 mg tablet,1.2,0.72,0.204,7411.0,42
NDC,00378180077,levothyroxine 25 mcg tablet,0.66,0.4,0.1122,7411.0,39
NDC,00378180377,levothyroxine 50 mcg tablet,0.75,0.45,0.1275,7411.0,39
NDC,00378180577,levothyroxine 75 mcg tablet,0.83,0.5,0.1411,7411.0,39
NDC,00378180777,levothyroxine 88 mcg tablet,0.84,0.5,0.1428,7411.0,39
NDC,00378180977,levothyroxine 100 mcg tablet,0.85,0.51,0.1445,7411.0,39
NDC,00378181177,levothyroxine 112 mcg tablet,0.98,0.59,0.1666,7411.0,39
NDC,00378181377,levothyroxine 125 mcg tablet,0.99,0.59,0.1683,7411.0,39
NDC,00378181577,levothyroxine 150 mcg tablet,1.02,0.61,0.1734,7411.0,39
NDC,00378181977,levothyroxine 200 mcg tablet,1.22,0.73,0.2074,7411.0,39
NDC,00378190101,midodrine 2.5 mg tablet,2.62,1.57,0.4454,7411.0,39
NDC,00378240501,trifluoperazine 5 mg tablet,2.27,1.36,0.3859,7411.0,39
NDC,00378261001,amitriptyline 10 mg tablet,0.29,0.17,0.0493,7411.0,39
NDC,00378262501,amitriptyline 25 mg tablet,0.57,0.34,0.0969,7411.0,39
NDC,00378265001,amitriptyline 50 mg tablet,1.14,0.68,0.1938,7411.0,39
NDC,00378280026,cabergoline 0.5 mg tablet,32.5,19.5,5.53,7411.0,39
NDC,00378292193,telmisartan 40 mg tablet,2.14,1.28,0.3638,7411.0,39
NDC,00378292293,telmisartan 80 mg tablet,2.14,1.28,0.3638,7411.0,39
NDC,00378301201,captopril 25 mg tablet,2.17,1.3,0.3689,7411.0,39
NDC,00378322577,candesartan 8 mg tablet,2.67,1.6,0.4539,7411.0,39
NDC,00378322593,candesartan 8 mg tablet,2.67,1.6,0.4539,7411.0,39
NDC,00378335016,estradiol 0.05 mg/24 hr weekly transdermal patch,37.13,22.28,6.31,7411.0,39
NDC,00378342201,nitrofurantoin monohydrate/macrocrystals 100 mg capsule,5.63,3.38,0.9571,7411.0,39
NDC,00378354752,mercaptopurine 50 mg tablet,11.34,6.8,1.93,7411.0,39
NDC,00378363101,carvedilol 3.125 mg tablet,0.16,0.1,0.0272,7411.0,39
NDC,00378363501,cetirizine 5 mg tablet,0.27,0.16,0.0459,7411.0,39
NDC,00378385677,escitalopram 10 mg tablet,0.37,0.22,0.0629,7411.0,39
NDC,00378385777,escitalopram 20 mg tablet,0.39,0.23,0.0663,7411.0,39
NDC,00378392593,febuxostat 40 mg tablet,5.06,3.04,0.8602,7411.0,39
NDC,00378395377,atorvastatin 80 mg tablet,0.31,0.19,0.0527,7411.0,39
NDC,00378401001,temazepam 15 mg capsule,0.19,0.11,0.0323,7411.0,39
NDC,00378420278,"mycophenolate sodium 360 mg tablet,delayed release",14.62,8.77,0.3498,7411.0,42
NDC,00378425001,doxepin 50 mg capsule,1.77,1.06,0.3009,7411.0,39
NDC,00378427577,valACYclovir 500 mg tablet,1.28,0.77,0.2176,7411.0,39
NDC,00378459577,"metoprolol succinate ER 25 mg tablet,extended release 24 hr",1.5,0.9,0.255,7411.0,39
NDC,00378459677,"metoprolol succinate ER 50 mg tablet,extended release 24 hr",1.5,0.9,0.255,7411.0,39
NDC,00378459777,"metoprolol succinate ER 100 mg tablet,extended release 24 hr",2.5,1.5,0.425,7411.0,39
NDC,00378500193,exemestane 25 mg tablet,12.66,7.6,2.15,7411.0,39
NDC,00378537501,doxepin 75 mg capsule,2.72,1.63,0.4624,7411.0,39
NDC,00378544591,tolterodine 1 mg tablet,5.29,3.17,0.8993,7411.0,39
NDC,00378551093,OLANZapine 5 mg disintegrating tablet,1.71,1.03,0.2907,7411.0,39
NDC,00378557393,modafinil 100 mg tablet,4.87,2.92,0.8279,7411.0,39
NDC,00378561305,levETIRAcetam 250 mg tablet,0.77,0.46,0.1309,7411.0,39
NDC,00378580793,valsartan 40 mg tablet,0.53,0.32,0.0901,7411.0,39
NDC,00378581377,valsartan 80 mg tablet,0.67,0.4,0.1139,7411.0,39
NDC,00378581477,valsartan 160 mg tablet,0.89,0.53,0.1513,7411.0,39
NDC,00378606001,"dilTIAZem ER 60 mg capsule,extended release 12 hr",5.08,3.05,0.8636,7411.0,39
NDC,00378623101,citalopram 10 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,00378623201,citalopram 20 mg tablet,0.16,0.1,0.0272,7411.0,39
NDC,00378633380,"acamprosate 333 mg tablet,delayed release",1.64,0.98,0.2788,7411.0,39
NDC,00378660501,"oxyBUTYnin chloride ER 5 mg tablet,extended release 24 hr",4.67,2.8,0.7939,7411.0,39
NDC,00378675082,balsalazide 750 mg capsule,1.13,0.68,0.1921,7411.0,39
NDC,00378698601,sodium chloride 0.9 % for nebulization,0.71,0.43,0.1207,7411.0,39
NDC,00378698789,sodium chloride 0.9 % for nebulization,1.59,0.95,0.2703,7411.0,39
NDC,00378699789,sodium chloride 3 % for nebulization,1.5,0.9,0.255,7411.0,39
NDC,00378773493,ondansetron 8 mg disintegrating tablet,1.69,1.01,0.2873,7411.0,39
NDC,00378773497,ondansetron 8 mg disintegrating tablet,1.69,1.01,0.2873,7411.0,39
NDC,00378797064,ipratropium bromide 0.02 % solution for inhalation,1.36,0.82,0.2312,7411.0,40
NDC,00378797091,ipratropium bromide 0.02 % solution for inhalation,1.36,0.82,0.2312,7411.0,39
NDC,00378827031,albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization,1.51,0.91,0.0836,7411.0,40
NDC,00378827064,albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization,1.41,0.85,0.0836,7411.0,40
NDC,00378876098,cycloSPORINE 0.05 % eye drops in a dropperette,7.67,4.6,1.3,7411.0,39
NDC,00378911616,nitroglycerin 0.6 mg/hr transdermal 24 hour patch,2.07,1.24,0.3519,7411.0,39
NDC,00378911693,nitroglycerin 0.6 mg/hr transdermal 24 hour patch,2.07,1.24,0.3519,7411.0,39
NDC,00378911998,fentaNYL 12 mcg/hr transdermal patch,35.48,21.29,6.03,7411.0,39
NDC,00378912116,fentaNYL 25 mcg/hr transdermal patch,17.26,10.36,2.93,7411.0,39
NDC,00378912198,fentaNYL 25 mcg/hr transdermal patch,17.26,10.36,2.93,7411.0,39
NDC,00378967130,ipratropium 0.5 mg-albuterol 3 mg (2.5 mg base)/3 mL nebulization soln,2.0,1.2,0.34,7411.0,39
NDC,00386000802,norflurane-pentafluoropropane topical spray,0.32,0.19,0.0544,7411.0,39
NDC,00395041396,calamine 8 %-zinc oxide 8 % lotion,7.08,4.25,1.2,7411.0,39
NDC,00395103116,glycerin 99.5 % topical solution,42.57,25.54,7.24,7411.0,39
NDC,00395224391,peppermint spirit oral,15.78,9.47,2.68,7411.0,39
NDC,00395266116,simple syrup,27.43,16.46,4.66,7411.0,39
NDC,00406012323,hydrocodone 5 mg-acetaminophen 325 mg tablet,3.88,2.33,0.6596,7411.0,39
NDC,00406012423,hydrocodone 7.5 mg-acetaminophen 325 mg tablet,3.97,2.38,0.6749,7411.0,39
NDC,00406012462,hydrocodone 7.5 mg-acetaminophen 325 mg tablet,3.97,2.38,0.6749,7411.0,39
NDC,00406012501,hydrocodone 10 mg-acetaminophen 325 mg tablet,3.44,2.06,0.5848,7411.0,39
NDC,00406012523,hydrocodone 10 mg-acetaminophen 325 mg tablet,3.99,2.39,0.6783,7411.0,39
NDC,00406012701,"methylphenidate ER 27 mg tablet,extended release 24 hr",8.0,4.8,1.36,7411.0,39
NDC,00406048423,acetaminophen 300 mg-codeine 30 mg tablet,3.26,1.96,0.5542,7411.0,39
NDC,00406048462,acetaminophen 300 mg-codeine 30 mg tablet,3.81,2.29,0.6477,7411.0,39
NDC,00406048501,acetaminophen 300 mg-codeine 60 mg tablet,4.16,2.5,0.7072,7411.0,39
NDC,00406051223,oxyCODONE-acetaminophen 5 mg-325 mg tablet,3.82,2.29,0.6494,7411.0,39
NDC,00406052323,oxyCODONE-acetaminophen 10 mg-325 mg tablet,6.78,4.07,1.15,7411.0,39
NDC,00406052362,oxyCODONE-acetaminophen 10 mg-325 mg tablet,6.79,4.07,1.15,7411.0,39
NDC,00406052710,methadone 10 mg/mL oral concentrate,159.0,95.4,27.03,7411.0,39
NDC,00406055201,oxyCODONE 5 mg tablet,3.4,2.04,0.578,7411.0,39
NDC,00406055223,oxyCODONE 5 mg tablet,3.9,2.34,0.663,7411.0,39
NDC,00406114201,methylphenidate 5 mg tablet,0.39,0.23,0.0663,7411.0,39
NDC,00406114401,methylphenidate 10 mg tablet,0.56,0.34,0.0952,7411.0,39
NDC,00406117003,naltrexone 50 mg tablet,3.0,1.8,0.51,7411.0,39
NDC,00406123601,diphenoxylate-atropine 2.5 mg-0.025 mg tablet,0.38,0.23,0.0646,7411.0,39
NDC,00406324301,HYDROmorphone 2 mg tablet,3.29,1.97,0.5593,7411.0,39
NDC,00406324401,HYDROmorphone 4 mg tablet,3.34,2.0,0.5678,7411.0,39
NDC,00406575523,methadone 5 mg tablet,3.58,2.15,0.6086,7411.0,39
NDC,00406577123,methadone 10 mg tablet,3.66,2.2,0.6222,7411.0,39
NDC,00406831523,"morphine ER 15 mg tablet,extended release",4.68,2.81,0.7956,7411.0,39
NDC,00406833023,"morphine ER 30 mg tablet,extended release",6.18,3.71,1.05,7411.0,39
NDC,00406838023,"morphine ER 60 mg tablet,extended release",9.2,5.52,1.56,7411.0,39
NDC,00406839023,"morphine ER 100 mg tablet,extended release",12.2,7.32,2.07,7411.0,39
NDC,00406839062,"morphine ER 100 mg tablet,extended release",12.2,7.32,2.07,7411.0,39
NDC,00406851023,oxyCODONE 10 mg tablet,4.44,2.66,0.7548,7411.0,39
NDC,00406851062,oxyCODONE 10 mg tablet,4.44,2.66,0.7548,7411.0,39
NDC,00406872510,methadone 10 mg/mL oral concentrate,159.0,95.4,27.03,7411.0,39
NDC,00406895801,dextroamphetamine sulfate 5 mg tablet,2.76,1.66,0.4692,7411.0,39
NDC,00406912576,fentaNYL 25 mcg/hr transdermal patch,17.26,10.36,2.93,7411.0,39
NDC,00406920230,fentaNYL 200 mcg lozenge on a handle,27.37,16.42,4.65,7411.0,39
NDC,00407141120,iohexol 180 mg iodine/mL intrathecal solution,268.44,161.06,1.27,228.17,53
NDC,00407141220,iohexol 240 mg iodine/mL intravenous solution,276.12,165.67,0.4774,234.7,53
NDC,00407141310,iohexol 300 mg iodine/mL intravenous solution,241.2,144.72,0.1694,205.02,53
NDC,00407141351,iohexol 300 mg iodine/mL intravenous solution,270.0,162.0,0.1694,229.5,53
NDC,00407141359,iohexol 300 mg iodine/mL intravenous solution,249.84,149.9,0.1694,212.36,53
NDC,00407141361,iohexol 300 mg iodine/mL intravenous solution,278.1,166.86,0.1694,236.38,53
NDC,00407141363,iohexol 300 mg iodine/mL intravenous solution,408.6,245.16,0.1694,347.31,53
NDC,00407141365,iohexol 300 mg iodine/mL intravenous solution,596.03,357.62,0.1694,506.63,53
NDC,00407141368,iohexol 300 mg iodine/mL intravenous solution,36.27,21.76,0.1694,30.83,53
NDC,00407141451,iohexol 350 mg iodine/mL intravenous solution,294.0,176.4,0.1694,249.9,53
NDC,00407141489,iohexol 350 mg iodine/mL intravenous solution,227.25,136.35,0.1694,193.16,53
NDC,00407141491,iohexol 350 mg iodine/mL intravenous solution,227.03,136.22,0.1694,192.98,53
NDC,00407222317,iodixanol 320 mg iodine/mL intravenous solution,476.55,285.93,0.1694,405.07,53
NDC,00407222319,iodixanol 320 mg iodine/mL intravenous solution,670.95,402.57,0.1694,570.31,53
NDC,00407270703,perflutren protein-type a microspheres 0.22 mg/mL intravenous susp,631.8,379.08,43.95,537.03,53
NDC,00409018501,gemcitabine 200 mg intravenous solution,116.72,70.03,3.56,7411.0,42
NDC,00409018601,gemcitabine 1 gram intravenous solution,278.51,167.11,3.56,7411.0,42
NDC,00409018701,gemcitabine 2 gram intravenous solution,560.66,336.4,3.56,7411.0,42
NDC,00409020102,DOCEtaxel 20 mg/2 mL (10 mg/mL) intravenous solution,364.01,218.41,0.6116,7411.0,42
NDC,00409020120,DOCEtaxel 160 mg/16 mL (10 mg/mL) intravenous solution,1560.32,936.19,0.6116,7411.0,42
NDC,00409021701,cefepime 1 gram intravenous solution,39.74,23.84,1.39,7411.0,42
NDC,00409021711,cefepime 1 gram intravenous solution,39.74,23.84,6.76,7411.0,41
NDC,00409021801,cefepime 2 gram intravenous solution,63.74,38.24,1.39,7411.0,42
NDC,00409021811,cefepime 2 gram intravenous solution,63.74,38.24,10.84,7411.0,41
NDC,00409022001,cefepime 2 gram solution for injection,59.78,35.87,1.39,7411.0,42
NDC,00409022011,cefepime 2 gram solution for injection,59.78,35.87,10.16,7411.0,41
NDC,00409080501,ceFAZolin 1 gram solution for injection,11.6,6.96,0.9295,7411.0,42
NDC,00409080511,ceFAZolin 1 gram solution for injection,11.6,6.96,1.97,7411.0,41
NDC,00409083001,aztreonam 2 gram solution for injection,297.5,178.5,2.52,7411.0,42
NDC,00409083011,aztreonam 2 gram solution for injection,297.5,178.5,50.58,7411.0,41
NDC,00409102902,hydroxyethyl starch 130/0.4  6 % in 0.9 % NaCl intravenous solution,358.5,215.1,60.95,7411.0,39
NDC,00409103630,mepivacaine (PF) 10 mg/mL (1 %) injection solution,32.4,19.44,4.1,7411.0,42
NDC,00409104130,mepivacaine (PF) 15 mg/mL (1.5 %) injection solution,1.5,0.9,0.255,7411.0,42
NDC,00409106720,mepivacaine (PF) 20 mg/mL (2 %) injection solution,30.36,18.22,4.1,7411.0,42
NDC,00409110901,atracurium 10 mg/mL intravenous solution,46.21,27.73,7.86,7411.0,39
NDC,00409113403,morphine 50 mg/mL intravenous solution,99.48,59.69,4.89,7411.0,42
NDC,00409114405,verapamil 2.5 mg/mL intravenous solution,176.26,105.76,29.96,7411.0,39
NDC,00409114465,verapamil 2.5 mg/mL intravenous solution,176.26,105.76,29.96,7411.0,39
NDC,00409115901,BUPivacaine (PF) 0.25 % (2.5 mg/mL) injection solution,11.88,7.13,0.011,7411.0,42
NDC,00409115902,BUPivacaine (PF) 0.25 % (2.5 mg/mL) injection solution,12.24,7.34,0.011,7411.0,42
NDC,00409115902,bupivacaine (PF) 0.25 % (2.5 mg/mL) Injection,171.36,102.82,29.13,7411.0,39
NDC,00409115918,BUPivacaine (PF) 0.25 % (2.5 mg/mL) injection solution,11.88,7.13,2.02,7411.0,41
NDC,00409116201,bupivacaine (PF) 0.5 % (5 mg/mL) Injection,13.86,8.32,2.36,7411.0,39
NDC,00409116218,BUPivacaine (PF) 0.5 % (5 mg/mL) injection solution,13.86,8.32,0.011,7411.0,42
NDC,00409116219,BUPivacaine (PF) 0.5 % (5 mg/mL) injection solution,13.5,8.1,0.011,7411.0,42
NDC,00409117101,dilTIAZem 5 mg/mL intravenous solution,12.78,7.67,2.17,7411.0,39
NDC,00409117630,meperidine (PF) 25 mg/mL injection syringe,42.24,25.34,7.18,7411.0,42
NDC,00409117830,meperidine (PF) 50 mg/mL injection syringe,51.32,30.79,8.72,7411.0,42
NDC,00409120901,"lidocaine-epinephrine (PF) 1.5 %-1:200,000 injection solution",32.55,19.53,5.53,7411.0,41
NDC,00409121501,naloxone 0.4 mg/mL injection solution,94.98,56.99,0.0715,7411.0,42
NDC,00409127332,diazePAM 5 mg/mL injection syringe,201.97,121.18,9.36,7411.0,42
NDC,00409128303,HYDROmorphone 1 mg/mL injection syringe,9.12,5.47,0.1111,7411.0,42
NDC,00409128303,"HYDROmorphone 1 mg/mL injection syringe,HYDROmorphone 1 mg/mL injection solution",9.12,5.47,0.1111,7411.0,42
NDC,00409128317,"HYDROmorphone 1 mg/mL injection syringe,HYDROmorphone 1 mg/mL injection solution",11.88,7.13,0.1111,7411.0,42
NDC,00409128331,HYDROmorphone 1 mg/mL injection syringe,9.12,5.47,1.55,7411.0,41
NDC,00409128331,"HYDROmorphone 1 mg/mL injection syringe,HYDROmorphone 1 mg/mL injection solution",9.12,5.47,1.55,7411.0,41
NDC,00409128337,"HYDROmorphone 1 mg/mL injection syringe,HYDROmorphone 1 mg/mL injection solution",11.88,7.13,2.02,7411.0,41
NDC,00409131203,"HYDROmorphone 2 mg/mL injection solution,HYDROmorphone 2 mg/mL injection syringe",26.2,15.72,0.1111,7411.0,42
NDC,00409131203,HYDROmorphone 2 mg/mL injection syringe,8.02,4.81,0.1111,7411.0,42
NDC,00409131210,"HYDROmorphone 2 mg/mL injection solution,HYDROmorphone 2 mg/mL injection syringe",22.44,13.46,0.1111,7411.0,42
NDC,00409131210,HYDROmorphone 2 mg/mL injection syringe,7.64,4.58,0.1111,7411.0,42
NDC,00409131216,HYDROmorphone 2 mg/mL injection syringe,9.94,5.96,0.1111,7411.0,42
NDC,00409131230,"HYDROmorphone 2 mg/mL injection solution,HYDROmorphone 2 mg/mL injection syringe",26.2,15.72,4.45,7411.0,41
NDC,00409131230,HYDROmorphone 2 mg/mL injection syringe,8.02,4.81,1.36,7411.0,41
NDC,00409131236,HYDROmorphone 2 mg/mL injection syringe,9.94,5.96,1.69,7411.0,41
NDC,00409131901,vancomycin 10 gram intravenous solution,982.54,589.52,167.03,7411.0,41
NDC,00409141204,bumetanide 0.25 mg/mL injection solution,24.79,14.87,4.21,7411.0,41
NDC,00409141210,bumetanide 0.25 mg/mL injection solution,32.04,19.22,5.45,7411.0,41
NDC,00409146301,nalbuphine 10 mg/mL injection solution,26.75,16.05,3.76,7411.0,42
NDC,00409146401,nalbuphine 10 mg/mL injection solution,235.38,141.23,3.76,7411.0,42
NDC,00409148302,nitroglycerin 25 mg/250 mL (100 mcg/mL) in 5 % dextrose  intravenous,40.5,24.3,1.56,7411.0,42
NDC,00409148402,nitroglycerin 100 mg/250 mL (400 mcg/mL) in 5 % dextrose intravenous,55.5,33.3,1.56,7411.0,42
NDC,00409155910,BUPivacaine (PF) 0.25 % (2.5 mg/mL) injection solution,24.18,14.51,0.011,7411.0,42
NDC,00409155918,BUPivacaine (PF) 0.25 % (2.5 mg/mL) injection solution,24.18,14.51,4.11,7411.0,41
NDC,00409156010,BUPivacaine (PF) 0.5 % (5 mg/mL) injection solution,28.44,17.06,0.011,7411.0,42
NDC,00409156029,BUPivacaine (PF) 0.5 % (5 mg/mL) injection solution,29.52,17.71,0.011,7411.0,42
NDC,00409156029,"bupivacaine (PF) 0.5 % (5 mg/mL) Injection,bupivacaine 0.5 % (5 mg/mL) Injection",442.8,265.68,75.28,7411.0,39
NDC,00409158219,BUPivacaine (PF) 0.75 % (7.5 mg/mL) injection solution,45.72,27.43,0.011,7411.0,42
NDC,00409158750,BUPivacaine HCl 0.25 % (2.5 mg/mL) injection solution,0.86,0.52,0.011,7411.0,42
NDC,00409159601,dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in 0.9 % sodium chloride IV,300.0,180.0,51.0,7411.0,39
NDC,00409159610,dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in 0.9 % sodium chloride IV,300.0,180.0,51.0,7411.0,39
NDC,00409161050,BUPivacaine HCl 0.5 % (5 mg/mL) injection solution,0.74,0.44,0.011,7411.0,42
NDC,00409162601,butorphanol 2 mg/mL injection solution,54.44,32.66,6.76,7411.0,42
NDC,00409162602,butorphanol 2 mg/mL injection solution,76.66,46.0,6.76,7411.0,42
NDC,00409162621,butorphanol 2 mg/mL injection solution,54.44,32.66,9.25,7411.0,41
NDC,00409162642,butorphanol 2 mg/mL injection solution,9.58,5.75,1.63,7411.0,42
NDC,00409163010,atropine 0.1 mg/mL injection syringe,65.62,39.37,0.1122,7411.0,42
NDC,00409163802,dexmedeTOMIDine 100 mcg/mL intravenous solution,36.0,21.6,6.12,7411.0,39
NDC,00409163832,dexmedeTOMIDine 100 mcg/mL intravenous solution,36.0,21.6,6.12,7411.0,39
NDC,00409166010,dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in 0.9 % sodium chloride IV,300.0,180.0,51.0,7411.0,39
NDC,00409166050,dexmedeTOMIDine 200 mcg/50 mL (4 mcg/mL) in 0.9 % sodium chloride IV,168.0,100.8,28.56,7411.0,39
NDC,00409166055,dexmedeTOMIDine 200 mcg/50 mL (4 mcg/mL) in 0.9 % sodium chloride IV,168.0,100.8,28.56,7411.0,39
NDC,00409174610,"BUPivacaine-EPINEPHrine (PF) 0.25 %-1:200,000 injection solution",27.84,16.7,4.73,7411.0,39
NDC,00409175250,"BUPivacaine-EPINEPHrine 0.25 %-1:200,000 injection solution",1.47,0.88,0.2499,7411.0,39
NDC,00409175550,"BUPivacaine-EPINEPHrine 0.5 %-1:200,000 injection solution",98.1,58.86,16.68,7411.0,39
NDC,00409176102,BUPivacaine (PF) 0.75 % (7.5 mg/mL) in 8.25 % dextrose injection,27.19,16.31,0.011,7411.0,42
NDC,00409176105,BUPivacaine (PF) 0.75 % (7.5 mg/mL) in 8.25 % dextrose injection,32.9,19.74,0.011,7411.0,42
NDC,00409176110,BUPivacaine (PF) 0.75 % (7.5 mg/mL) in 8.25 % dextrose injection,32.9,19.74,5.59,7411.0,41
NDC,00409176118,BUPivacaine (PF) 0.75 % (7.5 mg/mL) in 8.25 % dextrose injection,32.9,19.74,5.59,7411.0,41
NDC,00409176162,BUPivacaine (PF) 0.75 % (7.5 mg/mL) in 8.25 % dextrose injection,8.74,5.24,0.011,7411.0,42
NDC,00409177510,dextrose 25 % in water (D25W) intravenous syringe,114.06,68.44,19.39,7411.0,39
NDC,00409177805,metoprolol tartrate 5 mg/5 mL intravenous solution,11.41,6.85,0.1375,7411.0,42
NDC,00409177815,metoprolol tartrate 5 mg/5 mL intravenous solution,11.41,6.85,1.94,7411.0,41
NDC,00409180501,HYDROmorphone 0.25 mg/0.5 mL injection syringe,25.08,15.05,0.1111,7411.0,42
NDC,00409180510,HYDROmorphone 0.25 mg/0.5 mL injection syringe,25.08,15.05,4.26,7411.0,41
NDC,00409189010,"morphine 2 mg/mL injection syringe,morphine 2 mg/ml injection solution,morphine 2 mg/ml intravenous syringe",19.32,11.59,3.28,7411.0,42
NDC,00409189010,morphine 2 mg/mL intravenous syringe,19.32,11.59,3.28,7411.0,42
NDC,00409189011,"morphine 2 mg/mL injection syringe,morphine 2 mg/ml injection solution,morphine 2 mg/ml intravenous syringe",19.32,11.59,3.28,7411.0,41
NDC,00409189011,morphine 2 mg/mL intravenous syringe,19.32,11.59,3.28,7411.0,41
NDC,00409189101,"morphine 4 mg/mL intravenous solution,morphine 4 mg/mL injection syringe,morphine 4 mg/mL intravenous syringe,morphine 4 mg/ml injection solution",17.68,10.61,3.01,7411.0,42
NDC,00409189103,"morphine 4 mg/mL intravenous solution,morphine 4 mg/mL injection syringe,morphine 4 mg/mL intravenous syringe,morphine 4 mg/ml injection solution",11.84,7.1,2.01,7411.0,42
NDC,00409189110,morphine 4 mg/mL intravenous syringe,19.32,11.59,3.28,7411.0,42
NDC,00409189111,morphine 4 mg/mL intravenous syringe,19.32,11.59,3.28,7411.0,41
NDC,00409189113,"morphine 4 mg/mL intravenous solution,morphine 4 mg/mL injection syringe,morphine 4 mg/mL intravenous syringe,morphine 4 mg/ml injection solution",18.96,11.38,3.22,7411.0,42
NDC,00409189123,"morphine 4 mg/mL intravenous solution,morphine 4 mg/mL injection syringe,morphine 4 mg/mL intravenous syringe,morphine 4 mg/ml injection solution",18.96,11.38,3.22,7411.0,41
NDC,00409189301,morphine 10 mg/mL intravenous syringe,19.85,11.91,3.37,7411.0,42
NDC,00409189303,morphine 10 mg/mL intravenous syringe,19.85,11.91,3.37,7411.0,41
NDC,00409189311,morphine 10 mg/mL intravenous syringe,12.66,7.6,2.15,7411.0,42
NDC,00409189313,morphine 10 mg/mL intravenous syringe,21.23,12.74,3.61,7411.0,42
NDC,00409190201,procainamide 100 mg/mL injection solution,414.27,248.56,70.43,7411.0,57
NDC,00409190301,procainamide 500 mg/mL injection solution,327.43,196.46,55.66,7411.0,57
NDC,00409190341,procainamide 500 mg/mL injection solution,327.43,196.46,55.66,7411.0,41
NDC,00409196602,"sodium chloride 0.9 %, bacteriostatic injection solution",50.0,30.0,8.5,7411.0,39
NDC,00409196605,"sodium chloride 0.9 %, bacteriostatic injection solution",50.0,30.0,8.5,7411.0,39
NDC,00409196607,"sodium chloride 0.9 %, bacteriostatic injection solution",50.0,30.0,8.5,7411.0,39
NDC,00409198530,LORazepam 2 mg/mL injection syringe,21.53,12.92,1.83,7411.0,42
NDC,00409202554,DOBUTamine 500 mg/40 mL (12.5 mg/mL) intravenous solution,74.8,44.88,8.67,7411.0,42
NDC,00409205105,ketamine 100 mg/mL injection solution,49.89,29.93,8.48,7411.0,39
NDC,00409205310,"ketamine 50 mg/mL (1 mL) intravenous syringe,ketamine 50 mg/mL injection solution,ketamine 50 mg/mL in sterile water injection syringe",0.22,0.13,0.0374,7411.0,39
NDC,00409205310,ketamine 50 mg/mL injection solution,0.22,0.13,0.0374,7411.0,39
NDC,00409206605,lidocaine (PF) 20 mg/mL (2 %) injection solution,16.41,9.85,2.79,7411.0,41
NDC,00409206610,lidocaine (PF) 20 mg/mL (2 %) injection solution,16.41,9.85,2.79,7411.0,41
NDC,00409212202,enalaprilat 1.25 mg/mL intravenous solution,17.46,10.48,2.97,7411.0,39
NDC,00409226501,desmopressin 4 mcg/mL injection solution,61.68,37.01,3.75,7411.0,42
NDC,00409226602,ALfentanil 500 mcg/mL injection solution,27.72,16.63,4.71,7411.0,41
NDC,00409226720,labetalol 5 mg/mL intravenous solution,23.76,14.26,0.154,7411.0,42
NDC,00409226720,"labetalol 5 mg/mL intravenous solution,labetalol 20 mg/4 mL (5 mg/mL) intravenous syringe,labetalol 25 mg/5 mL (5 mg/mL) intravenous syringe,labetalol 10 mg/2 mL (5 mg/mL) intravenous syringe",1.19,0.71,0.154,7411.0,42
NDC,00409226754,labetalol 5 mg/mL intravenous solution,62.16,37.3,0.154,7411.0,42
NDC,00409226754,"labetalol 5 mg/mL intravenous solution,labetalol 20 mg/4 mL (5 mg/mL) intravenous syringe,labetalol 25 mg/5 mL (5 mg/mL) intravenous syringe,labetalol 10 mg/2 mL (5 mg/mL) intravenous syringe",1.55,0.93,0.154,7411.0,42
NDC,00409230001,ciprofloxacin 200 mg/100 mL in 5 % dextrose intravenous piggyback,22.4,13.44,0.8305,7411.0,42
NDC,00409230024,ciprofloxacin 200 mg/100 mL in 5 % dextrose intravenous piggyback,22.4,13.44,3.81,7411.0,41
NDC,00409230401,fenoldopam 10 mg/mL intravenous solution,1523.16,913.9,258.94,7411.0,39
NDC,00409230504,midazolam (PF) 1 mg/mL injection solution,0.68,0.41,0.1156,7411.0,42
NDC,00409230504,"midazolam (PF) 1 mg/mL injection solution,midazolam (PF) 2 mg/2mL (1 mg/mL) injection syringe",0.68,0.41,0.1156,7411.0,42
NDC,00409230505,midazolam (PF) 1 mg/mL injection solution,1.36,0.82,0.1815,7411.0,42
NDC,00409230505,"midazolam (PF) 1 mg/mL injection solution,midazolam (PF) 2 mg/2mL (1 mg/mL) injection syringe",1.36,0.82,0.1815,7411.0,42
NDC,00409230516,midazolam (PF) 1 mg/mL injection solution,1.61,0.97,0.1815,7411.0,42
NDC,00409230516,"midazolam (PF) 1 mg/mL injection solution,midazolam (PF) 2 mg/2mL (1 mg/mL) injection syringe",1.61,0.97,0.1815,7411.0,42
NDC,00409230517,midazolam (PF) 1 mg/mL injection solution,3.22,1.93,0.1815,7411.0,42
NDC,00409230517,"midazolam (PF) 1 mg/mL injection solution,midazolam (PF) 2 mg/2mL (1 mg/mL) injection syringe",3.22,1.93,0.1815,7411.0,42
NDC,00409230521,"midazolam (PF) 1 mg/mL injection solution,midazolam (PF) 2 mg/2mL (1 mg/mL) injection syringe",0.82,0.49,0.1394,7411.0,42
NDC,00409230550,"midazolam (PF) 1 mg/mL injection solution,midazolam (PF) 2 mg/2mL (1 mg/mL) injection syringe",0.65,0.39,0.1105,7411.0,42
NDC,00409230555,"midazolam (PF) 1 mg/mL injection solution,midazolam (PF) 2 mg/2mL (1 mg/mL) injection syringe",0.65,0.39,0.1105,7411.0,41
NDC,00409230561,"midazolam (PF) 1 mg/mL injection solution,midazolam (PF) 2 mg/2mL (1 mg/mL) injection syringe",0.59,0.35,0.1003,7411.0,42
NDC,00409230801,midazolam (PF) 5 mg/mL injection solution,6.97,4.18,0.1815,7411.0,42
NDC,00409233610,deferoxamine 500 mg solution for injection,56.75,34.05,9.43,7411.0,42
NDC,00409234402,DOBUTamine 250 mg/20 mL (12.5 mg/mL) intravenous solution,45.64,27.38,7.76,7411.0,42
NDC,00409234731,"DOBUTamine 500 mg/250 mL (2,000 mcg/mL) in 5 % dextrose IV",97.0,58.2,8.67,7411.0,42
NDC,00409234732,"DOBUTamine 500 mg/250 mL (2,000 mcg/mL) in 5 % dextrose IV",97.0,58.2,16.49,7411.0,41
NDC,00409255201,HYDROmorphone 1 mg/mL injection solution,22.24,13.34,0.1111,7411.0,42
NDC,00409255201,"HYDROmorphone 1 mg/mL injection syringe,HYDROmorphone 1 mg/mL injection solution",9.25,5.55,0.1111,7411.0,42
NDC,00409255211,HYDROmorphone 1 mg/mL injection solution,22.24,13.34,3.78,7411.0,41
NDC,00409255211,"HYDROmorphone 1 mg/mL injection syringe,HYDROmorphone 1 mg/mL injection solution",9.25,5.55,1.57,7411.0,41
NDC,00409263425,HYDROmorphone (PF) 10 mg/mL injection solution,71.34,42.8,0.1111,7411.0,42
NDC,00409272301,"heparin (porcine) 5,000 unit/mL injection solution",40.12,24.07,0.2431,7411.0,42
NDC,00409277623,milrinone 20 mg/100 mL(200 mcg/mL) in 5 % dextrose intravenous piggybk,96.0,57.6,1.3,7411.0,42
NDC,00409302401,sodium nitroprusside 25 mg/mL intravenous solution,286.44,171.86,48.69,7411.0,39
NDC,00409317701,"lidocaine-epinephrine 0.5 %-1:200,000 injection solution",0.46,0.28,0.0782,7411.0,41
NDC,00409317801,"lidocaine 1 %-epinephrine 1:100,000 injection solution",14.28,8.57,2.43,7411.0,41
NDC,00409317802,"lidocaine 1 %-epinephrine 1:100,000 injection solution",34.02,20.41,5.78,7411.0,41
NDC,00409317803,"lidocaine 1 %-epinephrine 1:100,000 injection solution",0.48,0.29,0.0816,7411.0,41
NDC,00409317818,"lidocaine 1 %-epinephrine 1:100,000 injection solution",0.48,0.29,0.0816,7411.0,41
NDC,00409318201,"lidocaine 20 mg/mL (2 %)-epinephrine 1:100,000 injection solution",0.5,0.3,0.085,7411.0,41
NDC,00409318301,"lidocaine-epinephrine (PF) 2 %-1:200,000 injection solution",30.24,18.14,5.14,7411.0,41
NDC,00409321312,diazePAM 5 mg/mL injection solution,225.5,135.3,9.36,7411.0,42
NDC,00409329451,potassium acetate 2 mEq/mL intravenous solution,79.2,47.52,13.46,7411.0,39
NDC,00409329905,sodium acetate 2 mEq/mL intravenous solution,39.9,23.94,6.78,7411.0,39
NDC,00409329906,sodium acetate 2 mEq/mL intravenous solution,50.4,30.24,8.57,7411.0,39
NDC,00409335601,HYDROmorphone 2 mg/mL injection solution,15.0,9.0,0.1111,7411.0,42
NDC,00409335611,HYDROmorphone 2 mg/mL injection solution,15.0,9.0,2.55,7411.0,41
NDC,00409335611,"HYDROmorphone 2 mg/mL injection solution,HYDROmorphone 2 mg/mL injection syringe",15.0,9.0,0.1111,7411.0,42
NDC,00409336501,HYDROmorphone 2 mg/mL injection solution,15.41,9.25,0.1111,7411.0,42
NDC,00409336501,"HYDROmorphone 2 mg/mL injection solution,HYDROmorphone 2 mg/mL injection syringe",15.41,9.25,0.1111,7411.0,42
NDC,00409336510,HYDROmorphone 2 mg/mL injection solution,17.5,10.5,0.1111,7411.0,42
NDC,00409336511,HYDROmorphone 2 mg/mL injection solution,15.41,9.25,2.62,7411.0,41
NDC,00409336511,"HYDROmorphone 2 mg/mL injection solution,HYDROmorphone 2 mg/mL injection syringe",15.41,9.25,2.62,7411.0,41
NDC,00409337504,norepinephrine bitartrate 1 mg/mL intravenous solution,138.86,83.32,23.61,7411.0,39
NDC,00409339004,piperacillin-tazobactam 4.5 gram intravenous solution,88.65,53.19,1.19,7411.0,42
NDC,00409341401,metoclopramide 5 mg/mL injection solution,7.45,4.47,1.05,7411.0,42
NDC,00409341401,"metoclopramide 5 mg/mL injection solution,metoclopramide 5 mg/ml injection syringe",7.45,4.47,1.05,7411.0,42
NDC,00409341411,metoclopramide 5 mg/mL injection solution,7.45,4.47,1.27,7411.0,41
NDC,00409341418,metoclopramide 5 mg/mL injection solution,7.45,4.47,1.27,7411.0,41
NDC,00409341418,"metoclopramide 5 mg/mL injection solution,metoclopramide 5 mg/ml injection syringe",7.45,4.47,1.27,7411.0,41
NDC,00409341421,metoclopramide 5 mg/mL injection solution,7.45,4.47,1.27,7411.0,41
NDC,00409345907,HYDROmorphone (PF) 2 mg/mL injection solution,6.9,4.14,0.1111,7411.0,42
NDC,00409345917,HYDROmorphone (PF) 2 mg/mL injection solution,6.9,4.14,1.17,7411.0,41
NDC,00409350501,meropenem 500 mg intravenous solution,39.8,23.88,0.4081,7411.0,43
NDC,00409351501,vancomycin 1.5 gram intravenous solution,151.12,90.67,0.033,7411.0,42
NDC,00409351511,vancomycin 1.5 gram intravenous solution,151.12,90.67,25.69,7411.0,41
NDC,00409371901,ampicillin 250 mg solution for injection,15.85,9.51,0.7062,7411.0,42
NDC,00409371910,ampicillin 250 mg solution for injection,15.85,9.51,2.69,7411.0,41
NDC,00409372432,"DOBUTamine 1,000 mg/250 mL(4,000 mcg/mL) in 5 % dextrose IV",125.5,75.3,8.67,7411.0,42
NDC,00409379501,ketorolac 30 mg/mL (1 mL) injection solution,39.18,23.51,0.323,7411.0,57
NDC,00409379601,ketorolac 60 mg/2 mL intramuscular solution,19.62,11.77,0.323,7411.0,57
NDC,00409379619,ketorolac 60 mg/2 mL intramuscular solution,19.62,11.77,3.34,7411.0,41
NDC,00409381512,morphine (PF) 1 mg/mL injection solution,11.45,6.87,1.95,7411.0,42
NDC,00409401101,verapamil 2.5 mg/mL intravenous solution,109.81,65.89,18.67,7411.0,39
NDC,00409403101,mannitol 25 % intravenous solution,29.7,17.82,5.05,7411.0,41
NDC,00409409011,"zinc chloride 1 mg/mL intravenous solution,zinc sulfate 1 mg/mL intravenous solution",154.14,92.48,26.2,7411.0,39
NDC,00409409201,cupric chloride 0.4 mg/mL intravenous solution,202.26,121.36,34.38,7411.0,39
NDC,00409409211,cupric chloride 0.4 mg/mL intravenous solution,202.26,121.36,34.38,7411.0,39
NDC,00409409309,chromium chloride 4 mcg/mL intravenous solution,130.98,78.59,22.27,7411.0,39
NDC,00409409310,chromium chloride 4 mcg/mL intravenous solution,130.98,78.59,22.27,7411.0,39
NDC,00409426401,HYDROmorphone 0.5 mg/0.5 mL injection syringe,25.08,15.05,0.1111,7411.0,42
NDC,00409426411,HYDROmorphone 0.5 mg/0.5 mL injection syringe,25.08,15.05,4.26,7411.0,41
NDC,00409427601,lidocaine HCl 10 mg/mL (1 %) injection solution,9.48,5.69,1.61,7411.0,41
NDC,00409427602,lidocaine HCl 10 mg/mL (1 %) injection solution,19.2,11.52,3.26,7411.0,41
NDC,00409427701,lidocaine HCl 20 mg/mL (2 %) injection solution,14.04,8.42,2.39,7411.0,41
NDC,00409427702,lidocaine HCl 20 mg/mL (2 %) injection solution,25.2,15.12,4.28,7411.0,41
NDC,00409427902,lidocaine (PF) 10 mg/mL (1 %) injection solution,19.62,11.77,3.34,7411.0,41
NDC,00409427916,lidocaine (PF) 10 mg/mL (1 %) injection solution,19.62,11.77,3.34,7411.0,41
NDC,00409428301,lidocaine (PF) 40 mg/mL (4 %) injection solution,29.01,17.41,4.93,7411.0,41
NDC,00409433201,vancomycin 500 mg intravenous solution,53.97,32.38,0.033,7411.0,83
NDC,00409434673,"aminocaproic acid 250 mg/mL (25%) intravenous solution,aminocaproic acid 250 mg/mL (25 %) oral solution",71.68,43.01,12.19,7411.0,39
NDC,00409434673,aminocaproic acid 250 mg/mL intravenous solution,71.68,43.01,1.72,7411.0,42
NDC,00409435003,dilTIAZem 100 mg intravenous solution,68.47,41.08,11.64,7411.0,39
NDC,00409435013,dilTIAZem 100 mg intravenous solution,68.47,41.08,11.64,7411.0,39
NDC,00409468816,fluconazole 400 mg/200 mL in sod. chloride(iso) intravenous piggyback,47.0,28.2,4.26,7411.0,42
NDC,00409468823,fluconazole 200 mg/100 mL in sod. chloride (iso) intravenous piggyback,63.2,37.92,4.26,7411.0,42
NDC,00409469924,propofol 10 mg/mL IV,129.6,77.76,0.1012,7411.0,42
NDC,00409469924,propofol 10 mg/mL intravenous emulsion,129.6,77.76,0.1012,7411.0,42
NDC,00409469930,propofol 10 mg/mL intravenous emulsion,25.92,15.55,0.1012,7411.0,42
NDC,00409469933,propofol 10 mg/mL intravenous emulsion,64.8,38.88,0.1012,7411.0,42
NDC,00409469950,propofol 10 mg/mL intravenous emulsion,25.92,15.55,4.41,7411.0,41
NDC,00409469953,propofol 10 mg/mL intravenous emulsion,64.8,38.88,11.02,7411.0,41
NDC,00409475503,ondansetron HCl (PF) 4 mg/2 mL injection solution,7.7,4.62,0.0968,7411.0,42
NDC,00409475518,ondansetron HCl (PF) 4 mg/2 mL injection solution,7.7,4.62,1.31,7411.0,41
NDC,00409477702,ciprofloxacin 400 mg/200 mL in 5 % dextrose intravenous piggyback,25.4,15.24,0.8305,7411.0,42
NDC,00409477711,ciprofloxacin 200 mg/100 mL in 5 % dextrose intravenous piggyback,21.8,13.08,0.8305,7411.0,42
NDC,00409488710,"water for injection, sterile 100 % injection solution",6.24,3.74,1.06,7411.0,39
NDC,00409488717,"water for injection, sterile 100 % injection solution",6.24,3.74,1.06,7411.0,39
NDC,00409488723,"water for injection, sterile 100 % injection solution",8.76,5.26,1.49,7411.0,39
NDC,00409488750,"water for injection, sterile 100 % injection solution",15.9,9.54,2.7,7411.0,39
NDC,00409488799,"water for injection, sterile 100 % injection solution",30.0,18.0,5.1,7411.0,39
NDC,00409488810,sodium chloride 0.9 % injection solution,17.64,10.58,3.0,7411.0,39
NDC,00409488810,"sodium chloride 0.9 % injection solution,,,",17.64,10.58,3.0,7411.0,39
NDC,00409490034,sodium bicarbonate 10 mEq/10 mL (8.4 %) intravenous syringe,264.9,158.94,45.03,7411.0,39
NDC,00409490234,dextrose 50 % in water (D50W) intravenous syringe,111.9,67.14,19.02,7411.0,39
NDC,00409490334,lidocaine (PF) 100 mg/5 mL (2 %) intravenous syringe,37.62,22.57,6.4,7411.0,41
NDC,00409491111,atropine 0.1 mg/mL injection syringe,114.76,68.86,0.1122,7411.0,42
NDC,00409491134,atropine 0.1 mg/mL injection syringe,114.76,68.86,19.51,7411.0,41
NDC,00409492134,EPINEPHrine 0.1 mg/mL injection syringe,35.44,21.26,0.3454,7411.0,42
NDC,00409492834,calcium chloride 100 mg/mL (10 %) intravenous syringe,114.6,68.76,19.48,7411.0,39
NDC,00409493311,EPINEPHrine 0.1 mg/mL injection syringe,59.68,35.81,0.3454,7411.0,42
NDC,00409508216,cefTAZidime 1 gram solution for injection,30.58,18.35,1.55,7411.0,42
NDC,00409508411,cefTAZidime 2 gram solution for injection,62.31,37.39,1.55,7411.0,42
NDC,00409508413,cefTAZidime 2 gram solution for injection,62.31,37.39,10.59,7411.0,41
NDC,00409509211,cefTAZidime 1 gram intravenous solution,40.71,24.43,1.55,7411.0,42
NDC,00409509216,cefTAZidime 1 gram intravenous solution,40.71,24.43,6.92,7411.0,41
NDC,00409509311,cefTAZidime 2 gram intravenous solution,77.56,46.54,1.55,7411.0,42
NDC,00409553434,sodium bicarbonate 4.2 % (0.5 mEq/mL) intravenous syringe,76.86,46.12,13.07,7411.0,39
NDC,00409582001,DOPamine 200 mg/5 mL (40 mg/mL) intravenous solution,28.03,16.82,0.8811,7411.0,42
NDC,00409592101,aminophylline 250 mg/10 mL intravenous solution,99.12,59.47,12.46,7411.0,42
NDC,00409602804,"MORPHINE 150 MG/30 ML (5 MG/ML) IN 0.9 % SOD. CHLORIDE IV PCA SYRINGE,morphine 150 mg/30 mL (5 mg/mL) in 0.9 % sod. chloride IV PCA syringe,morphine 275 mg/55 mL (5 mg/mL) in 0.9% sodium chloride IV P",65.58,39.35,4.89,7411.0,42
NDC,00409602804,morphine (PF) 150 mg/30 mL PCA intravenous solution,65.58,39.35,4.89,7411.0,42
NDC,00409610202,furosemide 10 mg/mL injection solution,37.09,22.25,0.0187,7411.0,42
NDC,00409610204,furosemide 10 mg/mL injection solution,29.59,17.75,0.0187,7411.0,42
NDC,00409610210,furosemide 10 mg/mL injection solution,47.04,28.22,0.0187,7411.0,42
NDC,00409610218,furosemide 10 mg/mL injection solution,29.59,17.75,5.03,7411.0,41
NDC,00409610219,furosemide 10 mg/mL injection solution,37.09,22.25,6.31,7411.0,41
NDC,00409610220,furosemide 10 mg/mL injection solution,47.04,28.22,8.0,7411.0,41
NDC,00409613922,"water for irrigation, sterile solution",43.5,26.1,7.39,7411.0,39
NDC,00409614309,acetic acid 0.25 % irrigation solution,42.0,25.2,7.14,7411.0,39
NDC,00409648201,erythromycin lactobionate 500 mg intravenous solution,413.98,248.39,70.38,7411.0,42
NDC,00409650901,vancomycin 5 gram intravenous solution,411.17,246.7,0.033,7411.0,42
NDC,00409651001,vancomycin 10 gram intravenous solution,982.54,589.52,167.03,7411.0,41
NDC,00409653102,vancomycin 750 mg intravenous solution,64.01,38.41,0.033,7411.0,42
NDC,00409653301,"vancomycin 1,000 mg intravenous injection",101.72,61.03,0.033,7411.0,42
NDC,00409660902,sodium bicarbonate 4 % intravenous solution,59.69,35.81,10.15,7411.0,39
NDC,00409662502,sodium bicarbonate 1 mEq/mL (8.4 %) intravenous solution,70.5,42.3,11.98,7411.0,39
NDC,00409662902,succinylcholine chloride 20 mg/mL injection solution,120.22,72.13,20.44,7411.0,41
NDC,00409662902,"succinylcholine chloride 20 mg/mL injection solution,succinylcholine chloride 200 mg/10 mL (20 mg/mL) intravenous solution,succinylcholine(PF)200 mg/10 mL(20 mg/mL)-NaCl,iso intravenous syringe,succin",120.22,72.13,20.44,7411.0,41
NDC,00409662925,"succinylcholine chloride 20 mg/mL injection solution,succinylcholine chloride 200 mg/10 mL (20 mg/mL) intravenous solution,succinylcholine(PF)200 mg/10 mL(20 mg/mL)-NaCl,iso intravenous syringe,succin",119.08,71.45,20.24,7411.0,41
NDC,00409663501,potassium chloride 2 mEq/mL intravenous solution,41.79,25.07,0.1397,7411.0,42
NDC,00409663518,potassium chloride 2 mEq/mL intravenous solution,41.79,25.07,7.1,7411.0,41
NDC,00409664802,dextrose 50 % in water (D50W) intravenous solution,37.8,22.68,6.43,7411.0,40
NDC,00409665106,potassium chloride 2 mEq/mL intravenous solution,34.86,20.92,0.1397,7411.0,42
NDC,00409665119,potassium chloride 2 mEq/mL intravenous solution,34.86,20.92,5.93,7411.0,41
NDC,00409665305,potassium chloride 2 mEq/mL intravenous solution,42.36,25.42,0.1397,7411.0,42
NDC,00409665318,potassium chloride 2 mEq/mL intravenous solution,42.36,25.42,7.2,7411.0,41
NDC,00409666001,sodium chloride 2.5 mEq/mL intravenous solution,52.08,31.25,8.85,7411.0,39
NDC,00409666075,sodium chloride 2.5 mEq/mL intravenous solution,52.08,31.25,8.85,7411.0,39
NDC,00409669501,etomidate 2 mg/mL intravenous solution,33.84,20.3,5.75,7411.0,39
NDC,00409672723,magnesium sulfate 1 gram/100 mL in dextrose 5 % intravenous piggyback,49.2,29.52,0.4741,7411.0,42
NDC,00409672909,"magnesium sulfate 40 gram/1,000 mL (4 %) in water intravenous solution",48.0,28.8,0.4741,7411.0,42
NDC,00409672924,magnesium sulfate 2 gram/50 mL (4 %) in water intravenous piggyback,97.2,58.32,0.4741,7411.0,42
NDC,00409673013,magnesium sulfate 4 gram/50 mL (8 %) IV Piggy Back,45.0,27.0,0.4741,7411.0,42
NDC,00409673013,magnesium sulfate 4 gram/50 mL (8 %) intravenous pig,45.0,27.0,0.4741,7411.0,42
NDC,00409677802,"LORazepam 2 mg/mL injection solution,LORazepam 2 mg/mL injection syringe",10.23,6.14,1.74,7411.0,42
NDC,00409677805,"LORazepam 2 mg/mL injection solution,LORazepam 2 mg/mL injection syringe",2.56,1.54,0.4352,7411.0,42
NDC,00409677811,"LORazepam 2 mg/mL injection solution,LORazepam 2 mg/mL injection syringe",10.23,6.14,1.74,7411.0,41
NDC,00409677815,"LORazepam 2 mg/mL injection solution,LORazepam 2 mg/mL injection syringe",2.56,1.54,0.4352,7411.0,41
NDC,00409678002,"LORazepam 2 mg/mL injection solution,LORazepam 2 mg/mL injection syringe",4.5,2.7,0.765,7411.0,42
NDC,00409678011,"LORazepam 2 mg/mL injection solution,LORazepam 2 mg/mL injection syringe",1.13,0.68,0.1921,7411.0,42
NDC,00409707726,potassium chloride 40 mEq/100mL in sterile water intravenous piggyback,31.2,18.72,0.1397,7411.0,42
NDC,00409710066,dextrose 5 % in water (D5W) intravenous piggyback,38.1,22.86,2.06,7411.0,41
NDC,00409710067,dextrose 5 % in water (D5W) intravenous piggyback,38.4,23.04,2.06,7411.0,41
NDC,00409710102,sodium chloride 0.9 % intravenous piggyback,50.0,30.0,0.7733,7411.0,41
NDC,00409710104,sodium chloride 0.9 % intravenous piggyback,50.0,30.0,8.5,7411.0,40
NDC,00409710166,sodium chloride 0.9 % intravenous piggyback,50.0,30.0,8.5,7411.0,40
NDC,00409710167,sodium chloride 0.9 % intravenous piggyback,50.0,30.0,8.5,7411.0,40
NDC,00409710168,sodium chloride 0.9 % intravenous piggyback,50.0,30.0,8.5,7411.0,40
NDC,00409710169,sodium chloride 0.9 % intravenous piggyback,50.0,30.0,8.5,7411.0,40
NDC,00409712107,parenteral amino acid 10 % combination no.1 intravenous solution,204.0,122.4,34.68,7411.0,40
NDC,00409712107,"parenteral amino acid 10 % combination no.2 intravenous solution,parenteral amino acid 10 % combination no.1 intravenous solution,parenteral amino acid 10 % combination no.6 intravenous solution,paren",204.0,122.4,34.68,7411.0,39
NDC,00409713809,sodium chloride 0.9 % irrigation solution,50.0,30.0,8.5,7411.0,40
NDC,00409713936,"water for irrigation, sterile solution",18.0,10.8,3.06,7411.0,39
NDC,00409717117,parenteral amino acid 15 % combination no.2 intravenous solution,264.0,158.4,44.88,7411.0,39
NDC,00409717117,"parenteral amino acid 15 % combination no.2 intravenous solution,, parenteral amino acid 15 % combination no.5 intravenous solution,paremteral aminio acid 15 % combination no 5 intravenous solution,pa",264.0,158.4,44.88,7411.0,39
NDC,00409724101,EPINEPHrine 1 mg/mL (1 mL) injection solution,16.6,9.96,0.3454,7411.0,42
NDC,00409729501,potassium phosphates-mbasic and dibasic 3 mmol/mL intravenous solution,100.74,60.44,17.13,7411.0,39
NDC,00409729973,sodium acetate 2 mEq/mL intravenous solution,31.2,18.72,5.3,7411.0,39
NDC,00409733201,cefTRIAXone 1 gram solution for injection,14.14,8.48,0.473,7411.0,42
NDC,00409733220,cefTRIAXone 1 gram solution for injection,14.14,8.48,2.4,7411.0,41
NDC,00409733221,cefTRIAXone 1 gram solution for injection,14.14,8.48,2.4,7411.0,41
NDC,00409733503,cefTRIAXone 2 gram solution for injection,22.36,13.42,0.473,7411.0,42
NDC,00409733513,cefTRIAXone 2 gram solution for injection,22.36,13.42,3.8,7411.0,41
NDC,00409733701,cefTRIAXone 250 mg solution for injection,9.57,5.74,0.473,7411.0,42
NDC,00409733711,cefTRIAXone 250 mg solution for injection,9.57,5.74,1.63,7411.0,41
NDC,00409733801,cefTRIAXone 500 mg solution for injection,10.79,6.47,0.473,7411.0,42
NDC,00409733811,cefTRIAXone 500 mg solution for injection,10.79,6.47,1.83,7411.0,41
NDC,00409741803,dextran 40 10 % in 5 % dextrose intravenous,246.0,147.6,41.82,7411.0,39
NDC,00409741903,dextran 40 10 % in 0.9 % sodium chloride intravenous solution,252.0,151.2,42.84,7411.0,41
NDC,00409762003,"heparin (porcine) (PF) 1,000 unit/500 mL in 0.9 % sodium chloride IV",61.0,36.6,1.26,7411.0,42
NDC,00409765052,"heparin (porcine) 25,000 unit/250 mL in 0.45 % sodium chloride IV soln",113.5,68.1,0.2431,7411.0,42
NDC,00409765062,"heparin (porcine) 25,000 unit/250 mL in 0.45 % sodium chloride IV soln",113.5,68.1,19.3,7411.0,41
NDC,00409765103,"heparin (porcine) 25,000 unit/500 mL in 0.45 % sodium chloride IV soln",82.0,49.2,0.2431,7411.0,42
NDC,00409765113,"heparin (porcine) 25,000 unit/500 mL in 0.45 % sodium chloride IV soln",82.0,49.2,13.94,7411.0,41
NDC,00409767009,electrolyte-R (pH 7.4) intravenous solution,30.75,18.45,3.31,7411.0,78
NDC,00409780922,"DOPamine 400 mg/250 mL (1,600 mcg/mL) in 5 % dextrose intravenous soln",86.5,51.9,0.8811,7411.0,42
NDC,00409781011,"DOPamine 800 mg/250 mL (3,200 mcg/mL) in 5 % dextrose intravenous soln",127.0,76.2,0.8811,7411.0,42
NDC,00409781022,"DOPamine 800 mg/250 mL (3,200 mcg/mL) in 5 % dextrose intravenous soln",127.0,76.2,21.59,7411.0,41
NDC,00409792202,dextrose 5 % in water (D5W) IV,31.5,18.9,0.7733,7411.0,41
NDC,00409792202,dextrose 5 % in water (D5W) intravenous solution,43.5,26.1,0.7733,7411.0,41
NDC,00409792403,dextrose 5 % and 0.2 % sodium chloride intravenous solution,45.0,27.0,1.41,7411.0,41
NDC,00409793519,dextrose 20 % in water (D20W) intravenous solution,81.0,48.6,13.77,7411.0,40
NDC,00409794109,dextrose 5 % and 0.9 % sodium chloride IV,7.5,4.5,1.27,7411.0,41
NDC,00409797207,sodium chloride 0.9 % irrigation solution,50.0,30.0,8.5,7411.0,40
NDC,00409798309,sodium chloride 0.9 % IV,50.0,30.0,8.5,7411.0,40
NDC,00409798325,sodium chloride 0.9 % IV,50.0,30.0,8.5,7411.0,40
NDC,00409798325,sodium chloride 0.9 % intravenous solution,50.0,30.0,8.5,7411.0,40
NDC,00409798361,sodium chloride 0.9 % IV,63.0,37.8,2.4,7411.0,41
NDC,00409798361,sodium chloride 0.9 % intravenous solution,50.0,30.0,8.5,7411.0,40
NDC,00409798423,sodium chloride 0.9 % intravenous solution,50.0,30.0,8.5,7411.0,40
NDC,00409806201,etomidate 2 mg/mL intravenous solution,102.06,61.24,17.35,7411.0,39
NDC,00409818301,potassium acetate 2 mEq/mL intravenous solution,34.8,20.88,5.92,7411.0,39
NDC,00409904501,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 injection solution",15.9,9.54,2.7,7411.0,39
NDC,00409904511,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 injection solution",15.9,9.54,2.7,7411.0,39
NDC,00409909332,fentaNYL (PF) 50 mcg/mL injection solution,16.72,10.03,1.28,7411.0,42
NDC,00409909332,"fentaNYL (PF) 50 mcg/mL injection solution,fentaNYL (PF) 50 mcg/mL injection syringe",16.72,10.03,1.28,7411.0,42
NDC,00409909335,fentaNYL (PF) 50 mcg/mL injection solution,20.31,12.19,1.28,7411.0,42
NDC,00409909335,"fentaNYL (PF) 50 mcg/mL injection solution,fentaNYL (PF) 50 mcg/mL injection syringe",20.31,12.19,1.28,7411.0,42
NDC,00409909337,fentaNYL (PF) 50 mcg/mL injection solution,16.72,10.03,2.84,7411.0,41
NDC,00409909337,"fentaNYL (PF) 50 mcg/mL injection solution,fentaNYL (PF) 50 mcg/mL injection syringe",16.72,10.03,2.84,7411.0,41
NDC,00409909422,fentaNYL (PF) 50 mcg/mL injection solution,15.24,9.14,1.28,7411.0,42
NDC,00409909422,"fentaNYL (PF) 50 mcg/mL injection solution,fentaNYL (PF) 50 mcg/mL injection syringe",15.24,9.14,1.28,7411.0,42
NDC,00409909425,fentaNYL (PF) 50 mcg/mL injection solution,19.86,11.92,1.28,7411.0,42
NDC,00409909425,"fentaNYL (PF) 50 mcg/mL injection solution,fentaNYL (PF) 50 mcg/mL injection syringe",19.86,11.92,1.28,7411.0,42
NDC,00409909461,fentaNYL (PF) 50 mcg/mL Injection,136.5,81.9,1.28,7411.0,42
NDC,00409909461,fentaNYL (PF) 50 mcg/mL injection solution,136.5,81.9,1.28,7411.0,42
NDC,00409909461,"fentaNYL (PF) 50 mcg/mL injection solution,fentaNYL (PF) 50 mcg/mL injection syringe",136.5,81.9,1.28,7411.0,42
NDC,00409910420,DOPamine 400 mg/10 mL (40 mg/mL) intravenous solution,23.38,14.03,0.8811,7411.0,42
NDC,00409915801,phytonadione (vitamin K1) 10 mg/mL injection solution,293.8,176.28,3.47,7411.0,42
NDC,00409915831,phytonadione (vitamin K1) 10 mg/mL injection solution,293.8,176.28,49.95,7411.0,41
NDC,00409915850,phytonadione (vitamin K1) 10 mg/mL injection solution,293.8,176.28,49.95,7411.0,41
NDC,00409925739,potassium chloride 20 mEq/L in 0.45 % sodium chloride intravenous soln,30.0,18.0,0.1397,7411.0,42
NDC,00409955810,rocuronium 10 mg/mL intravenous solution,46.96,28.18,7.98,7411.0,39
NDC,00409955831,rocuronium 10 mg/mL intravenous solution,46.96,28.18,7.98,7411.0,39
NDC,00436067216,sodium hypochlorite 0.125 % solution,68.76,41.26,11.69,7411.0,39
NDC,00436093616,sodium hypochlorite 0.25 % solution,68.76,41.26,11.69,7411.0,39
NDC,00436094616,sodium hypochlorite 0.5 % solution,68.76,41.26,11.69,7411.0,39
NDC,00450020904,cetirizine 1 mg/mL oral solution,18.41,11.05,3.13,7411.0,39
NDC,00456040001,ceftaroline fosamil 400 mg intravenous solution,1108.4,665.04,4.04,7411.0,57
NDC,00456045801,thyroid (pork) 30 mg tablet,1.93,1.16,0.3281,7411.0,39
NDC,00456045901,thyroid (pork) 60 mg tablet,2.14,1.28,0.3638,7411.0,39
NDC,00456060001,ceftaroline fosamil 600 mg intravenous solution,1108.4,665.04,4.04,7411.0,57
NDC,00456114030,vilazodone 40 mg tablet,23.16,13.9,3.94,7411.0,39
NDC,00456120130,linaCLOtide 145 mcg capsule,36.06,21.64,6.13,7411.0,39
NDC,00456120230,linaCLOtide 290 mcg capsule,36.06,21.64,6.13,7411.0,39
NDC,00456120330,linaCLOtide 72 mcg capsule,36.06,21.64,6.13,7411.0,39
NDC,00456140511,nebivolol 5 mg tablet,11.83,7.1,2.01,7411.0,39
NDC,00456140590,nebivolol 5 mg tablet,12.19,7.31,2.07,7411.0,39
NDC,00456270001,cefTAZidime-avibactam 2.5 gram intravenous solution,1785.14,1071.08,99.51,7411.0,57
NDC,00456270010,cefTAZidime-avibactam 2.5 gram intravenous solution,1785.14,1071.08,303.47,7411.0,41
NDC,00456320511,memantine 5 mg tablet,14.82,8.89,2.52,7411.0,39
NDC,00456430001,fosfomycin tromethamine 3 gram oral packet,183.04,109.82,31.12,7411.0,39
NDC,00469032014,isavuconazonium sulfate 186 mg capsule,185.63,111.38,31.56,7411.0,39
NDC,00469042099,isavuconazonium sulfate 372 mg intravenous solution,1645.97,987.58,0.9595,7411.0,57
NDC,00469052002,isavuconazonium sulfate 186 mg capsule,225.25,135.15,38.29,7411.0,39
NDC,00469052014,isavuconazonium sulfate 186 mg capsule,202.43,121.46,34.41,7411.0,39
NDC,00469060773,"tacrolimus 0.5 mg capsule, immediate-release",7.18,4.31,0.253,7411.0,43
NDC,00469061711,"tacrolimus 1 mg capsule, immediate-release",12.06,7.24,0.253,7411.0,43
NDC,00469061773,"tacrolimus 1 mg capsule, immediate-release",14.37,8.62,0.253,7411.0,43
NDC,00469065711,"tacrolimus 5 mg capsule, immediate-release",60.32,36.19,0.253,7411.0,43
NDC,00469065773,"tacrolimus 5 mg capsule, immediate-release",71.84,43.1,0.253,7411.0,43
NDC,00469260130,"mirabegron ER 25 mg tablet,extended release 24 hr",30.69,18.41,5.22,7411.0,39
NDC,00469276010,"heparin (porcine) 1,000 unit/mL injection solution",36.85,22.11,0.2431,7411.0,42
NDC,00469301601,tacrolimus 5 mg/mL intravenous solution,1114.2,668.52,189.41,7411.0,58
NDC,00469305130,amphotericin B liposome 50 mg intravenous suspension,1395.68,837.41,21.67,7411.0,58
NDC,00469321110,micafungin 100 mg intravenous solution,846.5,507.9,0.2805,7411.0,42
NDC,00469325010,micafungin 50 mg intravenous solution,425.75,255.45,0.2805,7411.0,42
NDC,00469650189,regadenoson 0.4 mg/5 mL intravenous syringe,1159.92,695.95,3.19,7411.0,42
NDC,00472008216,acyclovir 200 mg/5 mL oral suspension,712.84,427.7,121.18,7411.0,39
NDC,00472017934,"neomycin-bacitracn Zn-polymyx 3.5 mg-400 unit-5,000 unit/gram top oint",6.83,4.1,1.16,7411.0,39
NDC,00472034556,hydrocortisone 1 % topical ointment,2.63,1.58,0.4471,7411.0,39
NDC,00472037945,clotrimazole-betamethasone 1 %-0.05 % topical cream,43.56,26.14,7.41,7411.0,39
NDC,00472073041,miconazole nitrate 2 % vaginal cream,11.88,7.13,2.02,7411.0,39
NDC,00472110534,bacitracin zinc 500 unit/gram topical ointment,5.46,3.28,0.9282,7411.0,39
NDC,00472173803,miconazole nitrate 200 mg vaginal suppository,31.83,19.1,5.41,7411.0,39
NDC,00480413806,lubiprostone 24 mcg capsule,3.53,2.12,0.6001,7411.0,39
NDC,00486112501,sodium di- and monophosphate-potassium phos monobasic 250 mg tablet,1.36,0.82,0.2312,7411.0,39
NDC,00487020101,ipratropium 0.5 mg-albuterol 3 mg (2.5 mg base)/3 mL nebulization soln,2.0,1.2,0.34,7411.0,39
NDC,00487590199,racepinephrine 2.25 % solution for nebulization,5.0,3.0,0.85,7411.0,39
NDC,00487900360,sodium chloride 3 % for nebulization,0.66,0.4,0.1122,7411.0,39
NDC,00487900760,sodium chloride 7 % for nebulization,0.66,0.4,0.1122,7411.0,39
NDC,00487930133,sodium chloride 0.9 % for nebulization,0.6,0.36,0.102,7411.0,39
NDC,00487930201,sodium chloride 0.9 % for nebulization,0.4,0.24,0.068,7411.0,39
NDC,00487950100,albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization,1.5,0.9,0.0836,7411.0,40
NDC,00487950101,albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization,1.6,0.96,0.0836,7411.0,40
NDC,00487950103,albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization,1.5,0.9,0.255,7411.0,39
NDC,00487970130,budesonide 0.5 mg/2 mL suspension for nebulization,10.0,6.0,1.7,7411.0,39
NDC,00487980100,ipratropium bromide 0.02 % solution for inhalation,1.5,0.9,0.255,7411.0,40
NDC,00487980101,ipratropium bromide 0.02 % solution for inhalation,1.6,0.96,0.272,7411.0,40
NDC,00487980125,ipratropium bromide 0.02 % solution for inhalation,1.5,0.9,0.255,7411.0,39
NDC,00487980130,ipratropium bromide 0.02 % solution for inhalation,1.5,0.9,0.255,7411.0,39
NDC,00496088206,lidocaine 4 % topical cream,14.0,8.4,2.38,7411.0,39
NDC,00496088207,lidocaine-transparent dressing 4 % topical kit,80.12,48.07,13.62,7411.0,39
NDC,00517003125,"cyanocobalamin (vit B-12) 1,000 mcg/mL injection solution",41.94,25.16,0.7337,7411.0,42
NDC,00517037401,methylene blue (antidote) 5 mg/mL intravenous solution,1054.76,632.86,9.78,7411.0,57
NDC,00517037405,methylene blue (antidote) 5 mg/mL intravenous solution,1054.76,632.86,179.31,7411.0,41
NDC,00517037510,indigotindisulfonate sodium 8 mg/mL (0.8 %) injection solution,43.2,25.92,7.34,7411.0,56
NDC,00517040125,atropine 0.4 mg/mL injection solution,52.0,31.2,0.1122,7411.0,42
NDC,00517040125,"atropine 0.4 mg/mL injection solution,atropine 0.4 mg/mL intravenous solution",52.0,31.2,0.1122,7411.0,42
NDC,00517065001,ferric carboxymaltose 50 mg iron/mL intravenous solution,4317.09,2590.25,1.04,7411.0,57
NDC,00517072001,betamethasone acetate and sodium phos 6 mg/mL suspension for injection,247.64,148.58,7.67,7411.0,42
NDC,00517073510,niCARdipine 25 mg/10 mL intravenous solution,184.44,110.66,31.35,7411.0,41
NDC,00517074001,methylergonovine 0.2 mg/mL (1 mL) injection solution,182.22,109.33,23.77,7411.0,42
NDC,00517074020,methylergonovine 0.2 mg/mL (1 mL) injection solution,182.22,109.33,30.98,7411.0,41
NDC,00517078101,etomidate 2 mg/mL intravenous solution,60.0,36.0,10.2,7411.0,39
NDC,00517078110,etomidate 2 mg/mL intravenous solution,60.0,36.0,10.2,7411.0,39
NDC,00517096001,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution",87.94,52.76,14.95,7411.0,39
NDC,00517096010,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution",147.88,88.73,25.14,7411.0,80
NDC,00517100401,"atropine 0.4 mg/mL injection solution,atropine 0.4 mg/mL intravenous solution",71.38,42.83,0.1122,7411.0,42
NDC,00517100401,atropine 0.4 mg/mL intravenous solution,71.38,42.83,12.13,7411.0,41
NDC,00517100425,"atropine 0.4 mg/mL injection solution,atropine 0.4 mg/mL intravenous solution",71.38,42.83,12.13,7411.0,41
NDC,00517100425,atropine 0.4 mg/mL intravenous solution,71.38,42.83,0.1133,7411.0,42
NDC,00517176701,HYDROXYprogesterone (PF)(pregnancy preserving) 250 mg/mL (1 mL) IM oil,2047.65,1228.59,14.24,7411.0,42
NDC,00517231001,"iron sucrose 100 mg iron/5 mL intravenous solution,iron sucrose 200 mg iron/10 mL intravenous solution",165.73,99.44,0.2453,7411.0,42
NDC,00517231001,iron sucrose 200 mg iron/10 mL intravenous solution,303.47,182.08,0.2453,7411.0,42
NDC,00517231005,"iron sucrose 100 mg iron/5 mL intravenous solution,iron sucrose 200 mg iron/10 mL intravenous solution",169.86,101.92,0.2453,7411.0,42
NDC,00517231005,iron sucrose 200 mg iron/10 mL intravenous solution,311.73,187.04,0.2453,7411.0,42
NDC,00517234001,iron sucrose 100 mg iron/5 mL intravenous solution,311.77,187.06,0.2453,7411.0,42
NDC,00517234001,"iron sucrose 100 mg iron/5 mL intravenous solution,iron sucrose 200 mg iron/10 mL intravenous solution",169.89,101.93,0.2453,7411.0,42
NDC,00517234010,iron sucrose 100 mg iron/5 mL intravenous solution,311.77,187.06,53.0,7411.0,41
NDC,00517234010,"iron sucrose 100 mg iron/5 mL intravenous solution,iron sucrose 200 mg iron/10 mL intravenous solution",169.89,101.93,28.88,7411.0,41
NDC,00517234025,iron sucrose 100 mg iron/5 mL intravenous solution,311.77,187.06,53.0,7411.0,41
NDC,00517234025,"iron sucrose 100 mg iron/5 mL intravenous solution,iron sucrose 200 mg iron/10 mL intravenous solution",169.89,101.93,28.88,7411.0,41
NDC,00517382025,aminophylline 500 mg/20 mL intravenous solution,4.32,2.59,0.7344,7411.0,42
NDC,00517400225,papaverine 30 mg/mL injection solution,248.46,149.08,42.24,7411.0,41
NDC,00517420125,hydrOXYzine HCl 25 mg/mL intramuscular solution,168.0,100.8,16.68,7411.0,42
NDC,00517460125,glycopyrrolate 0.2 mg/mL injection solution,82.0,49.2,0.4015,7411.0,42
NDC,00517560101,hydrOXYzine HCl 50 mg/mL intramuscular solution,2.7,1.62,0.459,7411.0,42
NDC,00517560125,hydrOXYzine HCl 50 mg/mL intramuscular solution,185.22,111.13,16.68,7411.0,42
NDC,00517671001,calcium chloride 100 mg/mL (10 %) intravenous solution,133.32,79.99,22.66,7411.0,39
NDC,00517750401,acetylcysteine 100 mg/mL (10 %) solution,62.4,37.44,10.61,7411.0,39
NDC,00517750425,acetylcysteine 100 mg/mL (10 %) solution,62.4,37.44,10.61,7411.0,39
NDC,00517760425,acetylcysteine 200 mg/mL (20 %) Soln,27.64,16.58,4.7,7411.0,40
NDC,00517760425,acetylcysteine 200 mg/mL (20 %) solution,82.92,49.75,14.1,7411.0,39
NDC,00517800501,zinc sulfate 5 mg/mL intravenous solution,357.38,214.43,60.75,7411.0,39
NDC,00517800525,zinc sulfate 5 mg/mL intravenous solution,357.38,214.43,60.75,7411.0,39
NDC,00517851025,trace elements Cr-Cu-Mn-Se-Zn 4-400-100-20 mcg-1000 mcg/mL IV solution,91.62,54.97,15.58,7411.0,39
NDC,00517890510,methyldopate 250 mg/5 mL intravenous solution,240.0,144.0,40.8,7411.0,41
NDC,00517930501,trace elements Zn 3 mg-Cu 0.3 mg-Mn 55 mcg-Se 60 mcg/mL IV solution,166.92,100.15,28.38,7411.0,39
NDC,00517930525,trace elements Zn 3 mg-Cu 0.3 mg-Mn 55 mcg-Se 60 mcg/mL IV solution,166.92,100.15,28.38,7411.0,39
NDC,00517970201,droPERidol 2.5 mg/mL injection solution,58.08,34.85,7.94,7411.0,42
NDC,00517970225,droPERidol 2.5 mg/mL injection solution,58.08,34.85,9.87,7411.0,41
NDC,00525330246,fentaNYL (PF) 10 mcg/mL in 0.9 % sodium chloride intravenous,81.0,48.6,1.28,7411.0,42
NDC,00527058601,dicyclomine 10 mg capsule,1.4,0.84,0.238,7411.0,39
NDC,00527117001,diphenoxylate-atropine 2.5 mg-0.025 mg tablet,0.99,0.59,0.1683,7411.0,39
NDC,00527128201,dicyclomine 20 mg tablet,1.36,0.82,0.2312,7411.0,42
NDC,00527130101,primidone 50 mg tablet,0.32,0.19,0.0544,7411.0,39
NDC,00527131301,pilocarpine 5 mg tablet,1.82,1.09,0.3094,7411.0,39
NDC,00527131801,terbutaline 2.5 mg tablet,9.71,5.83,1.65,7411.0,39
NDC,00527134401,levothyroxine 88 mcg tablet,0.93,0.56,0.1581,7411.0,39
NDC,00527134601,levothyroxine 112 mcg tablet,1.08,0.65,0.1836,7411.0,39
NDC,00527135301,HYDROmorphone 2 mg tablet,3.28,1.97,0.5576,7411.0,39
NDC,00527136701,probenecid 500 mg tablet,4.03,2.42,0.6851,7411.0,39
NDC,00527136801,danazol 100 mg capsule,7.62,4.57,1.3,7411.0,39
NDC,00527136901,danazol 200 mg capsule,12.69,7.61,2.16,7411.0,39
NDC,00527139330,rifAMPin 150 mg capsule,2.48,1.49,0.4216,7411.0,39
NDC,00527139501,loxapine succinate 10 mg capsule,1.44,0.86,0.2448,7411.0,39
NDC,00527169501,butalbital-acetaminophen-caffeine 50 mg-325 mg-40 mg tablet,0.37,0.22,0.0629,7411.0,39
NDC,00527169801,codeine sulfate 30 mg tablet,5.39,3.23,0.9163,7411.0,39
NDC,00527178801,fluPHENAZine 1 mg tablet,3.0,1.8,0.51,7411.0,39
NDC,00527179001,fluPHENAZine 5 mg tablet,6.28,3.77,1.07,7411.0,39
NDC,00527193006,"clarithromycin ER 500 mg tablet,extended release 24 hr",14.82,8.89,2.52,7411.0,39
NDC,00527193206,clarithromycin 500 mg tablet,2.38,1.43,0.4046,7411.0,39
NDC,00527224832,febuxostat 80 mg tablet,1.04,0.62,0.1768,7411.0,39
NDC,00527328546,levothyroxine 112 mcg tablet,0.23,0.14,0.0391,7411.0,39
NDC,00527411637,"propranolol ER 60 mg capsule,24 hr,extended release",0.41,0.25,0.0697,7411.0,39
NDC,00527411737,"propranolol ER 80 mg capsule,24 hr,extended release",0.45,0.27,0.0765,7411.0,39
NDC,00527512570,lactulose 10 gram/15 mL oral solution,12.3,7.38,2.09,7411.0,39
NDC,00527516082,mycophenolate mofetil 200 mg/mL oral powder for suspension,23.57,14.14,0.3421,7411.0,40
NDC,00536009185,aluminum hydroxide gel 320 mg/5 mL oral suspension,13.24,7.94,2.25,7411.0,39
NDC,00536100601,chlorpheniramine 4 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,00536100715,calcium 200 mg (as calcium carbonate 500 mg) chewable tablet,0.04,0.02,0.0068,7411.0,39
NDC,00536100836,aspirin 81 mg chewable tablet,0.08,0.05,0.0136,7411.0,39
NDC,00536100901,ferrous sulfate 325 mg (65 mg iron) tablet,2.05,1.23,0.3485,7411.0,39
NDC,00536104710,sodium bicarbonate 650 mg tablet,0.03,0.02,0.0051,7411.0,39
NDC,00536104815,calcium 200 mg (as calcium carbonate 500 mg) chewable tablet,0.03,0.02,0.0051,7411.0,39
NDC,00536105405,aspirin 325 mg tablet,0.02,0.01,0.0034,7411.0,39
NDC,00536105429,aspirin 325 mg tablet,0.03,0.02,0.0051,7411.0,39
NDC,00536111825,capsaicin 0.075 % topical cream,9.35,5.61,1.59,7411.0,39
NDC,00536114941,"aspirin 81 mg tablet,delayed release",0.04,0.02,0.0068,7411.0,39
NDC,00536116701,sennosides 8.6 mg-docusate sodium 50 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,00536117201,acetaminophen 500 mg tablet,0.06,0.04,0.0102,7411.0,39
NDC,00536118313,"fluticasone propionate 50 mcg/actuation nasal spray,suspension",32.86,19.72,5.59,7411.0,39
NDC,00536118612,phenylephrine 0.25 %-cocoa butter 88.44 % rectal suppository,0.48,0.29,0.0816,7411.0,39
NDC,00536120207,lidocaine 4 % topical patch,2.18,1.31,0.3706,7411.0,39
NDC,00536123201,"aspirin 325 mg tablet,delayed release",0.05,0.03,0.0085,7411.0,39
NDC,00536123441,"aspirin 81 mg tablet,delayed release",0.04,0.02,0.0068,7411.0,39
NDC,00536124701,sennosides 8.6 mg-docusate sodium 50 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,00536124710,sennosides 8.6 mg-docusate sodium 50 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,00536124801,sennosides 8.6 mg-docusate sodium 50 mg tablet,0.05,0.03,0.0085,7411.0,39
NDC,00536125240,ketotifen 0.025 % (0.035 %) eye drops,21.2,12.72,3.6,7411.0,39
NDC,00536125391,sodium chloride 5 % eye ointment,20.52,12.31,3.49,7411.0,39
NDC,00536125628,bacitracin 500 unit/gram topical ointment,4.08,2.45,0.6936,7411.0,39
NDC,00536127780,hydrocortisone-aloe vera 1 % topical cream,2.86,1.72,0.4862,7411.0,39
NDC,00536127912,"cetirizine 5 mg-pseudoephedrine ER 120 mg tablet,extended release,12hr",1.63,0.98,0.2771,7411.0,39
NDC,00536129497,diclofenac 1 % topical gel,25.6,15.36,4.35,7411.0,39
NDC,00536129701,meclizine 12.5 mg tablet,0.06,0.04,0.0102,7411.0,39
NDC,00536129801,famotidine 20 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,00536130375,"simethicone 40 mg/0.6 mL oral drops,suspension",4.38,2.63,0.7446,7411.0,39
NDC,00536131385,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral syrup,10.41,6.25,1.77,7411.0,39
NDC,00536131485,guaiFENesin 100 mg/5 mL oral liquid,8.51,5.11,1.45,7411.0,39
NDC,00536132601,aspirin-acetaminophen-caffeine 250 mg-250 mg-65 mg tablet,0.05,0.03,0.0085,7411.0,39
NDC,00536132701,acetaminophen 325 mg tablet,0.03,0.02,0.0051,7411.0,39
NDC,00536132710,acetaminophen 325 mg tablet,0.02,0.01,0.0034,7411.0,39
NDC,00536133632,calcium acetate 667 mg tablet,0.27,0.16,0.0459,7411.0,39
NDC,00536134201,"sodium chloride 1 gram tablet,sodium chloride 1,000 mg soluble tablet",0.16,0.1,0.0272,7411.0,39
NDC,00536134201,"sodium chloride 1,000 mg soluble tablet",0.16,0.1,0.0272,7411.0,39
NDC,00536134380,cholecalciferol (vitamin D3) 10 mcg/mL (400 unit/mL) oral drops,0.07,0.04,0.0119,7411.0,39
NDC,00536188116,psyllium oral powder,15.34,9.2,2.61,7411.0,39
NDC,00536222075,"simethicone 40 mg/0.6 mL oral drops,suspension",8.94,5.36,1.52,7411.0,39
NDC,00536247085,magnesium hydroxide 400 mg/5 mL oral suspension,6.62,3.97,1.13,7411.0,39
NDC,00536252525,capsaicin 0.025 % topical cream,13.92,8.35,2.37,7411.0,39
NDC,00536302906,nicotine (polacrilex) 2 mg gum,1.64,0.98,0.2788,7411.0,39
NDC,00536302934,nicotine (polacrilex) 2 mg gum,1.9,1.14,0.323,7411.0,39
NDC,00536322201,acetaminophen 325 mg tablet,0.05,0.03,0.0085,7411.0,39
NDC,00536329210,ascorbic acid (vitamin C) 500 mg tablet,0.05,0.03,0.0085,7411.0,39
NDC,00536352141,magnesium oxide 400 mg (241.3 mg magnesium) tablet,0.1,0.06,0.017,7411.0,39
NDC,00536407401,"niacin ER 250 mg capsule,extended release",0.11,0.07,0.0187,7411.0,39
NDC,00536407601,niacin 100 mg tablet,0.03,0.02,0.0051,7411.0,39
NDC,00536410608,"calcium 500 mg (as calcium carbonate 1,250 mg) tablet",0.09,0.05,0.0153,7411.0,39
NDC,00536440901,pyridoxine (vitamin B6) 100 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,00536466110,multivitamin-iron 9 mg-folic acid 400 mcg-calcium and minerals tablet,0.07,0.04,0.0119,7411.0,39
NDC,00536570028,zinc oxide 20 % topical ointment,4.14,2.48,0.7038,7411.0,39
NDC,00536589588,nicotine 14 mg/24 hr daily transdermal patch,4.43,2.66,0.7531,7411.0,39
NDC,00536741551,sodium phosphates 19 gram-7 gram/118 mL enema,2.93,1.76,0.4981,7411.0,39
NDC,00536781708,calcium 500 mg (as carbonate)-vitamin D3 5 mcg (200 unit) tablet,0.09,0.05,0.0153,7411.0,39
NDC,00548590000,cosyntropin 0.25 mg solution for injection,479.61,287.77,17.88,7411.0,42
NDC,00555007102,isoniazid 300 mg tablet,1.0,0.6,0.17,7411.0,39
NDC,00555015902,chlordiazePOXIDE 25 mg capsule,0.33,0.2,0.0561,7411.0,39
NDC,00555060702,megestrol 40 mg tablet,1.4,0.84,0.238,7411.0,39
NDC,00555063302,danazol 50 mg capsule,5.08,3.05,0.8636,7411.0,39
NDC,00555063402,danazol 100 mg capsule,7.62,4.57,1.3,7411.0,39
NDC,00555077902,medroxyPROGESTERone 10 mg tablet,0.53,0.32,0.0901,7411.0,39
NDC,00555080802,tretinoin (antineoplastic) 10 mg capsule,58.79,35.27,9.99,7411.0,39
NDC,00555087202,medroxyPROGESTERone 2.5 mg tablet,0.28,0.17,0.0476,7411.0,39
NDC,00555088604,estradiol 1 mg tablet,0.61,0.37,0.1037,7411.0,39
NDC,00555095202,dextroamphetamine sulfate 5 mg tablet,3.0,1.8,0.51,7411.0,39
NDC,00555095302,dextroamphetamine sulfate 10 mg tablet,3.4,2.04,0.578,7411.0,39
NDC,00555097102,dextroamphetamine-amphetamine 5 mg tablet,1.73,1.04,0.2941,7411.0,39
NDC,00555097202,dextroamphetamine-amphetamine 10 mg tablet,1.73,1.04,0.2941,7411.0,39
NDC,00555097402,dextroamphetamine-amphetamine 30 mg tablet,1.73,1.04,0.2941,7411.0,39
NDC,00555099702,fludrocortisone 0.1 mg tablet,1.1,0.66,0.187,7411.0,39
NDC,00555904358,desogestrel 0.15 mg-ethinyl estradiol 0.03 mg tablet,1.47,0.88,0.2499,7411.0,39
NDC,00573021825,benzocaine 10 % mucosal gel,7.99,4.79,1.36,7411.0,39
NDC,00573266024,"loratadine 5 mg-pseudoephedrine ER 120 mg tablet,extended release,12hr",0.98,0.59,0.1666,7411.0,39
NDC,00573287110,phenylephrine 0.25 %-mineral oil 14 %-petrolatm 74.9 % rectal ointment,11.2,6.72,1.9,7411.0,39
NDC,00573287193,phenylephrine 0.25 %-mineral oil 14 %-petrolatm 74.9 % rectal ointment,13.89,8.33,2.36,7411.0,39
NDC,00573288031,phenylephrine 0.25 %-cocoa butter 88.44 % rectal suppository,1.01,0.61,0.1717,7411.0,39
NDC,00573288311,phenylephrine 0.25 %-cocoa butter 88.44 % rectal suppository,1.09,0.65,0.1853,7411.0,39
NDC,00574006915,dextrose 40 % oral gel,6.3,3.78,1.07,7411.0,39
NDC,00574006930,dextrose 40 % oral gel,6.3,3.78,1.07,7411.0,39
NDC,00574007030,dextrose 40 % oral gel,6.3,3.78,1.07,7411.0,39
NDC,00574007216,"propylene glycol (bulk) 99.5 % (not less than, USP) liquid",17.03,10.22,2.9,7411.0,39
NDC,00574010603,bromocriptine 2.5 mg tablet,6.62,3.97,1.13,7411.0,39
NDC,00574010770,clotrimazole 10 mg troche,2.57,1.54,0.4369,7411.0,39
NDC,00574012104,"activated charcoaL 25 gram/120 mL oral suspension,activated charcol 15 g/72 ml oral suspension,activated charcoal 50 gram/240 ml oral suspension",26.64,15.98,4.53,7411.0,39
NDC,00574012176,"activated charcoaL 25 gram/120 mL oral suspension,activated charcol 15 g/72 ml oral suspension,activated charcoal 50 gram/240 ml oral suspension",37.92,22.75,6.45,7411.0,39
NDC,00574012225,activated charcoal 25 gram oral suspension,28.24,16.94,4.8,7411.0,39
NDC,00574029201,aMILoride 5 mg tablet,0.45,0.27,0.0765,7411.0,39
NDC,00574030316,compounding vehicle suspension sugar-free no.20 oral,35.0,21.0,5.95,7411.0,39
NDC,00574030416,compounding vehicle syrup no.23,35.0,21.0,5.95,7411.0,39
NDC,00574079201,pilocarpine 5 mg tablet,1.82,1.09,0.3094,7411.0,39
NDC,00574082701,testosterone cypionate 200 mg/mL intramuscular oil,111.24,66.74,0.0264,7411.0,42
NDC,00574085005,dihydroergotamine 1 mg/mL injection solution,595.08,357.05,60.37,7411.0,42
NDC,00574085010,dihydroergotamine 1 mg/mL injection solution,565.52,339.31,60.37,7411.0,42
NDC,00574086610,cycloSPORINE 250 mg/5 mL intravenous solution,234.63,140.78,39.89,7411.0,43
NDC,00574402450,erythromycin 5 mg/gram (0.5 %) eye ointment,14.49,8.69,2.46,7411.0,39
NDC,00574703412,aspirin 300 mg rectal suppository,2.33,1.4,0.3961,7411.0,39
NDC,00574704012,belladonna alkaloids-opium 16.2 mg-60 mg rectal suppository,56.52,33.91,9.61,7411.0,39
NDC,00574704501,belladonna alkaloids-opium 16.2 mg-30 mg rectal suppository,47.03,28.22,8.0,7411.0,39
NDC,00574704512,belladonna alkaloids-opium 16.2 mg-30 mg rectal suppository,47.03,28.22,8.0,7411.0,39
NDC,00574722406,HYDROmorphone 3 mg rectal suppository,22.63,13.58,3.85,7411.0,39
NDC,00574722612,prochlorperazine 25 mg rectal suppository,17.43,10.46,2.96,7411.0,39
NDC,00591014926,sodium ferric gluconate complex in sucrose 62.5 mg/5 mL intravenous,218.8,131.28,37.2,7411.0,41
NDC,00591024101,LORazepam 1 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,00591040401,verapamil 40 mg tablet,0.31,0.19,0.0527,7411.0,39
NDC,00591040601,lisinopril 5 mg tablet,0.06,0.04,0.0102,7411.0,39
NDC,00591042401,triamterene 37.5 mg-hydrochlorothiazide 25 mg tablet,0.55,0.33,0.0935,7411.0,39
NDC,00591044401,guanFACINE 1 mg tablet,0.41,0.25,0.0697,7411.0,39
NDC,00591046001,glipiZIDE 5 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,00591046301,metoprolol tartrate 100 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,00591058201,propafenone 150 mg tablet,0.77,0.46,0.1309,7411.0,39
NDC,00591058301,propafenone 225 mg tablet,1.01,0.61,0.1717,7411.0,39
NDC,00591079601,sulfaSALAzine 500 mg tablet,0.87,0.52,0.1479,7411.0,39
NDC,00591207072,lidocaine-prilocaine 2.5 %-2.5 % topical cream,14.17,8.5,2.41,7411.0,39
NDC,00591219130,ramelteon 8 mg tablet,10.35,6.21,1.76,7411.0,39
NDC,00591246401,desmopressin 0.1 mg tablet,7.61,4.57,1.29,7411.0,39
NDC,00591246618,flutamide 125 mg capsule,8.1,4.86,1.38,7411.0,39
NDC,00591252001,chlorzoxazone 500 mg tablet,1.56,0.94,0.2652,7411.0,39
NDC,00591292625,testosterone 1.62 % (40.5 mg/2.5 gram) transdermal gel packet,44.27,26.56,7.53,7411.0,39
NDC,00591292630,testosterone 1.62 % (40.5 mg/2.5 gram) transdermal gel packet,44.27,26.56,7.53,7411.0,39
NDC,00591333119,"bupropion HCl XL 150 mg 24 hr tablet, extended release",2.61,1.57,0.4437,7411.0,39
NDC,00591336901,butalbital-acetaminophen-caffeine 50 mg-325 mg-40 mg tablet,1.34,0.8,0.2278,7411.0,39
NDC,00591379730,albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization,1.32,0.79,0.0836,7411.0,40
NDC,00591379883,ipratropium bromide 0.02 % solution for inhalation,1.3,0.78,0.221,7411.0,40
NDC,00591387044,memantine 5 mg tablet,0.83,0.5,0.1411,7411.0,39
NDC,00591387045,memantine 5 mg tablet,0.83,0.5,0.1411,7411.0,39
NDC,00591401201,valproic acid 250 mg capsule,0.8,0.48,0.136,7411.0,39
NDC,00591533501,trihexyphenidyl 2 mg tablet,0.3,0.18,0.051,7411.0,39
NDC,00591534701,probenecid 500 mg tablet,1.19,0.71,0.2023,7411.0,39
NDC,00591555401,propranolol 10 mg tablet,0.55,0.33,0.0935,7411.0,39
NDC,00591555501,propranolol 20 mg tablet,0.69,0.41,0.1173,7411.0,39
NDC,00591570801,clindamycin HCl 150 mg capsule,0.79,0.47,0.1343,7411.0,39
NDC,00597000160,"aspirin 25 mg-dipyridamole 200 mg capsule,ext.release 12 hr multiphase",18.8,11.28,3.2,7411.0,39
NDC,00597002402,ipratropium 20 mcg-albuterol 100 mcg/actuation mist for inhalation,2206.03,1323.62,375.03,7411.0,39
NDC,00597003134,cloNIDine 0.1 mg/24 hr weekly transdermal patch,145.12,87.07,24.67,7411.0,39
NDC,00597004037,telmisartan 40 mg tablet,9.35,5.61,1.59,7411.0,39
NDC,00597004137,telmisartan 80 mg tablet,9.35,5.61,1.59,7411.0,39
NDC,00597004724,nevirapine 50 mg/5 mL oral suspension,393.14,235.88,66.83,7411.0,39
NDC,00597005301,glucagon 1 mg/mL solution for injection,772.2,463.32,131.27,7411.0,57
NDC,00597008717,ipratropium bromide 17 mcg/actuation HFA aerosol inhaler,945.13,567.08,160.67,7411.0,39
NDC,00597014560,nintedanib 150 mg capsule,438.22,262.93,74.5,7411.0,39
NDC,00597015230,empagliflozin 10 mg tablet,40.74,24.44,6.93,7411.0,39
NDC,00597015330,empagliflozin 25 mg tablet,40.74,24.44,6.93,7411.0,39
NDC,00597018390,pramipexole 0.125 mg tablet,14.04,8.42,2.39,7411.0,39
NDC,00597018461,pramipexole 0.25 mg tablet,14.74,8.84,2.51,7411.0,39
NDC,00597018561,pramipexole 0.5 mg tablet,14.74,8.84,2.51,7411.0,39
NDC,00597019705,idaruCIZUmab 2.5 gram/50 mL intravenous solution,14746.6,8847.96,2506.92,12534.61,41
NDC,00597026010,glucagon 1 mg/mL solution for injection,772.2,463.32,131.27,7411.0,41
NDC,00597035509,dabigatran etexilate 75 mg capsule,8.61,5.17,1.46,7411.0,39
NDC,00597035556,dabigatran etexilate 75 mg capsule,8.61,5.17,1.46,7411.0,39
NDC,00597036055,dabigatran etexilate 150 mg capsule,8.61,5.17,1.46,7411.0,39
NDC,00603116158,dicyclomine 10 mg/5 mL oral solution,228.04,136.82,38.77,7411.0,39
NDC,00603150858,PHENobarbital 20 mg/5 mL (4 mg/mL) oral elixir,142.85,85.71,24.28,7411.0,39
NDC,00603188016,lidocaine 5 % topical patch,5.99,3.59,1.02,7411.0,39
NDC,00603211621,allopurinol 300 mg tablet,1.2,0.72,0.204,7411.0,39
NDC,00603221321,amitriptyline 25 mg tablet,0.57,0.34,0.0969,7411.0,39
NDC,00603240621,baclofen 10 mg tablet,1.36,0.82,0.2312,7411.0,39
NDC,00603240721,baclofen 20 mg tablet,1.72,1.03,0.2924,7411.0,39
NDC,00603254421,butalbital-acetaminophen-caffeine 50 mg-325 mg-40 mg tablet,2.25,1.35,0.3825,7411.0,39
NDC,00603388732,hydrocodone 10 mg-acetaminophen 325 mg tablet,3.83,2.3,0.6511,7411.0,39
NDC,00603389028,hydrocodone 5 mg-acetaminophen 325 mg tablet,3.77,2.26,0.6409,7411.0,39
NDC,00603389721,HYDROcodone 7.5 mg-ibuprofen 200 mg tablet,3.82,2.29,0.6494,7411.0,39
NDC,00603459321,methylPREDNISolone 4 mg tablet,2.29,1.37,0.1518,7411.0,42
NDC,00603506121,perphenazine 4 mg tablet,2.55,1.53,0.4335,7411.0,41
NDC,00603516521,PHENobarbital 16.2 mg tablet,0.86,0.52,0.1462,7411.0,39
NDC,00603516721,PHENobarbital 64.8 mg tablet,1.35,0.81,0.2295,7411.0,39
NDC,00603516821,PHENobarbital 97.2 mg tablet,1.9,1.14,0.323,7411.0,39
NDC,00603533521,predniSONE 1 mg tablet,0.41,0.25,0.0044,7411.0,42
NDC,00603533532,predniSONE 1 mg tablet,0.38,0.23,0.0044,7411.0,42
NDC,00603533621,predniSONE 2.5 mg tablet,0.26,0.16,0.0442,7411.0,41
NDC,00603533821,predniSONE 10 mg tablet,0.35,0.21,0.0044,7411.0,42
NDC,00603548221,propranolol 10 mg tablet,0.32,0.19,0.0544,7411.0,39
NDC,00603548321,propranolol 20 mg tablet,0.4,0.24,0.068,7411.0,39
NDC,00641012121,HYDROmorphone 2 mg/mL injection solution,14.64,8.78,0.1111,7411.0,42
NDC,00641037621,diphenhydrAMINE 50 mg/mL injection solution,7.03,4.22,0.7557,7411.0,42
NDC,00641040037,"heparin (porcine) 5,000 unit/mL injection solution",43.38,26.03,0.2431,7411.0,42
NDC,00641047621,PHENobarbital sodium 65 mg/mL injection solution,158.12,94.87,26.01,7411.0,42
NDC,00641047721,PHENobarbital sodium 130 mg/mL injection solution,307.79,184.67,26.01,7411.0,42
NDC,00641049321,phenytoin sodium 50 mg/mL intravenous solution,8.34,5.0,0.4631,7411.0,42
NDC,00641139731,chlorproMAZINE 25 mg/mL injection solution,173.33,104.0,23.05,7411.0,42
NDC,00641139831,chlorproMAZINE 25 mg/mL injection solution,198.61,119.17,23.05,7411.0,42
NDC,00641141031,digoxin 250 mcg/mL (0.25 mg/mL) injection solution,33.0,19.8,5.61,7411.0,42
NDC,00641234139,HYDROmorphone 2 mg/mL injection solution,134.64,80.78,0.1111,7411.0,42
NDC,00641234141,HYDROmorphone 2 mg/mL injection solution,134.64,80.78,22.89,7411.0,41
NDC,00641255541,phenytoin sodium 50 mg/mL intravenous solution,11.97,7.18,0.4631,7411.0,42
NDC,00641600125,"LORazepam 2 mg/mL injection solution,LORazepam 2 mg/mL injection syringe",11.41,6.85,1.83,7411.0,42
NDC,00641600601,atropine 0.4 mg/mL injection solution,214.6,128.76,0.1122,7411.0,42
NDC,00641600601,"atropine 0.4 mg/mL injection solution,atropine 0.4 mg/mL intravenous solution",214.6,128.76,0.1122,7411.0,42
NDC,00641600701,bumetanide 0.25 mg/mL injection solution,31.68,19.01,5.39,7411.0,41
NDC,00641600710,bumetanide 0.25 mg/mL injection solution,31.68,19.01,5.39,7411.0,41
NDC,00641601301,dilTIAZem 5 mg/mL intravenous solution,20.52,12.31,3.49,7411.0,39
NDC,00641601401,dilTIAZem 5 mg/mL intravenous solution,37.38,22.43,6.35,7411.0,39
NDC,00641601901,morphine (PF) 1 mg/mL injection solution,23.38,14.03,3.97,7411.0,42
NDC,00641602001,morphine (PF) 0.5 mg/mL injection solution,179.76,107.86,13.36,7411.0,42
NDC,00641602010,morphine (PF) 0.5 mg/mL injection solution,179.76,107.86,30.56,7411.0,41
NDC,00641602201,famotidine (PF) 20 mg/2 mL intravenous solution,2.86,1.72,0.0099,7411.0,42
NDC,00641602225,famotidine (PF) 20 mg/2 mL intravenous solution,2.86,1.72,0.4862,7411.0,41
NDC,00641602325,famotidine 10 mg/mL intravenous solution,3.71,2.23,0.0099,7411.0,42
NDC,00641602701,fentaNYL (PF) 50 mcg/mL injection solution,18.74,11.24,1.28,7411.0,42
NDC,00641602701,"fentaNYL (PF) 50 mcg/mL injection solution,fentaNYL (PF) 50 mcg/mL injection syringe",18.74,11.24,1.28,7411.0,42
NDC,00641602801,fentaNYL (PF) 50 mcg/mL injection solution,24.0,14.4,1.28,7411.0,42
NDC,00641602801,"fentaNYL (PF) 50 mcg/mL injection solution,fentaNYL (PF) 50 mcg/mL injection syringe",24.0,14.4,1.28,7411.0,42
NDC,00641603901,morphine (PF) 10 mg/mL injection solution,942.0,565.2,13.36,7411.0,42
NDC,00641604001,morphine (PF) 25 mg/mL injection solution,1597.47,958.48,13.36,7411.0,42
NDC,00641604401,LORazepam 2 mg/mL injection solution,8.53,5.12,1.45,7411.0,42
NDC,00641604401,"LORazepam 2 mg/mL injection solution,LORazepam 2 mg/mL injection syringe",8.53,5.12,1.45,7411.0,42
NDC,00641604425,LORazepam 2 mg/mL injection solution,8.53,5.12,1.45,7411.0,41
NDC,00641604501,LORazepam 4 mg/mL injection solution,18.64,11.18,1.83,7411.0,42
NDC,00641604525,LORazepam 4 mg/mL injection solution,18.64,11.18,3.17,7411.0,41
NDC,00641604601,"LORazepam 2 mg/mL injection solution,LORazepam 2 mg/mL injection syringe",1.76,1.06,0.2992,7411.0,42
NDC,00641605201,meperidine (PF) 25 mg/mL injection solution,21.22,12.73,3.61,7411.0,42
NDC,00641605301,meperidine (PF) 50 mg/mL injection solution,21.85,13.11,3.71,7411.0,42
NDC,00641605401,meperidine (PF) 100 mg/mL injection solution,23.38,14.03,3.97,7411.0,42
NDC,00641605701,midazolam 1 mg/mL injection solution,3.9,2.34,0.1815,7411.0,42
NDC,00641605725,midazolam 1 mg/mL injection solution,3.9,2.34,0.663,7411.0,41
NDC,00641605901,midazolam 1 mg/mL injection solution,8.34,5.0,0.1815,7411.0,42
NDC,00641605910,midazolam 1 mg/mL injection solution,8.34,5.0,1.42,7411.0,41
NDC,00641606001,midazolam 5 mg/mL injection solution,41.4,24.84,0.1815,7411.0,42
NDC,00641606010,midazolam 5 mg/mL injection solution,41.4,24.84,7.04,7411.0,41
NDC,00641606325,midazolam 5 mg/mL injection solution,7.5,4.5,0.1815,7411.0,42
NDC,00641610301,methocarbamol 100 mg/mL injection solution,172.0,103.2,4.62,7411.0,42
NDC,00641612501,morphine 4 mg/mL intravenous solution,13.49,8.09,2.29,7411.0,42
NDC,00641612501,"morphine 4 mg/mL intravenous solution,morphine 4 mg/mL injection syringe,morphine 4 mg/mL intravenous syringe,morphine 4 mg/ml injection solution",13.49,8.09,2.29,7411.0,42
NDC,00641612525,morphine 4 mg/mL intravenous solution,13.49,8.09,2.29,7411.0,41
NDC,00641612525,"morphine 4 mg/mL intravenous solution,morphine 4 mg/mL injection syringe,morphine 4 mg/mL intravenous syringe,morphine 4 mg/ml injection solution",13.49,8.09,2.29,7411.0,41
NDC,00641612701,"morphine 10 mg/mL injection syringe,morphine 10 mg/mL injection solution,morphine 10 mg/ml intravenous solution,morphine 10 mg/ml intravenous syringe",21.29,12.77,3.62,7411.0,42
NDC,00641612701,morphine 10 mg/mL intravenous solution,13.64,8.18,2.32,7411.0,42
NDC,00641612725,"morphine 10 mg/mL injection syringe,morphine 10 mg/mL injection solution,morphine 10 mg/ml intravenous solution,morphine 10 mg/ml intravenous syringe",21.29,12.77,3.62,7411.0,41
NDC,00641614201,phenylephrine 10 mg/mL injection solution,28.0,16.8,0.0022,7411.0,42
NDC,00641614225,phenylephrine 10 mg/mL injection solution,28.0,16.8,4.76,7411.0,41
NDC,00641615101,"HYDROmorphone (PF) 2 mg/mL injection solution,HYDROmorphone (PF) 2 mg/mL injection syringe",7.8,4.68,0.1111,7411.0,42
NDC,00641615125,"HYDROmorphone (PF) 2 mg/mL injection solution,HYDROmorphone (PF) 2 mg/mL injection syringe",7.8,4.68,1.33,7411.0,41
NDC,00641617410,octreotide acetate 50 mcg/mL injection solution,27.0,16.2,0.6864,7411.0,43
NDC,00641617501,octreotide acetate 100 mcg/mL injection solution,39.0,23.4,0.6864,7411.0,43
NDC,00641617510,octreotide acetate 100 mcg/mL injection solution,39.0,23.4,6.63,7411.0,41
NDC,00641622801,thiamine HCl (vitamin B1) 100 mg/mL injection solution,59.7,35.82,1.71,7411.0,42
NDC,00641622825,thiamine HCl (vitamin B1) 100 mg/mL injection solution,59.7,35.82,10.15,7411.0,41
NDC,00641623801,ePHEDrine sulfate 50 mg/mL intravenous solution,154.06,92.44,26.19,7411.0,39
NDC,00641623825,ePHEDrine sulfate 50 mg/mL intravenous solution,154.06,92.44,26.19,7411.0,39
NDC,00641624601,phenylephrine 0.1 mg/mL intravenous solution,64.0,38.4,0.1419,7411.0,42
NDC,00641624610,phenylephrine 0.1 mg/mL intravenous solution,64.0,38.4,10.88,7411.0,41
NDC,00641624701,fentaNYL (PF) 50 mcg/mL injection solution,17.7,10.62,1.28,7411.0,42
NDC,00641624701,"fentaNYL (PF) 50 mcg/mL injection solution,fentaNYL (PF) 50 mcg/mL injection syringe",17.7,10.62,1.28,7411.0,42
NDC,00641624725,fentaNYL (PF) 50 mcg/mL injection solution,17.7,10.62,3.01,7411.0,41
NDC,00641624725,"fentaNYL (PF) 50 mcg/mL injection solution,fentaNYL (PF) 50 mcg/mL injection syringe",17.7,10.62,3.01,7411.0,41
NDC,00642746410,benznidazole 100 mg tablet,6.5,3.9,1.1,7411.0,39
NDC,00650050935,white petrolatum-mineral oil 94 %-3 % eye ointment,16.3,9.78,2.77,7411.0,39
NDC,00703003101,methylPREDNISolone acetate 40 mg/mL suspension for injection,52.2,31.32,0.1232,7411.0,42
NDC,00703003104,methylPREDNISolone acetate 40 mg/mL suspension for injection,52.2,31.32,8.87,7411.0,41
NDC,00703011301,HYDROmorphone (PF) 10 mg/mL injection solution,62.52,37.51,0.1111,7411.0,42
NDC,00703205603,cisatracurium 2 mg/mL intravenous solution,142.0,85.2,24.14,7411.0,39
NDC,00703301511,fluorouracil 500 mg/10 mL intravenous solution,83.3,49.98,2.26,7411.0,42
NDC,00703301812,fluorouracil 2.5 gram/50 mL intravenous solution,166.4,99.84,2.26,7411.0,42
NDC,00703330104,octreotide acetate 50 mcg/mL injection solution,27.0,16.2,4.59,7411.0,41
NDC,00703331101,octreotide acetate 100 mcg/mL injection solution,39.0,23.4,6.63,7411.0,41
NDC,00703331101,"octreotide acetate 100 mcg/mL injection solution,octreotide acetate 100 mcg/mL injection syringe",13.0,7.8,0.6864,7411.0,43
NDC,00703331104,"octreotide acetate 100 mcg/mL injection solution,octreotide acetate 100 mcg/mL injection syringe",13.0,7.8,2.21,7411.0,41
NDC,00703333301,octreotide acetate 200 mcg/mL injection solution,306.0,183.6,0.6864,7411.0,43
NDC,00703367101,methotrexate sodium (PF) 25 mg/mL injection solution,112.1,67.26,2.94,7411.0,42
NDC,00703415411,IDArubicin 1 mg/mL intravenous solution,420.58,252.35,43.73,7411.0,42
NDC,00703415511,IDArubicin 1 mg/mL intravenous solution,791.15,474.69,43.73,7411.0,42
NDC,00703424801,CARBOplatin 10 mg/mL intravenous solution,342.41,205.45,3.23,7411.0,42
NDC,00703480501,mesna 100 mg/mL intravenous solution,108.0,64.8,1.47,7411.0,42
NDC,00703505401,desmopressin 4 mcg/mL injection solution,1785.6,1071.36,3.75,7411.0,42
NDC,00703514501,leucovorin calcium 350 mg solution for injection,113.7,68.22,3.95,7411.0,42
NDC,00703565701,etoposide 20 mg/mL intravenous solution,392.0,235.2,0.8778,7411.0,42
NDC,00703574811,CISplatin 1 mg/mL intravenous solution,291.8,175.08,2.38,7411.0,42
NDC,00703854021,enoxaparin 40 mg/0.4 mL subcutaneous syringe,75.64,45.38,0.5962,7411.0,43
NDC,00703854023,enoxaparin 40 mg/0.4 mL subcutaneous syringe,75.64,45.38,12.86,7411.0,41
NDC,00703904001,"amikacin 1,000 mg/4 mL injection solution",48.8,29.28,0.671,7411.0,42
NDC,00703906031,linezolid in 5% dextrose in water 600 mg/300 mL intravenous piggyback,559.85,335.91,2.73,7411.0,43
NDC,00703906033,linezolid in 5% dextrose in water 600 mg/300 mL intravenous piggyback,285.8,171.48,2.73,7411.0,43
NDC,00703951401,sulfamethoxazole 400 mg-trimethoprim 80 mg/5 mL intravenous solution,80.24,48.14,0.0407,7411.0,42
NDC,00703951403,sulfamethoxazole 400 mg-trimethoprim 80 mg/5 mL intravenous solution,80.24,48.14,13.64,7411.0,41
NDC,00713013212,promethazine 50 mg rectal suppository,53.65,32.19,9.12,7411.0,39
NDC,00713022415,fluocinolone 0.025 % topical ointment,56.58,33.95,9.62,7411.0,39
NDC,00713022460,fluocinolone 0.025 % topical ointment,169.08,101.45,28.74,7411.0,39
NDC,00713026831,"neomycin-bacitracn Zn-polymyx 3.5 mg-400 unit-5,000 unit/gram top oint",5.51,3.31,0.9367,7411.0,39
NDC,00713028031,bacitracin 500 unit/gram topical ointment,4.43,2.66,0.7531,7411.0,39
NDC,00713032460,fluocinolone 0.025 % topical cream,287.04,172.22,48.8,7411.0,39
NDC,00713050306,hydrocortisone acetate 25 mg rectal suppository,23.0,13.8,3.91,7411.0,39
NDC,00713052612,promethazine 25 mg rectal suppository,19.5,11.7,3.31,7411.0,39
NDC,00713053612,promethazine 12.5 mg rectal suppository,19.5,11.7,3.31,7411.0,39
NDC,00713057250,doxycycline monohydrate 100 mg capsule,2.17,1.3,0.3689,7411.0,39
NDC,00713070915,fluocinolone 0.025 % topical cream,58.5,35.1,9.95,7411.0,39
NDC,00761035920,sennosides 8.6 mg-docusate sodium 50 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,0078049491,tobramycin 300 mg/5 mL in 0.225 % sodium chloride for nebulization,238.96,143.38,8.54,7411.0,42
NDC,00781104713,perphenazine 4 mg tablet,4.3,2.58,0.731,7411.0,41
NDC,00781106101,ALPRAZolam 0.25 mg tablet,0.05,0.03,0.0085,7411.0,39
NDC,00781139613,haloperidol 5 mg tablet,0.59,0.35,0.1003,7411.0,39
NDC,00781145201,glipiZIDE 5 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,00781148701,amitriptyline 25 mg tablet,0.57,0.34,0.0969,7411.0,39
NDC,00781148801,amitriptyline 50 mg tablet,1.14,0.68,0.1938,7411.0,39
NDC,00781149001,amitriptyline 100 mg tablet,2.29,1.37,0.3893,7411.0,39
NDC,00781155601,isosorbide dinitrate 10 mg tablet,1.73,1.04,0.2941,7411.0,39
NDC,00781155613,isosorbide dinitrate 10 mg tablet,1.73,1.04,0.2941,7411.0,39
NDC,00781163501,isosorbide dinitrate 5 mg tablet,1.58,0.95,0.2686,7411.0,39
NDC,00781165501,penicillin V potassium 500 mg tablet,2.37,1.42,0.4029,7411.0,39
NDC,00781169501,isosorbide dinitrate 20 mg tablet,1.91,1.15,0.3247,7411.0,39
NDC,00781169510,isosorbide dinitrate 20 mg tablet,1.91,1.15,0.3247,7411.0,39
NDC,00781176413,imipramine 25 mg tablet,0.9,0.54,0.153,7411.0,39
NDC,00781187431,amoxicillin 250 mg-potassium clavulanate 125 mg tablet,7.14,4.28,1.21,7411.0,39
NDC,00781196260,clarithromycin 500 mg tablet,2.45,1.47,0.4165,7411.0,39
NDC,00781202001,amoxicillin 250 mg capsule,0.73,0.44,0.1241,7411.0,39
NDC,00781202701,clomiPRAMINE 25 mg capsule,13.49,8.09,2.29,7411.0,39
NDC,00781205101,terazosin 1 mg capsule,0.3,0.18,0.051,7411.0,39
NDC,00781205301,terazosin 5 mg capsule,0.3,0.18,0.051,7411.0,39
NDC,00781207601,tamsulosin 0.4 mg capsule,2.0,1.2,0.34,7411.0,39
NDC,00781210301,"tacrolimus 1 mg capsule, immediate-release",1.83,1.1,0.253,7411.0,43
NDC,00781217660,cefdinir 300 mg capsule,2.17,1.3,0.3689,7411.0,39
NDC,00781237101,"dextroamphetamine-amphetamine ER 30 mg 24hr capsule,extend release",2.2,1.32,0.374,7411.0,39
NDC,00781261301,amoxicillin 500 mg capsule,0.86,0.52,0.1462,7411.0,39
NDC,00781301072,ondansetron HCl (PF) 4 mg/2 mL injection solution,7.8,4.68,0.0968,7411.0,42
NDC,00781304072,pyRIDostigmine bromide 5 mg/mL injection solution,206.56,123.94,35.12,7411.0,39
NDC,00781304095,pyRIDostigmine bromide 5 mg/mL injection solution,206.56,123.94,35.12,7411.0,39
NDC,00781307901,fulvestrant 250 mg/5 mL intramuscular syringe,2975.0,1785.0,5.43,7411.0,42
NDC,00781307912,fulvestrant 250 mg/5 mL intramuscular syringe,2975.0,1785.0,505.75,7411.0,41
NDC,00781308575,triamcinolone hexacetonide 20 mg/mL suspension for injection,205.38,123.23,34.91,7411.0,41
NDC,00781311395,piperacillin-tazobactam 3.375 gram intravenous solution,35.9,21.54,1.19,7411.0,42
NDC,00781312495,nafcillin 1 gram solution for injection,75.07,45.04,0.0528,7411.0,42
NDC,00781313301,enoxaparin 30 mg/0.3 mL subcutaneous syringe,107.2,64.32,0.5962,7411.0,43
NDC,00781315075,cisatracurium 2 mg/mL intravenous solution,46.0,27.6,7.82,7411.0,39
NDC,00781315095,cisatracurium 2 mg/mL intravenous solution,46.0,27.6,7.82,7411.0,39
NDC,00781315972,OLANZapine 10 mg intramuscular solution,168.42,101.05,0.7821,7411.0,42
NDC,00781318273,fomepizole 1 gram/mL intravenous solution,3214.23,1928.54,6.21,7411.0,58
NDC,00781320685,cefTRIAXone 250 mg solution for injection,13.04,7.82,0.473,7411.0,42
NDC,00781320990,cefTRIAXone 2 gram solution for injection,45.15,27.09,0.473,7411.0,42
NDC,00781320995,cefTRIAXone 2 gram solution for injection,45.15,27.09,7.68,7411.0,41
NDC,00781322095,rocuronium 10 mg/mL intravenous solution,49.15,29.49,8.36,7411.0,39
NDC,00781322402,enoxaparin 40 mg/0.4 mL subcutaneous syringe,133.6,80.16,0.5962,7411.0,43
NDC,00781322464,enoxaparin 40 mg/0.4 mL subcutaneous syringe,133.6,80.16,22.71,7411.0,41
NDC,00781323394,cycloPHOSphamide 500 mg intravenous powder for solution,1310.86,786.52,0.7315,7411.0,57
NDC,00781324494,cycloPHOSphamide 1 gram intravenous powder for solution,1731.08,1038.65,0.7315,7411.0,57
NDC,00781324602,enoxaparin 40 mg/0.4 mL subcutaneous syringe,50.08,30.05,0.5962,7411.0,43
NDC,00781324664,enoxaparin 40 mg/0.4 mL subcutaneous syringe,50.08,30.05,8.51,7411.0,41
NDC,00781325394,azaCITIDine 100 mg solution for injection,860.0,516.0,0.451,7411.0,42
NDC,00781328809,clindamycin 300 mg/50 mL in 5 % dextrose intravenous piggyback,52.1,31.26,0.7546,7411.0,42
NDC,00781328891,clindamycin 300 mg/50 mL in 5 % dextrose intravenous piggyback,52.1,31.26,8.86,7411.0,41
NDC,00781329009,clindamycin 900 mg/50 mL in 5 % dextrose intravenous piggyback,92.0,55.2,0.7546,7411.0,42
NDC,00781335094,piperacillin-tazobactam 3.375 gram intravenous solution,66.8,40.08,1.19,7411.0,42
NDC,00781335095,piperacillin-tazobactam 3.375 gram intravenous solution,66.8,40.08,11.36,7411.0,41
NDC,00781335603,enoxaparin 60 mg/0.6 mL subcutaneous syringe,186.4,111.84,0.5962,7411.0,43
NDC,00781341170,"succinylcholine chloride 20 mg/mL injection solution,succinylcholine chloride 200 mg/10 mL (20 mg/mL) intravenous solution,succinylcholine(PF)200 mg/10 mL(20 mg/mL)-NaCl,iso intravenous syringe,succin",119.08,71.45,20.24,7411.0,41
NDC,00781341195,"succinylcholine chloride 20 mg/mL injection solution,succinylcholine chloride 200 mg/10 mL (20 mg/mL) intravenous solution,succinylcholine(PF)200 mg/10 mL(20 mg/mL)-NaCl,iso intravenous syringe,succin",119.08,71.45,20.24,7411.0,41
NDC,00781341292,ampicillin 1 gram intravenous solution,90.98,54.59,0.7062,7411.0,42
NDC,00781342804,enoxaparin 80 mg/0.8 mL subcutaneous syringe,275.2,165.12,0.5962,7411.0,43
NDC,00781344071,cosyntropin 0.25 mg solution for injection,360.9,216.54,17.88,7411.0,42
NDC,00781346670,phenylephrine 10 mg/mL injection solution,170.5,102.3,0.0022,7411.0,42
NDC,00781349546,dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in 0.9 % sodium chloride IV,288.0,172.8,48.96,7411.0,39
NDC,00781349595,dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in 0.9 % sodium chloride IV,288.0,172.8,48.96,7411.0,39
NDC,00781350005,enoxaparin 100 mg/mL subcutaneous syringe,292.0,175.2,0.5962,7411.0,43
NDC,00781365505,enoxaparin 150 mg/mL subcutaneous syringe,325.0,195.0,0.5962,7411.0,43
NDC,00781382571,glycopyrrolate 0.2 mg/mL injection solution,20.8,12.48,0.4015,7411.0,42
NDC,00781382596,glycopyrrolate 0.2 mg/mL injection solution,20.8,12.48,3.54,7411.0,41
NDC,00781502101,prochlorperazine maleate 10 mg tablet,0.57,0.34,0.0969,7411.0,41
NDC,00781502201,methylPREDNISolone 4 mg tablet,2.29,1.37,0.3893,7411.0,41
NDC,00781518192,levothyroxine 50 mcg tablet,0.83,0.5,0.1411,7411.0,39
NDC,00781518492,levothyroxine 100 mcg tablet,0.94,0.56,0.1598,7411.0,39
NDC,00781518792,levothyroxine 150 mcg tablet,1.13,0.68,0.1921,7411.0,39
NDC,00781518892,levothyroxine 175 mcg tablet,1.34,0.8,0.2278,7411.0,39
NDC,00781523906,ondansetron 8 mg disintegrating tablet,2.3,1.38,0.391,7411.0,39
NDC,00781523964,ondansetron 8 mg disintegrating tablet,2.3,1.38,0.391,7411.0,39
NDC,00781532531,bromocriptine 2.5 mg tablet,10.03,6.02,1.71,7411.0,39
NDC,00781540092,rosuvastatin 5 mg tablet,0.56,0.34,0.0952,7411.0,39
NDC,00781540192,rosuvastatin 10 mg tablet,0.56,0.34,0.0952,7411.0,39
NDC,00781542031,pioglitazone 15 mg tablet,0.73,0.44,0.1241,7411.0,39
NDC,00781556701,clonazePAM 1 mg tablet,0.18,0.11,0.0306,7411.0,39
NDC,00781569031,ezetimibe 10 mg tablet,0.58,0.35,0.0986,7411.0,39
NDC,00781572001,"potassium chloride ER 20 mEq tablet,extended release(part/cryst)",1.0,0.6,0.17,7411.0,39
NDC,00781574801,methylphenidate 5 mg tablet,1.18,0.71,0.2006,7411.0,39
NDC,00781577631,azithromycin 250 mg tablet,4.83,2.9,0.8211,7411.0,39
NDC,00781599401,hydroxychloroquine 200 mg tablet,2.2,1.32,0.374,7411.0,39
NDC,00781602346,clarithromycin 250 mg/5 mL oral suspension,349.5,209.7,59.41,7411.0,39
NDC,00781604146,amoxicillin 250 mg/5 mL oral suspension,7.7,4.62,1.31,7411.0,39
NDC,00781604155,amoxicillin 250 mg/5 mL oral suspension,10.7,6.42,1.82,7411.0,39
NDC,00781610446,amoxicillin 400 mg-potassium clavulanate 57 mg/5 mL oral suspension,29.7,17.82,5.05,7411.0,39
NDC,00781615394,penicillin G sodium 5 million unit solution for injection,281.47,168.88,47.85,7411.0,39
NDC,00781708035,metroNIDAZOLE 1 % topical gel,310.56,186.34,52.8,7411.0,39
NDC,00781717184,tobramycin 300 mg/5 mL in 0.225 % sodium chloride for nebulization,129.21,77.53,8.54,7411.0,42
NDC,00781801801,clonazePAM 0.5 mg tablet,0.14,0.08,0.0238,7411.0,39
NDC,00781803201,trifluoperazine 2 mg tablet,1.8,1.08,0.306,7411.0,39
NDC,00781808926,azithromycin 250 mg tablet,4.83,2.9,0.8211,7411.0,39
NDC,00781808931,azithromycin 250 mg tablet,4.83,2.9,0.8211,7411.0,39
NDC,00781897501,desipramine 100 mg tablet,9.18,5.51,1.56,7411.0,39
NDC,00781905395,"succinylcholine chloride 20 mg/mL injection solution,succinylcholine chloride 200 mg/10 mL (20 mg/mL) intravenous solution,succinylcholine(PF)200 mg/10 mL(20 mg/mL)-NaCl,iso intravenous syringe,succin",61.0,36.6,10.37,7411.0,41
NDC,00781921491,piperacillin-tazobactam 4.5 gram intravenous solution,46.19,27.71,1.19,7411.0,42
NDC,00781921495,piperacillin-tazobactam 4.5 gram intravenous solution,46.19,27.71,7.85,7411.0,41
NDC,00781922109,clindamycin 600 mg/50 mL in 5 % dextrose intravenous piggyback,76.1,45.66,0.7546,7411.0,42
NDC,00781932885,cefTRIAXone 1 gram solution for injection,32.99,19.79,0.473,7411.0,42
NDC,00781941292,ampicillin 1 gram intravenous solution,90.98,54.59,15.47,7411.0,41
NDC,00799000103,menthol 0.44 %-zinc oxide 20.6 % topical ointment,7.81,4.69,1.33,7411.0,39
NDC,00832003810,oxyBUTYnin chloride 5 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,00832030000,chlorproMAZINE 10 mg tablet,5.29,3.17,0.8993,7411.0,39
NDC,00832030100,chlorproMAZINE 25 mg tablet,7.56,4.54,1.29,7411.0,39
NDC,00832030300,chlorproMAZINE 100 mg tablet,15.39,9.23,2.62,7411.0,39
NDC,00832046530,"nystatin 100,000 unit/gram topical powder",42.66,25.6,7.25,7411.0,39
NDC,00832046560,"nystatin 100,000 unit/gram topical powder",75.96,45.58,12.91,7411.0,39
NDC,00832051000,bethanechol chloride 5 mg tablet,1.48,0.89,0.2516,7411.0,39
NDC,00832051200,bethanechol chloride 25 mg tablet,1.91,1.15,0.3247,7411.0,39
NDC,00832058011,cloBAZam 10 mg tablet,1.46,0.88,0.2482,7411.0,39
NDC,00832101500,amantadine HCl 100 mg capsule,1.61,0.97,0.2737,7411.0,39
NDC,00832121101,warfarin 1 mg tablet,2.74,1.64,0.4658,7411.0,39
NDC,00832121189,warfarin 1 mg tablet,2.74,1.64,0.4658,7411.0,39
NDC,00832121289,warfarin 2 mg tablet,2.76,1.66,0.4692,7411.0,39
NDC,00832121389,warfarin 2.5 mg tablet,2.78,1.67,0.4726,7411.0,39
NDC,00832121689,warfarin 5 mg tablet,2.82,1.69,0.4794,7411.0,39
NDC,00832121989,warfarin 10 mg tablet,3.22,1.93,0.5474,7411.0,39
NDC,00832125011,ramelteon 8 mg tablet,2.83,1.7,0.4811,7411.0,39
NDC,00832125030,ramelteon 8 mg tablet,2.83,1.7,0.4811,7411.0,39
NDC,00832532511,"potassium chloride ER 20 mEq tablet,extended release(part/cryst)",1.0,0.6,0.17,7411.0,39
NDC,00832601700,chlorproMAZINE 10 mg tablet,1.2,0.72,0.204,7411.0,39
NDC,00832601800,chlorproMAZINE 25 mg tablet,1.7,1.02,0.289,7411.0,39
NDC,00832602000,chlorproMAZINE 100 mg tablet,4.52,2.71,0.7684,7411.0,39
NDC,00832605311,dicyclomine 10 mg capsule,1.4,0.84,0.238,7411.0,39
NDC,00832712411,"divalproex 500 mg tablet,delayed release",0.65,0.39,0.1105,7411.0,39
NDC,00847001200,arginine (L-arginine) oral powder,49.0,29.4,8.33,7411.0,39
NDC,00850421008,sodium chloride 0.9 % irrigation solution,50.0,30.0,8.5,7411.0,39
NDC,00850421008,"water for irrigation, sterile solution",21.0,12.6,3.57,7411.0,39
NDC,00884629730,phenol 89 % topical swab,9.1,5.46,1.55,7411.0,39
NDC,00904001259,chlorpheniramine 4 mg tablet,0.02,0.01,0.0034,7411.0,39
NDC,00904026013,B-complex with vitamin C tablet,0.05,0.03,0.0085,7411.0,39
NDC,00904027060,"vitamin E (dl, acetate) 45 mg (100 unit) capsule",0.03,0.02,0.0051,7411.0,39
NDC,00904051860,pyridoxine (vitamin B6) 100 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,00904052260,ascorbic acid (vitamin C) 250 mg tablet,0.03,0.02,0.0051,7411.0,39
NDC,00904052361,ascorbic acid (vitamin C) 500 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,00904053061,multivitamin with folic acid 400 mcg tablet,0.06,0.04,0.0102,7411.0,39
NDC,00904064360,"nitroglycerin ER 2.5 mg capsule,extended release",0.59,0.35,0.1003,7411.0,39
NDC,00904064460,"nitroglycerin ER 6.5 mg capsule,extended release",0.69,0.41,0.1173,7411.0,39
NDC,00904078814,magnesium hydroxide 400 mg/5 mL oral suspension,3.55,2.13,0.6035,7411.0,39
NDC,00904078914,magnesium hydroxide 400 mg/5 mL oral suspension,3.55,2.13,0.6035,7411.0,39
NDC,00904110231,povidone-iodine 10 % topical ointment,3.01,1.81,0.5117,7411.0,39
NDC,00904110309,povidone-iodine 10 % topical solution,7.08,4.25,1.2,7411.0,39
NDC,00904131309,bismuth subsalicylate 262 mg/15 mL oral suspension,5.19,3.11,0.8823,7411.0,39
NDC,00904131546,bismuth subsalicylate 262 mg chewable tablet,0.11,0.07,0.0187,7411.0,39
NDC,00904145361,metroNIDAZOLE 250 mg tablet,1.31,0.79,0.2227,7411.0,39
NDC,00904188261,"calcium 250 mg (as carbonate)-vitamin D3 3.125 mcg (125 unit) tablet,calcium 250 mg (as carbonate)-vitamin D3 3 mcg(120 unit) tablet",0.06,0.04,0.0102,7411.0,39
NDC,00904188361,"calcium 500 mg (as calcium carbonate 1,250 mg) tablet",0.07,0.04,0.0119,7411.0,39
NDC,00904198260,acetaminophen 325 mg tablet,0.02,0.01,0.0034,7411.0,39
NDC,00904198324,acetaminophen 500 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,00904208560,"vitamin A 10,000 unit capsule,vitamin A palmitate 10,000 unit capsule",0.08,0.05,0.0136,7411.0,39
NDC,00904208560,"vitamin A 3,000 mcg (10,000 unit) capsule",0.08,0.05,0.0136,7411.0,39
NDC,00904213761,ferrous gluconate 324 mg (37.5 mg iron) tablet,2.06,1.24,0.3502,7411.0,39
NDC,00904292061,verapamil 80 mg tablet,0.16,0.1,0.0272,7411.0,39
NDC,00904357161,megestrol 40 mg tablet,0.47,0.28,0.0799,7411.0,39
NDC,00904385461,carBAMazepine 100 mg chewable tablet,1.02,0.61,0.1734,7411.0,39
NDC,00904386575,sodium chloride 0.65 % nasal spray aerosol,1.85,1.11,0.3145,7411.0,39
NDC,00904404073,aspirin 81 mg chewable tablet,0.05,0.03,0.0085,7411.0,39
NDC,00904429909,lanolin-mineral oil lotion,3.78,2.27,0.6426,7411.0,39
NDC,00904505359,pseudoephedrine 30 mg tablet,1.04,0.62,0.1768,7411.0,39
NDC,00904506260,calcium 200 mg (as calcium citrate 950 mg) tablet,0.05,0.03,0.0085,7411.0,39
NDC,00904512559,pseudoephedrine 60 mg tablet,1.06,0.64,0.1802,7411.0,39
NDC,00904513559,aspirin-acetaminophen-caffeine 250 mg-250 mg-65 mg tablet,0.05,0.03,0.0085,7411.0,39
NDC,00904522452,"lactase 3,000 unit tablet",0.16,0.1,0.0272,7411.0,39
NDC,00904530661,diphenhydrAMINE 25 mg capsule,0.07,0.04,0.0119,7411.0,39
NDC,00904531346,prenatal vits no.130-ferrous fum 27 mg iron-folic acid 800 mcg tablet,0.11,0.07,0.0187,7411.0,39
NDC,00904531360,prenatal vits no.130-ferrous fum 27 mg iron-folic acid 800 mcg tablet,0.06,0.04,0.0102,7411.0,39
NDC,00904533260,zinc sulfate 50 mg zinc (220 mg) capsule,0.04,0.02,0.0068,7411.0,39
NDC,00904535431,diphenhydramine-zinc acetate 2 %-0.1 % topical cream,3.53,2.12,0.6001,7411.0,39
NDC,00904539561,polysaccharide iron complex 150 mg iron capsule,2.25,1.35,0.3825,7411.0,39
NDC,00904544861,"pentoxifylline ER 400 mg tablet,extended release",2.62,1.57,0.4454,7411.0,39
NDC,00904546092,calcium 500 mg (as carbonate)-vitamin D3 5 mcg (200 unit) tablet,0.04,0.02,0.0068,7411.0,39
NDC,00904549261,multivitamin-iron 9 mg-folic acid 400 mcg-calcium and minerals tablet,0.1,0.06,0.017,7411.0,39
NDC,00904549280,multivitamin-iron 9 mg-folic acid 400 mcg-calcium and minerals tablet,0.06,0.04,0.0102,7411.0,39
NDC,00904550261,enalapril maleate 5 mg tablet,0.95,0.57,0.1615,7411.0,39
NDC,00904555159,diphenhydrAMINE 25 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,00904560961,enalapril maleate 2.5 mg tablet,0.92,0.55,0.1564,7411.0,39
NDC,00904561061,enalapril maleate 10 mg tablet,1.0,0.6,0.17,7411.0,39
NDC,00904567516,methylcellulose (with sugar) 2 gram/19 gram oral powder,12.71,7.63,2.16,7411.0,39
NDC,00904567861,PARoxetine 30 mg tablet,1.48,0.89,0.2516,7411.0,39
NDC,00904572889,loratadine 10 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,00904578017,famotidine 20 mg tablet,0.34,0.2,0.0578,7411.0,39
NDC,00904578051,famotidine 20 mg tablet,0.21,0.13,0.0357,7411.0,39
NDC,00904578461,FLUoxetine 10 mg capsule,0.17,0.1,0.0289,7411.0,39
NDC,00904578561,FLUoxetine 20 mg capsule,0.19,0.11,0.0323,7411.0,39
NDC,00904579146,acetaminophen 80 mg chewable tablet,0.13,0.08,0.0221,7411.0,39
NDC,00904582360,cholecalciferol (vitamin D3) 10 mcg (400 unit) tablet,0.03,0.02,0.0051,7411.0,39
NDC,00904582460,"cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet",0.03,0.02,0.0051,7411.0,39
NDC,00904585361,ibuprofen 400 mg tablet,0.14,0.08,0.0238,7411.0,39
NDC,00904585560,ibuprofen 800 mg tablet,0.25,0.15,0.0425,7411.0,39
NDC,00904585561,ibuprofen 800 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,00904585961,ALPRAZolam 0.5 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,00904588061,diazePAM 5 mg tablet,0.12,0.07,0.0204,7411.0,39
NDC,00904589161,pravastatin 10 mg tablet,0.79,0.47,0.1343,7411.0,39
NDC,00904589430,"simethicone 40 mg/0.6 mL oral drops,suspension",3.72,2.23,0.6324,7411.0,39
NDC,00904590887,"lactase 9,000 unit tablet",0.31,0.19,0.0527,7411.0,39
NDC,00904592161,digoxin 125 mcg (0.125 mg) tablet,2.7,1.62,0.459,7411.0,39
NDC,00904592861,labetalol 100 mg tablet,0.63,0.38,0.1071,7411.0,39
NDC,00904595961,clindamycin HCl 150 mg capsule,1.16,0.7,0.1972,7411.0,39
NDC,00904600860,LORazepam 1 mg tablet,0.12,0.07,0.0204,7411.0,39
NDC,00904600960,LORazepam 2 mg tablet,0.16,0.1,0.0272,7411.0,39
NDC,00904601946,bicalutamide 50 mg tablet,5.58,3.35,0.9486,7411.0,39
NDC,00904608261,zolpidem 5 mg tablet,0.17,0.1,0.0289,7411.0,39
NDC,00904608461,citalopram 10 mg tablet,0.11,0.07,0.0187,7411.0,39
NDC,00904608561,citalopram 20 mg tablet,0.12,0.07,0.0204,7411.0,39
NDC,00904617261,carBAMazepine 200 mg tablet,1.79,1.07,0.3043,7411.0,39
NDC,00904623761,carbidopa 25 mg-levodopa 100 mg tablet,0.38,0.23,0.0646,7411.0,39
NDC,00904623861,carbidopa 25 mg-levodopa 250 mg tablet,0.49,0.29,0.0833,7411.0,39
NDC,00904629061,atorvastatin 10 mg tablet,0.49,0.29,0.0833,7411.0,39
NDC,00904629304,atorvastatin 80 mg tablet,0.87,0.52,0.1479,7411.0,39
NDC,00904629461,clopidogrel 75 mg tablet,2.47,1.48,0.4199,7411.0,39
NDC,00904630161,carvedilol 6.25 mg tablet,0.19,0.11,0.0323,7411.0,39
NDC,00904630261,carvedilol 12.5 mg tablet,0.17,0.1,0.0289,7411.0,39
NDC,00904630521,phenol 1.4 % mucosal aerosol spray,4.96,2.98,0.8432,7411.0,39
NDC,00904632361,"metoprolol succinate ER 50 mg tablet,extended release 24 hr",2.1,1.26,0.357,7411.0,39
NDC,00904633860,pseudoephedrine 30 mg tablet,1.04,0.62,0.1768,7411.0,39
NDC,00904634161,metoprolol tartrate 50 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,00904634261,metoprolol tartrate 100 mg tablet,0.12,0.07,0.0204,7411.0,39
NDC,00904635261,levoFLOXacin 500 mg tablet,0.99,0.59,0.1683,7411.0,39
NDC,00904635361,levoFLOXacin 750 mg tablet,1.38,0.83,0.2346,7411.0,39
NDC,00904635961,risperiDONE 1 mg tablet,0.34,0.2,0.0578,7411.0,39
NDC,00904636061,risperiDONE 2 mg tablet,0.38,0.23,0.0646,7411.0,39
NDC,00904636345,"divalproex ER 250 mg tablet,extended release 24 hr",3.04,1.82,0.5168,7411.0,39
NDC,00904636561,traMADol 50 mg tablet,3.15,1.89,0.5355,7411.0,39
NDC,00904636961,amLODIPine 2.5 mg tablet,0.28,0.17,0.0476,7411.0,39
NDC,00904637661,OLANZapine 10 mg tablet,0.96,0.58,0.1632,7411.0,39
NDC,00904637761,OLANZapine 5 mg tablet,0.72,0.43,0.1224,7411.0,39
NDC,00904639061,losartan 50 mg tablet,1.35,0.81,0.2295,7411.0,39
NDC,00904639161,losartan 25 mg tablet,1.16,0.7,0.1972,7411.0,39
NDC,00904640189,tamsulosin 0.4 mg capsule,1.11,0.67,0.1887,7411.0,39
NDC,00904640761,"bisacodyl 5 mg tablet,delayed release",0.05,0.03,0.0085,7411.0,39
NDC,00904641292,calcium 200 mg (as calcium carbonate 500 mg) chewable tablet,0.03,0.02,0.0051,7411.0,39
NDC,00904641861,tiZANidine 4 mg tablet,2.05,1.23,0.3485,7411.0,39
NDC,00904644161,hydrALAZINE 25 mg tablet,0.25,0.15,0.0425,7411.0,39
NDC,00904644461,oxyCODONE 5 mg tablet,3.49,2.09,0.5933,7411.0,39
NDC,00904645361,"DULoxetine 30 mg capsule,delayed release",2.87,1.72,0.4879,7411.0,39
NDC,00904646707,clopidogrel 300 mg tablet,28.57,17.14,4.86,7411.0,39
NDC,00904647061,"venlafaxine ER 150 mg capsule,extended release 24 hr",1.17,0.7,0.1989,7411.0,39
NDC,00904647761,donepezil 5 mg tablet,1.27,0.76,0.2159,7411.0,39
NDC,00904648838,white petrolatum-mineral oil 83 %-15 % eye ointment,10.78,6.47,1.83,7411.0,39
NDC,00904655061,propranolol 10 mg tablet,0.47,0.28,0.0799,7411.0,39
NDC,00904657004,"oxyBUTYnin chloride ER 5 mg tablet,extended release 24 hr",6.86,4.12,1.17,7411.0,39
NDC,00904658561,"bupropion HCl SR 150 mg tablet,12 hr sustained-release",1.17,0.7,0.1989,7411.0,39
NDC,00904658761,rivastigmine 1.5 mg capsule,7.98,4.79,1.36,7411.0,39
NDC,00904661861,hydrOXYzine HCl 50 mg tablet,0.68,0.41,0.1156,7411.0,39
NDC,00904662061,isosorbide dinitrate 20 mg tablet,1.43,0.86,0.2431,7411.0,39
NDC,00904662735,carbamide peroxide 6.5 % ear drops,3.78,2.27,0.6426,7411.0,39
NDC,00904663661,bupropion HCl 100 mg tablet,3.28,1.97,0.5576,7411.0,39
NDC,00904663861,QUEtiapine 25 mg tablet,0.58,0.35,0.0986,7411.0,39
NDC,00904666561,gabapentin 100 mg capsule,0.23,0.14,0.0391,7411.0,39
NDC,00904666661,gabapentin 300 mg capsule,0.33,0.2,0.0561,7411.0,39
NDC,00904666761,gabapentin 400 mg capsule,0.41,0.25,0.0697,7411.0,39
NDC,00904668067,"neomycin-bacitracn Zn-polymyxn 3.5 mg-400 unit-5,000 unit top oint pkt",0.26,0.16,0.0442,7411.0,39
NDC,00904668961,metFORMIN 500 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,00904671318,"aspirin 81 mg tablet,delayed release",0.02,0.01,0.0034,7411.0,39
NDC,00904671743,cetirizine 10 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,00904671760,cetirizine 10 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,00904671772,cetirizine 10 mg tablet,0.12,0.07,0.0204,7411.0,39
NDC,00904672040,acetaminophen 500 mg tablet,0.03,0.02,0.0051,7411.0,39
NDC,00904672060,acetaminophen 500 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,00904672360,sennosides 8.6 mg-docusate sodium 50 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,00904672559,sennosides 8.6 mg tablet,0.03,0.02,0.0051,7411.0,39
NDC,00904672580,sennosides 8.6 mg tablet,0.02,0.01,0.0034,7411.0,39
NDC,00904672846,pseudoephedrine 60 mg tablet,1.14,0.68,0.1938,7411.0,39
NDC,00904672852,pseudoephedrine 60 mg tablet,1.09,0.65,0.1853,7411.0,39
NDC,00904673060,acetaminophen 500 mg tablet,0.05,0.03,0.0085,7411.0,39
NDC,00904673061,acetaminophen 500 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,00904673080,acetaminophen 500 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,00904674361,oxyCODONE 15 mg tablet,4.85,2.91,0.8245,7411.0,39
NDC,00904674860,"bisacodyl 5 mg tablet,delayed release",0.03,0.02,0.0051,7411.0,39
NDC,00904676130,oxymetazoline 0.05 % nasal spray,4.5,2.7,0.765,7411.0,39
NDC,00904676130,"oxymetazoline 0.05 % nasal spray,oxymetazoline 0.05 % masal mist",4.5,2.7,0.765,7411.0,39
NDC,00904676320,guaiFENesin 100 mg/5 mL oral liquid,2.36,1.42,0.4012,7411.0,39
NDC,00904677861,rosuvastatin 5 mg tablet,2.0,1.2,0.34,7411.0,39
NDC,00904679480,aspirin 81 mg chewable tablet,0.02,0.01,0.0034,7411.0,39
NDC,00904679489,aspirin 81 mg chewable tablet,0.03,0.02,0.0051,7411.0,39
NDC,00904680161,"QUEtiapine ER 50 mg tablet,extended release 24 hr",1.51,0.91,0.2567,7411.0,39
NDC,00904682561,hydrocodone 10 mg-acetaminophen 325 mg tablet,3.84,2.3,0.6528,7411.0,39
NDC,00904682805,oxyCODONE 5 mg/5 mL oral solution,14.54,8.72,2.47,7411.0,39
NDC,00904682892,oxyCODONE 5 mg/5 mL oral solution,14.54,8.72,2.47,7411.0,39
NDC,00904686161,"divalproex 500 mg tablet,delayed release",0.39,0.23,0.0663,7411.0,39
NDC,00904686961,traZODone 100 mg tablet,0.36,0.22,0.0612,7411.0,39
NDC,00904688461,hydroxychloroquine 200 mg tablet,3.54,2.12,0.6018,7411.0,39
NDC,00904695461,levothyroxine 112 mcg tablet,1.36,0.82,0.2312,7411.0,39
NDC,00904698516,diphenhydrAMINE 12.5 mg/5 mL oral liquid,9.46,5.68,1.61,7411.0,39
NDC,00904698640,"guaiFENesin ER 600 mg tablet, extended release 12 hr",0.53,0.32,0.0901,7411.0,39
NDC,00904699446,simethicone 125 mg capsule,0.13,0.08,0.0221,7411.0,39
NDC,00904702161,prazosin 2 mg capsule,3.74,2.24,0.6358,7411.0,39
NDC,00904702761,oxyBUTYnin chloride 5 mg tablet,1.2,0.72,0.204,7411.0,39
NDC,00904703587,chlorhexidine gluconate 0.12 % mouthwash,3.45,2.07,0.5865,7411.0,39
NDC,00904703588,chlorhexidine gluconate 0.12 % mouthwash,3.24,1.94,0.5508,7411.0,39
NDC,00904704761,losartan 25 mg tablet,1.16,0.7,0.1972,7411.0,39
NDC,00904705699,"aspirin 25 mg-dipyridamole 200 mg capsule,ext.release 12 hr multiphase",21.12,12.67,3.59,7411.0,39
NDC,00904707924,phenytoin 100 mg/4 mL oral suspension,9.79,5.87,1.66,7411.0,39
NDC,00904707924,"phenytoin 100 mg/4 mL oral suspension,phenytoin 125 mg/5 mL oral suspension",9.79,5.87,1.66,7411.0,39
NDC,00904708006,"NIFEdipine ER 30 mg tablet,extended release 24 hr",1.98,1.19,0.3366,7411.0,39
NDC,00904708006,"NIFEdipine ER 30 mg tablet,extended release 24 hr,NIFEdipine ER 30 mg tablet,extended release",1.98,1.19,0.3366,7411.0,39
NDC,00904708204,"NIFEdipine ER 90 mg tablet,extended release 24 hr",7.36,4.42,1.25,7411.0,39
NDC,00904708206,"NIFEdipine ER 90 mg tablet,extended release 24 hr,NIFEdipine ER 90 mg tablet,extended release",1.73,1.04,0.2941,7411.0,39
NDC,00904712461,levETIRAcetam 500 mg tablet,0.42,0.25,0.0714,7411.0,39
NDC,00904713470,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral syrup,2.87,1.72,0.4879,7411.0,39
NDC,00904713470,"dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral syrup,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral liquid",2.87,1.72,0.4879,7411.0,39
NDC,00904713961,metOLazone 5 mg tablet,7.11,4.27,1.21,7411.0,39
NDC,00904714504,droNABinol 5 mg capsule,19.28,11.57,3.28,7411.0,39
NDC,00904719361,famotidine 20 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,00904720546,bismuth subsalicylate 262 mg chewable tablet,0.15,0.09,0.0255,7411.0,39
NDC,00904723961,"sodium chloride 1 gram tablet,sodium chloride 1,000 mg soluble tablet",0.45,0.27,0.0765,7411.0,39
NDC,00904723961,"sodium chloride 1,000 mg soluble tablet",0.45,0.27,0.0765,7411.0,39
NDC,00904725260,sennosides 8.6 mg tablet,0.03,0.02,0.0051,7411.0,39
NDC,00904735661,lurasidone 40 mg tablet,1.85,1.11,0.3145,7411.0,39
NDC,00904736161,risperiDONE 0.5 mg tablet,0.55,0.33,0.0935,7411.0,39
NDC,00904741844,magnesium citrate oral solution,5.92,3.55,1.01,7411.0,39
NDC,00904742730,oxymetazoline 0.05 % nasal spray,4.5,2.7,0.765,7411.0,39
NDC,00904743535,oxymetazoline 0.05 % nasal spray,3.99,2.39,0.6783,7411.0,39
NDC,00904750930,aspirin 81 mg chewable tablet,1.74,1.04,0.2958,7411.0,39
NDC,00904759160,ferrous sulfate 325 mg (65 mg iron) tablet,2.03,1.22,0.3451,7411.0,39
NDC,00904759161,ferrous sulfate 325 mg (65 mg iron) tablet,2.06,1.24,0.3502,7411.0,39
NDC,00904759182,ferrous sulfate 325 mg (65 mg iron) tablet,2.03,1.22,0.3451,7411.0,39
NDC,00904762331,hydrocortisone-aloe vera 1 % topical cream,2.86,1.72,0.4862,7411.0,39
NDC,00904775127,lanolin alcohols-mineral oil-w.petrolatum-ceresin topical cream,8.17,4.9,1.39,7411.0,39
NDC,00904782236,clotrimazole 1 % topical cream,2.47,1.48,0.4199,7411.0,39
NDC,00904791251,ibuprofen 200 mg tablet,0.05,0.03,0.0085,7411.0,39
NDC,00904791259,ibuprofen 200 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,00904791459,ibuprofen 200 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,00904791461,ibuprofen 200 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,00904792760,"bisacodyl 5 mg tablet,delayed release",0.03,0.02,0.0051,7411.0,39
NDC,00941040901,periton.dialysis soln 6-1.5 % dextros low calc 2.5 mEq/L-mag 0.5 mEq/L,336.0,201.6,57.12,7411.0,39
NDC,00941042452,periton.dialysis soln 6-1.5 % dextros low calc 2.5 mEq/L-mag 0.5 mEq/L,246.0,147.6,41.82,7411.0,39
NDC,00941042453,periton.dialysis soln 6-1.5 % dextros low calc 2.5 mEq/L-mag 0.5 mEq/L,270.75,162.45,46.03,7411.0,39
NDC,00941043052,peritoneal dialysis soln 7-2.5 % dext.low calc 2.5 mEq/L-mag 0.5 mEq/L,300.0,180.0,51.0,7411.0,39
NDC,00941043053,peritoneal dialysis soln 7-2.5 % dext.low calc 2.5 mEq/L-mag 0.5 mEq/L,297.0,178.2,50.49,7411.0,39
NDC,00941043352,periton. dialysis soln 8-4.25 % dextrose calc 2.5 mEq/L-mag 0.5 mEq/L,300.0,180.0,51.0,7411.0,39
NDC,00941045701,peritoneal dialysis soln 7-2.5 % dext.low calc 2.5 mEq/L-mag 0.5 mEq/L,336.0,201.6,57.12,7411.0,39
NDC,00941045901,periton. dialysis soln 8-4.25 % dextrose calc 2.5 mEq/L-mag 0.5 mEq/L,282.0,169.2,47.94,7411.0,39
NDC,00941067906,peritoneal dialysis 28 and icodextrin 7.5 % Ca 3.5 mEq/L-mag 0.5 mEq/L,543.0,325.8,92.31,7411.0,39
NDC,00942064103,dextrose 2.45 gram-sod citrate 2.2 gram-citric ac 730 mg/100 mL soln,262.0,157.2,44.54,7411.0,39
NDC,00942064104,dextrose 2.45 gram-sod citrate 2.2 gram-citric ac 730 mg/100 mL soln,208.0,124.8,35.36,7411.0,39
NDC,00944049304,"albumin, human 25 % intravenous solution",545.65,327.39,50.43,7411.0,58
NDC,00944049505,"albumin, human 5 % intravenous solution",284.88,170.93,48.43,7411.0,58
NDC,00944049506,"albumin, human 5 % intravenous solution",284.88,170.93,48.43,7411.0,41
NDC,00944265603,"immune glob,gamma(IgG) 5 gram-gly-gluc-IgA 0 to 50 mcg/mL IV solution",3369.9,2021.94,76.38,7411.0,58
NDC,00944265804,"immune glob,gamma(IgG) 10 gram-gly-gluc-IgA 0 to 50 mcg/mL IV solution",6733.8,4040.28,76.38,7411.0,58
NDC,00944270002,"immune glob,gamma (IgG) 10 %-gly-IgA over 50 mcg/mL injection solution",768.84,461.3,46.63,7411.0,58
NDC,00944270004,"immune glob,gamma (IgG) 10 %-gly-IgA over 50 mcg/mL injection solution",2548.8,1529.28,46.63,7411.0,58
NDC,00944270005,"immune glob,gamma (IgG) 10 %-gly-IgA over 50 mcg/mL injection solution",5091.6,3054.96,46.63,7411.0,58
NDC,00944270006,"immune glob,gamma (IgG) 10 %-gly-IgA over 50 mcg/mL injection solution",10177.2,6106.32,46.63,7632.9,58
NDC,00944270008,"immune glob,gamma (IgG) 10 %-gly-IgA over 50 mcg/mL injection solution",768.84,461.3,130.7,7411.0,41
NDC,00944270010,"immune glob,gamma (IgG) 10 %-gly-IgA over 50 mcg/mL injection solution",2548.8,1529.28,433.3,7411.0,41
NDC,00944270011,"immune glob,gamma (IgG) 10 %-gly-IgA over 50 mcg/mL injection solution",5091.6,3054.96,865.57,7411.0,41
NDC,00944270012,"immune glob,gamma (IgG) 10 %-gly-IgA over 50 mcg/mL injection solution",10177.2,6106.32,1730.12,8650.62,41
NDC,00944284110,antihemophilic factor (recomb) 250 (+/-) unit intravenous solution,39.4,23.64,1.49,7411.0,58
NDC,00944284210,antihemophilic factor (recomb) 500 (+/-) unit intravenous solution,39.4,23.64,1.49,7411.0,58
NDC,00944284310,"antihemophilic factor (recomb) 1,000 (+/-) unit intravenous solution",39.4,23.64,1.49,7411.0,58
NDC,00944284510,"antihemophilic factor (recomb) 2,000 (+/-) unit intravenous solution",39.4,23.64,1.49,7411.0,58
NDC,00944304510,"antihemophilic factor VIII, full length 2,000 (+/-) unit IV solution",39.4,23.64,1.49,7411.0,58
NDC,00944381001,pegaspargase 750 unit/mL injection solution,55854.14,33512.48,6299.0,61111.73,57
NDC,00955100310,enoxaparin 30 mg/0.3 mL subcutaneous syringe,66.49,39.89,0.5962,7411.0,43
NDC,00955100810,enoxaparin 80 mg/0.8 mL subcutaneous syringe,130.56,78.34,0.5962,7411.0,43
NDC,00955101010,enoxaparin 100 mg/mL subcutaneous syringe,156.22,93.73,0.5962,7411.0,43
NDC,00955105027,sevelamer carbonate 800 mg tablet,3.4,2.04,0.578,7411.0,39
NDC,00955105201,sevelamer carbonate 0.8 gram oral powder packet,18.91,11.35,3.21,7411.0,39
NDC,00955105290,sevelamer carbonate 0.8 gram oral powder packet,18.91,11.35,3.21,7411.0,39
NDC,00990707426,potassium chloride 10 mEq/100mL in sterile water intravenous piggyback,41.4,24.84,0.1397,7411.0,42
NDC,00990707514,potassium chloride 10 mEq/50 mL in sterile water intravenous piggyback,42.0,25.2,0.1397,7411.0,42
NDC,00990767009,electrolyte-R (pH 7.4) intravenous solution,42.0,25.2,7.14,7411.0,39
NDC,00990767009,"electrolyte-R (pH 7.4) intravenous solution,electrolyte-r intravenous solution",42.0,25.2,7.14,7411.0,39
NDC,00990790209,potassium chloride 20 mEq/L in dextrose 5 %-0.45 % sodium chloride IV,54.0,32.4,9.18,7411.0,39
NDC,00990790409,potassium chloride 40 mEq/L in dextrose 5 %-0.45 % sodium chloride IV,54.0,32.4,9.18,7411.0,39
NDC,00990791819,dextrose 70 % in water (D70W) intravenous solution,87.0,52.2,14.79,7411.0,40
NDC,00990792203,dextrose 5 % in water (D5W) intravenous solution,45.0,27.0,2.06,7411.0,41
NDC,00990792209,dextrose 5 % in water (D5W) IV,30.0,18.0,3.38,7411.0,41
NDC,00990792209,dextrose 5 % in water (D5W) intravenous solution,42.0,25.2,3.38,7411.0,41
NDC,00990792261,dextrose 5 % in water (D5W) IV,31.5,18.9,2.06,7411.0,41
NDC,00990792261,dextrose 5 % in water (D5W) intravenous solution,43.5,26.1,3.38,7411.0,41
NDC,00990792336,dextrose 5 % in water (D5W) intravenous solution,24.9,14.94,3.38,7411.0,41
NDC,00990792603,dextrose 5 % and 0.45 % sodium chloride intravenous solution,45.0,27.0,1.41,7411.0,41
NDC,00990792909,dextrose 5 % and lactated ringers intravenous solution,42.0,25.2,7.14,7411.0,41
NDC,00990793519,dextrose 20 % in water (D20W) intravenous solution,81.0,48.6,13.77,7411.0,40
NDC,00990793619,dextrose 50 % in water (D50W) intravenous solution,84.0,50.4,14.28,7411.0,40
NDC,00990794103,dextrose 5 % and 0.9 % sodium chloride IV,33.0,19.8,1.41,7411.0,41
NDC,00990794109,dextrose 5 % and 0.9 % sodium chloride IV,30.0,18.0,1.41,7411.0,41
NDC,00990795303,lactated Ringers intravenous solution,45.0,27.0,2.86,7411.0,42
NDC,00990795309,lactated Ringers intravenous solution,42.0,25.2,7.14,7411.0,41
NDC,00990795309,lactated ringers IV,42.0,25.2,7.14,7411.0,40
NDC,00990796709,"electrolyte-R (pH 7.4) intravenous solution,electrolyte-r intravenous solution",42.0,25.2,7.14,7411.0,39
NDC,00990796709,electrolyte-R intravenous solution,42.0,25.2,7.14,7411.0,39
NDC,00990798302,sodium chloride 0.9 % intravenous solution,50.0,30.0,8.5,7411.0,40
NDC,00990798309,sodium chloride 0.9 % intravenous solution,50.0,30.0,8.5,7411.0,40
NDC,00990798325,sodium chloride 0.9 % intravenous solution,50.0,30.0,8.5,7411.0,40
NDC,00990798361,sodium chloride 0.9 % intravenous solution,50.0,30.0,8.5,7411.0,40
NDC,00990798413,sodium chloride 0.9 % intravenous solution,50.0,30.0,8.5,7411.0,40
NDC,00990798437,sodium chloride 0.9 % intravenous solution,50.0,30.0,8.5,7411.0,40
NDC,00990798502,sodium chloride 0.45 % intravenous solution,50.0,30.0,8.5,7411.0,40
NDC,00990799009,"water for injection, sterile 100 % intravenous solution",30.0,18.0,5.1,7411.0,39
NDC,00990925739,potassium chloride 20 mEq/L in 0.45 % sodium chloride intravenous soln,54.0,32.4,9.18,7411.0,41
NDC,00998020615,pilocarpine 4 % eye drops,0.66,0.4,0.1122,7411.0,39
NDC,01875026701,magnesium carbonate 54 mg/5 mL oral liquid,16.33,9.8,2.78,7411.0,39
NDC,03210512020,nicotine 14 mg/24 hr daily transdermal patch,4.43,2.66,0.7531,7411.0,39
NDC,05047463697,sodium hyaluronate 10 mg/mL intraocular syringe,470.92,282.55,80.06,7411.0,39
NDC,05253306673,"ropivacaine (PF) 2 mg/mL (0.2 %) Injection,ropivacaine (PF) 0.2 % in 0.9% sodium chloride epidural solution",341.78,205.07,0.0506,7411.0,42
NDC,05732088311,phenylephrine 0.25 %-cocoa butter 88.44 % rectal suppository,1.26,0.76,0.2142,7411.0,39
NDC,0731040106,zinc sulfate 50 mg zinc (220 mg) capsule,0.2,0.12,0.034,7411.0,39
NDC,07610010418,prenatal vits no.130-ferrous fum 27 mg iron-folic acid 800 mcg tablet,0.11,0.07,0.0187,7411.0,39
NDC,07610035920,sennosides 8.6 mg-docusate sodium 50 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,08065183085,sodium hyaluronate 10 mg/mL intraocular syringe,1061.64,636.98,180.48,7411.0,39
NDC,08065183710,chondroitin sulf-sodium hyaluronate 40 mg-17 mg/mL intraocular syringe,1429.61,857.77,243.03,7411.0,39
NDC,08065183905,chondroitin-sod hyaluron 4 %-3 % (40 mg-30 mg/mL) intraocular syringe,1715.76,1029.46,291.68,7411.0,39
NDC,08290236712,"Lactobacillus acidophilus, bulgaricus 100 million cell granules packet",1.72,1.03,0.2924,7411.0,39
NDC,08290306413,"heparin, porcine (PF) 10 unit/mL intravenous syringe",29.68,17.81,0.0198,7411.0,42
NDC,08290306513,"heparin, porcine (PF) 100 unit/mL intravenous syringe",31.48,18.89,0.0198,7411.0,42
NDC,08290306515,"heparin, porcine (PF) 100 unit/mL intravenous syringe",31.3,18.78,0.0198,7411.0,42
NDC,08290306521,"heparin, porcine (PF) 10 unit/mL intravenous syringe",29.16,17.5,0.0198,7411.0,42
NDC,08290306546,sodium chloride 0.9 % (flush) injection syringe,14.7,8.82,2.5,7411.0,39
NDC,08290306546,"sodium chloride 0.9 % injection syringe,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,",14.7,8.82,2.5,7411.0,39
NDC,08290306546,"sodium chloride 0.9% (flush) injection syringe,sodium chloride 0.9 % injection syringe,",14.7,8.82,2.5,7411.0,39
NDC,08290306547,sodium chloride 0.9 % (flush) injection syringe,13.12,7.87,2.23,7411.0,39
NDC,08290306547,"sodium chloride 0.9 % injection syringe,SODIUM CHLORIDE 0.9 % INTRAVENOUS PIGGYBACK,SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION,",13.12,7.87,2.23,7411.0,39
NDC,08290306547,"sodium chloride 0.9% (flush) injection syringe,sodium chloride 0.9 % injection syringe,",13.12,7.87,2.23,7411.0,39
NDC,08290306553,sodium chloride 0.9 % (flush) injection syringe,13.8,8.28,2.35,7411.0,39
NDC,08290306553,"sodium chloride 0.9% (flush) injection syringe,sodium chloride 0.9 % injection syringe,",13.8,8.28,2.35,7411.0,39
NDC,09999990757,sodium phosphate 3 mmol/mL intravenous solution,25.8,15.48,4.39,7411.0,39
NDC,09999990762,caffeine-sodium benzoate 250 mg/mL(125 mg/mL caffeine) injection soln,34.68,20.81,5.9,7411.0,39
NDC,09999991981,fentaNYL-BUPivacaine-NaCl (PF) 5 mcg/mL-0.0625 % epidural solution,126.0,75.6,21.42,7411.0,39
NDC,09999993556,sodium chloride 4 mEq/mL intravenous solution,18.0,10.8,3.06,7411.0,41
NDC,09999993955,"ropivacaine (PF) 2 mg/mL (0.2 %) Injection,ropivacaine (PF) 0.2 % in 0.9% sodium chloride epidural solution",341.78,205.07,58.1,7411.0,41
NDC,10006070012,pyridoxine (vitamin B6) 50 mg tablet,0.03,0.02,0.0051,7411.0,39
NDC,10006070015,ferrous sulfate 325 mg (65 mg iron) tablet,2.42,1.45,0.4114,7411.0,39
NDC,10006070020,"niacin ER 250 mg capsule,extended release",0.18,0.11,0.0306,7411.0,39
NDC,10006070028,magnesium oxide 400 mg (241.3 mg magnesium) tablet,0.15,0.09,0.0255,7411.0,39
NDC,10006070043,"vitamin E (dl, acetate) 90 mg (200 unit) capsule",0.08,0.05,0.0136,7411.0,39
NDC,10006073035,cyanocobalamin (vit B-12) 100 mcg tablet,0.03,0.02,0.0051,7411.0,39
NDC,10006073038,magnesium oxide 400 mg (241.3 mg magnesium) tablet,0.1,0.06,0.017,7411.0,39
NDC,10006073043,"cyanocobalamin (vit B-12) 1,000 mcg tablet",0.06,0.04,0.0102,7411.0,39
NDC,10019005561,"esmolol 2,500 mg/250 mL (10 mg/mL) in sodium chloride (iso-osmotic) IV",582.75,349.65,0.2596,7411.0,42
NDC,10019007587,"esmolol 2,000 mg/100 mL (20 mg/mL) in sodium chloride (iso-osmotic) IV",1511.7,907.02,0.2596,7411.0,42
NDC,10019055303,scopolamine 1 mg over 3 days transdermal patch,42.59,25.55,7.24,7411.0,39
NDC,10019055304,scopolamine 1 mg over 3 days transdermal patch,42.59,25.55,7.24,7411.0,39
NDC,10019055390,scopolamine 1 mg over 3 days transdermal patch,42.59,25.55,7.24,7411.0,39
NDC,10019092501,ifosfamide 1 gram intravenous solution,270.44,162.26,27.15,7411.0,42
NDC,10019092582,ifosfamide 1 gram intravenous solution,270.44,162.26,45.97,7411.0,41
NDC,10019092616,ifosfamide 3 gram intravenous solution,533.93,320.36,27.15,7411.0,42
NDC,10019095501,cycloPHOSphamide 500 mg intravenous powder for solution,1698.13,1018.88,0.7315,7411.0,57
NDC,10019095550,cycloPHOSphamide 500 mg intravenous powder for solution,1698.13,1018.88,288.68,7411.0,41
NDC,10019095601,cycloPHOSphamide 1 gram intravenous powder for solution,2162.66,1297.6,0.7315,7411.0,57
NDC,10019095616,cycloPHOSphamide 1 gram intravenous powder for solution,2162.66,1297.6,367.65,7411.0,41
NDC,10119002239,white petrolatum-mineral oil 80 %-20 % eye ointment,13.64,8.18,2.32,7411.0,39
NDC,10122051001,poractant alfa 120 mg/1.5 mL intratracheal suspension,1712.94,1027.76,291.2,7411.0,39
NDC,10122051003,poractant alfa 240 mg/3 mL intratracheal suspension,3377.73,2026.64,574.21,7411.0,39
NDC,10122061001,clevidipine 25 mg/50 mL intravenous emulsion,384.98,230.99,2.7,7411.0,57
NDC,10122061010,clevidipine 25 mg/50 mL intravenous emulsion,384.98,230.99,65.45,7411.0,41
NDC,10122062001,cangrelor 50 mg intravenous solution,2891.29,1734.77,19.02,7411.0,57
NDC,10122062010,cangrelor 50 mg intravenous solution,2891.29,1734.77,491.52,7411.0,41
NDC,10135015201,acetaminophen 500 mg tablet,0.02,0.01,0.0034,7411.0,39
NDC,10147091101,haloperidol lactate 5 mg/mL injection solution,36.84,22.1,0.8679,7411.0,42
NDC,10147095303,"paliperidone ER 6 mg tablet,extended release 24 hr",22.02,13.21,3.74,7411.0,39
NDC,10147170003,itraconazole 100 mg capsule,15.34,9.2,2.61,7411.0,39
NDC,10157210303,witch hazel 50 % topical pads,0.21,0.13,0.0357,7411.0,39
NDC,10361077831,barium sulfate 700 mg tablet,4.63,2.78,0.7871,7411.0,39
NDC,10361079301,sod bicarb-citric ac-simeth 2.21 gram-1.53 gram/4 gram granules efferv,4.73,2.84,0.8041,7411.0,39
NDC,10370010103,"bupropion HCl XL 150 mg 24 hr tablet, extended release",1.67,1.0,0.2839,7411.0,39
NDC,10370026801,tretinoin (antineoplastic) 10 mg capsule,58.79,35.27,9.99,7411.0,39
NDC,10370051010,"divalproex ER 250 mg tablet,extended release 24 hr",1.23,0.74,0.2091,7411.0,39
NDC,10370082909,"dilTIAZem CD 120 mg capsule,extended release 24 hr",1.55,0.93,0.2635,7411.0,39
NDC,10370083111,"dilTIAZem CD 240 mg capsule,extended release 24 hr",2.73,1.64,0.4641,7411.0,39
NDC,10481011208,ferric subsulfate 0.2 gram to 0.22 gram/mL topical soln and applicator,31.17,18.7,5.3,7411.0,39
NDC,10481105002,formaldehyde 10 % topical solution,45.12,27.07,7.67,7411.0,39
NDC,10511300102,hexaminolevulinate 100 mg intravesical solution,3933.0,2359.8,668.61,3343.05,53
NDC,10542001210,B complex 11-folic acid 1 mg-C 100 mg-biotin 300 mcg-zinc 50 mg tablet,0.39,0.23,0.0663,7411.0,39
NDC,10544048960,topiramate 100 mg tablet,6.52,3.91,1.11,7411.0,39
NDC,10631009362,triamcinolone acetonide 0.147 mg/gram topical aerosol,1059.28,635.57,180.08,7411.0,39
NDC,10702001801,oxyCODONE 5 mg tablet,3.26,1.96,0.5542,7411.0,39
NDC,10702005601,oxyCODONE 10 mg tablet,3.46,2.08,0.5882,7411.0,39
NDC,10702006501,dextroamphetamine sulfate 5 mg tablet,0.96,0.58,0.1632,7411.0,39
NDC,10702010101,methylphenidate 10 mg tablet,0.44,0.26,0.0748,7411.0,39
NDC,10702016901,desmopressin 0.1 mg tablet,0.89,0.53,0.1513,7411.0,39
NDC,10702018901,hydrocodone 5 mg-acetaminophen 325 mg tablet,3.36,2.02,0.5712,7411.0,39
NDC,10702025301,butalbital-acetaminophen-caffeine 50 mg-325 mg-40 mg tablet,0.37,0.22,0.0629,7411.0,39
NDC,10702027803,leflunomide 20 mg tablet,1.33,0.8,0.2261,7411.0,39
NDC,10702080803,cycloSPORINE 0.05 % eye drops in a dropperette,6.44,3.86,1.09,7411.0,39
NDC,10885000210,"lidocaine 70 mg-tetracaine 70 mg patch, medicated self-heating",33.9,20.34,5.76,7411.0,39
NDC,10939061644,mineral oil enema,2.66,1.6,0.4522,7411.0,39
NDC,11068001049,magnesium sulfate (bulk) 100 % crystals,32.64,19.58,5.55,7411.0,39
NDC,11523723402,polyethylene glycol 3350 17 gram/dose oral powder,13.8,8.28,2.35,7411.0,39
NDC,11523726803,polyethylene glycol 3350 17 gram oral powder packet,2.48,1.49,0.4216,7411.0,39
NDC,11528001001,esterified estrogens-methyltestosterone 1.25 mg-2.5 mg tablet,6.0,3.6,1.02,7411.0,39
NDC,11534016501,folic acid 1 mg tablet,0.12,0.07,0.0204,7411.0,39
NDC,11534019701,chlordiazepoxide-clidinium 5 mg-2.5 mg capsule,3.98,2.39,0.6766,7411.0,39
NDC,11704037001,hydroxocobalamin 5 gram intravenous solution,2463.96,1478.38,5.17,7411.0,57
NDC,11788000101,folic acid 1 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,11845005051,"vitamin E (dl, acetate) 180 mg (400 unit) capsule",0.12,0.07,0.0204,7411.0,39
NDC,11845007141,riboflavin (vitamin B2) 100 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,11845007791,phytonadione (vitamin K1) 100 mcg tablet,0.07,0.04,0.0119,7411.0,39
NDC,11845009151,"calcium 500 mg (as calcium carbonate 1,250 mg) tablet",0.08,0.05,0.0136,7411.0,39
NDC,11845050501,"vitamin E (dl, acetate) 180 mg (400 unit) capsule",0.17,0.1,0.0289,7411.0,39
NDC,11845071401,riboflavin (vitamin B2) 100 mg tablet,0.18,0.11,0.0306,7411.0,39
NDC,11845077901,phytonadione (vitamin K1) 100 mcg tablet,0.07,0.04,0.0119,7411.0,39
NDC,11917009100,"petrolatum, white-lanolin topical ointment",11.98,7.19,2.04,7411.0,39
NDC,11994001104,perflutren lipid microspheres 1.1 mg/mL intravenous suspension,1566.57,939.94,43.95,1331.58,53
NDC,12165010001,silver nitrate applicators 75 %-25 % topical stick,0.48,0.29,0.0816,7411.0,39
NDC,12496075701,buprenorphine HCl 0.3 mg/mL injection solution,91.02,54.61,4.58,7411.0,42
NDC,12496120201,buprenorphine 2 mg-naloxone 0.5 mg sublingual film,10.02,6.01,1.7,7411.0,39
NDC,12496120203,buprenorphine 2 mg-naloxone 0.5 mg sublingual film,10.02,6.01,1.7,7411.0,39
NDC,12843055565,"aspirin 325 mg tablet,delayed release",0.14,0.08,0.0238,7411.0,39
NDC,12870000101,silver nitrate applicators 75 %-25 % topical stick,15.1,9.06,2.57,7411.0,39
NDC,12870000102,silver nitrate applicators 75 %-25 % topical stick,14.06,8.44,2.39,7411.0,39
NDC,13107003105,mirtazapine 15 mg tablet,0.53,0.32,0.0901,7411.0,39
NDC,13107003134,mirtazapine 15 mg tablet,0.59,0.35,0.1003,7411.0,39
NDC,13107008001,traZODone 100 mg tablet,0.25,0.15,0.0425,7411.0,39
NDC,13107031901,clorazepate dipotassium 3.75 mg tablet,1.99,1.19,0.3383,7411.0,39
NDC,13533060320,antithrombin III (human) 500 (+/-) unit intravenous solution,53.98,32.39,3.9,7411.0,58
NDC,13533060612,antithrombin III (human) 500 (+/-) unit intravenous solution,53.98,32.39,9.18,7411.0,41
NDC,13533063402,tetanus immune globulin (PF) 250 unit/mL intramuscular syringe,1953.51,1172.11,332.1,7411.0,57
NDC,13533063504,"immune glob,gamma(IgG) 15 %-18 % range-glycine intramuscular solution",2072.63,1243.58,46.5,7411.0,57
NDC,13533063601,hepatitis B immune globulin 220 unit/mL intramuscular solution,756.56,453.94,128.62,7411.0,57
NDC,13533063602,hepatitis B immune globulin 220 unit/mL intramuscular syringe,756.56,453.94,128.62,7411.0,57
NDC,13533063603,hepatitis B immune globulin 110 unit/0.5 mL intramuscular syringe,404.03,242.42,68.69,7411.0,57
NDC,13533063610,hepatitis B immune globulin 220 unit/mL intramuscular solution,756.56,453.94,128.62,7411.0,41
NDC,13533063630,hepatitis B immune globulin 110 unit/0.5 mL intramuscular syringe,404.03,242.42,68.69,7411.0,41
NDC,13533070211,"alpha-1-proteinase inhibitor (human) 1,000 mg intravenous solution",31.2,18.72,4.88,7411.0,57
NDC,13533070501,"alpha-1-proteinase inhibitor (human) 1,000 mg (+/-)/20 mL IV solution",3.42,2.05,0.5814,7411.0,57
NDC,13533070511,"alpha-1-proteinase inhibitor (human) 1,000 mg (+/-)/20 mL IV solution",3.42,2.05,0.5814,7411.0,41
NDC,13668000701,zolpidem 5 mg tablet,0.18,0.11,0.0306,7411.0,39
NDC,13668009190,pramipexole 0.125 mg tablet,0.29,0.17,0.0493,7411.0,39
NDC,13668009290,pramipexole 0.25 mg tablet,0.29,0.17,0.0493,7411.0,39
NDC,13668009390,pramipexole 0.5 mg tablet,0.29,0.17,0.0493,7411.0,39
NDC,13668009490,pramipexole 1 mg tablet,0.29,0.17,0.0493,7411.0,39
NDC,13668013601,escitalopram 10 mg tablet,0.32,0.19,0.0544,7411.0,39
NDC,13668013701,escitalopram 20 mg tablet,0.34,0.2,0.0578,7411.0,39
NDC,13668015830,telmisartan 80 mg tablet,1.67,1.0,0.2839,7411.0,39
NDC,13668016830,OLANZapine 7.5 mg tablet,0.56,0.34,0.0952,7411.0,39
NDC,13668018590,sildenafil (pulmonary hypertension) 20 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,13668018730,sildenafil 50 mg tablet,0.53,0.32,0.0901,7411.0,39
NDC,13668040990,losartan 50 mg tablet,0.4,0.24,0.068,7411.0,39
NDC,13668044101,celecoxib 100 mg capsule,0.6,0.36,0.102,7411.0,39
NDC,13668045301,anagrelide 0.5 mg capsule,3.67,2.2,0.6239,7411.0,39
NDC,13668058630,"erythromycin 250 mg tablet,delayed release",10.48,6.29,1.78,7411.0,39
NDC,13811070550,sodium benzoate 10 %-sodium phenylacetate 10 % intravenous solution,109512.0,65707.2,6299.0,93085.2,41
NDC,13811070610,"methylphenidate ER 18 mg tablet,extended release 24 hr",1.45,0.87,0.2465,7411.0,39
NDC,13845120202,cycloSERINE 250 mg capsule,139.83,83.9,23.77,7411.0,39
NDC,13925017705,ethanol (ethyl alcohol) 98 % injection solution,582.75,349.65,99.07,7411.0,39
NDC,13925017710,ethanol (ethyl alcohol) 98 % injection solution,582.75,349.65,99.07,7411.0,39
NDC,14789001505,isoproterenol 0.2 mg/mL injection solution,1804.0,1082.4,306.68,7411.0,39
NDC,14789001507,isoproterenol 0.2 mg/mL injection solution,1804.0,1082.4,306.68,7411.0,39
NDC,14789010407,"succinylcholine chloride 20 mg/mL injection solution,succinylcholine chloride 200 mg/10 mL (20 mg/mL) intravenous solution,succinylcholine(PF)200 mg/10 mL(20 mg/mL)-NaCl,iso intravenous syringe,succin",82.0,49.2,13.94,7411.0,41
NDC,14789010805,potassium chloride 10 mEq/50 mL in sterile water intravenous piggyback,162.0,97.2,0.1397,7411.0,42
NDC,14789010808,potassium chloride 10 mEq/50 mL in sterile water intravenous piggyback,162.0,97.2,27.54,7411.0,41
NDC,14789033008,"levETIRAcetam 1,500 mg/100 mL in sodium chloride(iso-osm) IV piggyback",57.0,34.2,0.0374,7411.0,42
NDC,14789033015,"levETIRAcetam 1,500 mg/100 mL in sodium chloride(iso-osm) IV piggyback",57.0,34.2,9.69,7411.0,41
NDC,15054106003,lanreotide 60 mg/0.2 mL subcutaneous syringe,16725.0,10035.0,33.93,12543.75,57
NDC,15054109003,lanreotide 90 mg/0.3 mL subcutaneous syringe,22275.0,13365.0,33.93,16706.25,57
NDC,15054112003,lanreotide 120 mg/0.5 mL subcutaneous syringe,26268.0,15760.8,33.93,19701.0,57
NDC,15137002127,sorbitol-mannitol-xanthan gum oral liquid,16.0,9.6,2.72,7411.0,39
NDC,15584010101,efavirenz 600 mg-emtricitabine 200 mg-tenofovir disoprox 300 mg tablet,200.15,120.09,34.03,7411.0,39
NDC,16103036611,aspirin 81 mg chewable tablet,0.02,0.01,0.0034,7411.0,39
NDC,16477034003,urea 40 % topical cream,177.14,106.28,30.11,7411.0,39
NDC,16526010750,aspirin 81 mg chewable tablet,0.08,0.05,0.0136,7411.0,39
NDC,16571012606,tolterodine 1 mg tablet,1.67,1.0,0.2839,7411.0,39
NDC,16571012706,tolterodine 2 mg tablet,1.67,1.0,0.2839,7411.0,39
NDC,16571016010,trihexyphenidyl 2 mg tablet,0.3,0.18,0.051,7411.0,39
NDC,16571030216,codeine 10 mg-guaifenesin 100 mg/5 mL oral liquid,80.41,48.25,13.67,7411.0,39
NDC,16571033016,PHENobarbital 20 mg/5 mL (4 mg/mL) oral elixir,159.87,95.92,27.18,7411.0,39
NDC,16571040110,cetirizine 5 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,16571065710,cevimeline 30 mg capsule,5.29,3.17,0.8993,7411.0,39
NDC,16571067101,PHENobarbital 16.2 mg tablet,0.85,0.51,0.1445,7411.0,39
NDC,16571067516,PHENobarbital 20 mg/5 mL (4 mg/mL) oral elixir,156.09,93.65,26.54,7411.0,39
NDC,16571073521,methylergonovine 0.2 mg tablet,33.17,19.9,5.64,7411.0,39
NDC,16571076209,levOCARNitine 330 mg tablet,1.76,1.06,0.2992,7411.0,39
NDC,16571086203,"bupropion HCl XL 150 mg 24 hr tablet, extended release",0.33,0.2,0.0561,7411.0,39
NDC,16714005501,mupirocin calcium 2 % topical cream,392.25,235.35,66.68,7411.0,39
NDC,16714040601,norethindrone 1 mg-ethinyl estradiol 20 mcg (21)-iron 75 mg (7) tablet,1.54,0.92,0.2618,7411.0,39
NDC,16714040801,norethindrone acetate 1 mg-ethinyl estradiol 20 mcg tablet,1.01,0.61,0.1717,7411.0,39
NDC,16714040803,norethindrone acetate 1 mg-ethinyl estradiol 20 mcg tablet,1.01,0.61,0.1717,7411.0,39
NDC,16729000101,glimepiride 1 mg tablet,0.18,0.11,0.0306,7411.0,39
NDC,16729000201,glimepiride 2 mg tablet,0.29,0.17,0.0493,7411.0,39
NDC,16729000915,pravastatin 20 mg tablet,0.28,0.17,0.0476,7411.0,39
NDC,16729002016,pioglitazone 15 mg tablet,0.27,0.16,0.0459,7411.0,39
NDC,16729002310,bicalutamide 50 mg tablet,6.52,3.91,1.11,7411.0,39
NDC,16729003001,methyldopa 250 mg tablet,0.23,0.14,0.0391,7411.0,39
NDC,16729003410,letrozole 2.5 mg tablet,5.5,3.3,0.935,7411.0,41
NDC,16729003510,anastrozole 1 mg tablet,5.6,3.36,0.952,7411.0,39
NDC,16729003515,anastrozole 1 mg tablet,5.6,3.36,0.952,7411.0,39
NDC,16729004101,"tacrolimus 0.5 mg capsule, immediate-release",0.67,0.4,0.1139,7411.0,43
NDC,16729004201,"tacrolimus 1 mg capsule, immediate-release",1.17,0.7,0.1989,7411.0,43
NDC,16729004301,"tacrolimus 5 mg capsule, immediate-release",5.83,3.5,0.253,7411.0,43
NDC,16729007329,capecitabine 500 mg tablet,56.11,33.67,0.0285,7411.0,57
NDC,16729008110,naltrexone 50 mg tablet,3.63,2.18,0.6171,7411.0,39
NDC,16729009001,finasteride 5 mg tablet,0.16,0.1,0.0272,7411.0,39
NDC,16729009010,finasteride 5 mg tablet,0.16,0.1,0.0272,7411.0,39
NDC,16729009015,finasteride 5 mg tablet,0.16,0.1,0.0272,7411.0,39
NDC,16729009401,mycophenolate mofetil 250 mg capsule,0.4,0.24,0.068,7411.0,42
NDC,16729010811,mitoMYcin 20 mg intravenous solution,1945.94,1167.56,27.04,7411.0,57
NDC,16729011431,etoposide 20 mg/mL intravenous solution,111.8,67.08,0.8778,7411.0,42
NDC,16729011505,mitoMYcin 5 mg intravenous solution,1144.72,686.83,27.04,7411.0,57
NDC,16729011505,mitomycin 5 mg IV Solution,491.54,294.92,83.56,7411.0,39
NDC,16729011638,mitoMYcin 40 mg intravenous solution,3841.88,2305.13,27.04,7411.0,57
NDC,16729011910,montelukast 10 mg tablet,0.16,0.1,0.0272,7411.0,39
NDC,16729013600,clonazePAM 0.5 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,16729013700,clonazePAM 1 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,16729017101,amitriptyline 10 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,16729017201,amitriptyline 25 mg tablet,0.17,0.1,0.0289,7411.0,39
NDC,16729017501,amitriptyline 100 mg tablet,0.6,0.36,0.102,7411.0,39
NDC,16729018301,hydroCHLOROthiazide 25 mg tablet,0.03,0.02,0.0051,7411.0,39
NDC,16729018929,"mycophenolate sodium 360 mg tablet,delayed release",0.73,0.44,0.1241,7411.0,42
NDC,16729020001,buspirone 5 mg tablet,0.06,0.04,0.0102,7411.0,39
NDC,16729020016,buspirone 5 mg tablet,0.06,0.04,0.0102,7411.0,39
NDC,16729020101,buspirone 7.5 mg tablet,0.51,0.31,0.0867,7411.0,39
NDC,16729020201,buspirone 10 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,16729021615,sertraline 50 mg tablet,0.17,0.1,0.0289,7411.0,39
NDC,16729021715,sertraline 100 mg tablet,0.17,0.1,0.0289,7411.0,39
NDC,16729021810,clopidogrel 75 mg tablet,2.18,1.31,0.3706,7411.0,39
NDC,16729021815,clopidogrel 75 mg tablet,2.18,1.31,0.3706,7411.0,39
NDC,16729023930,dexmedeTOMIDine 100 mcg/mL intravenous solution,32.4,19.44,5.51,7411.0,39
NDC,16729023993,dexmedeTOMIDine 100 mcg/mL intravenous solution,32.4,19.44,5.51,7411.0,39
NDC,16729027603,fluorouracil 500 mg/10 mL intravenous solution,132.62,79.57,2.26,7411.0,42
NDC,16729027605,fluorouracil 1 gram/20 mL intravenous solution,198.68,119.21,2.26,7411.0,42
NDC,16729043310,ezetimibe 10 mg tablet,0.42,0.25,0.0714,7411.0,39
NDC,16729044010,cinacalcet 30 mg tablet,1.0,0.6,0.17,7411.0,39
NDC,16729044310,"bupropion HCl XL 150 mg 24 hr tablet, extended release",0.26,0.16,0.0442,7411.0,39
NDC,16729044315,"bupropion HCl XL 150 mg 24 hr tablet, extended release",0.26,0.16,0.0442,7411.0,39
NDC,16729046603,phenylephrine 10 mg/mL injection solution,229.0,137.4,0.0022,7411.0,42
NDC,16729046715,pirfenidone 267 mg tablet,20.35,12.21,3.46,7411.0,39
NDC,16729048501,hydroxychloroquine 200 mg tablet,1.16,0.7,0.1972,7411.0,39
NDC,16729049303,"succinylcholine chloride 20 mg/mL injection solution,succinylcholine chloride 200 mg/10 mL (20 mg/mL) intravenous solution,succinylcholine(PF)200 mg/10 mL(20 mg/mL)-NaCl,iso intravenous syringe,succin",56.8,34.08,9.66,7411.0,41
NDC,16729049345,"succinylcholine chloride 20 mg/mL injection solution,succinylcholine chloride 200 mg/10 mL (20 mg/mL) intravenous solution,succinylcholine(PF)200 mg/10 mL(20 mg/mL)-NaCl,iso intravenous syringe,succin",56.8,34.08,9.66,7411.0,41
NDC,16729050008,furosemide 10 mg/mL injection solution,25.2,15.12,0.0187,7411.0,42
NDC,16729050030,furosemide 10 mg/mL injection solution,25.2,15.12,4.28,7411.0,41
NDC,16729071045,ethyl alcohol 99 % intra-arterial solution,1959.38,1175.63,333.09,7411.0,39
NDC,16837085514,famotidine 20 mg tablet,0.78,0.47,0.1326,7411.0,39
NDC,16837085525,famotidine 20 mg tablet,0.78,0.47,0.1326,7411.0,39
NDC,16864068002,benzocaine 20 %-menthol 0.5 % topical aerosol,9.07,5.44,1.54,7411.0,39
NDC,17156006710,flutemetamol F-18 5 mCi (185 MBq) intravenous solution,8775.0,5265.0,1491.75,7411.0,54
NDC,17156006730,flutemetamol F-18 5 mCi (185 MBq) intravenous solution,8775.0,5265.0,1491.75,7458.75,39
NDC,17238090011,fluorescein 1 mg eye strips,0.42,0.25,0.0714,7411.0,39
NDC,17433987600,docusate sodium 283 mg/5 mL enema,3.73,2.24,0.6341,7411.0,39
NDC,17433987603,docusate sodium 283 mg/5 mL enema,2.24,1.3450000000000002,0.1275,7411.0,78
NDC,17478004001,"LORazepam 2 mg/mL injection solution,LORazepam 2 mg/mL injection syringe",19.5,11.7,1.83,7411.0,42
NDC,17478004101,naloxone 0.4 mg/mL injection solution,78.57,47.14,0.0715,7411.0,42
NDC,17478004532,tetracaine HCl (PF) 1 % (10 mg/mL) injection solution,341.74,205.04,58.1,7411.0,39
NDC,17478005001,SUFentanil citrate 50 mcg/mL intravenous solution,11.38,6.83,1.93,7411.0,39
NDC,17478005002,SUFentanil citrate 50 mcg/mL intravenous solution,51.46,30.88,8.75,7411.0,39
NDC,17478005005,SUFentanil citrate 50 mcg/mL intravenous solution,9.84,5.9,1.67,7411.0,39
NDC,17478017412,levalbuterol 1.25 mg/3 mL solution for nebulization,21.87,13.12,3.72,7411.0,39
NDC,17478017424,levalbuterol 1.25 mg/3 mL solution for nebulization,21.87,13.12,3.72,7411.0,39
NDC,17478020102,phenylephrine 2.5 % eye drops,65.0,39.0,11.05,7411.0,39
NDC,17478020910,ketorolac 0.5 % eye drops,64.04,38.42,10.89,7411.0,39
NDC,17478023835,"bacitracin-polymyxin B 500 unit-10,000 unit/gram eye ointment",27.8,16.68,4.73,7411.0,39
NDC,17478025310,fluorescein 500 mg/5 mL (10 %) intravenous solution,324.0,194.4,55.08,7411.0,39
NDC,17478026312,proparacaine 0.5 % eye drops,70.2,42.12,11.93,7411.0,39
NDC,17478028810,timolol maleate 0.5 % eye drops,17.38,10.43,2.95,7411.0,39
NDC,17478029010,tobramycin 0.3 % eye drops,23.3,13.98,3.96,7411.0,39
NDC,17478034038,tobramycin 300 mg/5 mL in 0.225 % sodium chloride for nebulization,90.68,54.41,8.54,7411.0,42
NDC,17478041501,ePHEDrine sulfate 50 mg/mL intravenous solution,287.74,172.64,48.92,7411.0,39
NDC,17478041510,ePHEDrine sulfate 50 mg/mL intravenous solution,287.74,172.64,48.92,7411.0,39
NDC,17478050305,ethanol (ethyl alcohol) 98 % injection solution,2010.4,1206.24,341.77,7411.0,39
NDC,17478050401,methylene blue (antidote) 1 % (10 mg/mL) intravenous solution,107.39,64.43,9.78,7411.0,57
NDC,17478050410,methylene blue (antidote) 1 % (10 mg/mL) intravenous solution,805.41,483.25,9.78,7411.0,57
NDC,17478051002,PHYSostigmine 1 mg/mL injection solution,356.29,213.77,60.57,7411.0,39
NDC,17478052603,dimercaprol 100 mg/mL intramuscular solution,761.72,457.03,129.49,7411.0,42
NDC,17478054050,HYDROmorphone (PF) 10 mg/mL injection solution,465.0,279.0,0.1111,7411.0,42
NDC,17478054202,adenosine 3 mg/mL intravenous solution,35.7,21.42,0.48,7411.0,43
NDC,17478062235,sodium chloride 5 % eye ointment,20.94,12.56,3.56,7411.0,39
NDC,17478062512,latanoprost 0.005 % eye drops,31.1,18.66,5.29,7411.0,39
NDC,17478070102,indocyanine green 25 mg solution for injection,512.69,307.61,87.16,7411.0,39
NDC,17478071710,ketotifen 0.025 % (0.035 %) eye drops,18.28,10.97,3.11,7411.0,39
NDC,17478093101,calcitriol 1 mcg/mL intravenous solution,45.01,27.01,7.65,7411.0,41
NDC,17478093401,hydrALAZINE 20 mg/mL injection solution,254.76,152.86,4.72,7411.0,42
NDC,17478093410,hydrALAZINE 20 mg/mL injection solution,254.76,152.86,43.31,7411.0,41
NDC,17478093725,dilTIAZem 5 mg/mL intravenous solution,65.55,39.33,11.14,7411.0,39
NDC,17856200203,chlorhexidine gluconate 0.12 % mouthwash,2.64,1.58,0.4488,7411.0,39
NDC,17856356603,"midazolam 10 mg/5 mL (2 mg/mL) oral syrup,midazolam 2 mg/mL oral syrup",2.72,1.63,0.4624,7411.0,39
NDC,17856356603,midazolam 2 mg/mL oral syrup,2.72,1.63,0.4624,7411.0,39
NDC,18657011701,"hyaluronidase, human recombinant 150 unit/mL injection solution",251.1,150.66,0.3993,7411.0,42
NDC,18860072310,ziconotide 25 mcg/mL intrathecal solution,12026.7,7216.02,9.94,9020.02,57
NDC,19515090441,flu vaccine ts 2025-26(6mos up)(PF) 45 mcg(15mcg x3)/0.5 mL IM syringe,45.0,27.0,7.65,7411.0,42
NDC,19515090452,flu vaccine ts 2025-26(6mos up)(PF) 45 mcg(15mcg x3)/0.5 mL IM syringe,45.0,27.0,7.65,7411.0,41
NDC,19903001021,"simethicone 40 mg/0.6 mL oral drops,suspension",8.7,5.22,1.48,7411.0,39
NDC,20451087122,lanolin topical cream,10.03,6.02,1.71,7411.0,39
NDC,20555000100,ascorbic acid (vitamin C) 250 mg tablet,0.03,0.02,0.0051,7411.0,39
NDC,20555000300,"calcium 500 mg (as calcium carbonate 1,250 mg) tablet",0.03,0.02,0.0051,7411.0,39
NDC,20555001700,calcium 600 mg (as carbonate)-vitamin D3 10 mcg (400 unit) tablet,0.3,0.18,0.051,7411.0,39
NDC,20555001900,ferrous gluconate 324 mg (37.5 mg iron) tablet,2.07,1.24,0.3519,7411.0,39
NDC,20555002101,ferrous sulfate 325 mg (65 mg iron) tablet,2.03,1.22,0.3451,7411.0,39
NDC,20555003300,"cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet",0.08,0.05,0.0136,7411.0,39
NDC,23155000101,hydrALAZINE 10 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,23155000201,hydrALAZINE 25 mg tablet,0.12,0.07,0.0204,7411.0,39
NDC,23155000301,hydrALAZINE 50 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,23155000801,hydroCHLOROthiazide 25 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,23155002301,buspirone 5 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,23155002401,buspirone 10 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,23155002601,verapamil 80 mg tablet,0.23,0.14,0.0391,7411.0,39
NDC,23155002701,verapamil 120 mg tablet,0.18,0.11,0.0306,7411.0,39
NDC,23155004303,leflunomide 10 mg tablet,1.47,0.88,0.2499,7411.0,39
NDC,23155004403,leflunomide 20 mg tablet,1.47,0.88,0.2499,7411.0,39
NDC,23155005101,"nystatin 500,000 unit tablet",2.51,1.51,0.4267,7411.0,39
NDC,23155005701,glyBURIDE 2.5 mg tablet,0.4,0.24,0.068,7411.0,39
NDC,23155005801,glyBURIDE 5 mg tablet,0.64,0.38,0.1088,7411.0,39
NDC,23155005901,verapamil 40 mg tablet,0.31,0.19,0.0527,7411.0,39
NDC,23155007001,methIMAzole 5 mg tablet,0.3,0.18,0.051,7411.0,39
NDC,23155007101,methIMAzole 10 mg tablet,0.52,0.31,0.0884,7411.0,39
NDC,23155010201,metFORMIN 500 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,23155010301,metFORMIN 850 mg tablet,0.12,0.07,0.0204,7411.0,39
NDC,23155010401,"metFORMIN 1,000 mg tablet",0.14,0.08,0.0238,7411.0,39
NDC,23155011201,propranolol 40 mg tablet,0.51,0.31,0.0867,7411.0,39
NDC,23155012001,"acetaZOLAMIDE ER 500 mg capsule,extended release",2.5,1.5,0.425,7411.0,39
NDC,23155017801,"isosorbide mononitrate ER 60 mg tablet,extended release 24 hr",0.8,0.48,0.136,7411.0,39
NDC,23155019401,NIFEdipine 10 mg capsule,0.77,0.46,0.1309,7411.0,39
NDC,23155019501,NIFEdipine 20 mg capsule,1.66,1.0,0.2822,7411.0,39
NDC,23155019631,ondansetron HCl (PF) 4 mg/2 mL injection solution,5.52,3.31,0.0968,7411.0,42
NDC,23155021631,cidofovir 75 mg/mL intravenous solution,2225.0,1335.0,378.25,7411.0,57
NDC,23155024031,metoclopramide 5 mg/mL injection solution,13.2,7.92,1.05,7411.0,42
NDC,23155024041,metoclopramide 5 mg/mL injection solution,13.2,7.92,2.24,7411.0,41
NDC,23155024701,venlafaxine 37.5 mg tablet,0.25,0.15,0.0425,7411.0,39
NDC,23155024801,venlafaxine 50 mg tablet,0.26,0.16,0.0442,7411.0,39
NDC,23155028801,acetaZOLAMIDE 250 mg tablet,0.7,0.42,0.119,7411.0,39
NDC,23155048601,verapamil 120 mg tablet,0.18,0.11,0.0306,7411.0,39
NDC,23155048901,desmopressin 0.1 mg tablet,2.1,1.26,0.357,7411.0,39
NDC,23155050001,hydrOXYzine HCl 10 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,23155050101,hydrOXYzine HCl 25 mg tablet,0.11,0.07,0.0187,7411.0,39
NDC,23155051901,"isosorbide mononitrate ER 30 mg tablet,extended release 24 hr",0.42,0.25,0.0714,7411.0,39
NDC,23155053201,ethosuximide 250 mg capsule,2.4,1.44,0.408,7411.0,39
NDC,23155057801,desipramine 10 mg tablet,1.76,1.06,0.2992,7411.0,39
NDC,23155057901,desipramine 25 mg tablet,2.12,1.27,0.3604,7411.0,39
NDC,23155058001,desipramine 50 mg tablet,3.98,2.39,0.6766,7411.0,39
NDC,23155060031,midazolam 1 mg/mL injection solution,3.31,1.99,0.1815,7411.0,42
NDC,23155060041,midazolam 1 mg/mL injection solution,3.31,1.99,0.5627,7411.0,41
NDC,23155060601,glycopyrrolate 1 mg tablet,1.24,0.74,0.2108,7411.0,39
NDC,23155064941,carmustine 100 mg intravenous powder for solution,1670.0,1002.0,229.71,7411.0,57
NDC,23155065201,metroNIDAZOLE 500 mg tablet,1.52,0.91,0.2584,7411.0,39
NDC,23155066131,isoproterenol 0.2 mg/mL injection solution,634.0,380.4,107.78,7411.0,39
NDC,23155066142,isoproterenol 0.2 mg/mL injection solution,634.0,380.4,107.78,7411.0,39
NDC,23155066201,calcitriol 0.25 mcg capsule,0.54,0.32,0.0918,7411.0,39
NDC,23155066203,calcitriol 0.25 mcg capsule,0.54,0.32,0.0918,7411.0,39
NDC,23155068741,octreotide acetate 50 mcg/mL injection solution,17.4,10.44,0.6864,7411.0,43
NDC,23155076601,tetracycline 250 mg capsule,1.54,0.92,0.2618,7411.0,39
NDC,23155077201,enalapril maleate 10 mg tablet,0.45,0.27,0.0765,7411.0,39
NDC,23155083201,hydrALAZINE 10 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,23155083401,hydrALAZINE 50 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,23155085825,vancomycin 125 mg capsule,10.0,6.0,1.7,7411.0,39
NDC,23155087031,arsenic trioxide 2 mg/mL intravenous solution,767.74,460.64,7.09,7411.0,42
NDC,23155087041,arsenic trioxide 2 mg/mL intravenous solution,767.74,460.64,130.52,7411.0,41
NDC,23155091031,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution",52.6,31.56,8.94,7411.0,41
NDC,23155091041,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution",52.6,31.56,8.94,7411.0,41
NDC,23359010010,multivit-minerals no.73-iron fumarate 106 mg-folic acid 1 mg capsule,2.95,1.77,0.5015,7411.0,39
NDC,23359010030,multivit-minerals no.73-iron fumarate 106 mg-folic acid 1 mg capsule,3.14,1.88,0.5338,7411.0,39
NDC,23558007650,carbamide peroxide 6.5 % ear drops,4.59,2.75,0.7803,7411.0,39
NDC,24200043104,fentaNYL (PF) 2 mcg/mL-BUPivacaine 0.0625 %-NaCl injection solution,59.88,35.93,10.18,7411.0,39
NDC,24201010001,"acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution",65.4,39.24,0.0561,7411.0,42
NDC,24201010024,"acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution",65.4,39.24,11.12,7411.0,41
NDC,24208000202,hyaluronidase (ovine) 200 unit/mL injection solution,543.72,326.23,92.43,7411.0,41
NDC,24208027615,sodium chloride 2 % eye drops,30.36,18.22,5.16,7411.0,39
NDC,24208029005,tobramycin 0.3 % eye drops,23.5,14.1,4.0,7411.0,39
NDC,24208029505,"tobramycin 0.3 %-dexamethasone 0.1 % eye drops,suspension",202.8,121.68,34.48,7411.0,39
NDC,24208031510,"polymyxin B sulfate 10,000 unit-trimethoprim 1 mg/mL eye drops",21.5,12.9,3.65,7411.0,39
NDC,24208038760,vit A 300 mcg-C 200 mg-E 27 mg-lutein 2 mg and minerals tablet,0.23,0.14,0.0391,7411.0,39
NDC,24208038762,vit A 300 mcg-C 200 mg-E 27 mg-lutein 2 mg and minerals tablet,0.17,0.1,0.0289,7411.0,39
NDC,24208039915,ipratropium bromide 42 mcg (0.06 %) nasal spray,72.99,43.79,12.41,7411.0,39
NDC,24208041005,ofloxacin 0.3 % ear drops,257.14,154.28,43.71,7411.0,39
NDC,24208043405,ofloxacin 0.3 % eye drops,40.88,24.53,6.95,7411.0,39
NDC,24208043410,ofloxacin 0.3 % eye drops,77.68,46.61,13.21,7411.0,39
NDC,24208048510,dorzolamide 2 % eye drops,67.98,40.79,11.56,7411.0,39
NDC,24208050505,levobunolol 0.5 % eye drops,35.82,21.49,6.09,7411.0,39
NDC,24208053535,ganciclovir 0.15 % eye gel,940.14,564.08,159.82,7411.0,39
NDC,24208053920,acetylcholine chloride 1 % (10 mg/mL) intraocular kit,578.88,347.33,98.41,7411.0,39
NDC,24208058060,gentamicin 0.3 % eye drops,71.42,42.85,12.14,7411.0,39
NDC,24208058559,tropicamide 1 % eye drops,16.0,9.6,2.72,7411.0,39
NDC,24208058564,tropicamide 1 % eye drops,60.0,36.0,10.2,7411.0,39
NDC,24208063110,"neomycin-polymyxin-hydrocort 3.5 mg/mL-10,000 unit/mL-1 % ear solution",167.8,100.68,28.53,7411.0,39
NDC,24208067004,sulfacetamide sodium 10 % eye drops,97.5,58.5,16.57,7411.0,39
NDC,24208071510,prednisoLONE sodium phosphate 1 % eye drops,105.42,63.25,17.92,7411.0,39
NDC,24208072002,dexAMETHasone sodium phosphate 0.1 % eye drops,107.8,64.68,18.33,7411.0,39
NDC,24208073006,proparacaine 0.5 % eye drops,70.17,42.1,11.93,7411.0,39
NDC,24208073501,cyclopentolate 1 % eye drops,24.2,14.52,4.11,7411.0,39
NDC,24208073506,cyclopentolate 1 % eye drops,56.7,34.02,9.64,7411.0,39
NDC,24208078055,"neomycin-bacitracin-polymyxn 3.5 mg-400 unit-10,000 unit/gram eye oint",91.14,54.68,15.49,7411.0,39
NDC,24208079062,"neomycin 1.75 mg-polymyxin 10,000 unit-gramicidin 0.025mg/mL eye drops",102.1,61.26,17.36,7411.0,39
NDC,24208079535,"neomycin 3.5 mg/g-polymyxin B 10,000 unit/g-dexameth 0.1 % eye oint",31.78,19.07,5.4,7411.0,39
NDC,24208082555,atropine 1 % eye ointment,35.02,21.01,5.95,7411.0,39
NDC,24208083060,"neomycin-polymyxin-dexameth 3.5 mg/mL-10,000 unit/mL-0.1% eye drops",31.78,19.07,5.4,7411.0,39
NDC,24208091019,erythromycin 5 mg/gram (0.5 %) eye ointment,19.86,11.92,3.38,7411.0,39
NDC,24208091055,erythromycin 5 mg/gram (0.5 %) eye ointment,30.4,18.24,5.17,7411.0,39
NDC,24338012213,"erythromycin 250 mg tablet,delayed release",15.22,9.13,2.59,7411.0,39
NDC,24338013213,erythromycin ethylsuccinate 200 mg/5 mL oral powder for suspension,752.9,451.74,127.99,7411.0,39
NDC,24338013402,erythromycin ethylsuccinate 200 mg/5 mL oral powder for suspension,752.9,451.74,127.99,7411.0,39
NDC,24357030030,potassium alum (bulk) powder,322.52,193.51,54.83,7411.0,39
NDC,24357070105,lidocaine 4 % topical cream,7.0,4.2,1.19,7411.0,39
NDC,24357070106,lidocaine 4 % topical cream,7.0,4.2,1.19,7411.0,39
NDC,24357070107,lidocaine-transparent dressing 4 % topical kit,40.0,24.0,6.8,7411.0,39
NDC,24510005010,tapentadol 50 mg tablet,24.17,14.5,4.11,7411.0,39
NDC,24689078501,buspirone 7.5 mg tablet,0.35,0.21,0.0595,7411.0,39
NDC,24979001101,"NIFEdipine ER 30 mg tablet,extended release 24 hr",0.9,0.54,0.153,7411.0,39
NDC,24979001101,"NIFEdipine ER 30 mg tablet,extended release 24 hr,NIFEdipine ER 30 mg tablet,extended release",0.9,0.54,0.153,7411.0,39
NDC,24979002706,"dilTIAZem CD 180 mg capsule,extended release 24 hr",1.0,0.6,0.17,7411.0,39
NDC,24979002707,"dilTIAZem CD 180 mg capsule,extended release 24 hr",0.43,0.26,0.0731,7411.0,39
NDC,24979002907,"dilTIAZem CD 300 mg capsule,extended release 24 hr",0.71,0.43,0.1207,7411.0,39
NDC,24979003701,"metoprolol succinate ER 25 mg tablet,extended release 24 hr",0.3,0.18,0.051,7411.0,39
NDC,24979010107,"bupropion HCl XL 150 mg 24 hr tablet, extended release",0.22,0.13,0.0374,7411.0,39
NDC,24979072204,galantamine 4 mg tablet,3.17,1.9,0.5389,7411.0,39
NDC,25010021027,ethacrynate sodium 50 mg intravenous solution,15055.98,9033.59,2559.52,12797.58,39
NDC,25010070515,penicillAMINE 250 mg capsule,523.77,314.26,89.04,7411.0,39
NDC,25021010610,cefTRIAXone 1 gram solution for injection,19.4,11.64,0.473,7411.0,42
NDC,25021010899,cefTRIAXone 10 gram solution for injection,173.0,103.8,0.473,7411.0,42
NDC,25021011506,clindamycin 150 mg/mL injection solution,33.51,20.11,0.7546,7411.0,42
NDC,25021012120,cefepime 1 gram solution for injection,41.0,24.6,1.39,7411.0,42
NDC,25021012166,cefepime 1 gram solution for injection,23.85,14.31,1.39,7411.0,42
NDC,25021012250,cefepime 2 gram solution for injection,65.0,39.0,1.39,7411.0,42
NDC,25021012720,cefTAZidime 1 gram solution for injection,36.2,21.72,1.55,7411.0,42
NDC,25021012850,cefTAZidime 2 gram solution for injection,71.0,42.6,1.55,7411.0,42
NDC,25021012969,cefTAZidime 6 gram solution for injection,135.13,81.08,1.55,7411.0,42
NDC,25021013282,levoFLOXacin 500 mg/100 mL in 5 % dextrose intravenous piggyback,71.0,42.6,2.38,7411.0,43
NDC,25021013283,levoFLOXacin 750 mg/150 mL in 5 % dextrose intravenous piggyback,70.7,42.42,2.38,7411.0,43
NDC,25021013610,ampicillin 1 gram solution for injection,35.0,21.0,0.7062,7411.0,42
NDC,25021014010,nafcillin 2 gram solution for injection,140.0,84.0,0.0528,7411.0,42
NDC,25021015451,penicillin G potassium 20 million unit solution for injection,303.5,182.1,0.7513,7411.0,42
NDC,25021015799,vancomycin 5 gram intravenous solution,304.94,182.96,0.033,7411.0,42
NDC,25021016430,piperacillin-tazobactam 2.25 gram intravenous solution,47.0,28.2,1.19,7411.0,42
NDC,25021017304,"amikacin 1,000 mg/4 mL injection solution",98.0,58.8,0.671,7411.0,42
NDC,25021017915,DAPTOmycin 350 mg intravenous solution,297.5,178.5,0.0374,7411.0,43
NDC,25021023926,gemcitabine 1 gram/26.3 mL (38 mg/mL) intravenous solution,281.18,168.71,3.56,7411.0,42
NDC,25021031102,furosemide 10 mg/mL injection solution,21.0,12.6,0.0187,7411.0,42
NDC,25021031104,furosemide 10 mg/mL injection solution,24.0,14.4,0.0187,7411.0,42
NDC,25021031110,furosemide 10 mg/mL injection solution,27.0,16.2,0.0187,7411.0,42
NDC,25021031382,milrinone 20 mg/100 mL(200 mcg/mL) in 5 % dextrose intravenous piggybk,57.0,34.2,1.3,7411.0,42
NDC,25021031740,labetalol 5 mg/mL intravenous solution,47.28,28.37,0.154,7411.0,42
NDC,25021031740,"labetalol 5 mg/mL intravenous solution,labetalol 20 mg/4 mL (5 mg/mL) intravenous syringe,labetalol 25 mg/5 mL (5 mg/mL) intravenous syringe,labetalol 10 mg/2 mL (5 mg/mL) intravenous syringe",1.18,0.71,0.154,7411.0,42
NDC,25021031802,adenosine 3 mg/mL intravenous solution,18.0,10.8,0.48,7411.0,43
NDC,25021031910,dilTIAZem 5 mg/mL intravenous solution,2.34,1.4,0.3978,7411.0,39
NDC,25021040001,"heparin (porcine) 1,000 unit/mL injection solution",42.4,25.44,0.2431,7411.0,42
NDC,25021040010,"heparin (porcine) 1,000 unit/mL injection solution",30.16,18.1,0.2431,7411.0,42
NDC,25021040102,"heparin, porcine (PF) 1,000 unit/mL injection solution",59.2,35.52,0.2431,7411.0,42
NDC,25021040201,"heparin (porcine) 5,000 unit/mL injection solution",37.0,22.2,0.2431,7411.0,42
NDC,25021040401,"heparin (porcine) 20,000 unit/mL injection solution",88.0,52.8,0.2431,7411.0,42
NDC,25021041450,argatroban 1 mg/mL in 0.9 % sodium chloride intravenous solution,815.5,489.3,1.11,7411.0,43
NDC,25021041882,"tranexamic acid 1,000 mg/100 mL(10 mg/mL)in sod chlor,iso IV piggyback",151.0,90.6,25.67,7411.0,39
NDC,25021060103,caffeine citrate 60 mg/3 mL (20 mg/mL) intravenous solution,120.01,72.01,20.4,7411.0,41
NDC,25021067376,lidocaine 2 % mucosal jelly in applicator,35.71,21.43,6.07,7411.0,39
NDC,25021077702,ondansetron HCl (PF) 4 mg/2 mL injection solution,10.5,6.3,0.0968,7411.0,42
NDC,25021078005,levETIRAcetam 500 mg/5 mL intravenous solution,48.0,28.8,0.0374,7411.0,42
NDC,25021080166,zoledronic acid 4 mg/5 mL intravenous solution,810.0,486.0,8.49,7411.0,43
NDC,25021081310,leucovorin calcium 50 mg solution for injection,60.0,36.0,3.95,7411.0,42
NDC,25021081430,leucovorin calcium 100 mg solution for injection,120.0,72.0,3.95,7411.0,42
NDC,25021081467,leucovorin calcium 100 mg solution for injection,52.8,31.68,3.95,7411.0,42
NDC,25021081530,leucovorin calcium 200 mg solution for injection,240.0,144.0,3.95,7411.0,42
NDC,25021082005,methylPREDNISolone acetate 40 mg/mL suspension for injection,214.5,128.7,0.1232,7411.0,42
NDC,25021082682,zoledronic acid 4 mg/100 mL-mannitol-0.9 % NaCl intravenous piggyback,810.0,486.0,8.49,7411.0,43
NDC,25682000101,eculizumab 300 mg/30 mL intravenous solution,19568.97,11741.38,42.47,14676.73,57
NDC,25682002201,ravulizumab-cwvz 10 mg/mL intravenous solution,19262.03,11557.22,206.22,14446.52,57
NDC,25682002501,ravulizumab-cwvz 100 mg/mL intravenous solution,19262.0,11557.2,206.22,14446.5,57
NDC,25682002801,ravulizumab-cwvz 100 mg/mL intravenous solution,70493.98,42296.39,206.22,52870.49,57
NDC,25767073545,cardioplegic-organ preservation solution no.1 9 mmol-198 mmol-2 mmol/L,993.0,595.8,168.81,7411.0,39
NDC,25866059361,diclofenac 1 % topical gel,25.2,15.12,4.28,7411.0,39
NDC,27241006203,voriconazole 50 mg tablet,4.83,2.9,0.8211,7411.0,39
NDC,27241006303,voriconazole 200 mg tablet,15.5,9.3,2.63,7411.0,39
NDC,27241009809,"DULoxetine 30 mg capsule,delayed release",0.6,0.36,0.102,7411.0,39
NDC,27241009903,"DULoxetine 60 mg capsule,delayed release",0.6,0.36,0.102,7411.0,39
NDC,27241014401,silodosin 4 mg capsule,3.0,1.8,0.51,7411.0,39
NDC,27241015504,"oxyBUTYnin chloride ER 5 mg tablet,extended release 24 hr",0.5,0.3,0.085,7411.0,39
NDC,27241015604,"oxyBUTYnin chloride ER 10 mg tablet,extended release 24 hr",0.5,0.3,0.085,7411.0,39
NDC,27241016001,captopril 12.5 mg tablet,1.6,0.96,0.272,7411.0,39
NDC,27241016101,captopril 25 mg tablet,1.7,1.02,0.289,7411.0,39
NDC,27434000211,acetylcysteine 600 mg capsule,0.33,0.2,0.0561,7411.0,39
NDC,27437005056,methylergonovine 0.2 mg tablet,124.43,74.66,21.15,7411.0,39
NDC,27808003301,theophylline 80 mg/15 mL oral solution,149.47,89.68,25.41,7411.0,39
NDC,27808003501,hydrocodone 5 mg-acetaminophen 325 mg tablet,3.2,1.92,0.544,7411.0,39
NDC,27808008601,HYDROcodone 10 mg-chlorpheniramine 8 mg/5 mL oral susp extend.rel 12hr,4.91,2.95,0.8347,7411.0,39
NDC,27808015601,rosuvastatin 10 mg tablet,0.22,0.13,0.0374,7411.0,39
NDC,29300011201,lamoTRIgine 100 mg tablet,0.14,0.08,0.0238,7411.0,39
NDC,29300012613,bisoprolol fumarate 5 mg tablet,0.53,0.32,0.0901,7411.0,39
NDC,29300012810,hydroCHLOROthiazide 25 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,29300013001,hydroCHLOROthiazide 12.5 mg capsule,0.2,0.12,0.034,7411.0,39
NDC,29300016915,tiZANidine 4 mg tablet,1.2,0.72,0.204,7411.0,39
NDC,29300017116,memantine 5 mg tablet,0.5,0.3,0.085,7411.0,39
NDC,29300022019,montelukast 10 mg tablet,0.32,0.19,0.0544,7411.0,39
NDC,29300022701,metroNIDAZOLE 500 mg tablet,1.52,0.91,0.2584,7411.0,39
NDC,29300022705,metroNIDAZOLE 500 mg tablet,1.5,0.9,0.255,7411.0,39
NDC,29300041901,amitriptyline 10 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,30237890006,sipuleucel-T in lactated ringers 50 million cell/250 mL IV suspension,187807.5,112684.5,6299.0,140855.62,57
NDC,30521232600,white petrolatum topical jelly,4.29,2.57,0.7293,7411.0,39
NDC,30521234500,white petrolatum topical jelly,5.15,3.09,0.8755,7411.0,39
NDC,30698014401,calcitriol 0.5 mcg capsule,5.36,3.22,0.9112,7411.0,39
NDC,30768016888,"omega-3 fatty acids-fish oil 360 mg-1,200 mg capsule",0.1,0.06,0.017,7411.0,39
NDC,31604001285,pyridoxine (vitamin B6) 100 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,31604001328,"omega-3 fatty acids-fish oil 360 mg-1,200 mg capsule",0.2,0.12,0.034,7411.0,39
NDC,31604001870,"cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet",0.09,0.05,0.0153,7411.0,39
NDC,31722000530,"mesalamine 1,000 mg rectal suppository",16.67,10.0,2.83,7411.0,39
NDC,31722000532,"mesalamine 1,000 mg rectal suppository",16.67,10.0,2.83,7411.0,39
NDC,31722000631,itraconazole 10 mg/mL oral solution,500.6,300.36,85.1,7411.0,39
NDC,31722003523,aminocaproic acid 250 mg/mL (25 %) oral solution,1421.95,853.17,241.73,7411.0,39
NDC,31722005360,ivabradine 5 mg tablet,16.09,9.65,2.74,7411.0,39
NDC,31722013747,glycerin 99.5 % topical solution,48.25,28.95,8.2,7411.0,39
NDC,31722036910,bumetanide 0.25 mg/mL injection solution,28.44,17.06,4.83,7411.0,41
NDC,31722050660,lamiVUDine 150 mg-zidovudine 300 mg tablet,4.95,2.97,0.8415,7411.0,39
NDC,31722051901,hydrALAZINE 10 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,31722052001,hydrALAZINE 25 mg tablet,0.12,0.07,0.0204,7411.0,39
NDC,31722052101,hydrALAZINE 50 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,31722053101,torsemide 20 mg tablet,0.43,0.26,0.0731,7411.0,39
NDC,31722053612,levETIRAcetam 250 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,31722053705,levETIRAcetam 500 mg tablet,0.23,0.14,0.0391,7411.0,39
NDC,31722053712,levETIRAcetam 500 mg tablet,0.23,0.14,0.0391,7411.0,39
NDC,31722054201,indomethacin 25 mg capsule,0.38,0.23,0.0646,7411.0,39
NDC,31722054301,indomethacin 50 mg capsule,0.45,0.27,0.0765,7411.0,39
NDC,31722070190,losartan 50 mg tablet,0.38,0.23,0.0646,7411.0,39
NDC,31722071001,sildenafil 50 mg tablet,0.53,0.32,0.0901,7411.0,39
NDC,31722073090,irbesartan 150 mg tablet,0.74,0.44,0.1258,7411.0,39
NDC,31722077701,acyclovir 400 mg tablet,0.75,0.45,0.1275,7411.0,39
NDC,31722083260,valGANciclovir 450 mg tablet,10.5,6.3,1.78,7411.0,39
NDC,31722093502,albendazole 200 mg tablet,60.5,36.3,10.29,7411.0,39
NDC,31722098110,"succinylcholine chloride 20 mg/mL injection solution,succinylcholine chloride 200 mg/10 mL (20 mg/mL) intravenous solution,succinylcholine(PF)200 mg/10 mL(20 mg/mL)-NaCl,iso intravenous syringe,succin",40.0,24.0,6.8,7411.0,41
NDC,31722098131,"succinylcholine chloride 20 mg/mL injection solution,succinylcholine chloride 200 mg/10 mL (20 mg/mL) intravenous solution,succinylcholine(PF)200 mg/10 mL(20 mg/mL)-NaCl,iso intravenous syringe,succin",40.0,24.0,6.8,7411.0,41
NDC,32909012522,"barium sulfate 40 % (w/v), 30% (w/w) oral paste",100.74,60.44,17.13,7411.0,39
NDC,32909074403,barium sulfate 2 % (w/v) oral suspension,9.9,5.94,1.68,7411.0,39
NDC,32909075603,barium sulfate 2 % (w/v) oral suspension,8.1,4.86,1.38,7411.0,39
NDC,32909076401,barium sulfate 98 % oral powder for suspension,12.03,7.22,2.05,7411.0,39
NDC,32909077001,barium sulfate 60 % oral cream,217.92,130.75,37.05,7411.0,39
NDC,33342002607,famciclovir 500 mg tablet,2.83,1.7,0.4811,7411.0,39
NDC,33342004810,irbesartan 150 mg tablet,0.48,0.29,0.0816,7411.0,39
NDC,33342006207,valsartan 40 mg tablet,0.81,0.49,0.1377,7411.0,39
NDC,33342006310,valsartan 80 mg tablet,0.68,0.41,0.1156,7411.0,39
NDC,33342006807,OLANZapine 5 mg tablet,0.33,0.2,0.0561,7411.0,39
NDC,33342008307,OLANZapine 5 mg disintegrating tablet,1.71,1.03,0.2907,7411.0,39
NDC,33342009607,tenofovir disoproxil fumarate 300 mg tablet,1.57,0.94,0.2669,7411.0,39
NDC,33342009709,tolterodine 1 mg tablet,0.81,0.49,0.1377,7411.0,39
NDC,33342009809,tolterodine 2 mg tablet,0.83,0.5,0.1411,7411.0,39
NDC,33342011507,candesartan 8 mg tablet,2.67,1.6,0.4539,7411.0,39
NDC,33342015711,celecoxib 200 mg capsule,0.18,0.11,0.0306,7411.0,39
NDC,33342033354,triamcinolone acetonide 0.1 % topical ointment,49.94,29.96,8.49,7411.0,39
NDC,35046000155,calcium 200 mg (as calcium citrate 950 mg) tablet,0.09,0.05,0.0153,7411.0,39
NDC,35573043302,ketoconazole 200 mg tablet,2.6,1.56,0.442,7411.0,39
NDC,35573044425,levalbuterol 0.63 mg/3 mL solution for nebulization,3.4,2.04,0.578,7411.0,39
NDC,36000000824,ciprofloxacin 200 mg/100 mL in 5 % dextrose intravenous piggyback,23.0,13.8,0.8305,7411.0,42
NDC,36000009201,BUPivacaine (PF) 0.75 % (7.5 mg/mL) in 8.25 % dextrose injection,29.4,17.64,0.011,7411.0,42
NDC,36000009210,BUPivacaine (PF) 0.75 % (7.5 mg/mL) in 8.25 % dextrose injection,29.4,17.64,5.0,7411.0,41
NDC,36000016201,norepinephrine bitartrate 1 mg/mL intravenous solution,53.92,32.35,9.17,7411.0,39
NDC,36000035401,"levETIRAcetam 1,500 mg/100 mL in sodium chloride(iso-osm) IV piggyback",21.6,12.96,0.0374,7411.0,42
NDC,36000035440,"levETIRAcetam 1,500 mg/100 mL in sodium chloride(iso-osm) IV piggyback",21.6,12.96,3.67,7411.0,41
NDC,36765042017,"magnesium L-lactate ER 84 mg tablet,extended release",0.62,0.37,0.1054,7411.0,39
NDC,37000002404,psyllium husk 3.4 gram oral powder packet,0.74,0.44,0.1258,7411.0,39
NDC,37000002410,psyllium husk 3.4 gram oral powder packet,0.45,0.27,0.0765,7411.0,39
NDC,37000047512,bismuth subsalicylate 262 mg/15 mL oral suspension,0.9,0.54,0.153,7411.0,39
NDC,37000074108,"psyllium husk (aspartame) 3.4 gram oral powder packet,psyllium husk (aspartame) 3.5 gram oral powder packet,psyllium husk (sweetleaf) 3.5 gram oral powder packet,psyllium husk (sweetleaf) 3.5 gram/5.8",0.74,0.44,0.1258,7411.0,39
NDC,37000074108,psyllium husk 3.4 gram oral powder packet,0.74,0.44,0.1258,7411.0,39
NDC,37205001130,glycerin 99.5 % topical solution,15.93,9.56,2.71,7411.0,39
NDC,37205006927,white petrolatum topical jelly,8.1,4.86,1.38,7411.0,39
NDC,37205011910,"simethicone 40 mg/0.6 mL oral drops,suspension",13.98,8.39,2.38,7411.0,39
NDC,37205018885,folic acid 400 mcg tablet,0.04,0.02,0.0068,7411.0,39
NDC,37205027810,diphenhydramine-zinc acetate 2 %-0.1 % topical cream,9.2,5.52,1.56,7411.0,39
NDC,37205060243,magnesium sulfate (laxative) 495 mg/5 gram oral granules,19.07,11.44,3.24,7411.0,39
NDC,37864000033,sennosides 8.6 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,37864000059,ascorbic acid (vitamin C) 500 mg tablet,0.05,0.03,0.0085,7411.0,39
NDC,37864000103,acetaminophen 500 mg tablet,0.06,0.04,0.0102,7411.0,39
NDC,37864000150,calcium 200 mg (as calcium carbonate 500 mg) chewable tablet,0.04,0.02,0.0068,7411.0,39
NDC,37864008289,calcium 500 mg (as carbonate)-vitamin D3 5 mcg (200 unit) tablet,0.16,0.1,0.0272,7411.0,39
NDC,37864090501,thiamine mononitrate (vitamin B1) 100 mg tablet,0.06,0.04,0.0102,7411.0,39
NDC,37864090599,thiamine mononitrate (vitamin B1) 100 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,37864091401,"cyanocobalamin (vit B-12) 1,000 mcg tablet",0.09,0.05,0.0153,7411.0,39
NDC,38396091518,glucose 4 gram chewable tablet,1.54,0.92,0.2618,7411.0,39
NDC,38485000027,calcium polycarbophil 500 mg chewable tablet,0.27,0.16,0.0459,7411.0,39
NDC,38485080857,psyllium oral packet,0.8,0.48,0.136,7411.0,39
NDC,38779019105,amphotericin B (bulk) powder,20370.5,12222.3,3462.99,17314.92,39
NDC,38779027404,vancomycin (bulk) 900 mcg/mg (not less than) powder,14540.0,8724.0,2471.8,12359.0,39
NDC,38779064009,sodium bicarbonate (bulk) powder,16.91,10.15,2.87,7411.0,39
NDC,38779088404,pyrimethamine (bulk) powder,741.4,444.84,126.04,7411.0,39
NDC,38779094601,water (bulk) liquid,236.0,141.6,40.12,7411.0,39
NDC,39328006250,sodium hypochlorite 0.5 % solution,117.01,70.21,19.89,7411.0,39
NDC,39328006325,sodium hypochlorite 0.25 % solution,117.01,70.21,19.89,7411.0,39
NDC,39328010710,sodium di- and monophosphate-potassium phos monobasic 250 mg tablet,0.98,0.59,0.1666,7411.0,39
NDC,39328035760,"ergocalciferol (vitamin D2) 200 mcg/mL (8,000 unit/mL) oral drops",199.56,119.74,33.93,7411.0,39
NDC,39822016605,"polymyxin B sulfate 500,000 unit solution for injection",72.5,43.5,12.32,7411.0,39
NDC,39822019001,acetaZOLAMIDE 500 mg solution for injection,189.0,113.4,26.8,7411.0,42
NDC,39822031005,neomycin 500 mg tablet,3.21,1.93,0.5457,7411.0,39
NDC,39822041201,tobramycin 1.2 gram solution for injection,365.0,219.0,2.22,7411.0,42
NDC,39822047001,vancomycin 1.5 gram intravenous solution,65.0,39.0,0.033,7411.0,42
NDC,39822065001,nelarabine 5 mg/mL intravenous solution,1625.0,975.0,50.07,7411.0,57
NDC,39822065006,nelarabine 5 mg/mL intravenous solution,1625.0,975.0,276.25,7411.0,41
NDC,39822100001,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution",55.0,33.0,7.82,7411.0,80
NDC,39822105505,amphotericin B 50 mg solution for injection,293.0,175.8,48.76,7411.0,42
NDC,39822107701,voriconazole 200 mg-HPBCD intravenous solution,245.0,147.0,41.65,7411.0,41
NDC,39822220001,DOCEtaxel 20 mg/mL intravenous solution,2150.0,1290.0,0.6116,7411.0,42
NDC,39822400001,levETIRAcetam 500 mg/5 mL intravenous solution,18.0,10.8,0.0374,7411.0,42
NDC,39822405005,phenytoin sodium 50 mg/mL intravenous solution,18.0,10.8,0.4631,7411.0,42
NDC,39822420002,rocuronium 10 mg/mL intravenous solution,31.0,18.6,5.27,7411.0,39
NDC,39822555005,promethazine 50 mg/mL injection solution,21.6,12.96,3.67,7411.0,42
NDC,39822555006,promethazine 50 mg/mL injection solution,21.6,12.96,3.67,7411.0,41
NDC,39822990002,ammonia aromatic 15 % (w/v) solution for inhalation,2.63,1.58,0.4471,7411.0,39
NDC,40093010144,"vitamin A 3,000 mcg (10,000 unit) capsule",0.09,0.05,0.0153,7411.0,39
NDC,40093062160,ethiodized oil 480 mg iodine/mL for injection,1641.0,984.6,278.97,7411.0,39
NDC,40985021245,"vitamin E (dl, acetate) 180 mg (400 unit) capsule",0.09,0.05,0.0153,7411.0,39
NDC,40985022368,multivitamin-iron 9 mg-folic acid 400 mcg-calcium and minerals tablet,0.08,0.05,0.0136,7411.0,39
NDC,40985022661,cholecalciferol (vitamin D3) 10 mcg (400 unit) tablet,0.05,0.03,0.0085,7411.0,39
NDC,40985022668,B-complex with vitamin C tablet,0.08,0.05,0.0136,7411.0,39
NDC,40985027026,"omega-3 fatty acids-fish oil 360 mg-1,200 mg capsule",0.11,0.07,0.0187,7411.0,39
NDC,40985027139,"cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet",0.02,0.01,0.0034,7411.0,39
NDC,40985027292,"cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet",0.04,0.02,0.0068,7411.0,39
NDC,40985027369,"omega-3 fatty acids-fish oil 360 mg-1,200 mg capsule",0.16,0.1,0.0272,7411.0,39
NDC,41100081122,vitamins A and D-white petrolatum-lanolin topical ointment,4.42,2.65,0.7514,7411.0,39
NDC,41100081125,oxymetazoline 0.05 % nasal spray,18.48,11.09,3.14,7411.0,39
NDC,41100081125,"oxymetazoline 0.05 % nasal spray,oxymetazoline 0.05 % masal mist",18.48,11.09,3.14,7411.0,39
NDC,41100082076,polyethylene glycol 3350 17 gram/dose oral powder,13.8,8.28,2.35,7411.0,39
NDC,41167000609,doxylamine succinate 25 mg tablet,0.47,0.28,0.0799,7411.0,39
NDC,41167000879,methyl salicylate-menthol 29 %-7.6 % topical ointment,10.52,6.31,1.79,7411.0,39
NDC,41167000881,methyl salicylate 30 %-menthol 10 % topical cream,9.52,5.71,1.62,7411.0,39
NDC,41167000883,methyl salicylate 30 %-menthol 10 % topical cream,5.31,3.19,0.9027,7411.0,39
NDC,41167058005,triamcinolone acetonide 55 mcg nasal spray aerosol,34.65,20.79,5.89,7411.0,39
NDC,41616093140,vecuronium bromide 10 mg intravenous solution,55.0,33.0,9.35,7411.0,39
NDC,41616093144,vecuronium bromide 10 mg intravenous solution,55.0,33.0,9.35,7411.0,39
NDC,42023010401,tuberculin PPD 5 tub. unit/0.1 mL intradermal injection solution,95.94,57.56,10.0,7411.0,55
NDC,42023010501,methohexital 500 mg solution for injection,436.41,261.85,74.19,7411.0,39
NDC,42023011602,oxytocin 10 unit/mL injection solution,2.52,1.51,0.4284,7411.0,41
NDC,42023012006,liothyronine 10 mcg/mL intravenous solution,5416.88,3250.13,37.33,7411.0,56
NDC,42023012306,dantrolene 20 mg intravenous solution,402.88,241.73,68.49,7411.0,39
NDC,42023012401,dantrolene 25 mg capsule,3.14,1.88,0.5338,7411.0,39
NDC,42023015901,EPINEPHrine 1 mg/mL (1 mL) injection solution,93.76,56.26,0.9559,7411.0,42
NDC,42023015925,EPINEPHrine 1 mg/mL (1 mL) injection solution,93.76,56.26,15.94,7411.0,41
NDC,42023016401,vasopressin 20 unit/mL intravenous solution,364.5,218.7,0.462,7411.0,42
NDC,42023016425,vasopressin 20 unit/mL intravenous solution,364.5,218.7,61.97,7411.0,41
NDC,42023016801,"EPINEPHrine 1 mg/mL (1:1,000) injection solution",1131.52,678.91,0.9559,7411.0,42
NDC,42023016801,EPINEPHrine 1 mg/mL injection solution,1131.52,678.91,0.9559,7411.0,42
NDC,42023017301,ganciclovir sodium 500 mg intravenous solution,329.0,197.4,37.45,7411.0,42
NDC,42023019001,vasopressin 20 unit/mL intravenous solution,2430.0,1458.0,0.462,7411.0,42
NDC,42023023701,vasopressin 0.2 unit/mL intravenous solution,955.8,573.48,0.462,7411.0,42
NDC,42023023710,vasopressin 0.2 unit/mL intravenous solution,955.8,573.48,162.49,7411.0,41
NDC,42023031501,EPINEPHrine 4 mg/250 mL (16 mcg/mL) in 0.9 % sodium chloride IV soln,274.0,164.4,0.33,7411.0,42
NDC,42023031510,EPINEPHrine 4 mg/250 mL (16 mcg/mL) in 0.9 % sodium chloride IV soln,274.0,164.4,46.58,7411.0,41
NDC,42037010379,"aspirin 325 mg tablet,delayed release",0.09,0.05,0.0153,7411.0,39
NDC,42192060704,brompheniramine-pseudoephedrine-DM 2 mg-30 mg-10 mg/5 mL oral syrup,1.53,0.92,0.2601,7411.0,39
NDC,42192060816,gabapentin 250 mg/5 mL oral solution,186.12,111.67,31.64,7411.0,39
NDC,42192071506,ciclopirox 8 % topical solution,43.98,26.39,7.48,7411.0,39
NDC,42211010243,indomethacin 50 mg rectal suppository,690.0,414.0,117.3,7411.0,39
NDC,42292003801,levothyroxine 88 mcg tablet,1.01,0.61,0.1717,7411.0,39
NDC,42292003820,levothyroxine 88 mcg tablet,1.01,0.61,0.1717,7411.0,39
NDC,42494041901,methylene blue (antidote) 1 % (10 mg/mL) intravenous solution,1125.0,675.0,9.78,7411.0,57
NDC,42494041905,methylene blue (antidote) 1 % (10 mg/mL) intravenous solution,1125.0,675.0,191.25,7411.0,41
NDC,42543014101,hydrocortisone 10 mg tablet,0.57,0.34,0.0969,7411.0,39
NDC,42543040701,"potassium citrate ER 10 mEq (1,080 mg) tablet,extended release",0.66,0.4,0.1122,7411.0,39
NDC,42571016201,amoxicillin 875 mg-potassium clavulanate 125 mg tablet,1.7,1.02,0.289,7411.0,39
NDC,42571016242,amoxicillin 875 mg-potassium clavulanate 125 mg tablet,1.7,1.02,0.289,7411.0,39
NDC,42571024301,"acetaZOLAMIDE ER 500 mg capsule,extended release",1.5,0.9,0.255,7411.0,39
NDC,42571034230,clomiPRAMINE 25 mg capsule,0.67,0.4,0.1139,7411.0,39
NDC,42658001901,DAUNOrubicin 5 mg/mL intravenous solution,1440.5,864.3,27.22,7411.0,42
NDC,42658002101,DAUNOrubicin 5 mg/mL intravenous solution,640.13,384.08,27.22,7411.0,42
NDC,42658012204,irbesartan 150 mg tablet,0.35,0.21,0.0595,7411.0,39
NDC,42747076101,mogamulizumab-kpkc 4 mg/mL intravenous solution,13840.07,8304.04,225.36,10380.05,57
NDC,42794001802,liothyronine 5 mcg tablet,1.27,0.76,0.2159,7411.0,39
NDC,42794001812,liothyronine 5 mcg tablet,1.36,0.82,0.2312,7411.0,39
NDC,42794001902,liothyronine 25 mcg tablet,1.67,1.0,0.2839,7411.0,39
NDC,42794008614,sodium phenylbutyrate 0.94 gram/gram oral powder,8999.31,5399.59,1529.88,7649.41,39
NDC,42799021701,opium tincture 10 mg/mL (morphine) oral,6.28,3.77,1.07,7411.0,39
NDC,42799080601,ivermectin 3 mg tablet,8.78,5.27,1.49,7411.0,39
NDC,42806008301,buspirone 7.5 mg tablet,0.76,0.46,0.1292,7411.0,39
NDC,42806009430,potassium chloride 20 mEq oral packet,3.33,2.0,0.5661,7411.0,39
NDC,42806035925,leucovorin calcium 25 mg tablet,17.88,10.73,3.04,7411.0,39
NDC,42806050109,niCARdipine 20 mg capsule,6.67,4.0,1.13,7411.0,39
NDC,42806050301,ursodiol 300 mg capsule,2.5,1.5,0.425,7411.0,39
NDC,42806071401,benzonatate 100 mg capsule,0.3,0.18,0.051,7411.0,39
NDC,42806075760,sulfADIAZINE 500 mg tablet,32.56,19.54,5.54,7411.0,39
NDC,42858000101,oxyCODONE 5 mg tablet,3.26,1.96,0.5542,7411.0,39
NDC,42858000110,oxyCODONE 5 mg tablet,3.9,2.34,0.663,7411.0,39
NDC,42858000210,oxyCODONE 10 mg tablet,4.3,2.58,0.731,7411.0,39
NDC,42858011830,lidocaine 5 % topical patch,4.33,2.6,0.7361,7411.0,39
NDC,42858030101,HYDROmorphone 2 mg tablet,3.48,2.09,0.5916,7411.0,39
NDC,42858030125,HYDROmorphone 2 mg tablet,3.33,2.0,0.5661,7411.0,39
NDC,42858030201,HYDROmorphone 4 mg tablet,3.69,2.21,0.6273,7411.0,39
NDC,42858030225,HYDROmorphone 4 mg tablet,3.44,2.06,0.5848,7411.0,39
NDC,42858030301,HYDROmorphone 8 mg tablet,4.52,2.71,0.7684,7411.0,39
NDC,42858030416,HYDROmorphone 1 mg/mL oral liquid,3.64,2.18,0.6188,7411.0,39
NDC,42858051501,"morphine ER 15 mg tablet,extended release",12.18,7.31,2.07,7411.0,39
NDC,42858080101,"morphine ER 15 mg tablet,extended release",3.93,2.36,0.6681,7411.0,39
NDC,42858080201,"morphine ER 30 mg tablet,extended release",4.06,2.44,0.6902,7411.0,39
NDC,42858080301,"morphine ER 60 mg tablet,extended release",4.75,2.85,0.8075,7411.0,39
NDC,42858080401,"morphine ER 100 mg tablet,extended release",4.86,2.92,0.8262,7411.0,39
NDC,42858086706,droNABinol 2.5 mg capsule,4.12,2.47,0.7004,7411.0,39
NDC,43066015010,"amiodarone 150 mg/100 mL (1.5 mg/mL) in dextrose, iso-osmotic IV",208.2,124.92,0.4279,7411.0,43
NDC,43066036020,"amiodarone 360 mg/200 mL (1.8 mg/mL) in dextrose, iso-osmotic IV",277.2,166.32,0.4279,7411.0,43
NDC,43199001201,hyoscyamine 0.125 mg disintegrating tablet,2.35,1.41,0.3995,7411.0,39
NDC,43292055565,"calcium 500 mg (as calcium carbonate 1,250 mg) tablet",0.05,0.03,0.0085,7411.0,39
NDC,43386014028,methylergonovine 0.2 mg tablet,107.51,64.51,18.28,7411.0,39
NDC,43386016012,miSOPROStol 100 mcg tablet,1.33,0.8,0.2261,7411.0,39
NDC,43386016101,miSOPROStol 200 mcg tablet,1.93,1.16,0.3281,7411.0,39
NDC,43386033001,trimethoprim 100 mg tablet,1.11,0.67,0.1887,7411.0,39
NDC,43386036021,phenelzine 15 mg tablet,1.32,0.79,0.2244,7411.0,39
NDC,43386040512,nitazoxanide 500 mg tablet,260.68,156.41,44.32,7411.0,39
NDC,43386043001,oxyCODONE 15 mg tablet,3.38,2.03,0.5746,7411.0,39
NDC,43386043201,oxyCODONE 5 mg tablet,3.2,1.92,0.544,7411.0,39
NDC,43386044024,NIFEdipine 10 mg capsule,1.44,0.86,0.2448,7411.0,39
NDC,43386077001,flucytosine 500 mg capsule,40.5,24.3,6.88,7411.0,39
NDC,43528000301,hepatitis B vaccine 20 mcg/0.5 mL-adjuvant CpG 1018 (PF) IM syringe,670.34,402.2,113.96,7411.0,42
NDC,43528000305,hepatitis B vaccine 20 mcg/0.5 mL-adjuvant CpG 1018 (PF) IM syringe,670.34,402.2,113.96,7411.0,41
NDC,43547025410,carvedilol 3.125 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,43547025510,carvedilol 6.25 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,43547026810,rOPINIRole 0.25 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,43547026910,rOPINIRole 0.5 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,43547027010,rOPINIRole 1 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,43547027110,rOPINIRole 2 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,43547027509,donepezil 5 mg tablet,1.33,0.8,0.2261,7411.0,39
NDC,43547027609,donepezil 10 mg tablet,1.33,0.8,0.2261,7411.0,39
NDC,43547027803,irbesartan 150 mg tablet,0.67,0.4,0.1139,7411.0,39
NDC,43547028210,escitalopram 20 mg tablet,0.3,0.18,0.051,7411.0,39
NDC,43547028910,"bupropion HCl SR 150 mg tablet,12 hr sustained-release",0.5,0.3,0.085,7411.0,39
NDC,43547029503,febuxostat 40 mg tablet,1.29,0.77,0.2193,7411.0,39
NDC,43547035410,lisinopril 20 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,43547035610,lisinopril 40 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,43547036809,valsartan 80 mg tablet,0.63,0.38,0.1071,7411.0,39
NDC,43547040010,cyclobenzaprine 10 mg tablet,1.11,0.67,0.1887,7411.0,39
NDC,43547040110,furosemide 20 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,43547040210,furosemide 40 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,43547040610,clonazePAM 0.5 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,43547040710,clonazePAM 1 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,43547054301,glycopyrrolate 0.2 mg/mL injection solution,20.32,12.19,0.4015,7411.0,42
NDC,43547054325,glycopyrrolate 0.2 mg/mL injection solution,20.32,12.19,3.45,7411.0,41
NDC,43598005011,thiamine HCl (vitamin B1) 100 mg/mL injection solution,38.4,23.04,1.71,7411.0,42
NDC,43598005025,thiamine HCl (vitamin B1) 100 mg/mL injection solution,38.4,23.04,6.53,7411.0,41
NDC,43598008511,vasopressin 20 unit/mL intravenous solution,711.22,426.73,0.462,7411.0,42
NDC,43598008525,vasopressin 20 unit/mL intravenous solution,711.22,426.73,120.91,7411.0,41
NDC,43598012190,clopidogrel 75 mg tablet,15.92,9.55,2.71,7411.0,39
NDC,43598016430,OLANZapine 5 mg tablet,0.46,0.28,0.0782,7411.0,39
NDC,43598021025,silver sulfADIAZINE 1 % topical cream,15.0,9.0,2.55,7411.0,39
NDC,43598021040,silver sulfADIAZINE 1 % topical cream,105.6,63.36,17.95,7411.0,39
NDC,43598026704,icosapent ethyl 1 gram capsule,5.03,3.02,0.8551,7411.0,39
NDC,43598040511,phytonadione (vitamin K1) 10 mg/mL injection solution,256.6,153.96,3.47,7411.0,42
NDC,43598040516,phytonadione (vitamin K1) 10 mg/mL injection solution,256.6,153.96,43.62,7411.0,41
NDC,43598040905,levalbuterol 1.25 mg/3 mL solution for nebulization,11.3,6.78,1.92,7411.0,39
NDC,43598040925,levalbuterol 1.25 mg/3 mL solution for nebulization,11.3,6.78,1.92,7411.0,39
NDC,43598041225,levalbuterol 0.31 mg/3 mL solution for nebulization,11.3,6.78,1.92,7411.0,39
NDC,43598044670,nicotine 7 mg/24 hr daily transdermal patch,5.2,3.12,0.884,7411.0,39
NDC,43598044674,nicotine 7 mg/24 hr daily transdermal patch,4.56,2.74,0.7752,7411.0,39
NDC,43598044770,nicotine 14 mg/24 hr daily transdermal patch,5.2,3.12,0.884,7411.0,39
NDC,43598044771,nicotine 14 mg/24 hr daily transdermal patch,4.43,2.66,0.7531,7411.0,39
NDC,43598044774,nicotine 14 mg/24 hr daily transdermal patch,4.56,2.74,0.7752,7411.0,39
NDC,43598044870,nicotine 21 mg/24 hr daily transdermal patch,5.2,3.12,0.884,7411.0,39
NDC,43598044874,nicotine 21 mg/24 hr daily transdermal patch,4.56,2.74,0.7752,7411.0,39
NDC,43598074130,ramelteon 8 mg tablet,19.45,11.67,3.31,7411.0,39
NDC,43598081112,cetirizine 10 mg tablet,0.12,0.07,0.0204,7411.0,39
NDC,43598097710,diclofenac 1 % topical gel,24.0,14.4,4.08,7411.0,39
NDC,43825020001,terlipressin 0.85 mg intravenous powder for solution,2850.0,1710.0,484.5,7411.0,39
NDC,43975030410,indapamide 2.5 mg tablet,0.57,0.34,0.0969,7411.0,39
NDC,44206030001,"rho(D) immune globulin 1,500 unit (300 mcg)/2 mL injection syringe",749.36,449.62,5.33,7411.0,42
NDC,44206030090,"rho(D) immune globulin 1,500 unit (300 mcg)/2 mL injection syringe",749.36,449.62,127.39,7411.0,41
NDC,44206031025,"albumin, human 5 % intravenous solution",430.0,258.0,50.43,7411.0,58
NDC,44206031050,"albumin, human 5 % intravenous solution",430.0,258.0,73.1,7411.0,41
NDC,44206031090,"albumin, human 5 % intravenous solution",430.0,258.0,73.1,7411.0,41
NDC,44206053211,cytomegalovirus immune globulin 50 mg/mL intravenous solution,4450.2,2670.12,756.53,7411.0,58
NDC,44229023560,sodium chloride 3.5 % for nebulization,1.46,0.88,0.2482,7411.0,39
NDC,44229030760,sodium chloride 7 % for nebulization,0.5,0.3,0.085,7411.0,39
NDC,44567010310,ampicillin 2 gram solution for injection,71.0,42.6,0.7062,7411.0,42
NDC,44567024110,cefepime 2 gram solution for injection,63.8,38.28,1.39,7411.0,42
NDC,44567024625,cefOXitin 2 gram intravenous solution,124.7,74.82,3.91,7411.0,42
NDC,44567042000,magnesium sulfate 2 gram/50 mL (4 %) in water intravenous piggyback,40.8,24.48,0.4741,7411.0,42
NDC,44567042024,magnesium sulfate 2 gram/50 mL (4 %) in water intravenous piggyback,40.8,24.48,6.94,7411.0,41
NDC,44567042424,magnesium sulfate 4 gram/50 mL (8 %) in water intravenous piggyback,28.2,16.92,0.4741,7411.0,42
NDC,44567050201,"levETIRAcetam 1,000 mg/100 mL in sodium chloride(iso-osm) IV piggyback",33.3,19.98,0.0374,7411.0,42
NDC,44567050210,"levETIRAcetam 1,000 mg/100 mL in sodium chloride(iso-osm) IV piggyback",33.3,19.98,5.66,7411.0,41
NDC,44567060004,dexmedeTOMIDine 100 mcg/mL intravenous solution,355.28,213.17,60.4,7411.0,39
NDC,44567060104,dexmedeTOMIDine 100 mcg/mL intravenous solution,599.54,359.72,101.92,7411.0,39
NDC,44567060324,dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in dextrose 5 % IV solution,216.0,129.6,36.72,7411.0,39
NDC,44567061001,midazolam (PF) 1 mg/mL in 0.9 % sodium chloride intravenous solution,132.0,79.2,0.1749,7411.0,42
NDC,44567061010,midazolam (PF) 1 mg/mL in 0.9 % sodium chloride intravenous solution,132.0,79.2,22.44,7411.0,41
NDC,44567061101,midazolam (PF) 1 mg/mL in 0.9 % sodium chloride intravenous solution,180.0,108.0,30.6,7411.0,41
NDC,44567061110,midazolam (PF) 1 mg/mL in 0.9 % sodium chloride intravenous solution,180.0,108.0,30.6,7411.0,41
NDC,44567062001,"calcium gluconate 1 gram/50 mL in sodium chloride, iso-osm IV solution",130.5,78.3,0.077,7411.0,42
NDC,44567062024,"calcium gluconate 1 gram/50 mL in sodium chloride, iso-osm IV solution",130.5,78.3,22.18,7411.0,41
NDC,44567062101,"calcium gluconate 2 gram/100 mL in sodium chloride,iso-osm IV solution",249.0,149.4,0.077,7411.0,42
NDC,44567062124,"calcium gluconate 2 gram/100 mL in sodium chloride,iso-osm IV solution",249.0,149.4,42.33,7411.0,41
NDC,44567064001,norepinephrine bitartrate 4 mg/250 mL (16 mcg/mL) in 0.9 % NaCl IV,226.0,135.6,38.42,7411.0,39
NDC,44567064010,norepinephrine bitartrate 4 mg/250 mL (16 mcg/mL) in 0.9 % NaCl IV,226.0,135.6,38.42,7411.0,39
NDC,44567064201,norepinephrine bitartrate 16 mg/250 mL (64 mcg/mL) in 0.9 % NaCl IV,359.5,215.7,61.12,7411.0,39
NDC,44567066201,"dilTIAZem HCl 100 mg/100 mL (1 mg/mL) in sod chloride,iso-osm IV soln",230.4,138.24,0.044,7411.0,40
NDC,44567066210,"dilTIAZem HCl 100 mg/100 mL (1 mg/mL) in sod chloride,iso-osm IV soln",230.4,138.24,39.17,7411.0,39
NDC,44567070225,cefTRIAXone 2 gram solution for injection,41.0,24.6,0.473,7411.0,42
NDC,44567070725,ceFAZolin 1 gram solution for injection,14.9,8.94,0.9295,7411.0,42
NDC,44567080210,piperacillin-tazobactam 3.375 gram intravenous solution,35.84,21.5,1.19,7411.0,42
NDC,44567081210,"esmolol 2,000 mg/100 mL (20 mg/mL) in sterile water intravenous soln",582.75,349.65,0.2156,7411.0,42
NDC,44567084501,ceFAZolin 3 gram intravenous solution,40.4,24.24,0.8096,7411.0,42
NDC,44567084525,ceFAZolin 3 gram intravenous solution,40.4,24.24,6.87,7411.0,41
NDC,45567003001,kit for preparation of Tc 99m-sodium thiosulfate 2 mg Solution,342.59,205.55,58.24,7411.0,39
NDC,45567055501,kit preparation of Tc 99m-sestamibi combo no.1 IV solution,182.7,109.62,31.06,7411.0,39
NDC,45567055502,kit preparation of Tc 99m-sestamibi combo no.1 IV solution,182.7,109.62,31.06,7411.0,39
NDC,45802001405,hydrocortisone 2.5 % topical ointment,69.92,41.95,11.89,7411.0,39
NDC,45802004935,triamcinolone acetonide 0.5 % topical ointment,16.35,9.81,2.78,7411.0,39
NDC,45802005003,dibucaine 1 % topical ointment,10.02,6.01,1.7,7411.0,39
NDC,45802005435,triamcinolone acetonide 0.025 % topical ointment,9.93,5.96,1.69,7411.0,39
NDC,45802005505,triamcinolone acetonide 0.1 % topical ointment,67.19,40.31,11.42,7411.0,39
NDC,45802005635,gentamicin 0.1 % topical cream,78.99,47.39,13.43,7411.0,39
NDC,45802005935,"nystatin 100,000 unit/gram topical cream",27.99,16.79,4.76,7411.0,39
NDC,45802006000,bacitracin 500 unit/gram topical packet,0.27,0.16,0.0459,7411.0,39
NDC,45802006003,bacitracin 500 unit/gram topical ointment,4.93,2.96,0.8381,7411.0,39
NDC,45802006070,bacitracin 500 unit/gram topical packet,0.27,0.16,0.0459,7411.0,39
NDC,45802006335,triamcinolone acetonide 0.025 % topical cream,7.2,4.32,1.22,7411.0,39
NDC,45802006405,triamcinolone acetonide 0.1 % topical cream,39.04,23.42,6.64,7411.0,39
NDC,45802006535,triamcinolone acetonide 0.5 % topical cream,16.38,9.83,2.78,7411.0,39
NDC,45802009846,mesalamine 4 gram/60 mL enema,26.16,15.7,4.45,7411.0,39
NDC,45802011214,mupirocin 2 % topical ointment,12.27,7.36,2.09,7411.0,39
NDC,45802011222,mupirocin 2 % topical ointment,18.0,10.8,3.06,7411.0,39
NDC,45802012265,"loratadine 5 mg-pseudoephedrine ER 120 mg tablet,extended release,12hr",1.53,0.92,0.2601,7411.0,39
NDC,45802013835,ciclopirox 0.77 % topical cream,30.75,18.45,5.23,7411.0,39
NDC,45802014301,"neomycin-bacitracn Zn-polymyx 3.5 mg-400 unit-5,000 unit/gram top oint",4.0,2.4,0.68,7411.0,39
NDC,45802014303,"neomycin-bacitracn Zn-polymyx 3.5 mg-400 unit-5,000 unit/gram top oint",5.71,3.43,0.9707,7411.0,39
NDC,45802014370,"neomycin-bacitracn Zn-polymyxn 3.5 mg-400 unit-5,000 unit top oint pkt",0.29,0.17,0.0493,7411.0,39
NDC,45802014753,"cetirizine 5 mg-pseudoephedrine ER 120 mg tablet,extended release,12hr",1.55,0.93,0.2635,7411.0,39
NDC,45802018816,phenylephrine 0.25 %-mineral oil 14 %-petrolatm 74.9 % rectal ointment,5.24,3.14,0.8908,7411.0,39
NDC,45802026937,permethrin 5 % topical cream,198.0,118.8,33.66,7411.0,39
NDC,45802027603,hydrocortisone 1 % topical ointment,4.2,2.52,0.714,7411.0,39
NDC,45802046564,ketoconazole 2 % shampoo,44.16,26.5,7.51,7411.0,39
NDC,45802049326,ammonium lactate 12 % topical cream,73.92,44.35,12.57,7411.0,39
NDC,45802049383,ammonium lactate 12 % topical cream,28.28,16.97,4.81,7411.0,39
NDC,45802051377,ammonium lactate 12 % topical cream,21.0,12.6,3.57,7411.0,39
NDC,45802052526,ammonium lactate 12 % lotion,31.2,18.72,5.3,7411.0,39
NDC,45802058001,scopolamine 1 mg over 3 days transdermal patch,19.0,11.4,3.23,7411.0,39
NDC,45802058062,scopolamine 1 mg over 3 days transdermal patch,19.79,11.87,3.36,7411.0,39
NDC,45802062626,cetirizine 1 mg/mL oral solution,8.16,4.9,1.39,7411.0,39
NDC,45802065078,loratadine 10 mg tablet,0.12,0.07,0.0204,7411.0,39
NDC,45802072153,"cetirizine 5 mg-pseudoephedrine ER 120 mg tablet,extended release,12hr",1.55,0.93,0.2635,7411.0,39
NDC,45802073000,acetaminophen 650 mg rectal suppository,0.56,0.34,0.0952,7411.0,39
NDC,45802073200,acetaminophen 120 mg rectal suppository,0.62,0.37,0.1054,7411.0,39
NDC,45802086801,polyethylene glycol 3350 17 gram/dose oral powder,8.09,4.85,1.38,7411.0,39
NDC,45802093716,hydrocortisone 2.5 % lotion,59.94,35.96,10.19,7411.0,39
NDC,45802095301,diclofenac 1 % topical gel,24.6,14.76,4.18,7411.0,39
NDC,45963015202,"NIFEdipine ER 90 mg tablet,extended release",3.85,2.31,0.6545,7411.0,39
NDC,45963034102,desipramine 10 mg tablet,1.87,1.12,0.3179,7411.0,39
NDC,45963034202,desipramine 25 mg tablet,2.24,1.34,0.3808,7411.0,39
NDC,45963034302,desipramine 50 mg tablet,4.22,2.53,0.7174,7411.0,39
NDC,45963041806,"ranolazine ER 500 mg tablet,extended release,12 hr",2.85,1.71,0.4845,7411.0,39
NDC,45963043864,lactulose 10 gram/15 mL oral solution,9.0,5.4,1.53,7411.0,39
NDC,45963055611,gabapentin 300 mg capsule,0.18,0.11,0.0306,7411.0,39
NDC,45963067611,"metoprolol succinate ER 50 mg tablet,extended release 24 hr",0.5,0.3,0.085,7411.0,39
NDC,45963067711,"metoprolol succinate ER 100 mg tablet,extended release 24 hr",0.75,0.45,0.1275,7411.0,39
NDC,45963070911,"metoprolol succinate ER 25 mg tablet,extended release 24 hr",0.5,0.3,0.085,7411.0,39
NDC,45963073360,DOXOrubicin 2 mg/mL intravenous solution,680.0,408.0,3.0,7411.0,42
NDC,46287000601,sodium polystyrene sulfonate 15 gram-sorbitol 20 gram/60 mL oral susp,420.02,252.01,71.4,7411.0,39
NDC,46287000660,sodium polystyrene sulfonate 15 gram-sorbitol 20 gram/60 mL oral susp,49.56,29.74,8.43,7411.0,39
NDC,46287000901,isoniazid 50 mg/5 mL oral solution,584.18,350.51,99.31,7411.0,39
NDC,46287002410,potassium phos-mono-dibasic 3 mmol/mL (4.7 mEq potassium/mL) IV soln,236.37,141.82,40.18,7411.0,39
NDC,46287002415,potassium phos-mono-dibasic 3 mmol/mL (4.7 mEq potassium/mL) IV soln,236.37,141.82,40.18,7411.0,39
NDC,46287050001,sorbitol 70 % solution,21.76,13.06,3.7,7411.0,39
NDC,46287050030,sorbitol 70 % solution,5.58,3.35,0.9486,7411.0,39
NDC,46783022152,polidocanol 1 % (20 mg/2 mL) intravenous solution,120.0,72.0,20.4,7411.0,41
NDC,47335004940,"DOXOrubicin, pegylated liposomal 2 mg/mL intravenous suspension",2075.0,1245.0,68.27,7411.0,57
NDC,47335006186,dofetilide 125 mcg capsule,3.2,1.92,0.544,7411.0,39
NDC,47335006386,dofetilide 500 mcg capsule,3.2,1.92,0.544,7411.0,39
NDC,47335017148,tobramycin 300 mg/5 mL in 0.225 % sodium chloride for nebulization,24.0,14.4,4.08,7411.0,42
NDC,47335017149,tobramycin 300 mg/5 mL in 0.225 % sodium chloride for nebulization,24.0,14.4,4.08,7411.0,41
NDC,47335023596,methotrexate sodium 2.5 mg tablet,6.1,3.66,0.154,7411.0,42
NDC,47335023783,ambrisentan 10 mg tablet,76.8,46.08,13.06,7411.0,39
NDC,47335038281,"DULoxetine 30 mg capsule,delayed release",0.6,0.36,0.102,7411.0,39
NDC,47335048583,bicalutamide 50 mg tablet,6.0,3.6,1.02,7411.0,39
NDC,47335058381,rosuvastatin 10 mg tablet,0.27,0.16,0.0459,7411.0,39
NDC,47335061481,"niacin ER 750 mg tablet,extended release 24 hr",1.22,0.73,0.2074,7411.0,39
NDC,47335063148,budesonide 0.25 mg/2 mL suspension for nebulization,5.67,3.4,0.9639,7411.0,39
NDC,47335063149,budesonide 0.25 mg/2 mL suspension for nebulization,5.67,3.4,0.9639,7411.0,39
NDC,47335063248,budesonide 0.5 mg/2 mL suspension for nebulization,5.97,3.58,1.01,7411.0,39
NDC,47335063249,budesonide 0.5 mg/2 mL suspension for nebulization,5.97,3.58,1.01,7411.0,39
NDC,47335070348,albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization,1.32,0.79,0.2244,7411.0,39
NDC,47335070352,albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization,1.32,0.79,0.2244,7411.0,39
NDC,47335070648,ipratropium bromide 0.02 % solution for inhalation,1.3,0.78,0.221,7411.0,39
NDC,47335070649,ipratropium bromide 0.02 % solution for inhalation,1.3,0.78,0.221,7411.0,39
NDC,47335073686,"bupropion HCl SR 100 mg tablet,12 hr sustained-release",0.47,0.28,0.0799,7411.0,39
NDC,47335073788,"bupropion HCl SR 150 mg tablet,12 hr sustained-release",0.51,0.31,0.0867,7411.0,39
NDC,47335075648,ipratropium 0.5 mg-albuterol 3 mg (2.5 mg base)/3 mL nebulization soln,1.8,1.08,0.306,7411.0,39
NDC,47335075649,ipratropium 0.5 mg-albuterol 3 mg (2.5 mg base)/3 mL nebulization soln,1.8,1.08,0.306,7411.0,39
NDC,47335078891,desmopressin 10 mcg/spray (0.1 mL) nasal spray (non-refrigerated),246.26,147.76,41.86,7411.0,39
NDC,47335089274,temozolomide 100 mg capsule,54.97,32.98,0.4345,7411.0,42
NDC,47335089413,clopidogrel 75 mg tablet,2.42,1.45,0.4114,7411.0,39
NDC,47335089481,clopidogrel 75 mg tablet,2.42,1.45,0.4114,7411.0,39
NDC,47335095688,"alfuzosin ER 10 mg tablet,extended release 24 hr",1.7,1.02,0.289,7411.0,39
NDC,47426020101,aprepitant 130 mg/18 mL (7.2 mg/mL) intravenous emulsion,1966.19,1179.71,1.61,7411.0,57
NDC,47682022335,"neomycin-bacitracn Zn-polymyxn 3.5 mg-400 unit-5,000 unit top oint pkt",0.23,0.14,0.0391,7411.0,39
NDC,47781001201,hyoscyamine 0.125 mg disintegrating tablet,2.35,1.41,0.3995,7411.0,39
NDC,47781019601,oxyCODONE-acetaminophen 5 mg-325 mg tablet,3.34,2.0,0.5678,7411.0,39
NDC,47781026305,oxyCODONE 5 mg tablet,3.31,1.99,0.5627,7411.0,39
NDC,47781029603,nitroglycerin 0.1 mg/hr transdermal 24 hour patch,1.76,1.06,0.2992,7411.0,39
NDC,47781029803,nitroglycerin 0.4 mg/hr transdermal 24 hour patch,1.63,0.98,0.2771,7411.0,39
NDC,47781029903,nitroglycerin 0.6 mg/hr transdermal 24 hour patch,1.89,1.13,0.3213,7411.0,39
NDC,47781030301,nitrofurantoin monohydrate/macrocrystals 100 mg capsule,1.77,1.06,0.3009,7411.0,39
NDC,47781038426,oseltamivir 6 mg/mL oral suspension,201.02,120.61,34.17,7411.0,39
NDC,47781042647,fentaNYL 50 mcg/hr transdermal patch,28.33,17.0,4.82,7411.0,39
NDC,47781042711,fentaNYL 75 mcg/hr transdermal patch,43.04,25.82,7.32,7411.0,39
NDC,47781042747,fentaNYL 75 mcg/hr transdermal patch,43.04,25.82,7.32,7411.0,39
NDC,47781049701,ethacrynic acid 25 mg tablet,30.0,18.0,5.1,7411.0,39
NDC,47781058629,labetalol 5 mg/mL intravenous solution,66.0,39.6,0.154,7411.0,42
NDC,47781058629,"labetalol 5 mg/mL intravenous solution,labetalol 20 mg/4 mL (5 mg/mL) intravenous syringe,labetalol 25 mg/5 mL (5 mg/mL) intravenous syringe,labetalol 10 mg/2 mL (5 mg/mL) intravenous syringe",3.3,1.98,0.154,7411.0,42
NDC,47781059707,"vancomycin 1,000 mg intravenous injection",40.94,24.56,0.033,7411.0,42
NDC,47781059791,"vancomycin 1,000 mg intravenous injection",40.94,24.56,6.96,7411.0,41
NDC,47781059807,vancomycin 500 mg intravenous solution,23.0,13.8,0.033,7411.0,42
NDC,47781059891,vancomycin 500 mg intravenous solution,23.0,13.8,3.91,7411.0,41
NDC,47781060730,disulfiram 250 mg tablet,5.66,3.4,0.9622,7411.0,39
NDC,47781091601,dexAMETHasone 6 mg tablet,2.97,1.78,0.5049,7411.0,41
NDC,47783010101,ecallantide 10 mg/mL (1 mL) subcutaneous solution,49863.3,29917.98,540.47,37397.47,57
NDC,48433023015,iodine strong (Lugols) 5 % oral solution,64.51,38.71,10.97,7411.0,39
NDC,48582051201,saliva stimulant combination no.7 oral mucosal gel,11.26,6.76,1.91,7411.0,39
NDC,48783011208,ferric subsulfate 0.2 gram to 0.22 gram/mL topical soln and applicator,52.5,31.5,8.93,7411.0,39
NDC,48818000102,PRALAtrexate 40 mg/2 mL (20 mg/mL) intravenous solution,40775.12,24465.07,325.97,30581.34,57
NDC,48985000155,nicotine 7 mg/24 hr daily transdermal patch,4.56,2.74,0.7752,7411.0,39
NDC,49100036374,Lactobacillus rhamnosus GG 15 billion cell sprinkle capsule,1.09,0.65,0.1853,7411.0,39
NDC,49100036404,Lactobacillus rhamnosus GG 15 billion cell sprinkle capsule,1.09,0.65,0.1853,7411.0,39
NDC,49281012565,flu vaccine ts2025-26(65yr up)(PF)180 mcg/0.5 mL intramuscular syringe,135.0,81.0,22.95,7411.0,42
NDC,49281012588,flu vaccine ts2025-26(65yr up)(PF)180 mcg/0.5 mL intramuscular syringe,135.0,81.0,22.95,7411.0,41
NDC,49281021510,tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM susp,219.61,131.77,37.33,7411.0,42
NDC,49281021515,tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM syringe,219.61,131.77,37.33,7411.0,42
NDC,49281021558,tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM susp,219.6,131.76,37.33,7411.0,42
NDC,49281021588,tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM syringe,219.6,131.76,37.33,7411.0,42
NDC,49281025051,"rabies vaccine,human diploid (PF) 2.5 unit intramuscular solution",1958.15,1174.89,299.46,7411.0,57
NDC,49281028610,"diph,pertus(acel),tet pedi (PF) 15 Lf unit-10 mcg-5 Lf/0.5 mL IM susp",168.37,101.02,28.62,7411.0,41
NDC,49281040010,"diphth,pertus(acel)tetanus(PF)2Lf-(2.5-5-3-5mcg)-5 Lf/0.5 mL IM susp",279.48,167.69,43.43,7411.0,42
NDC,49281051005,DP(a)T-polio-hib conj-tet (PF) 15 Lf unit-20 mcg-5 Lf /0.5 mL IM kit,466.92,280.15,79.38,7411.0,41
NDC,49281075221,tuberculin PPD 5 tub. unit/0.1 mL intradermal injection solution,101.13,60.68,10.0,7411.0,55
NDC,49281086010,poliovirus vaccine 40 unit-8 unit-32 unit/0.5 mL injection suspension,1890.96,1134.58,321.46,7411.0,41
NDC,49348017934,hydrogen peroxide 3 % solution,1.18,0.71,0.2006,7411.0,39
NDC,49411005030,aminocaproic acid 500 mg tablet,44.96,26.98,7.64,7411.0,39
NDC,49483008001,sennosides 8.6 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,49483034001,acetaminophen 325 mg tablet,0.05,0.03,0.0085,7411.0,39
NDC,49483034010,acetaminophen 325 mg tablet,0.02,0.01,0.0034,7411.0,39
NDC,49483034150,acetaminophen 500 mg tablet,0.06,0.04,0.0102,7411.0,39
NDC,49483046850,acetaminophen 500 mg tablet,0.06,0.04,0.0102,7411.0,39
NDC,49483048112,"aspirin 81 mg tablet,delayed release",0.03,0.02,0.0051,7411.0,39
NDC,49483060301,ibuprofen 600 mg tablet,0.14,0.08,0.0238,7411.0,39
NDC,49483060501,gabapentin 100 mg capsule,0.07,0.04,0.0119,7411.0,39
NDC,49483068201,cetirizine 5 mg tablet,0.14,0.08,0.0238,7411.0,39
NDC,49483068703,paricalcitol 1 mcg capsule,2.0,1.2,0.34,7411.0,39
NDC,49502010201,"EPINEPHrine 0.3 mg/0.3 mL injection, auto-injector",679.0,407.4,115.43,7411.0,39
NDC,49502039380,insulin glargine-yfgn (U-100) 100 unit/mL subcutaneous solution,125.94,75.56,21.41,7411.0,39
NDC,49580026806,hydrogen peroxide 3 % solution,2.84,1.7,0.4828,7411.0,39
NDC,49702020548,lamiVUDine 10 mg/mL oral solution,222.26,133.36,37.78,7411.0,39
NDC,49702020613,abacavir 600 mg-lamivudine 300 mg tablet,86.61,51.97,14.72,7411.0,39
NDC,49702021326,zidovudine 10 mg/mL intravenous solution,180.2,108.12,1.43,7411.0,57
NDC,49702021718,abacavir 300 mg-lamivudine 150 mg-zidovudine 300 mg tablet,54.16,32.5,9.21,7411.0,39
NDC,49702022248,abacavir 20 mg/mL oral solution,294.26,176.56,50.02,7411.0,39
NDC,49702022813,dolutegravir 50 mg tablet,151.0,90.6,25.67,7411.0,39
NDC,49730011130,nitroglycerin 0.2 mg/hr transdermal 24 hour patch,1.41,0.85,0.2397,7411.0,39
NDC,49781008125,glycerin (adult) rectal suppository,0.18,0.11,0.0306,7411.0,39
NDC,49781013116,bisacodyl 10 mg rectal suppository,1.31,0.79,0.2227,7411.0,39
NDC,49781014851,sennosides 8.6 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,49884005401,imipramine 10 mg tablet,0.36,0.22,0.0612,7411.0,39
NDC,49884005501,imipramine 25 mg tablet,0.48,0.29,0.0816,7411.0,39
NDC,49884006501,glycopyrrolate 1 mg tablet,1.87,1.12,0.3179,7411.0,39
NDC,49884011701,aMILoride 5 mg tablet,1.81,1.09,0.3077,7411.0,39
NDC,49884015576,varenicline tartrate 0.5 mg tablet,2.96,1.78,0.5032,7411.0,39
NDC,49884016111,calcitonin (salmon) 200 unit/actuation nasal spray,80.0,48.0,13.6,7411.0,39
NDC,49884017111,colchicine 0.6 mg tablet,1.23,0.74,0.2091,7411.0,39
NDC,49884021801,doxepin 25 mg capsule,1.23,0.74,0.2091,7411.0,39
NDC,49884030202,oxandrolone 10 mg tablet,29.33,17.6,4.99,7411.0,39
NDC,49884030902,clonazePAM 1 mg disintegrating tablet,2.11,1.27,0.3587,7411.0,39
NDC,49884030952,clonazePAM 1 mg disintegrating tablet,2.11,1.27,0.3587,7411.0,39
NDC,49884031552,risperiDONE 1 mg disintegrating tablet,8.17,4.9,1.39,7411.0,39
NDC,49884032052,OLANZapine 5 mg disintegrating tablet,1.71,1.03,0.2907,7411.0,39
NDC,49884041201,ursodiol 250 mg tablet,2.83,1.7,0.4811,7411.0,39
NDC,49884042411,aliskiren 150 mg tablet,11.08,6.65,1.88,7411.0,39
NDC,49884046564,cholestyramine (with sugar) 4 gram powder for susp in a packet,4.1,2.46,0.697,7411.0,39
NDC,49884064001,methIMAzole 5 mg tablet,0.48,0.29,0.0816,7411.0,39
NDC,49884064101,methIMAzole 10 mg tablet,0.83,0.5,0.1411,7411.0,39
NDC,49884072401,hydroxyurea 500 mg capsule,6.12,3.67,1.04,7411.0,39
NDC,49884072501,buspirone 7.5 mg tablet,1.82,1.09,0.3094,7411.0,39
NDC,49884072703,doxycycline monohydrate 100 mg capsule,2.18,1.31,0.3706,7411.0,39
NDC,49884072704,doxycycline monohydrate 100 mg capsule,2.11,1.27,0.3587,7411.0,39
NDC,49884075313,flutamide 125 mg capsule,8.14,4.88,1.38,7411.0,39
NDC,49884076852,tolvaptan 15 mg tablet,120.0,72.0,20.4,7411.0,39
NDC,49884076854,tolvaptan 15 mg tablet,120.0,72.0,20.4,7411.0,39
NDC,49884090788,megestrol 400 mg/10 mL (40 mg/mL) oral suspension,213.12,127.87,36.23,7411.0,39
NDC,49884098501,nateglinide 120 mg tablet,2.46,1.48,0.4182,7411.0,39
NDC,4988476452,fentaNYL 100 mcg/hr transdermal patch,21.5,12.9,3.65,7411.0,39
NDC,49938010230,dapsone 25 mg tablet,5.06,3.04,0.8602,7411.0,39
NDC,50072001001,tecovirimat 10 mg/mL intravenous solution,4.0,2.4,0.68,7411.0,39
NDC,50072001030,tecovirimat 10 mg/mL intravenous solution,4.0,2.4,0.68,7411.0,39
NDC,50090310400,atropine 1 % eye drops,116.76,70.06,19.85,7411.0,39
NDC,50102091101,ulipristal 30 mg tablet,71.5,42.9,12.15,7411.0,39
NDC,50111032301,bethanechol chloride 5 mg tablet,1.53,0.92,0.2601,7411.0,39
NDC,50111032701,hydrALAZINE 25 mg tablet,0.31,0.19,0.0527,7411.0,39
NDC,50111033402,metroNIDAZOLE 500 mg tablet,1.47,0.88,0.2499,7411.0,39
NDC,50111043301,traZODone 50 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,50111043401,traZODone 100 mg tablet,0.25,0.15,0.0425,7411.0,39
NDC,50111056001,traZODone 50 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,50111056101,traZODone 100 mg tablet,0.25,0.15,0.0425,7411.0,39
NDC,50111064701,FLUoxetine 10 mg capsule,0.11,0.07,0.0187,7411.0,39
NDC,50111064801,FLUoxetine 20 mg capsule,0.12,0.07,0.0204,7411.0,39
NDC,50111091701,torsemide 20 mg tablet,1.23,0.74,0.2091,7411.0,39
NDC,50190014123,sodium chloride 7 % for nebulization,1.26,0.76,0.2142,7411.0,39
NDC,50190014263,sodium chloride 3 % for nebulization,1.26,0.76,0.2142,7411.0,39
NDC,50190074060,sodium chloride 7 % for nebulization,1.34,0.8,0.2278,7411.0,39
NDC,50228010901,carisoprodol 350 mg tablet,1.24,0.74,0.2108,7411.0,39
NDC,50228014601,hydroCHLOROthiazide 12.5 mg capsule,0.16,0.1,0.0272,7411.0,39
NDC,50228037990,ezetimibe 10 mg tablet,0.54,0.32,0.0918,7411.0,39
NDC,50242001403,tenecteplase 25 mg intravenous solution,24919.78,14951.87,187.57,18689.83,58
NDC,50242003706,"tenecteplase 50 mg intravenous kit,tenecteplase 50 mg intravenous solution",18684.58,11210.75,187.57,14013.43,58
NDC,50242003706,tenecteplase 50 mg intravenous solution,18684.58,11210.75,187.57,14013.43,58
NDC,50242004110,alteplase 2 mg intra-catheter solution,821.54,492.92,90.34,7411.0,57
NDC,50242004164,alteplase 2 mg intra-catheter solution,821.58,492.95,90.34,7411.0,57
NDC,50242004406,alteplase 50 mg intravenous solution,13228.54,7937.12,90.34,9921.41,57
NDC,50242004413,alteplase 50 mg intravenous solution,13228.54,7937.12,2248.85,11244.26,41
NDC,50242005121,"riTUXimab 10 mg/mL concentrate,intravenous",2868.56,1721.14,70.45,7411.0,57
NDC,50242005306,"riTUXimab 10 mg/mL concentrate,intravenous",14142.8,8485.68,70.45,10607.1,57
NDC,50242005656,trastuzumab 440 mg intravenous solution,13764.11,8258.47,69.76,10323.08,57
NDC,50242006001,bevacizumab 25 mg/mL intravenous solution,2440.82,1464.49,70.64,7411.0,57
NDC,50242006101,bevacizumab 25 mg/mL intravenous solution,9613.28,5767.97,70.64,7411.0,57
NDC,50242007001,"obinutuzumab 1,000 mg/40 mL intravenous solution",24775.52,14865.31,77.72,18581.64,57
NDC,50242008525,alteplase 100 mg intravenous solution,26429.08,15857.45,90.34,19821.81,57
NDC,50242008527,alteplase 100 mg intravenous solution,26429.08,15857.45,4492.94,22464.72,41
NDC,50242008701,ado-trastuzumab emtansine 160 mg intravenous solution,18917.18,11350.31,38.34,14187.89,57
NDC,50242008801,ado-trastuzumab emtansine 100 mg intravenous solution,11842.01,7105.21,38.34,8881.51,57
NDC,50242010039,dornase alfa 1 mg/mL solution for inhalation,584.45,350.67,50.93,7411.0,42
NDC,50242010040,dornase alfa 1 mg/mL solution for inhalation,584.45,350.67,99.36,7411.0,41
NDC,50242010501,polatuzumab vedotin-piiq 140 mg intravenous solution,54257.99,32554.79,130.21,40693.49,57
NDC,50242012047,"tenecteplase 50 mg intravenous kit,tenecteplase 50 mg intravenous solution",23510.8,14106.48,187.57,17633.1,58
NDC,50242012047,tenecteplase 50 mg intravenous solution,23510.8,14106.48,187.57,17633.1,58
NDC,50242013201,trastuzumab 150 mg intravenous solution,4725.26,2835.16,69.76,7411.0,57
NDC,50242013501,tocilizumab 80 mg/4 mL (20 mg/mL) intravenous solution,1593.48,956.09,5.25,7411.0,57
NDC,50242013601,tocilizumab 200 mg/10 mL (20 mg/mL) intravenous solution,3983.73,2390.24,5.25,7411.0,57
NDC,50242013701,tocilizumab 400 mg/20 mL (20 mg/mL) intravenous solution,3226.82,1936.09,5.25,7411.0,57
NDC,50242014501,pertuzumab 420 mg/14 mL (30 mg/mL) intravenous solution,19630.36,11778.22,15.15,14722.77,57
NDC,50242015001,ocrelizumab 30 mg/mL intravenous solution,59143.14,35485.88,56.62,44357.36,57
NDC,50242091701,"atezolizumab 1,200 mg/20 mL (60 mg/mL) intravenous solution",32822.3,19693.38,89.3,24616.72,57
NDC,50242091801,atezolizumab 840 mg/14 mL (60 mg/mL) intravenous solution,22990.57,13794.34,89.3,17242.93,57
NDC,50268003711,amitriptyline 10 mg tablet,0.83,0.5,0.1411,7411.0,39
NDC,50268003715,amitriptyline 10 mg tablet,0.83,0.5,0.1411,7411.0,39
NDC,50268004111,amitriptyline 100 mg tablet,1.43,0.86,0.2431,7411.0,39
NDC,50268004115,amitriptyline 100 mg tablet,1.43,0.86,0.2431,7411.0,39
NDC,50268013011,bumetanide 0.5 mg tablet,2.53,1.52,0.4301,7411.0,39
NDC,50268013015,bumetanide 0.5 mg tablet,2.53,1.52,0.4301,7411.0,39
NDC,50268015215,cephalexin 500 mg capsule,1.07,0.64,0.1819,7411.0,39
NDC,50268018711,colchicine 0.6 mg tablet,7.44,4.46,1.26,7411.0,39
NDC,50268018715,colchicine 0.6 mg tablet,7.44,4.46,1.26,7411.0,39
NDC,50268033015,fludrocortisone 0.1 mg tablet,0.95,0.57,0.1615,7411.0,39
NDC,50268040411,hydroCHLOROthiazide 12.5 mg capsule,0.52,0.31,0.0884,7411.0,39
NDC,50268040415,hydroCHLOROthiazide 12.5 mg capsule,0.52,0.31,0.0884,7411.0,39
NDC,50268044911,isosorbide dinitrate 20 mg tablet,2.0,1.2,0.34,7411.0,39
NDC,50268062211,ondansetron HCl 8 mg tablet,1.22,0.73,0.2074,7411.0,39
NDC,50268062215,ondansetron HCl 8 mg tablet,1.22,0.73,0.2074,7411.0,39
NDC,50268062315,nitrofurantoin macrocrystal 50 mg capsule,4.09,2.45,0.6953,7411.0,39
NDC,50268066611,pravastatin 20 mg tablet,1.03,0.62,0.1751,7411.0,39
NDC,50268066615,pravastatin 20 mg tablet,1.03,0.62,0.1751,7411.0,39
NDC,50268068615,primidone 50 mg tablet,1.0,0.6,0.17,7411.0,39
NDC,50268074611,valsartan 40 mg tablet,2.02,1.21,0.3434,7411.0,39
NDC,50268074615,valsartan 40 mg tablet,2.02,1.21,0.3434,7411.0,39
NDC,50268077011,sertraline 100 mg tablet,0.9,0.54,0.153,7411.0,39
NDC,50268077015,sertraline 100 mg tablet,0.9,0.54,0.153,7411.0,39
NDC,50268079611,ursodiol 300 mg capsule,15.33,9.2,2.61,7411.0,39
NDC,50268079615,ursodiol 300 mg capsule,15.33,9.2,2.61,7411.0,39
NDC,50268085111,"thiamine HCl (vitamin B1) 100 mg tablet,thiamine mononitrate (vitamin B1) 100 mg tablet",0.34,0.2,0.0578,7411.0,39
NDC,50268085111,thiamine mononitrate (vitamin B1) 100 mg tablet,0.34,0.2,0.0578,7411.0,39
NDC,50268085115,"thiamine HCl (vitamin B1) 100 mg tablet,thiamine mononitrate (vitamin B1) 100 mg tablet",0.34,0.2,0.0578,7411.0,39
NDC,50268085115,thiamine mononitrate (vitamin B1) 100 mg tablet,0.34,0.2,0.0578,7411.0,39
NDC,50383004224,prednisoLONE 15 mg/5 mL oral solution,106.08,63.65,0.814,7411.0,42
NDC,50383006310,guaiFENesin 100 mg/5 mL oral liquid,0.94,0.56,0.1598,7411.0,39
NDC,50383007916,"acetaminophen 120 mg-codeine 12 mg/5 mL (5 mL) oral solution,acetaminophen 120 mg-codeine 12 mg/5 mL oral solution",3.17,1.9,0.5389,7411.0,39
NDC,50383007916,acetaminophen 120 mg-codeine 12 mg/5 mL oral solution,3.1,1.86,0.527,7411.0,39
NDC,50383017290,levOCARNitine 330 mg tablet,1.76,1.06,0.2992,7411.0,39
NDC,50383028608,levoFLOXacin 250 mg/10 mL oral solution,447.3,268.38,76.04,7411.0,39
NDC,50383056510,neomycin 500 mg tablet,2.54,1.52,0.4318,7411.0,39
NDC,50383074120,albuterol sulfate concentrate 5 mg/mL(0.5 %) solution for nebulization,97.6,58.56,16.59,7411.0,39
NDC,50383077110,docusate sodium 50 mg/5 mL oral liquid,1.08,0.65,0.1836,7411.0,39
NDC,50383077111,docusate sodium 50 mg/5 mL oral liquid,1.08,0.65,0.1836,7411.0,39
NDC,50383077116,docusate sodium 50 mg/5 mL oral liquid,6.62,3.97,1.13,7411.0,39
NDC,50383077504,lidocaine HCl 2 % mucosal solution,22.0,13.2,3.74,7411.0,39
NDC,50383077515,lidocaine HCl 2 % mucosal solution,1.8,1.08,0.306,7411.0,39
NDC,50383077517,lidocaine HCl 2 % mucosal solution,1.8,1.08,0.306,7411.0,39
NDC,50383080116,promethazine 6.25 mg/5 mL oral syrup,21.76,13.06,3.7,7411.0,39
NDC,50383080416,promethazine 6.25 mg-codeine 10 mg/5 mL syrup,0.13,0.08,0.0221,7411.0,39
NDC,50383080716,amantadine HCl 50 mg/5 mL oral solution,35.95,21.57,6.11,7411.0,39
NDC,50383082416,sulfamethoxazole 200 mg-trimethoprim 40 mg/5 mL oral suspension,179.29,107.57,30.48,7411.0,39
NDC,50419025091,riociguat 0.5 mg tablet,307.42,184.45,52.26,7411.0,39
NDC,50419025191,riociguat 1 mg tablet,307.42,184.45,52.26,7411.0,39
NDC,50419025491,riociguat 2.5 mg tablet,307.42,184.45,52.26,7411.0,39
NDC,50419034410,iopromide 300 mg iodine/mL injection solution,2.4,1.44,0.1694,7411.0,42
NDC,50419034465,iopromide 300 mg iodine/mL intravenous solution,1.8,1.08,0.1694,7411.0,42
NDC,50419034610,iopromide 370 mg iodine/mL injection solution,2.82,1.69,0.1694,7411.0,42
NDC,50419034665,iopromide 370 mg iodine/mL intravenous solution,2.16,1.3,0.1694,7411.0,42
NDC,50419042301,levonorgestrel 21 mcg/24 hr (up to 8 years) 52 mg intrauterine device,3470.37,2082.22,589.96,7411.0,41
NDC,50419074701,praziquantel 600 mg tablet,166.58,99.95,28.32,7411.0,39
NDC,50458002802,esketamine 56 mg (28 mg x 2) nasal spray,772.41,463.45,131.31,7411.0,39
NDC,50458009801,pentosan polysulfate sodium 100 mg capsule,22.6,13.56,3.84,7411.0,39
NDC,50458025501,haloperidol lactate 5 mg/mL injection solution,123.81,74.29,0.8679,7411.0,42
NDC,50458029515,itraconazole 10 mg/mL oral solution,686.0,411.6,116.62,7411.0,39
NDC,50458030611,"risperiDONE microspheres ER 25 mg/2 mL intramuscular susp,ext release",1843.68,1106.21,10.26,7411.0,58
NDC,50458030711,"risperiDONE microspheres ER 37.5 mg/2 mL intramuscular susp,ext releas",2765.64,1659.38,10.26,7411.0,58
NDC,50458051360,acetaminophen 300 mg-codeine 30 mg tablet,5.46,3.28,0.9282,7411.0,39
NDC,50458055001,"paliperidone ER 3 mg tablet,extended release 24 hr",24.52,14.71,4.17,7411.0,39
NDC,50458055101,"paliperidone ER 6 mg tablet,extended release 24 hr",24.52,14.71,4.17,7411.0,39
NDC,50458057701,rivaroxaban 2.5 mg tablet,20.99,12.59,3.57,7411.0,39
NDC,50458057710,rivaroxaban 2.5 mg tablet,20.99,12.59,3.57,7411.0,39
NDC,50458057801,rivaroxaban 15 mg tablet,39.97,23.98,6.79,7411.0,39
NDC,50458057810,rivaroxaban 15 mg tablet,39.97,23.98,6.79,7411.0,39
NDC,50458057830,rivaroxaban 15 mg tablet,39.97,23.98,6.79,7411.0,39
NDC,50458057890,rivaroxaban 15 mg tablet,39.97,23.98,6.79,7411.0,39
NDC,50458057910,rivaroxaban 20 mg tablet,39.97,23.98,6.79,7411.0,39
NDC,50458058001,rivaroxaban 10 mg tablet,39.97,23.98,6.79,7411.0,39
NDC,50458058010,rivaroxaban 10 mg tablet,39.97,23.98,6.79,7411.0,39
NDC,50458058030,rivaroxaban 10 mg tablet,39.97,23.98,6.79,7411.0,39
NDC,50458058501,"methylphenidate ER 18 mg tablet,extended release 24 hr",25.8,15.48,4.39,7411.0,39
NDC,50474047066,brivaracetam 25 mg tablet,143.71,86.23,24.43,7411.0,39
NDC,50474071079,certolizumab pegol 400 mg/2 mL (200 mg/mL x2) subcutaneous syringe kit,8578.79,5147.27,3.6,7411.0,57
NDC,50474080503,rotigotine 6 mg/24 hour transdermal 24 hour patch,56.19,33.71,9.55,7411.0,39
NDC,50484001030,collagenase clostridium histolyticum 250 unit/gram topical ointment,604.68,362.81,102.8,7411.0,39
NDC,50486055032,benzocaine 10 % mucosal gel,10.7,6.42,1.82,7411.0,39
NDC,50580045711,acetaminophen 500 mg tablet,0.11,0.07,0.0187,7411.0,39
NDC,50580049698,acetaminophen 325 mg tablet,0.14,0.08,0.0238,7411.0,39
NDC,50580069202,acetaminophen 500 mg tablet,0.17,0.1,0.0289,7411.0,39
NDC,50580072824,"cetirizine 5 mg-pseudoephedrine ER 120 mg tablet,extended release,12hr",1.45,0.87,0.2465,7411.0,39
NDC,50580078212,cetirizine 10 mg disintegrating tablet,1.78,1.07,0.3026,7411.0,39
NDC,50633011012,crotalidae polyval immune fab 1 gram solution for injection,9600.0,5760.0,1632.0,7411.0,58
NDC,50633012011,digoxin immune fab 40 mg intravenous solution,14355.0,8613.0,2440.35,11109.03,58
NDC,50633021011,"glucarpidase 1,000 unit intravenous solution",123522.0,74113.2,426.64,92641.5,56
NDC,50742011808,cabergoline 0.5 mg tablet,6.25,3.75,1.06,7411.0,39
NDC,50742014201,methenamine hippurate 1 gram tablet,1.94,1.16,0.3298,7411.0,39
NDC,50742017801,nadolol 20 mg tablet,1.44,0.86,0.2448,7411.0,39
NDC,50742017901,nadolol 40 mg tablet,1.56,0.94,0.2652,7411.0,39
NDC,50742023301,"acetaZOLAMIDE ER 500 mg capsule,extended release",1.0,0.6,0.17,7411.0,39
NDC,50742024990,"dilTIAZem CD 180 mg capsule,extended release 24 hr",0.43,0.26,0.0731,7411.0,39
NDC,50742025801,"carBAMazepine ER 200 mg tablet,extended release,12 hr",1.6,0.96,0.272,7411.0,39
NDC,50742026001,"NIFEdipine ER 30 mg tablet,extended release 24 hr",0.51,0.31,0.0867,7411.0,39
NDC,50742026101,"NIFEdipine ER 60 mg tablet,extended release 24 hr",0.55,0.33,0.0935,7411.0,39
NDC,50742026101,"NIFEdipine ER 60 mg tablet,extended release,NIFEdipine ER 60 mg tablet, extended release 24 hr",0.55,0.33,0.0935,7411.0,39
NDC,50742026201,"NIFEdipine ER 90 mg tablet,extended release 24 hr",0.91,0.55,0.1547,7411.0,39
NDC,50742046450,leucovorin calcium 10 mg/mL injection solution,382.5,229.5,3.95,7411.0,42
NDC,50742050501,scopolamine 1 mg over 3 days transdermal patch,19.0,11.4,3.23,7411.0,39
NDC,50742050510,scopolamine 1 mg over 3 days transdermal patch,19.0,11.4,3.23,7411.0,39
NDC,50742050524,scopolamine 1 mg over 3 days transdermal patch,19.79,11.87,3.36,7411.0,39
NDC,50742052005,cycloPHOSphamide 200 mg/mL intravenous solution,2247.5,1348.5,0.7315,7411.0,57
NDC,50742061501,"metoprolol succinate ER 25 mg tablet,extended release 24 hr",0.22,0.13,0.0374,7411.0,39
NDC,50742065601,carisoprodol 350 mg tablet,1.28,0.77,0.2176,7411.0,39
NDC,51079002301,metOLazone 2.5 mg tablet,5.48,3.29,0.9316,7411.0,39
NDC,51079002401,metOLazone 5 mg tablet,6.22,3.73,1.06,7411.0,39
NDC,51079004701,"bupropion HCl XL 150 mg 24 hr tablet, extended release",6.33,3.8,1.08,7411.0,39
NDC,51079005101,"pantoprazole 40 mg tablet,delayed release",0.57,0.34,0.0969,7411.0,39
NDC,51079005120,"pantoprazole 40 mg tablet,delayed release",0.57,0.34,0.0969,7411.0,39
NDC,51079005801,chlorthalidone 25 mg tablet,3.83,2.3,0.6511,7411.0,39
NDC,51079007301,furosemide 40 mg tablet,0.14,0.08,0.0238,7411.0,39
NDC,51079007401,hydrALAZINE 10 mg tablet,0.46,0.28,0.0782,7411.0,39
NDC,51079010701,amitriptyline 25 mg tablet,0.57,0.34,0.0969,7411.0,39
NDC,51079011801,dicyclomine 10 mg capsule,2.0,1.2,0.34,7411.0,39
NDC,51079011901,dicyclomine 20 mg tablet,2.0,1.2,0.34,7411.0,42
NDC,51079013101,amitriptyline 10 mg tablet,0.29,0.17,0.0493,7411.0,39
NDC,51079013301,amitriptyline 50 mg tablet,1.14,0.68,0.1938,7411.0,39
NDC,51079014101,chlordiazePOXIDE 25 mg capsule,1.06,0.64,0.1802,7411.0,39
NDC,51079014120,chlordiazePOXIDE 25 mg capsule,1.06,0.64,0.1802,7411.0,39
NDC,51079016101,acetaminophen 300 mg-codeine 30 mg tablet,3.45,2.07,0.5865,7411.0,39
NDC,51079017001,"metoprolol succinate ER 50 mg tablet,extended release 24 hr",1.75,1.05,0.2975,7411.0,39
NDC,51079017401,"metFORMIN 1,000 mg tablet",0.44,0.26,0.0748,7411.0,39
NDC,51079018201,ciprofloxacin 500 mg tablet,0.88,0.53,0.1496,7411.0,39
NDC,51079020001,methyldopa 250 mg tablet,0.36,0.22,0.0612,7411.0,39
NDC,51079020501,allopurinol 100 mg tablet,0.63,0.38,0.1071,7411.0,39
NDC,51079020520,allopurinol 100 mg tablet,0.63,0.38,0.1071,7411.0,39
NDC,51079020601,allopurinol 300 mg tablet,1.26,0.76,0.2142,7411.0,39
NDC,51079020801,atorvastatin 10 mg tablet,0.62,0.37,0.1054,7411.0,39
NDC,51079022301,montelukast 10 mg tablet,1.22,0.73,0.2074,7411.0,39
NDC,51079025501,metoprolol tartrate 25 mg tablet,0.19,0.11,0.0323,7411.0,39
NDC,51079028401,diazePAM 2 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,51079028501,diazePAM 5 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,51079028601,diazePAM 10 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,51079029901,cloNIDine HCl 0.1 mg tablet,0.21,0.13,0.0357,7411.0,39
NDC,51079030601,polyethylene glycol 3350 17 gram oral powder packet,3.01,1.81,0.5117,7411.0,39
NDC,51079034801,nitrofurantoin monohydrate/macrocrystals 100 mg capsule,8.21,4.93,1.4,7411.0,39
NDC,51079037401,chlordiazePOXIDE 5 mg capsule,1.29,0.77,0.2193,7411.0,39
NDC,51079038701,LORazepam 2 mg tablet,0.46,0.28,0.0782,7411.0,39
NDC,51079039201,"bupropion HCl SR 150 mg tablet,12 hr sustained-release",1.7,1.02,0.289,7411.0,39
NDC,51079041801,temazepam 15 mg capsule,0.22,0.13,0.0374,7411.0,39
NDC,51079042501,glimepiride 2 mg tablet,0.87,0.52,0.1479,7411.0,39
NDC,51079042520,glimepiride 2 mg tablet,0.87,0.52,0.1479,7411.0,39
NDC,51079043301,triamterene 75 mg-hydrochlorothiazide 50 mg tablet,1.43,0.86,0.2431,7411.0,39
NDC,51079043601,doxepin 10 mg capsule,1.07,0.64,0.1819,7411.0,39
NDC,51079043701,doxepin 25 mg capsule,1.4,0.84,0.238,7411.0,39
NDC,51079043801,doxepin 50 mg capsule,1.95,1.17,0.3315,7411.0,39
NDC,51079044101,levothyroxine 75 mcg tablet,1.1,0.66,0.187,7411.0,39
NDC,51079044301,levothyroxine 125 mcg tablet,1.33,0.8,0.2261,7411.0,39
NDC,51079044401,levothyroxine 25 mcg tablet,0.88,0.53,0.1496,7411.0,39
NDC,51079045201,amLODIPine 10 mg tablet,0.5,0.3,0.085,7411.0,39
NDC,51079046401,risperiDONE 3 mg tablet,1.25,0.75,0.2125,7411.0,39
NDC,51079046601,"diclofenac sodium 50 mg tablet,delayed release",0.72,0.43,0.1224,7411.0,39
NDC,51079048501,fluPHENAZine 1 mg tablet,0.96,0.58,0.1632,7411.0,39
NDC,51079048701,fluPHENAZine 5 mg tablet,1.33,0.8,0.2261,7411.0,39
NDC,51079049901,lamoTRIgine 100 mg tablet,0.32,0.19,0.0544,7411.0,39
NDC,51079051901,chlorproMAZINE 25 mg tablet,12.75,7.65,2.17,7411.0,39
NDC,51079052401,ondansetron HCl 4 mg tablet,1.05,0.63,0.1785,7411.0,39
NDC,51079052701,furosemide 80 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,51079054101,prochlorperazine maleate 5 mg tablet,0.81,0.49,0.1377,7411.0,41
NDC,51079054201,prochlorperazine maleate 10 mg tablet,1.62,0.97,0.2754,7411.0,41
NDC,51079054401,escitalopram 20 mg tablet,0.62,0.37,0.1054,7411.0,39
NDC,51079056301,amitriptyline 100 mg tablet,2.29,1.37,0.3893,7411.0,39
NDC,51079056601,thioridazine 25 mg tablet,1.06,0.64,0.1802,7411.0,39
NDC,51079057301,trifluoperazine 2 mg tablet,3.33,2.0,0.5661,7411.0,39
NDC,51079058101,leucovorin calcium 5 mg tablet,5.24,3.14,0.8908,7411.0,39
NDC,51079058201,leucovorin calcium 25 mg tablet,22.0,13.2,3.74,7411.0,39
NDC,51079059701,cetirizine 10 mg tablet,0.29,0.17,0.0493,7411.0,39
NDC,51079062001,azaTHIOprine 50 mg tablet,1.1,0.66,0.187,7411.0,42
NDC,51079063001,prazosin 1 mg capsule,3.02,1.81,0.5134,7411.0,39
NDC,51079063101,prazosin 2 mg capsule,4.21,2.53,0.7157,7411.0,39
NDC,51079063201,prazosin 5 mg capsule,7.18,4.31,1.22,7411.0,39
NDC,51079065701,albuterol sulfate 2 mg tablet,12.75,7.65,2.17,7411.0,39
NDC,51079067001,methotrexate sodium 2.5 mg tablet,10.54,6.32,0.154,7411.0,42
NDC,51079068401,atenolol 50 mg tablet,0.18,0.11,0.0306,7411.0,39
NDC,51079068501,atenolol 100 mg tablet,0.43,0.26,0.0731,7411.0,39
NDC,51079069001,loperamide 2 mg capsule,1.46,0.88,0.2482,7411.0,39
NDC,51079072201,"oxyBUTYnin chloride ER 5 mg tablet,extended release 24 hr",5.46,3.28,0.9282,7411.0,39
NDC,51079072301,"oxyBUTYnin chloride ER 10 mg tablet,extended release 24 hr",5.46,3.28,0.9282,7411.0,39
NDC,51079073301,haloperidol 0.5 mg tablet,0.58,0.35,0.0986,7411.0,39
NDC,51079073401,haloperidol 1 mg tablet,0.82,0.49,0.1394,7411.0,39
NDC,51079073501,haloperidol 2 mg tablet,1.12,0.67,0.1904,7411.0,39
NDC,51079074501,dilTIAZem 30 mg tablet,0.34,0.2,0.0578,7411.0,39
NDC,51079074701,dilTIAZem 90 mg tablet,0.73,0.44,0.1241,7411.0,39
NDC,51079075301,sucralfate 1 gram tablet,0.63,0.38,0.1071,7411.0,39
NDC,51079075901,atenolol 25 mg tablet,0.35,0.21,0.0595,7411.0,39
NDC,51079077101,carvedilol 3.125 mg tablet,0.26,0.16,0.0442,7411.0,39
NDC,51079077401,PARoxetine 20 mg tablet,0.57,0.34,0.0969,7411.0,39
NDC,51079077601,hydroCHLOROthiazide 12.5 mg capsule,0.32,0.19,0.0544,7411.0,39
NDC,51079078901,ALPRAZolam 0.5 mg tablet,0.21,0.13,0.0357,7411.0,39
NDC,51079079001,ALPRAZolam 1 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,51079080101,metoprolol tartrate 50 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,51079080201,metoprolol tartrate 100 mg tablet,0.23,0.14,0.0391,7411.0,39
NDC,51079081001,glipiZIDE 5 mg tablet,0.63,0.38,0.1071,7411.0,39
NDC,51079081101,glipiZIDE 10 mg tablet,1.26,0.76,0.2142,7411.0,39
NDC,51079081201,nadolol 20 mg tablet,10.32,6.19,1.75,7411.0,39
NDC,51079081301,nadolol 40 mg tablet,12.04,7.22,2.05,7411.0,39
NDC,51079082101,levETIRAcetam 500 mg tablet,1.16,0.7,0.1972,7411.0,39
NDC,51079085201,galantamine 4 mg tablet,7.38,4.43,1.25,7411.0,39
NDC,51079086301,captopril 12.5 mg tablet,2.86,1.72,0.4862,7411.0,39
NDC,51079086320,captopril 12.5 mg tablet,2.86,1.72,0.4862,7411.0,39
NDC,51079086801,indapamide 2.5 mg tablet,1.22,0.73,0.2074,7411.0,39
NDC,51079086901,"verapamil ER (SR) 240 mg tablet,extended release",4.22,2.53,0.7174,7411.0,39
NDC,51079087201,glyBURIDE 2.5 mg tablet,0.51,0.31,0.0867,7411.0,39
NDC,51079087301,glyBURIDE 5 mg tablet,0.72,0.43,0.1224,7411.0,39
NDC,51079088201,clonazePAM 1 mg tablet,0.21,0.13,0.0357,7411.0,39
NDC,51079088801,metoclopramide 10 mg tablet,1.6,0.96,0.272,7411.0,39
NDC,51079089401,"verapamil ER (SR) 120 mg tablet,extended release",3.86,2.32,0.6562,7411.0,39
NDC,51079089901,"verapamil ER (SR) 180 mg tablet,extended release",4.15,2.49,0.7055,7411.0,39
NDC,51079090101,loxapine succinate 10 mg capsule,1.3,0.78,0.221,7411.0,39
NDC,51079090120,loxapine succinate 10 mg capsule,1.3,0.78,0.221,7411.0,39
NDC,51079090520,phenytoin sodium extended 100 mg capsule,1.13,0.68,0.1921,7411.0,39
NDC,51079092101,cloZAPine 25 mg tablet,1.3,0.78,0.221,7411.0,39
NDC,51079092201,cloZAPine 100 mg tablet,3.3,1.98,0.561,7411.0,39
NDC,51079092220,cloZAPine 100 mg tablet,3.3,1.98,0.561,7411.0,39
NDC,51079092301,"carbidopa ER 50 mg-levodopa 200 mg tablet,extended release",1.78,1.07,0.3026,7411.0,39
NDC,51079092401,"dilTIAZem ER 60 mg capsule,extended release 12 hr",6.62,3.97,1.13,7411.0,39
NDC,51079092501,"dilTIAZem ER 90 mg capsule,extended release 12 hr",7.79,4.67,1.32,7411.0,39
NDC,51079092801,labetalol 100 mg tablet,0.91,0.55,0.1547,7411.0,39
NDC,51079092901,labetalol 200 mg tablet,1.27,0.76,0.2159,7411.0,39
NDC,51079093001,carvedilol 6.25 mg tablet,0.26,0.16,0.0442,7411.0,39
NDC,51079093101,carvedilol 12.5 mg tablet,0.26,0.16,0.0442,7411.0,39
NDC,51079093601,terazosin 1 mg capsule,0.47,0.28,0.0799,7411.0,39
NDC,51079093801,terazosin 5 mg capsule,0.58,0.35,0.0986,7411.0,39
NDC,51079094301,bupropion HCl 75 mg tablet,2.46,1.48,0.4182,7411.0,39
NDC,51079094401,bupropion HCl 100 mg tablet,3.27,1.96,0.5559,7411.0,39
NDC,51079098001,spironolactone 100 mg tablet,2.13,1.28,0.3621,7411.0,39
NDC,51079098201,lisinopril 10 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,51079098301,lisinopril 20 mg tablet,0.28,0.17,0.0476,7411.0,39
NDC,51079098620,buspirone 10 mg tablet,0.28,0.17,0.0476,7411.0,39
NDC,51079099101,traMADol 50 mg tablet,3.15,1.89,0.5355,7411.0,39
NDC,51079099201,fluvoxaMINE 50 mg tablet,1.0,0.6,0.17,7411.0,39
NDC,51144000301,tisotumab vedotin-tftv 40 mg intravenous solution,21419.0,12851.4,186.31,16064.25,57
NDC,51144002001,enfortumab vedotin-ejfv 20 mg intravenous solution,8477.0,5086.2,32.44,7411.0,57
NDC,51144003001,enfortumab vedotin-ejfv 30 mg intravenous solution,12690.5,7614.3,32.44,9517.88,57
NDC,51144005001,brentuximab vedotin 50 mg intravenous solution,35276.0,21165.6,243.38,26457.0,57
NDC,51224001210,phentolamine 5 mg injection solution,1885.0,1131.0,244.58,7411.0,57
NDC,51224001220,phentolamine 5 mg injection solution,1893.1,1135.86,244.58,7411.0,57
NDC,51224015150,ursodiol 300 mg capsule,2.5,1.5,0.425,7411.0,39
NDC,51224016299,"calcium acetate 952 mg-aluminum sulfate 1,347 mg topical powder packet",1.24,0.74,0.2108,7411.0,39
NDC,51224020630,naltrexone 50 mg tablet,1.73,1.04,0.2941,7411.0,39
NDC,51248015001,solifenacin 5 mg tablet,25.7,15.42,4.37,7411.0,39
NDC,51248015055,solifenacin 5 mg tablet,11.88,7.13,2.02,7411.0,39
NDC,51285052302,disulfiram 250 mg tablet,17.54,10.52,2.98,7411.0,39
NDC,51293060701,chlordiazepoxide-clidinium 5 mg-2.5 mg capsule,6.25,3.75,1.06,7411.0,39
NDC,51293083197,sodium polystyrene sulfonate 15 gram oral powder,6.6,3.96,1.12,7411.0,39
NDC,51383000322,sodium chloride-hypochlorous acid 0.033 % irrigation solution,270.0,162.0,45.9,7411.0,39
NDC,51383000323,sodium chloride-hypochlorous acid 0.033 % irrigation solution,324.0,194.4,55.08,7411.0,39
NDC,51525011501,"hyoscyamine ER 0.375 mg tablet,extended release,12 hr",2.58,1.55,0.4386,7411.0,39
NDC,51552070205,methylcellulose (bulk) 1 % gel,12.2,7.32,2.07,7411.0,39
NDC,51552070207,methylcellulose (bulk) 1 % gel,32.0,19.2,5.44,7411.0,39
NDC,51552083605,mineral oil,23.0,13.8,3.91,7411.0,39
NDC,51552089705,ethyl alcohol (bulk) 95 % liquid,31.6,18.96,5.37,7411.0,39
NDC,51552107905,compounding vehicle suspension sugar-free no.3 oral,30.0,18.0,5.1,7411.0,39
NDC,51552152003,"tobramycin (bulk) 900 mcg/mg(not less than,USP) powder",390.5,234.3,66.39,7411.0,39
NDC,51645070301,acetaminophen 325 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,51645078508,magnesium oxide 400 mg (241.3 mg magnesium) tablet,0.05,0.03,0.0085,7411.0,39
NDC,51645085101,sennosides 8.6 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,51645090501,thiamine mononitrate (vitamin B1) 100 mg tablet,0.06,0.04,0.0102,7411.0,39
NDC,51645090599,thiamine mononitrate (vitamin B1) 100 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,51660020030,ezetimibe 10 mg tablet,0.42,0.25,0.0714,7411.0,39
NDC,51660072469,"loratadine-pseudoephedrine ER 10 mg-240 mg tablet,extended release24hr",0.92,0.55,0.1564,7411.0,39
NDC,51660099628,colesevelam 625 mg tablet,1.83,1.1,0.3111,7411.0,39
NDC,51672125806,clobetasol 0.05 % topical cream,60.03,36.02,10.21,7411.0,39
NDC,51672125906,clobetasol 0.05 % topical ointment,29.97,17.98,5.09,7411.0,39
NDC,51672126301,"nystatin-triamcinolone 100,000 unit/g-0.1 % topical cream",41.91,25.15,7.12,7411.0,39
NDC,51672126705,triamcinolone acetonide 0.1 % dental paste,128.94,77.36,21.92,7411.0,39
NDC,51672127201,"nystatin-triamcinolone 100,000 unit/gram-0.1 % topical ointment",31.2,18.72,5.3,7411.0,39
NDC,51672128401,triamcinolone acetonide 0.1 % topical ointment,8.67,5.2,1.47,7411.0,39
NDC,51672128901,"nystatin 100,000 unit/gram topical cream",17.43,10.46,2.96,7411.0,39
NDC,51672129801,ketoconazole 2 % topical cream,45.36,27.22,7.71,7411.0,39
NDC,51672131200,mupirocin 2 % topical ointment,18.0,10.8,3.06,7411.0,39
NDC,51672131201,mupirocin 2 % topical ointment,17.01,10.21,2.89,7411.0,39
NDC,51672139500,tretinoin 0.1 % topical cream,219.12,131.47,37.25,7411.0,39
NDC,51672200306,clotrimazole 1 % vaginal cream,8.1,4.86,1.38,7411.0,39
NDC,51672203506,miconazole nitrate 2 % vaginal cream,16.11,9.67,2.74,7411.0,39
NDC,51672203701,clotrimazole 1 % topical solution,72.2,43.32,12.27,7411.0,39
NDC,51672206200,clotrimazole 2 % vaginal cream,14.28,8.57,2.43,7411.0,39
NDC,51672207308,loratadine 5 mg/5 mL oral solution,15.84,9.5,2.69,7411.0,39
NDC,51672209208,loratadine 5 mg/5 mL oral solution,15.84,9.5,2.69,7411.0,39
NDC,51672211600,acetaminophen 325 mg rectal suppository,2.03,1.22,0.3451,7411.0,39
NDC,51672211602,acetaminophen 325 mg rectal suppository,2.03,1.22,0.3451,7411.0,39
NDC,51672211604,acetaminophen 325 mg rectal suppository,0.97,0.58,0.1649,7411.0,39
NDC,51672213108,loratadine 5 mg/5 mL oral solution,15.84,9.5,2.69,7411.0,39
NDC,51672300302,hydrocortisone 2.5 % topical cream,5.78,3.47,0.9826,7411.0,39
NDC,51672400101,nortriptyline 10 mg capsule,0.39,0.23,0.0663,7411.0,39
NDC,51672400201,nortriptyline 25 mg capsule,0.53,0.32,0.0901,7411.0,39
NDC,51672400305,nortriptyline 50 mg capsule,0.34,0.2,0.0578,7411.0,39
NDC,51672401106,clomiPRAMINE 25 mg capsule,1.0,0.6,0.17,7411.0,39
NDC,51672401701,etodolac 300 mg capsule,2.59,1.55,0.4403,7411.0,39
NDC,51672401801,etodolac 400 mg tablet,2.12,1.27,0.3604,7411.0,39
NDC,51672402301,acetaZOLAMIDE 250 mg tablet,0.7,0.42,0.119,7411.0,39
NDC,51672402504,amiodarone 200 mg tablet,0.54,0.32,0.0918,7411.0,39
NDC,51672404709,carBAMazepine 100 mg/5 mL oral suspension,141.3,84.78,24.02,7411.0,39
NDC,51672406201,fluorouracil 2 % topical solution,110.84,66.5,18.84,7411.0,39
NDC,51672406301,fluorouracil 5 % topical solution,160.86,96.52,27.35,7411.0,39
NDC,51672412301,"carBAMazepine ER 100 mg tablet,extended release,12 hr",0.9,0.54,0.153,7411.0,39
NDC,51672412401,"carBAMazepine ER 200 mg tablet,extended release,12 hr",1.8,1.08,0.306,7411.0,39
NDC,51672412501,"carBAMazepine ER 400 mg tablet,extended release,12 hr",3.2,1.92,0.544,7411.0,39
NDC,51672413101,lamoTRIgine 100 mg tablet,0.14,0.08,0.0238,7411.0,39
NDC,51672414601,phenytoin 50 mg chewable tablet,0.84,0.5,0.1428,7411.0,39
NDC,51672423501,fluPHENAZine 5 mg tablet,2.9,1.74,0.493,7411.0,39
NDC,51672531609,glycopyrrolate 1 mg/5 mL (0.2 mg/mL) oral solution,755.91,453.55,128.5,7411.0,39
NDC,51754010801,"tranexamic acid 1,000 mg/100 mL(10 mg/mL)in sod chlor,iso IV piggyback",154.0,92.4,26.18,7411.0,39
NDC,51754501201,sodium bicarbonate 4.2 % intravenous solution,34.2,20.52,5.81,7411.0,39
NDC,51754501204,sodium bicarbonate 4.2 % intravenous solution,34.2,20.52,5.81,7411.0,39
NDC,51801001330,potassium bicarbonate-citric acid 10 mEq effervescent tablet,0.95,0.57,0.1615,7411.0,39
NDC,51801001401,potassium bicarbonate-citric acid 10 mEq effervescent tablet,0.95,0.57,0.1615,7411.0,39
NDC,51801001418,potassium bicarbonate-citric acid 10 mEq effervescent tablet,0.95,0.57,0.1615,7411.0,39
NDC,51801001430,potassium bicarbonate-citric acid 10 mEq effervescent tablet,0.95,0.57,0.1615,7411.0,39
NDC,51803000101,potassium iodide 130 mg tablet,1.07,0.64,0.1819,7411.0,39
NDC,51862009601,disopyramide phosphate 150 mg capsule,4.49,2.69,0.7633,7411.0,39
NDC,51862019460,"clarithromycin ER 500 mg tablet,extended release 24 hr",14.82,8.89,2.52,7411.0,39
NDC,51862027301,cloZAPine 100 mg tablet,2.31,1.39,0.3927,7411.0,39
NDC,51862032001,liothyronine 5 mcg tablet,2.12,1.27,0.3604,7411.0,39
NDC,51862032101,liothyronine 25 mcg tablet,2.78,1.67,0.4726,7411.0,39
NDC,51862045801,cycloSPORINE modified 25 mg capsule,1.54,0.92,0.2618,7411.0,43
NDC,51862045847,cycloSPORINE modified 25 mg capsule,1.54,0.92,0.2618,7411.0,41
NDC,51862048601,trimethoprim 100 mg tablet,4.23,2.54,0.7191,7411.0,39
NDC,51862053504,brompheniramine-pseudoephedrine-DM 2 mg-30 mg-10 mg/5 mL oral syrup,1.87,1.12,0.3179,7411.0,39
NDC,51927107400,mineral oil,0.28,0.17,0.0476,7411.0,39
NDC,51991000633,"desvenlafaxine succinate ER 25 mg tablet,extended release 24 hr",1.95,1.17,0.3315,7411.0,39
NDC,51991014417,methylergonovine 0.2 mg/mL (1 mL) injection solution,118.56,71.14,20.16,7411.0,42
NDC,51991014499,methylergonovine 0.2 mg/mL (1 mL) injection solution,118.56,71.14,20.16,7411.0,41
NDC,51991020399,polysaccharide iron complex 150 mg iron capsule,2.25,1.35,0.3825,7411.0,39
NDC,51991029201,OXcarbazepine 150 mg tablet,0.6,0.36,0.102,7411.0,39
NDC,51991029301,OXcarbazepine 300 mg tablet,1.1,0.66,0.187,7411.0,39
NDC,51991031190,"desvenlafaxine succinate ER 50 mg tablet,extended release 24 hr",1.51,0.91,0.2567,7411.0,39
NDC,51991037690,imatinib 100 mg tablet,7.4,4.44,1.26,7411.0,39
NDC,51991038490,folic acid-vit B6-vit B12 2.5 mg-25 mg-2 mg tablet,1.54,0.92,0.2618,7411.0,39
NDC,51991062033,anastrozole 1 mg tablet,5.6,3.36,0.952,7411.0,39
NDC,51991070401,ALPRAZolam 0.25 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,51991074790,"DULoxetine 30 mg capsule,delayed release",0.6,0.36,0.102,7411.0,39
NDC,51991075933,letrozole 2.5 mg tablet,5.5,3.3,0.935,7411.0,41
NDC,51991081403,azelastine 137 mcg (0.1 %) nasal spray,43.5,26.1,7.39,7411.0,39
NDC,51991081701,"propranolol ER 60 mg capsule,24 hr,extended release",1.09,0.65,0.1853,7411.0,39
NDC,51991081801,"propranolol ER 80 mg capsule,24 hr,extended release",1.28,0.77,0.2176,7411.0,39
NDC,51991082001,"propranolol ER 160 mg capsule,24 hr,extended release",2.07,1.24,0.3519,7411.0,39
NDC,51991083801,cyproheptadine 4 mg tablet,1.32,0.79,0.2244,7411.0,39
NDC,51991089533,entecavir 0.5 mg tablet,13.83,8.3,2.35,7411.0,39
NDC,51991090001,cloBAZam 10 mg tablet,1.2,0.72,0.204,7411.0,39
NDC,52015008001,fidaxomicin 200 mg tablet,498.58,299.15,84.76,7411.0,39
NDC,52054055022,albendazole 200 mg tablet,485.84,291.5,82.59,7411.0,39
NDC,52244001002,alprostadil 10 mcg intracavernosal kit,767.34,460.4,130.45,7411.0,41
NDC,52268010001,peg 3350-electrolytes 236 gram-22.74 gram-6.74 gram-5.86 gram solution,144.0,86.4,24.48,7411.0,39
NDC,52343016501,dextroamphetamine-amphetamine 20 mg tablet,0.22,0.13,0.0374,7411.0,39
NDC,52533006687,"ropivacaine (PF) 2 mg/mL (0.2 %) Injection,ropivacaine (PF) 0.2 % in 0.9% sodium chloride epidural solution",351.23,210.74,0.0506,7411.0,42
NDC,5253307787,fentaNYL-BUPivacaine-NaCl (PF) 5 mcg/mL-0.0625 % epidural solution,126.0,75.6,21.42,7411.0,39
NDC,52533667308,"ropivacaine (PF) 2 mg/mL (0.2 %) Injection,ropivacaine (PF) 0.2 % in 0.9% sodium chloride epidural solution",341.78,205.07,58.1,7411.0,41
NDC,52536010710,vancomycin 25 mg/mL oral solution,5.55,3.33,0.9435,7411.0,39
NDC,52536016401,perphenazine 4 mg tablet,0.93,0.56,0.1581,7411.0,41
NDC,52536018003,"erythromycin 250 mg tablet,delayed release",10.48,6.29,1.78,7411.0,39
NDC,52565010501,cefTAZidime 500 mg solution for injection,44.6,26.76,1.55,7411.0,42
NDC,52565010501,ceftazidime 500 mg Solution for Injection,44.6,26.76,1.55,7411.0,42
NDC,52565010510,cefTAZidime 500 mg solution for injection,44.6,26.76,7.58,7411.0,41
NDC,52565010510,ceftazidime 500 mg Solution for Injection,44.6,26.76,7.58,7411.0,41
NDC,52609000105,melphalan 2 mg tablet,27.64,16.58,4.7,7411.0,41
NDC,52747080030,multivit-minerals no.73-iron fumarate 106 mg-folic acid 1 mg capsule,3.17,1.9,0.5389,7411.0,39
NDC,52747080060,multivit-minerals no.73-iron fumarate 106 mg-folic acid 1 mg capsule,3.17,1.9,0.5389,7411.0,39
NDC,52817018010,cloNIDine HCl 0.1 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,52817021010,cyproheptadine 4 mg tablet,0.22,0.13,0.0374,7411.0,39
NDC,52817023530,ramelteon 8 mg tablet,2.26,1.36,0.3842,7411.0,39
NDC,52817027010,bisoprolol fumarate 5 mg tablet,0.38,0.23,0.0646,7411.0,39
NDC,52817027030,bisoprolol fumarate 5 mg tablet,0.38,0.23,0.0646,7411.0,39
NDC,52817032410,midodrine 5 mg tablet,1.72,1.03,0.2924,7411.0,39
NDC,52817033210,cyclobenzaprine 10 mg tablet,1.05,0.63,0.1785,7411.0,39
NDC,52817036110,metoprolol tartrate 50 mg tablet,0.06,0.04,0.0102,7411.0,39
NDC,52817081615,acetic acid 2 % ear solution,56.01,33.61,9.52,7411.0,39
NDC,52937000120,icosapent ethyl 1 gram capsule,5.91,3.55,1.0,7411.0,39
NDC,52959011344,bacitracin zinc 500 unit/gram topical ointment in packet,0.34,0.2,0.0578,7411.0,39
NDC,52959040260,triazolam 0.25 mg tablet,2.02,1.21,0.3434,7411.0,39
NDC,53329006801,white petrolatum topical jelly,18.01,10.81,3.06,7411.0,39
NDC,53329098004,hydrogen peroxide 3 % solution,0.71,0.43,0.1207,7411.0,39
NDC,53436008401,patiromer calcium sorbitex 8.4 gram oral powder packet,68.31,40.99,11.61,7411.0,39
NDC,53436008404,patiromer calcium sorbitex 8.4 gram oral powder packet,91.29,54.77,15.52,7411.0,39
NDC,53436008430,patiromer calcium sorbitex 8.4 gram oral powder packet,68.31,40.99,11.61,7411.0,39
NDC,53489015601,allopurinol 100 mg tablet,0.23,0.14,0.0391,7411.0,39
NDC,53489055201,propafenone 225 mg tablet,2.08,1.25,0.3536,7411.0,39
NDC,53489064801,temazepam 7.5 mg capsule,13.92,8.35,2.37,7411.0,39
NDC,53746010901,hydrocodone 5 mg-acetaminophen 325 mg tablet,3.4,2.04,0.578,7411.0,39
NDC,53746011001,hydrocodone 10 mg-acetaminophen 325 mg tablet,3.44,2.06,0.5848,7411.0,39
NDC,53746020301,oxyCODONE-acetaminophen 5 mg-325 mg tablet,3.36,2.02,0.5712,7411.0,39
NDC,53746027101,sulfamethoxazole 400 mg-trimethoprim 80 mg tablet,0.87,0.52,0.1479,7411.0,39
NDC,53746044101,meclizine 12.5 mg tablet,0.34,0.2,0.0578,7411.0,39
NDC,53746051101,spironolactone 25 mg tablet,0.25,0.15,0.0425,7411.0,39
NDC,53746051110,spironolactone 25 mg tablet,0.25,0.15,0.0425,7411.0,39
NDC,53746054401,primidone 50 mg tablet,0.51,0.31,0.0867,7411.0,39
NDC,53746054501,primidone 250 mg tablet,0.72,0.43,0.1224,7411.0,39
NDC,53746064101,flecainide 50 mg tablet,0.69,0.41,0.1173,7411.0,39
NDC,53746064201,flecainide 100 mg tablet,1.13,0.68,0.1921,7411.0,39
NDC,53746066901,acebutolol 200 mg capsule,1.56,0.94,0.2652,7411.0,39
NDC,53746067001,acebutolol 400 mg capsule,2.06,1.24,0.3502,7411.0,39
NDC,53746074501,promethazine 12.5 mg tablet,0.16,0.1,0.0272,7411.0,39
NDC,54092006301,anagrelide 0.5 mg capsule,18.54,11.12,3.15,7411.0,39
NDC,54092025245,lanthanum 500 mg chewable tablet,24.01,14.41,4.08,7411.0,39
NDC,54092025410,"lanthanum 1,000 mg chewable tablet",24.01,14.41,4.08,7411.0,39
NDC,54092039101,"dextroamphetamine-amphetamine ER 30 mg 24hr capsule,extend release",14.25,8.55,2.42,7411.0,39
NDC,54092070202,icatibant 30 mg/3 mL subcutaneous syringe,33442.47,20065.48,326.17,28426.1,42
NDC,54092070203,icatibant 30 mg/3 mL subcutaneous syringe,33442.49,20065.49,326.17,28426.12,42
NDC,54162018516,mineral oil topical,6.61,3.97,1.12,7411.0,39
NDC,54288010301,EPINEPHrine HCl (PF) 1 mg/mL (1 mL) injection solution,70.0,42.0,0.9196,7411.0,42
NDC,54288010310,EPINEPHrine HCl (PF) 1 mg/mL (1 mL) injection solution,70.0,42.0,0.3454,7411.0,42
NDC,54288010502,ethyl alcohol 99 % intra-arterial solution,2985.0,1791.0,507.45,7411.0,39
NDC,54288010515,ethyl alcohol 99 % intra-arterial solution,2985.0,1791.0,507.45,7411.0,39
NDC,54288014701,methylene blue (antidote) 1 % (10 mg/mL) intravenous solution,945.0,567.0,9.78,7411.0,57
NDC,54482014407,levOCARNitine 330 mg tablet,2.45,1.47,0.4165,7411.0,39
NDC,54482014701,levOCARNitine 200 mg/mL intravenous solution,227.7,136.62,25.4,7411.0,42
NDC,54482014801,levOCARNitine 100 mg/mL oral solution,99.12,59.47,16.85,7411.0,39
NDC,54643564700,"mvi, pedi no.1 with vit K 80 mg-400 unit-200 mcg/5 mL intravenous soln",1106.78,664.07,188.15,7411.0,39
NDC,54643564901,"mvi,adult no.4 with vit K 3300 unit-150 mcg/10 mL intravenous solution",46.14,27.68,7.84,7411.0,39
NDC,54643565002,"mvi,adult no.4 with vit K 3300 unit-150 mcg/10 mL intravenous solution",586.8,352.08,99.76,7411.0,39
NDC,54643900708,"mvi,adult no.4,vit K,comp(vial 1 of 2) 3,300 unit-150 mcg/5 mL IV soln",46.14,27.68,7.84,7411.0,39
NDC,54643900709,"mvi, adult no.4, vit K (vial 2 of 2) 600 mcg-60 mcg-5 mcg/5 mL IV soln",46.14,27.68,7.84,7411.0,39
NDC,54758000628,dextrose 1.2 gram/3 mL (40 %) oral gel in syringe (ORAL USE ONLY),1.74,1.04,0.2958,7411.0,39
NDC,54838000530,"vitamin E (dl, acetate) 22.5 mg (50 unit)/mL oral drops",54.96,32.98,9.34,7411.0,39
NDC,54838050140,haloperidol lactate 2 mg/mL oral concentrate,0.35,0.21,0.0595,7411.0,39
NDC,54838050280,hydrOXYzine HCl 10 mg/5 mL oral solution,192.98,115.79,32.81,7411.0,39
NDC,54838052340,FLUoxetine 20 mg/5 mL (4 mg/mL) oral solution,138.0,82.8,23.46,7411.0,39
NDC,55111012705,ciprofloxacin 500 mg tablet,0.87,0.52,0.1479,7411.0,39
NDC,55111014401,fluconazole 100 mg tablet,4.02,2.41,0.6834,7411.0,39
NDC,55111019690,clopidogrel 75 mg tablet,2.33,1.4,0.3961,7411.0,39
NDC,55111025660,ziprasidone 20 mg capsule,1.0,0.6,0.17,7411.0,39
NDC,55111029109,SUMAtriptan 25 mg tablet,3.54,2.12,0.6018,7411.0,39
NDC,55111029309,SUMAtriptan 100 mg tablet,3.54,2.12,0.6018,7411.0,39
NDC,55111032001,glimepiride 1 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,55111032201,glimepiride 4 mg tablet,0.16,0.1,0.0272,7411.0,39
NDC,55111033390,"pantoprazole 40 mg tablet,delayed release",0.45,0.27,0.0765,7411.0,39
NDC,55111035360,rivastigmine 3 mg capsule,2.17,1.3,0.3689,7411.0,39
NDC,55111052130,atomoxetine 40 mg capsule,3.54,2.12,0.6018,7411.0,39
NDC,55111052501,"tacrolimus 0.5 mg capsule, immediate-release",0.74,0.44,0.1258,7411.0,43
NDC,55111052601,"tacrolimus 1 mg capsule, immediate-release",1.45,0.87,0.2465,7411.0,43
NDC,55111065001,metaxalone 800 mg tablet,4.0,2.4,0.68,7411.0,39
NDC,55111067811,fondaparinux 2.5 mg/0.5 mL subcutaneous solution syringe,166.48,99.89,0.8767,7411.0,43
NDC,55111067902,fondaparinux 5 mg/0.4 mL subcutaneous solution syringe,272.44,163.46,0.8767,7411.0,43
NDC,55111067911,fondaparinux 5 mg/0.4 mL subcutaneous solution syringe,272.44,163.46,46.31,7411.0,41
NDC,55111068002,fondaparinux 7.5 mg/0.6 mL subcutaneous solution syringe,272.44,163.46,0.8767,7411.0,43
NDC,55111068010,fondaparinux 7.5 mg/0.6 mL subcutaneous solution syringe,276.85,166.11,0.8767,7411.0,43
NDC,55111068011,fondaparinux 7.5 mg/0.6 mL subcutaneous solution syringe,272.44,163.46,46.31,7411.0,41
NDC,55111068102,fondaparinux 10 mg/0.8 mL subcutaneous solution syringe,272.44,163.46,0.8767,7411.0,43
NDC,55111068110,fondaparinux 10 mg/0.8 mL subcutaneous solution syringe,276.85,166.11,0.8767,7411.0,43
NDC,55111068111,fondaparinux 10 mg/0.8 mL subcutaneous solution syringe,272.44,163.46,46.31,7411.0,41
NDC,55111068301,ibuprofen 600 mg tablet,0.22,0.13,0.0374,7411.0,39
NDC,55111069305,SUMAtriptan 6 mg/0.5 mL subcutaneous pen injector,396.16,237.7,67.35,7411.0,41
NDC,55111069312,SUMAtriptan 6 mg/0.5 mL subcutaneous pen injector,396.16,237.7,67.35,7411.0,41
NDC,55111072901,allopurinol 100 mg tablet,0.22,0.13,0.0374,7411.0,39
NDC,55111073130,valsartan 40 mg tablet,0.42,0.25,0.0714,7411.0,39
NDC,55150011210,ampicillin 500 mg solution for injection,19.22,11.53,0.7062,7411.0,42
NDC,55150011310,ampicillin 1 gram solution for injection,34.07,20.44,0.7062,7411.0,42
NDC,55150011420,ampicillin 2 gram solution for injection,47.63,28.58,0.7062,7411.0,42
NDC,55150011620,ampicillin-sulbactam 1.5 gram solution for injection,21.35,12.81,1.49,7411.0,42
NDC,55150011720,ampicillin-sulbactam 3 gram solution for injection,37.13,22.28,1.49,7411.0,42
NDC,55150012030,piperacillin-tazobactam 3.375 gram intravenous solution,38.0,22.8,1.19,7411.0,42
NDC,55150012315,nafcillin 2 gram solution for injection,80.0,48.0,0.0528,7411.0,42
NDC,55150012502,ondansetron HCl (PF) 4 mg/2 mL injection solution,4.5,2.7,0.0968,7411.0,42
NDC,55150015410,acyclovir sodium 50 mg/mL intravenous solution,72.5,43.5,0.0187,7411.0,42
NDC,55150016102,lidocaine (PF) 10 mg/mL (1 %) injection solution,13.32,7.99,2.26,7411.0,41
NDC,55150016402,lidocaine (PF) 20 mg/mL (2 %) injection solution,20.0,12.0,3.4,7411.0,41
NDC,55150016505,lidocaine (PF) 20 mg/mL (2 %) injection solution,15.96,9.58,2.71,7411.0,41
NDC,55150017030,BUPivacaine (PF) 0.5 % (5 mg/mL) injection solution,15.48,9.29,0.011,7411.0,42
NDC,55150019830,ROPivacaine (PF) 5 mg/mL (0.5 %) injection solution,4.2,2.52,0.0506,7411.0,42
NDC,55150024950,BUPivacaine HCl 0.25 % (2.5 mg/mL) injection solution,0.46,0.28,0.011,7411.0,42
NDC,55150029201,glycopyrrolate 0.2 mg/mL injection solution,45.4,27.24,0.4015,7411.0,42
NDC,55150029701,dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in 0.9 % sodium chloride IV,360.0,216.0,61.2,7411.0,39
NDC,55150029710,dexmedeTOMIDine 400 mcg/100 mL (4 mcg/mL) in 0.9 % sodium chloride IV,360.0,216.0,61.2,7411.0,39
NDC,55150032401,furosemide 10 mg/mL injection solution,31.2,18.72,0.0187,7411.0,42
NDC,55150032425,furosemide 10 mg/mL injection solution,31.2,18.72,5.3,7411.0,41
NDC,55150036501,amphotericin B liposome 50 mg intravenous suspension,1151.38,690.83,21.67,7411.0,58
NDC,55150038201,PEMEtrexed disodium 500 mg intravenous powder for solution,2300.0,1380.0,3.84,7411.0,57
NDC,55150038201,"PEMEtrexed disodium 500 mg intravenous powder for solution,PEMETREXED 500 MG INTRAVENOUS POWDER FOR SOLUTION",2300.0,1380.0,3.84,7411.0,57
NDC,55150043901,"ketamine 50 mg/mL (1 mL) intravenous syringe,ketamine 50 mg/mL injection solution,ketamine 50 mg/mL in sterile water injection syringe",0.42,0.25,0.0714,7411.0,39
NDC,55150043901,ketamine 50 mg/mL injection solution,0.42,0.25,0.0714,7411.0,39
NDC,55150043910,"ketamine 50 mg/mL (1 mL) intravenous syringe,ketamine 50 mg/mL injection solution,ketamine 50 mg/mL in sterile water injection syringe",0.42,0.25,0.0714,7411.0,39
NDC,55150043910,ketamine 50 mg/mL injection solution,0.42,0.25,0.0714,7411.0,39
NDC,55154058686,doxycycline monohydrate 100 mg capsule,2.11,1.27,0.3587,7411.0,39
NDC,55154068886,diphenhydrAMINE 25 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,55154681504,sodium bicarbonate 650 mg tablet,0.12,0.07,0.0204,7411.0,39
NDC,55253080130,modafinil 100 mg tablet,9.2,5.52,1.56,7411.0,39
NDC,55253080190,modafinil 100 mg tablet,9.18,5.51,1.56,7411.0,39
NDC,55292012252,ibuprofen lysine (PF) 20 mg/2 mL intravenous solution,3231.09,1938.65,549.29,7411.0,39
NDC,55292020111,succimer 100 mg capsule,44.07,26.44,7.49,7411.0,39
NDC,55292070254,hemin 350 mg intravenous powder for solution,32083.56,19250.14,33.54,24062.67,57
NDC,55292070255,hemin 350 mg intravenous powder for solution,32083.56,19250.14,5454.21,27271.03,41
NDC,55292081155,DACTINomycin 0.5 mg intravenous solution,8175.62,4905.37,320.79,7411.0,57
NDC,55390007710,prochlorperazine edisylate 10 mg/2 mL (5 mg/mL) injection solution,27.6,16.56,3.67,7411.0,42
NDC,55390013702,"midazolam (PF) 1 mg/mL injection solution,midazolam (PF) 2 mg/2mL (1 mg/mL) injection syringe",3.0,1.8,0.1815,7411.0,42
NDC,55390013705,"midazolam (PF) 1 mg/mL injection solution,midazolam (PF) 2 mg/2mL (1 mg/mL) injection syringe",1.8,1.08,0.1815,7411.0,42
NDC,55390025101,mitomycin 5 mg IV Solution,302.0,181.2,27.04,7411.0,57
NDC,55513000201,darbepoetin alfa 25 mcg/mL in polysorbate injection,898.75,539.25,2.92,7411.0,57
NDC,55513000204,darbepoetin alfa 25 mcg/mL in polysorbate injection,898.75,539.25,152.79,7411.0,41
NDC,55513000301,darbepoetin alfa 40 mcg/mL in polysorbate injection,1421.2,852.72,2.92,7411.0,57
NDC,55513000304,darbepoetin alfa 40 mcg/mL in polysorbate injection,1421.2,852.72,241.6,7411.0,41
NDC,55513000401,darbepoetin alfa 60 mcg/mL in polysorbate injection,2117.8,1270.68,2.92,7411.0,57
NDC,55513000404,darbepoetin alfa 60 mcg/mL in polysorbate injection,2117.8,1270.68,360.03,7411.0,41
NDC,55513000501,darbepoetin alfa 100 mcg/mL in polysorbate injection,2350.0,1410.0,2.92,7411.0,57
NDC,55513000504,darbepoetin alfa 100 mcg/mL in polysorbate injection,2350.0,1410.0,399.5,7411.0,41
NDC,55513000601,darbepoetin alfa 200 mcg/mL in polysorbate injection,1421.2,852.72,2.92,7411.0,57
NDC,55513006901,tarlatamab-dlle 10 mg intravenous solution,45050.0,27030.0,1489.33,33787.5,57
NDC,55513007330,cinacalcet 30 mg tablet,53.78,32.27,9.14,7411.0,39
NDC,55513007701,tarlatamab-dlle 10 mg intravenous solution,45050.0,27030.0,6299.0,38292.5,41
NDC,55513016001,blinatumomab 35 mcg intravenous kit,15485.48,9291.29,155.76,11614.11,57
NDC,55513019001,pegfilgrastim 6 mg/0.6 mL subcutaneous syringe,19281.97,11569.18,121.01,14461.48,57
NDC,55513019201,pegfilgrastim 6 mg/0.6 mL (deliverable) wearable subcutaneous injector,19281.97,11569.18,121.01,14461.48,57
NDC,55513022101,romiPLOStim 250 mcg subcutaneous solution,7893.76,4736.26,10.55,7411.0,57
NDC,55513022301,romiPLOStim 125 mcg subcutaneous solution,3960.94,2376.56,10.55,7411.0,57
NDC,55513053001,filgrastim 300 mcg/mL injection solution,1444.74,866.84,0.9625,7411.0,57
NDC,55513054601,filgrastim 480 mcg/1.6 mL injection solution,1531.99,919.19,0.9625,7411.0,57
NDC,55513071001,denosumab 60 mg/mL subcutaneous syringe,5358.36,3215.02,28.03,7411.0,57
NDC,55513073001,denosumab 120 mg/1.7 mL (70 mg/mL) subcutaneous solution,9856.41,5913.85,28.03,7411.0,57
NDC,55513080060,ivabradine 5 mg tablet,19.87,11.92,3.38,7411.0,39
NDC,55513092401,filgrastim 300 mcg/0.5 mL injection syringe,1529.65,917.79,0.9625,7411.0,57
NDC,55513092410,filgrastim 300 mcg/0.5 mL injection syringe,1529.67,917.8,0.9625,7411.0,57
NDC,55513095401,panitumumab 100 mg/5 mL (20 mg/mL) intravenous solution,5226.14,3135.68,165.67,7411.0,57
NDC,55513095601,panitumumab 400 mg/20 mL (20 mg/mL) intravenous solution,20754.56,12452.74,165.67,15565.92,57
NDC,55566830301,degarelix 80 mg subcutaneous solution,2198.03,1318.82,4.24,7411.0,57
NDC,55741040202,dibucaine 1 % rectal ointment,12.02,7.21,2.04,7411.0,39
NDC,56023000714,glucose 2 gram chewable tablet,0.16,0.1,0.0272,7411.0,39
NDC,56184012041,"simethicone 40 mg/0.6 mL oral drops,suspension",10.38,6.23,1.76,7411.0,39
NDC,56331000616,norflurane-pentafluoropropane topical spray,0.59,0.35,0.1003,7411.0,39
NDC,57237000830,mirtazapine 15 mg tablet,0.59,0.35,0.1003,7411.0,39
NDC,57237001401,tamsulosin 0.4 mg capsule,1.48,0.89,0.2516,7411.0,39
NDC,57237001760,"DULoxetine 20 mg capsule,delayed release",0.6,0.36,0.102,7411.0,39
NDC,57237001830,"DULoxetine 30 mg capsule,delayed release",0.67,0.4,0.1139,7411.0,39
NDC,57237001890,"DULoxetine 30 mg capsule,delayed release",0.62,0.37,0.1054,7411.0,39
NDC,57237001930,"DULoxetine 60 mg capsule,delayed release",0.67,0.4,0.1139,7411.0,39
NDC,57237003101,amoxicillin 500 mg capsule,0.68,0.41,0.1156,7411.0,39
NDC,57237004701,"divalproex 250 mg tablet,delayed release",0.25,0.15,0.0425,7411.0,39
NDC,57237007730,ondansetron 4 mg disintegrating tablet,0.49,0.29,0.0833,7411.0,39
NDC,57237009960,cefdinir 300 mg capsule,2.17,1.3,0.3689,7411.0,39
NDC,57237011490,"alfuzosin ER 10 mg tablet,extended release 24 hr",1.56,0.94,0.2652,7411.0,39
NDC,57237014001,torsemide 20 mg tablet,0.43,0.26,0.0731,7411.0,39
NDC,57237015035,fluconazole 40 mg/mL oral suspension,80.51,48.31,13.69,7411.0,39
NDC,57237015801,repaglinide 1 mg tablet,0.62,0.37,0.1054,7411.0,39
NDC,57237016990,rosuvastatin 10 mg tablet,0.38,0.23,0.0646,7411.0,39
NDC,57237017301,venlafaxine 37.5 mg tablet,0.26,0.16,0.0442,7411.0,39
NDC,57237017401,venlafaxine 50 mg tablet,0.28,0.17,0.0476,7411.0,39
NDC,57237018190,pramipexole 0.25 mg tablet,0.22,0.13,0.0374,7411.0,39
NDC,57237021930,pioglitazone 15 mg tablet,0.3,0.18,0.051,7411.0,39
NDC,57237031705,diphenhydrAMINE 12.5 mg/5 mL oral liquid,4.1,2.46,0.697,7411.0,39
NDC,57237031751,diphenhydrAMINE 12.5 mg/5 mL oral liquid,4.1,2.46,0.697,7411.0,39
NDC,57237033921,glycerin (adult) rectal suppository,0.75,0.45,0.1275,7411.0,39
NDC,57513564901,"mvi,adult no.4 with vit K 3300 unit-150 mcg/10 mL intravenous solution",52.8,31.68,8.98,7411.0,39
NDC,57664005799,amLODIPine 10 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,57664012688,hydrocodone 5 mg-acetaminophen 325 mg tablet,3.3,1.98,0.561,7411.0,39
NDC,57664016752,metoprolol tartrate 100 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,57664017688,hydrocodone 10 mg-acetaminophen 325 mg tablet,3.4,2.04,0.578,7411.0,39
NDC,57664022388,oxyCODONE 5 mg tablet,3.51,2.11,0.5967,7411.0,39
NDC,57664037088,oxyCODONE 10 mg tablet,4.0,2.4,0.68,7411.0,39
NDC,57664037708,traMADol 50 mg tablet,3.09,1.85,0.5253,7411.0,39
NDC,57664037713,traMADol 50 mg tablet,3.09,1.85,0.5253,7411.0,39
NDC,57664039388,venlafaxine 37.5 mg tablet,0.66,0.4,0.1122,7411.0,39
NDC,57664039488,venlafaxine 50 mg tablet,0.68,0.41,0.1156,7411.0,39
NDC,57664043551,metFORMIN 850 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,57664050318,tiZANidine 4 mg tablet,1.2,0.72,0.204,7411.0,39
NDC,57664050652,metoprolol tartrate 25 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,57664063444,midazolam 5 mg/mL injection solution,30.0,18.0,0.1815,7411.0,42
NDC,57771000121,d-mannose oral powder,150.0,90.0,25.5,7411.0,39
NDC,57841130001,naloxegol 12.5 mg tablet,26.39,15.83,4.49,7411.0,39
NDC,57894003001,inFLIXimab 100 mg intravenous solution,3503.46,2102.08,29.49,7411.0,57
NDC,57894005427,ustekinumab 130 mg/26 mL intravenous solution,6073.55,3644.13,11.04,7411.0,57
NDC,57894020001,abciximab 10 mg/5 mL intravenous solution,4072.54,2443.52,692.33,7411.0,41
NDC,57894035001,golimumab 12.5 mg/mL intravenous solution,5997.58,3598.55,10.73,7411.0,57
NDC,57894042001,siltuximab 100 mg intravenous solution,3569.78,2141.87,151.74,7411.0,57
NDC,57894042101,siltuximab 400 mg intravenous solution,14129.09,8477.45,151.74,10596.82,57
NDC,57894044901,teclistamab-cqyv 10 mg/mL subcutaneous solution,5764.88,3458.93,32.72,7411.0,57
NDC,57894045001,teclistamab-cqyv 90 mg/mL subcutaneous solution,29195.93,17517.56,32.72,21896.95,57
NDC,57894050205,daratumumab 20 mg/mL intravenous solution,2255.99,1353.59,67.23,7411.0,57
NDC,57894050220,daratumumab 20 mg/mL intravenous solution,8873.9,5324.34,67.23,7411.0,57
NDC,57894050301,"daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 mL subcut soln",30117.88,18070.73,52.28,22588.41,57
NDC,57896010101,acetaminophen 325 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,57896010201,acetaminophen 325 mg tablet,0.03,0.02,0.0051,7411.0,39
NDC,57896018016,acetaminophen 160 mg/5 mL oral liquid,8.51,5.11,1.45,7411.0,39
NDC,57896018105,peg 400-hypromellose-glycerin 1 %-0.2 %-0.2 % eye drops,3.39,2.03,0.5763,7411.0,39
NDC,57896018805,peg 400-hypromellose-glycerin 1 %-0.2 %-0.2 % eye drops,3.39,2.03,0.5763,7411.0,39
NDC,57896021901,acetaminophen 500 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,57896040316,docusate sodium 50 mg/5 mL oral liquid,6.62,3.97,1.13,7411.0,39
NDC,57896044101,"bisacodyl 5 mg tablet,delayed release",0.03,0.02,0.0051,7411.0,39
NDC,57896045101,sennosides 8.6 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,57896045401,sennosides 8.6 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,57896045501,sennosides 8.6 mg-docusate sodium 50 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,57896045506,sennosides 8.6 mg-docusate sodium 50 mg tablet,0.05,0.03,0.0085,7411.0,39
NDC,57896045801,sennosides 8.6 mg-docusate sodium 50 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,57896053101,multivitamin with minerals-ferrous sulfate 4.5 mg iron tablet,0.04,0.02,0.0068,7411.0,39
NDC,57896055501,sennosides 8.6 mg-docusate sodium 50 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,57896062912,aluminum-mag hydroxide-simethicone 200 mg-200 mg-20 mg/5 mL oral susp,6.39,3.83,1.09,7411.0,39
NDC,57896063412,magnesium oxide 400 mg (241.3 mg magnesium) tablet,0.05,0.03,0.0085,7411.0,39
NDC,57896074106,"calcium 500 mg (as calcium carbonate 1,250 mg) tablet",0.05,0.03,0.0085,7411.0,39
NDC,57896074201,calcium 500 mg (as carbonate)-vitamin D3 5 mcg (200 unit) tablet,0.06,0.04,0.0102,7411.0,39
NDC,57896075201,"vitamin E (dl, acetate) 180 mg (400 unit) capsule",0.13,0.08,0.0221,7411.0,39
NDC,57896083101,ascorbic acid (vitamin C) 250 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,57896084101,ascorbic acid (vitamin C) 500 mg tablet,0.05,0.03,0.0085,7411.0,39
NDC,57896085401,pyridoxine (vitamin B6) 100 mg tablet,0.05,0.03,0.0085,7411.0,39
NDC,57896087601,"cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet",0.03,0.02,0.0051,7411.0,39
NDC,57896091136,aspirin 81 mg chewable tablet,0.04,0.02,0.0068,7411.0,39
NDC,57896092101,"aspirin 325 mg tablet,delayed release",0.04,0.02,0.0068,7411.0,39
NDC,57896094101,ibuprofen 200 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,57896098101,"aspirin 81 mg tablet,delayed release",0.03,0.02,0.0051,7411.0,39
NDC,57896098112,"aspirin 81 mg tablet,delayed release",0.02,0.01,0.0034,7411.0,39
NDC,57896098501,"aspirin 81 mg tablet,delayed release",0.03,0.02,0.0051,7411.0,39
NDC,58151011801,phenytoin sodium extended 30 mg capsule,2.99,1.79,0.5083,7411.0,39
NDC,5815108432,celecoxib 200 mg capsule,32.84,19.7,5.58,7411.0,39
NDC,58160072615,haemophilus B polysaccharid conj-tetanus tox(PF) 10 mcg/0.5 mL IM soln,78.32,46.99,13.31,7411.0,41
NDC,58160081001,"diph,pertus(acel),tet pedi (PF) 25 Lf unit-58 mcg-10 Lf/0.5mL IM susp",150.35,90.21,25.56,7411.0,41
NDC,58160081011,"diph,pertus(acel),tet pedi (PF) 25 Lf unit-58 mcg-10 Lf/0.5mL IM susp",150.35,90.21,25.56,7411.0,41
NDC,58160081052,"diph,pertus(acel),tet ped(PF) 25 Lf unit-58 mcg-10 Lf/0.5mL IM syringe",165.27,99.16,28.1,7411.0,41
NDC,58160081603,haemophilus B polysaccharid conj-tetanus tox(PF) 10 mcg/0.5 mL IM soln,78.32,46.99,13.31,7411.0,41
NDC,58160081811,haemophilus B polysaccharid conj-tetanus tox(PF) 10 mcg/0.5 mL IM soln,78.32,46.99,13.31,7411.0,41
NDC,58160082043,hepatitis B virus vaccine recomb (PF) 10 mcg/0.5 mL IM syringe,172.03,103.22,29.25,7411.0,42
NDC,58160082052,hepatitis B virus vaccine recomb (PF) 10 mcg/0.5 mL IM syringe,172.03,103.22,29.25,7411.0,41
NDC,58160082415,"measles,mumps,rubella vacc live(PF)10exp3.4-4.2-3.3CCID50/0.5mL subcut",412.1,247.26,70.06,7411.0,41
NDC,58160082643,"hepatitis A vaccine (PF) 1,440 ELISA unit/mL intramuscular syringe",375.52,225.31,63.84,7411.0,42
NDC,58160082652,"hepatitis A vaccine (PF) 1,440 ELISA unit/mL intramuscular syringe",375.52,225.31,63.84,7411.0,41
NDC,58160082703,"meningococcal vac A,C,Y,W-135 dip(PF) 10 mcg-5 mcg/0.5 mL IM solution",710.7,426.42,120.82,7411.0,41
NDC,58160082730,"meningococcal vac A,C,Y,W-135 dip(PF) 10 mcg-5 mcg/0.5 mL IM solution",710.7,426.42,120.82,7411.0,41
NDC,58160083103,"measles,mumps,rubella vacc live(PF)10exp3.4-4.2-3.3CCID50/0.5mL subcut",412.1,247.26,70.06,7411.0,41
NDC,58160084201,"diphth,pertussis(acell),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5 mL IM susp",276.85,166.11,43.43,7411.0,42
NDC,58160084211,"diphth,pertussis(acell),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5 mL IM susp",276.85,166.11,47.06,7411.0,41
NDC,58160084243,"diphth,pertussis(acel),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5mL IM syringe",276.85,166.11,43.43,7411.0,42
NDC,58160084252,"diphth,pertussis(acel),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5mL IM syringe",276.85,166.11,47.06,7411.0,41
NDC,58160095509,"meningoc vac A,C,Y,W-135 dip(PF) 10 mcg-5 mcg/0.5 mL IM kit (2 vials)",710.71,426.43,120.82,7411.0,41
NDC,58160095801,meningococcal A conj vacc 2 of 2(PF) 10 mcg/0.5 mL (final) IM solution,710.71,426.43,120.82,7411.0,41
NDC,58160095901,"meningoco C,Y,W-135 vacc 1 of 2(PF) 5 mcg x3/0.5 mL(final) IM solution",591.0,354.6,100.47,7411.0,41
NDC,58160096412,"rabies vaccine, purified chicken embryo cell (PF) 2.5 unit IM susp",1711.68,1027.01,290.99,7411.0,57
NDC,58160097620,"meningococcal B vac,4-cmp 50 mcg-50 mcg-50 mcg-25 mcg/0.5mL IM syringe",1009.48,605.69,171.61,7411.0,41
NDC,58394001201,"antihemophilic factor VIII,rec B-domain deleted 250 (+/-) unit IV soln",38.92,23.35,1.42,7411.0,57
NDC,58394001401,"antihemophilic factor VIII,rec B-domain delet 1,000 (+/-) unit IV soln",38.92,23.35,1.42,7411.0,57
NDC,58394002203,"antihemophilic FVIII,rec B-domain deleted 250 (+/-) unit IV syringe",38.92,23.35,1.42,7411.0,57
NDC,58394002403,"antihemophilic FVIII,rec B-domain deleted 1,000 (+/-) unit IV syringe",38.92,23.35,1.42,7411.0,57
NDC,58394002503,"antihemophilic FVIII,rec B-domain deleted 2,000 (+/-) unit IV syringe",38.92,23.35,1.42,7411.0,57
NDC,58394063303,coagulation factor IX (recomb) 250 unit intravenous solution,38.2,22.92,1.65,7411.0,58
NDC,58394063403,coagulation factor IX (recomb) 500 unit intravenous solution,38.2,22.92,1.65,7411.0,58
NDC,58394063503,"coagulation factor IX (recomb) 1,000 unit intravenous solution",38.2,22.92,1.65,7411.0,58
NDC,58394063603,"coagulation factor IX (recomb) 2,000 unit intravenous solution",38.2,22.92,1.65,7411.0,58
NDC,58394063703,"coagulation factor IX (recomb) 3,000 unit intravenous solution",38.2,22.92,1.65,7411.0,58
NDC,58468004001,agalsidase beta 35 mg intravenous solution,22364.19,13418.51,212.8,16773.14,57
NDC,58468007001,laronidase 2.9 mg/5 mL intravenous solution,3211.68,1927.01,36.89,7411.0,57
NDC,58468008001,anti-thymocyte globulin (rabbit) 25 mg intravenous solution,3198.48,1919.09,543.74,7411.0,58
NDC,58468009001,hylan g-f 20 16 mg/2 mL intra-articular syringe,2054.43,1232.66,6.61,7411.0,57
NDC,58468009002,hylan g-f 20 16 mg/2 mL intra-articular syringe,2054.43,1232.66,349.25,7411.0,41
NDC,58468013001,sevelamer carbonate 800 mg tablet,11.9,7.14,2.02,7411.0,39
NDC,58468013101,sevelamer carbonate 2.4 gram oral powder packet,35.7,21.42,6.07,7411.0,39
NDC,58468016001,alglucosidase alfa 50 mg intravenous solution,2893.29,1735.97,187.25,7411.0,57
NDC,58468016002,alglucosidase alfa 50 mg intravenous solution,2521.92,1513.15,187.25,7411.0,57
NDC,58657015101,folic acid 1 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,58657045890,methenamine 81 mg-m.blue 10.8 mg-sod phos 40.8 mg-p.salicy-hyos tablet,10.02,6.01,1.7,7411.0,39
NDC,58657052016,acetaminophen 160 mg/5 mL oral liquid,6.62,3.97,1.13,7411.0,39
NDC,58657052516,acetaminophen 160 mg/5 mL oral liquid,23.65,14.19,4.02,7411.0,39
NDC,58657064701,cloNIDine HCl 0.1 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,58914001460,multivitamin-min no.51-FA 100 mcg-vit K 350 mcg-coQ10 5 mg chew tablet,1.0,0.6,0.17,7411.0,39
NDC,58914008052,dicyclomine 10 mg/mL intramuscular solution,382.26,229.36,10.3,7411.0,42
NDC,58914017014,sucralfate 100 mg/mL oral suspension,534.24,320.54,90.82,7411.0,39
NDC,58914017110,sucralfate 1 gram tablet,9.92,5.95,1.69,7411.0,39
NDC,58914050156,"mesalamine 1,000 mg rectal suppository",77.45,46.47,13.17,7411.0,39
NDC,58914078510,ursodiol 250 mg tablet,11.01,6.61,1.87,7411.0,39
NDC,59011041010,"oxyCODONE ER 10 mg tablet,crush resistant,extended release 12 hr",13.66,8.2,2.32,7411.0,39
NDC,59011041020,"oxyCODONE ER 10 mg tablet,crush resistant,extended release 12 hr",13.95,8.37,2.37,7411.0,39
NDC,59011042010,"oxyCODONE ER 20 mg tablet,crush resistant,extended release 12 hr",22.89,13.73,3.89,7411.0,39
NDC,59011042020,"oxyCODONE ER 20 mg tablet,crush resistant,extended release 12 hr",23.4,14.04,3.98,7411.0,39
NDC,59011044020,"oxyCODONE ER 40 mg tablet,crush resistant,extended release 12 hr",37.92,22.75,6.45,7411.0,39
NDC,59011048010,"oxyCODONE ER 80 mg tablet,crush resistant,extended release 12 hr",62.44,37.46,10.61,7411.0,39
NDC,59011048020,"oxyCODONE ER 80 mg tablet,crush resistant,extended release 12 hr",63.96,38.38,10.87,7411.0,39
NDC,59011075004,buprenorphine 5 mcg/hour weekly transdermal patch,102.28,61.37,17.39,7411.0,39
NDC,59011075104,buprenorphine 10 mcg/hour weekly transdermal patch,154.09,92.45,26.2,7411.0,39
NDC,59011075804,buprenorphine 15 mcg/hour weekly transdermal patch,260.92,156.55,44.36,7411.0,39
NDC,59016042017,"magnesium L-lactate ER 84 mg tablet,extended release",0.62,0.37,0.1054,7411.0,39
NDC,59016042019,"magnesium L-lactate ER 84 mg tablet,extended release",0.64,0.38,0.1088,7411.0,39
NDC,59137023101,aminolevulinic acid HCl 30 mg/mL oral solution,6392.0,3835.2,1086.64,7411.0,39
NDC,59148000613,ARIPiprazole 2 mg tablet,38.92,23.35,6.62,7411.0,39
NDC,59148002050,tolvaptan 15 mg tablet,1040.39,624.23,176.87,7411.0,39
NDC,59148003613,brexpiprazole 0.5 mg tablet,98.1,58.86,16.68,7411.0,39
NDC,59212000201,triamterene 50 mg capsule,29.42,17.65,5.0,7411.0,39
NDC,59212042511,phenobarb-hyoscyamn-atropine-scop 16.2 mg-0.1037 mg-0.0194 mg tablet,20.01,12.01,3.4,7411.0,39
NDC,59310030480,beclomethasone diprop 80 mcg/actuation HFA breath activated aerosol,572.23,343.34,97.28,7411.0,39
NDC,59310058020,albuterol sulfate 90 mcg/actuation breath activated powder inhaler,137.4,82.44,23.36,7411.0,39
NDC,59338077510,ferumoxytol 510 mg/17 mL (30 mg/mL) intravenous solution,3504.57,2102.74,0.2185,7411.0,57
NDC,59365512801,copper 380 square mm intrauterine device,3255.0,1953.0,553.35,7411.0,41
NDC,59365606400,iodine-potassium iodide 5 %-10 % topical solution,17.36,10.42,2.95,7411.0,39
NDC,59365606500,ferric subsulfate 259 mg/g topical solution,126.26,75.76,21.46,7411.0,39
NDC,59385002301,buprenorphine HCl 300 mcg buccal film,22.4,13.44,3.81,7411.0,39
NDC,59385002360,buprenorphine HCl 300 mcg buccal film,22.41,13.45,3.81,7411.0,39
NDC,59385002401,buprenorphine HCl 450 mcg buccal film,30.44,18.26,5.17,7411.0,39
NDC,59385002460,buprenorphine HCl 450 mcg buccal film,30.45,18.27,5.18,7411.0,39
NDC,59390020505,fluorescein 0.25 %-proparacaine 0.5 % eye drops,18.3,10.98,3.11,7411.0,39
NDC,59390021805,fluorescein 0.25 %-benoxinate 0.4 % eye drops,0.75,0.45,0.1275,7411.0,39
NDC,59572010201,azaCITIDine 100 mg solution for injection,1805.72,1083.43,0.451,7411.0,42
NDC,59572050421,pomalidomide 4 mg capsule,2189.64,1313.78,372.24,7411.0,39
NDC,59572071101,luspatercept-aamt 25 mg subcutaneous solution,11888.26,7132.96,38.76,8916.19,57
NDC,59572077501,luspatercept-aamt 75 mg subcutaneous solution,35608.66,21365.2,38.76,26706.49,57
NDC,59572096210,romiDEPsin 10 mg/2 mL intravenous powder for solution,9645.95,5787.57,29.26,7411.0,57
NDC,59572098401,romiDEPsin 10 mg/2 mL intravenous powder for solution,9645.95,5787.57,1639.81,8199.06,41
NDC,59584013801,candida albicans skin test FDA STANDARD intradermal,133.2,79.92,22.64,7411.0,39
NDC,59630026601,cefiderocol 1 gram intravenous solution,993.47,596.08,2.28,7411.0,57
NDC,59630026610,cefiderocol 1 gram intravenous solution,993.47,596.08,168.89,7411.0,41
NDC,59651001890,"niacin ER 500 mg tablet,extended release 24 hr",0.71,0.43,0.1207,7411.0,39
NDC,59651003247,ibuprofen 100 mg/5 mL oral suspension,50.14,30.08,8.52,7411.0,39
NDC,59651021430,azelastine 137 mcg (0.1 %) nasal spray,36.0,21.6,6.12,7411.0,39
NDC,59651025601,propafenone 150 mg tablet,0.47,0.28,0.0799,7411.0,39
NDC,59651025701,propafenone 225 mg tablet,0.77,0.46,0.1309,7411.0,39
NDC,59651026830,"glipiZIDE ER 2.5 mg tablet, extended release 24 hr",0.43,0.26,0.0731,7411.0,39
NDC,59651027001,"glipiZIDE ER 10 mg tablet, extended release 24 hr",0.51,0.31,0.0867,7411.0,39
NDC,59651029501,"NIFEdipine ER 30 mg tablet,extended release",0.5,0.3,0.085,7411.0,39
NDC,59651031577,tiZANidine 4 mg capsule,1.53,0.92,0.2601,7411.0,39
NDC,59651037801,zonisamide 25 mg capsule,0.31,0.19,0.0527,7411.0,39
NDC,59651038001,zonisamide 100 mg capsule,0.74,0.44,0.1258,7411.0,39
NDC,59651045360,topiramate 25 mg sprinkle capsule,2.65,1.59,0.4505,7411.0,39
NDC,59651078030,"glipiZIDE ER 2.5 mg tablet, extended release 24 hr",0.43,0.26,0.0731,7411.0,39
NDC,59651078201,"glipiZIDE ER 10 mg tablet, extended release 24 hr",0.51,0.31,0.0867,7411.0,39
NDC,59676027801,rilpivirine HCl 25 mg tablet,99.39,59.63,16.9,7411.0,39
NDC,59676030201,"epoetin alfa 2,000 unit/mL injection solution",268.57,161.14,6.94,7411.0,57
NDC,59676031000,"epoetin alfa 10,000 unit/mL injection solution",1230.63,738.38,6.94,7411.0,57
NDC,59676032004,"epoetin alfa 20,000 unit/mL injection solution",1631.5,978.9,6.94,7411.0,57
NDC,59676034000,"epoetin alfa 40,000 unit/mL injection solution",3235.0,1941.0,6.94,7411.0,57
NDC,59676034001,"epoetin alfa 40,000 unit/mL injection solution",3235.0,1941.0,549.95,7411.0,41
NDC,59676056201,darunavir 600 mg tablet,72.44,43.46,12.31,7411.0,39
NDC,59676056401,darunavir 150 mg tablet,18.48,11.09,3.14,7411.0,39
NDC,59676056630,darunavir 800 mg tablet,144.38,86.63,24.54,7411.0,39
NDC,59676057001,etravirine 100 mg tablet,25.46,15.28,4.33,7411.0,39
NDC,59676096001,"DOXOrubicin, pegylated liposomal 2 mg/mL intravenous suspension",3796.88,2278.13,68.27,7411.0,57
NDC,59746000106,methylPREDNISolone 4 mg tablet,0.64,0.38,0.1088,7411.0,42
NDC,59746011306,prochlorperazine maleate 5 mg tablet,0.7,0.42,0.119,7411.0,41
NDC,59746011506,prochlorperazine maleate 10 mg tablet,1.05,0.63,0.1785,7411.0,41
NDC,59746012106,meclizine 25 mg tablet,0.38,0.23,0.0646,7411.0,39
NDC,59746017306,predniSONE 10 mg tablet,0.35,0.21,0.0595,7411.0,41
NDC,59746017506,predniSONE 20 mg tablet,0.37,0.22,0.0044,7411.0,42
NDC,59746033090,donepezil 10 mg tablet,1.12,0.67,0.1904,7411.0,39
NDC,59746036030,valsartan 40 mg tablet,0.42,0.25,0.0714,7411.0,39
NDC,59746036190,valsartan 80 mg tablet,0.48,0.29,0.0816,7411.0,39
NDC,59746038306,terazosin 1 mg capsule,0.36,0.22,0.0612,7411.0,39
NDC,59746038406,terazosin 2 mg capsule,0.36,0.22,0.0612,7411.0,39
NDC,59746038506,terazosin 5 mg capsule,0.36,0.22,0.0612,7411.0,39
NDC,59762001601,clindamycin 75 mg/5 mL oral solution,253.4,152.04,43.08,7411.0,39
NDC,59762003301,sildenafil (pulmonary hypertension) 20 mg tablet,1.03,0.62,0.1751,7411.0,39
NDC,59762007301,hydrocortisone 5 mg tablet,0.34,0.2,0.0578,7411.0,39
NDC,59762007401,hydrocortisone 10 mg tablet,0.57,0.34,0.0969,7411.0,39
NDC,59762007501,hydrocortisone 20 mg tablet,1.03,0.62,0.1751,7411.0,39
NDC,59762011701,mesalamine 400 mg capsule (with delayed release tablets inside),4.66,2.8,0.7922,7411.0,39
NDC,59762011803,"mesalamine 1,000 mg rectal suppository",11.28,6.77,1.92,7411.0,39
NDC,59762011901,phenelzine 15 mg tablet,1.33,0.8,0.2261,7411.0,39
NDC,59762018003,"venlafaxine ER 37.5 mg capsule,extended release 24 hr",0.82,0.49,0.1394,7411.0,39
NDC,59762024503,donepezil 5 mg tablet,1.88,1.13,0.3196,7411.0,39
NDC,59762038601,disopyramide phosphate 100 mg capsule,3.99,2.39,0.6783,7411.0,39
NDC,59762040101,sucralfate 1 gram tablet,0.32,0.19,0.0544,7411.0,39
NDC,59762080002,tolterodine 2 mg tablet,3.06,1.84,0.5202,7411.0,39
NDC,59762100101,sirolimus 0.5 mg tablet,8.71,5.23,1.39,7411.0,42
NDC,59762100201,sirolimus 1 mg tablet,17.42,10.45,1.39,7411.0,42
NDC,59762106101,diphenoxylate-atropine 2.5 mg-0.025 mg tablet,0.82,0.49,0.1394,7411.0,39
NDC,59762112201,benzonatate 100 mg capsule,0.46,0.28,0.0782,7411.0,39
NDC,59762130801,linezolid 100 mg/5 mL oral suspension,1312.4,787.44,223.11,7411.0,39
NDC,59762134401,pregabalin 50 mg capsule,0.43,0.26,0.0731,7411.0,39
NDC,59762135001,rifabutin 150 mg capsule,28.49,17.09,4.84,7411.0,39
NDC,59762151701,celecoxib 200 mg capsule,2.05,1.23,0.3485,7411.0,39
NDC,59762171001,eplerenone 25 mg tablet,6.2,3.72,1.05,7411.0,39
NDC,59762306003,azithromycin 250 mg tablet,7.3,4.38,1.24,7411.0,39
NDC,59762330403,nitroglycerin 0.4 mg sublingual tablet,0.75,0.45,0.1275,7411.0,39
NDC,59762371901,ALPRAZolam 0.25 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,59762372001,ALPRAZolam 0.5 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,59762374202,medroxyPROGESTERone 10 mg tablet,0.53,0.32,0.0901,7411.0,39
NDC,59762444003,methylPREDNISolone 4 mg tablet,1.72,1.03,0.1518,7411.0,42
NDC,59762453701,medroxyPROGESTERone 150 mg/mL intramuscular suspension,275.22,165.13,46.79,7411.0,41
NDC,59762490003,sertraline 50 mg tablet,0.47,0.28,0.0799,7411.0,39
NDC,59762491003,sertraline 100 mg tablet,0.47,0.28,0.0799,7411.0,39
NDC,59762500001,sulfaSALAzine 500 mg tablet,0.87,0.52,0.1479,7411.0,39
NDC,59762500005,sulfaSALAzine 500 mg tablet,0.89,0.53,0.1513,7411.0,39
NDC,59762500006,sulfaSALAzine 500 mg tablet,0.89,0.53,0.1513,7411.0,39
NDC,59762500801,miSOPROStol 200 mcg tablet,1.93,1.16,0.3281,7411.0,39
NDC,59762500802,miSOPROStol 200 mcg tablet,1.93,1.16,0.3281,7411.0,39
NDC,59762500901,clindamycin 2 % vaginal cream,173.76,104.26,29.54,7411.0,39
NDC,59762503001,fluconazole 40 mg/mL oral suspension,118.17,70.9,20.09,7411.0,39
NDC,59762505001,gabapentin 250 mg/5 mL oral solution,140.06,84.04,23.81,7411.0,39
NDC,59762505007,gabapentin 250 mg/5 mL oral solution,140.06,84.04,23.81,7411.0,39
NDC,59762505007,"gabapentin 250 mg/5 mL oral solution,gabapentin 250 mg/5 mL (5 mL) oral solution",140.06,84.04,23.81,7411.0,39
NDC,59781022550,arginine 7 gram-glutamine 7 gram-calcium HMB 1.5 gram oral powder pack,3.8,2.28,0.646,7411.0,39
NDC,60219107601,azaTHIOprine 50 mg tablet,0.9,0.54,0.153,7411.0,42
NDC,60219163703,aminocaproic acid 500 mg tablet,28.88,17.33,4.91,7411.0,39
NDC,60219174802,atropine 1 % eye drops,71.8,43.08,12.21,7411.0,39
NDC,60258000601,"potassium, sodium phosphates 280 mg-160 mg-250 mg oral powder packet",1.09,0.65,0.1853,7411.0,39
NDC,60258000615,"potassium, sodium phosphates 280 mg-160 mg-250 mg oral powder packet",1.09,0.65,0.1853,7411.0,39
NDC,60258016101,vitamin B comp no.3-folic acid 1 mg-vit C 60 mg-biotin 300 mcg tablet,0.38,0.23,0.0646,7411.0,39
NDC,60267070550,sodium thiosulfate 12.5 gram/50 mL (250 mg/mL) intravenous solution,261.0,156.6,0.836,7411.0,110
NDC,60432009216,oxyBUTYnin chloride 5 mg/5 mL oral syrup,39.73,23.84,6.75,7411.0,39
NDC,60432013108,"phenytoin 100 mg/4 mL oral suspension,phenytoin 125 mg/5 mL oral suspension",0.92,0.55,0.1564,7411.0,39
NDC,60432013108,phenytoin 125 mg/5 mL oral suspension,54.51,32.71,9.27,7411.0,39
NDC,60432021208,prednisoLONE sodium phosphate 15 mg/5 mL (3 mg/mL) oral solution,60.2,36.12,0.814,7411.0,42
NDC,60432027504,brompheniramine-pseudoephedrine-DM 2 mg-30 mg-10 mg/5 mL oral syrup,1.79,1.07,0.3043,7411.0,39
NDC,60432053716,"nystatin 100,000 unit/mL oral suspension",178.35,107.01,30.32,7411.0,39
NDC,60432053760,"nystatin 100,000 unit/mL oral suspension",25.94,15.56,4.41,7411.0,39
NDC,60432056160,triamcinolone acetonide 0.1 % lotion,65.4,39.24,11.12,7411.0,39
NDC,60432062116,valproic acid (as sodium salt) 250 mg/5 mL oral solution,27.43,16.46,4.66,7411.0,39
NDC,60432083460,lindane 1 % shampoo,219.0,131.4,37.23,7411.0,39
NDC,60432083704,brompheniramine-pseudoephedrine-DM 2 mg-30 mg-10 mg/5 mL oral syrup,1.99,1.19,0.3383,7411.0,39
NDC,60505004101,etodolac 400 mg tablet,2.12,1.27,0.3604,7411.0,39
NDC,60505005501,selegiline 5 mg capsule,3.35,2.01,0.5695,7411.0,39
NDC,60505008000,sotalol 80 mg tablet,0.18,0.11,0.0306,7411.0,39
NDC,60505008100,sotalol 160 mg tablet,0.31,0.19,0.0527,7411.0,39
NDC,60505008302,PARoxetine 20 mg tablet,0.28,0.17,0.0476,7411.0,39
NDC,60505011200,gabapentin 100 mg capsule,0.49,0.29,0.0833,7411.0,39
NDC,60505013300,cycloSPORINE 25 mg capsule,6.16,3.7,0.6886,7411.0,43
NDC,60505013400,cycloSPORINE 100 mg capsule,24.57,14.74,1.57,7411.0,43
NDC,60505014100,glipiZIDE 5 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,60505014200,glipiZIDE 10 mg tablet,0.16,0.1,0.0272,7411.0,39
NDC,60505015701,bupropion HCl 100 mg tablet,1.43,0.86,0.2431,7411.0,39
NDC,60505018300,carBAMazepine 200 mg tablet,0.82,0.49,0.1394,7411.0,39
NDC,60505036301,ofloxacin 0.3 % ear drops,130.0,78.0,22.1,7411.0,39
NDC,60505058204,moxifloxacin 0.5 % eye drops,133.88,80.33,22.76,7411.0,39
NDC,60505068701,piperacillin-tazobactam 3.375 gram intravenous solution,63.68,38.21,1.19,7411.0,42
NDC,60505068704,piperacillin-tazobactam 3.375 gram intravenous solution,63.68,38.21,10.83,7411.0,41
NDC,60505074905,ceFAZolin 1 gram solution for injection,13.57,8.14,0.9295,7411.0,42
NDC,60505075004,cefTRIAXone 250 mg solution for injection,16.17,9.7,0.473,7411.0,42
NDC,60505075204,cefTRIAXone 1 gram solution for injection,26.0,15.6,0.473,7411.0,42
NDC,60505082601,ipratropium bromide 21 mcg (0.03 %) nasal spray,72.0,43.2,12.24,7411.0,39
NDC,60505252101,cilostazol 50 mg tablet,2.73,1.64,0.4641,7411.0,39
NDC,60505252201,cilostazol 100 mg tablet,2.73,1.64,0.4641,7411.0,39
NDC,60505252603,modafinil 100 mg tablet,1.93,1.16,0.3281,7411.0,39
NDC,60505252806,ziprasidone 20 mg capsule,2.67,1.6,0.4539,7411.0,39
NDC,60505257507,balsalazide 750 mg capsule,1.43,0.86,0.2431,7411.0,39
NDC,60505257809,atorvastatin 10 mg tablet,0.34,0.2,0.0578,7411.0,39
NDC,60505257909,atorvastatin 20 mg tablet,0.48,0.29,0.0816,7411.0,39
NDC,60505265601,triamterene 37.5 mg-hydrochlorothiazide 25 mg tablet,0.55,0.33,0.0935,7411.0,39
NDC,60505265701,triamterene 75 mg-hydrochlorothiazide 50 mg tablet,0.56,0.34,0.0952,7411.0,39
NDC,60505267109,atorvastatin 80 mg tablet,0.48,0.29,0.0816,7411.0,39
NDC,60505285001,"alfuzosin ER 10 mg tablet,extended release 24 hr",1.7,1.02,0.289,7411.0,39
NDC,60505294503,ezetimibe 10 mg tablet,1.64,0.98,0.2788,7411.0,39
NDC,60505296507,"mycophenolate sodium 180 mg tablet,delayed release",4.39,2.63,0.3498,7411.0,42
NDC,60505296607,"mycophenolate sodium 360 mg tablet,delayed release",8.77,5.26,0.3498,7411.0,42
NDC,60505299703,"DULoxetine 60 mg capsule,delayed release",0.98,0.59,0.1666,7411.0,39
NDC,60505311103,OLANZapine 5 mg tablet,0.72,0.43,0.1224,7411.0,39
NDC,60505324703,famciclovir 500 mg tablet,2.83,1.7,0.4811,7411.0,39
NDC,60505327500,OLANZapine 5 mg disintegrating tablet,3.57,2.14,0.6069,7411.0,39
NDC,60505367403,"PARoxetine ER 25 mg tablet,extended release 24 hr",4.2,2.52,0.714,7411.0,39
NDC,60505403301,icosapent ethyl 1 gram capsule,5.03,3.02,0.8551,7411.0,39
NDC,60505463203,cycloSPORINE modified 100 mg capsule,8.79,5.27,1.49,7411.0,41
NDC,60505464203,prasugrel HCl 5 mg tablet,3.65,2.19,0.6205,7411.0,39
NDC,60505464303,prasugrel HCl 10 mg tablet,3.65,2.19,0.6205,7411.0,39
NDC,60505470203,solifenacin 5 mg tablet,1.39,0.83,0.2363,7411.0,39
NDC,60505485603,prasugrel HCl 10 mg tablet,3.65,2.19,0.6205,7411.0,39
NDC,60505614200,ceFAZolin 1 gram solution for injection,13.58,8.15,0.9295,7411.0,42
NDC,60505614205,ceFAZolin 1 gram solution for injection,13.57,8.14,2.31,7411.0,41
NDC,60505619702,sirolimus 1 mg/mL oral solution,70.18,42.11,1.39,7411.0,42
NDC,60505620201,cycloSPORINE 0.05 % eye drops in a dropperette,9.33,5.6,1.59,7411.0,39
NDC,60505622601,atropine 1 % eye drops,88.74,53.24,15.09,7411.0,39
NDC,60505623100,ceFAZolin 2 gram solution for injection,40.1,24.06,0.9295,7411.0,42
NDC,60505623105,ceFAZolin 2 gram solution for injection,40.1,24.06,6.82,7411.0,41
NDC,60505706200,nicotine 14 mg/24 hr daily transdermal patch,4.71,2.83,0.8007,7411.0,39
NDC,60505708900,nicotine 14 mg/24 hr daily transdermal patch,4.71,2.83,0.8007,7411.0,39
NDC,60574411301,palivizumab 100 mg/mL intramuscular solution,10318.76,6191.26,414.91,7739.07,57
NDC,60574411401,palivizumab 50 mg/0.5 mL intramuscular solution,5466.98,3280.19,414.91,7411.0,57
NDC,60687011211,anastrozole 1 mg tablet,6.81,4.09,1.16,7411.0,39
NDC,60687011301,cloNIDine HCl 0.1 mg tablet,0.61,0.37,0.1037,7411.0,39
NDC,60687011311,cloNIDine HCl 0.1 mg tablet,0.61,0.37,0.1037,7411.0,39
NDC,60687012125,"acamprosate 333 mg tablet,delayed release",4.52,2.71,0.7684,7411.0,39
NDC,60687012195,"acamprosate 333 mg tablet,delayed release",4.52,2.71,0.7684,7411.0,39
NDC,60687013911,valsartan 160 mg tablet,2.27,1.36,0.3859,7411.0,39
NDC,60687016101,haloperidol 5 mg tablet,1.82,1.09,0.3094,7411.0,39
NDC,60687016111,haloperidol 5 mg tablet,1.82,1.09,0.3094,7411.0,39
NDC,60687016311,cephalexin 500 mg capsule,1.23,0.74,0.2091,7411.0,39
NDC,60687020601,"dilTIAZem CD 180 mg capsule,extended release 24 hr",1.61,0.97,0.2737,7411.0,39
NDC,60687020611,"dilTIAZem CD 180 mg capsule,extended release 24 hr",1.61,0.97,0.2737,7411.0,39
NDC,60687021501,"propranolol ER 60 mg capsule,24 hr,extended release",3.99,2.39,0.6783,7411.0,39
NDC,60687021511,"propranolol ER 60 mg capsule,24 hr,extended release",3.99,2.39,0.6783,7411.0,39
NDC,60687022401,gemfibrozil 600 mg tablet,0.52,0.31,0.0884,7411.0,39
NDC,60687022411,gemfibrozil 600 mg tablet,0.52,0.31,0.0884,7411.0,39
NDC,60687023101,sertraline 25 mg tablet,0.75,0.45,0.1275,7411.0,39
NDC,60687032501,lisinopril 10 mg tablet,0.25,0.15,0.0425,7411.0,39
NDC,60687032511,lisinopril 10 mg tablet,0.25,0.15,0.0425,7411.0,39
NDC,60687035601,benztropine 0.5 mg tablet,0.98,0.59,0.1666,7411.0,39
NDC,60687035611,benztropine 0.5 mg tablet,0.98,0.59,0.1666,7411.0,39
NDC,60687036211,lamiVUDine 150 mg tablet,15.5,9.3,2.63,7411.0,39
NDC,60687036221,lamiVUDine 150 mg tablet,15.5,9.3,2.63,7411.0,39
NDC,60687036901,dicyclomine 10 mg capsule,2.1,1.26,0.357,7411.0,39
NDC,60687038611,droNABinol 5 mg capsule,28.64,17.18,4.87,7411.0,39
NDC,60687038621,droNABinol 5 mg capsule,19.61,11.77,3.33,7411.0,39
NDC,60687039579,albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization,1.58,0.95,0.0836,7411.0,40
NDC,60687039583,albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization,1.58,0.95,0.2686,7411.0,39
NDC,60687039801,midodrine 5 mg tablet,2.5,1.5,0.425,7411.0,39
NDC,60687039811,midodrine 5 mg tablet,2.5,1.5,0.425,7411.0,39
NDC,60687042401,metroNIDAZOLE 500 mg tablet,2.0,1.2,0.34,7411.0,39
NDC,60687042411,metroNIDAZOLE 500 mg tablet,2.0,1.2,0.34,7411.0,39
NDC,60687042945,magnesium hydroxide 400 mg/5 mL oral suspension,4.02,2.41,0.6834,7411.0,39
NDC,60687042951,magnesium hydroxide 400 mg/5 mL oral suspension,4.02,2.41,0.6834,7411.0,39
NDC,60687043198,polyethylene glycol 3350 17 gram oral powder packet,3.37,2.02,0.5729,7411.0,39
NDC,60687043199,polyethylene glycol 3350 17 gram oral powder packet,2.93,1.76,0.4981,7411.0,39
NDC,60687045001,labetalol 200 mg tablet,1.17,0.7,0.1989,7411.0,39
NDC,60687045011,labetalol 200 mg tablet,1.17,0.7,0.1989,7411.0,39
NDC,60687045401,traZODone 100 mg tablet,0.37,0.22,0.0629,7411.0,39
NDC,60687045411,traZODone 100 mg tablet,0.37,0.22,0.0629,7411.0,39
NDC,60687046611,"potassium chloride ER 10 mEq tablet,extended release",1.09,0.65,0.1853,7411.0,39
NDC,60687048401,pregabalin 50 mg capsule,2.69,1.61,0.4573,7411.0,39
NDC,60687048411,pregabalin 50 mg capsule,2.69,1.61,0.4573,7411.0,39
NDC,60687056640,HYDROmorphone 1 mg/mL oral liquid,7.0,4.2,1.19,7411.0,39
NDC,60687057811,"acetaZOLAMIDE ER 500 mg capsule,extended release",9.51,5.71,1.62,7411.0,39
NDC,60687057821,"acetaZOLAMIDE ER 500 mg capsule,extended release",9.51,5.71,1.62,7411.0,39
NDC,60687059511,famotidine 20 mg tablet,0.4,0.24,0.068,7411.0,39
NDC,60687066101,carbidopa 25 mg-levodopa 100 mg tablet,0.73,0.44,0.1241,7411.0,39
NDC,60687066111,carbidopa 25 mg-levodopa 100 mg tablet,0.73,0.44,0.1241,7411.0,39
NDC,60687068601,hydrOXYzine HCl 50 mg tablet,0.76,0.46,0.1292,7411.0,39
NDC,60687068611,hydrOXYzine HCl 50 mg tablet,0.76,0.46,0.1292,7411.0,39
NDC,60687069501,sucralfate 1 gram tablet,0.77,0.46,0.1309,7411.0,39
NDC,60687069511,sucralfate 1 gram tablet,0.77,0.46,0.1309,7411.0,39
NDC,60687071101,OXcarbazepine 150 mg tablet,1.08,0.65,0.1836,7411.0,39
NDC,60687071111,OXcarbazepine 150 mg tablet,1.08,0.65,0.1836,7411.0,39
NDC,60687072811,dilTIAZem 60 mg tablet,1.01,0.61,0.1717,7411.0,39
NDC,60687078701,amoxicillin 500 mg capsule,5.02,3.01,0.8534,7411.0,39
NDC,60687078711,amoxicillin 500 mg capsule,5.02,3.01,0.8534,7411.0,39
NDC,60687078811,sildenafil (pulmonary hypertension) 20 mg tablet,2.33,1.4,0.3961,7411.0,39
NDC,60687078821,sildenafil (pulmonary hypertension) 20 mg tablet,2.33,1.4,0.3961,7411.0,39
NDC,60687080111,buspirone 7.5 mg tablet,3.85,2.31,0.6545,7411.0,39
NDC,60687080121,buspirone 7.5 mg tablet,3.85,2.31,0.6545,7411.0,39
NDC,60687082601,baclofen 20 mg tablet,2.48,1.49,0.4216,7411.0,39
NDC,60687082611,baclofen 20 mg tablet,2.48,1.49,0.4216,7411.0,39
NDC,60687085601,acyclovir 400 mg tablet,1.35,0.81,0.2295,7411.0,39
NDC,60687085611,acyclovir 400 mg tablet,1.35,0.81,0.2295,7411.0,39
NDC,60687086211,ivabradine 5 mg tablet,21.08,12.65,3.58,7411.0,39
NDC,60687086221,ivabradine 5 mg tablet,21.08,12.65,3.58,7411.0,39
NDC,60687090011,nortriptyline 10 mg capsule,1.11,0.67,0.1887,7411.0,39
NDC,60687091101,nortriptyline 25 mg capsule,0.84,0.5,0.1428,7411.0,39
NDC,60687091111,nortriptyline 25 mg capsule,0.84,0.5,0.1428,7411.0,39
NDC,60687093011,propafenone 150 mg tablet,1.88,1.13,0.3196,7411.0,39
NDC,60758011905,"prednisoLONE acetate 1 % eye drops,suspension",88.0,52.8,14.96,7411.0,39
NDC,60758018805,gentamicin 0.3 % eye drops,8.72,5.23,1.48,7411.0,39
NDC,60758088005,"fluorometholone 0.1 % eye drops,suspension",154.88,92.93,26.33,7411.0,39
NDC,60793011501,liothyronine 5 mcg tablet,0.77,0.46,0.1309,7411.0,39
NDC,60793011601,liothyronine 25 mcg tablet,1.06,0.64,0.1802,7411.0,39
NDC,60793020505,"thrombin (bovine) 5,000 unit nasal spray syringe",406.9,244.14,69.17,7411.0,39
NDC,60793021505,"thrombin (bovine) 5,000 unit topical solution",352.59,211.55,59.94,7411.0,39
NDC,60793021720,"thrombin (bovine) 20,000 unit topical solution",1308.07,784.84,222.37,7411.0,39
NDC,60793021721,"thrombin (bovine) 20,000 unit topical spray",1493.07,895.84,253.82,7411.0,39
NDC,60793021722,"thrombin (bovine) 20,000 unit topical spray syringe",1493.07,895.84,253.82,7411.0,39
NDC,60793031501,"thrombin (bovine) 5,000 unit topical solution",352.59,211.55,59.94,7411.0,39
NDC,60793070010,"penicillin G benzathine 600,000 unit/mL intramuscular syringe",797.43,478.46,29.9,7411.0,57
NDC,60793070102,"penicillin G benzathine 1,200,000 unit/2 mL intramuscular syringe",1377.45,826.47,29.9,7411.0,57
NDC,60793070204,"penicillin G benzathine 2,400,000 unit/4 mL intramuscular syringe",942.46,565.48,29.9,7411.0,57
NDC,60793070210,"penicillin G benzathine 2,400,000 unit/4 mL intramuscular syringe",942.46,565.48,160.22,7411.0,41
NDC,60793070505,"thrombin (bovine) 5,000 unit topical spray syringe",388.9,233.34,66.11,7411.0,39
NDC,60793085101,levothyroxine 50 mcg tablet,1.69,1.01,0.2873,7411.0,39
NDC,60793085401,levothyroxine 100 mcg tablet,1.91,1.15,0.3247,7411.0,39
NDC,60793085501,levothyroxine 112 mcg tablet,2.21,1.33,0.3757,7411.0,39
NDC,60977014127,pralidoxime 1 gram solution for injection,390.15,234.09,66.33,7411.0,41
NDC,61269017934,"neomycin-bacitracn Zn-polymyx 3.5 mg-400 unit-5,000 unit/gram top oint",6.83,4.1,1.16,7411.0,39
NDC,61269061010,clonazePAM 1 mg tablet,5.82,3.49,0.9894,7411.0,39
NDC,61314001601,proparacaine 0.5 % eye drops,70.2,42.12,11.93,7411.0,39
NDC,61314001910,dorzolamide 2 % eye drops,50.0,30.0,8.5,7411.0,39
NDC,61314003002,dorzolamide 22.3 mg-timolol 6.8 mg/mL eye drops,40.0,24.0,6.8,7411.0,39
NDC,61314004475,trifluridine 1 % eye drops,392.03,235.22,66.65,7411.0,39
NDC,61314014305,brimonidine 0.2 % eye drops,20.0,12.0,3.4,7411.0,39
NDC,61314014310,brimonidine 0.2 % eye drops,24.0,14.4,4.08,7411.0,39
NDC,61314020315,pilocarpine 1 % eye drops,157.71,94.63,26.81,7411.0,39
NDC,61314020415,pilocarpine 2 % eye drops,161.31,96.79,27.42,7411.0,39
NDC,61314022405,timolol maleate 0.25 % eye gel forming solution,317.2,190.32,53.92,7411.0,39
NDC,61314022505,timolol maleate 0.5 % eye gel forming solution,347.62,208.57,59.1,7411.0,39
NDC,61314022710,timolol maleate 0.5 % eye drops,28.26,16.96,4.8,7411.0,39
NDC,61314023710,cromolyn 4 % eye drops,45.0,27.0,7.65,7411.0,39
NDC,61314031801,filgrastim-sndz 300 mcg/0.5 mL injection syringe,1262.62,757.57,0.3325,7411.0,57
NDC,61314032601,filgrastim-sndz 480 mcg/0.8 mL injection syringe,2003.41,1202.05,0.3325,7411.0,57
NDC,61314035502,tropicamide 1 % eye drops,61.2,36.72,10.4,7411.0,39
NDC,61314039603,cyclopentolate 1 % eye drops,56.01,33.61,9.52,7411.0,39
NDC,61314054701,latanoprost 0.005 % eye drops,21.4,12.84,3.64,7411.0,39
NDC,61314063006,"neomycin-polymyxin-dexameth 3.5 mg/mL-10,000 unit/mL-0.1% eye drops",36.0,21.6,6.12,7411.0,39
NDC,61314063705,"prednisoLONE acetate 1 % eye drops,suspension",88.5,53.1,15.04,7411.0,39
NDC,61314063710,"prednisoLONE acetate 1 % eye drops,suspension",176.86,106.12,30.07,7411.0,39
NDC,61314064511,"neomycin-polymyxin-hydrocort 3.5 mg-10,000 unit/mL-1 % ear drops,susp",167.8,100.68,28.53,7411.0,39
NDC,61314070101,sulfacetamide sodium 10 % eye drops,89.04,53.42,15.14,7411.0,39
NDC,61314086601,pegfilgrastim-bmez 6 mg/0.6 mL subcutaneous syringe,11804.59,7082.75,113.66,8853.44,57
NDC,61364018101,peramivir (PF) 200 mg/20 mL (10 mg/mL) intravenous solution,1429.97,857.98,1.46,7411.0,57
NDC,61364018103,peramivir (PF) 200 mg/20 mL (10 mg/mL) intravenous solution,1429.97,857.98,243.09,7411.0,41
NDC,61442010201,"diclofenac sodium 50 mg tablet,delayed release",0.49,0.29,0.0833,7411.0,39
NDC,61442010260,"diclofenac sodium 50 mg tablet,delayed release",0.55,0.33,0.0935,7411.0,39
NDC,61442010360,"diclofenac sodium 75 mg tablet,delayed release",0.57,0.34,0.0969,7411.0,39
NDC,61442011201,acyclovir 400 mg tablet,0.85,0.51,0.1445,7411.0,39
NDC,61442012101,famotidine 20 mg tablet,0.14,0.08,0.0238,7411.0,39
NDC,61553013510,fentaNYL-BUPivacaine-NaCl (PF) 5 mcg/mL-0.0625 % epidural solution,213.9,128.34,36.36,7411.0,39
NDC,61553014910,ROPivacaine (PF) 0.2 % in 0.9 % sodium chloride epidural solution,935.55,561.33,0.0506,7411.0,42
NDC,61553014910,"ropivacaine (PF) 2 mg/mL (0.2 %) Injection,ropivacaine (PF) 0.2 % in 0.9% sodium chloride epidural solution",935.55,561.33,0.0506,7411.0,42
NDC,61553024748,fentaNYL (PF) 5 mcg/mL-BUPivacaine 0.125 %-NaCl injection solution,126.6,75.96,21.52,7411.0,39
NDC,61553027652,"ropivacaine (PF) 2 mg/mL (0.2 %) Injection,ropivacaine (PF) 0.2 % in 0.9% sodium chloride epidural solution",231.0,138.6,0.0506,7411.0,42
NDC,61553050569,"HYDROmorphone 15 mg/30 mL (0.5 mg/mL) in 0.9 % NaCl IV PCA syringe,1. HYDROmorphone 25 mg/50 mL (0.5 mg/mL) in 0.9 % NaCl IV PCA syringe,1. HYDROmorphone 15 mg/30 mL (0.5 mg/mL) in 0.9% sod.chloride P",142.98,85.79,24.31,7411.0,41
NDC,61553051069,HYDROmorphone 30 mg/30 mL in 0.9 % sod. chloride PCA intravenous soln,157.92,94.75,0.1111,7411.0,42
NDC,61553051069,"Hydromorphone 1 mg/mL PCA 2015,HYDROmorphone 30 mg/30 mL (1 mg/mL) in 0.9 % NaCl IV PCA syringe,HYDROmorphone 50 mg/50 mL (1 mg/mL) in 0.9 % sod.chloride IV pump resv,HYDROmorphone (PF) 5.5 mg/55 mL(0",157.92,94.75,0.1111,7411.0,42
NDC,61553052569,"FENTANYL (PF) 1,500 MCG/30 ML (50 MCG/ML) IN 0.9 % NACL PCA INJ SOLN,FENTANYL (PF) 1,500 MCG/30 ML (50 MCG/ML) INTRAVENOUS PCA SYRINGE,FENTANYL (PF) 1,500 MCG/30 ML (50 MCG/ML) PCA INTRAVENOUS SOLUTIO",208.14,124.88,1.28,7411.0,42
NDC,61553052569,"fentaNYL (PF) 1,500 mcg/30 mL (50 mcg/mL) PCA intravenous solution",208.14,124.88,1.28,7411.0,42
NDC,61553053069,fentaNYL (PF) 750 mcg/30 mL (25 mcg/mL) in 0.9 % NaCl PCA inj solution,239.46,143.68,1.28,7411.0,40
NDC,61570003150,neomycin-polymyxin B-bacitracin-hydrocortisone 1 % top ointment,319.47,191.68,54.31,7411.0,39
NDC,61570013140,silver sulfADIAZINE 1 % topical cream,98.4,59.04,16.73,7411.0,39
NDC,61570026010,quinupristin-dalfopristin 500 mg intravenous solution,2102.04,1261.22,16.2,7411.0,42
NDC,61703030346,cytarabine (PF) 20 mg/mL injection solution,220.1,132.06,0.8789,7411.0,42
NDC,61703030436,cytarabine 20 mg/mL injection solution,146.3,87.78,0.8789,7411.0,42
NDC,61703030538,cytarabine (PF) 100 mg/5 mL (20 mg/mL) injection solution,88.07,52.84,0.8789,7411.0,42
NDC,61703030906,vinCRIStine 1 mg/mL intravenous solution,156.5,93.9,8.92,7411.0,42
NDC,61703030916,vinCRIStine 2 mg/2 mL intravenous solution,142.4,85.44,8.92,7411.0,42
NDC,61703031922,cytarabine (PF) 2 gram/20 mL (100 mg/mL) injection solution,171.92,103.15,0.8789,7411.0,42
NDC,61703032418,pamidronate 30 mg/10 mL (3 mg/mL) intravenous solution,84.12,50.47,13.67,7411.0,42
NDC,61703033218,bleomycin 15 unit solution for injection,277.07,166.24,18.26,7411.0,42
NDC,61703033918,CARBOplatin 10 mg/mL intravenous solution,130.4,78.24,3.23,7411.0,42
NDC,61703033922,CARBOplatin 10 mg/mL intravenous solution,189.41,113.65,3.23,7411.0,42
NDC,61703034250,"PACLitaxel 6 mg/mL concentrate,intravenous",370.85,222.51,0.1617,7411.0,42
NDC,61703034318,"mitoXANTRONE 2 mg/mL concentrate,intravenous",826.52,495.91,36.68,7411.0,57
NDC,61703035038,methotrexate sodium 25 mg/mL injection solution,71.8,43.08,2.94,7411.0,42
NDC,61703036318,oxaliplatin 50 mg/10 mL (5 mg/mL) intravenous solution,338.0,202.8,0.0858,7411.0,42
NDC,61703036322,oxaliplatin 100 mg/20 mL intravenous solution,482.0,289.2,0.0858,7411.0,42
NDC,61703040841,methotrexate sodium (PF) 25 mg/mL injection solution,270.32,162.19,2.94,7411.0,42
NDC,61703042153,"mvi, pedi no.2 with vit K 80 mg-400 unit-200 mcg intravenous solution",75.98,45.59,12.92,7411.0,39
NDC,61748001211,pyrazinamide 500 mg tablet,10.89,6.53,1.85,7411.0,39
NDC,61748001530,rifAMPin 150 mg capsule,2.47,1.48,0.4199,7411.0,39
NDC,61748001830,rifAMPin 300 mg capsule,3.02,1.81,0.5134,7411.0,39
NDC,61748001860,rifAMPin 300 mg capsule,3.01,1.81,0.5117,7411.0,39
NDC,61748002501,ethosuximide 250 mg capsule,2.4,1.44,0.408,7411.0,39
NDC,61755000801,cemiplimab-rwlc 50 mg/mL intravenous solution,31870.27,19122.16,28.27,23902.7,57
NDC,61755002601,casirivimab (REGN10933) 120 mg/mL intravenous solution (1 of 2) (EUA),0.04,0.02,0.0068,7411.0,41
NDC,61938045603,calfactant 35 mg/mL in 0.9% sodium chloride intratracheal suspension,2045.16,1227.1,347.68,7411.0,39
NDC,61958040101,tenofovir disoproxil fumarate 300 mg tablet,84.07,50.44,14.29,7411.0,39
NDC,61958050101,adefovir 10 mg tablet,109.18,65.51,18.56,7411.0,39
NDC,61958060101,emtricitabine 200 mg capsule,36.27,21.76,6.17,7411.0,39
NDC,61958070101,emtricitabine 200 mg-tenofovir disoproxil fumarate 300 mg tablet,123.32,73.99,0.4655,7411.0,55
NDC,61958080201,ambrisentan 10 mg tablet,865.37,519.22,147.11,7411.0,39
NDC,61958100301,"ranolazine ER 500 mg tablet,extended release,12 hr",13.71,8.23,2.33,7411.0,39
NDC,61958140101,cobicistat 150 mg tablet,19.81,11.89,3.37,7411.0,39
NDC,61958190101,elviteg 150 mg-cob 150 mg-emtricit 200 mg-tenofo ALAFENAM 10 mg tablet,265.91,159.55,45.2,7411.0,39
NDC,61958200201,emtricitabine 200 mg-tenofovir alafenamide fumarate 25 mg tablet,147.32,88.39,25.04,7411.0,55
NDC,61958210101,emtricitabine 200 mg-rilpivirine 25 mg-tenofovir alafenam 25 mg tablet,242.05,145.23,41.15,7411.0,39
NDC,61958250101,bictegravir 50 mg-emtricitabine 200 mg-tenofovir alafenam 25 mg tablet,265.91,159.55,45.2,7411.0,39
NDC,61958290101,remdesivir 100 mg intravenous powder for solution,1565.0,939.0,6.55,7411.0,57
NDC,61990041100,dihydroergotamine 1 mg/mL injection solution,382.95,229.77,60.37,7411.0,42
NDC,61990041101,dihydroergotamine 1 mg/mL injection solution,382.95,229.77,65.1,7411.0,41
NDC,61990041102,dihydroergotamine 1 mg/mL injection solution,345.05,207.03,58.66,7411.0,42
NDC,62037083001,"metoprolol succinate ER 25 mg tablet,extended release 24 hr",1.5,0.9,0.255,7411.0,39
NDC,62037083101,"metoprolol succinate ER 50 mg tablet,extended release 24 hr",1.5,0.9,0.255,7411.0,39
NDC,62037083201,"metoprolol succinate ER 100 mg tablet,extended release 24 hr",0.75,0.45,0.1275,7411.0,39
NDC,62135000347,lactulose 10 gram/15 mL oral solution,39.73,23.84,6.75,7411.0,39
NDC,62135096001,sulfaSALAzine 500 mg tablet,4.5,2.7,0.765,7411.0,39
NDC,62175010701,isosorbide mononitrate 20 mg tablet,1.02,0.61,0.1734,7411.0,39
NDC,62175011937,"isosorbide mononitrate ER 60 mg tablet,extended release 24 hr",0.43,0.26,0.0731,7411.0,39
NDC,62175012837,"isosorbide mononitrate ER 30 mg tablet,extended release 24 hr",0.41,0.25,0.0697,7411.0,39
NDC,62175026237,"NIFEdipine ER 90 mg tablet,extended release 24 hr",4.27,2.56,0.7259,7411.0,39
NDC,62175045832,buprenorphine 8 mg-naloxone 2 mg sublingual tablet,1.87,1.12,0.3179,7411.0,39
NDC,62175047132,"PARoxetine ER 25 mg tablet,extended release 24 hr",2.33,1.4,0.3961,7411.0,39
NDC,62175061746,"pantoprazole 40 mg tablet,delayed release",0.28,0.17,0.0476,7411.0,39
NDC,62175089046,atorvastatin 10 mg tablet,0.17,0.1,0.0289,7411.0,39
NDC,62327044404,sterile talc 4 gram intrapleural suspension,765.0,459.0,130.05,7411.0,39
NDC,62327044444,sterile talc 4 gram intrapleural suspension,765.0,459.0,130.05,7411.0,39
NDC,62332000131,famotidine 20 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,62332002531,"theophylline ER 300 mg tablet,extended release,12 hr",2.59,1.55,0.4403,7411.0,39
NDC,62332002830,losartan 50 mg tablet,0.86,0.52,0.1462,7411.0,39
NDC,62332003231,rOPINIRole 1 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,62332003331,rOPINIRole 2 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,62332014231,celecoxib 200 mg capsule,1.2,0.72,0.204,7411.0,39
NDC,62332017160,lacosamide 50 mg tablet,0.6,0.36,0.102,7411.0,39
NDC,62332038530,modafinil 100 mg tablet,4.87,2.92,0.8279,7411.0,39
NDC,62332061931,cycloPHOSphamide 50 mg capsule,10.86,6.52,1.81,7411.0,42
NDC,62530000011,urea 15 gram oral powder packet,7.25,4.35,1.23,7411.0,39
NDC,62559013807,hydrocortisone 100 mg/60 mL enema,42.84,25.7,7.28,7411.0,39
NDC,62559013811,hydrocortisone 100 mg/60 mL enema,42.84,25.7,7.28,7411.0,39
NDC,62559015304,opium tincture 10 mg/mL (morphine) oral,7.63,4.58,1.3,7411.0,39
NDC,62559015901,fluvoxaMINE 50 mg tablet,1.2,0.72,0.204,7411.0,39
NDC,62559021031,niMODipine 30 mg capsule,27.13,16.28,4.61,7411.0,39
NDC,62559021052,niMODipine 30 mg capsule,27.13,16.28,4.61,7411.0,39
NDC,62559023101,propafenone 225 mg tablet,0.81,0.49,0.1377,7411.0,39
NDC,62559026530,tranexamic acid 650 mg tablet,7.33,4.4,1.25,7411.0,39
NDC,62559027690,nebivolol 5 mg tablet,5.63,3.38,0.9571,7411.0,39
NDC,62559039020,vancomycin 125 mg capsule,5.5,3.3,0.935,7411.0,39
NDC,62559042201,hyoscyamine 0.125 mg disintegrating tablet,2.35,1.41,0.3995,7411.0,39
NDC,62559051101,indapamide 2.5 mg tablet,0.4,0.24,0.068,7411.0,39
NDC,62559063001,erythromycin ethylsuccinate 200 mg/5 mL oral powder for suspension,415.7,249.42,70.67,7411.0,39
NDC,62559099330,fluconazole 200 mg tablet,1.82,1.09,0.3094,7411.0,39
NDC,62584026511,metoprolol tartrate 25 mg tablet,0.17,0.1,0.0289,7411.0,39
NDC,62584071311,allopurinol 300 mg tablet,1.47,0.88,0.2499,7411.0,39
NDC,62584073311,hydrALAZINE 25 mg tablet,0.48,0.29,0.0816,7411.0,39
NDC,62584073411,hydrALAZINE 50 mg tablet,0.62,0.37,0.1054,7411.0,39
NDC,62756006040,epoprostenol 1.5 mg intravenous solution,267.0,160.2,16.36,7411.0,43
NDC,62756013702,gabapentin 100 mg capsule,0.11,0.07,0.0187,7411.0,39
NDC,62756013902,gabapentin 400 mg capsule,0.21,0.13,0.0357,7411.0,39
NDC,62756018488,OXcarbazepine 300 mg tablet,1.1,0.66,0.187,7411.0,39
NDC,62756025802,zonisamide 25 mg capsule,0.42,0.25,0.0714,7411.0,39
NDC,62756027701,arformoterol 15 mcg/2 mL solution for nebulization,9.34,5.6,0.7997,7411.0,40
NDC,62756027702,arformoterol 15 mcg/2 mL solution for nebulization,9.34,5.6,1.59,7411.0,39
NDC,62756035144,octreotide acetate 500 mcg/mL injection solution,258.71,155.23,0.6864,7411.0,43
NDC,62756035144,"octreotide acetate 500 mcg/mL injection solution,octreotide acetate 500 mcg/mL (1 mL) injection syringe",114.98,68.99,0.6864,7411.0,43
NDC,62756035660,ondansetron 8 mg disintegrating tablet,1.22,0.73,0.2074,7411.0,39
NDC,62756045788,"carbidopa ER 50 mg-levodopa 200 mg tablet,extended release",1.4,0.84,0.238,7411.0,39
NDC,62756051340,levETIRAcetam 500 mg/5 mL intravenous solution,199.32,119.59,0.0374,7411.0,42
NDC,62756051344,levETIRAcetam 500 mg/5 mL intravenous solution,199.32,119.59,33.88,7411.0,41
NDC,62756051788,carbidopa 10 mg-levodopa 100 mg tablet,0.52,0.31,0.0884,7411.0,39
NDC,62756051813,carbidopa 25 mg-levodopa 100 mg tablet,0.56,0.34,0.0952,7411.0,39
NDC,62756052069,SUMAtriptan 25 mg tablet,3.54,2.12,0.6018,7411.0,39
NDC,62756079788,"divalproex 250 mg tablet,delayed release",0.25,0.15,0.0425,7411.0,39
NDC,62756079888,"divalproex 500 mg tablet,delayed release",0.5,0.3,0.085,7411.0,39
NDC,62756095501,mexiletine 150 mg capsule,0.97,0.58,0.1649,7411.0,39
NDC,62856027430,perampanel 4 mg tablet,81.8,49.08,13.91,7411.0,39
NDC,62856038901,eriBULin 1 mg/2 mL (0.5 mg/mL) intravenous solution,4280.0,2568.0,72.92,7411.0,57
NDC,62856058252,rufinamide 200 mg tablet,26.4,15.84,4.49,7411.0,39
NDC,62856060001,decitabine 50 mg intravenous solution,5183.0,3109.8,1.1,7411.0,42
NDC,62856070510,pilocarpine 5 mg tablet,4.36,2.62,0.7412,7411.0,39
NDC,62856079701,palonosetron 0.25 mg/5 mL intravenous solution,900.0,540.0,0.7139,7411.0,42
NDC,63020004901,bortezomib 3.5 mg IV Solution,4859.0,2915.4,1.98,7411.0,42
NDC,63020004901,bortezomib 3.5 mg injection powder for solution,4859.0,2915.4,1.98,7411.0,42
NDC,63256010030,sterile talc 4 gram intrapleural aerosol powder,252.0,151.2,42.84,7411.0,39
NDC,63256020005,sterile talc 5 gram intrapleural suspension,447.75,268.65,76.12,7411.0,39
NDC,63304001760,"ranolazine ER 500 mg tablet,extended release,12 hr",0.83,0.5,0.1411,7411.0,39
NDC,63304029605,hydroxychloroquine 200 mg tablet,1.54,0.92,0.2618,7411.0,39
NDC,63304045001,"morphine ER 15 mg tablet,extended release",3.6,2.16,0.612,7411.0,39
NDC,63304046050,chloroquine 250 mg tablet,3.06,1.84,0.5202,7411.0,39
NDC,63304047901,cevimeline 30 mg capsule,6.17,3.7,1.05,7411.0,39
NDC,63304057901,metoprolol tartrate 25 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,63304058101,metoprolol tartrate 100 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,63304069201,clindamycin HCl 150 mg capsule,0.79,0.47,0.1343,7411.0,39
NDC,63304082790,atorvastatin 10 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,63304090090,fenofibrate 54 mg tablet,0.43,0.26,0.0731,7411.0,39
NDC,63323000110,empty vial,6.78,4.07,1.15,7411.0,39
NDC,63323000130,empty vial,10.2,6.12,1.73,7411.0,39
NDC,63323001001,gentamicin 40 mg/mL injection solution,32.84,19.7,2.12,7411.0,42
NDC,63323001002,gentamicin 40 mg/mL injection solution,32.84,19.7,5.58,7411.0,41
NDC,63323001020,gentamicin 40 mg/mL injection solution,204.92,122.95,2.12,7411.0,42
NDC,63323001201,oxytocin 10 unit/mL injection solution,8.94,5.36,1.52,7411.0,41
NDC,63323001203,oxytocin 10 unit/mL injection solution,20.7,12.42,3.52,7411.0,41
NDC,63323001211,oxytocin 10 unit/mL injection solution,20.7,12.42,3.52,7411.0,41
NDC,63323001301,thiamine HCl (vitamin B1) 100 mg/mL injection solution,59.7,35.82,10.15,7411.0,41
NDC,63323001302,thiamine HCl (vitamin B1) 100 mg/mL injection solution,59.7,35.82,10.15,7411.0,41
NDC,63323001710,"heparin, porcine (PF) 10 unit/mL intravenous solution",72.58,43.55,0.0198,7411.0,42
NDC,63323003200,sodium acetate 4 mEq/mL intravenous solution,64.8,38.88,11.02,7411.0,39
NDC,63323003204,sodium acetate 4 mEq/mL intravenous solution,64.8,38.88,11.02,7411.0,39
NDC,63323004400,"cyanocobalamin (vit B-12) 1,000 mcg/mL injection solution",41.46,24.88,0.7337,7411.0,42
NDC,63323004401,"cyanocobalamin (vit B-12) 1,000 mcg/mL injection solution",41.46,24.88,7.05,7411.0,41
NDC,63323006402,magnesium sulfate 500 mg/mL (50 %) injection solution,9.48,5.69,0.4741,7411.0,42
NDC,63323006410,magnesium sulfate 500 mg/mL (50 %) injection solution,10.38,6.23,0.4741,7411.0,42
NDC,63323008861,sodium chloride 4 mEq/mL intravenous solution,19.08,11.45,3.24,7411.0,41
NDC,63323009301,sodium chloride 4 mEq/mL intravenous solution,52.32,31.39,8.89,7411.0,41
NDC,63323009330,sodium chloride 4 mEq/mL intravenous solution,52.32,31.39,8.89,7411.0,41
NDC,63323010701,magnesium sulfate 4 gram/50 mL (8 %) in water intravenous piggyback,48.6,29.16,0.4741,7411.0,42
NDC,63323010705,magnesium sulfate 4 gram/50 mL (8 %) in water intravenous piggyback,48.6,29.16,8.26,7411.0,41
NDC,63323010800,magnesium sulfate 1 gram/100 mL in dextrose 5 % intravenous piggyback,48.6,29.16,0.4741,7411.0,42
NDC,63323010801,magnesium sulfate 1 gram/100 mL in dextrose 5 % intravenous piggyback,48.6,29.16,8.26,7411.0,41
NDC,63323011310,pentamidine 300 mg solution for injection,756.01,453.61,0.176,7411.0,42
NDC,63323011720,fluorouracil 1 gram/20 mL intravenous solution,91.04,54.62,2.26,7411.0,42
NDC,63323011751,fluorouracil 2.5 gram/50 mL intravenous solution,137.9,82.74,2.26,7411.0,42
NDC,63323011801,"heparin, porcine (PF) 5,000 unit/0.5 mL injection syringe",46.6,27.96,0.2431,7411.0,42
NDC,63323011805,"heparin, porcine (PF) 5,000 unit/0.5 mL injection syringe",46.6,27.96,7.92,7411.0,41
NDC,63323012310,methotrexate sodium 25 mg/mL injection solution,251.54,150.92,2.94,7411.0,42
NDC,63323012820,dacarbazine 200 mg intravenous solution,122.0,73.2,4.24,7411.0,42
NDC,63323013011,doxycycline hyclate 100 mg intravenous powder for solution,162.98,97.79,0.0968,7411.0,42
NDC,63323013210,"mitoXANTRONE 2 mg/mL concentrate,intravenous",1884.47,1130.68,36.68,7411.0,57
NDC,63323013610,bleomycin 15 unit solution for injection,248.72,149.23,18.26,7411.0,42
NDC,63323013720,bleomycin 30 unit solution for injection,379.54,227.72,18.26,7411.0,42
NDC,63323014010,cladribine 10 mg/10 mL intravenous solution,2007.5,1204.5,8.29,7411.0,57
NDC,63323014397,trace elements #1 5.33 mcg-0.34 mg-0.54 mg/mL intravenous solution,108.0,64.8,18.36,7411.0,40
NDC,63323016100,ketorolac 15 mg/mL injection solution,22.5,13.5,0.323,7411.0,57
NDC,63323016101,ketorolac 15 mg/mL injection solution,22.5,13.5,3.83,7411.0,41
NDC,63323016201,ketorolac 30 mg/mL (1 mL) injection solution,34.2,20.52,0.323,7411.0,57
NDC,63323016202,ketorolac 60 mg/2 mL intramuscular solution,49.2,29.52,0.323,7411.0,57
NDC,63323016501,dexAMETHasone sodium phosphate 4 mg/mL injection solution,17.28,10.37,0.121,7411.0,42
NDC,63323016505,dexAMETHasone sodium phosphate 4 mg/mL injection solution,41.46,24.88,0.121,7411.0,42
NDC,63323017005,sodium phosphate 3 mmol/mL intravenous solution,108.84,65.3,18.5,7411.0,39
NDC,63323017015,sodium phosphate 3 mmol/mL intravenous solution,228.9,137.34,38.91,7411.0,39
NDC,63323017302,gentamicin sulfate (pediatric) (PF) 20 mg/2 mL injection solution,42.02,25.21,2.12,7411.0,42
NDC,63323018000,pyridoxine (vitamin B6) 100 mg/mL injection solution,130.38,78.23,16.38,7411.0,42
NDC,63323018001,pyridoxine (vitamin B6) 100 mg/mL injection solution,130.38,78.23,22.16,7411.0,41
NDC,63323018410,folic acid 5 mg/mL injection solution,252.32,151.39,0.0594,7411.0,42
NDC,63323018411,folic acid 5 mg/mL injection solution,160.2,96.12,0.0594,7411.0,42
NDC,63323018500,"water for injection, sterile 100 % injection solution",46.2,27.72,7.85,7411.0,39
NDC,63323018510,"water for injection, sterile 100 % injection solution",26.34,15.8,4.48,7411.0,39
NDC,63323018520,"water for injection, sterile 100 % injection solution",34.44,20.66,5.85,7411.0,39
NDC,63323018601,sodium chloride 0.9 % injection solution,18.12,10.87,3.08,7411.0,39
NDC,63323018602,sodium chloride 0.9 % injection solution,18.36,11.02,3.12,7411.0,39
NDC,63323018610,sodium chloride 0.9 % injection solution,18.12,10.87,3.08,7411.0,39
NDC,63323018730,sodium chloride 4 mEq/mL intravenous solution,47.1,28.26,8.01,7411.0,41
NDC,63323019202,fludarabine 50 mg/2 mL intravenous solution,1273.46,764.08,216.49,7411.0,42
NDC,63323019305,irinotecan 100 mg/5 mL intravenous solution,254.0,152.4,1.69,7411.0,42
NDC,63323019355,irinotecan 100 mg/5 mL intravenous solution,254.0,152.4,43.18,7411.0,41
NDC,63323020102,lidocaine HCl 10 mg/mL (1 %) injection solution,15.6,9.36,2.65,7411.0,41
NDC,63323020110,lidocaine HCl 10 mg/mL (1 %) injection solution,14.64,8.78,2.49,7411.0,41
NDC,63323020202,lidocaine HCl 20 mg/mL (2 %) injection solution,15.6,9.36,2.65,7411.0,41
NDC,63323020301,vancomycin 750 mg intravenous solution,62.0,37.2,0.033,7411.0,42
NDC,63323020320,vancomycin 750 mg intravenous solution,62.0,37.2,10.54,7411.0,41
NDC,63323020805,lidocaine (PF) 20 mg/mL (2 %) intravenous solution,20.64,12.38,3.51,7411.0,41
NDC,63323022905,protamine 10 mg/mL intravenous solution,120.88,72.53,1.84,7411.0,42
NDC,63323022930,protamine 10 mg/mL intravenous solution,266.05,159.63,1.84,7411.0,42
NDC,63323023710,ceFAZolin 1 gram solution for injection,15.44,9.26,0.9295,7411.0,42
NDC,63323025410,"mineral oil, light sterile",119.88,71.93,20.38,7411.0,39
NDC,63323025503,methylPREDNISolone sodium succinate 40 mg solution for injection,36.48,21.89,0.2651,7411.0,42
NDC,63323025803,methylPREDNISolone sodium succinate 125 mg solution for injection,69.9,41.94,0.2651,7411.0,42
NDC,63323026037,mepivacaine (PF) 10 mg/mL (1 %) injection solution,58.68,35.21,4.1,7411.0,42
NDC,63323026110,progesterone 50 mg/mL intramuscular oil,17.94,10.76,0.7205,7411.0,42
NDC,63323026201,"heparin (porcine) 5,000 unit/mL injection solution",52.96,31.78,0.2431,7411.0,42
NDC,63323026901,propofol 10 mg/mL intravenous emulsion,1.8,1.08,0.1012,7411.0,42
NDC,63323026910,propofol 10 mg/mL intravenous emulsion,1.8,1.08,0.306,7411.0,41
NDC,63323026929,propofol 10 mg/mL IV,36.0,21.6,0.1012,7411.0,42
NDC,63323026929,propofol 10 mg/mL intravenous emulsion,36.0,21.6,0.1012,7411.0,42
NDC,63323026935,propofol 10 mg/mL intravenous emulsion,1.8,1.08,0.306,7411.0,41
NDC,63323026950,propofol 10 mg/mL IV,90.0,54.0,0.1012,7411.0,42
NDC,63323026950,propofol 10 mg/mL intravenous emulsion,1.8,1.08,0.306,7411.0,41
NDC,63323026965,propofol 10 mg/mL IV,180.0,108.0,0.1012,7411.0,42
NDC,63323026965,propofol 10 mg/mL intravenous emulsion,1.8,1.08,0.306,7411.0,41
NDC,63323027050,propofol 10 mg/mL IV,84.0,50.4,0.1012,7411.0,42
NDC,63323027050,propofol 10 mg/mL intravenous emulsion,84.0,50.4,0.1012,7411.0,42
NDC,63323027205,fluPHENAZine decanoate 25 mg/mL injection solution,69.74,41.84,6.14,7411.0,42
NDC,63323027601,"heparin, porcine (PF) 1,000 unit/mL injection solution",67.57,40.54,0.2431,7411.0,42
NDC,63323027602,"heparin, porcine (PF) 1,000 unit/mL injection solution",67.57,40.54,11.49,7411.0,41
NDC,63323027810,vinBLAStine 1 mg/mL intravenous solution,291.92,175.15,5.67,7411.0,42
NDC,63323028005,furosemide 10 mg/mL injection solution,31.2,18.72,5.3,7411.0,41
NDC,63323028010,furosemide 10 mg/mL injection solution,31.2,18.72,5.3,7411.0,41
NDC,63323028110,fluPHENAZine 2.5 mg/mL injection solution,43.22,25.93,7.35,7411.0,41
NDC,63323028204,clindamycin 150 mg/mL injection solution,27.15,16.29,0.7546,7411.0,42
NDC,63323028513,ROPivacaine (PF) 2 mg/mL (0.2 %) injection solution,33.12,19.87,0.0506,7411.0,42
NDC,63323028551,ROPivacaine (PF) 2 mg/mL (0.2 %) injection solution,244.2,146.52,0.0506,7411.0,42
NDC,63323028557,ROPivacaine (PF) 2 mg/mL (0.2 %) injection solution,366.3,219.78,0.0506,7411.0,42
NDC,63323028561,ROPivacaine (PF) 2 mg/mL (0.2 %) injection solution,231.6,138.96,0.0506,7411.0,42
NDC,63323028563,ROPivacaine (PF) 2 mg/mL (0.2 %) injection solution,347.4,208.44,0.0506,7411.0,42
NDC,63323028563,"ropivacaine (PF) 2 mg/mL (0.2 %) Injection,ropivacaine (PF) 0.2 % in 0.9% sodium chloride epidural solution",347.4,208.44,0.0506,7411.0,42
NDC,63323028564,ROPivacaine (PF) 2 mg/mL (0.2 %) injection solution,366.3,219.78,62.27,7411.0,41
NDC,63323028565,ROPivacaine (PF) 2 mg/mL (0.2 %) injection solution,244.2,146.52,41.51,7411.0,41
NDC,63323028565,ropivacaine (PF) 2 mg/mL (0.2 %) Injection,976.8,586.08,0.0506,7411.0,42
NDC,63323028620,ROPivacaine (PF) 5 mg/mL (0.5 %) injection solution,4.34,2.6,0.0506,7411.0,42
NDC,63323028620,ropivacaine (PF) 5 mg/mL (0.5 %) Injection,1520.4,912.24,0.0506,7411.0,42
NDC,63323028630,ROPivacaine (PF) 5 mg/mL (0.5 %) injection solution,4.34,2.6,0.7378,7411.0,41
NDC,63323028630,ropivacaine (PF) 5 mg/mL (0.5 %) Injection,1520.4,912.24,258.47,7411.0,41
NDC,63323028703,ROPivacaine (PF) 7.5 mg/mL (0.75 %) injection solution,129.36,77.62,0.0506,7411.0,42
NDC,63323028820,ROPivacaine (PF) 10 mg/mL (1 %) injection solution,102.15,61.29,0.0506,7411.0,42
NDC,63323029561,vancomycin 5 gram intravenous solution,362.75,217.65,0.033,7411.0,42
NDC,63323030030,piperacillin-tazobactam 3.375 gram intravenous solution,88.22,52.93,1.19,7411.0,42
NDC,63323030351,tobramycin 1.2 gram solution for injection,380.75,228.45,2.22,7411.0,42
NDC,63323030474,piperacillin-tazobactam 40.5 gram intravenous solution,665.47,399.28,1.19,7411.0,42
NDC,63323030602,tobramycin 40 mg/mL injection solution,25.34,15.2,2.22,7411.0,42
NDC,63323031110,calcium gluconate 100 mg/mL (10 %) intravenous solution,44.4,26.64,0.0308,7411.0,42
NDC,63323031119,calcium gluconate 100 mg/mL (10 %) intravenous solution,54.12,32.47,0.0308,7411.0,42
NDC,63323031161,calcium gluconate 100 mg/mL (10 %) intravenous solution,117.0,70.2,0.0308,7411.0,42
NDC,63323032201,imipenem-cilastatin 500 mg intravenous solution,184.88,110.93,6.96,7411.0,43
NDC,63323032503,acyclovir sodium 50 mg/mL intravenous solution,117.8,70.68,0.0187,7411.0,42
NDC,63323032509,acyclovir sodium 50 mg/mL intravenous solution,215.0,129.0,0.0187,7411.0,42
NDC,63323032510,acyclovir sodium 50 mg/mL intravenous solution,117.8,70.68,20.03,7411.0,41
NDC,63323032520,acyclovir sodium 50 mg/mL intravenous solution,215.0,129.0,36.55,7411.0,41
NDC,63323032620,cefepime 1 gram solution for injection,43.1,25.86,1.39,7411.0,42
NDC,63323032621,cefepime 1 gram solution for injection,43.1,25.86,7.33,7411.0,41
NDC,63323034125,cefOXitin 1 gram intravenous solution,46.94,28.16,3.91,7411.0,42
NDC,63323034720,cefTRIAXone 2 gram solution for injection,51.8,31.08,0.473,7411.0,42
NDC,63323035345,cefuroxime sodium 1.5 gram intravenous solution,36.8,22.08,2.19,7411.0,42
NDC,63323035560,levoFLOXacin 750 mg/150 mL in 5 % dextrose intravenous piggyback,83.3,49.98,2.38,7411.0,43
NDC,63323036059,calcium gluconate 100 mg/mL (10 %) intravenous solution,174.0,104.4,0.0308,7411.0,42
NDC,63323036820,ampicillin-sulbactam 1.5 gram solution for injection,28.34,17.0,1.49,7411.0,42
NDC,63323036920,ampicillin-sulbactam 3 gram solution for injection,51.26,30.76,1.49,7411.0,42
NDC,63323037302,ondansetron HCl (PF) 4 mg/2 mL injection solution,13.5,8.1,0.0968,7411.0,42
NDC,63323037601,octreotide acetate 100 mcg/mL injection solution,59.64,35.78,0.6864,7411.0,43
NDC,63323037601,"octreotide acetate 100 mcg/mL injection solution,octreotide acetate 100 mcg/mL injection syringe",19.88,11.93,0.6864,7411.0,43
NDC,63323037701,octreotide acetate 500 mcg/mL injection solution,298.14,178.88,0.6864,7411.0,43
NDC,63323037701,"octreotide acetate 500 mcg/mL injection solution,octreotide acetate 500 mcg/mL (1 mL) injection syringe",99.38,59.63,0.6864,7411.0,43
NDC,63323037905,"octreotide acetate 1,000 mcg/mL injection solution",2235.96,1341.58,0.6864,7411.0,43
NDC,63323039306,colistin (colistimethate sodium) 150 mg solution for injection,172.94,103.76,15.69,7411.0,42
NDC,63323039810,azithromycin 500 mg intravenous solution,49.58,29.75,2.14,7411.0,42
NDC,63323040120,aztreonam 1 gram solution for injection,221.48,132.89,2.52,7411.0,42
NDC,63323040220,aztreonam 2 gram solution for injection,334.9,200.94,2.52,7411.0,42
NDC,63323040302,fosphenytoin 100 mg PE/2 mL injection solution,144.0,86.4,1.26,7411.0,57
NDC,63323040310,fosphenytoin 500 mg PE/10 mL injection solution,135.0,81.0,1.26,7411.0,57
NDC,63323040703,caffeine citrate 60 mg/3 mL (20 mg/mL) intravenous solution,186.79,112.07,31.75,7411.0,41
NDC,63323040703,"caffeine citrated 60 mg/3 mL (20 mg/mL) intravenous solution,caffeine citrate 60 mg/3 mL oral solution,caffeine citrate 60 mg/3 mL (20 mg/mL) oral solution",62.26,37.36,10.58,7411.0,41
NDC,63323041112,midazolam 1 mg/mL injection solution,7.8,4.68,0.1815,7411.0,42
NDC,63323041115,midazolam 1 mg/mL injection solution,7.8,4.68,1.33,7411.0,41
NDC,63323041202,midazolam 5 mg/mL injection solution,38.58,23.15,0.1815,7411.0,42
NDC,63323041203,midazolam 5 mg/mL injection solution,38.58,23.15,6.56,7411.0,41
NDC,63323041218,midazolam 5 mg/mL injection solution,19.56,11.74,0.1815,7411.0,42
NDC,63323041225,midazolam 5 mg/mL injection solution,19.56,11.74,3.33,7411.0,41
NDC,63323042405,flumazenil 0.1 mg/mL intravenous solution,44.52,26.71,7.57,7411.0,39
NDC,63323042410,flumazenil 0.1 mg/mL intravenous solution,307.49,184.49,52.27,7411.0,39
NDC,63323042602,rocuronium 10 mg/mL intravenous solution,43.0,25.8,7.31,7411.0,39
NDC,63323042605,rocuronium 10 mg/mL intravenous solution,43.0,25.8,7.31,7411.0,39
NDC,63323043441,"acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution",57.6,34.56,0.0583,7411.0,42
NDC,63323045100,morphine 10 mg/mL injection solution,24.3,14.58,4.13,7411.0,42
NDC,63323045100,"morphine 10 mg/mL injection syringe,morphine 10 mg/mL injection solution,morphine 10 mg/ml intravenous solution,morphine 10 mg/ml intravenous syringe",24.3,14.58,4.13,7411.0,42
NDC,63323045101,morphine 10 mg/mL injection solution,24.3,14.58,4.13,7411.0,41
NDC,63323045101,"morphine 10 mg/mL injection syringe,morphine 10 mg/mL injection solution,morphine 10 mg/ml intravenous solution,morphine 10 mg/ml intravenous syringe",24.3,14.58,4.13,7411.0,41
NDC,63323045400,morphine 4 mg/mL injection solution,23.22,13.93,3.95,7411.0,42
NDC,63323045401,morphine 4 mg/mL injection solution,23.22,13.93,3.95,7411.0,41
NDC,63323045500,morphine 5 mg/mL injection solution,23.22,13.93,3.95,7411.0,42
NDC,63323045500,"morphine 5 mg/mL injection solution,morphine 5 mg/mL injection syringe",23.22,13.93,3.95,7411.0,42
NDC,63323045501,morphine 5 mg/mL injection solution,23.22,13.93,3.95,7411.0,41
NDC,63323045501,"morphine 5 mg/mL injection solution,morphine 5 mg/mL injection syringe",23.22,13.93,3.95,7411.0,41
NDC,63323045800,morphine 8 mg/mL injection solution,23.64,14.18,4.02,7411.0,42
NDC,63323046201,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 injection solution",68.58,41.15,11.66,7411.0,39
NDC,63323046237,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 injection solution",68.58,41.15,11.66,7411.0,39
NDC,63323046417,BUPivacaine (PF) 0.25 % (2.5 mg/mL) injection solution,39.36,23.62,0.011,7411.0,42
NDC,63323046501,BUPivacaine HCl 0.25 % (2.5 mg/mL) injection solution,1.39,0.83,0.011,7411.0,42
NDC,63323046617,BUPivacaine (PF) 0.5 % (5 mg/mL) injection solution,31.44,18.86,0.011,7411.0,42
NDC,63323046801,"BUPivacaine-EPINEPHrine (PF) 0.25 %-1:200,000 injection solution",40.26,24.16,6.84,7411.0,39
NDC,63323046802,"BUPivacaine-EPINEPHrine (PF) 0.25 %-1:200,000 injection solution",63.72,38.23,10.83,7411.0,39
NDC,63323046817,"BUPivacaine-EPINEPHrine (PF) 0.25 %-1:200,000 injection solution",40.26,24.16,6.84,7411.0,39
NDC,63323046837,"BUPivacaine-EPINEPHrine (PF) 0.25 %-1:200,000 injection solution",63.72,38.23,10.83,7411.0,39
NDC,63323047101,haloperidol decanoate 100 mg/mL intramuscular solution,231.66,139.0,6.68,7411.0,42
NDC,63323047217,BUPivacaine (PF) 0.75 % (7.5 mg/mL) injection solution,32.76,19.66,0.011,7411.0,42
NDC,63323047400,haloperidol lactate 5 mg/mL injection solution,35.94,21.56,0.8679,7411.0,42
NDC,63323047401,haloperidol lactate 5 mg/mL injection solution,35.94,21.56,6.11,7411.0,41
NDC,63323047727,chloroprocaine (PF) 20 mg/mL (2 %) injection solution,127.92,76.75,0.0418,7411.0,42
NDC,63323047801,chloroprocaine (PF) 30 mg/mL (3 %) injection solution,134.28,80.57,0.0418,7411.0,42
NDC,63323047827,chloroprocaine (PF) 30 mg/mL (3 %) injection solution,134.28,80.57,22.83,7411.0,41
NDC,63323048157,"lidocaine-epinephrine 0.5 %-1:200,000 injection solution",0.96,0.58,0.1632,7411.0,41
NDC,63323048203,"lidocaine 1 %-epinephrine 1:100,000 injection solution",1.48,0.89,0.2516,7411.0,41
NDC,63323048217,"lidocaine 1 %-epinephrine 1:100,000 injection solution",20.82,12.49,3.54,7411.0,41
NDC,63323048227,"lidocaine 1 %-epinephrine 1:100,000 injection solution",1.48,0.89,0.2516,7411.0,41
NDC,63323048257,"lidocaine 1 %-epinephrine 1:100,000 injection solution",1.37,0.82,0.2329,7411.0,41
NDC,63323048327,"lidocaine 20 mg/mL (2 %)-epinephrine 1:100,000 injection solution",0.75,0.45,0.1275,7411.0,41
NDC,63323048457,lidocaine HCl 5 mg/mL (0.5 %) injection solution,33.3,19.98,5.66,7411.0,39
NDC,63323048602,lidocaine HCl 20 mg/mL (2 %) injection solution,23.04,13.82,3.92,7411.0,41
NDC,63323048617,lidocaine HCl 20 mg/mL (2 %) injection solution,20.7,12.42,3.52,7411.0,41
NDC,63323048627,lidocaine HCl 20 mg/mL (2 %) injection solution,23.04,13.82,3.92,7411.0,41
NDC,63323048707,"lidocaine-epinephrine (PF) 1 %-1:200,000 injection solution",81.0,48.6,13.77,7411.0,41
NDC,63323048717,"lidocaine-epinephrine (PF) 1 %-1:200,000 injection solution",58.08,34.85,9.87,7411.0,41
NDC,63323048737,"lidocaine-epinephrine (PF) 1 %-1:200,000 injection solution",81.0,48.6,13.77,7411.0,41
NDC,63323048817,"lidocaine-epinephrine (PF) 1.5 %-1:200,000 injection solution",57.48,34.49,9.77,7411.0,41
NDC,63323048917,"lidocaine-epinephrine (PF) 2 %-1:200,000 injection solution",61.62,36.97,10.48,7411.0,41
NDC,63323049207,lidocaine (PF) 10 mg/mL (1 %) injection solution,70.74,42.44,12.03,7411.0,41
NDC,63323049227,lidocaine (PF) 10 mg/mL (1 %) injection solution,14.16,8.5,2.41,7411.0,41
NDC,63323049237,lidocaine (PF) 10 mg/mL (1 %) injection solution,70.74,42.44,12.03,7411.0,41
NDC,63323049257,lidocaine (PF) 10 mg/mL (1 %) injection solution,23.58,14.15,4.01,7411.0,41
NDC,63323049401,valproate sodium 500 mg/5 mL (100 mg/mL) intravenous solution,40.2,24.12,0.044,7411.0,42
NDC,63323049405,valproate sodium 500 mg/5 mL (100 mg/mL) intravenous solution,40.2,24.12,6.83,7411.0,41
NDC,63323049507,lidocaine (PF) 20 mg/mL (2 %) injection solution,21.54,12.92,3.66,7411.0,41
NDC,63323049509,lidocaine (PF) 20 mg/mL (2 %) injection solution,17.58,10.55,2.99,7411.0,41
NDC,63323049527,lidocaine (PF) 20 mg/mL (2 %) injection solution,17.58,10.55,2.99,7411.0,41
NDC,63323050601,dexAMETHasone sodium phosphate (PF) 10 mg/mL injection solution,45.0,27.0,0.121,7411.0,42
NDC,63323050720,meropenem 500 mg intravenous solution,23.0,13.8,0.4081,7411.0,43
NDC,63323050830,meropenem 1 gram intravenous solution,40.4,24.24,0.4081,7411.0,43
NDC,63323051302,gentamicin 20 mg/2 mL injection solution,29.0,17.4,2.12,7411.0,42
NDC,63323051701,"heparin (porcine) 25,000 unit/250 mL in 0.45 % sodium chloride IV soln",85.0,51.0,0.2431,7411.0,42
NDC,63323051774,"heparin (porcine) 25,000 unit/250 mL in 0.45 % sodium chloride IV soln",85.0,51.0,14.45,7411.0,41
NDC,63323052374,"heparin (porcine) 25,000 unit/250 mL (100 unit/mL) in dextrose 5 % IV",85.0,51.0,0.2431,7411.0,42
NDC,63323053101,enoxaparin 80 mg/0.8 mL subcutaneous syringe,123.4,74.04,0.5962,7411.0,43
NDC,63323053190,enoxaparin 80 mg/0.8 mL subcutaneous syringe,123.4,74.04,20.98,7411.0,41
NDC,63323053501,enoxaparin 40 mg/0.4 mL subcutaneous syringe,75.64,45.38,12.86,7411.0,41
NDC,63323053587,enoxaparin 40 mg/0.4 mL subcutaneous syringe,75.64,45.38,12.86,7411.0,41
NDC,63323054005,"heparin (porcine) 1,000 unit/mL injection solution",32.36,19.42,0.2431,7411.0,42
NDC,63323054015,"heparin (porcine) 1,000 unit/mL injection solution",32.36,19.42,5.5,7411.0,41
NDC,63323054501,heparin lock flush (porcine) 100 unit/mL intravenous solution,76.3,45.78,0.0198,7411.0,42
NDC,63323054505,heparin lock flush (porcine) 100 unit/mL intravenous solution,39.94,23.96,0.0198,7411.0,42
NDC,63323056883,enoxaparin 30 mg/0.3 mL subcutaneous syringe,63.82,38.29,0.5962,7411.0,43
NDC,63323056895,enoxaparin 100 mg/mL subcutaneous syringe,88.24,52.94,0.5962,7411.0,43
NDC,63323058421,enoxaparin 80 mg/0.8 mL subcutaneous syringe,72.4,43.44,0.5962,7411.0,43
NDC,63323059303,glucagon HCl 1 mg/mL solution for injection,1137.06,682.24,139.01,7411.0,57
NDC,63323059603,glucagon HCl 1 mg/mL solution for injection,1137.06,682.24,193.3,7411.0,41
NDC,63323060501,enoxaparin 100 mg/mL subcutaneous syringe,147.28,88.37,0.5962,7411.0,43
NDC,63323060584,enoxaparin 100 mg/mL subcutaneous syringe,147.28,88.37,25.04,7411.0,41
NDC,63323060701,enoxaparin 60 mg/0.6 mL subcutaneous syringe,99.58,59.75,0.5962,7411.0,43
NDC,63323060788,enoxaparin 60 mg/0.6 mL subcutaneous syringe,99.58,59.75,16.93,7411.0,41
NDC,63323061400,hydrALAZINE 20 mg/mL injection solution,85.92,51.55,4.72,7411.0,42
NDC,63323061401,hydrALAZINE 20 mg/mL injection solution,85.92,51.55,14.61,7411.0,41
NDC,63323061603,amiodarone 50 mg/mL intravenous solution,12.01,7.21,0.4279,7411.0,43
NDC,63323061609,amiodarone 50 mg/mL intravenous solution,10.94,6.56,0.4279,7411.0,43
NDC,63323061720,milrinone 1 mg/mL intravenous solution,102.36,61.42,1.3,7411.0,42
NDC,63323064220,magnesium sulfate 500 mg/mL (50 %) injection solution,54.36,32.62,0.4741,7411.0,42
NDC,63323064710,levothyroxine 200 mcg intravenous powder for solution,950.22,570.13,6.61,7411.0,57
NDC,63323064907,levothyroxine 100 mcg intravenous powder for solution,475.11,285.07,6.61,7411.0,57
NDC,63323065100,adenosine 3 mg/mL intravenous solution,65.7,39.42,0.48,7411.0,43
NDC,63323065102,adenosine 3 mg/mL intravenous solution,65.7,39.42,11.17,7411.0,41
NDC,63323065210,esmolol 100 mg/10 mL (10 mg/mL) intravenous solution,94.5,56.7,0.2596,7411.0,42
NDC,63323065820,chlorothiazide sodium 500 mg intravenous solution,1351.65,810.99,51.61,7411.0,43
NDC,63323066005,metoprolol tartrate 5 mg/5 mL intravenous solution,12.94,7.76,0.1375,7411.0,42
NDC,63323066401,diphenhydrAMINE 50 mg/mL injection solution,18.06,10.84,0.7557,7411.0,42
NDC,63323066501,terbutaline 1 mg/mL subcutaneous solution,122.2,73.32,3.26,7411.0,42
NDC,63323067305,palonosetron 0.25 mg/5 mL intravenous solution,240.0,144.0,0.7139,7411.0,42
NDC,63323069030,acetylcysteine 200 mg/mL (20 %) Soln,52.02,31.21,8.84,7411.0,40
NDC,63323069030,acetylcysteine 200 mg/mL (20 %) solution,156.06,93.64,26.53,7411.0,39
NDC,63323069210,acetylcysteine 200 mg/mL (20 %) Soln,30.32,18.19,5.15,7411.0,40
NDC,63323069210,acetylcysteine 200 mg/mL (20 %) solution,90.96,54.58,15.46,7411.0,39
NDC,63323073311,mesna 100 mg/mL intravenous solution,179.01,107.41,1.47,7411.0,42
NDC,63323073803,famotidine 10 mg/mL intravenous solution,2.7,1.62,0.0099,7411.0,42
NDC,63323073912,famotidine (PF) 20 mg/2 mL intravenous solution,2.7,1.62,0.0099,7411.0,42
NDC,63323076210,topotecan 4 mg intravenous solution,1107.5,664.5,2.32,7411.0,42
NDC,63323078220,vecuronium bromide 20 mg intravenous solution,76.3,45.78,12.97,7411.0,39
NDC,63323078223,vecuronium bromide 20 mg intravenous solution,76.3,45.78,12.97,7411.0,39
NDC,63323080601,fentaNYL (PF) 50 mcg/mL injection solution,19.26,11.56,1.28,7411.0,42
NDC,63323080601,"fentaNYL (PF) 50 mcg/mL injection solution,fentaNYL (PF) 50 mcg/mL injection syringe",19.26,11.56,1.28,7411.0,42
NDC,63323080602,fentaNYL (PF) 50 mcg/mL injection solution,19.74,11.84,1.28,7411.0,42
NDC,63323080602,"fentaNYL (PF) 50 mcg/mL injection solution,fentaNYL (PF) 50 mcg/mL injection syringe",19.74,11.84,1.28,7411.0,42
NDC,63323080611,fentaNYL (PF) 50 mcg/mL injection solution,19.26,11.56,3.27,7411.0,41
NDC,63323080611,"fentaNYL (PF) 50 mcg/mL injection solution,fentaNYL (PF) 50 mcg/mL injection syringe",19.26,11.56,3.27,7411.0,41
NDC,63323080612,fentaNYL (PF) 50 mcg/mL injection solution,19.74,11.84,3.36,7411.0,41
NDC,63323080612,"fentaNYL (PF) 50 mcg/mL injection solution,fentaNYL (PF) 50 mcg/mL injection syringe",19.74,11.84,3.36,7411.0,41
NDC,63323082001,fat emulsion-soybean oil-mct-olive oil-fish oil 20 % intravenous,144.0,86.4,24.48,7411.0,39
NDC,63323082424,dextrose 10 % in water (D10W) intravenous solution,40.5,24.3,6.88,7411.0,40
NDC,63323082474,dextrose 10 % in water (D10W) intravenous solution,40.5,24.3,6.88,7411.0,40
NDC,63323085074,"moxifloxacin 400 mg/250 mL-sodium acet,sul-water intravenous piggyback",276.0,165.6,9.62,7411.0,42
NDC,63323085203,HYDROmorphone (PF) 1 mg/mL injection solution,31.92,19.15,0.1111,7411.0,42
NDC,63323085203,"HYDROmorphone (PF) 1 mg/mL injection syringe,HYDROmorphone (PF) 1 mg/mL injection solution",25.92,15.55,0.1111,7411.0,42
NDC,63323085225,HYDROmorphone (PF) 1 mg/mL injection solution,31.92,19.15,5.43,7411.0,41
NDC,63323085225,"HYDROmorphone (PF) 1 mg/mL injection syringe,HYDROmorphone (PF) 1 mg/mL injection solution",25.92,15.55,4.41,7411.0,41
NDC,63323085303,HYDROmorphone (PF) 2 mg/mL injection solution,8.59,5.15,0.1111,7411.0,42
NDC,63323085303,"HYDROmorphone (PF) 2 mg/mL injection solution,HYDROmorphone (PF) 2 mg/mL injection syringe",8.59,5.15,0.1111,7411.0,42
NDC,63323085325,HYDROmorphone (PF) 2 mg/mL injection solution,8.59,5.15,1.46,7411.0,41
NDC,63323085325,"HYDROmorphone (PF) 2 mg/mL injection solution,HYDROmorphone (PF) 2 mg/mL injection syringe",8.59,5.15,1.46,7411.0,41
NDC,63323087115,DAPTOmycin 500 mg intravenous solution,2009.66,1205.8,0.0374,7411.0,43
NDC,63323088510,levothyroxine 20 mcg/mL intravenous solution,399.11,239.47,6.61,7411.0,57
NDC,63323091501,"heparin (porcine) 20,000 unit/mL injection solution",128.56,77.14,0.2431,7411.0,42
NDC,63323096321,acetylcysteine 200 mg/mL (20 %) intravenous solution,495.05,297.03,0.5621,7411.0,42
NDC,63323096330,acetylcysteine 200 mg/mL (20 %) intravenous solution,495.05,297.03,84.16,7411.0,41
NDC,63323096505,potassium chloride 2 mEq/mL intravenous solution,29.28,17.57,0.1397,7411.0,42
NDC,63323096510,potassium chloride 2 mEq/mL intravenous solution,24.06,14.44,0.1397,7411.0,42
NDC,63323096520,potassium chloride 2 mEq/mL intravenous solution,25.8,15.48,0.1397,7411.0,42
NDC,63323096701,potassium chloride 2 mEq/mL intravenous solution,32.7,19.62,0.1397,7411.0,42
NDC,63323098323,piperacillin-tazobactam 3.375 gram intravenous solution,88.22,52.93,15.0,7411.0,41
NDC,63402020430,eslicarbazepine 400 mg tablet,84.72,50.83,14.4,7411.0,39
NDC,63402030230,lurasidone 20 mg tablet,94.58,56.75,16.08,7411.0,39
NDC,63402030430,lurasidone 40 mg tablet,94.58,56.75,16.08,7411.0,39
NDC,63402030630,lurasidone 60 mg tablet,94.58,56.75,16.08,7411.0,39
NDC,63402067501,indacaterol 75 mcg capsule with inhalation device,18.18,10.91,3.09,7411.0,39
NDC,63402067530,indacaterol 75 mcg capsule with inhalation device,18.18,10.91,3.09,7411.0,39
NDC,63402091101,arformoterol 15 mcg/2 mL solution for nebulization,40.4,24.24,0.7997,7411.0,40
NDC,63402091104,arformoterol 15 mcg/2 mL solution for nebulization,40.4,24.24,6.87,7411.0,39
NDC,63402091164,arformoterol 15 mcg/2 mL solution for nebulization,40.4,24.24,6.87,7411.0,39
NDC,63459010130,modafinil 100 mg tablet,102.02,61.21,17.34,7411.0,39
NDC,63459010310,riTUXimab-abbs 10 mg/mL intravenous solution,2586.65,1551.99,29.72,7411.0,57
NDC,63459030343,trastuzumab-pkrb 150 mg intravenous solution,4257.5,2554.5,53.22,7411.0,57
NDC,63459034804,bendamustine 25 mg/mL intravenous solution,7471.4,4482.84,12.26,7411.0,57
NDC,63459039008,bendamustine 25 mg intravenous powder for solution,2278.85,1367.31,2.05,7411.0,57
NDC,63459039120,bendamustine 100 mg intravenous powder for solution,8965.4,5379.24,2.05,7411.0,57
NDC,63459040430,tiaGABine 4 mg tablet,23.82,14.29,4.05,7411.0,39
NDC,63459060106,arsenic trioxide 2 mg/mL intravenous solution,3549.87,2129.92,7.09,7411.0,42
NDC,63459060111,arsenic trioxide 2 mg/mL intravenous solution,3549.87,2129.92,603.48,7411.0,41
NDC,63481068701,lidocaine 5 % topical patch,53.01,31.81,9.01,7411.0,39
NDC,63481068706,lidocaine 5 % topical patch,53.01,31.81,9.01,7411.0,39
NDC,63736012002,permethrin 1 % topical liquid,17.82,10.69,3.03,7411.0,39
NDC,63736014308,white petrolatum 57.7 %-mineral oil 31.9 % eye ointment,11.1,6.66,1.89,7411.0,39
NDC,63736033942,hydrocortisone 1 % lotion,12.04,7.22,2.05,7411.0,39
NDC,63736037882,benzocaine 20 % topical aerosol,7.75,4.65,1.32,7411.0,39
NDC,63739001410,"dilTIAZem CD 120 mg capsule,extended release 24 hr",0.65,0.39,0.1105,7411.0,39
NDC,63739004910,carisoprodol 350 mg tablet,1.63,0.98,0.2771,7411.0,39
NDC,63739005910,clindamycin HCl 150 mg capsule,1.63,0.98,0.2771,7411.0,39
NDC,63739007310,diazePAM 5 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,63739008010,dilTIAZem 60 mg tablet,0.47,0.28,0.0799,7411.0,39
NDC,63739008901,docusate sodium 100 mg capsule,0.07,0.04,0.0119,7411.0,39
NDC,63739011910,glyBURIDE 5 mg tablet,0.4,0.24,0.068,7411.0,39
NDC,63739012610,hydrALAZINE 25 mg tablet,0.47,0.28,0.0799,7411.0,39
NDC,63739012810,hydroCHLOROthiazide 25 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,63739019210,PHENobarbital 16.2 mg tablet,1.15,0.69,0.1955,7411.0,39
NDC,63739020010,PHENobarbital 16.2 mg tablet,1.15,0.69,0.1955,7411.0,39
NDC,63739020110,PHENobarbital 32.4 mg tablet,1.41,0.85,0.2397,7411.0,39
NDC,63739021210,"aspirin 81 mg tablet,delayed release",0.08,0.05,0.0136,7411.0,39
NDC,63739026310,clonazePAM 0.5 mg tablet,0.22,0.13,0.0374,7411.0,39
NDC,63739026910,tamoxifen 10 mg tablet,5.96,3.58,1.01,7411.0,39
NDC,63739029101,calcium 500 mg (as carbonate)-vitamin D3 5 mcg (200 unit) tablet,0.09,0.05,0.0153,7411.0,39
NDC,63739029410,PHENobarbital 32.4 mg tablet,1.41,0.85,0.2397,7411.0,39
NDC,63739035410,magnesium oxide 400 mg (241.3 mg magnesium) tablet,0.23,0.14,0.0391,7411.0,39
NDC,63739035510,mirtazapine 15 mg tablet,0.77,0.46,0.1309,7411.0,39
NDC,63739043401,aspirin 81 mg chewable tablet,0.1,0.06,0.017,7411.0,39
NDC,63739044710,"potassium chloride ER 20 mEq tablet,extended release(part/cryst)",1.49,0.89,0.2533,7411.0,39
NDC,63739048010,baclofen 20 mg tablet,2.43,1.46,0.4131,7411.0,39
NDC,63739051810,predniSONE 5 mg tablet,0.35,0.21,0.0044,7411.0,42
NDC,63739052210,"aspirin 81 mg tablet,delayed release",0.08,0.05,0.0136,7411.0,39
NDC,63739052510,valACYclovir 500 mg tablet,8.23,4.94,1.4,7411.0,39
NDC,63739053110,cyclobenzaprine 10 mg tablet,1.16,0.7,0.1972,7411.0,39
NDC,63739054410,spironolactone 25 mg tablet,0.46,0.28,0.0782,7411.0,39
NDC,63739056710,tamsulosin 0.4 mg capsule,1.79,1.07,0.3043,7411.0,39
NDC,63739057710,rivastigmine 3 mg capsule,7.72,4.63,1.31,7411.0,39
NDC,63739059110,gabapentin 100 mg capsule,0.18,0.11,0.0306,7411.0,39
NDC,63739064510,famotidine 20 mg tablet,0.17,0.1,0.0289,7411.0,39
NDC,63739068410,ibuprofen 600 mg tablet,0.19,0.11,0.0323,7411.0,39
NDC,63739069110,ibuprofen 800 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,63739079610,allopurinol 300 mg tablet,1.02,0.61,0.1734,7411.0,39
NDC,63739090310,gabapentin 300 mg capsule,0.33,0.2,0.0561,7411.0,39
NDC,63739098611,"heparin (porcine) 20,000 unit/mL injection solution",108.28,64.97,0.2431,7411.0,42
NDC,63739098625,"heparin (porcine) 20,000 unit/mL injection solution",108.28,64.97,18.41,7411.0,41
NDC,63824000815,"guaiFENesin ER 600 mg tablet, extended release 12 hr",0.85,0.51,0.1445,7411.0,39
NDC,63824000850,"guaiFENesin ER 600 mg tablet, extended release 12 hr",0.74,0.44,0.1258,7411.0,39
NDC,63824005634,dextromethorphan-guaifenesin 30 mg-600 mg tablet extended release12 hr,1.12,0.67,0.1904,7411.0,39
NDC,63824005640,dextromethorphan-guaifenesin 30 mg-600 mg tablet extended release12 hr,0.94,0.56,0.1598,7411.0,39
NDC,63824005650,dextromethorphan-guaifenesin 30 mg-600 mg tablet extended release12 hr,0.77,0.46,0.1309,7411.0,39
NDC,63824056401,dextromethorphan-guaifenesin 30 mg-600 mg tablet extended release12 hr,1.05,0.63,0.1785,7411.0,39
NDC,63833039601,"human prothrombin complex,4-factor 500 unit (400-620 unit) IV solution",45.88,27.53,1.95,7411.0,57
NDC,63833039701,"hum prothrombin cplx, 4-factor 1,000 unit (800-1,240 unit) IV solution",45.88,27.53,1.95,7411.0,57
NDC,63833061502,antihemophilic factor-vWF 250 unit-600 unit intravenous solution,37.6,22.56,1.42,7411.0,58
NDC,63833061602,"antihemophilic factor-vWF 500 unit-1,200 unit intravenous solution",37.6,22.56,1.42,7411.0,58
NDC,63833061702,"antihemophilic factor-vWF 1,000 unit-2,400 unit intravenous solution",37.6,22.56,1.42,7411.0,58
NDC,63833082502,C1 esterase inhibitor 500 unit (10 mL) intravenous kit,12204.6,7322.76,72.25,9153.45,58
NDC,63833083501,C1 esterase inhibitor 500 unit (10 mL) intravenous solution,12204.6,7322.76,72.25,9153.45,58
NDC,64011024301,HYDROXYprogesterone caproate (pregnancy preserving) 250 mg/mL IM oil,2409.0,1445.4,18.68,7411.0,42
NDC,64193042402,"anti-inhibitor coagulant complex 700 unit-1,300 unit intravenous soln",43.72,26.23,2.3,7411.0,58
NDC,64193042502,"anti-inhibitor coagulant complx 1,750 unit-3,250 unit intravenous soln",43.72,26.23,2.3,7411.0,58
NDC,64253090030,calcium chloride 100 mg/mL (10 %) intravenous syringe,66.0,39.6,11.22,7411.0,39
NDC,64253090036,calcium chloride 100 mg/mL (10 %) intravenous syringe,66.0,39.6,11.22,7411.0,39
NDC,64281010000,methacholine chloride 100 mg solution for inhalation,373.5,224.1,63.49,7411.0,41
NDC,64281010006,methacholine chloride 100 mg solution for inhalation,373.5,224.1,63.49,7411.0,41
NDC,64370053201,vinorelbine 10 mg/mL intravenous solution,230.0,138.0,5.47,7411.0,42
NDC,64370053202,vinorelbine 50 mg/5 mL intravenous solution,432.5,259.5,5.47,7411.0,42
NDC,64380015901,megestrol 40 mg tablet,0.64,0.38,0.1088,7411.0,39
NDC,64380016002,megestrol 400 mg/10 mL (40 mg/mL) oral suspension,144.0,86.4,24.48,7411.0,39
NDC,64380017001,imipramine 25 mg tablet,0.48,0.29,0.0816,7411.0,39
NDC,64380072406,calcitriol 0.5 mcg capsule,0.85,0.51,0.1445,7411.0,39
NDC,64380073506,hydrALAZINE 50 mg tablet,0.18,0.11,0.0306,7411.0,39
NDC,64380073706,"ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule",0.45,0.27,0.0765,7411.0,39
NDC,64380074106,buspirone 5 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,64380074605,pramipexole 0.125 mg tablet,0.33,0.2,0.0561,7411.0,39
NDC,64380075906,acarbose 50 mg tablet,0.66,0.4,0.1122,7411.0,39
NDC,64380078406,predniSONE 10 mg tablet,0.31,0.19,0.0044,7411.0,42
NDC,64380082706,ketoconazole 200 mg tablet,2.6,1.56,0.442,7411.0,39
NDC,64380087806,ethosuximide 250 mg capsule,0.84,0.5,0.1428,7411.0,39
NDC,64380088304,cinacalcet 30 mg tablet,1.0,0.6,0.17,7411.0,39
NDC,64380091806,ursodiol 250 mg tablet,1.5,0.9,0.255,7411.0,39
NDC,64380094906,predniSONE 50 mg tablet,0.65,0.39,0.0044,7411.0,42
NDC,64380097106,hydrocortisone 10 mg tablet,1.72,1.03,0.2924,7411.0,39
NDC,64406000801,natalizumab 300 mg/15 mL intravenous solution,25613.15,15367.89,23.1,19209.86,57
NDC,64679063102,niCARdipine 25 mg/10 mL intravenous solution,118.2,70.92,20.09,7411.0,41
NDC,64679063103,niCARdipine 25 mg/10 mL intravenous solution,118.2,70.92,20.09,7411.0,41
NDC,64679078102,entacapone 200 mg tablet,1.24,0.74,0.2108,7411.0,39
NDC,64679092302,enalapril maleate 2.5 mg tablet,0.74,0.44,0.1258,7411.0,39
NDC,64679092402,enalapril maleate 5 mg tablet,0.94,0.56,0.1598,7411.0,39
NDC,64679092602,enalapril maleate 20 mg tablet,1.41,0.85,0.2397,7411.0,39
NDC,64679098301,cefTRIAXone 1 gram solution for injection,47.0,28.2,0.473,7411.0,42
NDC,64764008060,lubiprostone 8 mcg capsule,12.37,7.42,2.1,7411.0,39
NDC,64764011907,colchicine 0.6 mg tablet,14.38,8.63,2.44,7411.0,39
NDC,64764015104,pioglitazone 15 mg tablet,25.9,15.54,4.4,7411.0,39
NDC,64764024060,lubiprostone 24 mcg capsule,12.37,7.42,2.1,7411.0,39
NDC,64764030020,vedolizumab 300 mg intravenous solution,25999.74,15599.84,19.93,19499.81,57
NDC,64764067730,febuxostat 80 mg tablet,22.0,13.2,3.74,7411.0,39
NDC,64764075030,vortioxetine 20 mg tablet,32.64,19.58,5.55,7411.0,39
NDC,64764080530,ramelteon 8 mg tablet,25.94,15.56,4.41,7411.0,39
NDC,64764091830,febuxostat 40 mg tablet,22.0,13.2,3.74,7411.0,39
NDC,64896066201,"carbidopa ER 36.25 mg-levodopa 145 mg capsule,extended release",8.31,4.99,1.41,7411.0,39
NDC,64896066301,"carbidopa ER 48.75 mg-levodopa 195 mg capsule,extended release",8.31,4.99,1.41,7411.0,39
NDC,64980010401,sodium di- and monophosphate-potassium phos monobasic 250 mg tablet,0.68,0.41,0.1156,7411.0,39
NDC,64980013401,dipyridamole 50 mg tablet,3.81,2.29,0.6477,7411.0,39
NDC,64980013501,dipyridamole 75 mg tablet,5.1,3.06,0.867,7411.0,39
NDC,64980014698,"Lactobacillus acidophilus, bulgaricus 100 million cell granules packet",2.6,1.56,0.442,7411.0,39
NDC,64980017750,chloroquine 250 mg tablet,6.7,4.02,1.14,7411.0,39
NDC,64980018001,flucytosine 500 mg capsule,254.58,152.75,43.28,7411.0,39
NDC,64980018210,sodium bicarbonate 650 mg tablet,0.02,0.01,0.0034,7411.0,39
NDC,64980021001,"oxyBUTYnin chloride ER 10 mg tablet,extended release 24 hr",0.36,0.22,0.0612,7411.0,39
NDC,64980028203,"mesalamine 1,000 mg rectal suppository",6.67,4.0,1.13,7411.0,39
NDC,64980030130,hydrocortisone 2.5 % topical cream with perineal applicator,39.78,23.87,6.76,7411.0,39
NDC,64980033901,magnesium oxide 400 mg (241.3 mg magnesium) tablet,0.21,0.13,0.0357,7411.0,39
NDC,64980037303,atomoxetine 10 mg capsule,3.26,1.96,0.5542,7411.0,39
NDC,64980040709,efavirenz 200 mg capsule,19.33,11.6,3.29,7411.0,39
NDC,64980044201,albuterol sulfate 2 mg tablet,6.0,3.6,1.02,7411.0,39
NDC,64980051305,timolol maleate 0.25 % eye drops,10.4,6.24,1.77,7411.0,39
NDC,64980052621,nitazoxanide 500 mg tablet,117.58,70.55,19.99,7411.0,39
NDC,64980057301,phenytoin 50 mg chewable tablet,1.89,1.13,0.3213,7411.0,39
NDC,65145017501,"levETIRAcetam 1,500 mg/100 mL in sodium chloride(iso-osm) IV piggyback",30.0,18.0,0.0374,7411.0,42
NDC,65145017510,"levETIRAcetam 1,500 mg/100 mL in sodium chloride(iso-osm) IV piggyback",30.0,18.0,5.1,7411.0,41
NDC,65162004710,oxyCODONE 5 mg tablet,3.25,1.95,0.5525,7411.0,39
NDC,65162004910,oxyCODONE 15 mg tablet,3.47,2.08,0.5899,7411.0,39
NDC,65162005827,sevelamer carbonate 800 mg tablet,0.78,0.47,0.1326,7411.0,39
NDC,65162006205,sucralfate 100 mg/mL oral suspension,381.36,228.82,64.83,7411.0,39
NDC,65162014804,estradiol 0.0375 mg/24 hr semiweekly transdermal patch,32.62,19.57,5.55,7411.0,39
NDC,65162014808,estradiol 0.0375 mg/24 hr semiweekly transdermal patch,32.62,19.57,5.55,7411.0,39
NDC,65162018810,naproxen 250 mg tablet,0.14,0.08,0.0238,7411.0,39
NDC,65162018811,naproxen 250 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,65162027110,sulfamethoxazole 400 mg-trimethoprim 80 mg tablet,0.87,0.52,0.1479,7411.0,39
NDC,65162027210,sulfamethoxazole 800 mg-trimethoprim 160 mg tablet,0.9,0.54,0.153,7411.0,39
NDC,65162035109,sildenafil (pulmonary hypertension) 20 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,65162036110,folic acid 1 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,65162041503,buprenorphine 8 mg-naloxone 2 mg sublingual tablet,3.98,2.39,0.6766,7411.0,39
NDC,65162052110,promethazine 25 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,65162054510,primidone 250 mg tablet,0.72,0.43,0.1224,7411.0,39
NDC,65162055310,metaxalone 800 mg tablet,4.0,2.4,0.68,7411.0,39
NDC,65162062710,traMADol 50 mg tablet,3.22,1.93,0.5474,7411.0,39
NDC,65162064110,flecainide 50 mg tablet,1.15,0.69,0.1955,7411.0,39
NDC,65162064210,flecainide 100 mg tablet,1.88,1.13,0.3196,7411.0,39
NDC,65162064978,OXcarbazepine 300 mg/5 mL (60 mg/mL) oral suspension,331.0,198.6,56.27,7411.0,39
NDC,65162067384,risperiDONE 1 mg/mL oral solution,42.0,25.2,7.14,7411.0,39
NDC,65162068110,phenazopyridine 100 mg tablet,0.64,0.38,0.1088,7411.0,39
NDC,65162069890,gabapentin 250 mg/5 mL oral solution,222.31,133.39,37.79,7411.0,39
NDC,65162069890,"gabapentin 250 mg/5 mL oral solution,gabapentin 250 mg/5 mL (5 mL) oral solution",222.31,133.39,37.79,7411.0,39
NDC,65162071110,guanFACINE 1 mg tablet,1.12,0.67,0.1904,7411.0,39
NDC,65162074510,promethazine 12.5 mg tablet,0.16,0.1,0.0272,7411.0,39
NDC,65162077810,"budesonide DR - ER 3 mg capsule,delayed,extended release",4.45,2.67,0.7565,7411.0,39
NDC,65162080251,temozolomide 20 mg capsule,17.26,10.36,0.4345,7411.0,42
NDC,65162080314,temozolomide 100 mg capsule,54.97,32.98,9.34,7411.0,41
NDC,65162080651,temozolomide 250 mg capsule,107.28,64.37,0.4345,7411.0,42
NDC,65162080710,progesterone micronized 100 mg capsule,0.8,0.48,0.136,7411.0,39
NDC,65162089603,ARIPiprazole 2 mg tablet,0.61,0.37,0.1037,7411.0,39
NDC,65162089703,ARIPiprazole 5 mg tablet,0.61,0.37,0.1037,7411.0,39
NDC,65162089709,ARIPiprazole 5 mg tablet,0.61,0.37,0.1037,7411.0,39
NDC,65162089903,ARIPiprazole 15 mg tablet,0.61,0.37,0.1037,7411.0,39
NDC,65162090103,ARIPiprazole 20 mg tablet,0.81,0.49,0.1377,7411.0,39
NDC,65162091446,tobramycin 300 mg/5 mL in 0.225 % sodium chloride for nebulization,34.43,20.66,5.85,7411.0,42
NDC,65219000400,potassium chloride 10 mEq/50 mL in sterile water intravenous piggyback,33.3,19.98,0.1397,7411.0,42
NDC,65219000401,potassium chloride 10 mEq/50 mL in sterile water intravenous piggyback,33.3,19.98,5.66,7411.0,41
NDC,65219038306,iodixanol 320 mg iodine/mL intravenous solution,112.86,67.72,0.1694,95.93,53
NDC,65219059210,tocilizumab-aazg 200 mg/10 mL (20 mg/mL) intravenous solution,2937.6,1762.56,4.22,7411.0,57
NDC,65219059420,tocilizumab-aazg 400 mg/20 mL (20 mg/mL) intravenous solution,5875.2,3525.12,4.22,7411.0,57
NDC,65219063204,ROPivacaine (PF) 2 mg/mL (0.2 %) injection solution,270.0,162.0,0.0506,7411.0,42
NDC,65219063204,"ropivacaine (PF) 2 mg/mL (0.2 %) Injection,ropivacaine (PF) 0.2 % in 0.9% sodium chloride epidural solution",270.0,162.0,0.0506,7411.0,42
NDC,65250026620,BUPivacaine liposome(PF) 1.3 %(13.3 mg/mL) suspension for infiltration,846.27,507.76,1.32,7411.0,57
NDC,65293000101,bivalirudin 250 mg intravenous powder for solution,2953.0,1771.8,0.1364,7411.0,43
NDC,65483011607,aldesleukin 22 million unit intravenous solution,14100.8,8460.48,2397.14,10575.6,57
NDC,65580059401,"methylphenidate ER 20 mg tablet,extended release",3.61,2.17,0.6137,7411.0,39
NDC,65597040601,fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution,8475.11,5085.07,29.7,7411.0,57
NDC,65597070118,colesevelam 625 mg tablet,7.44,4.46,1.26,7411.0,39
NDC,65628020405,vancomycin 25 mg/mL oral solution,8.72,5.23,1.48,7411.0,39
NDC,65628020510,vancomycin 25 mg/mL oral solution,6.06,3.64,1.03,7411.0,39
NDC,65628027205,omeprazole 2 mg-sodium bicarbonate 84 mg/mL oral suspension,500.1,300.06,85.02,7411.0,39
NDC,65628027210,omeprazole 2 mg-sodium bicarbonate 84 mg/mL oral suspension,700.2,420.12,119.03,7411.0,39
NDC,65649030103,rifAXIMin 200 mg tablet,21.68,13.01,3.69,7411.0,39
NDC,65649030302,rifAXIMin 550 mg tablet,109.41,65.65,18.6,7411.0,39
NDC,65649030303,rifAXIMin 550 mg tablet,109.41,65.65,18.6,7411.0,39
NDC,65649055107,methylnaltrexone 12 mg/0.6 mL subcutaneous syringe,721.39,432.83,3.07,7411.0,42
NDC,65862001201,sertraline 50 mg tablet,0.17,0.1,0.0289,7411.0,39
NDC,65862001230,sertraline 50 mg tablet,0.19,0.11,0.0323,7411.0,39
NDC,65862001901,cephalexin 500 mg capsule,0.86,0.52,0.1462,7411.0,39
NDC,65862004824,zidovudine 10 mg/mL oral syrup,72.5,43.5,12.32,7411.0,39
NDC,65862005524,lamiVUDine 10 mg/mL oral solution,166.58,99.95,28.32,7411.0,39
NDC,65862006401,metoprolol tartrate 100 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,65862007930,terbinafine HCl 250 mg tablet,1.0,0.6,0.17,7411.0,39
NDC,65862010701,zidovudine 100 mg capsule,3.53,2.12,0.6001,7411.0,39
NDC,65862012701,torsemide 20 mg tablet,0.43,0.26,0.0731,7411.0,39
NDC,65862014930,finasteride 5 mg tablet,0.31,0.19,0.0527,7411.0,39
NDC,65862014990,finasteride 5 mg tablet,0.27,0.16,0.0459,7411.0,39
NDC,65862015801,carisoprodol 350 mg tablet,1.24,0.74,0.2108,7411.0,39
NDC,65862016801,atenolol 25 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,65862016901,atenolol 50 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,65862017601,penicillin V potassium 500 mg tablet,1.01,0.61,0.1717,7411.0,39
NDC,65862017760,cefdinir 300 mg capsule,2.17,1.3,0.3689,7411.0,39
NDC,65862019201,FLUoxetine 10 mg capsule,0.12,0.07,0.0204,7411.0,39
NDC,65862019301,FLUoxetine 20 mg capsule,0.13,0.08,0.0221,7411.0,39
NDC,65862020190,losartan 25 mg tablet,0.16,0.1,0.0272,7411.0,39
NDC,65862020230,losartan 50 mg tablet,0.18,0.11,0.0306,7411.0,39
NDC,65862020290,losartan 50 mg tablet,0.19,0.11,0.0323,7411.0,39
NDC,65862020299,losartan 50 mg tablet,0.11,0.07,0.0187,7411.0,39
NDC,65862022801,lamoTRIgine 100 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,65862025047,levETIRAcetam 100 mg/mL oral solution,59.6,35.76,10.13,7411.0,39
NDC,65862029490,rosuvastatin 10 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,65862030130,emtricitabine 200 mg capsule,32.63,19.58,5.55,7411.0,39
NDC,65862035730,clopidogrel 75 mg tablet,2.33,1.4,0.3961,7411.0,39
NDC,65862037501,escitalopram 20 mg tablet,0.3,0.18,0.051,7411.0,39
NDC,65862039110,ondansetron 8 mg disintegrating tablet,1.69,1.01,0.2873,7411.0,39
NDC,65862042001,sulfamethoxazole 800 mg-trimethoprim 160 mg tablet,0.63,0.38,0.1071,7411.0,39
NDC,65862047401,ramipril 1.25 mg capsule,0.16,0.1,0.0272,7411.0,39
NDC,65862047501,ramipril 2.5 mg capsule,0.38,0.23,0.0646,7411.0,39
NDC,65862047601,ramipril 5 mg capsule,0.4,0.24,0.068,7411.0,39
NDC,65862047701,ramipril 10 mg capsule,0.42,0.25,0.0714,7411.0,39
NDC,65862049730,efavirenz 600 mg-emtricitabine 200 mg-tenofovir disoprox 300 mg tablet,6.0,3.6,1.02,7411.0,39
NDC,65862050301,amoxicillin 875 mg-potassium clavulanate 125 mg tablet,1.46,0.88,0.2482,7411.0,39
NDC,65862050320,amoxicillin 875 mg-potassium clavulanate 125 mg tablet,1.23,0.74,0.2091,7411.0,39
NDC,65862051230,pioglitazone 15 mg tablet,0.27,0.16,0.0459,7411.0,39
NDC,65862052890,"venlafaxine ER 75 mg capsule,extended release 24 hr",0.47,0.28,0.0799,7411.0,39
NDC,65862053401,amoxicillin 400 mg-potassium clavulanate 57 mg/5 mL oral suspension,29.7,17.82,5.05,7411.0,39
NDC,65862056090,"pantoprazole 40 mg tablet,delayed release",0.12,0.07,0.0204,7411.0,39
NDC,65862057030,valsartan 40 mg tablet,0.81,0.49,0.1377,7411.0,39
NDC,65862057290,valsartan 160 mg tablet,0.83,0.5,0.1411,7411.0,39
NDC,65862059601,clindamycin 75 mg/5 mL oral solution,287.0,172.2,48.79,7411.0,39
NDC,65862059801,tamsulosin 0.4 mg capsule,1.15,0.69,0.1955,7411.0,39
NDC,65862060130,modafinil 100 mg tablet,0.8,0.48,0.136,7411.0,39
NDC,65862060330,moxifloxacin 400 mg tablet,6.38,3.83,1.08,7411.0,39
NDC,65862064860,rivastigmine 1.5 mg capsule,2.17,1.3,0.3689,7411.0,39
NDC,65862064960,rivastigmine 3 mg capsule,2.17,1.3,0.3689,7411.0,39
NDC,65862065401,entacapone 200 mg tablet,1.24,0.74,0.2108,7411.0,39
NDC,65862067601,ALPRAZolam 0.25 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,65862067701,ALPRAZolam 0.5 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,65862067801,ALPRAZolam 1 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,65862068730,ritonavir 100 mg tablet,5.83,3.5,0.9911,7411.0,39
NDC,65862069730,"venlafaxine ER 150 mg capsule,extended release 24 hr",0.61,0.37,0.1037,7411.0,39
NDC,65862069920,cefuroxime axetil 250 mg tablet,1.35,0.81,0.2295,7411.0,39
NDC,65862069960,cefuroxime axetil 250 mg tablet,1.55,0.93,0.2635,7411.0,39
NDC,65862070020,cefuroxime axetil 500 mg tablet,3.83,2.3,0.6511,7411.0,39
NDC,65862070701,amoxicillin 250 mg/5 mL oral suspension,7.7,4.62,1.31,7411.0,39
NDC,65862071260,atazanavir 200 mg capsule,6.44,3.86,1.09,7411.0,39
NDC,65862071330,atazanavir 300 mg capsule,12.38,7.43,2.1,7411.0,39
NDC,65862075360,valGANciclovir 450 mg tablet,8.44,5.06,1.43,7411.0,39
NDC,65862082930,prasugrel HCl 5 mg tablet,3.65,2.19,0.6205,7411.0,39
NDC,65862083030,prasugrel HCl 10 mg tablet,3.65,2.19,0.6205,7411.0,39
NDC,65862085901,famotidine 20 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,65862092127,sevelamer carbonate 800 mg tablet,0.59,0.35,0.1003,7411.0,39
NDC,66215040201,epoprostenol 1.5 mg intravenous solution,234.59,140.75,16.36,7411.0,43
NDC,66215040301,epoprostenol 0.5 mg intravenous solution,156.42,93.85,16.36,7411.0,43
NDC,66215050115,macitentan 10 mg tablet,842.35,505.41,143.2,7411.0,39
NDC,66215050130,macitentan 10 mg tablet,842.35,505.41,143.2,7411.0,39
NDC,66220016010,conivaptan 20 mg/100 mL in 5 % dextrose IV,2685.9,1611.54,122.82,7411.0,42
NDC,66220020730,acetylcysteine 200 mg/mL (20 %) intravenous solution,931.5,558.9,0.5621,7411.0,42
NDC,66259014601,indocyanine green 25 mg solution for injection,356.25,213.75,60.56,7411.0,39
NDC,66302010101,treprostinil sodium 1 mg/mL injection solution,3819.96,2291.98,52.43,7411.0,58
NDC,66302011001,treprostinil sodium 10 mg/mL injection solution,38199.6,22919.76,52.43,28649.7,58
NDC,66302030001,"treprostinil diolamine ER 0.125 mg tablet,extended release",13.89,8.33,2.36,7411.0,39
NDC,66302030002,"treprostinil diolamine ER 0.125 mg tablet,extended release",13.89,8.33,2.36,7411.0,39
NDC,66302030201,"treprostinil diolamine ER 0.25 mg tablet,extended release",27.78,16.67,4.72,7411.0,39
NDC,66302030202,"treprostinil diolamine ER 0.25 mg tablet,extended release",27.77,16.66,4.72,7411.0,39
NDC,66302035001,"treprostinil diolamine ER 5 mg tablet, extended release",555.51,333.31,94.44,7411.0,39
NDC,66553000101,aspirin 325 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,66582041431,ezetimibe 10 mg tablet,23.0,13.8,3.91,7411.0,39
NDC,66621079001,antivenin Crotalidae (equine) 120 mg solution for injection,2641.0,1584.6,448.97,7411.0,40
NDC,66621079002,antivenin Crotalidae (equine) 120 mg solution for injection,2641.0,1584.6,448.97,7411.0,39
NDC,66658023401,anakinra 100 mg/0.67 mL subcutaneous syringe,886.06,531.64,150.63,7411.0,39
NDC,66658023407,anakinra 100 mg/0.67 mL subcutaneous syringe,886.06,531.64,150.63,7411.0,39
NDC,66685100100,amoxicillin 875 mg-potassium clavulanate 125 mg tablet,2.77,1.66,0.4709,7411.0,39
NDC,66685100101,amoxicillin 875 mg-potassium clavulanate 125 mg tablet,2.77,1.66,0.4709,7411.0,39
NDC,66685100202,amoxicillin 500 mg-potassium clavulanate 125 mg tablet,2.4,1.44,0.408,7411.0,39
NDC,66685101200,amoxicillin 400 mg-potassium clavulanate 57 mg/5 mL oral suspension,22.1,13.26,3.76,7411.0,39
NDC,66689000816,"nystatin 100,000 unit/mL oral suspension",68.66,41.2,11.67,7411.0,39
NDC,66689002301,hydrocodone 7.5 mg-acetaminophen 325 mg/15 mL oral solution,11.49,6.89,1.95,7411.0,39
NDC,66689003101,metoclopramide 5 mg/5 mL oral solution,10.8,6.48,1.84,7411.0,39
NDC,66689003150,metoclopramide 5 mg/5 mL oral solution,10.8,6.48,1.84,7411.0,39
NDC,66689003650,phenytoin 100 mg/4 mL oral suspension,14.69,8.81,2.5,7411.0,39
NDC,66689003650,"phenytoin 100 mg/4 mL oral suspension,phenytoin 125 mg/5 mL oral suspension",14.69,8.81,2.5,7411.0,39
NDC,66689020308,"activated charcoal-sorbitoL 50 gram/240 mL oral suspension,activated charcoal-sorbitoL 25 gram/120 mL oral suspension",65.76,39.46,11.18,7411.0,39
NDC,66689020308,activated charcoal-sorbitol 50 gram/240 mL oral suspension,65.76,39.46,11.18,7411.0,39
NDC,66689032702,digoxin 50 mcg/mL (0.05 mg/mL) oral solution,237.96,142.78,40.45,7411.0,39
NDC,66689071006,gent violet-brlnt grn-proflav 2.29 mg-2.29 mg-1.14 mg/mL topical swab,9.34,5.6,1.59,7411.0,39
NDC,66733094823,cetuximab 100 mg/50 mL intravenous solution,2462.3,1477.38,76.44,7411.0,57
NDC,66733095823,cetuximab 200 mg/100 mL intravenous solution,4874.6,2924.76,76.44,7411.0,57
NDC,66758005003,DOCEtaxel 160 mg/16 mL (10 mg/mL) intravenous solution,1850.0,1110.0,0.6116,7411.0,42
NDC,66758011006,"potassium chloride ER 8 mEq tablet,extended release",0.97,0.58,0.1649,7411.0,39
NDC,66758011013,"potassium chloride ER 8 mEq tablet,extended release",0.97,0.58,0.1649,7411.0,39
NDC,66758019001,"potassium chloride ER 20 mEq tablet,extended release(part/cryst)",1.0,0.6,0.17,7411.0,39
NDC,66758019006,"potassium chloride ER 20 mEq tablet,extended release(part/cryst)",1.09,0.65,0.1853,7411.0,39
NDC,66794015701,"baclofen 40,000 mcg/20 mL (2,000 mcg/mL) intrathecal syringe",3053.74,1832.24,81.77,7411.0,58
NDC,66794015702,"baclofen 40,000 mcg/20 mL (2,000 mcg/mL) intrathecal solution",2839.42,1703.65,81.77,7411.0,58
NDC,66993002227,levalbuterol 0.63 mg/3 mL solution for nebulization,6.59,3.95,1.12,7411.0,39
NDC,66993002235,levalbuterol 0.63 mg/3 mL solution for nebulization,6.59,3.95,1.12,7411.0,39
NDC,66993002327,levalbuterol 1.25 mg/3 mL solution for nebulization,6.59,3.95,1.12,7411.0,39
NDC,66993002335,levalbuterol 1.25 mg/3 mL solution for nebulization,6.59,3.95,1.12,7411.0,39
NDC,66993006027,atovaquone 250 mg-proguanil 100 mg tablet,12.85,7.71,2.18,7411.0,39
NDC,66993014130,aliskiren 150 mg tablet,12.45,7.47,2.12,7411.0,39
NDC,66993016502,colchicine 0.6 mg tablet,11.23,6.74,1.91,7411.0,39
NDC,66993042247,lanthanum 500 mg chewable tablet,21.59,12.95,3.67,7411.0,39
NDC,66993042475,"lanthanum 1,000 mg chewable tablet",21.59,12.95,3.67,7411.0,39
NDC,66993045730,dapagliflozin propanediol 10 mg tablet,25.23,15.14,4.29,7411.0,39
NDC,66993047860,lamiVUDine 100 mg tablet,23.93,14.36,4.07,7411.0,39
NDC,66993059702,"dextroamphetamine-amphetamine ER 20 mg 24hr capsule,extend release",2.2,1.32,0.374,7411.0,39
NDC,66993059902,"dextroamphetamine-amphetamine ER 30 mg 24hr capsule,extend release",2.2,1.32,0.374,7411.0,39
NDC,67157010150,ascorbic acid (vitamin C) 500 mg/mL intravenous solution,1217.7,730.62,207.01,7411.0,39
NDC,67157010151,ascorbic acid (vitamin C) 500 mg/mL intravenous solution,1202.85,721.71,204.48,7411.0,39
NDC,67253090010,ALPRAZolam 0.25 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,67253090110,ALPRAZolam 0.5 mg tablet,0.11,0.07,0.0187,7411.0,39
NDC,67253090210,ALPRAZolam 1 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,67386013051,eptinezumab-jjmr 100 mg/mL intravenous solution,5483.49,3290.09,19.52,7411.0,57
NDC,67386031401,cloBAZam 10 mg tablet,59.63,35.78,10.14,7411.0,39
NDC,67405050010,terbinafine HCl 250 mg tablet,0.84,0.5,0.1428,7411.0,39
NDC,67405060403,fluconazole 200 mg tablet,3.17,1.9,0.5389,7411.0,39
NDC,67457010800,ketamine 100 mg/mL injection solution,80.04,48.02,13.61,7411.0,39
NDC,67457010810,ketamine 100 mg/mL injection solution,80.04,48.02,13.61,7411.0,39
NDC,67457011850,ascorbic acid (vitamin C) 500 mg/mL injection solution,407.25,244.35,69.23,7411.0,39
NDC,67457013450,magnesium chloride 200 mg/mL (20 %) injection solution,91.8,55.08,15.61,7411.0,39
NDC,67457015300,amiodarone 50 mg/mL intravenous solution,22.99,13.79,0.4279,7411.0,43
NDC,67457015303,amiodarone 50 mg/mL intravenous solution,22.99,13.79,3.91,7411.0,41
NDC,67457015309,amiodarone 50 mg/mL intravenous solution,15.48,9.29,0.4279,7411.0,43
NDC,67457015318,amiodarone 50 mg/mL intravenous solution,14.96,8.98,0.4279,7411.0,43
NDC,67457016200,sodium tetradecyl sulfate 1 % (10 mg/mL) intravenous solution,351.57,210.94,59.77,7411.0,39
NDC,67457016202,sodium tetradecyl sulfate 1 % (10 mg/mL) intravenous solution,351.57,210.94,59.77,7411.0,39
NDC,67457016300,sodium tetradecyl sulfate 3 % (30 mg/mL) intravenous solution,351.57,210.94,59.77,7411.0,39
NDC,67457016302,sodium tetradecyl sulfate 3 % (30 mg/mL) intravenous solution,351.57,210.94,59.77,7411.0,39
NDC,67457017750,dimethyl sulfoxide 50 % intravesical solution,2097.0,1258.2,356.49,7411.0,57
NDC,67457018100,ketamine 10 mg/mL injection solution,115.8,69.48,19.69,7411.0,39
NDC,67457018100,"ketamine 10 mg/mL injection solution,ketamine 50 mg/5 mL (10 mg/mL) in 0.9 % sodium chloride IV syringe,ketamine 20 mg/2 mL (10 mg/mL) in 0.9% sodium chloride IV syringe,ketamine 50 mg/5 mL (10 mg/mL)",115.8,69.48,19.69,7411.0,41
NDC,67457018210,esmolol 100 mg/10 mL (10 mg/mL) intravenous solution,42.0,25.2,0.2596,7411.0,42
NDC,67457018750,allopurinol 500 mg intravenous solution,11961.18,7176.71,3.62,8970.89,57
NDC,67457019501,melphalan HCl 50 mg intravenous powder for solution,2300.0,1380.0,114.64,7411.0,57
NDC,67457019600,thiamine HCl (vitamin B1) 100 mg/mL injection solution,51.22,30.73,1.71,7411.0,42
NDC,67457019602,thiamine HCl (vitamin B1) 100 mg/mL injection solution,51.22,30.73,8.71,7411.0,41
NDC,67457019800,remifentanil 1 mg intravenous solution,281.81,169.09,47.91,7411.0,39
NDC,67457019803,remifentanil 1 mg intravenous solution,281.81,169.09,47.91,7411.0,39
NDC,67457019899,remifentanil 2 mg intravenous solution,557.61,334.57,94.79,7411.0,39
NDC,67457021005,cidofovir 75 mg/mL intravenous solution,2971.16,1782.7,505.1,7411.0,57
NDC,67457021102,fomepizole 1 gram/mL intravenous solution,2958.0,1774.8,6.21,7411.0,58
NDC,67457021202,argatroban 100 mg/mL intravenous solution,1558.0,934.8,1.11,7411.0,43
NDC,67457021720,methadone 10 mg/mL injection solution,1929.75,1157.85,16.18,7411.0,42
NDC,67457021810,"cloNIDine (PF) 1,000 mcg/10 mL (100 mcg/mL) epidural solution",188.04,112.82,19.71,7411.0,42
NDC,67457022005,isosulfan blue 1 % subcutaneous solution,3642.57,2185.54,9.78,7411.0,57
NDC,67457022805,rocuronium 10 mg/mL intravenous solution,33.1,19.86,5.63,7411.0,39
NDC,67457024500,octreotide acetate 100 mcg/mL (1 mL) injection syringe,40.24,24.14,0.6864,7411.0,43
NDC,67457024500,"octreotide acetate 100 mcg/mL injection solution,octreotide acetate 100 mcg/mL injection syringe",13.41,8.05,0.6864,7411.0,43
NDC,67457024501,octreotide acetate 100 mcg/mL (1 mL) injection syringe,40.24,24.14,6.84,7411.0,41
NDC,67457024501,"octreotide acetate 100 mcg/mL injection solution,octreotide acetate 100 mcg/mL injection syringe",13.41,8.05,2.28,7411.0,41
NDC,67457026500,"levETIRAcetam 1,000 mg/100 mL in sodium chloride(iso-osm) IV piggyback",64.5,38.7,0.0374,7411.0,42
NDC,67457026510,"levETIRAcetam 1,000 mg/100 mL in sodium chloride(iso-osm) IV piggyback",64.5,38.7,10.96,7411.0,41
NDC,67457026600,"levETIRAcetam 1,500 mg/100 mL in sodium chloride(iso-osm) IV piggyback",57.0,34.2,9.69,7411.0,41
NDC,67457026610,"levETIRAcetam 1,500 mg/100 mL in sodium chloride(iso-osm) IV piggyback",57.0,34.2,9.69,7411.0,41
NDC,67457029200,naloxone 0.4 mg/mL injection solution,60.0,36.0,0.0715,7411.0,42
NDC,67457029202,naloxone 0.4 mg/mL injection solution,60.0,36.0,10.2,7411.0,41
NDC,67457031100,fulvestrant 250 mg/5 mL intramuscular syringe,4213.63,2528.18,5.43,7411.0,42
NDC,67457031105,fulvestrant 250 mg/5 mL intramuscular syringe,4213.63,2528.18,716.32,7411.0,41
NDC,67457031725,palonosetron 0.25 mg/5 mL intravenous solution,150.0,90.0,0.7139,7411.0,42
NDC,67457034000,"vancomycin 1,000 mg intravenous injection",101.24,60.74,0.1078,7411.0,42
NDC,67457034001,"vancomycin 1,000 mg intravenous injection",101.24,60.74,17.21,7411.0,41
NDC,67457034810,ampicillin-sulbactam 1.5 gram solution for injection,23.0,13.8,1.49,7411.0,42
NDC,67457035010,ampicillin 500 mg solution for injection,19.22,11.53,3.27,7411.0,41
NDC,67457035050,ampicillin 500 mg solution for injection,19.22,11.53,3.27,7411.0,41
NDC,67457036610,ibutilide fumarate 0.1 mg/mL intravenous solution,1342.35,805.41,208.26,7411.0,57
NDC,67457038431,"heparin (porcine) 1,000 unit/mL injection solution",29.57,17.74,0.2431,7411.0,42
NDC,67457038499,"heparin (porcine) 1,000 unit/mL injection solution",29.57,17.74,5.03,7411.0,41
NDC,67457038600,mycophenolate 500 mg intravenous solution,326.25,195.75,0.4411,7411.0,42
NDC,67457038681,mycophenolate 500 mg intravenous solution,326.25,195.75,55.46,7411.0,41
NDC,67457042200,dexAMETHasone sodium phosphate 4 mg/mL injection solution,11.7,7.02,0.121,7411.0,42
NDC,67457042254,dexAMETHasone sodium phosphate 4 mg/mL injection solution,11.7,7.02,1.99,7411.0,41
NDC,67457042600,haloperidol lactate 5 mg/mL injection solution,5.28,3.17,0.8679,7411.0,42
NDC,67457042612,haloperidol lactate 5 mg/mL injection solution,5.28,3.17,0.8976,7411.0,41
NDC,67457042800,tobramycin 40 mg/mL injection solution,135.68,81.41,2.22,7411.0,42
NDC,67457042830,tobramycin 40 mg/mL injection solution,135.68,81.41,23.07,7411.0,41
NDC,67457043300,famotidine (PF) 20 mg/2 mL intravenous solution,2.67,1.6,0.0099,7411.0,42
NDC,67457043650,DOXOrubicin 50 mg intravenous solution,1233.64,740.18,3.0,7411.0,42
NDC,67457044000,ondansetron HCl (PF) 4 mg/2 mL injection solution,3.6,2.16,0.0968,7411.0,42
NDC,67457044700,flumazenil 0.1 mg/mL intravenous solution,17.88,10.73,3.04,7411.0,39
NDC,67457047300,tobramycin 40 mg/mL injection solution,16.88,10.13,2.22,7411.0,42
NDC,67457047322,tobramycin 40 mg/mL injection solution,16.88,10.13,2.87,7411.0,41
NDC,67457047500,vecuronium bromide 20 mg intravenous solution,72.4,43.44,12.31,7411.0,39
NDC,67457047520,vecuronium bromide 20 mg intravenous solution,72.4,43.44,12.31,7411.0,39
NDC,67457052810,leucovorin calcium 100 mg solution for injection,120.0,72.0,20.4,7411.0,41
NDC,67457058300,fondaparinux 5 mg/0.4 mL subcutaneous solution syringe,291.24,174.74,0.8767,7411.0,43
NDC,67457058304,fondaparinux 5 mg/0.4 mL subcutaneous solution syringe,291.24,174.74,49.51,7411.0,41
NDC,67457061810,gemcitabine 2 gram/52.6 mL (38 mg/mL) intravenous solution,396.53,237.92,3.56,7411.0,42
NDC,67457067502,calcitonin (salmon) 200 unit/mL injection solution,9396.3,5637.78,1597.37,7986.85,42
NDC,67457077930,sulfamethoxazole 400 mg-trimethoprim 80 mg/5 mL intravenous solution,230.72,138.43,0.0407,7411.0,42
NDC,67457082312,vancomycin 1.25 gram intravenous solution,125.6,75.36,0.1078,7411.0,42
NDC,67457082399,vancomycin 1.25 gram intravenous solution,125.6,75.36,15.44,7411.0,42
NDC,67457082415,vancomycin 1.5 gram intravenous solution,149.72,89.83,0.1078,7411.0,42
NDC,67457082499,vancomycin 1.5 gram intravenous solution,149.72,89.83,15.44,7411.0,42
NDC,67457085730,adenosine (diagnostic) 3 mg/mL intravenous solution,881.96,529.18,0.48,7411.0,43
NDC,67457088910,fosaprepitant 150 mg intravenous powder for solution,369.81,221.89,0.1166,7411.0,42
NDC,67546011114,nitazoxanide 500 mg tablet,290.33,174.2,49.36,7411.0,39
NDC,67618015004,povidone-iodine 10 % topical solution,3.54,2.12,0.6018,7411.0,39
NDC,67618018012,povidone-iodine 5 % topical cream,7.71,4.63,1.31,7411.0,39
NDC,67618030010,sennosides 8.6 mg tablet,0.37,0.22,0.0629,7411.0,39
NDC,67618030050,sennosides 8.6 mg tablet,0.41,0.25,0.0697,7411.0,39
NDC,67618031001,sennosides 8.6 mg-docusate sodium 50 mg tablet,1.0,0.6,0.17,7411.0,39
NDC,67618031030,sennosides 8.6 mg-docusate sodium 50 mg tablet,0.88,0.53,0.1496,7411.0,39
NDC,67618031060,sennosides 8.6 mg-docusate sodium 50 mg tablet,0.76,0.46,0.1292,7411.0,39
NDC,67684424101,gadopiclenol 5 mmol/10 mL (0.5 mmol/mL) intravenous syringe,596.25,357.75,3.54,7411.0,42
NDC,67684424102,gadopiclenol 5 mmol/10 mL (0.5 mmol/mL) intravenous syringe,596.25,357.75,101.36,7411.0,41
NDC,67850004100,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution",68.5,41.1,9.35,7411.0,80
NDC,67850004110,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution",68.5,41.1,9.35,7411.0,80
NDC,67877011601,methadone 10 mg tablet,3.21,1.93,0.5457,7411.0,39
NDC,67877012420,silver sulfADIAZINE 1 % topical cream,11.72,7.03,1.99,7411.0,39
NDC,67877019890,amLODIPine 5 mg tablet,0.04,0.02,0.0068,7411.0,39
NDC,67877021901,cephalexin 500 mg capsule,1.07,0.64,0.1819,7411.0,39
NDC,67877022001,cephalexin 250 mg capsule,0.84,0.5,0.1428,7411.0,39
NDC,67877022201,gabapentin 100 mg capsule,0.08,0.05,0.0136,7411.0,39
NDC,67877022205,gabapentin 100 mg capsule,0.07,0.04,0.0119,7411.0,39
NDC,67877022301,gabapentin 300 mg capsule,0.13,0.08,0.0221,7411.0,39
NDC,67877022305,gabapentin 300 mg capsule,0.11,0.07,0.0187,7411.0,39
NDC,67877022401,gabapentin 400 mg capsule,0.14,0.08,0.0238,7411.0,39
NDC,67877022410,gabapentin 400 mg capsule,0.1,0.06,0.017,7411.0,39
NDC,67877023022,mycophenolate mofetil 200 mg/mL oral powder for suspension,36.25,21.75,0.3421,7411.0,40
NDC,67877024201,QUEtiapine 25 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,67877025001,QUEtiapine 100 mg tablet,0.14,0.08,0.0238,7411.0,39
NDC,67877025115,triamcinolone acetonide 0.1 % topical cream,8.49,5.09,1.44,7411.0,39
NDC,67877025145,triamcinolone acetonide 0.1 % topical cream,44.49,26.69,7.56,7411.0,39
NDC,67877025930,rasagiline 0.5 mg tablet,15.94,9.56,2.71,7411.0,39
NDC,67877026601,mycophenolate mofetil 250 mg capsule,0.72,0.43,0.1224,7411.0,42
NDC,67877027690,clopidogrel 75 mg tablet,2.12,1.27,0.3604,7411.0,39
NDC,67877027901,"tacrolimus 1 mg capsule, immediate-release",1.17,0.7,0.1989,7411.0,41
NDC,67877028660,riluzole 50 mg tablet,1.33,0.8,0.2261,7411.0,39
NDC,67877029501,ibuprofen 600 mg tablet,0.18,0.11,0.0306,7411.0,39
NDC,67877031901,ibuprofen 400 mg tablet,0.14,0.08,0.0238,7411.0,39
NDC,67877032001,ibuprofen 600 mg tablet,0.18,0.11,0.0306,7411.0,39
NDC,67877032005,ibuprofen 600 mg tablet,0.18,0.11,0.0306,7411.0,39
NDC,67877032101,ibuprofen 800 mg tablet,0.33,0.2,0.0561,7411.0,39
NDC,67877041920,linezolid 600 mg tablet,6.0,3.6,1.02,7411.0,39
NDC,67877042612,"mycophenolate sodium 180 mg tablet,delayed release",0.37,0.22,0.0629,7411.0,42
NDC,67877042712,"mycophenolate sodium 360 mg tablet,delayed release",0.74,0.44,0.1258,7411.0,42
NDC,67877043103,ARIPiprazole 5 mg tablet,0.47,0.28,0.0799,7411.0,39
NDC,67877045430,itraconazole 100 mg capsule,3.83,2.3,0.6511,7411.0,39
NDC,67877048430,telmisartan 80 mg tablet,1.1,0.66,0.187,7411.0,39
NDC,67877049030,ezetimibe 10 mg tablet,0.62,0.37,0.1054,7411.0,39
NDC,67877050651,colesevelam 625 mg tablet,1.79,1.07,0.3043,7411.0,39
NDC,67877054588,cephalexin 250 mg/5 mL oral suspension,26.5,15.9,4.5,7411.0,39
NDC,67877056860,droNABinol 2.5 mg capsule,3.37,2.02,0.5729,7411.0,39
NDC,67877057301,benzonatate 100 mg capsule,0.34,0.2,0.0578,7411.0,39
NDC,67877060530,prasugrel HCl 10 mg tablet,3.3,1.98,0.561,7411.0,39
NDC,67877063602,tolvaptan 30 mg tablet,961.05,576.63,163.38,7411.0,39
NDC,67877070490,droxidopa 100 mg capsule,4.11,2.47,0.6987,7411.0,39
NDC,67877074601,sirolimus 0.5 mg tablet,11.05,6.63,1.39,7411.0,42
NDC,67877075058,vancomycin 25 mg/mL oral solution,5.52,3.31,0.9384,7411.0,39
NDC,67877075360,droNABinol 2.5 mg capsule,3.73,2.24,0.6341,7411.0,39
NDC,67919002010,alvimopan 12 mg capsule,363.68,218.21,61.83,7411.0,39
NDC,67919003001,ceftolozane-tazobactam 1.5 gram intravenous solution,718.93,431.36,8.4,7411.0,57
NDC,68084002201,NIFEdipine 10 mg capsule,2.3,1.38,0.391,7411.0,39
NDC,68084002211,NIFEdipine 10 mg capsule,2.3,1.38,0.391,7411.0,39
NDC,68084002711,warfarin 2.5 mg tablet,2.64,1.58,0.4488,7411.0,39
NDC,68084004011,miSOPROStol 100 mcg tablet,4.13,2.48,0.7021,7411.0,39
NDC,68084004511,PARoxetine 20 mg tablet,0.65,0.39,0.1105,7411.0,39
NDC,68084006911,ciprofloxacin 250 mg tablet,1.1,0.66,0.187,7411.0,39
NDC,68084007111,ciprofloxacin 750 mg tablet,1.94,1.16,0.3298,7411.0,39
NDC,68084007511,tretinoin (antineoplastic) 10 mg capsule,60.05,36.03,10.21,7411.0,39
NDC,68084007521,tretinoin (antineoplastic) 10 mg capsule,60.05,36.03,10.21,7411.0,39
NDC,68084008201,isosorbide dinitrate 10 mg tablet,1.86,1.12,0.3162,7411.0,39
NDC,68084008211,isosorbide dinitrate 10 mg tablet,1.86,1.12,0.3162,7411.0,39
NDC,68084009711,atorvastatin 10 mg tablet,0.74,0.44,0.1258,7411.0,39
NDC,68084009811,atorvastatin 20 mg tablet,0.9,0.54,0.153,7411.0,39
NDC,68084011111,"glipiZIDE ER 5 mg tablet, extended release 24 hr",1.2,0.72,0.204,7411.0,39
NDC,68084011211,"glipiZIDE ER 10 mg tablet, extended release 24 hr",1.77,1.06,0.3009,7411.0,39
NDC,68084015411,promethazine 12.5 mg tablet,0.9,0.54,0.153,7411.0,39
NDC,68084015511,promethazine 25 mg tablet,0.83,0.5,0.1411,7411.0,39
NDC,68084017401,droNABinol 2.5 mg capsule,10.3,6.18,1.75,7411.0,39
NDC,68084017411,droNABinol 2.5 mg capsule,10.3,6.18,1.75,7411.0,39
NDC,68084018411,oxyCODONE 15 mg tablet,4.91,2.95,0.8347,7411.0,39
NDC,68084020211,primidone 50 mg tablet,1.63,0.98,0.2771,7411.0,39
NDC,68084020411,minoxidil 2.5 mg tablet,1.04,0.62,0.1768,7411.0,39
NDC,68084020511,minoxidil 10 mg tablet,1.28,0.77,0.2176,7411.0,39
NDC,68084023011,sulfamethoxazole 800 mg-trimethoprim 160 mg tablet,1.03,0.62,0.1751,7411.0,39
NDC,68084024411,clindamycin HCl 300 mg capsule,2.71,1.63,0.4607,7411.0,39
NDC,68084024811,loratadine 10 mg tablet,0.58,0.35,0.0986,7411.0,39
NDC,68084025311,hydrOXYzine HCl 10 mg tablet,0.54,0.32,0.0918,7411.0,39
NDC,68084025511,hydrOXYzine HCl 50 mg tablet,0.76,0.46,0.1292,7411.0,39
NDC,68084026911,hydroxychloroquine 200 mg tablet,4.4,2.64,0.748,7411.0,39
NDC,68084027111,risperiDONE 0.5 mg tablet,0.54,0.32,0.0918,7411.0,39
NDC,68084027211,risperiDONE 1 mg tablet,0.83,0.5,0.1411,7411.0,39
NDC,68084027311,risperiDONE 2 mg tablet,0.95,0.57,0.1615,7411.0,39
NDC,68084028211,"carbidopa ER 50 mg-levodopa 200 mg tablet,extended release",1.46,0.88,0.2482,7411.0,39
NDC,68084028411,hydroxyurea 500 mg capsule,6.84,4.1,1.16,7411.0,39
NDC,68084029511,"glipiZIDE ER 2.5 mg tablet, extended release 24 hr",2.27,1.36,0.3859,7411.0,39
NDC,68084029521,"glipiZIDE ER 2.5 mg tablet, extended release 24 hr",2.27,1.36,0.3859,7411.0,39
NDC,68084029911,tamsulosin 0.4 mg capsule,2.18,1.31,0.3706,7411.0,39
NDC,68084031011,"divalproex ER 250 mg tablet,extended release 24 hr",2.94,1.76,0.4998,7411.0,39
NDC,68084031311,"divalproex 125 mg capsule,delayed release sprinkle",1.68,1.01,0.2856,7411.0,39
NDC,68084031811,lamoTRIgine 25 mg tablet,0.37,0.22,0.0629,7411.0,39
NDC,68084031911,lamoTRIgine 100 mg tablet,0.38,0.23,0.0646,7411.0,39
NDC,68084032711,glimepiride 4 mg tablet,1.53,0.92,0.2601,7411.0,39
NDC,68084034211,topiramate 25 mg tablet,0.6,0.36,0.102,7411.0,39
NDC,68084034611,losartan 25 mg tablet,1.03,0.62,0.1751,7411.0,39
NDC,68084034711,losartan 50 mg tablet,1.21,0.73,0.2057,7411.0,39
NDC,68084035411,oxyCODONE 5 mg tablet,3.91,2.35,0.6647,7411.0,39
NDC,68084035511,oxyCODONE-acetaminophen 5 mg-325 mg tablet,3.78,2.27,0.6426,7411.0,39
NDC,68084035811,rifAMPin 300 mg capsule,2.68,1.61,0.4556,7411.0,39
NDC,68084036011,"potassium chloride ER 20 mEq tablet,extended release(part/cryst)",1.38,0.83,0.2346,7411.0,39
NDC,68084036501,bethanechol chloride 10 mg tablet,2.36,1.42,0.4012,7411.0,39
NDC,68084036511,bethanechol chloride 10 mg tablet,2.36,1.42,0.4012,7411.0,39
NDC,68084037311,acetaminophen 300 mg-codeine 60 mg tablet,4.85,2.91,0.8245,7411.0,39
NDC,68084039211,enalapril maleate 20 mg tablet,1.47,0.88,0.2499,7411.0,39
NDC,68084039611,butalbital-acetaminophen-caffeine 50 mg-325 mg-40 mg tablet,3.25,1.95,0.5525,7411.0,39
NDC,68084040011,oxyBUTYnin chloride 5 mg tablet,0.91,0.55,0.1547,7411.0,39
NDC,68084042311,HYDROmorphone 2 mg tablet,3.34,2.0,0.5678,7411.0,39
NDC,68084047211,HYDROmorphone 4 mg tablet,3.43,2.06,0.5831,7411.0,39
NDC,68084048011,"oxyBUTYnin chloride ER 5 mg tablet,extended release 24 hr",5.14,3.08,0.8738,7411.0,39
NDC,68084048211,levoFLOXacin 500 mg tablet,1.65,0.99,0.2805,7411.0,39
NDC,68084049001,meclizine 12.5 mg tablet,0.99,0.59,0.1683,7411.0,39
NDC,68084049011,meclizine 12.5 mg tablet,0.99,0.59,0.1683,7411.0,39
NDC,68084049111,meclizine 25 mg tablet,1.19,0.71,0.2023,7411.0,39
NDC,68084049411,pyRIDostigmine bromide 60 mg tablet,3.77,2.26,0.6409,7411.0,39
NDC,68084052401,"potassium chloride ER 10 mEq tablet,extended release",1.09,0.65,0.1853,7411.0,39
NDC,68084052411,"potassium chloride ER 10 mEq tablet,extended release",1.09,0.65,0.1853,7411.0,39
NDC,68084052501,OLANZapine 2.5 mg tablet,0.88,0.53,0.1496,7411.0,39
NDC,68084052511,OLANZapine 2.5 mg tablet,0.88,0.53,0.1496,7411.0,39
NDC,68084054911,temazepam 7.5 mg capsule,6.02,3.61,1.02,7411.0,39
NDC,68084059025,atorvastatin 80 mg tablet,1.35,0.81,0.2295,7411.0,39
NDC,68084059095,atorvastatin 80 mg tablet,1.35,0.81,0.2295,7411.0,39
NDC,68084059801,"NIFEdipine ER 60 mg tablet,extended release 24 hr",4.95,2.97,0.8415,7411.0,39
NDC,68084059801,"NIFEdipine ER 60 mg tablet,extended release,NIFEdipine ER 60 mg tablet, extended release 24 hr",4.95,2.97,0.8415,7411.0,39
NDC,68084059811,"NIFEdipine ER 60 mg tablet,extended release 24 hr",4.95,2.97,0.8415,7411.0,39
NDC,68084059811,"NIFEdipine ER 60 mg tablet,extended release,NIFEdipine ER 60 mg tablet, extended release 24 hr",4.95,2.97,0.8415,7411.0,39
NDC,68084060211,perphenazine 4 mg tablet,3.51,2.11,0.5967,7411.0,41
NDC,68084060311,"NIFEdipine ER 90 mg tablet,extended release 24 hr",6.24,3.74,1.06,7411.0,39
NDC,68084060321,"NIFEdipine ER 90 mg tablet,extended release 24 hr",6.24,3.74,1.06,7411.0,39
NDC,68084060511,FLUoxetine 20 mg capsule,0.26,0.16,0.0442,7411.0,39
NDC,68084060611,desmopressin 0.1 mg tablet,3.8,2.28,0.646,7411.0,39
NDC,68084060621,desmopressin 0.1 mg tablet,3.8,2.28,0.646,7411.0,39
NDC,68084061711,escitalopram 10 mg tablet,0.48,0.29,0.0816,7411.0,39
NDC,68084062111,modafinil 100 mg tablet,22.0,13.2,3.74,7411.0,39
NDC,68084062121,modafinil 100 mg tablet,22.0,13.2,3.74,7411.0,39
NDC,68084064501,tiZANidine 4 mg tablet,2.27,1.36,0.3859,7411.0,39
NDC,68084064511,tiZANidine 4 mg tablet,2.27,1.36,0.3859,7411.0,39
NDC,68084065911,"metoprolol succinate ER 25 mg tablet,extended release 24 hr",1.94,1.16,0.3298,7411.0,39
NDC,68084067511,"DULoxetine 20 mg capsule,delayed release",3.53,2.12,0.6001,7411.0,39
NDC,68084067601,metoclopramide 10 mg tablet,1.2,0.72,0.204,7411.0,39
NDC,68084067611,metoclopramide 10 mg tablet,1.2,0.72,0.204,7411.0,39
NDC,68084069201,"DULoxetine 60 mg capsule,delayed release",3.2,1.92,0.544,7411.0,39
NDC,68084069211,"DULoxetine 60 mg capsule,delayed release",3.2,1.92,0.544,7411.0,39
NDC,68084076211,gabapentin 300 mg capsule,0.28,0.17,0.0476,7411.0,39
NDC,68084078301,gabapentin 100 mg capsule,0.25,0.15,0.0425,7411.0,39
NDC,68084078311,gabapentin 100 mg capsule,0.25,0.15,0.0425,7411.0,39
NDC,68084080511,methylphenidate 5 mg tablet,4.1,2.46,0.697,7411.0,39
NDC,68084080521,methylphenidate 5 mg tablet,4.1,2.46,0.697,7411.0,39
NDC,68084080811,traMADol 50 mg tablet,3.26,1.96,0.5542,7411.0,39
NDC,68084083625,doxazosin 1 mg tablet,1.69,1.01,0.2873,7411.0,39
NDC,68084083695,doxazosin 1 mg tablet,1.69,1.01,0.2873,7411.0,39
NDC,68084085301,OXcarbazepine 300 mg tablet,1.77,1.06,0.3009,7411.0,39
NDC,68084085311,OXcarbazepine 300 mg tablet,1.77,1.06,0.3009,7411.0,39
NDC,68084095625,sirolimus 0.5 mg tablet,17.25,10.35,1.39,7411.0,42
NDC,68084095695,sirolimus 0.5 mg tablet,17.25,10.35,2.93,7411.0,41
NDC,68084096425,propylthiouracil 50 mg tablet,5.6,3.36,0.952,7411.0,39
NDC,68094000159,morphine 10 mg/5 mL oral solution,5.72,3.43,0.9724,7411.0,39
NDC,68094000162,morphine 10 mg/5 mL oral solution,5.72,3.43,0.9724,7411.0,39
NDC,68094003162,methadone 5 mg/5 mL oral solution,7.02,4.21,1.19,7411.0,39
NDC,68094010120,phentolamine 5 mg injection solution,1893.1,1135.86,321.83,7411.0,41
NDC,68094011659,thiamine mononitrate (vitamin B1) 100 mg tablet,0.38,0.23,0.0646,7411.0,39
NDC,68094011661,thiamine mononitrate (vitamin B1) 100 mg tablet,0.38,0.23,0.0646,7411.0,39
NDC,68094017159,sucralfate 100 mg/mL oral suspension,18.76,11.26,3.19,7411.0,39
NDC,68094033059,acetaminophen 325 mg/10.15 mL oral suspension,1.97,1.18,0.3349,7411.0,39
NDC,68094033061,acetaminophen 325 mg/10.15 mL oral suspension,1.95,1.17,0.3315,7411.0,39
NDC,68094050359,ibuprofen 100 mg/5 mL oral suspension,2.62,1.57,0.4454,7411.0,39
NDC,68094076459,"midazolam 10 mg/5 mL (2 mg/mL) oral syrup,midazolam 2 mg/mL oral syrup",2.44,1.46,0.4148,7411.0,39
NDC,68094076459,midazolam 2 mg/mL oral syrup,2.44,1.46,0.4148,7411.0,39
NDC,68094076462,"midazolam 10 mg/5 mL (2 mg/mL) oral syrup,midazolam 2 mg/mL oral syrup",12.22,7.33,2.08,7411.0,39
NDC,68094076462,midazolam 2 mg/mL oral syrup,12.22,7.33,2.08,7411.0,39
NDC,68094086759,furosemide 40 mg/5 mL (8 mg/mL) oral solution,4.1,2.46,0.697,7411.0,39
NDC,68094086762,furosemide 40 mg/5 mL (8 mg/mL) oral solution,4.1,2.46,0.697,7411.0,39
NDC,68152010809,belinostat 500 mg intravenous solution,6052.97,3631.78,47.46,7411.0,57
NDC,68152010900,melphalan 50 mg-betadex sulfobutyl ether sodium intravenous solution,6050.0,3630.0,18.46,7411.0,57
NDC,68176000015,"multivit-mins no.56-FA 200 mcg-vit K 1,000 mcg-coQ10 10 mg chew tablet",1.0,0.6,0.17,7411.0,39
NDC,68180011316,levETIRAcetam 500 mg tablet,0.14,0.08,0.0238,7411.0,39
NDC,68180013501,escitalopram 10 mg tablet,0.37,0.22,0.0629,7411.0,39
NDC,68180015001,famotidine 40 mg/5 mL (8 mg/mL) oral suspension,60.0,36.0,10.2,7411.0,39
NDC,68180015901,ethacrynic acid 25 mg tablet,3.9,2.34,0.663,7411.0,39
NDC,68180028806,abacavir 600 mg-lamivudine 300 mg tablet,7.1,4.26,1.21,7411.0,39
NDC,68180029509,"DULoxetine 30 mg capsule,delayed release",0.6,0.36,0.102,7411.0,39
NDC,68180029606,"DULoxetine 60 mg capsule,delayed release",0.6,0.36,0.102,7411.0,39
NDC,68180029609,"DULoxetine 60 mg capsule,delayed release",0.6,0.36,0.102,7411.0,39
NDC,68180030220,cefuroxime axetil 250 mg tablet,4.18,2.51,0.7106,7411.0,39
NDC,68180030260,cefuroxime axetil 250 mg tablet,3.88,2.33,0.6596,7411.0,39
NDC,68180030320,cefuroxime axetil 500 mg tablet,7.61,4.57,1.29,7411.0,39
NDC,68180031906,"bupropion HCl XL 150 mg 24 hr tablet, extended release",0.37,0.22,0.0629,7411.0,39
NDC,68180031909,"bupropion HCl XL 150 mg 24 hr tablet, extended release",0.37,0.22,0.0629,7411.0,39
NDC,68180035109,sertraline 25 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,68180035206,sertraline 50 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,68180035209,sertraline 50 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,68180035306,sertraline 100 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,68180035309,sertraline 100 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,68180035407,"ranolazine ER 500 mg tablet,extended release,12 hr",1.33,0.8,0.2261,7411.0,39
NDC,68180036209,fenofibrate 54 mg tablet,1.27,0.76,0.2159,7411.0,39
NDC,68180037709,losartan 50 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,68180039701,celecoxib 200 mg capsule,3.99,2.39,0.6783,7411.0,39
NDC,68180040102,cefprozil 125 mg/5 mL oral suspension,47.75,28.65,8.12,7411.0,39
NDC,68180044501,QUEtiapine 25 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,68180044901,QUEtiapine 300 mg tablet,0.5,0.3,0.085,7411.0,39
NDC,68180046801,lovastatin 20 mg tablet,0.43,0.26,0.0731,7411.0,39
NDC,68180051201,lisinopril 2.5 mg tablet,0.05,0.03,0.0085,7411.0,39
NDC,68180051301,lisinopril 5 mg tablet,0.06,0.04,0.0102,7411.0,39
NDC,68180051701,lisinopril 40 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,68180056006,quiNINE 324 mg capsule,11.82,7.09,2.01,7411.0,39
NDC,68180059001,ramipril 5 mg capsule,0.69,0.41,0.1173,7411.0,39
NDC,68180061407,"QUEtiapine ER 200 mg tablet,extended release 24 hr",0.93,0.56,0.1581,7411.0,39
NDC,68180065208,doxycycline monohydrate 100 mg capsule,2.18,1.31,0.3706,7411.0,39
NDC,68180065701,doxycycline monohydrate 25 mg/5 mL oral suspension,36.98,22.19,6.29,7411.0,39
NDC,68180065806,rifAMPin 150 mg capsule,5.69,3.41,0.9673,7411.0,39
NDC,68180065907,rifAMPin 300 mg capsule,7.85,4.71,1.33,7411.0,39
NDC,68180067106,lurasidone 40 mg tablet,1.33,0.8,0.2261,7411.0,39
NDC,68180067801,oseltamivir 6 mg/mL oral suspension,60.5,36.3,10.29,7411.0,39
NDC,68180072210,cefdinir 125 mg/5 mL oral suspension,79.3,47.58,13.48,7411.0,39
NDC,68180096204,tobramycin 300 mg/5 mL in 0.225 % sodium chloride for nebulization,14.79,8.87,2.51,7411.0,42
NDC,68180096601,levothyroxine 50 mcg tablet,0.29,0.17,0.0493,7411.0,39
NDC,68180096701,levothyroxine 75 mcg tablet,0.3,0.18,0.051,7411.0,39
NDC,68180096901,levothyroxine 100 mcg tablet,0.31,0.19,0.0527,7411.0,39
NDC,68180097001,levothyroxine 112 mcg tablet,0.33,0.2,0.0561,7411.0,39
NDC,68180097009,levothyroxine 112 mcg tablet,0.33,0.2,0.0561,7411.0,39
NDC,68180097301,levothyroxine 150 mcg tablet,0.31,0.19,0.0527,7411.0,39
NDC,68180097501,levothyroxine 200 mcg tablet,0.41,0.25,0.0697,7411.0,39
NDC,68180097901,lisinopril 40 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,68180098001,lisinopril 10 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,68180098101,lisinopril 20 mg tablet,0.14,0.08,0.0238,7411.0,39
NDC,68180098103,lisinopril 20 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,68180098405,budesonide 0.5 mg/2 mL suspension for nebulization,2.0,1.2,0.34,7411.0,39
NDC,68180098430,budesonide 0.5 mg/2 mL suspension for nebulization,2.0,1.2,0.34,7411.0,39
NDC,68220011510,"hyoscyamine ER 0.375 mg tablet,extended release,12 hr",10.62,6.37,1.81,7411.0,39
NDC,68308015215,"nystatin 100,000 unit/gram topical powder",14.01,8.41,2.38,7411.0,39
NDC,68308040547,oxyCODONE-acetaminophen 5 mg-325 mg tablet,3.77,2.26,0.6409,7411.0,39
NDC,68308050547,oxyCODONE 5 mg tablet,3.86,2.32,0.6562,7411.0,39
NDC,68382000301,azaTHIOprine 50 mg tablet,0.68,0.41,0.1156,7411.0,42
NDC,68382000514,topiramate 25 mg sprinkle capsule,2.65,1.59,0.4505,7411.0,39
NDC,68382002001,venlafaxine 50 mg tablet,0.68,0.41,0.1156,7411.0,39
NDC,68382007901,haloperidol 5 mg tablet,1.25,0.75,0.2125,7411.0,39
NDC,68382009201,carvedilol 3.125 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,68382009301,carvedilol 6.25 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,68382009401,carvedilol 12.5 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,68382010601,"divalproex 125 mg capsule,delayed release sprinkle",1.13,0.68,0.1921,7411.0,39
NDC,68382011414,risperiDONE 1 mg tablet,0.27,0.16,0.0459,7411.0,39
NDC,68382013210,tamsulosin 0.4 mg capsule,1.55,0.93,0.2635,7411.0,39
NDC,68382013516,losartan 25 mg tablet,0.28,0.17,0.0476,7411.0,39
NDC,68382013616,losartan 50 mg tablet,0.38,0.23,0.0646,7411.0,39
NDC,68382013814,topiramate 25 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,68382014014,topiramate 100 mg tablet,0.23,0.14,0.0391,7411.0,39
NDC,68382018001,buspirone 5 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,68382018101,buspirone 10 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,68382018901,dipyridamole 75 mg tablet,2.41,1.45,0.4097,7411.0,39
NDC,68382024701,benzonatate 100 mg capsule,0.29,0.17,0.0493,7411.0,39
NDC,68382026012,ribavirin 200 mg capsule,3.17,1.9,0.5389,7411.0,39
NDC,68382031001,nitroglycerin 0.4 mg/hr transdermal 24 hour patch,1.63,0.98,0.2771,7411.0,39
NDC,68382031818,minocycline 100 mg capsule,1.41,0.85,0.2397,7411.0,39
NDC,68382035306,"bupropion HCl XL 150 mg 24 hr tablet, extended release",0.68,0.41,0.1156,7411.0,39
NDC,68382037001,"nystatin 100,000 unit/gram topical powder",14.01,8.41,2.38,7411.0,39
NDC,68382038306,exemestane 25 mg tablet,8.33,5.0,1.42,7411.0,39
NDC,68382059616,"dilTIAZem CD 180 mg capsule,extended release 24 hr",1.1,0.66,0.187,7411.0,39
NDC,68382059716,"dilTIAZem CD 240 mg capsule,extended release 24 hr",1.52,0.91,0.2584,7411.0,39
NDC,68382065001,"isosorbide mononitrate ER 30 mg tablet,extended release 24 hr",0.83,0.5,0.1411,7411.0,39
NDC,68382065101,"isosorbide mononitrate ER 60 mg tablet,extended release 24 hr",0.87,0.52,0.1479,7411.0,39
NDC,68382066001,spironolactone 25 mg tablet,0.25,0.15,0.0425,7411.0,39
NDC,68382066201,spironolactone 100 mg tablet,0.91,0.55,0.1547,7411.0,39
NDC,68382077501,methotrexate sodium 2.5 mg tablet,6.11,3.67,0.154,7411.0,42
NDC,68382079801,labetalol 100 mg tablet,0.4,0.24,0.068,7411.0,39
NDC,68382079901,labetalol 200 mg tablet,0.57,0.34,0.0969,7411.0,39
NDC,68382080001,labetalol 300 mg tablet,0.76,0.46,0.1292,7411.0,39
NDC,68382089706,tadalafil 5 mg tablet,1.67,1.0,0.2839,7411.0,39
NDC,68382089906,tadalafil 20 mg tablet,3.33,2.0,0.5661,7411.0,39
NDC,68382099701,arsenic trioxide 1 mg/mL intravenous solution,1755.73,1053.44,7.09,7411.0,42
NDC,68382099710,arsenic trioxide 1 mg/mL intravenous solution,1755.73,1053.44,298.47,7411.0,41
NDC,68462010230,fluconazole 100 mg tablet,2.5,1.5,0.425,7411.0,39
NDC,68462010340,fluconazole 150 mg tablet,4.7,2.82,0.799,7411.0,39
NDC,68462010430,fluconazole 200 mg tablet,3.17,1.9,0.5389,7411.0,39
NDC,68462010860,topiramate 25 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,68462012801,zonisamide 25 mg capsule,0.31,0.19,0.0527,7411.0,39
NDC,68462015740,ondansetron 4 mg disintegrating tablet,0.92,0.55,0.1564,7411.0,39
NDC,68462015840,ondansetron 8 mg disintegrating tablet,1.27,0.76,0.2159,7411.0,39
NDC,68462016201,carvedilol 3.125 mg tablet,0.12,0.07,0.0204,7411.0,39
NDC,68462016301,carvedilol 6.25 mg tablet,0.12,0.07,0.0204,7411.0,39
NDC,68462018801,naproxen 250 mg tablet,0.17,0.1,0.0289,7411.0,39
NDC,68462018805,naproxen 250 mg tablet,0.17,0.1,0.0289,7411.0,39
NDC,68462019690,pravastatin 20 mg tablet,0.51,0.31,0.0867,7411.0,39
NDC,68462025301,rOPINIRole 0.25 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,68462025401,rOPINIRole 0.5 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,68462025501,rOPINIRole 1 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,68462025601,rOPINIRole 2 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,68462026001,"verapamil ER (SR) 240 mg tablet,extended release",0.62,0.37,0.1054,7411.0,39
NDC,68462026190,rosuvastatin 5 mg tablet,0.38,0.23,0.0646,7411.0,39
NDC,68462026290,rosuvastatin 10 mg tablet,0.38,0.23,0.0646,7411.0,39
NDC,68462026830,atomoxetine 40 mg capsule,3.47,2.08,0.5899,7411.0,39
NDC,68462029201,"verapamil ER (SR) 120 mg tablet,extended release",1.2,0.72,0.204,7411.0,39
NDC,68462029301,"verapamil ER (SR) 180 mg tablet,extended release",0.65,0.39,0.1105,7411.0,39
NDC,68462030201,indomethacin 50 mg capsule,0.54,0.32,0.0918,7411.0,39
NDC,68462030450,norethindrone acetate 5 mg tablet,1.2,0.72,0.204,7411.0,39
NDC,68462031417,"nystatin-triamcinolone 100,000 unit/g-0.1 % topical cream",41.91,25.15,7.12,7411.0,39
NDC,68462033090,pramipexole 0.125 mg tablet,0.22,0.13,0.0374,7411.0,39
NDC,68462033190,pramipexole 0.25 mg tablet,0.22,0.13,0.0374,7411.0,39
NDC,68462033290,pramipexole 0.5 mg tablet,0.22,0.13,0.0374,7411.0,39
NDC,68462033390,pramipexole 1 mg tablet,0.22,0.13,0.0374,7411.0,39
NDC,68462034737,oxyCODONE 20 mg/mL oral concentrate,766.46,459.88,130.3,7411.0,39
NDC,68462038630,solifenacin 5 mg tablet,0.67,0.4,0.1139,7411.0,39
NDC,68462040560,"aspirin 25 mg-dipyridamole 200 mg capsule,ext.release 12 hr multiphase",1.61,0.97,0.2737,7411.0,39
NDC,68462040601,indomethacin 25 mg capsule,0.44,0.26,0.0748,7411.0,39
NDC,68462043518,"acamprosate 333 mg tablet,delayed release",2.2,1.32,0.374,7411.0,39
NDC,68462057330,voriconazole 200 mg tablet,15.5,9.3,2.63,7411.0,39
NDC,68462068301,sirolimus 1 mg tablet,21.83,13.1,1.39,7411.0,42
NDC,68462079201,tretinoin (antineoplastic) 10 mg capsule,63.9,38.34,10.86,7411.0,39
NDC,68516320101,"factor IX complex no.4, 3-factor 500 (+/-) unit intravenous solution",36.1,21.66,1.44,7411.0,58
NDC,68516320202,"factor IX complex no.4, 3-factor 1,000 (+/-) unit intravenous solution",36.1,21.66,1.44,7411.0,58
NDC,68516320302,"factor IX complex no.4, 3-factor 1,500 (+/-) unit intravenous solution",36.1,21.66,1.44,7411.0,58
NDC,68516320602,"factor IX complex no.4, 3-factor 1,500 (+/-) unit intravenous solution",36.88,22.13,1.44,7411.0,58
NDC,68546014256,rasagiline 0.5 mg tablet,76.24,45.74,12.96,7411.0,39
NDC,68547011110,sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution,717.5,430.5,121.97,7411.0,41
NDC,68547050102,angiotensin II 2.5 mg/mL intravenous solution,4860.0,2916.0,826.2,7411.0,39
NDC,68585000698,magnesium oxide 400 mg (241.3 mg magnesium) tablet,0.21,0.13,0.0357,7411.0,39
NDC,68585000801,zinc sulfate 50 mg zinc (220 mg) capsule,0.2,0.12,0.034,7411.0,39
NDC,68682030210,pyRIDostigmine bromide 60 mg tablet,3.04,1.82,0.5168,7411.0,39
NDC,68682099398,"dilTIAZem CD 120 mg capsule,extended release 24 hr",1.55,0.93,0.2635,7411.0,39
NDC,68727074501,DAUNOrubicin 44 mg and cytarabine 100 mg in liposome IV solution,31415.0,18849.0,240.67,23561.25,57
NDC,68727074502,DAUNOrubicin 44 mg and cytarabine 100 mg in liposome IV solution,31415.0,18849.0,5340.55,26702.75,41
NDC,68727074505,DAUNOrubicin 44 mg and cytarabine 100 mg in liposome IV solution,27125.0,16275.0,240.67,20343.75,57
NDC,68784010212,bisacodyl 10 mg rectal suppository,0.46,0.28,0.0782,7411.0,39
NDC,68817013450,PACLitaxel protein-bound 100 mg intravenous suspension,4790.18,2874.11,5.72,7411.0,57
NDC,68850001202,ethambutol 400 mg tablet,2.06,1.24,0.3502,7411.0,39
NDC,68982018201,antihemophilic factor-vWF 500 (500 vWF) unit/5 mL intravenous solution,38.02,22.81,1.25,7411.0,57
NDC,68982018202,"antihemophilic factor-vWF 1,000(vWF 1,000) unit/10 mL intravenous soln",38.02,22.81,1.25,7411.0,57
NDC,68982062303,"albumin, human 5 % intravenous solution",336.63,201.98,50.43,7411.0,58
NDC,68982064302,"albumin, human 25 % intravenous solution",541.6,324.96,50.43,7411.0,58
NDC,68992301003,"tacrolimus XR 1 mg tablet,extended release 24 hr",13.67,8.2,2.05,7411.0,42
NDC,68992304003,"tacrolimus XR 4 mg tablet,extended release 24 hr",54.66,32.8,2.05,7411.0,42
NDC,68992307503,"tacrolimus XR 0.75 mg tablet,extended release 24 hr",10.25,6.15,1.74,7411.0,42
NDC,69076047501,glycopyrrolate 1 mg tablet,1.87,1.12,0.3179,7411.0,39
NDC,69097012403,topiramate 100 mg tablet,0.23,0.14,0.0391,7411.0,39
NDC,69097012705,amLODIPine 5 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,69097012805,amLODIPine 10 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,69097015807,meloxicam 7.5 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,69097015907,meloxicam 15 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,69097017348,ipratropium 0.5 mg-albuterol 3 mg (2.5 mg base)/3 mL nebulization soln,1.6,0.96,0.272,7411.0,39
NDC,69097017353,ipratropium 0.5 mg-albuterol 3 mg (2.5 mg base)/3 mL nebulization soln,1.6,0.96,0.272,7411.0,39
NDC,69097030102,efavirenz 600 mg tablet,5.83,3.5,0.9911,7411.0,39
NDC,69097036202,abacavir 600 mg-lamivudine 300 mg tablet,7.17,4.3,1.22,7411.0,39
NDC,69097041002,cinacalcet 30 mg tablet,1.0,0.6,0.17,7411.0,39
NDC,69097042107,celecoxib 200 mg capsule,0.6,0.36,0.102,7411.0,39
NDC,69097042207,celecoxib 100 mg capsule,0.3,0.18,0.051,7411.0,39
NDC,69097044602,atazanavir 300 mg capsule,12.38,7.43,2.1,7411.0,39
NDC,69097052934,esomeprazole magnesium DR 40 mg granules delayed release for susp,15.61,9.37,2.65,7411.0,39
NDC,69097064202,emtricitabine 200 mg capsule,31.4,18.84,5.34,7411.0,39
NDC,69097070996,phytonadione (vitamin K1) 1 mg/0.5 mL injection solution,36.0,21.6,3.47,7411.0,42
NDC,69097072044,diclofenac 1 % topical gel,30.0,18.0,5.1,7411.0,39
NDC,69097081307,gabapentin 100 mg capsule,0.08,0.05,0.0136,7411.0,39
NDC,69097082103,gemfibrozil 600 mg tablet,0.35,0.21,0.0595,7411.0,39
NDC,69097082502,raloxifene 60 mg tablet,0.83,0.5,0.1411,7411.0,39
NDC,69097083402,sertraline 50 mg tablet,0.16,0.1,0.0272,7411.0,39
NDC,69097084034,ipratropium 0.5 mg-albuterol 3 mg (2.5 mg base)/3 mL nebulization soln,2.3,1.38,0.391,7411.0,39
NDC,69097084053,ipratropium 0.5 mg-albuterol 3 mg (2.5 mg base)/3 mL nebulization soln,2.3,1.38,0.391,7411.0,39
NDC,69097084064,ipratropium 0.5 mg-albuterol 3 mg (2.5 mg base)/3 mL nebulization soln,1.6,0.96,0.272,7411.0,39
NDC,69097084087,ipratropium 0.5 mg-albuterol 3 mg (2.5 mg base)/3 mL nebulization soln,1.6,0.96,0.272,7411.0,39
NDC,69097084607,cyclobenzaprine 10 mg tablet,1.09,0.65,0.1853,7411.0,39
NDC,69097085902,terbinafine HCl 250 mg tablet,1.0,0.6,0.17,7411.0,39
NDC,69097086107,zonisamide 100 mg capsule,0.74,0.44,0.1258,7411.0,39
NDC,69097091591,flutamide 125 mg capsule,8.1,4.86,1.38,7411.0,39
NDC,69097093457,lanthanum 500 mg chewable tablet,11.11,6.67,1.89,7411.0,39
NDC,69097093498,lanthanum 500 mg chewable tablet,11.11,6.67,1.89,7411.0,39
NDC,69097095605,pregabalin 75 mg capsule,0.15,0.09,0.0255,7411.0,39
NDC,69097095805,pregabalin 150 mg capsule,0.17,0.1,0.0289,7411.0,39
NDC,69097099902,phytonadione (vitamin K1) 5 mg tablet,45.01,27.01,7.65,7411.0,39
NDC,69230030401,cetirizine 10 mg tablet,0.23,0.14,0.0391,7411.0,39
NDC,69238112409,nadolol 40 mg tablet,0.71,0.43,0.1207,7411.0,39
NDC,69238115403,ezetimibe 10 mg tablet,0.6,0.36,0.102,7411.0,39
NDC,69238131009,pregabalin 25 mg capsule,0.18,0.11,0.0306,7411.0,39
NDC,69238131109,pregabalin 50 mg capsule,0.18,0.11,0.0306,7411.0,39
NDC,69238131209,pregabalin 75 mg capsule,0.19,0.11,0.0323,7411.0,39
NDC,69238131309,pregabalin 100 mg capsule,0.2,0.12,0.034,7411.0,39
NDC,69238131409,pregabalin 150 mg capsule,0.21,0.13,0.0357,7411.0,39
NDC,69238131509,pregabalin 200 mg capsule,0.22,0.13,0.0374,7411.0,39
NDC,69238134903,tadalafil 20 mg tablet,1.8,1.08,0.306,7411.0,39
NDC,69238147101,"erythromycin 250 mg tablet,delayed release",13.92,8.35,2.37,7411.0,39
NDC,69238147103,"erythromycin 250 mg tablet,delayed release",13.92,8.35,2.37,7411.0,39
NDC,69238148901,bumetanide 0.5 mg tablet,0.68,0.41,0.1156,7411.0,39
NDC,69238149001,bumetanide 1 mg tablet,0.68,0.41,0.1156,7411.0,39
NDC,69238149101,bumetanide 2 mg tablet,1.36,0.82,0.2312,7411.0,39
NDC,69238152201,tetracycline 250 mg capsule,2.97,1.78,0.5049,7411.0,39
NDC,69238154001,ursodiol 300 mg capsule,2.1,1.26,0.357,7411.0,39
NDC,69238159403,sirolimus 1 mg/mL oral solution,58.33,35.0,1.39,7411.0,42
NDC,69238159406,sirolimus 1 mg/mL oral solution,58.33,35.0,9.92,7411.0,41
NDC,69238163703,aminocaproic acid 500 mg tablet,23.67,14.2,4.02,7411.0,39
NDC,69238183601,levothyroxine 125 mcg tablet,0.67,0.4,0.1139,7411.0,39
NDC,69238183801,levothyroxine 150 mcg tablet,0.69,0.41,0.1173,7411.0,39
NDC,69238202708,spironolactone 25 mg/5 mL oral suspension,788.24,472.94,134.0,7411.0,39
NDC,69238207701,propranolol 10 mg tablet,0.32,0.19,0.0544,7411.0,39
NDC,69238207801,propranolol 20 mg tablet,0.4,0.24,0.068,7411.0,39
NDC,69238207901,propranolol 40 mg tablet,0.51,0.31,0.0867,7411.0,39
NDC,69292053201,propranolol 20 mg tablet,0.41,0.25,0.0697,7411.0,39
NDC,69292072225,flurbiprofen 0.03 % eye drops,72.0,43.2,12.24,7411.0,39
NDC,69315011601,furosemide 20 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,69315012701,folic acid 1 mg tablet,0.38,0.23,0.0646,7411.0,39
NDC,69315012710,folic acid 1 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,69315013701,benztropine 1 mg tablet,0.32,0.19,0.0544,7411.0,39
NDC,69315030805,ciprofloxacin 0.3 % eye drops,28.0,16.8,4.76,7411.0,39
NDC,69315031228,hydrocortisone 2.5 % topical cream with perineal applicator,140.0,84.0,23.8,7411.0,39
NDC,69315050447,"nystatin 100,000 unit/mL oral suspension",63.88,38.33,10.86,7411.0,39
NDC,69315070150,ethacrynate sodium 50 mg intravenous solution,5712.0,3427.2,971.04,7411.0,39
NDC,69315090401,LORazepam 0.5 mg tablet,0.15,0.09,0.0255,7411.0,39
NDC,69315090501,LORazepam 1 mg tablet,0.17,0.1,0.0289,7411.0,39
NDC,69315090601,LORazepam 2 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,69315091001,diphenoxylate-atropine 2.5 mg-0.025 mg tablet,0.93,0.56,0.1581,7411.0,39
NDC,69339013603,diazePAM 5 mg/mL injection syringe,147.68,88.61,9.36,7411.0,42
NDC,69339014905,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral syrup,4.16,2.5,0.7072,7411.0,39
NDC,69339014905,"dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral syrup,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral liquid",4.16,2.5,0.7072,7411.0,39
NDC,69339014919,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral syrup,4.16,2.5,0.7072,7411.0,39
NDC,69339014919,"dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral syrup,dextromethorphan-guaifenesin 10 mg-100 mg/5 mL oral liquid",4.16,2.5,0.7072,7411.0,39
NDC,69367022409,folic acid-vit B6-vit B12 2.5 mg-25 mg-2 mg tablet,0.24,0.14,0.0408,7411.0,39
NDC,69367025501,methocarbamol 500 mg tablet,1.15,0.69,0.1955,7411.0,39
NDC,69367027102,magnesium oxide 400 mg (241.3 mg magnesium) tablet,0.05,0.03,0.0085,7411.0,39
NDC,69367030201,celecoxib 200 mg capsule,0.6,0.36,0.102,7411.0,39
NDC,69367032316,acetaminophen 160 mg/5 mL oral liquid,23.65,14.19,4.02,7411.0,39
NDC,69374033005,albuterol sulfate concentrate 5 mg/mL(0.5 %) solution for nebulization,25.0,15.0,4.25,7411.0,39
NDC,69374098410,cardioplegic solution no.25 29 mmol/L (potassium) for perfusion,363.0,217.8,61.71,7411.0,39
NDC,69452015020,valproic acid 250 mg capsule,0.7,0.42,0.119,7411.0,39
NDC,69452020820,calcitriol 0.5 mcg capsule,0.85,0.51,0.1445,7411.0,39
NDC,69452027120,loperamide 2 mg capsule,0.62,0.37,0.1054,7411.0,39
NDC,69452031120,dicyclomine 20 mg tablet,1.32,0.79,0.2244,7411.0,42
NDC,69488000140,kit for the preparation of Ga-68-dotatate 40 mcg intravenous soln,10500.0,6300.0,47.15,7875.0,54
NDC,69543029010,albuterol sulfate 2 mg tablet,2.98,1.79,0.5066,7411.0,39
NDC,69543037410,progesterone micronized 100 mg capsule,1.2,0.72,0.204,7411.0,39
NDC,69543037901,potassium chloride 20 mEq oral packet,9.2,5.52,1.56,7411.0,39
NDC,69543038130,OLANZapine 5 mg tablet,0.33,0.2,0.0561,7411.0,39
NDC,69584011110,carisoprodol 350 mg tablet,1.14,0.68,0.1938,7411.0,39
NDC,69616027230,perampanel 2 mg tablet,41.4,24.84,7.04,7411.0,39
NDC,69616027430,perampanel 4 mg tablet,81.8,49.08,13.91,7411.0,39
NDC,69618000858,multivit and minerals-ferrous gluconate 9 mg iron/15 mL oral liquid,0.57,0.34,0.0969,7411.0,39
NDC,69618002903,bismuth subsalicylate 262 mg chewable tablet,0.13,0.08,0.0221,7411.0,39
NDC,69618004602,"aspirin 81 mg tablet,delayed release",0.02,0.01,0.0034,7411.0,39
NDC,69784026124,fluconazole 100 mg/50 mL in sodium chloride(iso) intravenous piggyback,35.0,21.0,4.26,7411.0,42
NDC,69784084005,selenium 40 mcg/mL intravenous solution,327.0,196.2,55.59,7411.0,39
NDC,69918010101,desmopressin 0.1 mg tablet,2.1,1.26,0.357,7411.0,39
NDC,69918030130,tranexamic acid 650 mg tablet,10.69,6.41,1.82,7411.0,39
NDC,69918050105,desmopressin 10 mcg/spray (0.1 mL) nasal spray (non-refrigerated),394.0,236.4,66.98,7411.0,39
NDC,69918090110,desmopressin 4 mcg/mL injection solution,1785.6,1071.36,303.55,7411.0,41
NDC,69932000101,fluciclovine F18 10 mCi (370 MBq) intravenous solution,13218.0,7930.8,306.16,9913.5,54
NDC,70000000501,doxylamine succinate 25 mg tablet,0.38,0.23,0.0646,7411.0,39
NDC,70000002001,ethyl alcohol 70 % topical solution,4.73,2.84,0.8041,7411.0,39
NDC,70000002102,magnesium sulfate (laxative) 495 mg/5 gram oral granules,32.58,19.55,5.54,7411.0,39
NDC,70000003401,calcium 200 mg (as calcium carbonate 500 mg) chewable tablet,0.07,0.04,0.0119,7411.0,39
NDC,70000004402,bismuth subsalicylate 262 mg/15 mL oral suspension,1.2,0.72,0.204,7411.0,39
NDC,70000005101,"simethicone 40 mg/0.6 mL oral drops,suspension",6.6,3.96,1.12,7411.0,39
NDC,70000012401,ketotifen 0.025 % (0.035 %) eye drops,22.58,13.55,3.84,7411.0,39
NDC,70000017803,"aspirin 81 mg tablet,delayed release",0.09,0.05,0.0153,7411.0,39
NDC,70000021501,cetirizine 1 mg/mL oral solution,17.94,10.76,3.05,7411.0,39
NDC,70000022101,"bisacodyl 5 mg tablet,delayed release",0.7,0.42,0.119,7411.0,39
NDC,70000022102,"bisacodyl 5 mg tablet,delayed release",0.5,0.3,0.085,7411.0,39
NDC,70000022103,"bisacodyl 5 mg tablet,delayed release",0.15,0.09,0.0255,7411.0,39
NDC,70000037305,acetaminophen 500 mg tablet,0.06,0.04,0.0102,7411.0,39
NDC,70000040901,caffeine 200 mg tablet,0.39,0.23,0.0663,7411.0,39
NDC,70000041501,polyethylene glycol 3350 17 gram/dose oral powder,13.8,8.28,2.35,7411.0,39
NDC,70000041502,polyethylene glycol 3350 17 gram/dose oral powder,19.99,11.99,3.4,7411.0,39
NDC,70000041701,loperamide 1 mg/7.5 mL oral liquid,0.63,0.38,0.1071,7411.0,39
NDC,70000041801,loperamide 1 mg/7.5 mL oral liquid,0.71,0.43,0.1207,7411.0,39
NDC,70000042301,"simethicone 40 mg/0.6 mL oral drops,suspension",13.98,8.39,2.38,7411.0,39
NDC,70000044702,sennosides 8.6 mg tablet,0.34,0.2,0.0578,7411.0,39
NDC,70000044703,sennosides 8.6 mg tablet,0.4,0.24,0.068,7411.0,39
NDC,70000044801,"mineral oil oral,mineral oil topical",5.68,3.41,0.9656,7411.0,39
NDC,70000045102,bisacodyl 10 mg rectal suppository,1.87,1.12,0.3179,7411.0,39
NDC,70000048703,white petrolatum topical jelly,5.09,3.05,0.8653,7411.0,39
NDC,70000049001,carbamide peroxide 6.5 % ear drops,12.78,7.67,2.17,7411.0,39
NDC,70000050301,famotidine 20 mg tablet,0.5,0.3,0.085,7411.0,39
NDC,70000052001,sennosides 8.6 mg-docusate sodium 50 mg tablet,0.6,0.36,0.102,7411.0,39
NDC,70000052601,sennosides 8.6 mg-docusate sodium 50 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,70000052901,simethicone 125 mg capsule,0.41,0.25,0.0697,7411.0,39
NDC,70000054701,bacitracin zinc 500 unit/gram topical ointment,11.59,6.95,1.97,7411.0,39
NDC,70000054901,capsaicin 0.1 % topical cream,22.95,13.77,3.9,7411.0,39
NDC,70000055502,diclofenac 1 % topical gel,33.0,19.8,5.61,7411.0,39
NDC,70000056701,doxylamine succinate 25 mg tablet,0.38,0.23,0.0646,7411.0,39
NDC,70000057302,bisacodyl 10 mg rectal suppository,0.76,0.46,0.1292,7411.0,39
NDC,70000068801,carbamide peroxide 6.5 % ear drops,4.68,2.81,0.7956,7411.0,39
NDC,70000069801,bismuth subsalicylate 262 mg/15 mL oral suspension,1.32,0.79,0.2244,7411.0,39
NDC,70003030065,nitroglycerin 400 mcg/spray translingual,374.12,224.47,63.6,7411.0,39
NDC,70010002803,ramelteon 8 mg tablet,2.83,1.7,0.4811,7411.0,39
NDC,70010003401,"dextroamphetamine-amphetamine ER 30 mg 24hr capsule,extend release",1.2,0.72,0.204,7411.0,39
NDC,70010006301,metFORMIN 500 mg tablet,0.05,0.03,0.0085,7411.0,39
NDC,70010006401,metFORMIN 850 mg tablet,0.07,0.04,0.0119,7411.0,39
NDC,70010013701,naproxen 250 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,70010066801,oxyCODONE-acetaminophen 5 mg-325 mg tablet,3.36,2.02,0.5712,7411.0,39
NDC,70010075401,methocarbamol 500 mg tablet,1.1,0.66,0.187,7411.0,39
NDC,70010077001,methocarbamol 750 mg tablet,1.13,0.68,0.1921,7411.0,39
NDC,70020191001,ixabepilone 15 mg intravenous solution,5975.18,3585.11,124.09,7411.0,57
NDC,70020191002,ixabepilone 15 mg intravenous solution,5975.18,3585.11,1015.78,7411.0,41
NDC,70020191101,ixabepilone 45 mg intravenous solution,17825.54,10695.32,124.09,13369.16,57
NDC,70069001101,glycopyrrolate 0.2 mg/mL injection solution,20.08,12.05,0.4015,7411.0,42
NDC,70069001125,glycopyrrolate 0.2 mg/mL injection solution,20.08,12.05,3.41,7411.0,41
NDC,70069014101,cisatracurium 2 mg/mL intravenous solution,43.6,26.16,7.41,7411.0,39
NDC,70069014110,cisatracurium 2 mg/mL intravenous solution,43.6,26.16,7.41,7411.0,39
NDC,70069081001,valGANciclovir 50 mg/mL oral solution,1590.48,954.29,270.38,7411.0,39
NDC,70092101243,niCARdipine 2.5 mg/mL intravenous syringe,18.44,11.06,0.0726,7411.0,42
NDC,70092109337,fentaNYL (PF) 10 mcg/mL in 0.9 % sodium chloride intravenous,204.0,122.4,1.28,7411.0,42
NDC,70092128674,"HYDROmorphone 0.2 mg/mL in 0.9 % sodium chloride intravenous,HYDROmorphone 10 mg/50 mL (0.2 mg/mL) in 0.9 % NaCl IV PCA syringe,HYDROMORPHONE(PF) 10 MG/50 ML (0.2 MG/ML)-0.9 % NACL IV PUMP RESERVOIR",268.8,161.28,0.1111,7411.0,42
NDC,70092143350,ropiv 2.46-epi 0.005-clonid 0.0008-ketorol 0.3 mg/mL periarticulr syrg,138.83,83.3,23.6,7411.0,39
NDC,70092152174,morphine (PF) 50 mg/50 mL(1 mg/mL) in 0.9% NaCl IV pump reservoir,261.38,156.83,4.89,7411.0,42
NDC,70092152174,"morphine 50 mg/50 mL (1 mg/mL) in 0.9 % sodium chloride IV PCA syringe,morphine 30 mg/30 mL (1 mg/mL) intravenous PCA syringe,morphine (PF) 30 mg/30 mL PCA intravenous solution,morphine (PF) 55 mg/55 ",261.38,156.83,4.89,7411.0,42
NDC,70092161144,lidocaine 4 %-racepinephrine 0.05 %-tetracaine 0.5 % topical gel,15.69,9.41,2.67,7411.0,39
NDC,70092928674,"HYDROmorphone 0.2 mg/mL in 0.9 % sodium chloride intravenous,HYDROmorphone 10 mg/50 mL (0.2 mg/mL) in 0.9 % NaCl IV PCA syringe,HYDROMORPHONE(PF) 10 MG/50 ML (0.2 MG/ML)-0.9 % NACL IV PUMP RESERVOIR",238.5,143.1,0.1111,7411.0,42
NDC,70114010101,pegfilgrastim-cbqv 6 mg/0.6 mL subcutaneous syringe,12553.0,7531.8,129.1,9414.75,57
NDC,70121145301,meropenem 1 gram intravenous solution,71.0,42.6,0.4081,7411.0,43
NDC,70121145307,meropenem 1 gram intravenous solution,71.0,42.6,12.07,7411.0,41
NDC,70121157301,methylPREDNISolone acetate 40 mg/mL suspension for injection,57.84,34.7,0.1232,7411.0,42
NDC,70121157305,methylPREDNISolone acetate 40 mg/mL suspension for injection,57.81,34.69,0.1232,7411.0,42
NDC,70121157705,phenylephrine 10 mg/mL injection solution,27.41,16.45,0.0022,7411.0,42
NDC,70121157801,phenylephrine 10 mg/mL injection solution,136.51,81.91,0.0022,7411.0,42
NDC,70121157807,phenylephrine 10 mg/mL injection solution,136.51,81.91,23.21,7411.0,41
NDC,70121157901,phenylephrine 10 mg/mL injection solution,263.5,158.1,0.0022,7411.0,42
NDC,70121158001,prochlorperazine edisylate 10 mg/2 mL (5 mg/mL) injection solution,22.5,13.5,3.67,7411.0,42
NDC,70121158005,prochlorperazine edisylate 10 mg/2 mL (5 mg/mL) injection solution,22.5,13.5,3.83,7411.0,41
NDC,70121163701,ePHEDrine sulfate 50 mg/mL intravenous solution,178.24,106.94,30.3,7411.0,39
NDC,70121163705,ePHEDrine sulfate 50 mg/mL intravenous solution,178.24,106.94,30.3,7411.0,39
NDC,70121163707,ePHEDrine sulfate 50 mg/mL intravenous solution,287.74,172.64,48.92,7411.0,39
NDC,70121171701,"esmolol 2,000 mg/100 mL (20 mg/mL) in sodium chloride (iso-osmotic) IV",540.0,324.0,0.2596,7411.0,42
NDC,70121171707,"esmolol 2,000 mg/100 mL (20 mg/mL) in sodium chloride (iso-osmotic) IV",540.0,324.0,91.8,7411.0,41
NDC,70121175401,bevacizumab-maly 25 mg/mL intravenous solution,1127.9,676.74,49.01,7411.0,57
NDC,70121175407,bevacizumab-maly 25 mg/mL intravenous solution,1127.9,676.74,191.74,7411.0,41
NDC,70127010006,cannabidiol 100 mg/mL oral solution,2943.0,1765.8,500.31,7411.0,39
NDC,70127010060,cannabidiol 100 mg/mL oral solution,2943.0,1765.8,500.31,7411.0,39
NDC,70257056001,baclofen 500 mcg/mL intrathecal solution,1067.35,640.41,81.77,7411.0,58
NDC,70257056102,"baclofen 2,000 mcg/mL intrathecal solution",4257.13,2554.28,81.77,7411.0,58
NDC,70257056211,baclofen 50 mcg/mL intrathecal solution,201.82,121.09,30.46,7411.0,43
NDC,70257056255,baclofen 50 mcg/mL intrathecal solution,201.82,121.09,34.31,7411.0,41
NDC,70257056302,"baclofen 2,000 mcg/mL intrathecal solution",2839.42,1703.65,81.77,7411.0,58
NDC,70377000712,rosuvastatin 10 mg tablet,0.22,0.13,0.0374,7411.0,39
NDC,70377001511,"tacrolimus 1 mg capsule, immediate-release",1.0,0.6,0.17,7411.0,43
NDC,70377006012,labetalol 100 mg tablet,0.4,0.24,0.068,7411.0,39
NDC,70377006112,labetalol 200 mg tablet,0.57,0.34,0.0969,7411.0,39
NDC,70436000406,galantamine 4 mg tablet,2.31,1.39,0.3927,7411.0,39
NDC,70436000704,cinacalcet 30 mg tablet,1.0,0.6,0.17,7411.0,39
NDC,70436002082,vancomycin 500 mg intravenous solution,23.0,13.8,3.91,7411.0,41
NDC,70436005006,cilostazol 50 mg tablet,2.57,1.54,0.4369,7411.0,39
NDC,70436005106,cilostazol 100 mg tablet,2.66,1.6,0.4522,7411.0,39
NDC,70436005801,"bupropion HCl SR 100 mg tablet,12 hr sustained-release",0.45,0.27,0.0765,7411.0,39
NDC,70436005901,"bupropion HCl SR 150 mg tablet,12 hr sustained-release",0.51,0.31,0.0867,7411.0,39
NDC,70436017323,"mycophenolate sodium 360 mg tablet,delayed release",0.73,0.44,0.1241,7411.0,41
NDC,70436020201,"metoprolol succinate ER 25 mg tablet,extended release 24 hr",0.14,0.08,0.0238,7411.0,39
NDC,70436023252,amiodarone 50 mg/mL intravenous solution,18.0,10.8,0.4279,7411.0,43
NDC,70436023272,amiodarone 50 mg/mL intravenous solution,18.0,10.8,3.06,7411.0,41
NDC,70461002503,flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe,135.0,81.0,22.95,7411.0,42
NDC,70461002504,flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe,135.0,81.0,22.95,7411.0,41
NDC,70515026210,digoxin 100 mcg/mL (0.1 mg/mL) injection solution,619.79,371.87,11.41,7411.0,42
NDC,70594004601,"vancomycin 1,000 mg intravenous injection",23.0,13.8,0.1782,7411.0,42
NDC,70594004602,"vancomycin 1,000 mg intravenous injection",23.0,13.8,3.91,7411.0,41
NDC,70594008901,cefepime 1 gram solution for injection,39.5,23.7,1.39,7411.0,42
NDC,70594008902,cefepime 1 gram solution for injection,39.5,23.7,6.71,7411.0,41
NDC,70594012201,vancomycin 500 mg intravenous solution,23.0,13.8,0.1782,7411.0,42
NDC,70594012202,vancomycin 500 mg intravenous solution,23.0,13.8,3.91,7411.0,41
NDC,70700018822,fluorouracil 2.5 gram/50 mL intravenous solution,228.2,136.92,2.26,7411.0,42
NDC,70710115903,"mirabegron ER 25 mg tablet,extended release 24 hr",26.51,15.91,4.51,7411.0,39
NDC,70710120901,allopurinol 100 mg tablet,0.22,0.13,0.0374,7411.0,39
NDC,70710121001,allopurinol 300 mg tablet,0.42,0.25,0.0714,7411.0,39
NDC,70710134403,ramelteon 8 mg tablet,3.85,2.31,0.6545,7411.0,39
NDC,70710135103,colchicine 0.6 mg tablet,1.83,1.1,0.3111,7411.0,39
NDC,70710145802,azithromycin 200 mg/5 mL oral suspension,28.73,17.24,4.88,7411.0,39
NDC,70720095036,goserelin 3.6 mg subcutaneous implant,2978.46,1787.08,506.34,7411.0,42
NDC,70720095130,goserelin 10.8 mg subcutaneous implant,8350.89,5010.53,1089.41,7411.0,42
NDC,70748025807,"posaconazole 100 mg tablet,delayed release",15.5,9.3,2.63,7411.0,39
NDC,70752013912,promethazine 6.25 mg-codeine 10 mg/5 mL syrup,0.43,0.26,0.0731,7411.0,39
NDC,70756004911,midodrine 5 mg tablet,1.3,0.78,0.221,7411.0,39
NDC,70756020211,amitriptyline 25 mg tablet,0.17,0.1,0.0289,7411.0,39
NDC,70756020511,amitriptyline 100 mg tablet,0.6,0.36,0.102,7411.0,39
NDC,70756021490,fenofibrate 54 mg tablet,0.43,0.26,0.0731,7411.0,39
NDC,70756060525,verapamil 2.5 mg/mL intravenous solution,60.0,36.0,10.2,7411.0,39
NDC,70756060582,verapamil 2.5 mg/mL intravenous solution,60.0,36.0,10.2,7411.0,39
NDC,70756061125,ePHEDrine sulfate 50 mg/mL intravenous solution,70.85,42.51,12.04,7411.0,39
NDC,70756061182,ePHEDrine sulfate 50 mg/mL intravenous solution,70.85,42.51,12.04,7411.0,39
NDC,70756061681,haloperidol decanoate 100 mg/mL intramuscular solution,40.5,24.3,6.68,7411.0,42
NDC,70756070360,"ranolazine ER 500 mg tablet,extended release,12 hr",0.58,0.35,0.0986,7411.0,39
NDC,70842012001,meropenem-vaborbactam 2 gram intravenous solution,977.0,586.2,2.06,7411.0,57
NDC,70842012006,meropenem-vaborbactam 2 gram intravenous solution,977.0,586.2,166.09,7411.0,41
NDC,70842016001,minocycline 100 mg intravenous solution,1080.5,648.3,2.53,7411.0,57
NDC,70860010520,"vancomycin 1,000 mg intravenous injection",50.0,30.0,0.033,7411.0,42
NDC,70860012241,piperacillin-tazobactam 4.5 gram intravenous solution,70.78,42.47,1.19,7411.0,42
NDC,70860012250,piperacillin-tazobactam 4.5 gram intravenous solution,70.78,42.47,12.03,7411.0,41
NDC,70860021051,zoledronic acid 4 mg/100 mL in mannitol 5 %-water intravenous piggybck,285.0,171.0,8.49,7411.0,43
NDC,70860030005,metoprolol tartrate 5 mg/5 mL intravenous solution,14.8,8.88,0.1375,7411.0,42
NDC,70860030110,dilTIAZem 5 mg/mL intravenous solution,2.34,1.4,0.3978,7411.0,39
NDC,70860030142,dilTIAZem 5 mg/mL intravenous solution,2.34,1.4,0.3978,7411.0,39
NDC,70860030204,furosemide 10 mg/mL injection solution,21.6,12.96,0.0187,7411.0,42
NDC,70860030242,furosemide 10 mg/mL injection solution,21.6,12.96,3.67,7411.0,41
NDC,70860040504,bumetanide 0.25 mg/mL injection solution,28.44,17.06,4.83,7411.0,41
NDC,70860040541,bumetanide 0.25 mg/mL injection solution,28.44,17.06,4.83,7411.0,41
NDC,70860040610,bumetanide 0.25 mg/mL injection solution,31.92,19.15,5.43,7411.0,41
NDC,70860040641,bumetanide 0.25 mg/mL injection solution,31.92,19.15,5.43,7411.0,41
NDC,70860050241,magnesium sulfate 4 gram/50 mL (8 %) in water intravenous piggyback,32.4,19.44,0.4741,7411.0,42
NDC,70860050281,magnesium sulfate 4 gram/50 mL (8 %) in water intravenous piggyback,32.4,19.44,5.51,7411.0,41
NDC,70860077802,prochlorperazine edisylate 10 mg/2 mL (5 mg/mL) injection solution,38.1,22.86,3.67,7411.0,42
NDC,70860077841,prochlorperazine edisylate 10 mg/2 mL (5 mg/mL) injection solution,38.1,22.86,6.48,7411.0,41
NDC,70860078210,fosaprepitant 150 mg intravenous powder for solution,237.0,142.2,0.1166,7411.0,42
NDC,70954001610,thiothixene 5 mg capsule,3.81,2.29,0.6477,7411.0,39
NDC,70954006010,predniSONE 20 mg tablet,0.17,0.1,0.0044,7411.0,42
NDC,70954013510,dapsone 25 mg tablet,2.47,1.48,0.4199,7411.0,39
NDC,70954013520,dapsone 25 mg tablet,2.26,1.36,0.3842,7411.0,39
NDC,70954021210,trihexyphenidyl 2 mg tablet,0.3,0.18,0.051,7411.0,39
NDC,70954025220,fludrocortisone 0.1 mg tablet,1.12,0.67,0.1904,7411.0,39
NDC,70954044320,miSOPROStol 100 mcg tablet,1.33,0.8,0.2261,7411.0,39
NDC,70954044410,miSOPROStol 200 mcg tablet,1.93,1.16,0.3281,7411.0,39
NDC,70954044420,miSOPROStol 200 mcg tablet,1.93,1.16,0.3281,7411.0,39
NDC,70954048430,pyrazinamide 500 mg tablet,9.36,5.62,1.59,7411.0,39
NDC,70954048810,lacosamide 10 mg/mL oral solution,178.4,107.04,30.33,7411.0,39
NDC,70954056510,estradiol 1 mg tablet,0.17,0.1,0.0289,7411.0,39
NDC,71019009102,famotidine 20 mg/10 mL in 0.9 % sodium chloride intravenous syringe,10.5,6.3,0.0099,7411.0,42
NDC,71019019301,magnesium sulfate 4 gram/50 mL in dextrose 5 % intravenous piggyback,30.150000000000002,18.09,0.4741,7411.0,84
NDC,71019025502,oxytocin 40 unit/1000 mL in 0.9 % sodium chloride intravenous,84.0,50.4,14.28,7411.0,41
NDC,71019028803,phenylephrine 0.8 mg/10 mL (80 mcg/mL) in 0.9 %sod.chloride IV syringe,32.56,19.54,0.0022,7411.0,42
NDC,71083002001,kit for preparation Tc-99m-succimer 1 mg intravenous solution,4950.0,2970.0,626.93,7411.0,54
NDC,71083002005,kit for preparation Tc-99m-succimer 1 mg intravenous solution,4950.0,2970.0,841.5,7411.0,39
NDC,71285011101,cardioplegic soln #17(induct 4:1) 50 mEq/500 mL (potassium) perfusion,426.0,255.6,72.42,7411.0,39
NDC,71285011201,cardioplegic solution no.19 (maint 4:1) 40mEq/L (potassium) perfusion,597.0,358.2,101.49,7411.0,39
NDC,71285040701,amino acid 3.5 % pedi-D10W-calc gluc 3.75 mEq/250 mL intravenous soln,265.13,159.08,45.07,7411.0,40
NDC,71286200303,"fentaNYL (PF) 2,500 mcg/50 mL (50 mcg/mL) intravenous PCA syringe",103.8,62.28,1.28,7411.0,42
NDC,71286302201,"ketamine 10 mg/mL injection solution,ketamine 50 mg/5 mL (10 mg/mL) in 0.9 % sodium chloride IV syringe,ketamine 20 mg/2 mL (10 mg/mL) in 0.9% sodium chloride IV syringe,ketamine 50 mg/5 mL (10 mg/mL)",28.2,16.92,4.79,7411.0,41
NDC,71286302201,ketamine 50 mg/5 mL (10 mg/mL) in 0.9 % sodium chloride IV syringe,28.2,16.92,4.79,7411.0,41
NDC,71288000520,ampicillin-sulbactam 1.5 gram solution for injection,35.78,21.47,1.49,7411.0,42
NDC,71288000521,ampicillin-sulbactam 1.5 gram solution for injection,35.78,21.47,6.08,7411.0,41
NDC,71288001715,DAPTOmycin 350 mg intravenous solution,155.0,93.0,0.0374,7411.0,43
NDC,71288016610,PEMEtrexed disodium 100 mg intravenous powder for solution,230.0,138.0,3.84,7411.0,57
NDC,71288016610,"PEMEtrexed disodium 100 mg intravenous powder for solution,PEMETREXED 100 MG INTRAVENOUS POWDER FOR SOLUTION",230.0,138.0,3.84,7411.0,57
NDC,71288016750,PEMEtrexed disodium 500 mg intravenous powder for solution,725.0,435.0,3.84,7411.0,57
NDC,71288016750,"PEMEtrexed disodium 500 mg intravenous powder for solution,PEMETREXED 500 MG INTRAVENOUS POWDER FOR SOLUTION",725.0,435.0,3.84,7411.0,57
NDC,71288020302,furosemide 10 mg/mL injection solution,18.0,10.8,0.0187,7411.0,42
NDC,71288020303,furosemide 10 mg/mL injection solution,18.0,10.8,3.06,7411.0,41
NDC,71288020310,furosemide 10 mg/mL injection solution,24.0,14.4,4.08,7411.0,41
NDC,71288040210,"heparin (porcine) 1,000 unit/mL injection solution",30.38,18.23,0.2431,7411.0,42
NDC,71288040211,"heparin (porcine) 1,000 unit/mL injection solution",30.38,18.23,5.16,7411.0,41
NDC,71288040302,"heparin (porcine) 5,000 unit/mL injection solution",39.4,23.64,0.2431,7411.0,42
NDC,71288043280,enoxaparin 30 mg/0.3 mL subcutaneous syringe,44.62,26.77,0.5962,7411.0,43
NDC,71288043281,enoxaparin 30 mg/0.3 mL subcutaneous syringe,44.62,26.77,7.59,7411.0,41
NDC,71288070210,atracurium 10 mg/mL intravenous solution,60.7,36.42,10.32,7411.0,39
NDC,71288070211,atracurium 10 mg/mL intravenous solution,60.7,36.42,10.32,7411.0,39
NDC,71288071610,methocarbamol 100 mg/mL injection solution,58.0,34.8,4.62,7411.0,42
NDC,71288071611,methocarbamol 100 mg/mL injection solution,58.0,34.8,9.86,7411.0,41
NDC,71288080701,phenylephrine 10 mg/mL injection solution,16.0,9.6,0.0022,7411.0,42
NDC,71288080702,phenylephrine 10 mg/mL injection solution,16.0,9.6,2.72,7411.0,41
NDC,71321080010,"magnesium L-lactate ER 84 mg tablet,extended release",0.42,0.25,0.0714,7411.0,39
NDC,71321080320,calcium acetate 667 mg tablet,0.26,0.16,0.0442,7411.0,39
NDC,71336100001,patisiran (lipid complex) 2 mg/mL intravenous solution,29355.0,17613.0,90.41,22016.25,57
NDC,71336100101,givosiran 189 mg/mL subcutaneous solution,127848.0,76708.8,107.3,95886.0,57
NDC,71351001101,sodium di- and monophosphate-potassium phos monobasic 250 mg tablet,0.68,0.41,0.1156,7411.0,39
NDC,71357000101,tromethamine 36 mg/mL (0.3 M) intravenous solution,1584.75,950.85,269.41,7411.0,39
NDC,71357000106,tromethamine 36 mg/mL (0.3 M) intravenous solution,1584.75,950.85,269.41,7411.0,39
NDC,71390012520,amisulpride 5 mg/2 mL (2.5 mg/mL) intravenous solution,540.0,324.0,91.8,7411.0,41
NDC,71390012520,"amisulpride 5 mg/2 ml (2.5 mg/ml) intervenous solution,amisulpride 10 mg/4 ml (2.5 mg/ml) intervenous solution",540.0,324.0,91.8,7411.0,41
NDC,71390012521,amisulpride 5 mg/2 mL (2.5 mg/mL) intravenous solution,540.0,324.0,91.8,7411.0,41
NDC,71390012521,"amisulpride 5 mg/2 ml (2.5 mg/ml) intervenous solution,amisulpride 10 mg/4 ml (2.5 mg/ml) intervenous solution",540.0,324.0,91.8,7411.0,41
NDC,71390012550,"amisulpride 5 mg/2 ml (2.5 mg/ml) intervenous solution,amisulpride 10 mg/4 ml (2.5 mg/ml) intervenous solution",405.0,243.0,68.85,7411.0,41
NDC,71390012551,"amisulpride 5 mg/2 ml (2.5 mg/ml) intervenous solution,amisulpride 10 mg/4 ml (2.5 mg/ml) intervenous solution",405.0,243.0,68.85,7411.0,41
NDC,71399005101,magnesium citrate oral solution,5.92,3.55,1.01,7411.0,39
NDC,71699005030,cenobamate 50 mg tablet,78.67,47.2,13.37,7411.0,39
NDC,71699010030,cenobamate 100 mg tablet,78.67,47.2,13.37,7411.0,39
NDC,71770010560,hydroxyurea (sickle cell) 100 mg tablet,17.14,10.28,2.91,7411.0,39
NDC,71770012030,"hydroxyurea (sickle cell) 1,000 mg tablet",323.02,193.81,54.91,7411.0,41
NDC,71773005005,eravacycline 50 mg intravenous solution,281.75,169.05,1.23,7411.0,57
NDC,71773005012,eravacycline 50 mg intravenous solution,281.75,169.05,47.9,7411.0,41
NDC,71773010005,eravacycline 100 mg intravenous solution,500.0,300.0,1.23,7411.0,57
NDC,71776000515,"natamycin 5 % eye drops,suspension",1893.99,1136.39,321.98,7411.0,39
NDC,71863020205,"phenylephrine 0.1 mg/mL intravenous solution,phenylephrine 1 mg/10 ml (100 mcg/ml) in 0.9 % sod chloride iv syringe",34.0,20.4,0.1672,7411.0,42
NDC,71930005612,acetaminophen 300 mg-codeine 60 mg tablet,3.58,2.15,0.6086,7411.0,39
NDC,72140045231,white petrolatum 41 % topical ointment,9.8,5.88,1.67,7411.0,39
NDC,72140063608,white petrolatum 41 % topical ointment,29.3,17.58,4.98,7411.0,39
NDC,72196040701,amino acid 3.5 % pedi-D10W-calc gluc 3.75 mEq/250 mL intravenous soln,265.13,159.08,45.07,7411.0,40
NDC,72196604301,oxytocin 20 unit/1000 mL in 0.9 % sodium chloride intravenous,66.0,39.6,11.22,7411.0,41
NDC,72196604401,oxytocin 30 unit/500 mL in 0.9 % sodium chloride intravenous,75.0,45.0,12.75,7411.0,41
NDC,72196607401,vancomycin 1.25 gram/250 mL in 0.9 % sodium chloride intravenous,114.5,68.7,0.033,7411.0,42
NDC,72196607601,vancomycin 1.5 gram/250 mL in 0.9 % sodium chloride intravenous,114.5,68.7,0.033,7411.0,42
NDC,72205000390,rosuvastatin 10 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,72205001390,pregabalin 75 mg capsule,0.13,0.08,0.0221,7411.0,39
NDC,72205001490,pregabalin 100 mg capsule,0.13,0.08,0.0221,7411.0,39
NDC,72205001690,pregabalin 200 mg capsule,0.16,0.1,0.0272,7411.0,39
NDC,72205001901,valGANciclovir 50 mg/mL oral solution,1580.45,948.27,268.68,7411.0,39
NDC,72205002830,febuxostat 40 mg tablet,1.0,0.6,0.17,7411.0,39
NDC,72205002930,febuxostat 80 mg tablet,1.0,0.6,0.17,7411.0,39
NDC,72205004930,aminocaproic acid 500 mg tablet,23.67,14.2,4.02,7411.0,39
NDC,72205008530,tiaGABine 4 mg tablet,12.7,7.62,2.16,7411.0,39
NDC,72205020030,roflumilast 500 mcg tablet,1.2,0.72,0.204,7411.0,39
NDC,72205022001,lacosamide 200 mg/20 mL intravenous solution,60.0,36.0,10.2,7411.0,41
NDC,72205022007,lacosamide 200 mg/20 mL intravenous solution,60.0,36.0,10.2,7411.0,41
NDC,72241002405,celecoxib 200 mg capsule,0.2,0.12,0.034,7411.0,39
NDC,72266011901,ketorolac 60 mg/2 mL intramuscular solution,12.0,7.2,0.323,7411.0,57
NDC,72266011925,ketorolac 60 mg/2 mL intramuscular solution,12.0,7.2,2.04,7411.0,41
NDC,72266012701,dicyclomine 10 mg/mL intramuscular solution,151.6,90.96,10.3,7411.0,42
NDC,72266012705,dicyclomine 10 mg/mL intramuscular solution,151.6,90.96,25.77,7411.0,41
NDC,72266014601,etomidate 2 mg/mL intravenous solution,26.64,15.98,4.53,7411.0,39
NDC,72266014610,etomidate 2 mg/mL intravenous solution,26.64,15.98,4.53,7411.0,39
NDC,72266023401,ketorolac 15 mg/mL injection solution,6.06,3.64,0.323,7411.0,57
NDC,72266023425,ketorolac 15 mg/mL injection solution,6.06,3.64,1.03,7411.0,41
NDC,72266025101,calcitriol 1 mcg/mL intravenous solution,59.7,35.82,10.15,7411.0,41
NDC,72266025110,calcitriol 1 mcg/mL intravenous solution,59.7,35.82,10.15,7411.0,41
NDC,72485010101,diphenhydrAMINE 50 mg/mL injection solution,9.6,5.76,0.7557,7411.0,42
NDC,72485010125,diphenhydrAMINE 50 mg/mL injection solution,9.6,5.76,1.63,7411.0,41
NDC,72485051001,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution",49.0,29.4,8.33,7411.0,41
NDC,72485051010,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution",49.0,29.4,8.33,7411.0,41
NDC,72493010140,mitoMYcin 40 mg x 2 intra-pyelocalyceal kit,72125.0,43275.0,293.89,54093.75,57
NDC,72493010303,mitoMYcin 40 mg x 2 intra-pyelocalyceal kit,72125.0,43275.0,6299.0,61306.25,41
NDC,72516003101,"metoprolol succinate ER 50 mg tablet,extended release 24 hr",0.13,0.08,0.0221,7411.0,39
NDC,72572001701,ampicillin 2 gram solution for injection,18.98,11.39,0.7062,7411.0,42
NDC,72572001710,ampicillin 2 gram solution for injection,18.98,11.39,3.23,7411.0,41
NDC,72572007401,clindamycin 600 mg/50 mL in 5 % dextrose intravenous piggyback,29.0,17.4,0.7546,7411.0,42
NDC,72572007424,clindamycin 600 mg/50 mL in 5 % dextrose intravenous piggyback,29.0,17.4,4.93,7411.0,41
NDC,72572010501,vancomycin 5 gram intravenous solution,103.58,62.15,0.033,7411.0,42
NDC,72572019001,furosemide 10 mg/mL injection solution,18.72,11.23,0.0187,7411.0,42
NDC,72572025501,"heparin (porcine) 5,000 unit/mL injection solution",38.44,23.06,0.2431,7411.0,42
NDC,72572025525,"heparin (porcine) 5,000 unit/mL injection solution",38.44,23.06,6.53,7411.0,41
NDC,72572026501,hydrALAZINE 20 mg/mL injection solution,23.1,13.86,3.93,7411.0,42
NDC,72572026525,hydrALAZINE 20 mg/mL injection solution,23.1,13.86,3.93,7411.0,41
NDC,72572038001,LORazepam 2 mg/mL injection solution,6.36,3.82,1.08,7411.0,42
NDC,72572038025,LORazepam 2 mg/mL injection solution,6.36,3.82,1.08,7411.0,41
NDC,72572044001,morphine 4 mg/mL intravenous solution,12.03,7.22,2.05,7411.0,42
NDC,72572044025,morphine 4 mg/mL intravenous solution,12.03,7.22,2.05,7411.0,41
NDC,72572059001,propofol 10 mg/mL intravenous emulsion,13.8,8.28,0.1012,7411.0,42
NDC,72572059010,propofol 10 mg/mL intravenous emulsion,13.8,8.28,2.35,7411.0,41
NDC,72572060101,propofol 10 mg/mL intravenous emulsion,35.7,21.42,0.1012,7411.0,42
NDC,72572060120,propofol 10 mg/mL intravenous emulsion,35.7,21.42,6.07,7411.0,41
NDC,72578015001,acetaZOLAMIDE 250 mg tablet,0.53,0.32,0.0901,7411.0,39
NDC,72606000111,linezolid 600 mg tablet,7.36,4.42,1.25,7411.0,39
NDC,72611072201,ketorolac 30 mg/mL (1 mL) injection solution,6.72,4.03,0.323,7411.0,57
NDC,72611072225,ketorolac 30 mg/mL (1 mL) injection solution,6.72,4.03,1.14,7411.0,41
NDC,72611072501,ketorolac 60 mg/2 mL intramuscular solution,7.44,4.46,0.323,7411.0,57
NDC,72611072525,ketorolac 60 mg/2 mL intramuscular solution,7.44,4.46,1.26,7411.0,41
NDC,72611073401,labetalol 5 mg/mL intravenous solution,66.0,39.6,11.22,7411.0,41
NDC,72611073401,"labetalol 5 mg/mL intravenous solution,labetalol 20 mg/4 mL (5 mg/mL) intravenous syringe,labetalol 25 mg/5 mL (5 mg/mL) intravenous syringe,labetalol 10 mg/2 mL (5 mg/mL) intravenous syringe",3.3,1.98,0.561,7411.0,41
NDC,72626270101,sofosbuvir 400 mg-velpatasvir 100 mg tablet,571.93,343.16,97.23,7411.0,39
NDC,72819018103,valsartan 40 mg tablet,0.41,0.25,0.0697,7411.0,39
NDC,72888001890,sildenafil (pulmonary hypertension) 20 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,72888003401,carvedilol 3.125 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,72888003960,amiodarone 200 mg tablet,0.4,0.24,0.068,7411.0,39
NDC,72888008001,traMADol 50 mg tablet,3.06,1.84,0.5202,7411.0,39
NDC,72888008201,isosorbide dinitrate 10 mg tablet,0.42,0.25,0.0714,7411.0,39
NDC,72888011901,dicyclomine 20 mg tablet,1.37,0.82,0.2329,7411.0,42
NDC,72888019201,mycophenolate mofetil 250 mg capsule,0.4,0.24,0.068,7411.0,41
NDC,72944016425,sodium chloride 7 % for nebulization,1.54,0.92,0.2618,7411.0,39
NDC,73320000202,baclofen 10 mg tablet,1.1,0.66,0.187,7411.0,39
NDC,73535020801,tafasitamab-cxix 200 mg intravenous solution,4094.6,2456.76,13.16,7411.0,57
NDC,73562011001,"lipase-protease-amylase(pork)10,000-32,000-42,000 unit capsule,del rel",8.17,4.9,1.39,7411.0,39
NDC,73562011101,"lipase-protease-amylase (pork) 15,000-47,000-63k unit capsule,del rel",11.8,7.08,2.01,7411.0,39
NDC,73562011201,"lipase-protease-amylase (pork) 20,000-63,000-84k unit capsule, del rel",16.03,9.62,2.73,7411.0,39
NDC,73562011301,"lipase-protease-amylase (pork) 3,000-10,000-14k unit capsule,del rel",4.33,2.6,0.7361,7411.0,39
NDC,73562011501,"lipase-protease-amylase(pork)5,000-17,000-24,000 unit capsule, del rel",4.13,2.48,0.7021,7411.0,39
NDC,74300000070,zinc oxide-cod liver oil 40 % topical paste,8.44,5.06,1.43,7411.0,39
NDC,74300001067,polyethylene glycol 400  1 % eye drops,12.66,7.6,2.15,7411.0,39
NDC,74312001380,"cyanocobalamin (vit B-12) 1,000 mcg tablet",0.13,0.08,0.0221,7411.0,39
NDC,74312003201,selenium 200 mcg tablet,0.1,0.06,0.017,7411.0,39
NDC,74312005800,"niacin ER 250 mg capsule,extended release",0.11,0.07,0.0187,7411.0,39
NDC,74312007760,"arginine HCl (L-arginine) 1,000 mg tablet",0.26,0.16,0.0442,7411.0,39
NDC,74312013102,"omega-3 fatty acids-fish oil 360 mg-1,200 mg capsule",0.1,0.06,0.017,7411.0,39
NDC,74312058000,"niacin ER 250 mg capsule,extended release",0.13,0.08,0.0221,7411.0,39
NDC,75826011410,phenazopyridine 100 mg tablet,0.54,0.32,0.0918,7411.0,39
NDC,75826011510,phenazopyridine 200 mg tablet,0.74,0.44,0.1258,7411.0,39
NDC,75834008090,folic acid-vit B6-vit B12 2.5 mg-25 mg-2 mg tablet,1.04,0.62,0.1768,7411.0,39
NDC,75834015218,colesevelam 625 mg tablet,1.12,0.67,0.1904,7411.0,39
NDC,75834017001,zinc oxide 20 % topical ointment,10.51,6.31,1.79,7411.0,39
NDC,75834022101,carBAMazepine 200 mg tablet,0.3,0.18,0.051,7411.0,39
NDC,75907004301,trimethoprim 100 mg tablet,4.23,2.54,0.7191,7411.0,39
NDC,75907006905,nortriptyline 10 mg capsule,0.38,0.23,0.0646,7411.0,39
NDC,76014000310,neostigmine methylsulfate 1 mg/mL intravenous solution,114.16,68.5,19.41,7411.0,41
NDC,76014000333,neostigmine methylsulfate 1 mg/mL intravenous solution,114.16,68.5,19.41,7411.0,41
NDC,76014000433,phenylephrine 10 mg/mL injection solution,263.5,158.1,44.8,7411.0,41
NDC,76014000525,ePHEDrine sulfate 50 mg/mL intravenous solution,170.74,102.44,29.03,7411.0,39
NDC,76014000530,ePHEDrine sulfate 50 mg/mL intravenous solution,170.74,102.44,29.03,7411.0,39
NDC,76045000501,morphine 4 mg/mL injection syringe,23.22,13.93,3.95,7411.0,42
NDC,76045000510,morphine 4 mg/mL injection syringe,23.22,13.93,3.95,7411.0,41
NDC,76045000511,morphine 4 mg/mL injection syringe,23.22,13.93,3.95,7411.0,41
NDC,76045000610,"morphine 5 mg/mL injection solution,morphine 5 mg/mL injection syringe",23.22,13.93,3.95,7411.0,41
NDC,76045000810,morphine 10 mg/mL injection syringe,21.78,13.07,3.7,7411.0,42
NDC,76045000900,"HYDROmorphone (PF) 1 mg/mL injection syringe,HYDROmorphone (PF) 1 mg/mL injection solution",21.6,12.96,0.1111,7411.0,42
NDC,76045000901,HYDROmorphone (PF) 1 mg/mL injection syringe,30.9,18.54,0.1111,7411.0,42
NDC,76045000901,"HYDROmorphone (PF) 1 mg/mL injection syringe,HYDROmorphone (PF) 1 mg/mL injection solution",24.9,14.94,0.1111,7411.0,42
NDC,76045000906,HYDROmorphone (PF) 0.5 mg/0.5 mL injection syringe,30.9,18.54,0.1111,7411.0,42
NDC,76045000910,"HYDROmorphone (PF) 1 mg/mL injection syringe,HYDROmorphone (PF) 1 mg/mL injection solution",21.6,12.96,3.67,7411.0,41
NDC,76045000911,HYDROmorphone (PF) 1 mg/mL injection syringe,30.9,18.54,5.25,7411.0,41
NDC,76045000911,"HYDROmorphone (PF) 1 mg/mL injection syringe,HYDROmorphone (PF) 1 mg/mL injection solution",24.9,14.94,4.23,7411.0,41
NDC,76045000996,HYDROmorphone (PF) 0.5 mg/0.5 mL injection syringe,30.9,18.54,5.25,7411.0,41
NDC,76045001000,"HYDROmorphone (PF) 2 mg/mL injection solution,HYDROmorphone (PF) 2 mg/mL injection syringe",8.16,4.9,0.1111,7411.0,42
NDC,76045001000,HYDROmorphone (PF) 2 mg/mL injection syringe,27.6,16.56,0.1111,7411.0,42
NDC,76045001010,HYDROmorphone (PF) 2 mg/mL injection syringe,27.6,16.56,4.69,7411.0,41
NDC,76045073701,haloperidol lactate 5 mg/mL intramuscular syringe,24.0,14.4,4.08,7411.0,42
NDC,76045073710,haloperidol lactate 5 mg/mL intramuscular syringe,24.0,14.4,4.08,7411.0,41
NDC,76075010101,carfilzomib 60 mg intravenous solution,9875.54,5925.32,53.43,7411.0,57
NDC,76075010301,carfilzomib 10 mg intravenous solution,1687.58,1012.55,53.43,7411.0,57
NDC,76125015002,rabies immune globulin (PF) 150 unit/mL intramuscular solution,2242.86,1345.72,230.07,7411.0,57
NDC,76125015003,rabies immune globulin (PF) 150 unit/mL intramuscular solution,2242.86,1345.72,381.29,7411.0,41
NDC,76125015010,rabies immune globulin (PF) 150 unit/mL intramuscular solution,10215.72,6129.43,230.07,7661.79,57
NDC,76125025221,antihemophilic factor 250 (+/-) unit intravenous powder for solution,36.64,21.98,1.32,7411.0,58
NDC,76125025620,antihemophilic factor 250 (+/-) unit intravenous powder for solution,36.64,21.98,6.23,7411.0,41
NDC,76125066830,antihemophilic factor 500 (+/-) unit intravenous powder for solution,36.64,21.98,1.32,7411.0,58
NDC,76125066931,antihemophilic factor 500 (+/-) unit intravenous powder for solution,36.64,21.98,6.23,7411.0,41
NDC,76125067351,"antihemophilic factor 1,000 (+/-) unit intravenous powder for solution",36.64,21.98,1.32,7411.0,58
NDC,76204002260,sodium chloride 3 % for nebulization,1.2,0.72,0.204,7411.0,39
NDC,76204010030,ipratropium bromide 0.02 % solution for inhalation,1.62,0.97,0.2754,7411.0,40
NDC,76204020030,albuterol sulfate 2.5 mg/3 mL (0.083 %) solution for nebulization,1.58,0.95,0.2686,7411.0,39
NDC,76204030003,sodium chloride 0.9 % for nebulization,0.56,0.34,0.0952,7411.0,39
NDC,76204090001,levalbuterol 1.25 mg/3 mL solution for nebulization,4.2,2.52,0.714,7411.0,39
NDC,76204090011,levalbuterol 1.25 mg/3 mL solution for nebulization,4.2,2.52,0.714,7411.0,39
NDC,76310002415,foscarnet 24 mg/mL intravenous solution,2165.0,1299.0,9.19,7411.0,42
NDC,76310002425,foscarnet 24 mg/mL intravenous solution,2165.0,1299.0,368.05,7411.0,41
NDC,76310002441,foscarnet 24 mg/mL intravenous solution,2165.0,1299.0,368.05,7411.0,41
NDC,76310002445,foscarnet 24 mg/mL intravenous solution,2165.0,1299.0,368.05,7411.0,41
NDC,76329124001,phytonadione (vitamin K1) 1 mg/0.5 mL injection syringe,148.38,89.03,3.47,7411.0,42
NDC,76329301105,lidocaine 2 % mucosal jelly in applicator,36.0,21.6,6.12,7411.0,39
NDC,76329301205,lidocaine 2 % mucosal jelly in applicator,37.92,22.75,6.45,7411.0,39
NDC,76329330401,calcium chloride 100 mg/mL (10 %) intravenous syringe,75.0,45.0,12.75,7411.0,39
NDC,76329331601,EPINEPHrine 0.1 mg/mL injection syringe,63.1,37.86,3.16,7411.0,42
NDC,76329333901,atropine 0.1 mg/mL injection syringe,58.0,34.8,0.1122,7411.0,42
NDC,76329335201,sodium bicarbonate 50 mEq/50 mL (8.4 %) intravenous syringe,119.4,71.64,20.3,7411.0,39
NDC,76329336901,naloxone 1 mg/mL injection syringe,198.0,118.8,0.0715,7411.0,42
NDC,76329339001,lidocaine (PF) 100 mg/5 mL (2 %) intravenous syringe,48.9,29.34,8.31,7411.0,41
NDC,76329339905,procainamide 100 mg/mL intravenous syringe,382.5,229.5,65.03,7411.0,57
NDC,76385010401,benztropine 1 mg tablet,0.22,0.13,0.0374,7411.0,39
NDC,76385012301,methocarbamol 500 mg tablet,1.15,0.69,0.1955,7411.0,39
NDC,76385012401,methocarbamol 750 mg tablet,1.18,0.71,0.2006,7411.0,39
NDC,76385013301,nadolol 20 mg tablet,0.32,0.19,0.0544,7411.0,39
NDC,76385013401,nadolol 40 mg tablet,0.44,0.26,0.0748,7411.0,39
NDC,76388088025,thioguanine 40 mg tablet,55.55,33.33,9.44,7411.0,39
NDC,76439030210,chlordiazepoxide-clidinium 5 mg-2.5 mg capsule,2.6,1.56,0.442,7411.0,39
NDC,76478000105,timolol 0.25 % eye drops,2.76,1.66,0.4692,7411.0,39
NDC,76478050120,PENTobarbital sodium 50 mg/mL injection solution,3630.66,2178.4,35.0,7411.0,56
NDC,76478050150,PENTobarbital sodium 50 mg/mL injection solution,6771.0,4062.6,35.0,7411.0,56
NDC,76478061102,benztropine 1 mg/mL injection solution,664.42,398.65,14.87,7411.0,42
NDC,77333011310,calcium 315 mg (as citrate)-vitamin D3 6.25 mcg (250 unit) tablet,0.43,0.26,0.0731,7411.0,39
NDC,77333011325,calcium 315 mg (as citrate)-vitamin D3 6.25 mcg (250 unit) tablet,0.43,0.26,0.0731,7411.0,39
NDC,77333071510,prenatal vits no.130-ferrous fum 27 mg iron-folic acid 800 mcg tablet,0.41,0.25,0.0697,7411.0,39
NDC,77333071525,prenatal vits no.130-ferrous fum 27 mg iron-folic acid 800 mcg tablet,0.41,0.25,0.0697,7411.0,39
NDC,77333081210,simethicone 80 mg chewable tablet,0.47,0.28,0.0799,7411.0,39
NDC,77333081225,simethicone 80 mg chewable tablet,0.47,0.28,0.0799,7411.0,39
NDC,77333082710,sodium bicarbonate 650 mg tablet,0.41,0.25,0.0697,7411.0,39
NDC,77333082725,sodium bicarbonate 650 mg tablet,0.41,0.25,0.0697,7411.0,39
NDC,77333093410,thiamine mononitrate (vitamin B1) 100 mg tablet,0.39,0.23,0.0663,7411.0,39
NDC,77333093425,thiamine mononitrate (vitamin B1) 100 mg tablet,0.39,0.23,0.0663,7411.0,39
NDC,77333098310,zinc sulfate 50 mg zinc (220 mg) capsule,0.47,0.28,0.0799,7411.0,39
NDC,77333098325,zinc sulfate 50 mg zinc (220 mg) capsule,0.47,0.28,0.0799,7411.0,39
NDC,78112001106,benzocaine 6 mg-menthol 10 mg lozenges,0.29,0.17,0.0493,7411.0,39
NDC,78112001266,benzocaine 6 mg-menthol 10 mg lozenges,0.29,0.17,0.0493,7411.0,39
NDC,78112073623,carbamide peroxide 6.5 % ear drops,7.95,4.77,1.35,7411.0,39
NDC,78206012101,losartan 25 mg tablet,6.37,3.82,1.08,7411.0,39
NDC,78206012202,losartan 50 mg tablet,8.53,5.12,1.45,7411.0,39
NDC,78206014501,etonogestrel 68 mg subdermal implant,3468.84,2081.3,589.7,7411.0,41
NDC,78206014801,trastuzumab-dttb 420 mg intravenous solution,11177.12,6706.27,28.32,8382.84,57
NDC,78206014899,trastuzumab-dttb 420 mg intravenous solution,11177.12,6706.27,1900.11,9500.55,41
NDC,78206016201,inFLIXimab-abda 100 mg intravenous solution,2260.17,1356.1,384.23,7411.0,41
NDC,78206016299,inFLIXimab-abda 100 mg intravenous solution,2260.17,1356.1,384.23,7411.0,41
NDC,79854001163,selenium 200 mcg tablet,0.1,0.06,0.017,7411.0,39
NDC,79854004097,acetylcysteine 600 mg capsule,0.15,0.09,0.0255,7411.0,39
NDC,79854005024,"cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet",0.07,0.04,0.0119,7411.0,39
NDC,79854007941,"cholecalciferol (vitamin D3) 125 mcg (5,000 unit) tablet",0.12,0.07,0.0204,7411.0,39
NDC,79854020010,thiamine mononitrate (vitamin B1) 100 mg tablet,0.08,0.05,0.0136,7411.0,39
NDC,79854020195,riboflavin (vitamin B2) 100 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,79854050032,ferrous gluconate 324 mg (37.5 mg iron) tablet,2.09,1.25,0.3553,7411.0,39
NDC,79854051281,folic acid 1 mg tablet,0.09,0.05,0.0153,7411.0,39
NDC,7E+11,magnesium sulfate (laxative) 495 mg/5 gram oral granules,32.65,19.59,5.55,7411.0,39
NDC,80681005700,niacin 100 mg tablet,0.03,0.02,0.0051,7411.0,39
NDC,80681007100,cyanocobalamin (vit B-12) 100 mcg tablet,0.03,0.02,0.0051,7411.0,39
NDC,80681009900,folic acid 400 mcg tablet,0.03,0.02,0.0051,7411.0,39
NDC,80681010000,glucose 3.75 gram chewable tablet,0.47,0.28,0.0799,7411.0,39
NDC,80681012600,B-complex with vitamin C tablet,0.05,0.03,0.0085,7411.0,39
NDC,80681013400,"vitamin E (dl, acetate) 45 mg (100 unit) capsule",0.03,0.02,0.0051,7411.0,39
NDC,80681013500,zinc sulfate 50 mg zinc (220 mg) capsule,0.06,0.04,0.0102,7411.0,39
NDC,80681014000,calcium 200 mg (as calcium citrate 950 mg) tablet,0.07,0.04,0.0119,7411.0,39
NDC,80681015400,B-complex with vitamin C tablet,0.08,0.05,0.0136,7411.0,39
NDC,80681015900,"vitamin E (dl, acetate) 90 mg (200 unit) capsule",0.08,0.05,0.0136,7411.0,39
NDC,80681016801,"cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet",0.03,0.02,0.0051,7411.0,39
NDC,80681016900,"cholecalciferol (vitamin D3) 25 mcg (1,000 unit) tablet",0.03,0.02,0.0051,7411.0,39
NDC,80830232901,"tranexamic acid 1,000 mg/100 mL(10 mg/mL)in sod chlor,iso IV piggyback",151.0,90.6,25.67,7411.0,39
NDC,81131077923,lubricants topical gel,5.88,3.53,0.9996,7411.0,39
NDC,81284031500,indigotindisulfonate sodium 8 mg/mL (0.8 %) intravenous solution,1800.0,1080.0,8.84,7411.0,56
NDC,81284031505,indigotindisulfonate sodium 8 mg/mL (0.8 %) intravenous solution,1800.0,1080.0,306.0,7411.0,41
NDC,81298855201,vasopressin 20 unit/100 mL (0.2 unit/mL) in 0.9 % sodium chloride IV,292.5,175.5,1.3,7411.0,42
NDC,81298855203,vasopressin 20 unit/100 mL (0.2 unit/mL) in 0.9 % sodium chloride IV,292.5,175.5,49.73,7411.0,41
NDC,81298965903,norepinephrine bitartrate 4 mg/250 mL (16 mcg/mL) in 0.9 % NaCl IV,166.0,99.6,28.22,7411.0,39
NDC,81421002102,bisacodyl 10 mg rectal suppository,2.07,1.24,0.3519,7411.0,39
NDC,81483000700,ketamine 100 mg/mL injection solution,54.9,32.94,9.33,7411.0,39
NDC,81483003700,"lidocaine-epinephrine (PF) 1 %-1:100,000 injection solution",47.16,28.3,8.02,7411.0,41
NDC,81561041301,"asparaginase (Erwinia chrysanthemi) 10,000 unit solution for injection",12142.52,7285.51,2064.23,10321.14,39
NDC,81561041305,"asparaginase (Erwinia chrysanthemi) 10,000 unit solution for injection",12142.52,7285.51,2064.23,10321.14,39
NDC,81642019344,balsam peru-zinc oxide topical ointment,12.43,7.46,2.11,7411.0,39
NDC,81665010310,isosorbide mononitrate 20 mg tablet,6.98,4.19,1.19,7411.0,39
NDC,81665010830,isoniazid 300 mg tablet,8.3,4.98,1.41,7411.0,39
NDC,81952011502,"heparin, porcine (PF) 1,000 unit/mL injection solution",58.54,35.12,0.2431,7411.0,42
NDC,81952011507,"heparin, porcine (PF) 1,000 unit/mL injection solution",58.54,35.12,9.95,7411.0,41
NDC,82625880101,naloxegol 12.5 mg tablet,27.71,16.63,4.71,7411.0,39
NDC,82667020001,apraclonidine 1 % eye drops in a dropperette,55.46,33.28,9.43,7411.0,39
NDC,82705000201,epcoritamab-bysp 4 mg/0.8 mL subcutaneous solution,208.4,125.04,35.43,7411.0,57
NDC,82705001001,epcoritamab-bysp 48 mg/0.8 mL subcutaneous solution,47571.08,28542.65,54.07,35678.31,57
NDC,83257000541,pegfilgrastim-jmdb 6 mg/0.6 mL subcutaneous syringe,6290.5,3774.3,75.53,7411.0,57
NDC,83257001111,insulin glargine-yfgn (U-100) 100 unit/mL subcutaneous solution,538.76,323.26,91.59,7411.0,39
NDC,83257001411,insulin glargine-yfgn (U-100) 100 unit/mL subcutaneous solution,125.94,75.56,21.41,7411.0,39
NDC,83490023560,sodium chloride 3.5 % for nebulization,1.46,0.88,0.2482,7411.0,39
NDC,83634030202,furosemide 10 mg/mL injection solution,22.2,13.32,0.0187,7411.0,42
NDC,83634030242,furosemide 10 mg/mL injection solution,22.2,13.32,3.77,7411.0,41
NDC,83634077902,metoclopramide 5 mg/mL injection solution,8.4,5.04,1.05,7411.0,42
NDC,83634077902,"metoclopramide 5 mg/mL injection solution,metoclopramide 5 mg/ml injection syringe",8.4,5.04,1.05,7411.0,42
NDC,83634077941,metoclopramide 5 mg/mL injection solution,8.4,5.04,1.43,7411.0,41
NDC,83634077941,"metoclopramide 5 mg/mL injection solution,metoclopramide 5 mg/ml injection syringe",8.4,5.04,1.43,7411.0,41
NDC,84389011138,white petrolatum topical jelly,18.01,10.81,3.06,7411.0,39
NDC,85446036971,sodium hyaluronate 10 mg/mL intraocular syringe,450.0,270.0,76.5,7411.0,39
NDC,87701042724,ethyl alcohol 70 % topical solution,7.57,4.54,1.29,7411.0,39
NDC,96295010608,diphenhydramine-zinc acetate 2 %-0.1 % topical cream,9.2,5.52,1.56,7411.0,39
NDC,96295011721,polyethylene glycol 3350 17 gram/dose oral powder,19.99,11.99,3.4,7411.0,39
NDC,96295011845,B-complex with vitamin C tablet,0.11,0.07,0.0187,7411.0,39
NDC,96295012746,sennosides 8.6 mg tablet,0.2,0.12,0.034,7411.0,39
NDC,96295012770,calcium 315 mg (as citrate)-vitamin D3 6.25 mcg (250 unit) tablet,0.19,0.11,0.0323,7411.0,39
NDC,96295012780,pyridoxine (vitamin B6) 100 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,96295012840,ascorbic acid (vitamin C) 500 mg tablet,0.1,0.06,0.017,7411.0,39
NDC,96295012845,cholecalciferol (vitamin D3) 10 mcg (400 unit) tablet,0.07,0.04,0.0119,7411.0,39
NDC,96295012846,"cholecalciferol (vitamin D3) 125 mcg (5,000 unit) tablet",0.19,0.11,0.0323,7411.0,39
NDC,96295012941,phenylephrine 1 % nasal spray,7.98,4.79,1.36,7411.0,39
NDC,96295013129,doxylamine succinate 25 mg tablet,0.5,0.3,0.085,7411.0,39
NDC,96295013223,ibuprofen 200 mg tablet,0.16,0.1,0.0272,7411.0,39
NDC,96295013533,psyllium husk 3 gram oral powder packet,0.61,0.37,0.1037,7411.0,39
NDC,96295013558,loperamide 1 mg/7.5 mL oral liquid,0.71,0.43,0.1207,7411.0,39
NDC,96295013574,vit A 300 mcg-C 200 mg-E 27 mg-lutein 2 mg and minerals tablet,0.18,0.11,0.0306,7411.0,39
NDC,96295013628,sennosides 8.6 mg tablet,0.4,0.24,0.068,7411.0,39
NDC,96295013761,hydrogen peroxide 3 % solution,3.78,2.27,0.6426,7411.0,39
NDC,96295013836,multivitamin with folic acid 400 mcg tablet,0.08,0.05,0.0136,7411.0,39
NDC,96295013883,pyridoxine (vitamin B6) 100 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,96295013892,thiamine mononitrate (vitamin B1) 100 mg tablet,0.13,0.08,0.0221,7411.0,39
NDC,96295014036,"cholecalciferol (vitamin D3) 125 mcg (5,000 unit) tablet",0.19,0.11,0.0323,7411.0,39
NDC,96295014038,acetylcysteine 600 mg capsule,0.2,0.12,0.034,7411.0,39
NDC,96295014066,pediatric multivitamin no.212 250 mcg-50 mg-10 mcg-5 mg/mL oral drops,0.2,0.12,0.034,7411.0,39
NDC,9999992204,papaverine 30 mg/mL injection solution,120.0,72.0,20.4,7411.0,41
NDC,9999992548,trace elements Cr-Cu-Mn-Zn 10 mcg-1 mg-0.5 mg-5 mg/mL intravenous soln,102.0,61.2,17.34,7411.0,39
NDC,99999991410,hydromorphone (PF) 10 mg/mL Injection,21.0,12.6,0.1111,7411.0,42
RC,110,Surgical Inpatient Day (must be billed alongside surgical revenue code),,,5342.0,5342.0,1
RC,111,Surgical Inpatient Day (must be billed alongside surgical revenue code),,,5342.0,5342.0,1
RC,112,Surgical Inpatient Day (must be billed alongside surgical revenue code),,,5342.0,5342.0,3
RC,115,Surgical Inpatient Day (must be billed alongside surgical revenue code),,,5342.0,5342.0,1
RC,118,Surgical Inpatient Day (must be billed alongside surgical revenue code),,,5342.0,5342.0,1
RC,120,Surgical Inpatient Day (must be billed alongside surgical revenue code),,,5342.0,5342.0,1
RC,121,Surgical Inpatient Day (must be billed alongside surgical revenue code),,,5342.0,5342.0,1
RC,124,Surgical Inpatient Day (must be billed alongside surgical revenue code),,,5342.0,5342.0,1
RC,125,Surgical Inpatient Day (must be billed alongside surgical revenue code),,,5342.0,5342.0,1
RC,128,Surgical Inpatient Day (must be billed alongside surgical revenue code),,,5342.0,5342.0,1
RC,140,Surgical Inpatient Day (must be billed alongside surgical revenue code),,,5342.0,5342.0,1
RC,161,Surgical Inpatient Day (must be billed alongside surgical revenue code),,,5342.0,5342.0,1
RC,360,"ABDOMINAL LYMPHADENECTOMY, REGIONAL, INCLUDING CELIAC, GASTRIC, PORTAL, PERIPANCREATIC, WITH OR WITHOUT PARA-AORTIC AND VENA CAVAL NODES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,473.23,8280.0,10
RC,360,ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC); WITH IMAGING GUIDANCE,,,334.95,4345.0,33
RC,360,ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC); WITHOUT IMAGING GUIDANCE,,,334.95,4345.0,33
RC,360,"ABLATION OF MALIGNANT PROSTATE TISSUE, TRANSRECTAL, WITH HIGH INTENSITY-FOCUSED ULTRASOUND (HIFU), INCLUDING ULTRASOUND GUIDANCE",,,4302.0,22821.27,30
RC,360,"ABLATION, 1 OR MORE RENAL TUMOR(S), PERCUTANEOUS, UNILATERAL, RADIOFREQUENCY",,,1888.85,17256.34,33
RC,360,"ABLATION, RENAL TUMOR(S), UNILATERAL, PERCUTANEOUS, CRYOTHERAPY",,,4645.39,30034.8,33
RC,360,"ABLATION, SOFT TISSUE OF INFERIOR TURBINATES, UNILATERAL OR BILATERAL, ANY METHOD (EG, ELECTROCAUTERY, RADIOFREQUENCY ABLATION, OR TISSUE VOLUME REDUCTION); SUPERFICIAL",,,420.64,4817.14,34
RC,360,"ACETABULOPLASTY; RESECTION, FEMORAL HEAD (EG, GIRDLESTONE PROCEDURE)",,,1934.37,15671.95,29
RC,360,"ACROMIOPLASTY OR ACROMIONECTOMY, PARTIAL, WITH OR WITHOUT CORACOACROMIAL LIGAMENT RELEASE",,,1088.27,9772.7,34
RC,360,"ADENOIDECTOMY, PRIMARY; AGE 12 OR OVER",,,886.62,9350.87,34
RC,360,"ADENOIDECTOMY, PRIMARY; YOUNGER THAN AGE 12",,,886.62,9350.87,34
RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, ANY AREA; DEFECT 30.1 SQ CM TO 60.0 SQ CM",,,1457.62,12700.0,33
RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, ANY AREA; EACH ADDITIONAL 30.0 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS, NOSE, EARS AND/OR LIPS; DEFECT 10 SQ CM OR LESS",,,709.01,7168.0,34
RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS, NOSE, EARS AND/OR LIPS; DEFECT 10.1 SQ CM TO 30.0 SQ CM",,,709.01,7168.0,34
RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; DEFECT 10 SQ CM OR LESS",,,709.01,5793.18,34
RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; DEFECT 10.1 SQ CM TO 30.0 SQ CM",,,709.01,7168.0,34
RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS; DEFECT 10 SQ CM OR LESS",,,709.01,7168.0,34
RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS; DEFECT 10.1 SQ CM TO 30.0 SQ CM",,,709.01,7168.0,34
RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10 SQ CM OR LESS",,,709.01,5793.18,34
RC,360,"ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10.1 SQ CM TO 30.0 SQ CM",,,709.01,7168.0,34
RC,360,"ADJUSTMENT OR REVISION OF EXTERNAL FIXATION SYSTEM REQUIRING ANESTHESIA (EG, NEW PIN[S] OR WIRE[S] AND/OR NEW RING[S] OR BAR[S])",,,2398.52,21355.56,34
RC,360,"ADRENALECTOMY, PARTIAL OR COMPLETE, OR EXPLORATION OF ADRENAL GLAND WITH OR WITHOUT BIOPSY, TRANSABDOMINAL, LUMBAR OR DORSAL (SEPARATE PROCEDURE);",,,1880.78,8280.0,10
RC,360,"ALLOGRAFT, MORSELIZED, OR PLACEMENT OF OSTEOPROMOTIVE MATERIAL, FOR SPINE SURGERY ONLY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"ALLOGRAFT, STRUCTURAL, FOR SPINE SURGERY ONLY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"ALVEOLOPLASTY, EACH QUADRANT (SPECIFY)",,,222.86,8280.0,33
RC,360,AMPUTATION OF PENIS; PARTIAL,,,1142.9,10776.19,34
RC,360,"AMPUTATION, FINGER OR THUMB, PRIMARY OR SECONDARY, ANY JOINT OR PHALANX, SINGLE, INCLUDING NEURECTOMIES; WITH DIRECT CLOSURE",,,1088.27,9772.7,34
RC,360,"AMPUTATION, FINGER OR THUMB, PRIMARY OR SECONDARY, ANY JOINT OR PHALANX, SINGLE, INCLUDING NEURECTOMIES; WITH LOCAL ADVANCEMENT FLAPS (V-Y, HOOD)",,,1088.27,9772.7,34
RC,360,"AMPUTATION, FOOT; TRANSMETATARSAL",,,3122.56,9772.7,30
RC,360,"AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; RE-AMPUTATION",,,4302.0,21355.56,30
RC,360,"AMPUTATION, LEG, THROUGH TIBIA AND FIBULA;",,,1601.83,17847.0,29
RC,360,"AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; RE-AMPUTATION",,,1150.52,10140.0,29
RC,360,"AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; SECONDARY CLOSURE OR SCAR REVISION",,,1088.27,9772.7,34
RC,360,"AMPUTATION, METACARPAL, WITH FINGER OR THUMB (RAY AMPUTATION), SINGLE, WITH OR WITHOUT INTEROSSEOUS TRANSFER",,,1088.27,9772.7,34
RC,360,"AMPUTATION, METATARSAL, WITH TOE, SINGLE",,,1088.27,9772.7,34
RC,360,"AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL;",,,1397.8,17847.0,29
RC,360,"AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; RE-AMPUTATION",,,1262.58,10140.0,29
RC,360,"AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; SECONDARY CLOSURE OR SCAR REVISION",,,1088.27,9772.7,34
RC,360,"AMPUTATION, TOE; INTERPHALANGEAL JOINT",,,1088.27,9772.7,34
RC,360,"AMPUTATION, TOE; METATARSOPHALANGEAL JOINT",,,1088.27,9772.7,34
RC,360,"ANOPLASTY, PLASTIC OPERATION FOR STRICTURE; ADULT",,,939.93,8368.72,34
RC,360,"ANORECTAL EXAM, SURGICAL, REQUIRING ANESTHESIA (GENERAL, SPINAL, OR EPIDURAL), DIAGNOSTIC",,,939.93,8368.72,33
RC,360,"ANOSCOPY; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,111.0,2107.0,30
RC,360,"ANOSCOPY; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS, BIPOLAR CAUTERY OR SNARE TECHNIQUE",,,939.93,8368.72,34
RC,360,"ANOSCOPY; WITH BIOPSY, SINGLE OR MULTIPLE",,,201.27,8280.0,33
RC,360,"ANOSCOPY; WITH HIGH-RESOLUTION MAGNIFICATION (HRA) (EG, COLPOSCOPE, OPERATING MICROSCOPE) AND CHEMICAL AGENT ENHANCEMENT, WITH BIOPSY, SINGLE OR MULTIPLE",,,1141.99,7886.0,30
RC,360,"ANOSCOPY; WITH REMOVAL OF SINGLE TUMOR, POLYP, OR OTHER LESION BY HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY",,,939.93,8368.72,34
RC,360,"ANTERIOR COLPORRHAPHY, REPAIR OF CYSTOCELE WITH OR WITHOUT REPAIR OF URETHROCELE, INCLUDING CYSTOURETHROSCOPY, WHEN PERFORMED",,,1526.99,15249.4,34
RC,360,ANTERIOR INSTRUMENTATION; 2 TO 3 VERTEBRAL SEGMENTS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,9126.0,10140.0,3
RC,360,ANTERIOR INSTRUMENTATION; 4 TO 7 VERTEBRAL SEGMENTS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,1349.08,10140.0,10
RC,360,"ANTERIOR VESICOURETHROPEXY, OR URETHROPEXY (EG, MARSHALL-MARCHETTI-KRANTZ, BURCH); SIMPLE",,,1175.48,10804.29,29
RC,360,APPENDECTOMY;,,,5254.78,18741.87,30
RC,360,"APPLICATION OF A MULTIPLANE (PINS OR WIRES IN MORE THAN 1 PLANE), UNILATERAL, EXTERNAL FIXATION SYSTEM (EG, ILIZAROV, MONTICELLI TYPE)",,,2763.0,42485.53,34
RC,360,"APPLICATION OF A UNIPLANE (PINS OR WIRES IN 1 PLANE), UNILATERAL, EXTERNAL FIXATION SYSTEM",,,2416.0,21355.56,34
RC,360,"APPLICATION OF INTERDENTAL FIXATION DEVICE FOR CONDITIONS OTHER THAN FRACTURE OR DISLOCATION, INCLUDES REMOVAL",,,420.64,4345.0,33
RC,360,APPLICATION OF LONG LEG SPLINT (THIGH TO ANKLE OR TOES),,,48.45,2107.0,33
RC,360,"APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; EACH ADDITIO",,,1896.0,2107.0,3
RC,360,"APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ ",,,839.96,4345.0,11
RC,360,"APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LESS WOUND SURFACE AREA",,,839.96,4345.0,11
RC,360,APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC,,,111.0,2107.0,30
RC,360,APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES); WALKING OR AMBULATORY TYPE,,,35.99,2107.0,33
RC,360,APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT),,,34.33,2107.0,33
RC,360,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; EACH ADDITIONAL 25 SQ",,,1896.0,2107.0,3
RC,360,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LES",,,71.16,5793.18,33
RC,360,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA GREATER THAN OR EQUAL TO 100 SQ CM; EACH ADDITIONAL 100 SQ CM WOUND SURFACE AREA, OR PART THEREOF, OR EACH ADDITIONA",,,1896.0,2107.0,3
RC,360,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA GREATER THAN OR EQUAL TO 100 SQ CM; FIRST 100 SQ CM WOUND SURFACE AREA, OR 1% OF BODY AREA OF INFANTS AND CHILDREN",,,1565.86,10628.93,33
RC,360,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; EACH ADDITIONAL 25 SQ CM WOUND SURFACE AREA, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE F",,,1896.0,2107.0,3
RC,360,"APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LESS WOUND SURFACE AREA",,,705.32,5793.18,33
RC,360,"APREPITANT, ORAL, 5 MG",,,2.63,2.63,1
RC,360,"ARTERIAL PUNCTURE, WITHDRAWAL OF BLOOD FOR DIAGNOSIS",,,111.0,2107.0,30
RC,360,"ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); WITH ULTRASOUND GUIDANCE, WITH PERMANENT RECORDING AND REPORTING",,,47.34,2107.0,33
RC,360,"ARTHRODESIS, ANKLE, OPEN",,,3410.0,42485.53,34
RC,360,"ARTHRODESIS, ANTERIOR INTERBODY TECHNIQUE, INCLUDING MINIMAL DISCECTOMY TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION); CERVICAL BELOW C2",,,6951.48,42485.53,35
RC,360,"ARTHRODESIS, ANTERIOR INTERBODY, INCLUDING DISC SPACE PREPARATION, DISCECTOMY, OSTEOPHYTECTOMY AND DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOTS; CERVICAL BELOW C2",,,6994.58,42485.53,35
RC,360,"ARTHRODESIS, ANTERIOR INTERBODY, INCLUDING DISC SPACE PREPARATION, DISCECTOMY, OSTEOPHYTECTOMY AND DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOTS; CERVICAL BELOW C2, EACH ADDITIONAL INTERSPACE (LIST ",,,7711.0,8568.0,3
RC,360,"ARTHRODESIS, CARPOMETACARPAL JOINT, DIGIT, OTHER THAN THUMB, EACH;",,,2763.0,21355.56,34
RC,360,"ARTHRODESIS, CARPOMETACARPAL JOINT, DIGIT, OTHER THAN THUMB, EACH; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,2763.0,21355.56,34
RC,360,"ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, WITH OR WITHOUT INTERNAL FIXATION; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,2398.52,21355.56,34
RC,360,"ARTHRODESIS, COMBINED POSTERIOR OR POSTEROLATERAL TECHNIQUE WITH POSTERIOR INTERBODY TECHNIQUE INCLUDING LAMINECTOMY AND/OR DISCECTOMY SUFFICIENT TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION), ",,,1896.0,58603.99,35
RC,360,"ARTHRODESIS, GREAT TOE; METATARSOPHALANGEAL JOINT",,,3410.0,21355.56,34
RC,360,"ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION;",,,1088.27,9772.7,34
RC,360,"ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; EACH ADDITIONAL INTERPHALANGEAL JOINT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2416.0,4
RC,360,"ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,1088.27,9772.7,34
RC,360,"ARTHRODESIS, METACARPOPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION;",,,2398.52,21355.56,34
RC,360,"ARTHRODESIS, METACARPOPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,2398.52,21355.56,34
RC,360,"ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, MULTIPLE OR TRANSVERSE;",,,3410.0,42485.53,34
RC,360,"ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, SINGLE JOINT",,,3410.0,21355.56,34
RC,360,"ARTHRODESIS, POSTERIOR INTERBODY TECHNIQUE, INCLUDING LAMINECTOMY AND/OR DISCECTOMY TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION), SINGLE INTERSPACE, LUMBAR;",,,2789.5,58603.99,32
RC,360,"ARTHRODESIS, POSTERIOR INTERBODY TECHNIQUE, INCLUDING LAMINECTOMY AND/OR DISCECTOMY TO PREPARE INTERSPACE (OTHER THAN FOR DECOMPRESSION), SINGLE INTERSPACE, LUMBAR; EACH ADDITIONAL INTERSPACE (LIST SE",,,572.52,8280.0,10
RC,360,"ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE INTERSPACE; CERVICAL BELOW C2 SEGMENT",,,2282.77,37869.5,31
RC,360,"ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE INTERSPACE; EACH ADDITIONAL INTERSPACE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE INTERSPACE; LUMBAR (WITH LATERAL TRANSVERSE TECHNIQUE, WHEN PERFORMED)",,,7038.0,46166.33,35
RC,360,"ARTHRODESIS, WITH TENDON LENGTHENING AND ADVANCEMENT, MIDTARSAL, TARSAL NAVICULAR-CUNEIFORM (EG, MILLER TYPE PROCEDURE)",,,3879.0,42485.53,34
RC,360,"ARTHRODESIS, WRIST; COMPLETE, WITHOUT BONE GRAFT (INCLUDES RADIOCARPAL AND/OR INTERCARPAL AND/OR CARPOMETACARPAL JOINTS)",,,3282.53,21355.56,34
RC,360,"ARTHRODESIS, WRIST; LIMITED, WITHOUT BONE GRAFT (EG, INTERCARPAL OR RADIOCARPAL)",,,3282.76,21355.56,34
RC,360,"ARTHRODESIS, WRIST; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,3318.03,21355.56,34
RC,360,ARTHRODESIS; PANTALAR,,,3410.0,56927.51,34
RC,360,ARTHRODESIS; SUBTALAR,,,3410.0,42485.53,34
RC,360,ARTHRODESIS; TRIPLE,,,3410.0,42485.53,34
RC,360,"ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT (TOTAL HIP ARTHROPLASTY), WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT",,,7038.0,42485.53,32
RC,360,"ARTHROPLASTY, ELBOW; WITH DISTAL HUMERUS AND PROXIMAL ULNAR PROSTHETIC REPLACEMENT (EG, TOTAL ELBOW)",,,5384.0,56927.51,34
RC,360,"ARTHROPLASTY, ELBOW; WITH MEMBRANE (EG, FASCIAL)",,,3104.56,21355.56,34
RC,360,"ARTHROPLASTY, GLENOHUMERAL JOINT; HEMIARTHROPLASTY",,,7038.0,42485.53,30
RC,360,"ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL REPLACEMENT (EG, TOTAL SHOULDER))",,,2553.79,46166.33,30
RC,360,"ARTHROPLASTY, INTERCARPAL OR CARPOMETACARPAL JOINTS; INTERPOSITION (EG, TENDON)",,,1088.27,9772.7,34
RC,360,"ARTHROPLASTY, INTERCARPAL OR CARPOMETACARPAL JOINTS; SUSPENSION, INCLUDING TRANSFER OR TRANSPLANT OF TENDON, WITH INTERPOSITION, WHEN PERFORMED",,,3122.56,7066.86,19
RC,360,"ARTHROPLASTY, INTERPHALANGEAL JOINT; WITH PROSTHETIC IMPLANT, EACH JOINT",,,3290.94,21355.56,34
RC,360,"ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)",,,7038.0,42485.53,32
RC,360,"ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL OR LATERAL COMPARTMENT",,,7038.0,42485.53,35
RC,360,"ARTHROPLASTY, PATELLA; WITH PROSTHESIS",,,3879.0,42485.53,36
RC,360,"ARTHROPLASTY, PATELLA; WITHOUT PROSTHESIS",,,2398.52,21355.56,34
RC,360,"ARTHROPLASTY, RADIAL HEAD; WITH IMPLANT",,,3879.0,42485.53,34
RC,360,"ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH ALLOGRAFT",,,1954.22,17316.39,34
RC,360,"ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH OR WITHOUT AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,1954.22,17316.39,34
RC,360,"ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH PROSTHETIC JOINT REPLACEMENT",,,3879.0,58603.99,34
RC,360,"ARTHROPLASTY, WRIST, WITH OR WITHOUT INTERPOSITION, WITH OR WITHOUT EXTERNAL OR INTERNAL FIXATION",,,1088.27,9772.7,34
RC,360,ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE LIGAMENT REPAIR/AUGMENTATION OR RECONSTRUCTION,,,3300.05,21355.56,36
RC,360,"ARTHROSCOPICALLY AIDED TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); UNICONDYLAR, INCLUDES INTERNAL FIXATION, WHEN PERFORMED (INCLUDES ARTHROSCOPY)",,,3631.7,21355.56,34
RC,360,"ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOINTS), SURGICAL; DEBRIDEMENT, EXTENSIVE",,,1088.27,12343.0,34
RC,360,"ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOINTS), SURGICAL; DEBRIDEMENT, LIMITED",,,1088.27,12343.0,34
RC,360,"ARTHROSCOPY, HIP, SURGICAL; WITH DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY), ABRASION ARTHROPLASTY, AND/OR RESECTION OF LABRUM",,,2398.52,21355.56,34
RC,360,"ARTHROSCOPY, HIP, SURGICAL; WITH REMOVAL OF LOOSE BODY OR FOREIGN BODY",,,2398.52,21355.56,34
RC,360,"ARTHROSCOPY, KNEE, DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL BIOPSY (SEPARATE PROCEDURE)",,,1088.27,12343.0,34
RC,360,"ARTHROSCOPY, KNEE, SURGICAL; ABRASION ARTHROPLASTY (INCLUDES CHONDROPLASTY WHERE NECESSARY) OR MULTIPLE DRILLING OR MICROFRACTURE",,,1088.27,12343.0,34
RC,360,"ARTHROSCOPY, KNEE, SURGICAL; DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY)",,,1088.27,12343.0,34
RC,360,"ARTHROSCOPY, KNEE, SURGICAL; DRILLING FOR INTACT OSTEOCHONDRITIS DISSECANS LESION WITH INTERNAL FIXATION",,,2398.52,21355.56,34
RC,360,"ARTHROSCOPY, KNEE, SURGICAL; FOR INFECTION, LAVAGE AND DRAINAGE",,,1088.27,12343.0,34
RC,360,"ARTHROSCOPY, KNEE, SURGICAL; OSTEOCHONDRAL AUTOGRAFT(S) (EG, MOSAICPLASTY) (INCLUDES HARVESTING OF THE AUTOGRAFT[S])",,,2398.52,21355.56,34
RC,360,"ARTHROSCOPY, KNEE, SURGICAL; SYNOVECTOMY, LIMITED (EG, PLICA OR SHELF RESECTION) (SEPARATE PROCEDURE)",,,1088.27,12343.0,34
RC,360,"ARTHROSCOPY, KNEE, SURGICAL; SYNOVECTOMY, MAJOR, 2 OR MORE COMPARTMENTS (EG, MEDIAL OR LATERAL)",,,1088.27,12343.0,34
RC,360,"ARTHROSCOPY, KNEE, SURGICAL; WITH LATERAL RELEASE",,,1088.27,12343.0,34
RC,360,"ARTHROSCOPY, KNEE, SURGICAL; WITH LYSIS OF ADHESIONS, WITH OR WITHOUT MANIPULATION (SEPARATE PROCEDURE)",,,1088.27,12343.0,34
RC,360,"ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL AND LATERAL, INCLUDING ANY MENISCAL SHAVING) INCLUDING DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY), SAME OR SEPARATE COMPARTMENT(S",,,1088.27,12343.0,36
RC,360,"ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING ANY MENISCAL SHAVING) INCLUDING DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE (CHONDROPLASTY), SAME OR SEPARATE COMPARTMENT(S)",,,1088.27,12343.0,36
RC,360,"ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCUS REPAIR (MEDIAL AND LATERAL)",,,1088.27,12343.0,34
RC,360,"ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCUS REPAIR (MEDIAL OR LATERAL)",,,1088.27,12343.0,34
RC,360,"ARTHROSCOPY, SHOULDER, DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL BIOPSY (SEPARATE PROCEDURE)",,,1088.27,12343.0,34
RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; BICEPS TENODESIS",,,2398.52,21355.56,34
RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; CAPSULORRHAPHY",,,2398.52,21355.56,34
RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; DEBRIDEMENT, EXTENSIVE, 3 OR MORE DISCRETE STRUCTURES (EG, HUMERAL BONE, HUMERAL ARTICULAR CARTILAGE, GLENOID BONE, GLENOID ARTICULAR CARTILAGE, BICEPS TENDON, BICEPS ",,,1088.27,12343.0,36
RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; DEBRIDEMENT, LIMITED, 1 OR 2 DISCRETE STRUCTURES (EG, HUMERAL BONE, HUMERAL ARTICULAR CARTILAGE, GLENOID BONE, GLENOID ARTICULAR CARTILAGE, BICEPS TENDON, BICEPS ANCHO",,,1088.27,12343.0,36
RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROMIOPLASTY, WITH CORACOACROMIAL LIGAMENT (IE, ARCH) RELEASE, WHEN PERFORMED (LIST SEPARATELY IN ADDITION TO CODE FOR",,,1896.0,12343.0,6
RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; DISTAL CLAVICULECTOMY INCLUDING DISTAL ARTICULAR SURFACE (MUMFORD PROCEDURE)",,,1088.27,12343.0,34
RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; REPAIR OF SLAP LESION",,,2398.52,21355.56,36
RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; SYNOVECTOMY, COMPLETE",,,1088.27,12343.0,34
RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; WITH IMPLANTATION OF SUBACROMIAL SPACER (E.G., BALLOON), INCLUDES DEBRIDEMENT (E.G., LIMITED OR EXTENSIVE), SUBACROMIAL DECOMPRESSION, ACROMIOPLASTY, AND BICEPS TENODE",,,7038.0,32603.53,30
RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; WITH LYSIS AND RESECTION OF ADHESIONS, WITH OR WITHOUT MANIPULATION",,,1088.27,12343.0,34
RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; WITH REMOVAL OF LOOSE BODY OR FOREIGN BODY",,,1088.27,12343.0,34
RC,360,"ARTHROSCOPY, SHOULDER, SURGICAL; WITH ROTATOR CUFF REPAIR",,,2398.52,21355.56,36
RC,360,ARTHROTOMY WITH BIOPSY; INTERPHALANGEAL JOINT,,,1088.27,9772.7,34
RC,360,"ARTHROTOMY WITH MENISCUS REPAIR, KNEE",,,3122.54,21355.56,34
RC,360,"ARTHROTOMY WITH SYNOVECTOMY, HIP JOINT",,,1202.28,8280.0,29
RC,360,"ARTHROTOMY, ACROMIOCLAVICULAR JOINT OR STERNOCLAVICULAR JOINT, INCLUDING BIOPSY AND/OR EXCISION OF TORN CARTILAGE",,,1088.27,10495.0,34
RC,360,"ARTHROTOMY, ACROMIOCLAVICULAR, STERNOCLAVICULAR JOINT, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,1088.27,9772.7,34
RC,360,"ARTHROTOMY, ANKLE, WITH JOINT EXPLORATION, WITH OR WITHOUT BIOPSY, WITH OR WITHOUT REMOVAL OF LOOSE OR FOREIGN BODY",,,1088.27,9772.7,34
RC,360,"ARTHROTOMY, DISTAL RADIOULNAR JOINT INCLUDING REPAIR OF TRIANGULAR CARTILAGE, COMPLEX",,,1088.27,9772.7,34
RC,360,"ARTHROTOMY, ELBOW; WITH JOINT EXPLORATION, WITH OR WITHOUT BIOPSY, WITH OR WITHOUT REMOVAL OF LOOSE OR FOREIGN BODY",,,1088.27,9772.7,34
RC,360,"ARTHROTOMY, ELBOW; WITH SYNOVECTOMY",,,1088.27,9772.7,34
RC,360,"ARTHROTOMY, GLENOHUMERAL JOINT, INCLUDING BIOPSY",,,1088.27,9772.7,34
RC,360,"ARTHROTOMY, GLENOHUMERAL JOINT, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY",,,1088.27,9772.7,34
RC,360,"ARTHROTOMY, GLENOHUMERAL JOINT, WITH JOINT EXPLORATION, WITH OR WITHOUT REMOVAL OF LOOSE OR FOREIGN BODY",,,2398.52,21355.56,34
RC,360,"ARTHROTOMY, HIP, INCLUDING EXPLORATION OR REMOVAL OF LOOSE OR FOREIGN BODY",,,2398.52,21355.56,34
RC,360,"ARTHROTOMY, KNEE, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY (EG, INFECTION)",,,1088.27,9772.7,34
RC,360,"ARTHROTOMY, KNEE; INCLUDING JOINT EXPLORATION, BIOPSY, OR REMOVAL OF LOOSE OR FOREIGN BODIES",,,1088.27,9772.7,34
RC,360,"ARTHROTOMY, KNEE; WITH SYNOVIAL BIOPSY ONLY",,,1088.27,9772.7,34
RC,360,"ARTHROTOMY, TEMPOROMANDIBULAR JOINT",,,886.62,9350.87,34
RC,360,"ARTHROTOMY, WITH BIOPSY; HIP JOINT",,,593.04,7168.0,34
RC,360,"ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF LOOSE OR FOREIGN BODY; INTERPHALANGEAL JOINT, EACH",,,593.04,7886.0,34
RC,360,"ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF LOOSE OR FOREIGN BODY; METACARPOPHALANGEAL JOINT, EACH",,,1088.27,9772.7,34
RC,360,"ARTHROTOMY, WITH SYNOVECTOMY, KNEE; ANTERIOR AND POSTERIOR INCLUDING POPLITEAL AREA",,,2398.52,21355.56,34
RC,360,"ARTHROTOMY, WITH SYNOVECTOMY, KNEE; ANTERIOR OR POSTERIOR",,,1088.27,9772.7,34
RC,360,"ARTHROTOMY; GLENOHUMERAL JOINT, WITH SYNOVECTOMY, WITH OR WITHOUT BIOPSY",,,2398.52,21355.56,34
RC,360,"ARTHROTOMY; STERNOCLAVICULAR JOINT, WITH SYNOVECTOMY, WITH OR WITHOUT BIOPSY",,,1088.27,9772.7,34
RC,360,"ARYTENOIDECTOMY OR ARYTENOIDOPEXY, EXTERNAL APPROACH",,,1954.22,17316.39,34
RC,360,"ASCENDING AORTA GRAFT, WITH CARDIOPULMONARY BYPASS, WITH AORTIC ROOT REPLACEMENT USING VALVED CONDUIT AND CORONARY RECONSTRUCTION (EG, BENTALL)",,,2546.0,11758.19,10
RC,360,ASPIRATION AND INJECTION FOR TREATMENT OF BONE CYST,,,111.0,3167.0,33
RC,360,ASPIRATION OF BLADDER; WITH INSERTION OF SUPRAPUBIC CATHETER,,,652.8,6324.43,33
RC,360,ATRIAL SEPTECTOMY OR SEPTOSTOMY; CLOSED HEART (BLALOCK-HANLON TYPE OPERATION),,,2288.24,8280.0,10
RC,360,"AUTOGRAFT FOR SPINE SURGERY ONLY (INCLUDES HARVESTING THE GRAFT); LOCAL (EG, RIBS, SPINOUS PROCESS, OR LAMINAR FRAGMENTS) OBTAINED FROM SAME INCISION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY P",,,6497.0,7219.0,3
RC,360,AUTOGRAFT FOR SPINE SURGERY ONLY (INCLUDES HARVESTING THE GRAFT); MORSELIZED (THROUGH SEPARATE SKIN OR FASCIAL INCISION) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,6497.0,7219.0,3
RC,360,"AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE; SINGLE",,,111.0,2107.0,30
RC,360,AXILLARY LYMPHADENECTOMY; COMPLETE,,,1888.85,17256.34,34
RC,360,AXILLARY LYMPHADENECTOMY; SUPERFICIAL,,,1888.85,17256.34,34
RC,360,"BALLOON DILATION, URETERAL STRICTURE, INCLUDING IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND INTERPRETATION (LIST SEPARATELY IN ADDITION TO CODE",,,1896.0,2107.0,3
RC,360,"BASIC METABOLIC PANEL (CALCIUM, TOTAL) THIS PANEL MUST INCLUDE THE FOLLOWING: CALCIUM, TOTAL (82310) CARBON DIOXIDE (BICARBONATE) (82374) CHLORIDE (82435) CREATININE (82565) GLUCOSE (82947) POTASSIUM ",,,7.11,43.65,30
RC,360,"BILATERAL SALPINGO-OOPHORECTOMY WITH TOTAL OMENTECTOMY, TOTAL ABDOMINAL HYSTERECTOMY FOR MALIGNANCY",,,2435.02,8280.0,10
RC,360,"BIOPSIES, PROSTATE, NEEDLE, TRANSPERINEAL, STEREOTACTIC TEMPLATE GUIDED SATURATION SAMPLING, INCLUDING IMAGING GUIDANCE",,,1142.9,10776.19,33
RC,360,BIOPSY EXTERNAL AUDITORY CANAL,,,94.96,8280.0,33
RC,360,BIOPSY EXTERNAL EAR,,,54.82,4345.0,33
RC,360,"BIOPSY OF ANORECTAL WALL, ANAL APPROACH (EG, CONGENITAL MEGACOLON)",,,939.93,8368.72,34
RC,360,"BIOPSY OF BREAST; OPEN, INCISIONAL",,,963.66,10815.49,34
RC,360,"BIOPSY OF CERVIX, SINGLE OR MULTIPLE, OR LOCAL EXCISION OF LESION, WITH OR WITHOUT FULGURATION (SEPARATE PROCEDURE)",,,91.36,4345.0,33
RC,360,BIOPSY OF CONJUNCTIVA,,,108.53,7168.0,33
RC,360,BIOPSY OF EXTRAOCULAR MUSCLE,,,1103.42,11163.6,34
RC,360,BIOPSY OF FLOOR OF MOUTH,,,104.93,4345.0,33
RC,360,BIOPSY OF LACRIMAL GLAND,,,698.3,6908.66,34
RC,360,BIOPSY OF LACRIMAL SAC,,,698.3,6908.66,34
RC,360,BIOPSY OF LIP,,,64.23,2107.0,33
RC,360,"BIOPSY OF LIVER, NEEDLE; PERCUTANEOUS",,,486.45,4900.18,34
RC,360,"BIOPSY OF LIVER, NEEDLE; WHEN DONE FOR INDICATED PURPOSE AT TIME OF OTHER MAJOR PROCEDURE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"BIOPSY OF LIVER, WEDGE",,,1492.2,8280.0,10
RC,360,"BIOPSY OF PALATE, UVULA",,,164.67,4345.0,30
RC,360,BIOPSY OF PENIS; (SEPARATE PROCEDURE),,,486.45,4900.18,34
RC,360,BIOPSY OF SALIVARY GLAND; INCISIONAL,,,420.64,4817.14,34
RC,360,BIOPSY OF SALIVARY GLAND; NEEDLE,,,57.58,4345.0,33
RC,360,BIOPSY OF TONGUE; ANTERIOR TWO-THIRDS,,,111.3,4345.0,33
RC,360,BIOPSY OF URETHRA,,,652.8,6324.43,34
RC,360,"BIOPSY OF VAGINAL MUCOSA; EXTENSIVE, REQUIRING SUTURE (INCLUDING CYSTS)",,,1063.52,8918.22,34
RC,360,BIOPSY OF VAGINAL MUCOSA; SIMPLE (SEPARATE PROCEDURE),,,47.06,4345.0,33
RC,360,BIOPSY OF VULVA OR PERINEUM (SEPARATE PROCEDURE); 1 LESION,,,44.85,4345.0,33
RC,360,BIOPSY OF VULVA OR PERINEUM (SEPARATE PROCEDURE); EACH SEPARATE ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,1896.0,2107.0,3
RC,360,"BIOPSY OR EXCISION OF LYMPH NODE(S); BY NEEDLE, SUPERFICIAL (EG, CERVICAL, INGUINAL, AXILLARY)",,,486.45,4900.18,33
RC,360,"BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, DEEP AXILLARY NODE(S)",,,963.66,10815.49,34
RC,360,"BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, DEEP CERVICAL NODE(S)",,,963.66,10815.49,34
RC,360,"BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, INGUINOFEMORAL NODE(S)",,,3736.62,10815.49,30
RC,360,"BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, INTERNAL MAMMARY NODE(S)",,,963.66,10815.49,34
RC,360,"BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, SUPERFICIAL",,,963.66,10815.49,34
RC,360,"BIOPSY, ABDOMINAL OR RETROPERITONEAL MASS, PERCUTANEOUS NEEDLE",,,486.45,4900.18,34
RC,360,"BIOPSY, BONE, OPEN; DEEP (EG, HUMERAL SHAFT, ISCHIUM, FEMORAL SHAFT)",,,815.2,8278.44,34
RC,360,"BIOPSY, BONE, OPEN; SUPERFICIAL (EG, STERNUM, SPINOUS PROCESS, RIB, PATELLA, OLECRANON PROCESS, CALCANEUS, TARSAL, METATARSAL, CARPAL, METACARPAL, PHALANX)",,,815.2,8278.44,34
RC,360,"BIOPSY, BONE, TROCAR, OR NEEDLE; DEEP (EG, VERTEBRAL BODY, FEMUR)",,,486.45,4900.18,33
RC,360,"BIOPSY, BONE, TROCAR, OR NEEDLE; SUPERFICIAL (EG, ILIUM, STERNUM, SPINOUS PROCESS, RIBS)",,,486.45,4900.18,33
RC,360,"BIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; FIRST LESION, INCLUDING U",,,486.45,7168.0,33
RC,360,"BIOPSY, INTRANASAL",,,88.87,4345.0,33
RC,360,"BIOPSY, MUSCLE, PERCUTANEOUS NEEDLE",,,486.45,4900.18,33
RC,360,"BIOPSY, MUSCLE; DEEP",,,815.2,8278.44,34
RC,360,"BIOPSY, MUSCLE; SUPERFICIAL",,,486.45,4900.18,34
RC,360,"BIOPSY, PROSTATE, EACH ADDITIONAL, MRI-ULTRASOUND FUSION OR IN-BORE CT- OR MRI-GUIDED TARGETED LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,,,0
RC,360,"BIOPSY, PROSTATE, TRANSPERINEAL, MRI-ULTRASOUND-FUSION GUIDED, TARGETED LESION(S) ONLY, FIRST TARGETED LESION",,,1378.42,7613.24,22
RC,360,"BIOPSY, PROSTATE, TRANSPERINEAL, ULTRASOUND-GUIDED (IE, SEXTANT) WITH MRI-FUSION-GUIDANCE BIOPSY, FIRST TARGETED LESION",,,1378.42,7613.24,22
RC,360,"BIOPSY, PROSTATE, TRANSRECTAL, ULTRASOUND-GUIDED (IE, SEXTANT) WITH MRI-FUSION-GUIDANCE, FIRST TARGETED LESION",,,3363.99,47686.05,22
RC,360,"BIOPSY, PROSTATE, TRANSRECTAL, ULTRASOUND-GUIDED (IE, SEXTANT, ULTRASOUND-LOCALIZED DISCRETE LESION[S])",,,1378.42,7613.24,22
RC,360,"BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH",,,2850.0,6324.43,11
RC,360,"BIOPSY, SOFT TISSUE OF BACK OR FLANK; DEEP",,,486.45,4900.18,34
RC,360,"BIOPSY, SOFT TISSUE OF FOREARM AND/OR WRIST; DEEP (SUBFASCIAL OR INTRAMUSCULAR)",,,815.2,8278.44,34
RC,360,"BIOPSY, SOFT TISSUE OF FOREARM AND/OR WRIST; SUPERFICIAL",,,149.5,4345.0,33
RC,360,"BIOPSY, SOFT TISSUE OF LEG OR ANKLE AREA; DEEP (SUBFASCIAL OR INTRAMUSCULAR)",,,815.2,8278.44,34
RC,360,"BIOPSY, SOFT TISSUE OF LEG OR ANKLE AREA; SUPERFICIAL",,,139.54,4345.0,33
RC,360,"BIOPSY, SOFT TISSUE OF NECK OR THORAX",,,486.45,4900.18,33
RC,360,"BIOPSY, SOFT TISSUE OF PELVIS AND HIP AREA; DEEP, SUBFASCIAL OR INTRAMUSCULAR",,,486.45,4900.18,33
RC,360,"BIOPSY, SOFT TISSUE OF SHOULDER AREA; DEEP",,,815.2,8278.44,34
RC,360,"BIOPSY, SOFT TISSUE OF SHOULDER AREA; SUPERFICIAL",,,114.62,4345.0,33
RC,360,"BIOPSY, SOFT TISSUE OF THIGH OR KNEE AREA; DEEP (SUBFASCIAL OR INTRAMUSCULAR)",,,815.2,8278.44,34
RC,360,"BIOPSY, SOFT TISSUE OF THIGH OR KNEE AREA; SUPERFICIAL",,,486.45,4900.18,34
RC,360,"BIOPSY, SOFT TISSUE OF UPPER ARM OR ELBOW AREA; DEEP (SUBFASCIAL OR INTRAMUSCULAR)",,,815.2,8278.44,34
RC,360,"BIOPSY, SOFT TISSUE OF UPPER ARM OR ELBOW AREA; SUPERFICIAL",,,149.5,4345.0,33
RC,360,"BIOPSY, VERTEBRAL BODY, OPEN; LUMBAR OR CERVICAL",,,2398.52,21355.56,34
RC,360,"BIOPSY, VESTIBULE OF MOUTH",,,107.7,2107.0,33
RC,360,"BIOPSY; NASOPHARYNX, SURVEY FOR UNKNOWN PRIMARY LESION",,,886.62,9350.87,34
RC,360,"BIOPSY; NASOPHARYNX, VISIBLE LESION, SIMPLE",,,886.62,9350.87,34
RC,360,BIOPSY; OROPHARYNX,,,85.54,8280.0,33
RC,360,BLADDER INSTILLATION OF ANTICARCINOGENIC AGENT (INCLUDING RETENTION TIME),,,44.85,4345.0,34
RC,360,"BLADDER IRRIGATION, SIMPLE, LAVAGE AND/OR INSTILLATION",,,44.3,2107.0,33
RC,360,"BLEPHAROPLASTY, LOWER EYELID;",,,709.01,7168.0,34
RC,360,"BLEPHAROPLASTY, LOWER EYELID; WITH EXTENSIVE HERNIATED FAT PAD",,,709.01,7168.0,34
RC,360,"BLEPHAROPLASTY, UPPER EYELID; WITH EXCESSIVE SKIN WEIGHTING DOWN LID",,,709.01,8674.0,34
RC,360,BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS; ILIAC CREST,,,4636.18,15671.95,29
RC,360,"BONE GRAFT, ANY DONOR AREA; MAJOR OR LARGE",,,2398.52,21355.56,34
RC,360,"BONE GRAFT, ANY DONOR AREA; MINOR OR SMALL (EG, DOWEL OR BUTTON)",,,2763.0,21355.56,34
RC,360,BONE MARROW HARVESTING FOR TRANSPLANTATION; ALLOGENEIC,,,564.62,8280.0,33
RC,360,BONE MARROW HARVESTING FOR TRANSPLANTATION; AUTOLOGOUS,,,1674.15,13631.55,33
RC,360,BREAST AUGMENTATION WITH IMPLANT,,,2281.73,29043.95,34
RC,360,BREAST RECONSTRUCTION; WITH LATISSIMUS DORSI FLAP,,,2546.0,8280.0,10
RC,360,BREAST REDUCTION,,,1845.21,18697.13,34
RC,360,BRONCHOPLASTY; EXCISION STENOSIS AND ANASTOMOSIS,,,2465.47,8280.0,10
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; DIAGNOSTIC, WITH CELL WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,525.71,5107.28,34
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; EACH ADDITIONAL MAJOR BRONCHUS STENTED (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1804.0,4345.0,6
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BALLOON OCCLUSION, WHEN PERFORMED, ASSESSMENT OF AIR LEAK, AIRWAY SIZING, AND INSERTION OF BRONCHIAL VALVE(S), IN",,,2295.85,19422.09,33
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BALLOON OCCLUSION, WITH ASSESSMENT OF AIR LEAK, WITH ADMINISTRATION OF OCCLUSIVE SUBSTANCE (EG, FIBRIN GLUE), IF ",,,1630.12,19422.09,33
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRONCHIAL ALVEOLAR LAVAGE",,,525.71,5107.28,34
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRONCHIAL OR ENDOBRONCHIAL BIOPSY(S), SINGLE OR MULTIPLE SITES",,,525.71,5107.28,34
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRUSHING OR PROTECTED BRUSHINGS",,,525.71,5107.28,34
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH COMPUTER-ASSISTED, IMAGE-GUIDED NAVIGATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE[S])",,,1896.0,2107.0,3
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH DESTRUCTION OF TUMOR OR RELIEF OF STENOSIS BY ANY METHOD OTHER THAN EXCISION (EG, LASER THERAPY, CRYOTHERAPY)",,,1062.24,10484.77,34
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH ENDOBRONCHIAL ULTRASOUND (EBUS) GUIDED TRANSTRACHEAL AND/OR TRANSBRONCHIAL SAMPLING (EG, ASPIRATION[S]/BIOPSY[IES",,,1062.24,12700.0,66
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH EXCISION OF TUMOR",,,1062.24,10484.77,34
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH PLACEMENT OF BRONCHIAL STENT(S) (INCLUDES TRACHEAL/BRONCHIAL DILATION AS REQUIRED), INITIAL BRONCHUS",,,2416.0,19422.09,34
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH PLACEMENT OF FIDUCIAL MARKERS, SINGLE OR MULTIPLE",,,1630.12,19422.09,33
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH PLACEMENT OF TRACHEAL STENT(S) (INCLUDES TRACHEAL/BRONCHIAL DILATION AS REQUIRED)",,,1630.12,19422.09,34
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH REMOVAL OF BRONCHIAL VALVE(S), INITIAL LOBE",,,1062.24,10495.0,33
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH REMOVAL OF FOREIGN BODY",,,525.71,5107.28,34
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH REVISION OF TRACHEAL OR BRONCHIAL STENT INSERTED AT PREVIOUS SESSION (INCLUDES TRACHEAL/BRONCHIAL DILATION AS REQ",,,1630.12,19422.09,34
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH THERAPEUTIC ASPIRATION OF TRACHEOBRONCHIAL TREE, INITIAL",,,525.71,5107.28,34
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH THERAPEUTIC ASPIRATION OF TRACHEOBRONCHIAL TREE, SUBSEQUENT, SAME HOSPITAL STAY",,,155.59,4345.0,34
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRACHEAL/BRONCHIAL DILATION OR CLOSED REDUCTION OF FRACTURE",,,1062.24,10484.77,34
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL LUNG BIOPSY(S), EACH ADDITIONAL LOBE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,4779.0,5
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL LUNG BIOPSY(S), SINGLE LOBE",,,1062.24,10484.77,34
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL NEEDLE ASPIRATION BIOPSY(S), EACH ADDITIONAL LOBE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY",,,1896.0,4779.0,5
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL NEEDLE ASPIRATION BIOPSY(S), TRACHEA, MAIN STEM AND/OR LOBAR BRONCHUS(I)",,,1062.24,10484.77,34
RC,360,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSENDOSCOPIC ENDOBRONCHIAL ULTRASOUND (EBUS) DURING BRONCHOSCOPIC DIAGNOSTIC OR THERAPEUTIC INTERVENTION(S) FO",,,1896.0,4779.0,5
RC,360,CANTHOPLASTY (RECONSTRUCTION OF CANTHUS),,,698.3,6908.66,34
RC,360,CANTHOTOMY (SEPARATE PROCEDURE),,,698.3,6908.66,34
RC,360,"CAPSULECTOMY OR CAPSULOTOMY; INTERPHALANGEAL JOINT, EACH JOINT",,,593.04,7168.0,34
RC,360,"CAPSULECTOMY OR CAPSULOTOMY; METACARPOPHALANGEAL JOINT, EACH JOINT",,,1088.27,9772.7,34
RC,360,"CAPSULODESIS, METACARPOPHALANGEAL JOINT; SINGLE DIGIT",,,1407.66,9772.7,34
RC,360,"CAPSULORRHAPHY OR RECONSTRUCTION, WRIST, OPEN (EG, CAPSULODESIS, LIGAMENT REPAIR, TENDON TRANSFER OR GRAFT) (INCLUDES SYNOVECTOMY, CAPSULOTOMY AND OPEN REDUCTION) FOR CARPAL INSTABILITY",,,2398.52,21355.56,34
RC,360,"CAPSULORRHAPHY, ANTERIOR, ANY TYPE; WITH CORACOID PROCESS TRANSFER",,,2398.52,21355.56,34
RC,360,"CAPSULORRHAPHY, GLENOHUMERAL JOINT, ANY TYPE MULTIDIRECTIONAL INSTABILITY",,,2398.52,21355.56,34
RC,360,"CAPSULORRHAPHY, GLENOHUMERAL JOINT, POSTERIOR, WITH OR WITHOUT BONE BLOCK",,,2398.52,21355.56,34
RC,360,"CAPSULOTOMY, MIDTARSAL (EG, HEYMAN TYPE PROCEDURE)",,,593.04,8568.0,34
RC,360,"CAPSULOTOMY, POSTERIOR CAPSULAR RELEASE, KNEE",,,1088.27,9772.7,34
RC,360,"CAPSULOTOMY, WRIST (EG, CONTRACTURE)",,,1088.27,9772.7,34
RC,360,CARPECTOMY; 1 BONE,,,1088.27,9772.7,34
RC,360,CARPECTOMY; ALL BONES OF PROXIMAL ROW,,,1088.27,9772.7,34
RC,360,CARTILAGE GRAFT; COSTOCHONDRAL,,,216.8,7168.0,34
RC,360,CARTILAGE GRAFT; NASAL SEPTUM,,,1457.62,10628.93,34
RC,360,"CAUTERY OF CERVIX; CRYOCAUTERY, INITIAL OR REPEAT",,,104.93,4345.0,33
RC,360,CAUTERY OF CERVIX; ELECTRO OR THERMAL,,,79.18,8280.0,33
RC,360,"CERCLAGE OF CERVIX, DURING PREGNANCY; VAGINAL",,,1063.52,8918.22,34
RC,360,"CERCLAGE OF UTERINE CERVIX, NONOBSTETRICAL",,,1804.0,8918.22,31
RC,360,CERVICAL LYMPHADENECTOMY (COMPLETE),,,4302.0,29043.95,30
RC,360,CERVICAL LYMPHADENECTOMY (MODIFIED RADICAL NECK DISSECTION),,,2537.96,8280.0,10
RC,360,CHANGE OF CYSTOSTOMY TUBE; SIMPLE,,,51.77,4345.0,33
RC,360,"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE (IE, PROUD FLESH)",,,111.0,2107.0,30
RC,360,CHEMODENERVATION OF INTERNAL ANAL SPHINCTER,,,429.26,4345.0,33
RC,360,"CHEMODENERVATION OF MUSCLE(S); LARYNX, UNILATERAL, PERCUTANEOUS (EG, FOR SPASMODIC DYSPHONIA), INCLUDES GUIDANCE BY NEEDLE ELECTROMYOGRAPHY, WHEN PERFORMED",,,74.47,3167.0,33
RC,360,"CHEMODENERVATION OF MUSCLE(S); MUSCLE(S) INNERVATED BY FACIAL NERVE, UNILATERAL (EG, FOR BLEPHAROSPASM, HEMIFACIAL SPASM)",,,64.78,4345.0,33
RC,360,"CHEMODENERVATION OF MUSCLE(S); NECK MUSCLE(S), EXCLUDING MUSCLES OF THE LARYNX, UNILATERAL (EG, FOR CERVICAL DYSTONIA, SPASMODIC TORTICOLLIS)",,,57.3,2107.0,33
RC,360,CHEMODENERVATION OF ONE EXTREMITY; 1-4 MUSCLE(S),,,68.66,3167.0,33
RC,360,CHEMODENERVATION OF TRUNK MUSCLE(S); 1-5 MUSCLE(S),,,68.66,3167.0,33
RC,360,"CHIMERIC ANTIGEN RECEPTOR T-CELL (CAR-T) THERAPY; HARVESTING OF BLOOD-DERIVED T LYMPHOCYTES FOR DEVELOPMENT OF GENETICALLY MODIFIED AUTOLOGOUS CAR-T CELLS, PER DAY",,,,,0
RC,360,"CHIMERIC ANTIGEN RECEPTOR T-CELL (CAR-T) THERAPY; PREPARATION OF BLOOD-DERIVED T LYMPHOCYTES FOR TRANSPORTATION (EG, CRYOPRESERVATION, STORAGE)",,,,,0
RC,360,CHIMERIC ANTIGEN RECEPTOR T-CELL (CAR-T) THERAPY; RECEIPT AND PREPARATION OF CAR-T CELLS FOR ADMINISTRATION,,,,,0
RC,360,CHOLECYSTECTOMY;,,,1886.26,8280.0,10
RC,360,"CHOLEDOCHOTOMY OR CHOLEDOCHOSTOMY WITH EXPLORATION, DRAINAGE, OR REMOVAL OF CALCULUS, WITH OR WITHOUT CHOLECYSTOTOMY; WITHOUT TRANSDUODENAL SPHINCTEROTOMY OR SPHINCTEROPLASTY",,,2369.24,8280.0,10
RC,360,"CHROMOTUBATION OF OVIDUCT, INCLUDING MATERIALS",,,4773.99,15249.4,31
RC,360,"CIRCUMCISION, SURGICAL EXCISION OTHER THAN CLAMP, DEVICE, OR DORSAL SLIT; OLDER THAN 28 DAYS OF AGE",,,652.8,6324.43,34
RC,360,"CIRCUMCISION, USING CLAMP OR OTHER DEVICE WITH REGIONAL DORSAL PENILE OR RING BLOCK",,,652.8,6324.43,34
RC,360,CLAVICULECTOMY; PARTIAL,,,1088.27,9772.7,34
RC,360,CLAVICULECTOMY; TOTAL,,,1088.27,9772.7,34
RC,360,"CLOSED TREATMENT OF ARTICULAR FRACTURE, INVOLVING METACARPOPHALANGEAL OR INTERPHALANGEAL JOINT; WITH MANIPULATION, EACH",,,593.04,4838.74,33
RC,360,"CLOSED TREATMENT OF ARTICULAR FRACTURE, INVOLVING METACARPOPHALANGEAL OR INTERPHALANGEAL JOINT; WITHOUT MANIPULATION, EACH",,,85.32,2107.0,33
RC,360,"CLOSED TREATMENT OF BIMALLEOLAR ANKLE FRACTURE (EG, LATERAL AND MEDIAL MALLEOLI, OR LATERAL AND POSTERIOR MALLEOLI OR MEDIAL AND POSTERIOR MALLEOLI); WITH MANIPULATION",,,593.04,4838.74,33
RC,360,"CLOSED TREATMENT OF DISTAL EXTENSOR TENDON INSERTION, WITH OR WITHOUT PERCUTANEOUS PINNING (EG, MALLET FINGER)",,,593.04,7168.0,34
RC,360,CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS); WITH MANIPULATION,,,85.32,4345.0,33
RC,360,"CLOSED TREATMENT OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB; WITH MANIPULATION, EACH",,,85.32,2107.0,33
RC,360,"CLOSED TREATMENT OF DISTAL RADIAL FRACTURE (EG, COLLES OR SMITH TYPE) OR EPIPHYSEAL SEPARATION, INCLUDES CLOSED TREATMENT OF FRACTURE OF ULNAR STYLOID, WHEN PERFORMED; WITH MANIPULATION",,,593.04,7168.0,33
RC,360,"CLOSED TREATMENT OF DISTAL RADIAL FRACTURE (EG, COLLES OR SMITH TYPE) OR EPIPHYSEAL SEPARATION, INCLUDES CLOSED TREATMENT OF FRACTURE OF ULNAR STYLOID, WHEN PERFORMED; WITHOUT MANIPULATION",,,85.32,2107.0,33
RC,360,CLOSED TREATMENT OF MANDIBULAR FRACTURE WITH INTERDENTAL FIXATION,,,1954.22,17316.39,34
RC,360,CLOSED TREATMENT OF MANDIBULAR FRACTURE; WITHOUT MANIPULATION,,,250.84,7168.0,33
RC,360,CLOSED TREATMENT OF MEDIAL MALLEOLUS FRACTURE; WITHOUT MANIPULATION,,,85.32,4345.0,33
RC,360,"CLOSED TREATMENT OF METACARPAL FRACTURE, SINGLE; WITH MANIPULATION, EACH BONE",,,85.32,4779.0,33
RC,360,"CLOSED TREATMENT OF METATARSAL FRACTURE; WITH MANIPULATION, EACH",,,85.32,2107.0,33
RC,360,"CLOSED TREATMENT OF METATARSAL FRACTURE; WITHOUT MANIPULATION, EACH",,,85.32,2107.0,33
RC,360,CLOSED TREATMENT OF NASAL BONE FRACTURE WITH MANIPULATION; WITH STABILIZATION,,,886.62,9350.87,34
RC,360,CLOSED TREATMENT OF NASAL BONE FRACTURE WITH MANIPULATION; WITHOUT STABILIZATION,,,420.64,4817.14,33
RC,360,"CLOSED TREATMENT OF NASAL SEPTAL FRACTURE, WITH OR WITHOUT STABILIZATION",,,886.62,9350.87,34
RC,360,"CLOSED TREATMENT OF PALATAL OR MAXILLARY FRACTURE (LEFORT I TYPE), WITH INTERDENTAL WIRE FIXATION OR FIXATION OF DENTURE OR SPLINT",,,886.62,9350.87,34
RC,360,"CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, FINGER OR THUMB; WITH MANIPULATION, WITH OR WITHOUT SKIN OR SKELETAL TRACTION, EACH",,,85.32,2107.0,33
RC,360,CLOSED TREATMENT OF POSTERIOR MALLEOLUS FRACTURE; WITH MANIPULATION,,,850.02,4838.74,33
RC,360,CLOSED TREATMENT OF PROXIMAL FIBULA OR SHAFT FRACTURE; WITH MANIPULATION,,,593.04,4838.74,33
RC,360,"CLOSED TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE; WITH MANIPULATION, WITH OR WITHOUT SKELETAL TRACTION",,,593.04,4838.74,33
RC,360,CLOSED TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES; WITH MANIPULATION,,,593.04,4838.74,33
RC,360,"CLOSED TREATMENT OF RADIOCARPAL OR INTERCARPAL DISLOCATION, 1 OR MORE BONES, WITH MANIPULATION",,,85.32,4345.0,33
RC,360,"CLOSED TREATMENT OF SHOULDER DISLOCATION, WITH MANIPULATION; REQUIRING ANESTHESIA",,,593.04,4838.74,34
RC,360,"CLOSED TREATMENT OF SHOULDER DISLOCATION, WITH MANIPULATION; WITHOUT ANESTHESIA",,,85.32,4345.0,33
RC,360,"CLOSED TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE); WITH MANIPULATION, WITH OR WITHOUT SKELETAL TRACTION",,,593.04,4838.74,33
RC,360,"CLOSED TREATMENT OF TRANS-SCAPHOPERILUNAR TYPE OF FRACTURE DISLOCATION, WITH MANIPULATION",,,85.32,4779.0,33
RC,360,"CLOSED TREATMENT OF ULNAR FRACTURE, PROXIMAL END (EG, OLECRANON OR CORONOID PROCESS[ES]); WITH MANIPULATION",,,593.04,4838.74,33
RC,360,CLOSED TREATMENT OF ULNAR SHAFT FRACTURE; WITH MANIPULATION,,,85.32,4345.0,33
RC,360,CLOSED TREATMENT OF ULNAR STYLOID FRACTURE,,,85.32,2107.0,33
RC,360,CLOSURE OF ANAL FISTULA WITH RECTAL ADVANCEMENT FLAP,,,939.93,8368.72,34
RC,360,"CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE;",,,1531.17,8280.0,10
RC,360,"CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE; WITH RESECTION AND ANASTOMOSIS OTHER THAN COLORECTAL",,,1792.46,8280.0,10
RC,360,CLOSURE OF ESOPHAGOSTOMY OR FISTULA; CERVICAL APPROACH,,,3164.04,9350.87,30
RC,360,CLOSURE OF ESOPHAGOSTOMY OR FISTULA; TRANSTHORACIC OR TRANSABDOMINAL APPROACH,,,2536.13,8280.0,10
RC,360,CLOSURE OF MEDIAN STERNOTOMY SEPARATION WITH OR WITHOUT DEBRIDEMENT (SEPARATE PROCEDURE),,,1200.46,15671.95,29
RC,360,"CLOSURE OF RECTOVAGINAL FISTULA; TRANSPERINEAL APPROACH, WITH PERINEAL BODY RECONSTRUCTION, WITH OR WITHOUT LEVATOR PLICATION",,,1155.99,8280.0,10
RC,360,CLOSURE OF RECTOVAGINAL FISTULA; VAGINAL OR TRANSANAL APPROACH,,,1063.52,8918.22,34
RC,360,CLOSURE OF VESICOVAGINAL FISTULA; TRANSVESICAL AND VAGINAL APPROACH,,,6497.0,23931.85,30
RC,360,CLOSURE OF VESICOVAGINAL FISTULA; VAGINAL APPROACH,,,1526.99,15249.4,33
RC,360,"COCHLEAR DEVICE IMPLANTATION, WITH OR WITHOUT MASTOIDECTOMY",,,5384.0,118196.7,34
RC,360,"COLECTOMY, PARTIAL; WITH END COLOSTOMY AND CLOSURE OF DISTAL SEGMENT (HARTMANN TYPE PROCEDURE)",,,2546.0,8280.0,10
RC,360,"COLLECTION OF CAPILLARY BLOOD SPECIMEN (EG, FINGER, HEEL, EAR STICK)",,,,,0
RC,360,COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE,,,8.87,21.19,22
RC,360,"COLONOSCOPY THROUGH STOMA; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,328.5,4345.0,34
RC,360,"COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,328.5,4779.0,34
RC,360,"COLONOSCOPY, FLEXIBLE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,429.26,7886.0,33
RC,360,"COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE",,,429.26,4779.0,34
RC,360,"COLONOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE",,,429.26,4779.0,34
RC,360,"COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,429.26,4779.0,34
RC,360,COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK,,,328.5,4779.0,34
RC,360,COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK,,,328.5,4779.0,34
RC,360,COLORECTAL CANCER SCREENING; FLEXIBLE SIGMOIDOSCOPY,,,130.67,3167.0,31
RC,360,COLPOCLEISIS (LE FORT TYPE),,,1526.99,15249.4,33
RC,360,"COLPOPERINEORRHAPHY, SUTURE OF INJURY OF VAGINA AND/OR PERINEUM (NONOBSTETRICAL)",,,1063.52,8918.22,34
RC,360,"COLPOPEXY, ABDOMINAL APPROACH",,,1660.92,8280.0,10
RC,360,"COLPOPEXY, VAGINAL; EXTRA-PERITONEAL APPROACH (SACROSPINOUS, ILIOCOCCYGEUS)",,,7038.0,23931.85,30
RC,360,"COLPOPEXY, VAGINAL; INTRA-PERITONEAL APPROACH (UTEROSACRAL, LEVATOR MYORRHAPHY)",,,7038.0,23931.85,30
RC,360,"COLPORRHAPHY, SUTURE OF INJURY OF VAGINA (NONOBSTETRICAL)",,,1063.52,8918.22,34
RC,360,COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA;,,,56.75,4345.0,33
RC,360,COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH BIOPSY(S) OF THE CERVIX,,,70.04,4345.0,33
RC,360,COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH BIOPSY(S) OF THE CERVIX AND ENDOCERVICAL CURETTAGE,,,65.06,4345.0,33
RC,360,COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH LOOP ELECTRODE BIOPSY(S) OF THE CERVIX,,,174.42,8280.0,33
RC,360,COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH LOOP ELECTRODE CONIZATION OF THE CERVIX,,,185.22,7744.8,33
RC,360,"COLPOSCOPY OF THE ENTIRE VAGINA, WITH CERVIX IF PRESENT;",,,57.86,4345.0,33
RC,360,"COLPOSCOPY OF THE ENTIRE VAGINA, WITH CERVIX IF PRESENT; WITH BIOPSY(S) OF VAGINA/CERVIX",,,76.14,4345.0,33
RC,360,COLPOSCOPY OF THE VULVA;,,,55.1,2107.0,33
RC,360,COLPOSCOPY OF THE VULVA; WITH BIOPSY(S),,,72.54,4345.0,33
RC,360,COLPOTOMY; WITH EXPLORATION,,,1063.52,8918.22,34
RC,360,"COMBINED ANTEROPOSTERIOR COLPORRHAPHY, INCLUDING CYSTOURETHROSCOPY, WHEN PERFORMED;",,,1526.99,15249.4,34
RC,360,"COMBINED ANTEROPOSTERIOR COLPORRHAPHY, INCLUDING CYSTOURETHROSCOPY, WHEN PERFORMED; WITH ENTEROCELE REPAIR",,,1526.99,15249.4,34
RC,360,"COMPUTER-ASSISTED MUSCULOSKELETAL SURGICAL NAVIGATIONAL ORTHOPEDIC PROCEDURE, WITH IMAGE-GUIDANCE BASED ON CT/MRI IMAGES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"COMPUTER-ASSISTED MUSCULOSKELETAL SURGICAL NAVIGATIONAL ORTHOPEDIC PROCEDURE, WITH IMAGE-GUIDANCE BASED ON FLUOROSCOPIC IMAGES (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"COMPUTER-ASSISTED SURGICAL NAVIGATIONAL PROCEDURE FOR MUSCULOSKELETAL PROCEDURES, IMAGE-LESS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"CONDYLECTOMY, TEMPOROMANDIBULAR JOINT (SEPARATE PROCEDURE)",,,1954.22,17316.39,34
RC,360,"CONIZATION OF CERVIX, WITH OR WITHOUT FULGURATION, WITH OR WITHOUT DILATION AND CURETTAGE, WITH OR WITHOUT REPAIR; COLD KNIFE OR LASER",,,1063.52,8918.22,34
RC,360,"CONIZATION OF CERVIX, WITH OR WITHOUT FULGURATION, WITH OR WITHOUT DILATION AND CURETTAGE, WITH OR WITHOUT REPAIR; LOOP ELECTRODE EXCISION",,,1063.52,8918.22,34
RC,360,"CONJUNCTIVOPLASTY, RECONSTRUCTION CUL-DE-SAC; WITH BUCCAL MUCOUS MEMBRANE GRAFT (INCLUDES OBTAINING GRAFT)",,,698.3,7886.0,34
RC,360,"CONJUNCTIVOPLASTY, RECONSTRUCTION CUL-DE-SAC; WITH CONJUNCTIVAL GRAFT OR EXTENSIVE REARRANGEMENT",,,1103.42,11163.6,34
RC,360,CONJUNCTIVOPLASTY; WITH BUCCAL MUCOUS MEMBRANE GRAFT (INCLUDES OBTAINING GRAFT),,,1103.42,11163.6,34
RC,360,CONJUNCTIVOPLASTY; WITH CONJUNCTIVAL GRAFT OR EXTENSIVE REARRANGEMENT,,,698.3,7886.0,34
RC,360,CONJUNCTIVORHINOSTOMY (FISTULIZATION OF CONJUNCTIVA TO NASAL CAVITY); WITH INSERTION OF TUBE OR STENT,,,1103.42,11163.6,34
RC,360,"CONSTRUCTION OF TRACHEOESOPHAGEAL FISTULA AND SUBSEQUENT INSERTION OF AN ALARYNGEAL SPEECH PROSTHESIS (EG, VOICE BUTTON, BLOM-SINGER PROSTHESIS)",,,886.62,9350.87,34
RC,360,"CONTRAST INJECTION(S) FOR RADIOLOGICAL EVALUATION OF EXISTING GASTROSTOMY, DUODENOSTOMY, JEJUNOSTOMY, GASTRO-JEJUNOSTOMY, OR CECOSTOMY (OR OTHER COLONIC) TUBE, FROM A PERCUTANEOUS APPROACH INCLUDING I",,,111.0,2107.0,30
RC,360,"CONTROL NASAL HEMORRHAGE, ANTERIOR, SIMPLE (LIMITED CAUTERY AND/OR PACKING) ANY METHOD",,,111.0,2107.0,30
RC,360,"CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH POSTERIOR NASAL PACKS AND/OR CAUTERY, ANY METHOD; INITIAL",,,46.68,4345.0,33
RC,360,"CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, POST-TONSILLECTOMY); COMPLICATED, REQUIRING HOSPITALIZATION",,,729.66,8280.0,10
RC,360,"CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, POST-TONSILLECTOMY); SIMPLE",,,187.22,4345.0,33
RC,360,"CONVERSION OF GASTROSTOMY TUBE TO GASTRO-JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,564.97,5559.92,33
RC,360,"CONVERSION OF PREVIOUS HIP SURGERY TO TOTAL HIP ARTHROPLASTY, WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT",,,2943.59,27728.96,29
RC,360,"CORE NEEDLE BIOPSY, LUNG OR MEDIASTINUM, PERCUTANEOUS, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,486.45,10495.0,33
RC,360,CORONOIDECTOMY (SEPARATE PROCEDURE),,,1954.22,17316.39,34
RC,360,"CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT (PRIAPISM OPERATION), UNILATERAL OR BILATERAL",,,1128.58,8280.0,10
RC,360,"CORPORA CAVERNOSA-GLANS PENIS FISTULIZATION (EG, BIOPSY NEEDLE, WINTER PROCEDURE, RONGEUR, OR PUNCH) FOR PRIAPISM",,,1142.9,10776.19,34
RC,360,"CORRECTION OF LAGOPHTHALMOS, WITH IMPLANTATION OF UPPER EYELID LID LOAD (EG, GOLD WEIGHT)",,,698.3,7168.0,34
RC,360,CORRECTION OF LID RETRACTION,,,698.3,7168.0,34
RC,360,"CORRECTION OF MALROTATION BY LYSIS OF DUODENAL BANDS AND/OR REDUCTION OF MIDGUT VOLVULUS (EG, LADD PROCEDURE)",,,2546.0,8280.0,10
RC,360,"CORRECTION OF TRICHIASIS; EPILATION BY OTHER THAN FORCEPS (EG, BY ELECTROSURGERY, CRYOTHERAPY, LASER SURGERY)",,,67.27,4345.0,33
RC,360,CORRECTION OF TRICHIASIS; INCISION OF LID MARGIN,,,335.22,4779.0,34
RC,360,"CORRECTION, HALLUX VALGUS WITH BUNIONECTOMY, WITH SESAMOIDECTOMY WHEN PERFORMED; WITH DISTAL METATARSAL OSTEOTOMY, ANY METHOD",,,1088.27,10032.0,36
RC,360,"CORRECTION, HALLUX VALGUS WITH BUNIONECTOMY, WITH SESAMOIDECTOMY WHEN PERFORMED; WITH DOUBLE OSTEOTOMY, ANY METHOD",,,3132.58,21355.56,36
RC,360,"CORRECTION, HALLUX VALGUS WITH BUNIONECTOMY, WITH SESAMOIDECTOMY WHEN PERFORMED; WITH PROXIMAL METATARSAL OSTEOTOMY, ANY METHOD",,,1088.27,9772.7,34
RC,360,"CORRECTION, HALLUX VALGUS WITH BUNIONECTOMY, WITH SESAMOIDECTOMY WHEN PERFORMED; WITH PROXIMAL PHALANX OSTEOTOMY, ANY METHOD",,,3103.16,21355.56,34
RC,360,"CORRECTION, HALLUX VALGUS WITH BUNIONECTOMY, WITH SESAMOIDECTOMY WHEN PERFORMED; WITH RESECTION OF PROXIMAL PHALANX BASE, WHEN PERFORMED, ANY METHOD",,,1088.27,10032.0,36
RC,360,"CORRECTION, HAMMERTOE (EG, INTERPHALANGEAL FUSION, PARTIAL OR TOTAL PHALANGECTOMY)",,,1088.27,10032.0,36
RC,360,"COSTOVERTEBRAL APPROACH WITH DECOMPRESSION OF SPINAL CORD OR NERVE ROOT(S) (EG, HERNIATED INTERVERTEBRAL DISC), THORACIC; SINGLE SEGMENT",,,6924.82,21355.56,30
RC,360,"CRANIECTOMY, TREPHINATION, BONE FLAP CRANIOTOMY; FOR EXCISION OF BRAIN TUMOR, SUPRATENTORIAL, EXCEPT MENINGIOMA",,,2546.0,8280.0,10
RC,360,CRANIECTOMY; FOR OSTEOMYELITIS,,,2020.26,8280.0,10
RC,360,CRANIECTOMY; WITH EXCISION OF TUMOR OR OTHER BONE LESION OF SKULL,,,2327.21,10140.0,10
RC,360,CRANIOPLASTY FOR SKULL DEFECT; LARGER THAN 5 CM DIAMETER,,,2021.48,8280.0,10
RC,360,CRANIOPLASTY FOR SKULL DEFECT; UP TO 5 CM DIAMETER,,,1824.14,8280.0,10
RC,360,"CRANIOTOMY FOR REPAIR OF ENCEPHALOCELE, SKULL BASE",,,2546.0,8280.0,10
RC,360,CRICOPHARYNGEAL MYOTOMY,,,1954.22,17316.39,33
RC,360,"CURETTAGE OR CAUTERY OF ANAL FISSURE, INCLUDING DILATION OF ANAL SPHINCTER (SEPARATE PROCEDURE); INITIAL",,,147.28,8280.0,33
RC,360,"CURETTAGE, POSTPARTUM",,,1063.52,8918.22,34
RC,360,"CYSTECTOMY, COMPLETE, WITH CONTINENT DIVERSION, ANY OPEN TECHNIQUE, USING ANY SEGMENT OF SMALL AND/OR LARGE INTESTINE TO CONSTRUCT NEOBLADDER",,,2546.0,8770.74,10
RC,360,"CYSTECTOMY, COMPLETE, WITH URETEROILEAL CONDUIT OR SIGMOID BLADDER, INCLUDING INTESTINE ANASTOMOSIS;",,,2546.0,8280.0,10
RC,360,"CYSTECTOMY, COMPLETE, WITH URETEROILEAL CONDUIT OR SIGMOID BLADDER, INCLUDING INTESTINE ANASTOMOSIS; WITH BILATERAL PELVIC LYMPHADENECTOMY, INCLUDING EXTERNAL ILIAC, HYPOGASTRIC, AND OBTURATOR NODES",,,2546.0,8280.0,10
RC,360,"CYSTECTOMY, PARTIAL; COMPLICATED (EG, POSTRADIATION, PREVIOUS SURGERY, DIFFICULT LOCATION)",,,2234.64,8280.0,10
RC,360,"CYSTECTOMY, PARTIAL; SIMPLE",,,1699.28,8280.0,10
RC,360,"CYSTOLITHOTOMY, CYSTOTOMY WITH REMOVAL OF CALCULUS, WITHOUT VESICAL NECK RESECTION",,,1689.43,15106.88,34
RC,360,"CYSTORRHAPHY, SUTURE OF BLADDER WOUND, INJURY OR RUPTURE; COMPLICATED",,,1580.5,8280.0,10
RC,360,"CYSTORRHAPHY, SUTURE OF BLADDER WOUND, INJURY OR RUPTURE; SIMPLE",,,4302.0,22821.27,30
RC,360,"CYSTOSTOMY, CYSTOTOMY WITH DRAINAGE",,,652.8,7886.0,34
RC,360,"CYSTOTOMY, WITH INSERTION OF URETERAL CATHETER OR STENT (SEPARATE PROCEDURE)",,,652.8,7886.0,33
RC,360,"CYSTOTOMY; FOR EXCISION OF BLADDER DIVERTICULUM, SINGLE OR MULTIPLE (SEPARATE PROCEDURE)",,,1512.9,8280.0,10
RC,360,"CYSTOURETHROSCOPY (INCLUDING URETERAL CATHETERIZATION); WITH MANIPULATION, WITHOUT REMOVAL OF URETERAL CALCULUS",,,1142.9,10776.19,34
RC,360,CYSTOURETHROSCOPY (INCLUDING URETERAL CATHETERIZATION); WITH REMOVAL OF URETERAL CALCULUS,,,1142.9,10776.19,34
RC,360,CYSTOURETHROSCOPY (SEPARATE PROCEDURE),,,238.15,4345.0,34
RC,360,CYSTOURETHROSCOPY WITH DIRECT VISION INTERNAL URETHROTOMY,,,652.8,7168.0,34
RC,360,CYSTOURETHROSCOPY WITH IRRIGATION AND EVACUATION OF MULTIPLE OBSTRUCTING CLOTS,,,1142.9,10776.19,33
RC,360,"CYSTOURETHROSCOPY WITH URETEROSCOPY; WITH TREATMENT OF URETERAL STRICTURE (EG, BALLOON DILATION, LASER, ELECTROCAUTERY, AND INCISION)",,,1142.9,10776.19,34
RC,360,"CYSTOURETHROSCOPY WITH URETEROSCOPY; WITH TREATMENT OF URETEROPELVIC JUNCTION STRICTURE (EG, BALLOON DILATION, LASER, ELECTROCAUTERY, AND INCISION)",,,1142.9,10776.19,34
RC,360,"CYSTOURETHROSCOPY, WITH BIOPSY(S)",,,652.8,6324.43,34
RC,360,"CYSTOURETHROSCOPY, WITH CALIBRATION AND/OR DILATION OF URETHRAL STRICTURE OR STENOSIS, WITH OR WITHOUT MEATOTOMY, WITH OR WITHOUT INJECTION PROCEDURE FOR CYSTOGRAPHY, MALE OR FEMALE",,,652.8,6324.43,34
RC,360,"CYSTOURETHROSCOPY, WITH DILATION OF BLADDER FOR INTERSTITIAL CYSTITIS; GENERAL OR CONDUCTION (SPINAL) ANESTHESIA",,,652.8,6324.43,34
RC,360,"CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) AND/OR RESECTION OF; LARGE BLADDER TUMOR(S)",,,1689.43,15106.88,34
RC,360,"CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) AND/OR RESECTION OF; MEDIUM BLADDER TUMOR(S) (2.0 TO 5.0 CM)",,,1142.9,10776.19,34
RC,360,"CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) AND/OR RESECTION OF; SMALL BLADDER TUMOR(S) (0.5 UP TO 2.0 CM)",,,1142.9,10776.19,34
RC,360,"CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) OF TRIGONE, BLADDER NECK, PROSTATIC FOSSA, URETHRA, OR PERIURETHRAL GLANDS",,,1142.9,8636.11,34
RC,360,"CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) OR TREATMENT OF MINOR (LESS THAN 0.5 CM) LESION(S) WITH OR WITHOUT BIOPSY",,,1142.9,8636.11,34
RC,360,"CYSTOURETHROSCOPY, WITH INJECTION(S) FOR CHEMODENERVATION OF THE BLADDER",,,652.8,8674.0,33
RC,360,"CYSTOURETHROSCOPY, WITH INSERTION OF INDWELLING URETERAL STENT (EG, GIBBONS OR DOUBLE-J TYPE)",,,1142.9,10776.19,34
RC,360,"CYSTOURETHROSCOPY, WITH INTERNAL URETHROTOMY; MALE",,,652.8,6324.43,34
RC,360,"CYSTOURETHROSCOPY, WITH MECHANICAL DILATION AND URETHRAL THERAPEUTIC DRUG DELIVERY FOR URETHRAL STRICTURE OR STENOSIS, INCLUDING FLUOROSCOPY, WHEN PERFORMED",,,4063.0,4779.0,2
RC,360,"CYSTOURETHROSCOPY, WITH MECHANICAL URETHRAL DILATION AND URETHRAL THERAPEUTIC DRUG DELIVERY BY DRUG-COATED BALLOON CATHETER FOR URETHRAL STRICTURE OR STENOSIS, MALE, INCLUDING FLUOROSCOPY, WHEN PERFOR",,,4302.0,12818.21,23
RC,360,"CYSTOURETHROSCOPY, WITH REMOVAL OF FOREIGN BODY, CALCULUS, OR URETERAL STENT FROM URETHRA OR BLADDER (SEPARATE PROCEDURE); COMPLICATED",,,652.8,6324.43,34
RC,360,"CYSTOURETHROSCOPY, WITH REMOVAL OF FOREIGN BODY, CALCULUS, OR URETERAL STENT FROM URETHRA OR BLADDER (SEPARATE PROCEDURE); SIMPLE",,,652.8,6324.43,33
RC,360,"CYSTOURETHROSCOPY, WITH URETERAL CATHETERIZATION, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE;",,,652.8,6324.43,34
RC,360,"CYSTOURETHROSCOPY, WITH URETERAL CATHETERIZATION, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE; WITH BRUSH BIOPSY OF URETER AND/OR RENAL PELVIS",,,1142.9,10776.19,34
RC,360,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY, WITH LITHOTRIPSY, AND URETERAL CATHETERIZATION FOR STEERABLE VACUUM ASPIRATION OF THE KIDNEY, COLLECTING SYSTEM, URETER, BLADDER, AND URETHRA IF",,,4302.0,22821.27,30
RC,360,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; DIAGNOSTIC",,,1142.9,10776.19,34
RC,360,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH BIOPSY AND/OR FULGURATION OF URETERAL OR RENAL PELVIC LESION",,,1689.43,15106.88,34
RC,360,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH ENDOSCOPIC LASER TREATMENT OF URETERAL CALCULI (INCLUDES URETERAL CATHETERIZATION)",,,1826.96,3859.31,5
RC,360,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH LITHOTRIPSY (URETERAL CATHETERIZATION IS INCLUDED)",,,1689.43,15106.88,34
RC,360,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH LITHOTRIPSY INCLUDING INSERTION OF INDWELLING URETERAL STENT (EG, GIBBONS OR DOUBLE-J TYPE)",,,1689.43,15106.88,33
RC,360,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH REMOVAL OR MANIPULATION OF CALCULUS (URETERAL CATHETERIZATION IS INCLUDED)",,,1142.9,10776.19,34
RC,360,"CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH RESECTION OF URETERAL OR RENAL PELVIC TUMOR",,,1689.43,15106.88,34
RC,360,"CYSTOURETHROSCOPY; WITH TREATMENT OF URETERAL STRICTURE (EG, BALLOON DILATION, LASER, ELECTROCAUTERY, AND INCISION)",,,1142.9,10776.19,34
RC,360,"CYSTOURETHROSCOPY; WITH TREATMENT OF URETEROPELVIC JUNCTION STRICTURE (EG, BALLOON DILATION, LASER, ELECTROCAUTERY, AND INCISION)",,,1142.9,10776.19,34
RC,360,DACRYOCYSTORHINOSTOMY (FISTULIZATION OF LACRIMAL SAC TO NASAL CAVITY),,,1103.42,11163.6,34
RC,360,"DEBRIDEMENT (EG, HIGH PRESSURE WATERJET WITH/WITHOUT SUCTION, SHARP SELECTIVE DEBRIDEMENT WITH SCISSORS, SCALPEL AND FORCEPS), OPEN WOUND, (EG, FIBRIN, DEVITALIZED EPIDERMIS AND/OR DERMIS, EXUDATE, DE",,,75.25,2107.0,28
RC,360,"DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/OR AN OPEN DISLOCATION (EG, EXCISIONAL DEBRIDEMENT); SKIN AND SUBCUTANEOUS TISSUES",,,257.6,4779.0,33
RC,360,"DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/OR AN OPEN DISLOCATION (EG, EXCISIONAL DEBRIDEMENT); SKIN, SUBCUTANEOUS TISSUE, MUSCLE FASCIA, AND MUSCLE",,,257.6,4779.0,33
RC,360,"DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTURE AND/OR AN OPEN DISLOCATION (EG, EXCISIONAL DEBRIDEMENT); SKIN, SUBCUTANEOUS TISSUE, MUSCLE FASCIA, MUSCLE, AND BONE",,,815.2,8278.44,33
RC,360,DEBRIDEMENT OF NAIL(S) BY ANY METHOD(S); 1 TO 5,,,56.3,2107.0,30
RC,360,"DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA FOR NECROTIZING SOFT TISSUE INFECTION; ABDOMINAL WALL, WITH OR WITHOUT FASCIAL CLOSURE",,,1378.92,8280.0,10
RC,360,"DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA FOR NECROTIZING SOFT TISSUE INFECTION; EXTERNAL GENITALIA AND PERINEUM",,,1016.52,8280.0,10
RC,360,"DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA FOR NECROTIZING SOFT TISSUE INFECTION; EXTERNAL GENITALIA, PERINEUM AND ABDOMINAL WALL, WITH OR WITHOUT FASCIAL CLOSURE",,,1244.92,8280.0,10
RC,360,"DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROC",,,1896.0,2107.0,3
RC,360,"DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASCIA, IF PERFORMED); FIRST 20 SQ CM OR LESS",,,566.62,4900.18,33
RC,360,"DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCED",,,1896.0,2107.0,3
RC,360,"DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE, IF PERFORMED); FIRST 20 SQ CM OR LESS",,,262.63,4779.0,33
RC,360,"DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); FIRST 20 SQ CM OR LESS",,,171.51,4779.0,33
RC,360,"DECOMPRESSION FACIAL NERVE, INTRATEMPORAL; INCLUDING MEDIAL TO GENICULATE GANGLION",,,5649.47,17316.39,30
RC,360,"DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/OR LATERAL, AND POSTERIOR COMPARTMENT(S)",,,1088.27,9772.7,34
RC,360,"DECOMPRESSION OF ORBIT ONLY, TRANSCRANIAL APPROACH",,,3164.04,9350.87,30
RC,360,"DECOMPRESSIVE FASCIOTOMY, HAND (EXCLUDES 26035)",,,1088.27,9772.7,33
RC,360,"DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET); AT EYELIDS, NOSE, EARS, OR LIPS",,,709.01,7168.0,34
RC,360,"DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET); AT FOREHEAD, CHEEKS, CHIN, NECK, AXILLAE, GENITALIA, HANDS, OR FEET",,,709.01,7886.0,34
RC,360,DELIVERY OF PLACENTA (SEPARATE PROCEDURE),,,1063.52,8918.22,33
RC,360,"DERMABRASION; SEGMENTAL, FACE",,,520.91,4345.0,30
RC,360,"DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), OF BENIGN LESIONS OTHER THAN SKIN TAGS OR CUTANEOUS VASCULAR PROLIFERATIVE LESIONS; UP TO 14 LESIONS",,,111.0,2107.0,30
RC,360,"DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), PREMALIGNANT LESIONS (EG, ACTINIC KERATOSES); FIRST LESION",,,111.0,2107.0,30
RC,360,"DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), PREMALIGNANT LESIONS (EG, ACTINIC KERATOSES); SECOND THROUGH 14 LESIONS, EACH (LIST SEPARATELY IN ADDI",,,1896.0,2107.0,3
RC,360,"DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE(S), WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT); LUMBAR OR SACRAL, EACH ADDITIONAL FACET JOINT (LIST SEPARATELY IN ADDITION TO CODE FOR P",,,1896.0,2362.0,4
RC,360,"DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE(S), WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT); LUMBAR OR SACRAL, SINGLE FACET JOINT",,,659.94,8674.0,34
RC,360,DESTRUCTION BY NEUROLYTIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH,,,145.34,4345.0,33
RC,360,"DESTRUCTION OF INTERNAL HEMORRHOID(S) BY THERMAL ENERGY (EG, INFRARED COAGULATION, CAUTERY, RADIOFREQUENCY)",,,130.95,8674.0,33
RC,360,DESTRUCTION OF LESION OF LID MARGIN (UP TO 1 CM),,,125.97,4345.0,33
RC,360,"DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), EXTENSIVE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY)",,,939.93,8368.72,34
RC,360,"DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; ELECTRODESICCATION",,,160.02,8280.0,33
RC,360,"DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; SURGICAL EXCISION",,,939.93,8368.72,34
RC,360,"DESTRUCTION OF LESION(S), PENIS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; SURGICAL EXCISION",,,709.01,5793.18,34
RC,360,"DESTRUCTION OF LESION(S), VULVA; EXTENSIVE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY)",,,709.01,7168.0,34
RC,360,"DESTRUCTION OF LESION(S), VULVA; SIMPLE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY)",,,111.02,8280.0,33
RC,360,"DESTRUCTION OF RECTAL TUMOR (EG, ELECTRODESICCATION, ELECTROSURGERY, LASER ABLATION, LASER RESECTION, CRYOSURGERY) TRANSANAL APPROACH",,,939.93,12700.0,34
RC,360,"DESTRUCTION OF VAGINAL LESION(S); EXTENSIVE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY)",,,1063.52,8918.22,34
RC,360,"DESTRUCTION OF VAGINAL LESION(S); SIMPLE (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY)",,,98.83,8280.0,33
RC,360,"DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), SCALP, NECK, HANDS, FEET, GENITALIA; LESION DIAMETER 0.5 CM OR LESS",,,74.34,2107.0,33
RC,360,"DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGICAL CURETTEMENT), TRUNK, ARMS OR LEGS; LESION DIAMETER OVER 4.0 CM",,,120.15,4345.0,33
RC,360,DIAGNOSTIC BONE MARROW; ASPIRATION(S),,,92.74,4345.0,33
RC,360,DILATION AND CURETTAGE OF CERVICAL STUMP,,,1063.52,8918.22,34
RC,360,"DILATION AND CURETTAGE, DIAGNOSTIC AND/OR THERAPEUTIC (NONOBSTETRICAL)",,,1063.52,8918.22,34
RC,360,DILATION OF ANAL SPHINCTER (SEPARATE PROCEDURE) UNDER ANESTHESIA OTHER THAN LOCAL,,,429.26,4345.0,34
RC,360,"DILATION OF CERVICAL CANAL, INSTRUMENTAL (SEPARATE PROCEDURE)",,,39.86,7744.8,33
RC,360,"DILATION OF ESOPHAGUS, BY UNGUIDED SOUND OR BOUGIE, SINGLE OR MULTIPLE PASSES",,,334.95,4345.0,34
RC,360,"DILATION OF ESOPHAGUS, OVER GUIDE WIRE",,,564.97,5559.92,34
RC,360,"DILATION OF EXISTING TRACT, PERCUTANEOUS, FOR AN ENDOUROLOGIC PROCEDURE INCLUDING IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND INTERPRETATION, W",,,1142.9,12700.0,66
RC,360,"DILATION OF LACRIMAL PUNCTUM, WITH OR WITHOUT IRRIGATION",,,111.0,2107.0,30
RC,360,DILATION OF RECTAL STRICTURE (SEPARATE PROCEDURE) UNDER ANESTHESIA OTHER THAN LOCAL,,,429.26,4345.0,34
RC,360,DILATION OF VAGINA UNDER ANESTHESIA (OTHER THAN LOCAL),,,1063.52,8918.22,34
RC,360,"DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND GRAFT INSERTION, WITH OR WITHOUT PATCH GRAFT; FOR ANEURYSM, PSEUDOANEURYSM, AND ASSOCIATED OCCLUSIVE DISEASE, RADIAL OR UL",,,5310.35,16408.4,30
RC,360,"DISCECTOMY, ANTERIOR, WITH DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOT(S), INCLUDING OSTEOPHYTECTOMY; CERVICAL, SINGLE INTERSPACE",,,6924.82,21355.56,32
RC,360,"DISCISSION OF SECONDARY MEMBRANOUS CATARACT (OPACIFIED POSTERIOR LENS CAPSULE AND/OR ANTERIOR HYALOID); LASER SURGERY (EG, YAG LASER) (1 OR MORE STAGES)",,,208.33,4779.0,33
RC,360,"DIVERTICULECTOMY OF HYPOPHARYNX OR ESOPHAGUS, WITH OR WITHOUT MYOTOMY; CERVICAL APPROACH",,,1954.22,17316.39,33
RC,360,"DIVISION OF PLANTAR FASCIA AND MUSCLE (EG, STEINDLER STRIPPING) (SEPARATE PROCEDURE)",,,1088.27,9772.7,34
RC,360,"DRAINAGE EXTERNAL EAR, ABSCESS OR HEMATOMA; COMPLICATED",,,113.23,8280.0,33
RC,360,"DRAINAGE OF ABSCESS, CYST, HEMATOMA FROM DENTOALVEOLAR STRUCTURES",,,126.97,4345.0,30
RC,360,"DRAINAGE OF ABSCESS, CYST, HEMATOMA, VESTIBULE OF MOUTH; COMPLICATED",,,187.22,4779.0,34
RC,360,"DRAINAGE OF FINGER ABSCESS; COMPLICATED (EG, FELON)",,,486.45,4900.18,34
RC,360,DRAINAGE OF FINGER ABSCESS; SIMPLE,,,74.34,2107.0,33
RC,360,DRAINAGE OF SCROTAL WALL ABSCESS,,,486.45,4900.18,34
RC,360,"DRAINAGE OF TENDON SHEATH, DIGIT AND/OR PALM, EACH",,,1088.27,9772.7,34
RC,360,DRESSING CHANGE (FOR OTHER THAN BURNS) UNDER ANESTHESIA (OTHER THAN LOCAL),,,111.0,2107.0,30
RC,360,"DRUG-INDUCED SLEEP ENDOSCOPY, WITH DYNAMIC EVALUATION OF VELUM, PHARYNX, TONGUE BASE, AND LARYNX FOR EVALUATION OF SLEEP-DISORDERED BREATHING, FLEXIBLE, DIAGNOSTIC",,,68.14,4204.56,33
RC,360,"ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; TRACING ONLY, WITHOUT INTERPRETATION AND REPORT",,,56.3,917.0,26
RC,360,"ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATOR PULSE GENERATOR SYSTEM (EG, RATE, PULSE AMPLITUDE AND DURATION, CONFIGURATION OF WAVE FORM, BATTERY STATUS, ELECTRODE SELECTABILITY, OUTPUT MODULATION,",,,,,0
RC,360,"ELECTRONIC ANALYSIS OF IMPLANTED NEUROSTIMULATOR PULSE GENERATOR/TRANSMITTER (EG, CONTACT GROUP[S], INTERLEAVING, AMPLITUDE, PULSE WIDTH, FREQUENCY [HZ], ON/OFF CYCLING, BURST, MAGNET MODE, DOSE LOCKO",,,90.72,277.93,25
RC,360,ENDOCERVICAL CURETTAGE (NOT DONE AS PART OF A DILATION AND CURETTAGE),,,91.91,4345.0,33
RC,360,"ENDOMETRIAL ABLATION, THERMAL, WITHOUT HYSTEROSCOPIC GUIDANCE",,,1526.99,15249.4,34
RC,360,"ENDOMETRIAL SAMPLING (BIOPSY) WITH OR WITHOUT ENDOCERVICAL SAMPLING (BIOPSY), WITHOUT CERVICAL DILATION, ANY METHOD (SEPARATE PROCEDURE)",,,45.96,2107.0,33
RC,360,"ENDOSCOPIC EVALUATION OF SMALL INTESTINAL POUCH (EG, KOCK POUCH, ILEAL RESERVOIR [S OR J]); DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,328.5,4345.0,34
RC,360,"ENDOSCOPIC EVALUATION OF SMALL INTESTINAL POUCH (EG, KOCK POUCH, ILEAL RESERVOIR [S OR J]); WITH BIOPSY, SINGLE OR MULTIPLE",,,328.5,4345.0,34
RC,360,ENDOSCOPIC INJECTION OF IMPLANT MATERIAL INTO THE SUBMUCOSAL TISSUES OF THE URETHRA AND/OR BLADDER NECK,,,1561.68,10776.19,34
RC,360,"ENDOSCOPIC OUTLET REDUCTION, GASTRIC POUCH APPLICATION, WITH ENDOSCOPY AND INTRALUMINAL TUBE INSERTION, IF PERFORMED, INCLUDING ALL SYSTEM AND TISSUE ANCHORING COMPONENTS",,,9126.0,32441.66,28
RC,360,"ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD), INCLUDING ENDOSCOPY OR COLONOSCOPY, MUCOSAL CLOSURE, WHEN PERFORMED",,,3679.39,12700.0,30
RC,360,"ENDOSCOPY, WRIST, SURGICAL, WITH RELEASE OF TRANSVERSE CARPAL LIGAMENT",,,593.04,12700.0,36
RC,360,"ENTERECTOMY, RESECTION OF SMALL INTESTINE; EACH ADDITIONAL RESECTION AND ANASTOMOSIS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,428.79,8280.0,10
RC,360,"ENTERECTOMY, RESECTION OF SMALL INTESTINE; SINGLE RESECTION AND ANASTOMOSIS",,,2160.95,8280.0,10
RC,360,ENTEROLYSIS (FREEING OF INTESTINAL ADHESION) (SEPARATE PROCEDURE),,,1934.37,8280.0,10
RC,360,"ENTEROTOMY, SMALL INTESTINE, OTHER THAN DUODENUM; FOR EXPLORATION, BIOPSY(S), OR FOREIGN BODY REMOVAL",,,1720.59,8280.0,10
RC,360,"ENUCLEATION OF EYE; WITH IMPLANT, MUSCLES ATTACHED TO IMPLANT",,,1103.42,11163.6,34
RC,360,ENUCLEATION OF EYE; WITHOUT IMPLANT,,,1103.42,11163.6,34
RC,360,EPIDIDYMECTOMY; UNILATERAL,,,1142.9,8636.11,34
RC,360,"EPISIOTOMY OR VAGINAL REPAIR, BY OTHER THAN ATTENDING",,,189.08,8280.0,30
RC,360,"ESOPHAGEAL BALLOON DISTENSION STUDY, DIAGNOSTIC, WITH PROVOCATION WHEN PERFORMED",,,356.12,2825.73,28
RC,360,"ESOPHAGEAL FUNCTION TEST, GASTROESOPHAGEAL REFLUX TEST WITH NASAL CATHETER INTRALUMINAL IMPEDANCE ELECTRODE(S) PLACEMENT, RECORDING, ANALYSIS AND INTERPRETATION;",,,206.06,2107.0,28
RC,360,ESOPHAGEAL MOTILITY (MANOMETRIC STUDY OF THE ESOPHAGUS AND/OR GASTROESOPHAGEAL JUNCTION) STUDY WITH INTERPRETATION AND REPORT;,,,356.12,2107.0,28
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,334.95,4345.0,34
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,564.97,8674.0,33
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE",,,334.95,4779.0,34
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH CONTROL OF BLEEDING, ANY METHOD",,,564.97,5559.92,34
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DILATION OF ESOPHAGUS WITH BALLOON (30 MM DIAMETER OR LARGER) (INCLUDES FLUOROSCOPIC GUIDANCE, WHEN PERFORMED)",,,564.97,8674.0,33
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DILATION OF GASTRIC/DUODENAL STRICTURE(S) (EG, BALLOON, BOUGIE)",,,564.97,5559.92,34
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DIRECTED PLACEMENT OF PERCUTANEOUS GASTROSTOMY TUBE",,,564.97,5559.92,34
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE",,,334.95,4779.0,34
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ENDOSCOPIC MUCOSAL RESECTION",,,564.97,7168.0,33
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED TO THE ESOPHAGUS, STOMACH OR DUODENUM, AND ADJACENT STRUCTURES",,,564.97,5559.92,34
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ENDOSCOPIC ULTRASOUND EXAMINATION, INCLUDING THE ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM OR A SURGICALLY ALTERED STOMACH WHERE THE JEJUNUM IS ",,,564.97,7168.0,34
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ESOPHAGOGASTRIC FUNDOPLASTY, PARTIAL OR COMPLETE, INCLUDES DUODENOSCOPY WHEN PERFORMED",,,4032.46,30034.8,33
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH INJECTION SCLEROSIS OF ESOPHAGEAL/GASTRIC VARICES",,,564.97,5559.92,34
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH INSERTION OF GUIDE WIRE FOLLOWED BY PASSAGE OF DILATOR(S) THROUGH ESOPHAGUS OVER GUIDE WIRE",,,334.95,4779.0,34
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH INSERTION OF INTRALUMINAL TUBE OR CATHETER",,,564.97,5559.92,34
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH OPTICAL ENDOMICROSCOPY",,,1119.26,10706.72,33
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH PLACEMENT OF ENDOSCOPIC STENT (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,2720.08,17067.56,33
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF FOREIGN BODY(S)",,,334.95,4779.0,34
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,564.97,5559.92,34
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC BALLOON DILATION OF ESOPHAGUS (LESS THAN 30 MM DIAMETER)",,,564.97,5559.92,34
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC ULTRASOUND-GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S) (INCLUDES ENDOSCOPIC ULTRASOUND EXAMINATION OF THE ESO",,,564.97,5559.92,34
RC,360,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC ULTRASOUND-GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S), (INCLUDES ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED T",,,564.97,5559.92,34
RC,360,"ESOPHAGOPLASTY (PLASTIC REPAIR OR RECONSTRUCTION), CERVICAL APPROACH; WITH REPAIR OF TRACHEOESOPHAGEAL FISTULA",,,1906.35,8280.0,10
RC,360,"ESOPHAGOSCOPY, FLEXIBLE, TRANSNASAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,111.85,7168.0,33
RC,360,"ESOPHAGOSCOPY, FLEXIBLE, TRANSNASAL; WITH BIOPSY, SINGLE OR MULTIPLE",,,119.87,7168.0,33
RC,360,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,334.95,4345.0,34
RC,360,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE",,,564.97,5559.92,34
RC,360,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH DILATION OF ESOPHAGUS WITH BALLOON (30 MM DIAMETER OR LARGER) (INCLUDES FLUOROSCOPIC GUIDANCE, WHEN PERFORMED)",,,564.97,8674.0,33
RC,360,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE",,,564.97,5559.92,34
RC,360,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH INSERTION OF GUIDE WIRE FOLLOWED BY PASSAGE OF DILATOR(S) OVER GUIDE WIRE",,,564.97,5559.92,34
RC,360,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH PLACEMENT OF ENDOSCOPIC STENT (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,2667.54,17067.56,33
RC,360,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF FOREIGN BODY(S)",,,564.97,5559.92,34
RC,360,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC BALLOON DILATION (LESS THAN 30 MM DIAMETER)",,,564.97,5559.92,34
RC,360,"ESOPHAGOSCOPY, RIGID, TRANSORAL WITH DIVERTICULECTOMY OF HYPOPHARYNX OR CERVICAL ESOPHAGUS (EG, ZENKER'S DIVERTICULUM), WITH CRICOPHARYNGEAL MYOTOMY, INCLUDES USE OF TELESCOPE OR OPERATING MICROSCOPE ",,,1954.22,17316.39,33
RC,360,"ESOPHAGOSCOPY, RIGID, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING WHEN PERFORMED (SEPARATE PROCEDURE)",,,564.97,7168.0,33
RC,360,"ESOPHAGOSCOPY, RIGID, TRANSORAL; WITH BALLOON DILATION (LESS THAN 30 MM DIAMETER)",,,1119.26,10706.72,33
RC,360,"ESOPHAGOSCOPY, RIGID, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE",,,564.97,8674.0,33
RC,360,"ESOPHAGOSCOPY, RIGID, TRANSORAL; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE",,,564.97,8674.0,33
RC,360,"ESOPHAGOSCOPY, RIGID, TRANSORAL; WITH INSERTION OF GUIDE WIRE FOLLOWED BY DILATION OVER GUIDE WIRE",,,1119.26,10706.72,33
RC,360,"ESOPHAGOSCOPY, RIGID, TRANSORAL; WITH REMOVAL OF FOREIGN BODY(S)",,,564.97,8674.0,33
RC,360,"ESOPHAGUS, GASTROESOPHAGEAL REFLUX TEST; WITH MUCOSAL ATTACHED TELEMETRY PH ELECTRODE PLACEMENT, RECORDING, ANALYSIS AND INTERPRETATION",,,819.52,2638.92,28
RC,360,"ETHMOIDECTOMY; EXTRANASAL, TOTAL",,,886.62,9350.87,34
RC,360,"ETHMOIDECTOMY; INTRANASAL, TOTAL",,,420.64,8674.0,34
RC,360,"EXCHANGE NEPHROSTOMY CATHETER, PERCUTANEOUS, INCLUDING DIAGNOSTIC NEPHROSTOGRAM AND/OR URETEROGRAM WHEN PERFORMED, IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGICAL ",,,652.8,7168.0,33
RC,360,"EXCISION AND REPAIR OF EYELID, INVOLVING LID MARGIN, TARSUS, CONJUNCTIVA, CANTHUS, OR FULL THICKNESS, MAY INCLUDE PREPARATION FOR SKIN GRAFT OR PEDICLE FLAP WITH ADJACENT TISSUE TRANSFER OR REARRANGEM",,,698.3,7168.0,68
RC,360,"EXCISION BRANCHIAL CLEFT CYST OR VESTIGE, CONFINED TO SKIN AND SUBCUTANEOUS TISSUES",,,886.62,9350.87,34
RC,360,"EXCISION BRANCHIAL CLEFT CYST, VESTIGE, OR FISTULA, EXTENDING BENEATH SUBCUTANEOUS TISSUES AND/OR INTO PHARYNX",,,1954.22,17316.39,34
RC,360,"EXCISION DISTAL ULNA PARTIAL OR COMPLETE (EG, DARRACH TYPE OR MATCHED RESECTION)",,,1088.27,9772.7,34
RC,360,EXCISION EXTERNAL EAR; COMPLETE AMPUTATION,,,1954.22,17316.39,34
RC,360,"EXCISION EXTERNAL EAR; PARTIAL, SIMPLE REPAIR",,,815.2,8278.44,34
RC,360,EXCISION FIRST AND/OR CERVICAL RIB;,,,1070.73,15671.95,29
RC,360,"EXCISION FLEXOR TENDON, WITH IMPLANTATION OF SYNTHETIC ROD FOR DELAYED TENDON GRAFT, HAND OR FINGER, EACH ROD",,,3201.95,21355.56,34
RC,360,"EXCISION INFERIOR TURBINATE, PARTIAL OR COMPLETE, ANY METHOD",,,886.62,9350.87,34
RC,360,"EXCISION OF 1 OR MORE LESIONS OF SMALL OR LARGE INTESTINE NOT REQUIRING ANASTOMOSIS, EXTERIORIZATION, OR FISTULIZATION; SINGLE ENTEROTOMY",,,1500.11,8280.0,10
RC,360,EXCISION OF BARTHOLIN'S GLAND OR CYST,,,1063.52,8918.22,34
RC,360,"EXCISION OF BENIGN TUMOR OR CYST OF MANDIBLE, BY ENUCLEATION AND/OR CURETTAGE",,,886.62,9350.87,34
RC,360,"EXCISION OF BENIGN TUMOR OR CYST OF MANDIBLE; REQUIRING EXTRA-ORAL OSTEOTOMY AND PARTIAL MANDIBULECTOMY (EG, LOCALLY AGGRESSIVE OR DESTRUCTIVE LESION[S])",,,1954.22,17316.39,34
RC,360,"EXCISION OF BENIGN TUMOR OR CYST OF MANDIBLE; REQUIRING INTRA-ORAL OSTEOTOMY (EG, LOCALLY AGGRESSIVE OR DESTRUCTIVE LESION[S])",,,1954.22,17316.39,34
RC,360,EXCISION OF BENIGN TUMOR OR CYST OF MAXILLA OR ZYGOMA BY ENUCLEATION AND CURETTAGE,,,231.72,14507.25,33
RC,360,"EXCISION OF BENIGN TUMOR OR CYST OF MAXILLA; REQUIRING INTRA-ORAL OSTEOTOMY (EG, LOCALLY AGGRESSIVE OR DESTRUCTIVE LESION[S])",,,1954.22,14507.25,33
RC,360,"EXCISION OF BONE (EG, FOR OSTEOMYELITIS OR BONE ABSCESS); FACIAL BONE(S)",,,1954.22,17316.39,34
RC,360,"EXCISION OF BONE (EG, FOR OSTEOMYELITIS OR BONE ABSCESS); MANDIBLE",,,1954.22,17316.39,34
RC,360,"EXCISION OF BONE CYST OR BENIGN TUMOR, WING OF ILIUM, SYMPHYSIS PUBIS, OR GREATER TROCHANTER OF FEMUR; DEEP (SUBFASCIAL), INCLUDES AUTOGRAFT, WHEN PERFORMED",,,1088.27,9772.7,34
RC,360,"EXCISION OF BREAST LESION IDENTIFIED BY PREOPERATIVE PLACEMENT OF RADIOLOGICAL MARKER, OPEN; EACH ADDITIONAL LESION SEPARATELY IDENTIFIED BY A PREOPERATIVE RADIOLOGICAL MARKER (LIST SEPARATELY IN ADDI",,,1896.0,5619.0,4
RC,360,"EXCISION OF BREAST LESION IDENTIFIED BY PREOPERATIVE PLACEMENT OF RADIOLOGICAL MARKER, OPEN; SINGLE LESION",,,963.66,10815.49,34
RC,360,EXCISION OF CAROTID BODY TUMOR; WITH EXCISION OF CAROTID ARTERY,,,2546.0,8280.0,10
RC,360,"EXCISION OF CHALAZION; UNDER GENERAL ANESTHESIA AND/OR REQUIRING HOSPITALIZATION, SINGLE OR MULTIPLE",,,698.3,6908.66,34
RC,360,EXCISION OF CHEST WALL TUMOR INCLUDING RIB(S),,,2772.05,8280.0,30
RC,360,"EXCISION OF CYST OR ADENOMA OF THYROID, OR TRANSECTION OF ISTHMUS",,,1888.85,17256.34,34
RC,360,"EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TISSUE, DUCT LESION, NIPPLE OR AREOLAR LESION (EXCEPT 19300), OPEN, MALE OR FEMALE, 1 OR MORE LESIONS",,,963.66,10815.49,34
RC,360,EXCISION OF EXTRAPARENCHYMAL LESION OF TESTIS,,,1142.9,10776.19,34
RC,360,"EXCISION OF FRENUM, LABIAL OR BUCCAL (FRENUMECTOMY, FRENULECTOMY, FRENECTOMY)",,,420.64,4817.14,34
RC,360,"EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); PRIMARY",,,593.04,7168.0,34
RC,360,"EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); RECURRENT",,,593.04,7886.0,34
RC,360,EXCISION OF HYDROCELE; BILATERAL,,,1151.54,11100.34,34
RC,360,EXCISION OF HYDROCELE; UNILATERAL,,,1151.54,11100.34,34
RC,360,EXCISION OF LESION OF EYELID (EXCEPT CHALAZION) WITHOUT CLOSURE OR WITH SIMPLE DIRECT CLOSURE,,,169.43,4345.0,33
RC,360,"EXCISION OF LESION OF MENISCUS OR CAPSULE (EG, CYST, GANGLION), KNEE",,,1088.27,9772.7,34
RC,360,EXCISION OF LESION OF MESENTERY (SEPARATE PROCEDURE),,,1478.19,8280.0,10
RC,360,"EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITH SIMPLE REPAIR",,,164.45,8280.0,33
RC,360,"EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITHOUT REPAIR",,,137.59,8280.0,33
RC,360,EXCISION OF LESION OF SPERMATIC CORD (SEPARATE PROCEDURE),,,1142.9,10776.19,34
RC,360,"EXCISION OF LESION OF TENDON SHEATH OR JOINT CAPSULE (EG, CYST, MUCOUS CYST, OR GANGLION), HAND OR FINGER",,,593.04,7168.0,34
RC,360,EXCISION OF LESION OF TONGUE WITH CLOSURE; ANTERIOR TWO-THIRDS,,,886.62,9350.87,34
RC,360,EXCISION OF LESION OF TONGUE WITH CLOSURE; POSTERIOR ONE-THIRD,,,886.62,9350.87,34
RC,360,EXCISION OF LESION OF TONGUE WITHOUT CLOSURE,,,142.3,7975.81,33
RC,360,"EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE), DENTOALVEOLAR STRUCTURES; WITH SIMPLE REPAIR",,,179.4,8280.0,33
RC,360,"EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE), DENTOALVEOLAR STRUCTURES; WITHOUT REPAIR",,,139.54,8280.0,33
RC,360,"EXCISION OF LESION, CONJUNCTIVA; UP TO 1 CM",,,140.09,5788.85,33
RC,360,"EXCISION OF LESION, CORNEA (KERATECTOMY, LAMELLAR, PARTIAL), EXCEPT PTERYGIUM",,,335.22,4345.0,34
RC,360,"EXCISION OF LESION, TENDON, TENDON SHEATH, OR CAPSULE (INCLUDING SYNOVECTOMY) (EG, CYST OR GANGLION); FOOT",,,593.04,7168.0,34
RC,360,EXCISION OF LINGUAL FRENUM (FRENECTOMY),,,162.23,4345.0,33
RC,360,"EXCISION OF LIP; FULL THICKNESS, RECONSTRUCTION WITH CROSS LIP FLAP (ABBE-ESTLANDER)",,,1954.22,17316.39,34
RC,360,"EXCISION OF LIP; FULL THICKNESS, RECONSTRUCTION WITH LOCAL FLAP (EG, ESTLANDER OR FAN)",,,886.62,9350.87,34
RC,360,EXCISION OF LIP; TRANSVERSE WEDGE EXCISION WITH PRIMARY CLOSURE,,,886.62,9350.87,34
RC,360,EXCISION OF LIP; V-EXCISION WITH PRIMARY DIRECT LINEAR CLOSURE,,,886.62,9350.87,34
RC,360,EXCISION OF LOCAL LESION OF EPIDIDYMIS,,,1142.9,8636.11,34
RC,360,EXCISION OF MALIGNANT TUMOR OF MANDIBLE;,,,1954.22,17316.39,34
RC,360,EXCISION OF MALIGNANT TUMOR OF MANDIBLE; RADICAL RESECTION,,,2139.02,12785.64,29
RC,360,EXCISION OF MALIGNANT TUMOR OF MAXILLA OR ZYGOMA,,,1954.22,17316.39,34
RC,360,EXCISION OF MAXILLARY TORUS PALATINUS,,,204.87,8280.0,33
RC,360,"EXCISION OF MULTIPLE EXTERNAL PAPILLAE OR TAGS, ANUS",,,939.93,8368.72,34
RC,360,"EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE (EG, INGROWN OR DEFORMED NAIL), FOR PERMANENT REMOVAL",,,84.71,4345.0,33
RC,360,EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA; CUTANEOUS NERVE,,,659.94,7168.0,34
RC,360,EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA; EXTENSIVE (INCLUDING MALIGNANT TYPE),,,1996.58,19667.17,34
RC,360,EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA; MAJOR PERIPHERAL NERVE,,,659.94,7168.0,34
RC,360,"EXCISION OF NEUROMA; CUTANEOUS NERVE, SURGICALLY IDENTIFIABLE",,,659.94,6138.08,34
RC,360,"EXCISION OF NEUROMA; DIGITAL NERVE, 1 OR BOTH, SAME DIGIT",,,659.94,7168.0,34
RC,360,"EXCISION OF NEUROMA; DIGITAL NERVE, EACH ADDITIONAL DIGIT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2416.0,4
RC,360,"EXCISION OF NEUROMA; HAND OR FOOT, EACH ADDITIONAL NERVE, EXCEPT SAME DIGIT (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2416.0,4
RC,360,"EXCISION OF NEUROMA; HAND OR FOOT, EXCEPT DIGITAL NERVE",,,659.94,7168.0,34
RC,360,"EXCISION OF NEUROMA; MAJOR PERIPHERAL NERVE, EXCEPT SCIATIC",,,659.94,7168.0,34
RC,360,EXCISION OF NEUROMA; SCIATIC NERVE,,,1996.58,19667.17,34
RC,360,"EXCISION OF OSSEOUS TUBEROSITIES, DENTOALVEOLAR STRUCTURES",,,617.85,14507.25,30
RC,360,"EXCISION OF PAROTID TUMOR OR PAROTID GLAND; LATERAL LOBE, WITH DISSECTION AND PRESERVATION OF FACIAL NERVE",,,1954.22,17316.39,34
RC,360,"EXCISION OF PAROTID TUMOR OR PAROTID GLAND; LATERAL LOBE, WITHOUT NERVE DISSECTION",,,1954.22,17316.39,34
RC,360,"EXCISION OF PAROTID TUMOR OR PAROTID GLAND; TOTAL, WITH DISSECTION AND PRESERVATION OF FACIAL NERVE",,,1954.22,17316.39,34
RC,360,EXCISION OF PILONIDAL CYST OR SINUS; COMPLICATED,,,815.2,8278.44,34
RC,360,EXCISION OF PILONIDAL CYST OR SINUS; EXTENSIVE,,,815.2,8278.44,34
RC,360,EXCISION OF PILONIDAL CYST OR SINUS; SIMPLE,,,815.2,8278.44,34
RC,360,EXCISION OF PRESACRAL OR SACROCOCCYGEAL TUMOR,,,2546.0,8280.0,10
RC,360,"EXCISION OF RECTAL PROCIDENTIA, WITH ANASTOMOSIS; PERINEAL APPROACH",,,1916.11,8280.0,10
RC,360,"EXCISION OF RECTAL TUMOR BY PROCTOTOMY, TRANSSACRAL OR TRANSCOCCYGEAL APPROACH",,,939.93,8368.72,34
RC,360,"EXCISION OF RECTAL TUMOR, TRANSANAL APPROACH; INCLUDING MUSCULARIS PROPRIA (IE, FULL THICKNESS)",,,939.93,12700.0,33
RC,360,"EXCISION OF RECTAL TUMOR, TRANSANAL APPROACH; NOT INCLUDING MUSCULARIS PROPRIA (IE, PARTIAL THICKNESS)",,,939.93,8674.0,33
RC,360,"EXCISION OF RECTAL TUMOR, TRANSANAL ENDOSCOPIC MICROSURGICAL APPROACH (IE, TEMS), INCLUDING MUSCULARIS PROPRIA (IE, FULL THICKNESS)",,,5793.63,17067.56,30
RC,360,"EXCISION OF RIB, PARTIAL",,,2398.52,21355.56,34
RC,360,"EXCISION OF SINGLE EXTERNAL PAPILLA OR TAG, ANUS",,,429.26,4345.0,34
RC,360,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; WITH COMPLEX REPAIR",,,815.2,8278.44,34
RC,360,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; WITH SIMPLE OR INTERMEDIATE REPAIR",,,815.2,8278.44,34
RC,360,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH COMPLEX REPAIR",,,815.2,8278.44,34
RC,360,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH SIMPLE OR INTERMEDIATE REPAIR",,,815.2,8278.44,34
RC,360,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, PERIANAL, PERINEAL, OR UMBILICAL; WITH COMPLEX REPAIR",,,815.2,8278.44,34
RC,360,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, PERIANAL, PERINEAL, OR UMBILICAL; WITH SIMPLE OR INTERMEDIATE REPAIR",,,815.2,8278.44,34
RC,360,"EXCISION OF SPERMATOCELE, WITH OR WITHOUT EPIDIDYMECTOMY",,,652.8,7886.0,34
RC,360,EXCISION OF SUBLINGUAL GLAND,,,1954.22,17316.39,34
RC,360,EXCISION OF SUBLINGUAL SALIVARY CYST (RANULA),,,886.62,9350.87,34
RC,360,EXCISION OF SUBMANDIBULAR (SUBMAXILLARY) GLAND,,,1954.22,17316.39,34
RC,360,"EXCISION OF SYNOVIAL CYST OF POPLITEAL SPACE (EG, BAKER'S CYST)",,,1088.27,9772.7,34
RC,360,"EXCISION OF TENDON, FINGER, FLEXOR OR EXTENSOR, EACH TENDON",,,593.04,7168.0,34
RC,360,"EXCISION OF TENDON, PALM, FLEXOR OR EXTENSOR, SINGLE, EACH TENDON",,,593.04,7168.0,34
RC,360,"EXCISION OF THROMBOSED HEMORRHOID, EXTERNAL",,,125.69,4345.0,33
RC,360,EXCISION OF THYROGLOSSAL DUCT CYST OR SINUS;,,,1888.85,17256.34,34
RC,360,EXCISION OF THYROGLOSSAL DUCT CYST OR SINUS; RECURRENT,,,1888.85,17256.34,34
RC,360,EXCISION OF TORUS MANDIBULARIS,,,217.05,8280.0,33
RC,360,"EXCISION OF URACHAL CYST OR SINUS, WITH OR WITHOUT UMBILICAL HERNIA REPAIR",,,1888.85,17256.34,34
RC,360,EXCISION OF URETHRAL DIVERTICULUM (SEPARATE PROCEDURE); FEMALE,,,1689.43,15106.88,34
RC,360,EXCISION OF VAGINAL CYST OR TUMOR,,,1063.52,8918.22,34
RC,360,EXCISION OF VAGINAL SEPTUM,,,1063.52,8918.22,34
RC,360,EXCISION OF VARICOCELE OR LIGATION OF SPERMATIC VEINS FOR VARICOCELE; (SEPARATE PROCEDURE),,,1142.9,10776.19,34
RC,360,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF CLAVICLE OR SCAPULA;,,,1088.27,9772.7,34
RC,360,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF CLAVICLE OR SCAPULA; WITH ALLOGRAFT,,,2398.52,21355.56,34
RC,360,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF FEMUR;,,,1088.27,9772.7,34
RC,360,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF FEMUR; WITH ALLOGRAFT,,,3410.0,42485.53,34
RC,360,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF FEMUR; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT),,,3122.54,21355.56,34
RC,360,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF FEMUR; WITH INTERNAL FIXATION (LIST IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,1896.0,3879.0,4
RC,360,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF METACARPAL;,,,593.04,4838.74,34
RC,360,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF METACARPAL; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT),,,2398.52,21355.56,34
RC,360,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL HUMERUS;,,,1088.27,9772.7,34
RC,360,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL HUMERUS; WITH ALLOGRAFT,,,3122.54,21355.56,34
RC,360,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL HUMERUS; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT),,,2398.52,21355.56,34
RC,360,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL, MIDDLE, OR DISTAL PHALANX OF FINGER;",,,593.04,4838.74,34
RC,360,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL, MIDDLE, OR DISTAL PHALANX OF FINGER; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,1088.27,9772.7,34
RC,360,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING HEAD OR NECK OF RADIUS AND OLECRANON PROCESS);,,,1088.27,9772.7,34
RC,360,EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING HEAD OR NECK OF RADIUS AND OLECRANON PROCESS); WITH ALLOGRAFT,,,1088.27,9772.7,34
RC,360,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, HUMERUS;",,,1088.27,9772.7,34
RC,360,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, HUMERUS; WITH ALLOGRAFT",,,2763.0,21355.56,34
RC,360,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, PHALANGES OF FOOT",,,593.04,4838.74,34
RC,360,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TALUS OR CALCANEUS;",,,1088.27,9772.7,34
RC,360,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TALUS OR CALCANEUS; WITH ILIAC OR OTHER AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,2763.0,21355.56,34
RC,360,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TARSAL OR METATARSAL, EXCEPT TALUS OR CALCANEUS;",,,1088.27,9772.7,34
RC,360,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TIBIA OR FIBULA;",,,1088.27,9772.7,34
RC,360,"EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TIBIA OR FIBULA; WITH ALLOGRAFT",,,2398.52,21355.56,34
RC,360,"EXCISION OR DESTRUCTION (EG, LASER), INTRANASAL LESION; EXTERNAL APPROACH (LATERAL RHINOTOMY)",,,886.62,9350.87,34
RC,360,"EXCISION OR DESTRUCTION (EG, LASER), INTRANASAL LESION; INTERNAL APPROACH",,,886.62,9350.87,34
RC,360,"EXCISION OR DESTRUCTION LINGUAL TONSIL, ANY METHOD (SEPARATE PROCEDURE)",,,1954.22,17316.39,34
RC,360,"EXCISION OR DESTRUCTION OF LESION OF PHARYNX, ANY METHOD",,,886.62,9350.87,34
RC,360,"EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL (IE, PERITONEAL, MESENTERIC, RETROPERITONEAL), PRIMARY OR SECONDARY TUMOR(S) OR CYST(S), SUM OF THE MAXIMUM LENGTH OF TUMOR(S) OR CYST(S); 10.1 TO 20 CM",,,,,0
RC,360,"EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL (IE, PERITONEAL, MESENTERIC, RETROPERITONEAL), PRIMARY OR SECONDARY TUMOR(S) OR CYST(S), SUM OF THE MAXIMUM LENGTH OF TUMOR(S) OR CYST(S); 5 CM OR LESS",,,,,0
RC,360,"EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL (IE, PERITONEAL, MESENTERIC, RETROPERITONEAL), PRIMARY OR SECONDARY TUMOR(S) OR CYST(S), SUM OF THE MAXIMUM LENGTH OF TUMOR(S) OR CYST(S); 5.1 TO 10 CM",,,,,0
RC,360,"EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL TUMORS, CYSTS OR ENDOMETRIOMAS, 1 OR MORE PERITONEAL, MESENTERIC, OR RETROPERITONEAL PRIMARY OR SECONDARY TUMORS; LARGEST TUMOR 5 CM DIAMETER OR LESS",,,2113.45,8280.0,10
RC,360,"EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL TUMORS, CYSTS OR ENDOMETRIOMAS, 1 OR MORE PERITONEAL, MESENTERIC, OR RETROPERITONEAL PRIMARY OR SECONDARY TUMORS; LARGEST TUMOR 5.1-10.0 CM DIAMETER",,,2703.02,10140.0,10
RC,360,"EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL TUMORS, CYSTS OR ENDOMETRIOMAS, 1 OR MORE PERITONEAL, MESENTERIC, OR RETROPERITONEAL PRIMARY OR SECONDARY TUMORS; LARGEST TUMOR GREATER THAN 10.0 CM DIAM",,,3109.26,10140.0,10
RC,360,EXCISION OR FULGURATION; SKENE'S GLANDS,,,1142.9,8636.11,34
RC,360,EXCISION OR FULGURATION; URETHRAL CARUNCLE,,,652.8,6324.43,34
RC,360,"EXCISION OR FULGURATION; URETHRAL POLYP(S), DISTAL URETHRA",,,1142.9,8636.11,34
RC,360,EXCISION OR FULGURATION; URETHRAL PROLAPSE,,,1142.9,8636.11,34
RC,360,"EXCISION SOFT TISSUE LESION, EXTERNAL AUDITORY CANAL",,,815.2,8278.44,34
RC,360,EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS; CERVICAL,,,2089.08,8280.0,10
RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.5 CM OR LESS",,,74.19,4345.0,33
RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.6 TO 1.0 CM",,,86.66,4345.0,33
RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 1.1 TO 2.0 CM",,,95.79,4345.0,33
RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 2.1 TO 3.0 CM",,,104.38,4345.0,33
RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 3.1 TO 4.0 CM",,,486.45,4900.18,34
RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM",,,815.2,8278.44,34
RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS",,,77.79,4345.0,33
RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.6 TO 1.0 CM",,,89.14,4345.0,33
RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 1.1 TO 2.0 CM",,,96.62,4345.0,33
RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM",,,105.2,4345.0,33
RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM",,,486.45,4900.18,34
RC,360,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER OVER 4.0 CM",,,486.45,4900.18,34
RC,360,"EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY), ABDOMEN (EG, ABDOMINOPLASTY) (INCLUDES UMBILICAL TRANSPOSITION AND FASCIAL PLICATION) (LIST SEPARATELY IN ADDITION TO CODE FOR PR",,,1896.0,2763.0,4
RC,360,"EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY); ABDOMEN, INFRAUMBILICAL PANNICULECTOMY",,,1845.21,18697.13,34
RC,360,"EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY); ARM",,,2763.0,8278.44,31
RC,360,"EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY); OTHER AREA",,,2763.0,8278.44,31
RC,360,"EXCISION, ISCHIAL PRESSURE ULCER, WITH OSTECTOMY, IN PREPARATION FOR MUSCLE OR MYOCUTANEOUS FLAP OR SKIN GRAFT CLOSURE",,,709.01,7886.0,34
RC,360,"EXCISION, LESION OF FLOOR OF MOUTH",,,886.62,9350.87,34
RC,360,"EXCISION, LESION OF PALATE, UVULA; WITH LOCAL FLAP CLOSURE",,,1954.22,17316.39,34
RC,360,"EXCISION, LESION OF PALATE, UVULA; WITH SIMPLE PRIMARY CLOSURE",,,147.84,7975.81,33
RC,360,"EXCISION, LESION OF PALATE, UVULA; WITHOUT CLOSURE",,,126.8,7975.81,33
RC,360,"EXCISION, LESION OF TENDON SHEATH, FOREARM AND/OR WRIST",,,593.04,7168.0,34
RC,360,"EXCISION, LOCAL; MALIGNANT TUMOR OF STOMACH",,,2166.43,8280.0,10
RC,360,"EXCISION, LOCAL; ULCER OR BENIGN TUMOR OF STOMACH",,,1736.42,8280.0,10
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 0.5 CM OR LESS",,,116.0,4345.0,33
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 0.6 TO 1.0 CM",,,127.9,4345.0,33
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 1.1 TO 2.0 CM",,,138.98,4345.0,33
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 2.1 TO 3.0 CM",,,152.26,4345.0,33
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 3.1 TO 4.0 CM",,,486.45,4900.18,34
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER OVER 4.0 CM",,,815.2,8278.44,34
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.5 CM OR LESS",,,112.95,4345.0,33
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 0.6 TO 1.0 CM",,,124.58,4345.0,33
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 1.1 TO 2.0 CM",,,133.44,4345.0,33
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 2.1 TO 3.0 CM",,,111.0,4016.35,33
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER 3.1 TO 4.0 CM",,,486.45,4900.18,34
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA; EXCISED DIAMETER OVER 4.0 CM",,,815.2,8278.44,34
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS",,,112.68,4345.0,33
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 0.6 TO 1.0 CM",,,124.3,4345.0,33
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 1.1 TO 2.0 CM",,,131.22,4345.0,33
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 2.1 TO 3.0 CM",,,141.47,4345.0,33
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 3.1 TO 4.0 CM",,,257.6,4779.0,33
RC,360,"EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER OVER 4.0 CM",,,486.45,4900.18,34
RC,360,"EXCISION, NASAL POLYP(S), SIMPLE",,,154.21,8280.0,33
RC,360,"EXCISION, OLECRANON BURSA",,,1088.27,9772.7,34
RC,360,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 0.5 CM OR LESS",,,86.38,4345.0,33
RC,360,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 0.6 TO 1.0 CM",,,96.06,4345.0,33
RC,360,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 1.1 TO 2.0 CM",,,103.82,4345.0,33
RC,360,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 2.1 TO 3.0 CM",,,114.34,4345.0,33
RC,360,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER 3.1 TO 4.0 CM",,,486.45,4900.18,34
RC,360,"EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANE; EXCISED DIAMETER OVER 4.0 CM",,,815.2,8278.44,34
RC,360,"EXCISION, PREPATELLAR BURSA",,,1088.27,9772.7,34
RC,360,"EXCISION, SACRAL PRESSURE ULCER, WITH PRIMARY SUTURE;",,,815.2,8278.44,34
RC,360,"EXCISION, SACRAL PRESSURE ULCER, WITH PRIMARY SUTURE; WITH OSTECTOMY",,,815.2,8278.44,34
RC,360,"EXCISION, TUMOR OR VASCULAR MALFORMATION, SOFT TISSUE OF HAND OR FINGER, SUBCUTANEOUS; 1.5 CM OR GREATER",,,486.45,12700.0,33
RC,360,"EXCISION, TUMOR OR VASCULAR MALFORMATION, SOFT TISSUE OF HAND OR FINGER, SUBCUTANEOUS; LESS THAN 1.5 CM",,,486.45,4900.18,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBCUTANEOUS; 3 CM OR GREATER",,,815.2,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBCUTANEOUS; LESS THAN 3 CM",,,486.45,10495.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,815.2,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,815.2,8278.44,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBCUTANEOUS; 3 CM OR GREATER",,,486.45,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBCUTANEOUS; LESS THAN 3 CM",,,486.45,4900.18,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,815.2,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,815.2,10495.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FACE AND SCALP, SUBFASCIAL (EG, SUBGALEAL, INTRAMUSCULAR); 2 CM OR GREATER",,,815.2,7039.11,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FACE AND SCALP, SUBFASCIAL (EG, SUBGALEAL, INTRAMUSCULAR); LESS THAN 2 CM",,,266.88,4779.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FACE OR SCALP, SUBCUTANEOUS; 2 CM OR GREATER",,,486.45,4779.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FACE OR SCALP, SUBCUTANEOUS; LESS THAN 2 CM",,,111.0,4016.35,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FOOT OR TOE, SUBCUTANEOUS; 1.5 CM OR GREATER",,,815.2,8278.44,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FOOT OR TOE, SUBCUTANEOUS; LESS THAN 1.5 CM",,,486.45,4900.18,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FOOT OR TOE, SUBFASCIAL (EG, INTRAMUSCULAR); 1.5 CM OR GREATER",,,815.2,8278.44,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FOOT OR TOE, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 1.5 CM",,,815.2,8278.44,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FOREARM AND/OR WRIST AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,486.45,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FOREARM AND/OR WRIST AREA, SUBCUTANEOUS; LESS THAN 3 CM",,,486.45,4900.18,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FOREARM AND/OR WRIST AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 3 CM OR GREATER",,,815.2,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF FOREARM AND/OR WRIST AREA, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 3 CM",,,486.45,7168.0,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF LEG OR ANKLE AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,815.2,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF LEG OR ANKLE AREA, SUBCUTANEOUS; LESS THAN 3 CM",,,486.45,4900.18,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF LEG OR ANKLE AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,815.2,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF LEG OR ANKLE AREA, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,815.2,8278.44,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBCUTANEOUS; 3 CM OR GREATER",,,815.2,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBCUTANEOUS; LESS THAN 3 CM",,,486.45,4900.18,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,815.2,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,815.2,8278.44,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,815.2,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBCUTANEOUS; LESS THAN 3 CM",,,815.2,8278.44,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,815.2,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,815.2,8278.44,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF SHOULDER AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,486.45,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF SHOULDER AREA, SUBCUTANEOUS; LESS THAN 3 CM",,,486.45,4900.18,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF SHOULDER AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,815.2,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF SHOULDER AREA, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,815.2,8278.44,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF THIGH OR KNEE AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,815.2,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF THIGH OR KNEE AREA, SUBCUTANEOUS; LESS THAN 3 CM",,,486.45,4900.18,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF THIGH OR KNEE AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,815.2,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF THIGH OR KNEE AREA, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,815.2,8278.44,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBCUTANEOUS; 3 CM OR GREATER",,,815.2,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBCUTANEOUS; LESS THAN 3 CM",,,486.45,4900.18,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR GREATER",,,815.2,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 5 CM",,,815.2,8278.44,34
RC,360,"EXCISION, TUMOR, SOFT TISSUE, OR VASCULAR MALFORMATION, OF HAND OR FINGER, SUBFASCIAL (EG, INTRAMUSCULAR); 1.5 CM OR GREATER",,,486.45,12700.0,33
RC,360,"EXCISION, TUMOR, SOFT TISSUE, OR VASCULAR MALFORMATION, OF HAND OR FINGER, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN 1.5 CM",,,486.45,4900.18,34
RC,360,EXCISION; TROCHANTERIC BURSA OR CALCIFICATION,,,1088.27,9772.7,34
RC,360,"EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; ABDOMEN",,,2109.78,8280.0,10
RC,360,"EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; CHEST",,,2546.0,8280.0,10
RC,360,"EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; EXTREMITY",,,3013.28,9893.47,30
RC,360,"EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; NECK",,,1269.27,12018.16,29
RC,360,"EXPLORATION NOT FOLLOWED BY SURGICAL REPAIR, ARTERY; LOWER EXTREMITY (EG, COMMON FEMORAL, DEEP FEMORAL, SUPERFICIAL FEMORAL, POPLITEAL, TIBIAL, PERONEAL)",,,735.74,8280.0,10
RC,360,"EXPLORATION NOT FOLLOWED BY SURGICAL REPAIR, ARTERY; NECK (EG, CAROTID, SUBCLAVIAN)",,,998.86,8280.0,10
RC,360,"EXPLORATION NOT FOLLOWED BY SURGICAL REPAIR, ARTERY; UPPER EXTREMITY (EG, AXILLARY, BRACHIAL, RADIAL, ULNAR)",,,724.79,8280.0,10
RC,360,"EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH), WITH REMOVAL OF LESION",,,2546.0,8280.0,10
RC,360,EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); ABDOMEN/FLANK/BACK,,,1969.05,8280.0,30
RC,360,EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); CHEST,,,1969.05,8280.0,30
RC,360,EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); EXTREMITY,,,257.6,4345.0,33
RC,360,EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); NECK,,,514.7,4345.0,30
RC,360,EXPLORATION OF SPINAL FUSION,,,1438.6,15671.95,29
RC,360,"EXPLORATION, RETROPERITONEAL AREA WITH OR WITHOUT BIOPSY(S) (SEPARATE PROCEDURE)",,,1638.37,13982.14,29
RC,360,"EXPLORATORY LAPAROTOMY, EXPLORATORY CELIOTOMY WITH OR WITHOUT BIOPSY(S) (SEPARATE PROCEDURE)",,,1359.42,8280.0,10
RC,360,"EXTERNAL CEPHALIC VERSION, WITH OR WITHOUT TOCOLYSIS",,,3089.29,8918.22,30
RC,360,"EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF MOUTH; MASTICATOR SPACE",,,420.64,4817.14,34
RC,360,"EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF MOUTH; SUBLINGUAL",,,187.22,4345.0,33
RC,360,"EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF MOUTH; SUBMANDIBULAR",,,886.62,9350.87,34
RC,360,"EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF MOUTH; SUBMENTAL",,,1804.0,17316.39,34
RC,360,"FASCIA LATA GRAFT; BY INCISION AND AREA EXPOSURE, COMPLEX OR SHEET",,,709.01,7168.0,34
RC,360,FASCIA LATA GRAFT; BY STRIPPER,,,709.01,7886.0,34
RC,360,"FASCIECTOMY, PALM ONLY, WITH OR WITHOUT Z-PLASTY, OTHER LOCAL TISSUE REARRANGEMENT, OR SKIN GRAFTING (INCLUDES OBTAINING GRAFT)",,,1088.27,9772.7,34
RC,360,"FASCIECTOMY, PARTIAL PALMAR WITH RELEASE OF SINGLE DIGIT INCLUDING PROXIMAL INTERPHALANGEAL JOINT, WITH OR WITHOUT Z-PLASTY, OTHER LOCAL TISSUE REARRANGEMENT, OR SKIN GRAFTING (INCLUDES OBTAINING GRAF",,,1088.27,9772.7,38
RC,360,"FASCIOTOMY, PALMAR (EG, DUPUYTREN'S CONTRACTURE); OPEN, PARTIAL",,,1088.27,9772.7,34
RC,360,"FILLETED FINGER OR TOE FLAP, INCLUDING PREPARATION OF RECIPIENT SITE",,,709.01,7168.0,34
RC,360,"FINE NEEDLE ASPIRATION BIOPSY, INCLUDING ULTRASOUND GUIDANCE; FIRST LESION",,,126.87,4345.0,33
RC,360,"FINE NEEDLE ASPIRATION BIOPSY, WITHOUT IMAGING GUIDANCE; EACH ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"FINE NEEDLE ASPIRATION BIOPSY, WITHOUT IMAGING GUIDANCE; FIRST LESION",,,51.77,2107.0,33
RC,360,"FISSURECTOMY, INCLUDING SPHINCTEROTOMY, WHEN PERFORMED",,,939.93,8368.72,34
RC,360,FLAP; ISLAND PEDICLE REQUIRING IDENTIFICATION AND DISSECTION OF AN ANATOMICALLY NAMED AXIAL VESSEL,,,709.01,5793.18,34
RC,360,"FLUOROSCOPIC GUIDANCE FOR CENTRAL VENOUS ACCESS DEVICE PLACEMENT, REPLACEMENT (CATHETER ONLY OR COMPLETE), OR REMOVAL (INCLUDES FLUOROSCOPIC GUIDANCE FOR VASCULAR ACCESS AND CATHETER MANIPULATION, ANY",,,145.6,307.22,5
RC,360,"FLUOROSCOPIC GUIDANCE FOR NEEDLE PLACEMENT (EG, BIOPSY, ASPIRATION, INJECTION, LOCALIZATION DEVICE) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,149.2,314.81,5
RC,360,"FLUOROSCOPY (SEPARATE PROCEDURE), UP TO 1 HOUR PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL TIME",,,42.78,607.02,28
RC,360,"FOREHEAD FLAP WITH PRESERVATION OF VASCULAR PEDICLE (EG, AXIAL PATTERN FLAP, PARAMEDIAN FOREHEAD FLAP)",,,1457.62,10628.93,34
RC,360,FORESKIN MANIPULATION INCLUDING LYSIS OF PREPUTIAL ADHESIONS AND STRETCHING,,,110.15,4345.0,33
RC,360,"FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITHOUT TRANSFER; EYELIDS, NOSE, EARS, LIPS, OR INTRAORAL",,,709.01,7168.0,34
RC,360,"FRACTURE NASAL INFERIOR TURBINATE(S), THERAPEUTIC",,,886.62,9350.87,34
RC,360,FREE MUSCLE OR MYOCUTANEOUS FLAP WITH MICROVASCULAR ANASTOMOSIS,,,4032.59,8518.56,10
RC,360,FREE OMENTAL FLAP WITH MICROVASCULAR ANASTOMOSIS,,,2546.0,8280.0,10
RC,360,"FRENOPLASTY (SURGICAL REVISION OF FRENUM, EG, WITH Z-PLASTY)",,,886.62,9350.87,34
RC,360,FRENULOTOMY OF PENIS,,,652.8,6324.43,34
RC,360,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS, AND/OR FEET; 20 SQ CM OR LESS",,,709.01,7168.0,34
RC,360,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS, AND/OR FEET; EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARAT",,,1896.0,2107.0,3
RC,360,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, NOSE, EARS, EYELIDS, AND/OR LIPS; 20 SQ CM OR LESS",,,709.01,5793.18,34
RC,360,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, NOSE, EARS, EYELIDS, AND/OR LIPS; EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDU",,,1896.0,2107.0,3
RC,360,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, SCALP, ARMS, AND/OR LEGS; 20 SQ CM OR LESS",,,709.01,5793.18,34
RC,360,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, SCALP, ARMS, AND/OR LEGS; EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, TRUNK; 20 SQ CM OR LESS",,,709.01,7168.0,34
RC,360,"FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, TRUNK; EACH ADDITIONAL 20 SQ CM, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"GASTRECTOMY, PARTIAL, DISTAL; WITH GASTROJEJUNOSTOMY",,,2546.0,8280.0,10
RC,360,"GASTRECTOMY, PARTIAL, DISTAL; WITH ROUX-EN-Y RECONSTRUCTION",,,2546.0,8280.0,10
RC,360,"GASTRECTOMY, TOTAL; WITH ROUX-EN-Y RECONSTRUCTION",,,2546.0,8490.25,10
RC,360,"GASTRIC RESTRICTIVE PROCEDURE WITH PARTIAL GASTRECTOMY, PYLORUS-PRESERVING DUODENOILEOSTOMY AND ILEOILEOSTOMY (50 TO 100 CM COMMON CHANNEL) TO LIMIT ABSORPTION (BILIOPANCREATIC DIVERSION WITH DUODENAL",,,3441.19,22539.0,11
RC,360,"GASTRIC RESTRICTIVE PROCEDURE, ENDOSCOPIC SLEEVE GASTROPLASTY, WITH ESOPHAGOGASTRODUODENOSCOPY AND INTRALUMINAL TUBE INSERTION, IF PERFORMED, INCLUDING ALL SYSTEM AND TISSUE ANCHORING COMPONENTS",,,9126.0,32441.66,9
RC,360,"GASTRIC RESTRICTIVE PROCEDURE, OPEN; REMOVAL AND REPLACEMENT OF SUBCUTANEOUS PORT COMPONENT ONLY",,,1457.62,19305.0,33
RC,360,"GASTRIC RESTRICTIVE PROCEDURE, OPEN; REMOVAL OF SUBCUTANEOUS PORT COMPONENT ONLY",,,709.01,19305.0,33
RC,360,"GASTRIC RESTRICTIVE PROCEDURE, WITH GASTRIC BYPASS FOR MORBID OBESITY; WITH SHORT LIMB (150 CM OR LESS) ROUX-EN-Y GASTROENTEROSTOMY",,,2863.2,22539.0,11
RC,360,"GASTROCNEMIUS RECESSION (EG, STRAYER PROCEDURE)",,,1088.27,9772.7,34
RC,360,"GASTRORRHAPHY, SUTURE OF PERFORATED DUODENAL OR GASTRIC ULCER, WOUND, OR INJURY",,,2402.13,8327.04,29
RC,360,"GASTROSTOMY, OPEN; WITHOUT CONSTRUCTION OF GASTRIC TUBE (EG, STAMM PROCEDURE) (SEPARATE PROCEDURE)",,,1831.27,8280.0,30
RC,360,"GENIOPLASTY; AUGMENTATION (AUTOGRAFT, ALLOGRAFT, PROSTHETIC MATERIAL)",,,4302.0,17316.39,31
RC,360,"GENIOPLASTY; SLIDING OSTEOTOMIES, 2 OR MORE OSTEOTOMIES (EG, WEDGE EXCISION OR BONE WEDGE REVERSAL FOR ASYMMETRICAL CHIN)",,,1954.22,17316.39,34
RC,360,"GENIOPLASTY; SLIDING OSTEOTOMY, SINGLE PIECE",,,886.62,10495.0,34
RC,360,"GENIOPLASTY; SLIDING, AUGMENTATION WITH INTERPOSITIONAL BONE GRAFTS (INCLUDES OBTAINING AUTOGRAFTS)",,,886.62,10495.0,34
RC,360,"GINGIVECTOMY, EXCISION GINGIVA, EACH QUADRANT",,,886.62,7975.81,33
RC,360,"GLOSSECTOMY; COMPOSITE PROCEDURE WITH RESECTION FLOOR OF MOUTH AND MANDIBULAR RESECTION, WITHOUT RADICAL NECK DISSECTION",,,2546.0,8280.0,10
RC,360,GLOSSECTOMY; HEMIGLOSSECTOMY,,,2319.91,8280.0,10
RC,360,GLOSSECTOMY; LESS THAN ONE-HALF TONGUE,,,1954.22,17316.39,34
RC,360,"GLOSSECTOMY; PARTIAL, WITH UNILATERAL RADICAL NECK DISSECTION",,,3832.21,8280.0,10
RC,360,"GLUCOSE, BLOOD BY GLUCOSE MONITORING DEVICE(S) CLEARED BY THE FDA SPECIFICALLY FOR HOME USE",,,3.12,16.92,27
RC,360,GRAFT (THIERSCH OPERATION) FOR RECTAL INCONTINENCE AND/OR PROLAPSE,,,939.93,8368.72,34
RC,360,GRAFT FOR FACIAL NERVE PARALYSIS; FREE FASCIA GRAFT (INCLUDING OBTAINING FASCIA),,,1457.62,10628.93,34
RC,360,GRAFT FOR FACIAL NERVE PARALYSIS; REGIONAL MUSCLE TRANSFER,,,1457.62,10628.93,34
RC,360,"GRAFT, BONE; MANDIBLE (INCLUDES OBTAINING GRAFT)",,,2788.09,17316.39,34
RC,360,"GRAFT, BONE; NASAL, MAXILLARY OR MALAR AREAS (INCLUDES OBTAINING GRAFT)",,,1954.22,17316.39,34
RC,360,"GRAFT; COMPOSITE (EG, FULL THICKNESS OF EXTERNAL EAR OR NASAL ALA), INCLUDING PRIMARY CLOSURE, DONOR AREA",,,709.01,5793.18,34
RC,360,GRAFT; DERMA-FAT-FASCIA,,,1457.62,10628.93,34
RC,360,"GRAFT; EAR CARTILAGE, AUTOGENOUS, TO NOSE OR EAR (INCLUDES OBTAINING GRAFT)",,,1954.22,17316.39,34
RC,360,"GRAFT; RIB CARTILAGE, AUTOGENOUS, TO FACE, CHIN, NOSE OR EAR (INCLUDES OBTAINING GRAFT)",,,1954.22,17316.39,34
RC,360,"GRAFTING OF AUTOLOGOUS FAT HARVESTED BY LIPOSUCTION TECHNIQUE TO FACE, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, AND/OR FEET; 25 CC OR LESS INJECTATE",,,709.01,12700.0,33
RC,360,"GRAFTING OF AUTOLOGOUS FAT HARVESTED BY LIPOSUCTION TECHNIQUE TO FACE, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, AND/OR FEET; EACH ADDITIONAL 25 CC INJECTATE, OR PART THEREOF (LIST SEPARAT",,,1896.0,2107.0,3
RC,360,"GRAFTING OF AUTOLOGOUS FAT HARVESTED BY LIPOSUCTION TECHNIQUE TO TRUNK, BREASTS, SCALP, ARMS, AND/OR LEGS; 50 CC OR LESS INJECTATE",,,1457.62,12700.0,33
RC,360,"GRAFTING OF AUTOLOGOUS FAT HARVESTED BY LIPOSUCTION TECHNIQUE TO TRUNK, BREASTS, SCALP, ARMS, AND/OR LEGS; EACH ADDITIONAL 50 CC INJECTATE, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRI",,,1896.0,2107.0,3
RC,360,"GRAFTING OF AUTOLOGOUS SOFT TISSUE, OTHER, HARVESTED BY DIRECT EXCISION (EG, FAT, DERMIS, FASCIA)",,,1457.62,12700.0,33
RC,360,"HALLUX RIGIDUS CORRECTION WITH CHEILECTOMY, DEBRIDEMENT AND CAPSULAR RELEASE OF THE FIRST METATARSOPHALANGEAL JOINT; WITHOUT IMPLANT",,,1088.27,9772.7,34
RC,360,"HEART TRANSPLANT, WITH OR WITHOUT RECIPIENT CARDIECTOMY",,,2546.0,18184.76,10
RC,360,"HEMIARTHROPLASTY, HIP, PARTIAL (EG, FEMORAL STEM PROSTHESIS, BIPOLAR ARTHROPLASTY)",,,1992.24,27728.96,29
RC,360,"HEMORRHOIDECTOMY, EXTERNAL, 2 OR MORE COLUMNS/GROUPS",,,939.93,8368.72,34
RC,360,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS;",,,939.93,8368.72,34
RC,360,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS; WITH FISSURECTOMY",,,939.93,8368.72,34
RC,360,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS; WITH FISTULECTOMY, INCLUDING FISSURECTOMY, WHEN PERFORMED",,,939.93,8368.72,34
RC,360,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SINGLE COLUMN/GROUP;",,,939.93,8368.72,34
RC,360,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SINGLE COLUMN/GROUP; WITH FISSURECTOMY",,,939.93,8368.72,34
RC,360,"HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SINGLE COLUMN/GROUP; WITH FISTULECTOMY, INCLUDING FISSURECTOMY, WHEN PERFORMED",,,939.93,8368.72,34
RC,360,"HEMORRHOIDECTOMY, INTERNAL, BY LIGATION OTHER THAN RUBBER BAND; 2 OR MORE HEMORRHOID COLUMNS/GROUPS, WITHOUT IMAGING GUIDANCE",,,939.93,8368.72,34
RC,360,"HEMORRHOIDECTOMY, INTERNAL, BY LIGATION OTHER THAN RUBBER BAND; SINGLE HEMORRHOID COLUMN/GROUP, WITHOUT IMAGING GUIDANCE",,,939.93,8280.0,33
RC,360,"HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S)",,,163.62,4345.0,33
RC,360,"HEMORRHOIDECTOMY, INTERNAL, BY TRANSANAL HEMORRHOIDAL DEARTERIALIZATION, 2 OR MORE HEMORRHOID COLUMNS/GROUPS, INCLUDING ULTRASOUND GUIDANCE, WITH MUCOPEXY, WHEN PERFORMED",,,939.93,10495.0,33
RC,360,"HEMORRHOIDOPEXY (EG, FOR PROLAPSING INTERNAL HEMORRHOIDS) BY STAPLING",,,2648.89,10495.0,31
RC,360,"HEPATECTOMY, RESECTION OF LIVER; PARTIAL LOBECTOMY",,,2546.0,8721.83,10
RC,360,"HYSTEROSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE)",,,1063.52,8918.22,34
RC,360,"HYSTEROSCOPY, SURGICAL; WITH DIVISION OR RESECTION OF INTRAUTERINE SEPTUM (ANY METHOD)",,,1526.99,15249.4,34
RC,360,"HYSTEROSCOPY, SURGICAL; WITH ENDOMETRIAL ABLATION (EG, ENDOMETRIAL RESECTION, ELECTROSURGICAL ABLATION, THERMOABLATION)",,,1526.99,15249.4,34
RC,360,"HYSTEROSCOPY, SURGICAL; WITH REMOVAL OF IMPACTED FOREIGN BODY",,,1063.52,8918.22,34
RC,360,"HYSTEROSCOPY, SURGICAL; WITH REMOVAL OF LEIOMYOMATA",,,1526.99,15249.4,34
RC,360,"HYSTEROSCOPY, SURGICAL; WITH SAMPLING (BIOPSY) OF ENDOMETRIUM AND/OR POLYPECTOMY, WITH OR WITHOUT D & C",,,1063.52,8918.22,34
RC,360,"IMAGE-GUIDED FLUID COLLECTION DRAINAGE BY CATHETER (EG, ABSCESS, HEMATOMA, SEROMA, LYMPHOCELE, CYST); PERITONEAL OR RETROPERITONEAL, PERCUTANEOUS",,,486.45,12700.0,33
RC,360,"IMBRICATION OF DIAPHRAGM FOR EVENTRATION, TRANSTHORACIC OR TRANSABDOMINAL, PARALYTIC OR NONPARALYTIC",,,1565.9,8280.0,10
RC,360,"IMMUNOHISTOCHEMISTRY OR IMMUNOCYTOCHEMISTRY, PER SPECIMEN; INITIAL SINGLE ANTIBODY STAIN PROCEDURE",,,162.59,740.46,25
RC,360,"IMPLANTATION OF ABSORBABLE MESH OR OTHER PROSTHESIS FOR DELAYED CLOSURE OF DEFECT(S) (IE, EXTERNAL GENITALIA, PERINEUM, ABDOMINAL WALL) DUE TO SOFT TISSUE INFECTION OR TRAUMA",,,696.77,8280.0,10
RC,360,"IMPLANTATION OF BIOLOGIC IMPLANT (EG, ACELLULAR DERMAL MATRIX) FOR SOFT TISSUE REINFORCEMENT (IE, BREAST, TRUNK) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,IMPLANTATION OF NERVE END INTO BONE OR MUSCLE (LIST SEPARATELY IN ADDITION TO NEUROMA EXCISION),,,1896.0,2416.0,4
RC,360,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, SKULL; WITH MAGNETIC TRANSCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR, OUTSIDE OF THE MASTOID AND RESULTING IN REMOVAL OF GREATER THAN OR EQUAL TO 100 SQ M",,,6263.3,46581.65,33
RC,360,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, SKULL; WITH MAGNETIC TRANSCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR, WITHIN THE MASTOID AND/OR RESULTING IN REMOVAL OF LESS THAN 100 SQ MM SURFACE AREA O",,,6263.3,44958.05,33
RC,360,"IMPLANTATION, OSSEOINTEGRATED IMPLANT, SKULL; WITH PERCUTANEOUS ATTACHMENT TO EXTERNAL SPEECH PROCESSOR",,,7038.0,42485.53,34
RC,360,IMPRESSION AND CUSTOM PREPARATION; FACIAL PROSTHESIS,,,1783.05,8568.0,30
RC,360,IMPRESSION AND CUSTOM PREPARATION; ORAL SURGICAL SPLINT,,,87.58,8280.0,33
RC,360,"INCISION (EG, OSTEOMYELITIS OR BONE ABSCESS), LEG OR ANKLE",,,1088.27,9772.7,34
RC,360,INCISION AND DRAINAGE ABSCESS; PERITONSILLAR,,,87.58,4345.0,33
RC,360,"INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA); COMPLICATED OR MULTIPLE",,,98.28,4345.0,33
RC,360,"INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA); SIMPLE OR SINGLE",,,65.06,2107.0,33
RC,360,INCISION AND DRAINAGE OF BARTHOLIN'S GLAND ABSCESS,,,70.52,4345.0,33
RC,360,"INCISION AND DRAINAGE OF DEEP SUPRALEVATOR, PELVIRECTAL, OR RETRORECTAL ABSCESS",,,939.93,8368.72,34
RC,360,"INCISION AND DRAINAGE OF EPIDIDYMIS, TESTIS AND/OR SCROTAL SPACE (EG, ABSCESS OR HEMATOMA)",,,652.8,6324.43,34
RC,360,"INCISION AND DRAINAGE OF HEMATOMA, SEROMA OR FLUID COLLECTION",,,90.81,4016.35,33
RC,360,"INCISION AND DRAINAGE OF INTRAMURAL, INTRAMUSCULAR, OR SUBMUCOSAL ABSCESS, TRANSANAL, UNDER ANESTHESIA",,,939.93,8368.72,34
RC,360,INCISION AND DRAINAGE OF ISCHIORECTAL AND/OR PERIRECTAL ABSCESS (SEPARATE PROCEDURE),,,429.26,7168.0,34
RC,360,"INCISION AND DRAINAGE OF ISCHIORECTAL OR INTRAMURAL ABSCESS, WITH FISTULECTOMY OR FISTULOTOMY, SUBMUSCULAR, WITH OR WITHOUT PLACEMENT OF SETON",,,939.93,8368.72,34
RC,360,INCISION AND DRAINAGE OF PILONIDAL CYST; COMPLICATED,,,111.0,3167.0,33
RC,360,INCISION AND DRAINAGE OF PILONIDAL CYST; SIMPLE,,,111.0,3167.0,33
RC,360,"INCISION AND DRAINAGE OF SUBMUCOSAL ABSCESS, RECTUM",,,429.26,4779.0,34
RC,360,INCISION AND DRAINAGE OF VULVA OR PERINEAL ABSCESS,,,75.58,4779.0,33
RC,360,"INCISION AND DRAINAGE, COMPLEX, POSTOPERATIVE WOUND INFECTION",,,815.2,8278.44,34
RC,360,"INCISION AND DRAINAGE, DEEP ABSCESS OR HEMATOMA, SOFT TISSUES OF NECK OR THORAX;",,,815.2,8278.44,34
RC,360,"INCISION AND DRAINAGE, DEEP ABSCESS, BURSA, OR HEMATOMA, THIGH OR KNEE REGION",,,815.2,8278.44,34
RC,360,"INCISION AND DRAINAGE, FOREARM AND/OR WRIST; DEEP ABSCESS OR HEMATOMA",,,1088.27,9772.7,34
RC,360,"INCISION AND DRAINAGE, LEG OR ANKLE; DEEP ABSCESS OR HEMATOMA",,,815.2,8278.44,34
RC,360,"INCISION AND DRAINAGE, OPEN, OF DEEP ABSCESS (SUBFASCIAL), POSTERIOR SPINE; CERVICAL, THORACIC, OR CERVICOTHORACIC",,,1688.92,15671.95,29
RC,360,"INCISION AND DRAINAGE, OPEN, OF DEEP ABSCESS (SUBFASCIAL), POSTERIOR SPINE; LUMBAR, SACRAL, OR LUMBOSACRAL",,,1668.82,15671.95,29
RC,360,"INCISION AND DRAINAGE, PELVIS OR HIP JOINT AREA; DEEP ABSCESS OR HEMATOMA",,,1088.27,9772.7,34
RC,360,"INCISION AND DRAINAGE, PERIANAL ABSCESS, SUPERFICIAL",,,328.5,4345.0,33
RC,360,"INCISION AND DRAINAGE, SHOULDER AREA; DEEP ABSCESS OR HEMATOMA",,,815.2,8278.44,34
RC,360,"INCISION AND DRAINAGE, UPPER ARM OR ELBOW AREA; DEEP ABSCESS OR HEMATOMA",,,815.2,8278.44,34
RC,360,"INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; COMPLICATED",,,486.45,4900.18,34
RC,360,"INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE",,,86.38,2107.0,33
RC,360,"INCISION OF CONJUNCTIVA, DRAINAGE OF CYST",,,55.92,8280.0,33
RC,360,INCISION OF LINGUAL FRENUM (FRENOTOMY),,,420.64,4817.14,34
RC,360,"INCISION OF THROMBOSED HEMORRHOID, EXTERNAL",,,110.15,4345.0,33
RC,360,"INCISION, BONE CORTEX (EG, OSTEOMYELITIS OR BONE ABSCESS), FOOT",,,1088.27,9772.7,34
RC,360,"INCISION, DEEP, WITH OPENING OF BONE CORTEX (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), HUMERUS OR ELBOW",,,1088.27,9772.7,34
RC,360,"INCISION, DEEP, WITH OPENING OF BONE CORTEX (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), THORAX",,,775.95,8568.0,29
RC,360,"INCISION, DEEP, WITH OPENING OF BONE CORTEX, FEMUR OR KNEE (EG, OSTEOMYELITIS OR BONE ABSCESS)",,,1122.5,8568.0,29
RC,360,"INCISION, DRAINAGE OF LACRIMAL SAC (DACRYOCYSTOTOMY OR DACRYOCYSTOSTOMY)",,,204.59,8674.0,33
RC,360,"INCISION, EXTENSOR TENDON SHEATH, WRIST (EG, DE QUERVAINS DISEASE)",,,593.04,10032.0,36
RC,360,"INCISIONAL BIOPSY OF SKIN (EG, WEDGE) (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); SINGLE LESION",,,98.83,4345.0,33
RC,360,"INDUCED ABORTION, BY DILATION AND EVACUATION",,,1063.52,8918.22,34
RC,360,"INFRATEMPORAL POST-AURICULAR APPROACH TO MIDDLE CRANIAL FOSSA (INTERNAL AUDITORY MEATUS, PETROUS APEX, TENTORIUM, CAVERNOUS SINUS, PARASELLAR AREA, INFRATEMPORAL FOSSA) INCLUDING MASTOIDECTOMY, RESECT",,,2546.0,11470.02,10
RC,360,"INFRATEMPORAL PRE-AURICULAR APPROACH TO MIDDLE CRANIAL FOSSA (PARAPHARYNGEAL SPACE, INFRATEMPORAL AND MIDLINE SKULL BASE, NASOPHARYNX), WITH OR WITHOUT DISARTICULATION OF THE MANDIBLE, INCLUDING PAROT",,,2546.0,11345.21,10
RC,360,"INGUINOFEMORAL LYMPHADENECTOMY, SUPERFICIAL, INCLUDING CLOQUET'S NODE (SEPARATE PROCEDURE)",,,1845.21,18697.13,34
RC,360,"INJECTION PROCEDURE FOR ANTEGRADE NEPHROSTOGRAM AND/OR URETEROGRAM, COMPLETE DIAGNOSTIC PROCEDURE INCLUDING IMAGING GUIDANCE (EG, ULTRASOUND AND FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGICAL SUPERVISIO",,,665.45,7168.0,60
RC,360,INJECTION PROCEDURE FOR HIP ARTHROGRAPHY; WITHOUT ANESTHESIA,,,1896.0,2107.0,3
RC,360,"INJECTION PROCEDURE FOR SACROILIAC JOINT, ANESTHETIC/STEROID, WITH IMAGE GUIDANCE (FLUOROSCOPY OR CT) INCLUDING ARTHROGRAPHY WHEN PERFORMED",,,111.0,2107.0,10
RC,360,"INJECTION PROCEDURE FOR SACROILIAC JOINT; PROVISION OF ANESTHETIC, STEROID AND/OR OTHER THERAPEUTIC AGENT, WITH OR WITHOUT ARTHROGRAPHY",,,673.64,4345.0,31
RC,360,INJECTION PROCEDURE; RADIOACTIVE TRACER FOR IDENTIFICATION OF SENTINEL NODE,,,381.51,4345.0,30
RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; BRACHIAL PLEXUS, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,340.77,4345.0,33
RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; FEMORAL NERVE, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,39.86,4345.0,33
RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GENICULAR NERVE BRANCHES, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,139.81,4345.0,33
RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; ILIOINGUINAL, ILIOHYPOGASTRIC NERVES",,,61.74,4345.0,33
RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; INTERCOSTAL NERVE, EACH ADDITIONAL LEVEL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,340.77,4345.0,34
RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; INTERCOSTAL NERVE, SINGLE LEVEL",,,262.86,4345.0,33
RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; OTHER PERIPHERAL NERVE OR BRANCH",,,39.31,4345.0,33
RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; PLANTAR COMMON DIGITAL NERVE(S) (EG, MORTON'S NEUROMA)",,,17.99,2107.0,33
RC,360,"INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; SCIATIC NERVE, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,73.64,4345.0,33
RC,360,"INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (EG, ANESTHETIC, ANTISPASMODIC, OPIOID, STEROID, OTHER SOLUTION), NOT INCLUDING NEUROLYTIC SUBSTANCES, INCLUDING NEEDLE OR CATHETER PLACEMENT, I",,,262.86,4345.0,34
RC,360,"INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), 1 OR 2 MUSCLE(S)",,,23.26,4345.0,33
RC,360,"INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), 3 OR MORE MUSCLES",,,27.13,4345.0,33
RC,360,"INJECTION(S); SINGLE TENDON SHEATH, OR LIGAMENT, APONEUROSIS (EG, PLANTAR ""FASCIA"")",,,23.54,4345.0,33
RC,360,"INJECTION, DEXAMETHASONE SODIUM PHOSPHATE, 1 MG",,,0.121,0.121,1
RC,360,"INJECTION, INTRALESIONAL; UP TO AND INCLUDING 7 LESIONS",,,111.0,2107.0,30
RC,360,"INJECTION, PROPOFOL, 10 MG",,,0.1012,0.1012,1
RC,360,"INJECTION, ROPIVACAINE HYDROCHLORIDE, 1 MG",,,0.0506,0.0506,1
RC,360,"INJECTION, THERAPEUTIC (EG, LOCAL ANESTHETIC, CORTICOSTEROID), CARPAL TUNNEL",,,36.54,4345.0,33
RC,360,"INSERTION OF BREAST IMPLANT ON SAME DAY OF MASTECTOMY (IE, IMMEDIATE)",,,1845.21,18697.13,34
RC,360,"INSERTION OF CANNULA FOR HEMODIALYSIS, OTHER PURPOSE (SEPARATE PROCEDURE); ARTERIOVENOUS, EXTERNAL REVISION, OR CLOSURE",,,1939.15,16408.4,34
RC,360,"INSERTION OF CERVICAL DILATOR (EG, LAMINARIA, PROSTAGLANDIN) (SEPARATE PROCEDURE)",,,95.15,4345.0,30
RC,360,"INSERTION OF DUODENOSTOMY OR JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,564.97,5559.92,33
RC,360,"INSERTION OF GASTROSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,564.97,5559.92,33
RC,360,"INSERTION OF IMPLANTABLE INTRA-ARTERIAL INFUSION PUMP (EG, FOR CHEMOTHERAPY OF LIVER)",,,1939.15,16408.4,34
RC,360,INSERTION OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF,,,1551.5,12700.0,33
RC,360,"INSERTION OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER, INCLUDING PLACEMENT OF PUMP, RESERVOIR, AND CUFF",,,1804.0,62739.04,34
RC,360,"INSERTION OF INTERBODY BIOMECHANICAL DEVICE(S) (EG, SYNTHETIC CAGE, MESH) WITH INTEGRAL ANTERIOR INSTRUMENTATION FOR DEVICE ANCHORING (EG, SCREWS, FLANGES), WHEN PERFORMED, TO INTERVERTEBRAL DISC SPAC",,,1896.0,2107.0,3
RC,360,"INSERTION OF INTERVERTEBRAL BIOMECHANICAL DEVICE(S) (EG, SYNTHETIC CAGE, MESH) WITH INTEGRAL ANTERIOR INSTRUMENTATION FOR DEVICE ANCHORING (EG, SCREWS, FLANGES), WHEN PERFORMED, TO VERTEBRAL CORPECTOM",,,1896.0,2107.0,3
RC,360,"INSERTION OF INTRAOCULAR LENS PROSTHESIS (SECONDARY IMPLANT), NOT ASSOCIATED WITH CONCURRENT CATARACT REMOVAL",,,849.94,9542.0,34
RC,360,INSERTION OF INTRAUTERINE DEVICE (IUD),,,93.8,2107.0,10
RC,360,"INSERTION OF MULTI-COMPONENT, INFLATABLE PENILE PROSTHESIS, INCLUDING PLACEMENT OF PUMP, CYLINDERS, AND RESERVOIR",,,2763.0,62739.04,31
RC,360,INSERTION OF NON-TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER; AGE 5 YEARS OR OLDER,,,1118.22,7896.23,34
RC,360,"INSERTION OF OCULAR IMPLANT SECONDARY; AFTER ENUCLEATION, MUSCLES ATTACHED TO IMPLANT",,,1103.42,11163.6,34
RC,360,INSERTION OF PENILE PROSTHESIS; NON-INFLATABLE (SEMI-RIGID),,,2763.0,62739.04,31
RC,360,"INSERTION OF PERIPHERALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT; AGE 5 YEARS OR OLDER",,,1118.22,9893.47,34
RC,360,INSERTION OF PERITONEAL-VENOUS SHUNT,,,1269.9,8280.0,10
RC,360,"INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; COMPLICATED (EG, ALTERED ANATOMY, FRACTURED CATHETER/BALLOON)",,,57.79,4345.0,33
RC,360,"INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; SIMPLE (EG, FOLEY)",,,111.0,2107.0,30
RC,360,INSERTION OF TESTICULAR PROSTHESIS (SEPARATE PROCEDURE),,,2416.0,15106.88,34
RC,360,"INSERTION OF TISSUE EXPANDER(S) FOR OTHER THAN BREAST, INCLUDING SUBSEQUENT EXPANSION",,,1457.62,10628.93,34
RC,360,"INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, REQUIRING 2 CATHETERS VIA 2 SEPARATE VENOUS ACCESS SITES; WITH SUBCUTANEOUS PORT(S)",,,1939.15,16408.4,34
RC,360,"INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT; AGE 5 YEARS OR OLDER",,,1118.22,9893.47,34
RC,360,"INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP; AGE 5 YEARS OR OLDER",,,1118.22,9893.47,34
RC,360,INSERTION OF UTERINE TANDEM AND/OR VAGINAL OVOIDS FOR CLINICAL BRACHYTHERAPY,,,1526.99,15249.4,33
RC,360,"INSERTION OF WIRE OR PIN WITH APPLICATION OF SKELETAL TRACTION, INCLUDING REMOVAL (SEPARATE PROCEDURE)",,,1088.27,9772.7,34
RC,360,INSERTION OR REPLACEMENT OF BREAST IMPLANT ON SEPARATE DAY FROM MASTECTOMY,,,2281.73,29043.95,34
RC,360,"INSERTION OR REPLACEMENT OF CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, DIRECT OR INDUCTIVE COUPLING; WITH CONNECTION TO 2 OR MORE ELECTRODE ARRAYS",,,2763.0,103953.9,34
RC,360,"INSERTION OR REPLACEMENT OF CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, DIRECT OR INDUCTIVE COUPLING; WITH CONNECTION TO A SINGLE ELECTRODE ARRAY",,,2416.0,68827.53,34
RC,360,"INSERTION OR REPLACEMENT OF PERIPHERAL, SACRAL, OR GASTRIC NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, REQUIRING POCKET CREATION AND CONNECTION BETWEEN ELECTRODE ARRAY AND PULSE GENERATOR OR RECEIVER",,,2416.0,68827.53,34
RC,360,"INSERTION, DRUG-DELIVERY IMPLANT (IE, BIORESORBABLE, BIODEGRADABLE, NON-BIODEGRADABLE)",,,46.38,2107.0,33
RC,360,"INSERTION, NASAL SEPTAL PROSTHESIS (BUTTON)",,,420.64,7168.0,33
RC,360,"INSERTION, SUBCUTANEOUS CARDIAC RHYTHM MONITOR, INCLUDING PROGRAMMING",,,5760.21,27281.4,33
RC,360,"INTERNAL NEUROLYSIS, REQUIRING USE OF OPERATING MICROSCOPE (LIST SEPARATELY IN ADDITION TO CODE FOR NEUROPLASTY) (NEUROPLASTY INCLUDES EXTERNAL NEUROLYSIS)",,,1804.0,2107.0,4
RC,360,INTESTINAL PLICATION (SEPARATE PROCEDURE),,,1892.34,8280.0,10
RC,360,"INTRAOPERATIVE IDENTIFICATION (EG, MAPPING) OF SENTINEL LYMPH NODE(S) INCLUDES INJECTION OF NON-RADIOACTIVE DYE, WHEN PERFORMED (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"INTRAOPERATIVE NEAR-INFRARED FLUORESCENCE IMAGING OF MAJOR EXTRA-HEPATIC BILE DUCT(S) (E.G., CYSTIC DUCT, COMMON BILE DUCT AND COMMON HEPATIC DUCT) WITH INTRAVENOUS ADMINISTRATION OF INDOCYANINE GREEN",,,135.66,145.16,3
RC,360,INTRAOPERATIVE NEAR-INFRARED FLUORESCENCE LYMPHATIC MAPPING OF LYMPH NODE(S) (SENTINEL OR TUMOR DRAINING) WITH ADMINISTRATION OF INDOCYANINE GREEN (ICG) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMAR,,,136.66,2107.0,6
RC,360,"INTRAVASCULAR ULTRASOUND (NONCORONARY VESSEL) DURING DIAGNOSTIC EVALUATION AND/OR THERAPEUTIC INTERVENTION, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION; EACH ADDITIONAL NONCORONARY VESSEL (L",,,1896.0,2107.0,3
RC,360,"INTRAVASCULAR ULTRASOUND (NONCORONARY VESSEL) DURING DIAGNOSTIC EVALUATION AND/OR THERAPEUTIC INTERVENTION, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION; INITIAL NONCORONARY VESSEL (LIST SEPA",,,1896.0,2107.0,3
RC,360,"INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); CONCURRENT INFUSION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,65.27,137.76,5
RC,360,"INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,44.69,142.43,25
RC,360,"INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS (SPECIFY SUBSTANCE OR DRUG); INITIAL, UP TO 1 HOUR",,,202.99,530.97,25
RC,360,"INTRAVENOUS INFUSION, HYDRATION; EACH ADDITIONAL HOUR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,42.03,117.68,25
RC,360,"INTRAVENOUS INJECTION OF AGENT (EG, FLUORESCEIN) TO TEST VASCULAR FLOW IN FLAP OR GRAFT",,,111.0,2107.0,30
RC,360,"INTRODUCTION OF LONG GASTROINTESTINAL TUBE (EG, MILLER-ABBOTT) (SEPARATE PROCEDURE)",,,334.95,4345.0,33
RC,360,"INTRODUCTION OF NEEDLE(S) AND/OR CATHETER(S), DIALYSIS CIRCUIT, WITH DIAGNOSTIC ANGIOGRAPHY OF THE DIALYSIS CIRCUIT, INCLUDING ALL DIRECT PUNCTURE(S) AND CATHETER PLACEMENT(S), INJECTION(S) OF CONTRAS",,,1764.89,35373.27,66
RC,360,"INTUBATION, ENDOTRACHEAL, EMERGENCY PROCEDURE",,,87.58,4345.0,33
RC,360,KERATOPLASTY (CORNEAL TRANSPLANT); PENETRATING (EXCEPT IN APHAKIA OR PSEUDOPHAKIA),,,1533.49,13631.44,34
RC,360,"LABYRINTHOTOMY, WITH PERFUSION OF VESTIBULOACTIVE DRUG(S), TRANSCANAL",,,124.3,8674.0,34
RC,360,"LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; EXTRADURAL, LUMBAR",,,2762.69,17847.0,10
RC,360,"LAMINECTOMY FOR EXCISION OR EVACUATION OF INTRASPINAL LESION OTHER THAN NEOPLASM, EXTRADURAL; LUMBAR",,,4302.0,21355.56,30
RC,360,"LAMINECTOMY FOR EXCISION OR EVACUATION OF INTRASPINAL LESION OTHER THAN NEOPLASM, EXTRADURAL; THORACIC",,,6924.82,21355.56,30
RC,360,"LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA EQUINA, WITHOUT FACETECTOMY, FORAMINOTOMY OR DISCECTOMY (EG, SPINAL STENOSIS), 1 OR 2 VERTEBRAL SEGMENTS; LUMBAR, EXCEPT F",,,2398.52,21355.56,33
RC,360,"LAMINECTOMY WITH REMOVAL OF ABNORMAL FACETS AND/OR PARS INTER-ARTICULARIS WITH DECOMPRESSION OF CAUDA EQUINA AND NERVE ROOTS FOR SPONDYLOLISTHESIS, LUMBAR (GILL TYPE PROCEDURE)",,,6924.82,21355.56,32
RC,360,"LAMINECTOMY, FACETECTOMY AND FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD, CAUDA EQUINA AND/OR NERVE ROOT[S], [EG, SPINAL OR LATERAL RECESS STENOSIS]), SINGLE VERTEBRAL SEGM",,,1896.0,21355.56,108
RC,360,"LAMINECTOMY, FACETECTOMY, OR FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD, CAUDA EQUINA AND/OR NERVE ROOT[S] [EG, SPINAL OR LATERAL RECESS STENOSIS]), DURING POSTERIOR INTER",,,1896.0,12700.0,10
RC,360,"LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISC, REEXPLORATION, SINGLE INTERSPACE; EACH ",,,6497.0,12700.0,10
RC,360,"LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISC, REEXPLORATION, SINGLE INTERSPACE; LUMBA",,,2398.52,21355.56,33
RC,360,"LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISC; 1 INTERSPACE, CERVICAL",,,2398.52,21355.56,33
RC,360,"LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISC; 1 INTERSPACE, LUMBAR",,,2398.52,21355.56,35
RC,360,"LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PARTIAL FACETECTOMY, FORAMINOTOMY AND/OR EXCISION OF HERNIATED INTERVERTEBRAL DISC; EACH ADDITIONAL INTERSPACE, CERVICAL OR",,,1896.0,12700.0,5
RC,360,LAPAROSCOPIC TREATMENT OF ECTOPIC PREGNANCY; WITH SALPINGECTOMY AND/OR OOPHORECTOMY,,,1888.85,17256.34,33
RC,360,LAPAROSCOPIC TREATMENT OF ECTOPIC PREGNANCY; WITHOUT SALPINGECTOMY AND/OR OOPHORECTOMY,,,1888.85,17256.34,33
RC,360,"LAPAROSCOPY, ABDOMEN, PERITONEUM, AND OMENTUM, DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE)",,,1888.85,17256.34,34
RC,360,"LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INCLUDING NERVE SPARING, INCLUDES ROBOTIC ASSISTANCE, WHEN PERFORMED;",,,7038.0,30034.8,30
RC,360,"LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INCLUDING NERVE SPARING, INCLUDES ROBOTIC ASSISTANCE, WHEN PERFORMED; WITH BILATERAL PELVIC LYMPHADENECTOMY, INCLUDING EXTERNAL ILIAC, HYPOGAST",,,10144.36,22958.28,19
RC,360,"LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INCLUDING NERVE SPARING, INCLUDES ROBOTIC ASSISTANCE, WHEN PERFORMED; WITH LYMPH NODE BIOPSY(IES) (LIMITED PELVIC LYMPHADENECTOMY)",,,10144.36,22958.28,19
RC,360,"LAPAROSCOPY, SURGICAL PROSTATECTOMY, SIMPLE SUBTOTAL (INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, VASECTOMY, MEATOTOMY, URETHRAL CALIBRATION AND/OR DILATION, AND INTERNAL URETHROTOMY), INCLUDES ROBOT",,,7038.0,32441.66,30
RC,360,"LAPAROSCOPY, SURGICAL, ABLATION OF 1 OR MORE LIVER TUMOR(S); CRYOSURGICAL",,,7038.0,30034.8,30
RC,360,"LAPAROSCOPY, SURGICAL, ABLATION OF 1 OR MORE LIVER TUMOR(S); RADIOFREQUENCY",,,7038.0,30034.8,30
RC,360,"LAPAROSCOPY, SURGICAL, ABLATION OF UTERINE FIBROID(S) INCLUDING INTRAOPERATIVE ULTRASOUND GUIDANCE AND MONITORING, RADIOFREQUENCY",,,3110.01,30034.8,33
RC,360,"LAPAROSCOPY, SURGICAL, APPENDECTOMY",,,5769.43,17256.34,30
RC,360,"LAPAROSCOPY, SURGICAL, CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE, WITH RESECTION AND ANASTOMOSIS",,,2546.0,8280.0,10
RC,360,"LAPAROSCOPY, SURGICAL, COLOSTOMY OR SKIN LEVEL CECOSTOMY",,,2159.74,8280.0,10
RC,360,"LAPAROSCOPY, SURGICAL, COLPOPEXY (SUSPENSION OF VAGINAL APEX)",,,7038.0,30034.8,30
RC,360,"LAPAROSCOPY, SURGICAL, ENTEROLYSIS (FREEING OF INTESTINAL ADHESION) (SEPARATE PROCEDURE)",,,5769.43,17256.34,30
RC,360,"LAPAROSCOPY, SURGICAL, ESOPHAGEAL LENGTHENING PROCEDURE (EG, COLLIS GASTROPLASTY OR WEDGE GASTROPLASTY) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,280.17,8280.0,10
RC,360,"LAPAROSCOPY, SURGICAL, ESOPHAGEAL SPHINCTER AUGMENTATION PROCEDURE, PLACEMENT OF SPHINCTER AUGMENTATION DEVICE (IE, MAGNETIC BAND), INCLUDING CRUROPLASTY WHEN PERFORMED",,,7038.0,30034.8,30
RC,360,"LAPAROSCOPY, SURGICAL, ESOPHAGOGASTRIC FUNDOPLASTY (EG, NISSEN, TOUPET PROCEDURES)",,,7373.0,30034.8,30
RC,360,"LAPAROSCOPY, SURGICAL, ESOPHAGOMYOTOMY (HELLER TYPE), WITH FUNDOPLASTY, WHEN PERFORMED",,,2277.28,10140.0,10
RC,360,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; LONGITUDINAL GASTRECTOMY (IE, SLEEVE GASTRECTOMY)",,,1970.93,22539.0,11
RC,360,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; PLACEMENT OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE (EG, GASTRIC BAND AND SUBCUTANEOUS PORT COMPONENTS)",,,10144.36,30034.8,31
RC,360,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; REMOVAL AND REPLACEMENT OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE COMPONENT ONLY",,,5769.43,22539.0,31
RC,360,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; REMOVAL OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE AND SUBCUTANEOUS PORT COMPONENTS",,,3679.39,22539.0,31
RC,360,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; REMOVAL OF ADJUSTABLE GASTRIC RESTRICTIVE DEVICE COMPONENT ONLY",,,3679.39,22539.0,31
RC,360,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; WITH GASTRIC BYPASS AND ROUX-EN-Y GASTROENTEROSTOMY (ROUX LIMB 150 CM OR LESS)",,,3059.91,22539.0,11
RC,360,"LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; WITH GASTRIC BYPASS AND SMALL INTESTINE RECONSTRUCTION TO LIMIT ABSORPTION",,,3274.92,22539.0,11
RC,360,"LAPAROSCOPY, SURGICAL, MOBILIZATION (TAKE-DOWN) OF SPLENIC FLEXURE PERFORMED IN CONJUNCTION WITH PARTIAL COLECTOMY (LIST SEPARATELY IN ADDITION TO PRIMARY PROCEDURE)",,,331.93,8280.0,10
RC,360,"LAPAROSCOPY, SURGICAL, MYOMECTOMY, EXCISION; 1 TO 4 INTRAMURAL MYOMAS WITH TOTAL WEIGHT OF 250 G OR LESS AND/OR REMOVAL OF SURFACE MYOMAS",,,1888.85,17256.34,34
RC,360,"LAPAROSCOPY, SURGICAL, MYOMECTOMY, EXCISION; 5 OR MORE INTRAMURAL MYOMAS AND/OR INTRAMURAL MYOMAS WITH TOTAL WEIGHT GREATER THAN 250 G",,,3110.01,30034.8,34
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR OF PARAESOPHAGEAL HERNIA, INCLUDES FUNDOPLASTY, WHEN PERFORMED; WITH IMPLANTATION OF MESH",,,7038.0,30034.8,30
RC,360,"LAPAROSCOPY, SURGICAL, REPAIR OF PARAESOPHAGEAL HERNIA, INCLUDES FUNDOPLASTY, WHEN PERFORMED; WITHOUT IMPLANTATION OF MESH",,,7038.0,30034.8,30
RC,360,"LAPAROSCOPY, SURGICAL, SPLENECTOMY",,,7373.0,30034.8,30
RC,360,"LAPAROSCOPY, SURGICAL, SUPRACERVICAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,3110.01,30034.8,33
RC,360,"LAPAROSCOPY, SURGICAL, SUPRACERVICAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,9126.0,30034.8,30
RC,360,"LAPAROSCOPY, SURGICAL, TOTAL HYSTERECTOMY FOR RESECTION OF MALIGNANCY (TUMOR DEBULKING), WITH OMENTECTOMY INCLUDING SALPINGO-OOPHORECTOMY, UNILATERAL OR BILATERAL, WHEN PERFORMED",,,3315.12,8280.0,10
RC,360,"LAPAROSCOPY, SURGICAL, WITH ADRENALECTOMY, PARTIAL OR COMPLETE, OR EXPLORATION OF ADRENAL GLAND WITH OR WITHOUT BIOPSY, TRANSABDOMINAL, LUMBAR OR DORSAL",,,2101.87,8568.0,10
RC,360,"LAPAROSCOPY, SURGICAL, WITH LIGATION OF SPERMATIC VEINS FOR VARICOCELE",,,1888.85,17256.34,34
RC,360,"LAPAROSCOPY, SURGICAL, WITH RADICAL HYSTERECTOMY, WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PARA-AORTIC LYMPH NODE SAMPLING (BIOPSY), WITH REMOVAL OF TUBE(S) AND OVARY(S), IF PERFORMED",,,3353.48,8568.0,10
RC,360,"LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS;",,,3110.01,30034.8,33
RC,360,"LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,3110.01,30034.8,33
RC,360,"LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G;",,,9126.0,30034.8,30
RC,360,"LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,3110.01,30034.8,33
RC,360,"LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS;",,,1888.85,17256.34,34
RC,360,"LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,3110.01,30034.8,33
RC,360,"LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G;",,,3110.01,30034.8,33
RC,360,"LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,3110.01,30034.8,33
RC,360,"LAPAROSCOPY, SURGICAL; ABLATION OF RENAL CYSTS",,,7373.0,25500.18,30
RC,360,"LAPAROSCOPY, SURGICAL; ABLATION OF RENAL MASS LESION(S), INCLUDING INTRAOPERATIVE ULTRASOUND GUIDANCE AND MONITORING, WHEN PERFORMED",,,7038.0,30034.8,30
RC,360,"LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY",,,1888.85,17256.34,33
RC,360,"LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY",,,1888.85,17256.34,33
RC,360,"LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH EXPLORATION OF COMMON DUCT",,,1888.85,25500.18,33
RC,360,"LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS",,,2717.01,8568.0,10
RC,360,"LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS, WITH COLOPROCTOSTOMY (LOW PELVIC ANASTOMOSIS)",,,2546.0,8280.0,10
RC,360,"LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS, WITH COLOPROCTOSTOMY (LOW PELVIC ANASTOMOSIS) WITH COLOSTOMY",,,2546.0,8280.0,10
RC,360,"LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH REMOVAL OF TERMINAL ILEUM WITH ILEOCOLOSTOMY",,,2360.73,8280.0,10
RC,360,"LAPAROSCOPY, SURGICAL; EACH ADDITIONAL SMALL INTESTINE RESECTION AND ANASTOMOSIS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,423.9,8568.0,10
RC,360,"LAPAROSCOPY, SURGICAL; ENTERECTOMY, RESECTION OF SMALL INTESTINE, SINGLE RESECTION AND ANASTOMOSIS",,,2444.16,8568.0,10
RC,360,"LAPAROSCOPY, SURGICAL; GASTROSTOMY, WITHOUT CONSTRUCTION OF GASTRIC TUBE (EG, STAMM PROCEDURE) (SEPARATE PROCEDURE)",,,1888.85,17256.34,34
RC,360,"LAPAROSCOPY, SURGICAL; ILEOSTOMY OR JEJUNOSTOMY, NON-TUBE",,,1941.69,8280.0,10
RC,360,"LAPAROSCOPY, SURGICAL; IMPLANTATION OR REPLACEMENT OF GASTRIC NEUROSTIMULATOR ELECTRODES, ANTRUM",,,10456.25,33745.27,30
RC,360,"LAPAROSCOPY, SURGICAL; JEJUNOSTOMY (EG, FOR DECOMPRESSION OR FEEDING)",,,5769.43,17256.34,30
RC,360,"LAPAROSCOPY, SURGICAL; NEPHRECTOMY WITH TOTAL URETERECTOMY",,,2374.72,8280.0,10
RC,360,"LAPAROSCOPY, SURGICAL; NEPHRECTOMY, INCLUDING PARTIAL URETERECTOMY",,,2122.57,8280.0,10
RC,360,"LAPAROSCOPY, SURGICAL; ORCHIECTOMY",,,1888.85,17256.34,34
RC,360,"LAPAROSCOPY, SURGICAL; PARTIAL NEPHRECTOMY",,,7038.0,30034.8,30
RC,360,"LAPAROSCOPY, SURGICAL; PROCTOPEXY (FOR PROLAPSE)",,,2007.47,8280.0,10
RC,360,"LAPAROSCOPY, SURGICAL; PROCTOPEXY (FOR PROLAPSE), WITH SIGMOID RESECTION",,,2546.0,8280.0,10
RC,360,"LAPAROSCOPY, SURGICAL; PYELOPLASTY",,,7373.0,30034.8,30
RC,360,"LAPAROSCOPY, SURGICAL; RADICAL NEPHRECTOMY (INCLUDES REMOVAL OF GEROTA'S FASCIA AND SURROUNDING FATTY TISSUE, REMOVAL OF REGIONAL LYMPH NODES, AND ADRENALECTOMY)",,,2361.34,8280.0,10
RC,360,"LAPAROSCOPY, SURGICAL; REPAIR INITIAL INGUINAL HERNIA",,,1888.85,17256.34,34
RC,360,"LAPAROSCOPY, SURGICAL; REPAIR RECURRENT INGUINAL HERNIA",,,1888.85,17256.34,34
RC,360,"LAPAROSCOPY, SURGICAL; REVISION OR REMOVAL OF GASTRIC NEUROSTIMULATOR ELECTRODES, ANTRUM",,,7711.0,25500.18,30
RC,360,"LAPAROSCOPY, SURGICAL; SLING OPERATION FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC)",,,2594.39,17256.34,34
RC,360,"LAPAROSCOPY, SURGICAL; TRANSECTION OF VAGUS NERVES, TRUNCAL",,,5769.43,17256.34,30
RC,360,"LAPAROSCOPY, SURGICAL; URETERONEOCYSTOSTOMY WITH CYSTOSCOPY AND URETERAL STENT PLACEMENT",,,1888.85,25500.18,34
RC,360,"LAPAROSCOPY, SURGICAL; URETERONEOCYSTOSTOMY WITHOUT CYSTOSCOPY AND URETERAL STENT PLACEMENT",,,3110.01,30034.8,34
RC,360,"LAPAROSCOPY, SURGICAL; URETHRAL SUSPENSION FOR STRESS INCONTINENCE",,,5769.43,17256.34,30
RC,360,"LAPAROSCOPY, SURGICAL; WITH ASPIRATION OF CAVITY OR CYST (EG, OVARIAN CYST) (SINGLE OR MULTIPLE)",,,1888.85,17256.34,34
RC,360,"LAPAROSCOPY, SURGICAL; WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY",,,3110.01,30034.8,34
RC,360,"LAPAROSCOPY, SURGICAL; WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PERI-AORTIC LYMPH NODE SAMPLING (BIOPSY), SINGLE OR MULTIPLE",,,3110.01,30034.8,34
RC,360,"LAPAROSCOPY, SURGICAL; WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND PERI-AORTIC LYMPH NODE SAMPLING, PERITONEAL WASHINGS, PERITONEAL BIOPSY(IES), OMENTECTOMY, AND DIAPHRAGMATIC WASHINGS, INCLUDING ",,,3110.01,30034.8,33
RC,360,"LAPAROSCOPY, SURGICAL; WITH BIOPSY (SINGLE OR MULTIPLE)",,,1888.85,17256.34,34
RC,360,"LAPAROSCOPY, SURGICAL; WITH DRAINAGE OF LYMPHOCELE TO PERITONEAL CAVITY",,,5769.43,17256.34,30
RC,360,"LAPAROSCOPY, SURGICAL; WITH FULGURATION OF OVIDUCTS (WITH OR WITHOUT TRANSECTION)",,,1888.85,17256.34,34
RC,360,"LAPAROSCOPY, SURGICAL; WITH FULGURATION OR EXCISION OF LESIONS OF THE OVARY, PELVIC VISCERA, OR PERITONEAL SURFACE BY ANY METHOD",,,1888.85,17256.34,34
RC,360,"LAPAROSCOPY, SURGICAL; WITH INSERTION OF TUNNELED INTRAPERITONEAL CATHETER",,,1888.85,17256.34,33
RC,360,"LAPAROSCOPY, SURGICAL; WITH LYSIS OF ADHESIONS (SALPINGOLYSIS, OVARIOLYSIS) (SEPARATE PROCEDURE)",,,1888.85,17256.34,34
RC,360,"LAPAROSCOPY, SURGICAL; WITH PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION THERAPY GUIDANCE (EG, FIDUCIAL MARKERS, DOSIMETER), INTRA-ABDOMINAL, INTRAPELVIC, AND/OR RETROPERITONEUM, INCLUDING IMAGIN",,,1896.0,12700.0,5
RC,360,"LAPAROSCOPY, SURGICAL; WITH REMOVAL OF ADNEXAL STRUCTURES (PARTIAL OR TOTAL OOPHORECTOMY AND/OR SALPINGECTOMY)",,,1888.85,17256.34,34
RC,360,"LAPAROSCOPY, SURGICAL; WITH RETROPERITONEAL LYMPH NODE SAMPLING (BIOPSY), SINGLE OR MULTIPLE",,,1888.85,17256.34,34
RC,360,"LAPAROSCOPY, SURGICAL; WITH REVISION OF PREVIOUSLY PLACED INTRAPERITONEAL CANNULA OR CATHETER, WITH REMOVAL OF INTRALUMINAL OBSTRUCTIVE MATERIAL IF PERFORMED",,,1888.85,17256.34,33
RC,360,"LAPAROSCOPY, SURGICAL; WITH SALPINGOSTOMY (SALPINGONEOSTOMY)",,,1888.85,25500.18,34
RC,360,"LARYNGOPLASTY, MEDIALIZATION, UNILATERAL",,,1954.22,17316.39,33
RC,360,"LARYNGOPLASTY; FOR LARYNGEAL STENOSIS, WITH GRAFT, WITH INDWELLING STENT PLACEMENT, AGE 12 YEARS OR OLDER",,,1954.22,17316.39,33
RC,360,"LARYNGOPLASTY; FOR LARYNGEAL STENOSIS, WITH GRAFT, WITHOUT INDWELLING STENT PLACEMENT, AGE 12 YEARS OR OLDER",,,1954.22,17316.39,33
RC,360,"LARYNGOPLASTY; FOR LARYNGEAL WEB, WITH INDWELLING KEEL OR STENT INSERTION",,,1954.22,17316.39,34
RC,360,"LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; DIAGNOSTIC, EXCEPT NEWBORN",,,525.71,5107.28,34
RC,360,"LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; DIAGNOSTIC, NEWBORN",,,111.0,2107.0,33
RC,360,"LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; DIAGNOSTIC, WITH OPERATING MICROSCOPE OR TELESCOPE",,,525.71,5107.28,34
RC,360,"LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; WITH DILATION, INITIAL",,,1062.24,10484.77,34
RC,360,"LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; WITH DILATION, SUBSEQUENT",,,1062.24,10484.77,34
RC,360,"LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; WITH INSERTION OF OBTURATOR",,,1062.24,10484.77,34
RC,360,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH ARYTENOIDECTOMY;",,,1630.12,19422.09,34
RC,360,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH ARYTENOIDECTOMY; WITH OPERATING MICROSCOPE OR TELESCOPE",,,1630.12,19422.09,34
RC,360,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH BIOPSY;",,,1062.24,10484.77,34
RC,360,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH BIOPSY; WITH OPERATING MICROSCOPE OR TELESCOPE",,,1062.24,10484.77,34
RC,360,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH EXCISION OF TUMOR AND/OR STRIPPING OF VOCAL CORDS OR EPIGLOTTIS;",,,1062.24,10484.77,34
RC,360,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH EXCISION OF TUMOR AND/OR STRIPPING OF VOCAL CORDS OR EPIGLOTTIS; WITH OPERATING MICROSCOPE OR TELESCOPE",,,1062.24,10484.77,34
RC,360,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH FOREIGN BODY REMOVAL;",,,525.71,5107.28,34
RC,360,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH FOREIGN BODY REMOVAL; WITH OPERATING MICROSCOPE OR TELESCOPE",,,1062.24,10484.77,34
RC,360,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH OPERATING MICROSCOPE OR TELESCOPE, WITH SUBMUCOSAL REMOVAL OF NON-NEOPLASTIC LESION(S) OF VOCAL CORD; RECONSTRUCTION WITH GRAFT(S) (INCLUDES OBTAINING AUTOGRAFT)",,,1630.12,19422.09,34
RC,360,"LARYNGOSCOPY, DIRECT, OPERATIVE, WITH OPERATING MICROSCOPE OR TELESCOPE, WITH SUBMUCOSAL REMOVAL OF NON-NEOPLASTIC LESION(S) OF VOCAL CORD; RECONSTRUCTION WITH LOCAL TISSUE FLAP(S)",,,1062.24,10484.77,34
RC,360,"LARYNGOSCOPY, DIRECT, WITH INJECTION INTO VOCAL CORD(S), THERAPEUTIC;",,,1062.24,10484.77,34
RC,360,"LARYNGOSCOPY, DIRECT, WITH INJECTION INTO VOCAL CORD(S), THERAPEUTIC; WITH OPERATING MICROSCOPE OR TELESCOPE",,,1062.24,10484.77,34
RC,360,"LARYNGOSCOPY, FLEXIBLE; DIAGNOSTIC",,,68.14,2107.0,33
RC,360,"LARYNGOSCOPY, FLEXIBLE; WITH ABLATION OR DESTRUCTION OF LESION(S) WITH LASER, UNILATERAL",,,1062.24,10495.0,33
RC,360,"LARYNGOSCOPY, FLEXIBLE; WITH BIOPSY(IES)",,,525.71,5107.28,34
RC,360,"LARYNGOSCOPY, FLEXIBLE; WITH INJECTION(S) FOR AUGMENTATION (EG, PERCUTANEOUS, TRANSORAL), UNILATERAL",,,525.71,10495.0,33
RC,360,"LARYNGOSCOPY, FLEXIBLE; WITH REMOVAL OF FOREIGN BODY(S)",,,155.59,4779.0,33
RC,360,"LARYNGOSCOPY, FLEXIBLE; WITH THERAPEUTIC INJECTION(S) (EG, CHEMODENERVATION AGENT OR CORTICOSTEROID, INJECTED PERCUTANEOUS, TRANSORAL, OR VIA ENDOSCOPE CHANNEL), UNILATERAL",,,160.85,10495.0,33
RC,360,"LARYNGOSCOPY, INDIRECT; WITH BIOPSY",,,1062.24,10484.77,34
RC,360,"LARYNGOSCOPY, INDIRECT; WITH VOCAL CORD INJECTION",,,155.59,4779.0,33
RC,360,"LASER VAPORIZATION OF PROSTATE, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR DILATION, INTERNAL URETHROTOMY AND TRANSURET",,,1689.43,15106.88,34
RC,360,LATERAL CANTHOPEXY,,,886.62,9350.87,34
RC,360,"LATERAL RETINACULAR RELEASE, OPEN",,,1088.27,10495.0,34
RC,360,"LENGTHENING OF TENDON, EXTENSOR, HAND OR FINGER, EACH TENDON",,,1088.27,9772.7,34
RC,360,"LENGTHENING OF TENDON, FLEXOR, HAND OR FINGER, EACH TENDON",,,1088.27,9772.7,34
RC,360,"LENGTHENING OR SHORTENING OF FLEXOR OR EXTENSOR TENDON, FOREARM AND/OR WRIST, SINGLE, EACH TENDON",,,1088.27,9772.7,34
RC,360,"LENGTHENING OR SHORTENING OF TENDON, LEG OR ANKLE; SINGLE TENDON (SEPARATE PROCEDURE)",,,1088.27,9772.7,34
RC,360,"LEVEL V - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION ADRENAL, RESECTION BONE - BIOPSY/CURETTINGS BONE FRAGMENT(S), PATHOLOGIC FRACTURE BRAIN, BIOPSY BRAIN/MENINGES, TUMOR RESECTION BREAST, ",,,342.08,1462.4,25
RC,360,"LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM (LILETTA), 52 MG",,,,,0
RC,360,"LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE SYSTEM (MIRENA), 52 MG",,,,,0
RC,360,LIGATION ARTERIES; ETHMOIDAL,,,1118.22,9893.47,34
RC,360,LIGATION OR BANDING OF ANGIOACCESS ARTERIOVENOUS FISTULA,,,1118.22,9893.47,34
RC,360,"LIGATION OR BIOPSY, TEMPORAL ARTERY",,,486.45,4900.18,34
RC,360,"LIGATION OR TRANSECTION OF FALLOPIAN TUBE(S), ABDOMINAL OR VAGINAL APPROACH, UNILATERAL OR BILATERAL",,,1063.52,8918.22,33
RC,360,"LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTURE); EXTREMITY",,,676.66,8280.0,10
RC,360,LIMITED LYMPHADENECTOMY FOR STAGING (SEPARATE PROCEDURE); PELVIC AND PARA-AORTIC,,,1247.96,17652.85,29
RC,360,LIMITED PHARYNGECTOMY,,,1954.22,17316.39,34
RC,360,LITHOLAPAXY: CRUSHING OR FRAGMENTATION OF CALCULUS BY ANY MEANS IN BLADDER AND REMOVAL OF FRAGMENTS; COMPLICATED OR LARGE (OVER 2.5 CM),,,1142.9,10776.19,34
RC,360,LITHOLAPAXY: CRUSHING OR FRAGMENTATION OF CALCULUS BY ANY MEANS IN BLADDER AND REMOVAL OF FRAGMENTS; SIMPLE OR SMALL (LESS THAN 2.5 CM),,,1142.9,10776.19,34
RC,360,"LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE",,,1142.9,14478.0,36
RC,360,"LOWER ESOPHAGEAL MYOTOMY, TRANSORAL (IE, PERORAL ENDOSCOPIC MYOTOMY [POEM])",,,4302.0,14118.49,30
RC,360,"LOWER EXTREMITY FASCIAL PLANE BLOCK, UNILATERAL; BY INJECTION(S), INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,,,0
RC,360,LYSIS INTRANASAL SYNECHIA,,,187.22,4779.0,33
RC,360,"LYSIS OF ADHESIONS (SALPINGOLYSIS, OVARIOLYSIS)",,,1555.54,8280.0,10
RC,360,LYSIS OF LABIAL ADHESIONS,,,1063.52,8918.22,34
RC,360,LYSIS OR EXCISION OF PENILE POST-CIRCUMCISION ADHESIONS,,,652.8,6324.43,34
RC,360,"MALAR AUGMENTATION, PROSTHETIC MATERIAL",,,1954.22,17316.39,34
RC,360,MANIPULATION OF KNEE JOINT UNDER GENERAL ANESTHESIA (INCLUDES APPLICATION OF TRACTION OR OTHER FIXATION DEVICES),,,593.04,4838.74,34
RC,360,"MANIPULATION OF TEMPOROMANDIBULAR JOINT(S) (TMJ), THERAPEUTIC, REQUIRING AN ANESTHESIA SERVICE (IE, GENERAL OR MONITORED ANESTHESIA CARE)",,,111.0,3777.93,33
RC,360,"MANIPULATION UNDER ANESTHESIA, SHOULDER JOINT, INCLUDING APPLICATION OF FIXATION APPARATUS (DISLOCATION EXCLUDED)",,,593.04,4838.74,34
RC,360,"MANIPULATION, FINGER JOINT, UNDER ANESTHESIA, EACH JOINT",,,593.04,4838.74,33
RC,360,"MANIPULATION, HIP JOINT, REQUIRING GENERAL ANESTHESIA",,,593.04,4838.74,34
RC,360,"MANIPULATION, WRIST, UNDER ANESTHESIA",,,593.04,7168.0,33
RC,360,"MANUAL PREPARATION AND INSERTION OF DRUG-DELIVERY DEVICE(S), DEEP (EG, SUBFASCIAL) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"MANUAL PREPARATION AND INSERTION OF DRUG-DELIVERY DEVICE(S), INTRA-ARTICULAR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"MANUAL PREPARATION AND INSERTION OF DRUG-DELIVERY DEVICE(S), INTRAMEDULLARY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,MARSUPIALIZATION OF BARTHOLIN'S GLAND CYST,,,1063.52,8918.22,34
RC,360,MARSUPIALIZATION OF CYST OR ABSCESS OF LIVER,,,1997.72,8280.0,10
RC,360,MASTECTOMY FOR GYNECOMASTIA,,,963.66,10815.49,34
RC,360,"MASTECTOMY, MODIFIED RADICAL, INCLUDING AXILLARY LYMPH NODES, WITH OR WITHOUT PECTORALIS MINOR MUSCLE, BUT EXCLUDING PECTORALIS MAJOR MUSCLE",,,6336.91,18697.13,30
RC,360,"MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYLECTOMY, QUADRANTECTOMY, SEGMENTECTOMY);",,,963.66,10815.49,34
RC,360,"MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYLECTOMY, QUADRANTECTOMY, SEGMENTECTOMY); WITH AXILLARY LYMPHADENECTOMY",,,1845.21,18697.13,34
RC,360,"MASTECTOMY, SIMPLE, COMPLETE",,,1845.21,18697.13,34
RC,360,MASTOIDECTOMY; COMPLETE,,,1954.22,17316.39,34
RC,360,MASTOPEXY,,,1845.21,18697.13,34
RC,360,"MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS, DEEP",,,486.45,4900.18,34
RC,360,MAXILLECTOMY; WITHOUT ORBITAL EXENTERATION,,,2546.0,8280.0,10
RC,360,MEDIAL CANTHOPEXY (SEPARATE PROCEDURE),,,886.62,9350.87,34
RC,360,"MEDIASTINOSCOPY; INCLUDES BIOPSY(IES) OF MEDIASTINAL MASS (EG, LYMPHOMA), WHEN PERFORMED",,,5769.43,17256.34,30
RC,360,"MEDIASTINOSCOPY; WITH LYMPH NODE BIOPSY(IES) (EG, LUNG CANCER STAGING)",,,5769.43,17256.34,30
RC,360,"MEDIASTINOTOMY WITH EXPLORATION, DRAINAGE, REMOVAL OF FOREIGN BODY, OR BIOPSY; CERVICAL APPROACH",,,874.61,8280.0,10
RC,360,"MEDIASTINOTOMY WITH EXPLORATION, DRAINAGE, REMOVAL OF FOREIGN BODY, OR BIOPSY; TRANSTHORACIC APPROACH, INCLUDING EITHER TRANSTHORACIC OR MEDIAN STERNOTOMY",,,1384.4,8280.0,10
RC,360,"MICROSURGICAL TECHNIQUES, REQUIRING USE OF OPERATING MICROSCOPE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"MIDFACE FLAP (IE, ZYGOMATICOFACIAL FLAP) WITH PRESERVATION OF VASCULAR PEDICLE(S)",,,1457.62,12700.0,33
RC,360,"MUSCLE OR TENDON TRANSFER, ANY TYPE, UPPER ARM OR ELBOW, SINGLE (EXCLUDING 24320-24331)",,,2398.52,21355.56,34
RC,360,"MUSCLE TRANSFER, ANY TYPE, SHOULDER OR UPPER ARM; SINGLE",,,2398.52,21355.56,34
RC,360,"MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; HEAD AND NECK WITH NAMED VASCULAR PEDICLE (IE, BUCCINATORS, GENIOGLOSSUS, TEMPORALIS, MASSETER, STERNOCLEIDOMASTOID, LEVATOR SCAPULAE)",,,1457.62,12700.0,33
RC,360,"MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; LOWER EXTREMITY",,,1457.62,10628.93,34
RC,360,"MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; TRUNK",,,1457.62,10628.93,34
RC,360,"MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; UPPER EXTREMITY",,,709.01,7168.0,34
RC,360,"MYOMECTOMY, EXCISION OF FIBROID TUMOR(S) OF UTERUS, 1 TO 4 INTRAMURAL MYOMA(S) WITH TOTAL WEIGHT OF 250 G OR LESS AND/OR REMOVAL OF SURFACE MYOMAS; ABDOMINAL APPROACH",,,1594.52,8280.0,10
RC,360,"MYOMECTOMY, EXCISION OF FIBROID TUMOR(S) OF UTERUS, 1 TO 4 INTRAMURAL MYOMA(S) WITH TOTAL WEIGHT OF 250 G OR LESS AND/OR REMOVAL OF SURFACE MYOMAS; VAGINAL APPROACH",,,1063.52,8918.22,34
RC,360,"MYOMECTOMY, EXCISION OF FIBROID TUMOR(S) OF UTERUS, 5 OR MORE INTRAMURAL MYOMAS AND/OR INTRAMURAL MYOMAS WITH TOTAL WEIGHT GREATER THAN 250 G, ABDOMINAL APPROACH",,,1982.49,8280.0,10
RC,360,MYRINGOTOMY INCLUDING ASPIRATION AND/OR EUSTACHIAN TUBE INFLATION,,,87.58,4345.0,33
RC,360,MYRINGOTOMY INCLUDING ASPIRATION AND/OR EUSTACHIAN TUBE INFLATION REQUIRING GENERAL ANESTHESIA,,,886.62,9350.87,34
RC,360,"NASAL ENDOSCOPY, DIAGNOSTIC, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE)",,,68.14,2107.0,33
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; PARTIAL (ANTERIOR)",,,1630.12,19422.09,34
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; TOTAL (ANTERIOR AND POSTERIOR)",,,1630.12,19422.09,34
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; TOTAL (ANTERIOR AND POSTERIOR), INCLUDING FRONTAL SINUS EXPLORATION, WITH REMOVAL OF TISSUE FROM FRONTAL SINUS, WHEN PERFORMED",,,1630.12,19422.09,33
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; TOTAL (ANTERIOR AND POSTERIOR), INCLUDING SPHENOIDOTOMY",,,1630.12,19422.09,34
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; TOTAL (ANTERIOR AND POSTERIOR), INCLUDING SPHENOIDOTOMY, WITH REMOVAL OF TISSUE FROM THE SPHENOID SINUS",,,1630.12,19422.09,34
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH DILATION (EG, BALLOON DILATION); FRONTAL AND SPHENOID SINUS OSTIA",,,1630.12,16955.09,33
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH DILATION (EG, BALLOON DILATION); FRONTAL SINUS OSTIUM",,,1358.22,16955.09,34
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH DILATION (EG, BALLOON DILATION); MAXILLARY SINUS OSTIUM, TRANSNASAL OR VIA CANINE FOSSA",,,1349.92,16955.09,34
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH DILATION (EG, BALLOON DILATION); SPHENOID SINUS OSTIUM",,,1346.6,16955.09,34
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH FRONTAL SINUS EXPLORATION, INCLUDING REMOVAL OF TISSUE FROM FRONTAL SINUS, WHEN PERFORMED",,,1630.12,19422.09,34
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH MAXILLARY ANTROSTOMY;",,,1062.24,10484.77,34
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH MAXILLARY ANTROSTOMY; WITH REMOVAL OF TISSUE FROM MAXILLARY SINUS",,,1630.12,19422.09,34
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH OPTIC NERVE DECOMPRESSION",,,6106.0,19422.09,31
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH ORBITAL DECOMPRESSION; MEDIAL AND INFERIOR WALL",,,6106.0,19422.09,31
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH REPAIR OF CEREBROSPINAL FLUID LEAK; ETHMOID REGION",,,1998.32,8280.0,11
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH REPAIR OF CEREBROSPINAL FLUID LEAK; SPHENOID REGION",,,2128.67,8280.0,11
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH SPHENOIDOTOMY;",,,1630.12,19422.09,34
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL, WITH SPHENOIDOTOMY; WITH REMOVAL OF TISSUE FROM THE SPHENOID SINUS",,,1630.12,19422.09,34
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH BIOPSY, POLYPECTOMY OR DEBRIDEMENT (SEPARATE PROCEDURE)",,,525.71,5107.28,34
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH CONCHA BULLOSA RESECTION",,,525.71,5107.28,34
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH CONTROL OF NASAL HEMORRHAGE",,,525.71,5107.28,34
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH DACRYOCYSTORHINOSTOMY",,,1062.24,10484.77,34
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH DESTRUCTION BY CRYOABLATION, POSTERIOR NASAL NERVE",,,5649.47,14507.25,23
RC,360,"NASAL/SINUS ENDOSCOPY, SURGICAL; WITH LIGATION OF SPHENOPALATINE ARTERY",,,1698.61,8280.0,30
RC,360,"NASO- OR ORO-GASTRIC TUBE PLACEMENT, REQUIRING PHYSICIAN'S SKILL AND FLUOROSCOPIC GUIDANCE (INCLUDES FLUOROSCOPY, IMAGE DOCUMENTATION AND REPORT)",,,111.0,2107.0,33
RC,360,"NEGATIVE PRESSURE WOUND THERAPY, (EG, VACUUM ASSISTED DRAINAGE COLLECTION), UTILIZING DISPOSABLE, NON-DURABLE MEDICAL EQUIPMENT INCLUDING PROVISION OF EXUDATE MANAGEMENT COLLECTION SYSTEM, TOPICAL APP",,,71.93,987.79,50
RC,360,"NEPHRECTOMY, INCLUDING PARTIAL URETERECTOMY, ANY OPEN APPROACH INCLUDING RIB RESECTION;",,,1846.68,8280.0,10
RC,360,"NEPHRECTOMY, INCLUDING PARTIAL URETERECTOMY, ANY OPEN APPROACH INCLUDING RIB RESECTION; RADICAL, WITH REGIONAL LYMPHADENECTOMY AND/OR VENA CAVAL THROMBECTOMY",,,2260.22,8280.0,10
RC,360,"NEPHRECTOMY, PARTIAL",,,2335.75,8280.0,10
RC,360,"NERVE GRAFT (INCLUDES OBTAINING GRAFT), HEAD OR NECK; MORE THAN 4 CM LENGTH",,,2416.0,19667.17,34
RC,360,"NERVE GRAFT (INCLUDES OBTAINING GRAFT), MULTIPLE STRANDS (CABLE), ARM OR LEG; MORE THAN 4 CM LENGTH",,,1996.58,19667.17,34
RC,360,"NERVE GRAFT (INCLUDES OBTAINING GRAFT), SINGLE STRAND, HAND OR FOOT; UP TO 4 CM LENGTH",,,2416.0,19667.17,34
RC,360,NERVE PEDICLE TRANSFER; FIRST STAGE,,,1996.58,19667.17,34
RC,360,"NERVE REPAIR; WITH NERVE ALLOGRAFT, EACH ADDITIONAL STRAND (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"NERVE REPAIR; WITH NERVE ALLOGRAFT, EACH NERVE, FIRST STRAND (CABLE)",,,3093.88,19667.17,33
RC,360,"NERVE REPAIR; WITH SYNTHETIC CONDUIT OR VEIN ALLOGRAFT (EG, NERVE TUBE), EACH NERVE",,,3104.96,19667.17,33
RC,360,NEUROPLASTY AND/OR TRANSPOSITION; CRANIAL NERVE (SPECIFY),,,659.94,7168.0,34
RC,360,NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL,,,659.94,10032.0,36
RC,360,NEUROPLASTY AND/OR TRANSPOSITION; ULNAR NERVE AT ELBOW,,,659.94,6138.08,34
RC,360,NEUROPLASTY AND/OR TRANSPOSITION; ULNAR NERVE AT WRIST,,,659.94,6138.08,34
RC,360,"NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG, OPEN; BRACHIAL PLEXUS",,,659.94,6138.08,34
RC,360,"NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG, OPEN; LUMBAR PLEXUS",,,659.94,6138.08,34
RC,360,"NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG, OPEN; OTHER THAN SPECIFIED",,,659.94,6138.08,34
RC,360,"NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG, OPEN; SCIATIC NERVE",,,659.94,6138.08,34
RC,360,"NEUROPLASTY; DIGITAL, 1 OR BOTH, SAME DIGIT",,,659.94,6138.08,34
RC,360,NEUROPLASTY; NERVE OF HAND OR FOOT,,,659.94,6138.08,34
RC,360,"NIPPLE EXPLORATION, WITH OR WITHOUT EXCISION OF A SOLITARY LACTIFEROUS DUCT OR A PAPILLOMA LACTIFEROUS DUCT",,,963.66,10815.49,34
RC,360,NIPPLE/AREOLA RECONSTRUCTION,,,963.66,10815.49,34
RC,360,"NONINVASIVE EAR OR PULSE OXIMETRY FOR OXYGEN SATURATION; MULTIPLE DETERMINATIONS (EG, DURING EXERCISE)",,,13.26,27.99,5
RC,360,"OMENTECTOMY, EPIPLOECTOMY, RESECTION OF OMENTUM (SEPARATE PROCEDURE)",,,1396.58,13982.14,29
RC,360,"OOPHORECTOMY, PARTIAL OR TOTAL, UNILATERAL OR BILATERAL;",,,932.47,8280.0,10
RC,360,"OPEN IMPLANTATION OF CRANIAL NERVE (EG, VAGUS NERVE) NEUROSTIMULATOR ELECTRODE ARRAY AND PULSE GENERATOR",,,7038.0,103953.9,33
RC,360,"OPEN IMPLANTATION OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ARRAY, PULSE GENERATOR, AND DISTAL RESPIRATORY SENSOR ELECTRODE OR ELECTRODE ARRAY",,,7038.0,107326.62,33
RC,360,OPEN IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY; SACRAL NERVE (TRANSFORAMINAL PLACEMENT),,,2763.0,22088.05,34
RC,360,"OPEN TREATMENT AND/OR REDUCTION OF ODONTOID FRACTURE(S) AND OR DISLOCATION(S) (INCLUDING OS ODONTOIDEUM), ANTERIOR APPROACH, INCLUDING PLACEMENT OF INTERNAL FIXATION; WITHOUT GRAFTING",,,2902.17,27728.96,29
RC,360,"OPEN TREATMENT OF ACETABULAR FRACTURE(S) INVOLVING ANTERIOR OR POSTERIOR (ONE) COLUMN, OR A FRACTURE RUNNING TRANSVERSELY ACROSS THE ACETABULUM, WITH INTERNAL FIXATION",,,2920.44,15671.95,29
RC,360,"OPEN TREATMENT OF ACROMIOCLAVICULAR DISLOCATION, ACUTE OR CHRONIC;",,,2763.0,21355.56,34
RC,360,"OPEN TREATMENT OF ACROMIOCLAVICULAR DISLOCATION, ACUTE OR CHRONIC; WITH FASCIAL GRAFT (INCLUDES OBTAINING GRAFT)",,,3196.82,21355.56,34
RC,360,OPEN TREATMENT OF ACUTE OR CHRONIC ELBOW DISLOCATION,,,2763.0,21355.56,34
RC,360,"OPEN TREATMENT OF ANTERIOR PELVIC BONE FRACTURE AND/OR DISLOCATION FOR FRACTURE PATTERNS THAT DISRUPT THE PELVIC RING, UNILATERAL, INCLUDES INTERNAL FIXATION, WHEN PERFORMED (INCLUDES PUBIC SYMPHYSIS ",,,1526.91,8280.0,10
RC,360,"OPEN TREATMENT OF ARTICULAR FRACTURE, INVOLVING METACARPOPHALANGEAL OR INTERPHALANGEAL JOINT, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH",,,1088.27,9772.7,34
RC,360,"OPEN TREATMENT OF BIMALLEOLAR ANKLE FRACTURE (EG, LATERAL AND MEDIAL MALLEOLI, OR LATERAL AND POSTERIOR MALLEOLI, OR MEDIAL AND POSTERIOR MALLEOLI), INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
RC,360,"OPEN TREATMENT OF CALCANEAL FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED;",,,2763.0,21355.56,34
RC,360,"OPEN TREATMENT OF CARPAL SCAPHOID (NAVICULAR) FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2398.52,21355.56,34
RC,360,"OPEN TREATMENT OF CARPOMETACARPAL FRACTURE DISLOCATION, THUMB (BENNETT FRACTURE), INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,1088.27,10140.0,34
RC,360,"OPEN TREATMENT OF CLAVICULAR FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
RC,360,"OPEN TREATMENT OF COMPLICATED (EG, COMMINUTED OR INVOLVING CRANIAL NERVE FORAMINA) FRACTURE(S) OF MALAR AREA, INCLUDING ZYGOMATIC ARCH AND MALAR TRIPOD; WITH BONE GRAFTING (INCLUDES OBTAINING GRAFT)",,,2228.55,14507.25,30
RC,360,"OPEN TREATMENT OF COMPLICATED (EG, COMMINUTED OR INVOLVING CRANIAL NERVE FORAMINA) FRACTURE(S) OF MALAR AREA, INCLUDING ZYGOMATIC ARCH AND MALAR TRIPOD; WITH INTERNAL FIXATION AND MULTIPLE SURGICAL AP",,,5649.47,17316.39,30
RC,360,"OPEN TREATMENT OF COMPLICATED (EG, COMMINUTED OR INVOLVING POSTERIOR WALL) FRONTAL SINUS FRACTURE, VIA CORONAL OR MULTIPLE APPROACHES",,,2415.53,12785.64,29
RC,360,"OPEN TREATMENT OF COMPLICATED MANDIBULAR FRACTURE BY MULTIPLE SURGICAL APPROACHES INCLUDING INTERNAL FIXATION, INTERDENTAL FIXATION, AND/OR WIRING OF DENTURES OR SPLINTS",,,5649.47,17316.39,30
RC,360,OPEN TREATMENT OF DEPRESSED FRONTAL SINUS FRACTURE,,,1877.13,12785.64,29
RC,360,"OPEN TREATMENT OF DEPRESSED MALAR FRACTURE, INCLUDING ZYGOMATIC ARCH AND MALAR TRIPOD",,,1954.22,17316.39,33
RC,360,"OPEN TREATMENT OF DEPRESSED ZYGOMATIC ARCH FRACTURE (EG, GILLIES APPROACH)",,,1954.22,17316.39,34
RC,360,"OPEN TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS), INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
RC,360,"OPEN TREATMENT OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH",,,1088.27,9772.7,34
RC,360,"OPEN TREATMENT OF DISTAL RADIAL EXTRA-ARTICULAR FRACTURE OR EPIPHYSEAL SEPARATION, WITH INTERNAL FIXATION",,,3444.15,21355.56,34
RC,360,OPEN TREATMENT OF DISTAL RADIAL INTRA-ARTICULAR FRACTURE OR EPIPHYSEAL SEPARATION; WITH INTERNAL FIXATION OF 2 FRAGMENTS,,,3437.38,21355.56,34
RC,360,OPEN TREATMENT OF DISTAL RADIAL INTRA-ARTICULAR FRACTURE OR EPIPHYSEAL SEPARATION; WITH INTERNAL FIXATION OF 3 OR MORE FRAGMENTS,,,3452.56,21355.56,34
RC,360,"OPEN TREATMENT OF DISTAL TIBIOFIBULAR JOINT (SYNDESMOSIS) DISRUPTION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2416.0,21355.56,34
RC,360,"OPEN TREATMENT OF FEMORAL FRACTURE, PROXIMAL END, NECK, INTERNAL FIXATION OR PROSTHETIC REPLACEMENT",,,2100.65,15671.95,29
RC,360,"OPEN TREATMENT OF FRACTURE OF ORBIT, EXCEPT BLOWOUT; WITH BONE GRAFTING (INCLUDES OBTAINING GRAFT)",,,5649.47,17316.39,30
RC,360,"OPEN TREATMENT OF FRACTURE OF ORBIT, EXCEPT BLOWOUT; WITH IMPLANT",,,1954.22,17316.39,33
RC,360,"OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTICULAR SURFACE/PORTION OF DISTAL TIBIA (EG, PILON OR TIBIAL PLAFOND), WITH INTERNAL FIXATION, WHEN PERFORMED; OF BOTH TIBIA AND FIBULA",,,3410.0,42485.53,34
RC,360,"OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTICULAR SURFACE/PORTION OF DISTAL TIBIA (EG, PILON OR TIBIAL PLAFOND), WITH INTERNAL FIXATION, WHEN PERFORMED; OF TIBIA ONLY",,,2763.0,42485.53,34
RC,360,"OPEN TREATMENT OF FRACTURE, GREAT TOE, PHALANX OR PHALANGES, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,1088.27,9772.7,34
RC,360,"OPEN TREATMENT OF GREATER HUMERAL TUBEROSITY FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,3122.54,21355.56,34
RC,360,"OPEN TREATMENT OF HUMERAL CONDYLAR FRACTURE, MEDIAL OR LATERAL, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,42485.53,34
RC,360,"OPEN TREATMENT OF HUMERAL EPICONDYLAR FRACTURE, MEDIAL OR LATERAL, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,42485.53,34
RC,360,"OPEN TREATMENT OF HUMERAL SHAFT FRACTURE WITH PLATE/SCREWS, WITH OR WITHOUT CERCLAGE",,,3410.0,42485.53,34
RC,360,"OPEN TREATMENT OF HUMERAL SUPRACONDYLAR OR TRANSCONDYLAR FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED; WITH INTERCONDYLAR EXTENSION",,,3879.0,56927.51,34
RC,360,"OPEN TREATMENT OF HUMERAL SUPRACONDYLAR OR TRANSCONDYLAR FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED; WITHOUT INTERCONDYLAR EXTENSION",,,3410.0,42485.53,34
RC,360,"OPEN TREATMENT OF INTERCONDYLAR SPINE(S) AND/OR TUBEROSITY FRACTURE(S) OF THE KNEE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,1427.64,15671.95,29
RC,360,"OPEN TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, SINGLE",,,1088.27,9772.7,34
RC,360,OPEN TREATMENT OF LUNATE DISLOCATION,,,2398.52,21355.56,34
RC,360,OPEN TREATMENT OF MANDIBULAR CONDYLAR FRACTURE,,,2620.26,17316.39,34
RC,360,OPEN TREATMENT OF MANDIBULAR FRACTURE; WITH INTERDENTAL FIXATION,,,2790.94,17316.39,34
RC,360,OPEN TREATMENT OF MANDIBULAR FRACTURE; WITHOUT INTERDENTAL FIXATION,,,2640.42,17316.39,34
RC,360,OPEN TREATMENT OF MANDIBULAR OR MAXILLARY ALVEOLAR RIDGE FRACTURE (SEPARATE PROCEDURE),,,2582.38,17316.39,34
RC,360,"OPEN TREATMENT OF MEDIAL MALLEOLUS FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2398.52,21355.56,34
RC,360,"OPEN TREATMENT OF METACARPAL FRACTURE, SINGLE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH BONE",,,1088.27,10140.0,34
RC,360,"OPEN TREATMENT OF METACARPOPHALANGEAL DISLOCATION, SINGLE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,1088.27,9772.7,34
RC,360,"OPEN TREATMENT OF METATARSAL FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH",,,3227.18,21355.56,34
RC,360,"OPEN TREATMENT OF METATARSOPHALANGEAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,1088.27,9772.7,34
RC,360,"OPEN TREATMENT OF MONTEGGIA TYPE OF FRACTURE DISLOCATION AT ELBOW (FRACTURE PROXIMAL END OF ULNA WITH DISLOCATION OF RADIAL HEAD), INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
RC,360,OPEN TREATMENT OF NASAL FRACTURE; WITH CONCOMITANT OPEN TREATMENT OF FRACTURED SEPTUM,,,886.62,10495.0,34
RC,360,"OPEN TREATMENT OF NASAL SEPTAL FRACTURE, WITH OR WITHOUT STABILIZATION",,,1088.27,9772.7,34
RC,360,OPEN TREATMENT OF NASOETHMOID FRACTURE; WITH EXTERNAL FIXATION,,,1954.22,17316.39,34
RC,360,OPEN TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE (LEFORT II TYPE); REQUIRING MULTIPLE OPEN APPROACHES,,,1768.11,14507.25,30
RC,360,OPEN TREATMENT OF ORBITAL FLOOR BLOWOUT FRACTURE; PERIORBITAL APPROACH,,,5649.47,17316.39,30
RC,360,OPEN TREATMENT OF ORBITAL FLOOR BLOWOUT FRACTURE; PERIORBITAL APPROACH WITH BONE GRAFT (INCLUDES OBTAINING GRAFT),,,5649.47,17316.39,30
RC,360,"OPEN TREATMENT OF ORBITAL FLOOR BLOWOUT FRACTURE; PERIORBITAL APPROACH, WITH ALLOPLASTIC OR OTHER IMPLANT",,,1954.22,17316.39,33
RC,360,OPEN TREATMENT OF ORBITAL FLOOR BLOWOUT FRACTURE; TRANSANTRAL APPROACH (CALDWELL-LUC TYPE OPERATION),,,5649.47,17316.39,30
RC,360,OPEN TREATMENT OF PALATAL OR MAXILLARY FRACTURE (LEFORT I TYPE);,,,1155.39,14507.25,30
RC,360,"OPEN TREATMENT OF PALATAL OR MAXILLARY FRACTURE (LEFORT I TYPE); COMPLICATED (COMMINUTED OR INVOLVING CRANIAL NERVE FORAMINA), MULTIPLE APPROACHES",,,1353.34,12785.64,29
RC,360,"OPEN TREATMENT OF PATELLAR FRACTURE, WITH INTERNAL FIXATION AND/OR PARTIAL OR COMPLETE PATELLECTOMY AND SOFT TISSUE REPAIR",,,2398.52,21355.56,33
RC,360,OPEN TREATMENT OF PERIARTICULAR FRACTURE AND/OR DISLOCATION OF THE ELBOW (FRACTURE DISTAL HUMERUS AND PROXIMAL ULNA AND/OR PROXIMAL RADIUS);,,,3410.0,42485.53,34
RC,360,"OPEN TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, FINGER OR THUMB, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH",,,1088.27,9772.7,34
RC,360,"OPEN TREATMENT OF POSTERIOR OR ANTERIOR ACETABULAR WALL FRACTURE, WITH INTERNAL FIXATION",,,1855.81,15671.95,29
RC,360,"OPEN TREATMENT OF PROXIMAL FIBULA OR SHAFT FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2398.52,21355.56,34
RC,360,"OPEN TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, INCLUDES REPAIR OF TUBEROSITY(S), WHEN PERFORMED;",,,3410.0,42485.53,34
RC,360,"OPEN TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, INCLUDES REPAIR OF TUBEROSITY(S), WHEN PERFORMED; WITH PROXIMAL HUMERAL PROSTHETI",,,3410.0,56927.51,34
RC,360,"OPEN TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES, WITH INTERNAL FIXATION, WHEN PERFORMED; OF RADIUS AND ULNA",,,2763.0,21355.56,34
RC,360,"OPEN TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES, WITH INTERNAL FIXATION, WHEN PERFORMED; OF RADIUS OR ULNA",,,2763.0,21355.56,34
RC,360,"OPEN TREATMENT OF RADIAL HEAD OR NECK FRACTURE, INCLUDES INTERNAL FIXATION OR RADIAL HEAD EXCISION, WHEN PERFORMED;",,,2398.52,21355.56,34
RC,360,"OPEN TREATMENT OF RADIAL HEAD OR NECK FRACTURE, INCLUDES INTERNAL FIXATION OR RADIAL HEAD EXCISION, WHEN PERFORMED; WITH RADIAL HEAD PROSTHETIC REPLACEMENT",,,3410.0,42485.53,34
RC,360,"OPEN TREATMENT OF RADIAL SHAFT FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
RC,360,"OPEN TREATMENT OF RADIAL SHAFT FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, AND OPEN TREATMENT OF DISTAL RADIOULNAR JOINT DISLOCATION (GALEAZZI FRACTURE/ DISLOCATION), INCLUDES INTERNAL FIXAT",,,3122.54,21355.56,34
RC,360,"OPEN TREATMENT OF SCAPULAR FRACTURE (BODY, GLENOID OR ACROMION) INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
RC,360,"OPEN TREATMENT OF SHOULDER DISLOCATION, WITH FRACTURE OF GREATER HUMERAL TUBEROSITY, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2398.52,21355.56,34
RC,360,"OPEN TREATMENT OF SHOULDER DISLOCATION, WITH SURGICAL OR ANATOMICAL NECK FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,42485.53,34
RC,360,"OPEN TREATMENT OF STERNOCLAVICULAR DISLOCATION, ACUTE OR CHRONIC;",,,2398.52,21355.56,34
RC,360,"OPEN TREATMENT OF TALUS FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
RC,360,"OPEN TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS), INCLUDES INTERNAL FIXATION, WHEN PERFORMED, EACH",,,2763.0,21355.56,34
RC,360,"OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
RC,360,"OPEN TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); BICONDYLAR, WITH OR WITHOUT INTERNAL FIXATION",,,2088.47,15671.95,29
RC,360,"OPEN TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); UNICONDYLAR, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,1578.68,15671.95,29
RC,360,OPEN TREATMENT OF TRANS-SCAPHOPERILUNAR TYPE OF FRACTURE DISLOCATION,,,2398.52,21355.56,34
RC,360,"OPEN TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, MEDIAL AND/OR LATERAL MALLEOLUS; WITH FIXATION OF POSTERIOR LIP",,,2763.0,21355.56,34
RC,360,"OPEN TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED, MEDIAL AND/OR LATERAL MALLEOLUS; WITHOUT FIXATION OF POSTERIOR LIP",,,2763.0,21355.56,34
RC,360,"OPEN TREATMENT OF ULNAR FRACTURE, PROXIMAL END (EG, OLECRANON OR CORONOID PROCESS[ES]), INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
RC,360,"OPEN TREATMENT OF ULNAR SHAFT FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED",,,2763.0,21355.56,34
RC,360,OPEN TREATMENT OF ULNAR STYLOID FRACTURE,,,3121.14,21355.56,33
RC,360,ORBITAL IMPLANT (IMPLANT OUTSIDE MUSCLE CONE); INSERTION,,,1103.42,11163.6,34
RC,360,ORBITAL IMPLANT (IMPLANT OUTSIDE MUSCLE CONE); REMOVAL OR REVISION,,,1103.42,11163.6,34
RC,360,"ORBITAL REPOSITIONING, PERIORBITAL OSTEOTOMIES, UNILATERAL, WITH BONE GRAFTS; COMBINED INTRA- AND EXTRACRANIAL APPROACH",,,3587.97,12785.64,29
RC,360,"ORBITOCRANIAL ZYGOMATIC APPROACH TO MIDDLE CRANIAL FOSSA (CAVERNOUS SINUS AND CAROTID ARTERY, CLIVUS, BASILAR ARTERY OR PETROUS APEX) INCLUDING OSTEOTOMY OF ZYGOMA, CRANIOTOMY, EXTRA- OR INTRADURAL EL",,,2546.0,11908.73,10
RC,360,"ORBITOTOMY WITH BONE FLAP OR WINDOW, LATERAL APPROACH (EG, KROENLEIN); WITH REMOVAL OF BONE FOR DECOMPRESSION",,,1103.42,11163.6,34
RC,360,"ORBITOTOMY WITH BONE FLAP OR WINDOW, LATERAL APPROACH (EG, KROENLEIN); WITH REMOVAL OF LESION",,,1103.42,11163.6,34
RC,360,"ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); FOR EXPLORATION, WITH OR WITHOUT BIOPSY",,,1103.42,11163.6,34
RC,360,ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH DRAINAGE ONLY,,,698.3,7886.0,34
RC,360,ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH REMOVAL OF BONE FOR DECOMPRESSION,,,1103.42,11163.6,33
RC,360,ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH REMOVAL OF FOREIGN BODY,,,698.3,8674.0,34
RC,360,ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH REMOVAL OF LESION,,,698.3,8674.0,34
RC,360,"ORCHIECTOMY, PARTIAL",,,1142.9,10776.19,34
RC,360,"ORCHIECTOMY, RADICAL, FOR TUMOR; INGUINAL APPROACH",,,1151.54,11100.34,34
RC,360,"ORCHIECTOMY, SIMPLE (INCLUDING SUBCAPSULAR), WITH OR WITHOUT TESTICULAR PROSTHESIS, SCROTAL OR INGUINAL APPROACH",,,1142.9,10776.19,34
RC,360,"ORCHIOPEXY, INGUINAL OR SCROTAL APPROACH",,,1151.54,11100.34,34
RC,360,"OSTECTOMY OF SCAPULA, PARTIAL (EG, SUPERIOR MEDIAL ANGLE)",,,1088.27,9772.7,34
RC,360,"OSTECTOMY OF STERNUM, PARTIAL",,,884.36,8568.0,29
RC,360,"OSTECTOMY, PARTIAL EXCISION, FIFTH METATARSAL HEAD (BUNIONETTE) (SEPARATE PROCEDURE)",,,1088.27,9772.7,34
RC,360,"OSTEOPLASTY, FACIAL BONES; AUGMENTATION (AUTOGRAFT, ALLOGRAFT, OR PROSTHETIC IMPLANT)",,,2706.07,17316.39,34
RC,360,"OSTEOPLASTY, FACIAL BONES; REDUCTION",,,1954.22,17316.39,34
RC,360,"OSTEOPLASTY, FEMUR; SHORTENING (EXCLUDING 64876)",,,2202.36,15671.95,29
RC,360,"OSTEOPLASTY, RADIUS OR ULNA; SHORTENING",,,2763.0,21355.56,34
RC,360,"OSTEOTOMY OF SPINE, INCLUDING DISCECTOMY, ANTERIOR APPROACH, SINGLE VERTEBRAL SEGMENT; CERVICAL",,,2865.02,15671.95,29
RC,360,"OSTEOTOMY OF SPINE, POSTERIOR OR POSTEROLATERAL APPROACH, 1 VERTEBRAL SEGMENT; LUMBAR",,,2643.33,15671.95,29
RC,360,"OSTEOTOMY, FEMUR, SHAFT OR SUPRACONDYLAR; WITH FIXATION",,,1784.56,15671.95,29
RC,360,"OSTEOTOMY, HUMERUS, WITH OR WITHOUT INTERNAL FIXATION",,,2398.52,21355.56,34
RC,360,"OSTEOTOMY, MANDIBLE, SEGMENTAL;",,,1954.22,17316.39,33
RC,360,"OSTEOTOMY, MANDIBLE, SEGMENTAL; WITH GENIOGLOSSUS ADVANCEMENT",,,2552.5,17316.39,33
RC,360,"OSTEOTOMY, MAXILLA, SEGMENTAL (EG, WASSMUND OR SCHUCHARD)",,,1954.22,17316.39,34
RC,360,"OSTEOTOMY, MULTIPLE, WITH REALIGNMENT ON INTRAMEDULLARY ROD, FEMORAL SHAFT (EG, SOFIELD TYPE PROCEDURE)",,,2276.06,15671.95,29
RC,360,"OSTEOTOMY, RADIUS; DISTAL THIRD",,,2763.0,21355.56,34
RC,360,"OSTEOTOMY, SHORTENING, ANGULAR OR ROTATIONAL CORRECTION; PROXIMAL PHALANX, FIRST TOE (SEPARATE PROCEDURE)",,,2398.52,21355.56,34
RC,360,"OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, METATARSAL; FIRST METATARSAL",,,2398.52,21355.56,34
RC,360,"OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, METATARSAL; OTHER THAN FIRST METATARSAL, EACH",,,1088.27,9772.7,34
RC,360,"OSTEOTOMY; CALCANEUS (EG, DWYER OR CHAMBERS TYPE PROCEDURE), WITH OR WITHOUT INTERNAL FIXATION",,,2416.0,21355.56,34
RC,360,"OSTEOTOMY; METACARPAL, EACH",,,1088.27,9772.7,34
RC,360,OSTEOTOMY; TIBIA,,,2416.0,21355.56,34
RC,360,OSTEOTOMY; TIBIA AND FIBULA,,,2416.0,42485.53,34
RC,360,"OTOPLASTY, PROTRUDING EAR, WITH OR WITHOUT SIZE REDUCTION",,,886.62,9350.87,34
RC,360,"OVARIAN CYSTECTOMY, UNILATERAL OR BILATERAL",,,4773.99,15249.4,30
RC,360,"PALATOPHARYNGOPLASTY (EG, UVULOPALATOPHARYNGOPLASTY, UVULOPHARYNGOPLASTY)",,,1954.22,17316.39,34
RC,360,"PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE OF ALVEOLAR RIDGE; SOFT TISSUE ONLY",,,886.62,9350.87,34
RC,360,"PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE OF ALVEOLAR RIDGE; WITH BONE GRAFT TO ALVEOLAR RIDGE (INCLUDES OBTAINING GRAFT)",,,3113.11,17316.39,34
RC,360,PALATOPLASTY FOR CLEFT PALATE; ATTACHMENT PHARYNGEAL FLAP,,,1954.22,17316.39,33
RC,360,PALATOPLASTY FOR CLEFT PALATE; SECONDARY LENGTHENING PROCEDURE,,,1954.22,17316.39,34
RC,360,"PANCREATECTOMY, DISTAL SUBTOTAL, WITH OR WITHOUT SPLENECTOMY; WITHOUT PANCREATICOJEJUNOSTOMY",,,2546.0,8280.0,10
RC,360,PARATHYROID AUTOTRANSPLANTATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,1896.0,2107.0,3
RC,360,PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROID(S);,,,1954.22,17316.39,33
RC,360,PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROID(S); RE-EXPLORATION,,,5649.47,17316.39,30
RC,360,"PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION (EG, CORN OR CALLUS); SINGLE LESION",,,111.0,2107.0,30
RC,360,"PARTIAL ESOPHAGECTOMY, THORACOABDOMINAL OR ABDOMINAL APPROACH, WITH OR WITHOUT PROXIMAL GASTRECTOMY; WITH ESOPHAGOGASTROSTOMY, WITH OR WITHOUT PYLOROPLASTY",,,2546.0,9534.97,10
RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), HUMERUS",,,1088.27,9772.7,34
RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), OLECRANON PROCESS",,,1088.27,9772.7,34
RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), PROXIMAL HUMERUS",,,2398.52,21355.56,34
RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS), SCAPULA",,,2398.52,21355.56,34
RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS); DISTAL PHALANX OF FINGER",,,593.04,7168.0,34
RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE, FEMUR, PROXIMAL TIBIA AND/OR FIBULA (EG, OSTEOMYELITIS OR BONE ABSCESS)",,,1088.27,9772.7,34
RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE (EG, FOR OSTEOMYELITIS); RADIUS",,,1088.27,9772.7,34
RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE (EG, FOR OSTEOMYELITIS); ULNA",,,1088.27,9772.7,34
RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY), BONE (EG, OSTEOMYELITIS); FIBULA",,,1088.27,9772.7,34
RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY), BONE (EG, OSTEOMYELITIS); TIBIA",,,1088.27,9772.7,34
RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS OR BOSSING); PHALANX OF TOE",,,238.37,8018.48,33
RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS OR BOSSING); TALUS OR CALCANEUS",,,1088.27,10495.0,34
RC,360,"PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR DIAPHYSECTOMY) BONE (EG, OSTEOMYELITIS OR BOSSING); TARSAL OR METATARSAL BONE, EXCEPT TALUS OR CALCANEUS",,,1088.27,9772.7,34
RC,360,"PARTIAL EXCISION OF POSTERIOR VERTEBRAL COMPONENT (EG, SPINOUS PROCESS, LAMINA OR FACET) FOR INTRINSIC BONY LESION, SINGLE VERTEBRAL SEGMENT; CERVICAL",,,6924.82,21355.56,30
RC,360,"PARTIAL EXCISION OF POSTERIOR VERTEBRAL COMPONENT (EG, SPINOUS PROCESS, LAMINA OR FACET) FOR INTRINSIC BONY LESION, SINGLE VERTEBRAL SEGMENT; EACH ADDITIONAL SEGMENT (LIST SEPARATELY IN ADDITION TO CO",,,1896.0,12700.0,5
RC,360,"PARTIAL EXCISION OF VERTEBRAL BODY, FOR INTRINSIC BONY LESION, WITHOUT DECOMPRESSION OF SPINAL CORD OR NERVE ROOT(S), SINGLE VERTEBRAL SEGMENT; CERVICAL",,,1844.84,15671.95,29
RC,360,"PARTIAL EXCISION OF VERTEBRAL BODY, FOR INTRINSIC BONY LESION, WITHOUT DECOMPRESSION OF SPINAL CORD OR NERVE ROOT(S), SINGLE VERTEBRAL SEGMENT; EACH ADDITIONAL VERTEBRAL SEGMENT (LIST SEPARATELY IN AD",,,250.93,8280.0,10
RC,360,"PARTIAL EXCISION OF VERTEBRAL BODY, FOR INTRINSIC BONY LESION, WITHOUT DECOMPRESSION OF SPINAL CORD OR NERVE ROOT(S), SINGLE VERTEBRAL SEGMENT; THORACIC",,,1952.03,15671.95,29
RC,360,"PARTIAL EXCISION, WING OF ILIUM, SYMPHYSIS PUBIS, OR GREATER TROCHANTER OF FEMUR, (CRATERIZATION, SAUCERIZATION) (EG, OSTEOMYELITIS OR BONE ABSCESS); DEEP (SUBFASCIAL OR INTRAMUSCULAR)",,,1624.36,10140.0,29
RC,360,PARTIAL HYMENECTOMY OR REVISION OF HYMENAL RING,,,1063.52,8918.22,34
RC,360,PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); HORIZONTAL,,,2546.0,8280.0,10
RC,360,"PARTIAL THYROID LOBECTOMY, UNILATERAL; WITH OR WITHOUT ISTHMUSECTOMY",,,1888.85,17256.34,33
RC,360,PATELLECTOMY OR HEMIPATELLECTOMY,,,2398.52,21355.56,34
RC,360,PELVIC EXAMINATION UNDER ANESTHESIA (OTHER THAN LOCAL),,,1063.52,8918.22,34
RC,360,"PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY; SACRAL NERVE (TRANSFORAMINAL PLACEMENT) INCLUDING IMAGE GUIDANCE, IF PERFORMED",,,2763.0,22088.05,34
RC,360,"PERCUTANEOUS NEPHROLITHOTOMY OR PYELOLITHOTOMY, LITHOTRIPSY, STONE EXTRACTION, ANTEGRADE URETEROSCOPY, ANTEGRADE STENT PLACEMENT AND NEPHROSTOMY TUBE PLACEMENT, WHEN PERFORMED, INCLUDING IMAGING GUIDA",,,3322.27,28802.51,66
RC,360,"PERCUTANEOUS SKELETAL FIXATION OF CARPOMETACARPAL FRACTURE DISLOCATION, THUMB (BENNETT FRACTURE), WITH MANIPULATION",,,1088.27,9772.7,34
RC,360,"PERCUTANEOUS SKELETAL FIXATION OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB, EACH",,,1088.27,9772.7,34
RC,360,PERCUTANEOUS SKELETAL FIXATION OF DISTAL RADIAL FRACTURE OR EPIPHYSEAL SEPARATION,,,1088.27,9772.7,34
RC,360,"PERCUTANEOUS SKELETAL FIXATION OF FEMORAL FRACTURE, DISTAL END, MEDIAL OR LATERAL CONDYLE, OR SUPRACONDYLAR OR TRANSCONDYLAR, WITH OR WITHOUT INTERCONDYLAR EXTENSION, OR DISTAL FEMORAL EPIPHYSEAL SEPA",,,2763.0,21355.56,34
RC,360,"PERCUTANEOUS SKELETAL FIXATION OF FEMORAL FRACTURE, PROXIMAL END, NECK",,,6497.0,21355.56,30
RC,360,"PERCUTANEOUS SKELETAL FIXATION OF INTERPHALANGEAL JOINT DISLOCATION, SINGLE, WITH MANIPULATION",,,1088.27,9772.7,34
RC,360,"PERCUTANEOUS SKELETAL FIXATION OF METACARPAL FRACTURE, EACH BONE",,,1088.27,9772.7,34
RC,360,"PERCUTANEOUS SKELETAL FIXATION OF METATARSAL FRACTURE, WITH MANIPULATION, EACH",,,1088.27,9772.7,34
RC,360,"PERCUTANEOUS SKELETAL FIXATION OF METATARSOPHALANGEAL JOINT DISLOCATION, WITH MANIPULATION",,,1088.27,9772.7,34
RC,360,"PERCUTANEOUS SKELETAL FIXATION OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE) (EG, PINS OR SCREWS)",,,2763.0,21355.56,34
RC,360,PERCUTANEOUS SKELETAL FIXATION OF ULNAR STYLOID FRACTURE,,,1088.27,9772.7,33
RC,360,"PERCUTANEOUS SKELETAL FIXATION OF UNSTABLE PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, FINGER OR THUMB, WITH MANIPULATION, EACH",,,1088.27,10495.0,34
RC,360,"PERCUTANEOUS TRANSLUMINAL MECHANICAL THROMBECTOMY AND/OR INFUSION FOR THROMBOLYSIS, DIALYSIS CIRCUIT, ANY METHOD, INCLUDING ALL IMAGING AND RADIOLOGICAL SUPERVISION AND INTERPRETATION, DIAGNOSTIC ANGI",,,7038.0,56905.69,33
RC,360,"PERCUTANEOUS TRANSLUMINAL MECHANICAL THROMBECTOMY, VEIN(S), INCLUDING INTRAPROCEDURAL PHARMACOLOGICAL THROMBOLYTIC INJECTIONS AND FLUOROSCOPIC GUIDANCE",,,5348.63,27252.71,33
RC,360,"PERCUTANEOUS TREATMENT OF FRACTURE OF MALAR AREA, INCLUDING ZYGOMATIC ARCH AND MALAR TRIPOD, WITH MANIPULATION",,,886.62,9350.87,34
RC,360,"PERCUTANEOUS VERTEBRAL AUGMENTATION, INCLUDING CAVITY CREATION (FRACTURE REDUCTION AND BONE BIOPSY INCLUDED WHEN PERFORMED) USING MECHANICAL DEVICE (EG, KYPHOPLASTY), 1 VERTEBRAL BODY, UNILATERAL OR B",,,1896.0,21355.56,71
RC,360,"PERI-IMPLANT CAPSULECTOMY, BREAST, COMPLETE, INCLUDING REMOVAL OF ALL INTRACAPSULAR CONTENTS",,,963.66,10815.49,34
RC,360,"PERINEOPLASTY, REPAIR OF PERINEUM, NONOBSTETRICAL (SEPARATE PROCEDURE)",,,1063.52,8918.22,34
RC,360,"PERITONEAL LAVAGE, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,334.95,4345.0,33
RC,360,PHARYNGOPLASTY (PLASTIC OR RECONSTRUCTIVE OPERATION ON PHARYNX),,,1954.22,17316.39,34
RC,360,"PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS), PERCUTANEOUS; FIRST LESION, INCLUDING MAMMOGRAPHIC GUIDANCE",,,1030.92,4345.0,30
RC,360,"PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS), PERCUTANEOUS; FIRST LESION, INCLUDING ULTRASOUND GUIDANCE",,,675.79,4345.0,30
RC,360,"PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION THERAPY GUIDANCE (EG, FIDUCIAL MARKERS, DOSIMETER), PERCUTANEOUS, INTRA-ABDOMINAL, INTRA-PELVIC (EXCEPT PROSTATE), AND/OR RETROPERITONEUM, SINGLE OR M",,,296.23,4779.0,33
RC,360,"PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION THERAPY GUIDANCE (EG, FIDUCIAL MARKERS, DOSIMETER), PROSTATE (VIA NEEDLE, ANY APPROACH), SINGLE OR MULTIPLE",,,70.87,4345.0,33
RC,360,PLACEMENT OF NEEDLES OR CATHETERS INTO PELVIC ORGANS AND/OR GENITALIA (EXCEPT PROSTATE) FOR SUBSEQUENT INTERSTITIAL RADIOELEMENT APPLICATION,,,4773.99,15249.4,30
RC,360,"PLACEMENT OF NEPHROSTOMY CATHETER, PERCUTANEOUS, INCLUDING DIAGNOSTIC NEPHROSTOGRAM AND/OR URETEROGRAM WHEN PERFORMED, IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGI",,,652.8,10495.0,33
RC,360,PLACEMENT OF SETON,,,939.93,8368.72,34
RC,360,PLASTIC OPERATION OF PENIS FOR INJURY,,,1142.9,10776.19,34
RC,360,"PLASTIC OPERATION OF PENIS FOR STRAIGHTENING OF CHORDEE (EG, HYPOSPADIAS), WITH OR WITHOUT MOBILIZATION OF URETHRA",,,1142.9,10776.19,34
RC,360,PLASTIC OPERATION ON PENIS TO CORRECT ANGULATION,,,1142.9,10776.19,34
RC,360,PLASTIC REPAIR OF CANALICULI,,,698.3,6908.66,34
RC,360,"PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; SECONDARY, BY RECREATION OF DEFECT AND RECLOSURE",,,886.62,10495.0,34
RC,360,"PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; WITH CROSS LIP PEDICLE FLAP (ABBE-ESTLANDER TYPE), INCLUDING SECTIONING AND INSERTING OF PEDICLE",,,1954.22,17316.39,34
RC,360,"PLASTIC REPAIR OF SALIVARY DUCT, SIALODOCHOPLASTY; PRIMARY OR SIMPLE",,,1954.22,17316.39,34
RC,360,"PLASTIC REPAIR OF SALIVARY DUCT, SIALODOCHOPLASTY; SECONDARY OR COMPLICATED",,,1954.22,17316.39,34
RC,360,PLASTIC REPAIR OF URETHROCELE,,,1063.52,8918.22,34
RC,360,"PLEURAL DRAINAGE, PERCUTANEOUS, WITH INSERTION OF INDWELLING CATHETER; WITH IMAGING GUIDANCE",,,446.27,5823.13,33
RC,360,"PLEURAL DRAINAGE, PERCUTANEOUS, WITH INSERTION OF INDWELLING CATHETER; WITHOUT IMAGING GUIDANCE",,,564.97,5559.92,33
RC,360,"PNEUMONOLYSIS, EXTRAPERIOSTEAL, INCLUDING FILLING OR PACKING PROCEDURES",,,2157.28,8280.0,10
RC,360,"POSTERIOR COLPORRHAPHY, REPAIR OF RECTOCELE WITH OR WITHOUT PERINEORRHAPHY",,,1526.99,15249.4,34
RC,360,"POSTERIOR NON-SEGMENTAL INSTRUMENTATION (EG, HARRINGTON ROD TECHNIQUE, PEDICLE FIXATION ACROSS 1 INTERSPACE, ATLANTOAXIAL TRANSARTICULAR SCREW FIXATION, SUBLAMINAR WIRING AT C1, FACET SCREW FIXATION) ",,,1896.0,2107.0,3
RC,360,"POSTERIOR SEGMENTAL INSTRUMENTATION (EG, PEDICLE FIXATION, DUAL RODS WITH MULTIPLE HOOKS AND SUBLAMINAR WIRES); 3 TO 6 VERTEBRAL SEGMENTS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"PREPARATION OF SKIN CELL SUSPENSION AUTOGRAFT, REQUIRING ENZYMATIC PROCESSING, MANUAL MECHANICAL DISAGGREGATION OF SKIN CELLS, AND FILTRATION; FIRST 25 SQ CM OR LESS OF HARVESTED SKIN",,,6772.67,15327.63,19
RC,360,"PROBE, IMAGE-GUIDED, ROBOTIC, WATERJET ABLATION",,,,,0
RC,360,"PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION;",,,108.29,4345.0,33
RC,360,"PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION; REQUIRING GENERAL ANESTHESIA",,,698.3,6908.66,34
RC,360,"PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION; WITH INSERTION OF TUBE OR STENT",,,698.3,6908.66,34
RC,360,"PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION; WITH TRANSLUMINAL BALLOON CATHETER DILATION",,,698.3,8674.0,33
RC,360,"PROCTECTOMY, PARTIAL, WITH ANASTOMOSIS; TRANSSACRAL APPROACH ONLY (KRASKE TYPE)",,,2546.0,8280.0,10
RC,360,"PROCTOPEXY (EG, FOR PROLAPSE); PERINEAL APPROACH",,,939.93,8368.72,33
RC,360,PROCTOPLASTY; FOR PROLAPSE OF MUCOUS MEMBRANE,,,939.93,8368.72,34
RC,360,PROCTOPLASTY; FOR STENOSIS,,,939.93,8368.72,34
RC,360,"PROCTOSIGMOIDOSCOPY, RIGID; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE)",,,82.5,4345.0,33
RC,360,"PROCTOSIGMOIDOSCOPY, RIGID; WITH BIOPSY, SINGLE OR MULTIPLE",,,429.26,4345.0,34
RC,360,"PROCTOSIGMOIDOSCOPY, RIGID; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPOLAR CAUTERY, LASER, HEATER PROBE, STAPLER, PLASMA COAGULATOR)",,,429.26,4345.0,34
RC,360,"PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLATE, FEMORAL NECK AND PROXIMAL FEMUR",,,1744.96,15671.95,29
RC,360,"PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLATE, TIBIA",,,2763.0,21355.56,34
RC,360,"PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLATE; PROXIMAL HUMERUS",,,2763.0,42485.53,34
RC,360,"PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT METHYLMETHACRYLATE; RADIUS",,,2398.52,21355.56,34
RC,360,"PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING), WITH OR WITHOUT METHYLMETHACRYLATE, HUMERAL SHAFT",,,2763.0,42485.53,34
RC,360,"PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING, OR WIRING) WITH OR WITHOUT METHYLMETHACRYLATE, FEMUR",,,1980.05,15671.95,29
RC,360,"PROSTATECTOMY, RETROPUBIC RADICAL, WITH OR WITHOUT NERVE SPARING; WITH BILATERAL PELVIC LYMPHADENECTOMY, INCLUDING EXTERNAL ILIAC, HYPOGASTRIC, AND OBTURATOR NODES",,,2404.57,8280.0,10
RC,360,"PTERYGOMAXILLARY FOSSA SURGERY, ANY APPROACH",,,1954.22,14507.25,33
RC,360,"PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); EACH SEPARATE/ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); SINGLE LESION",,,79.46,2107.0,33
RC,360,"PYLOROMYOTOMY, CUTTING OF PYLORIC MUSCLE (FREDET-RAMSTEDT TYPE OPERATION)",,,1215.08,8280.0,10
RC,360,PYLOROPLASTY,,,1643.86,8280.0,10
RC,360,"QUADRICEPSPLASTY (EG, BENNETT OR THOMPSON TYPE)",,,2398.52,21355.56,34
RC,360,RADICAL EXCISION EXTERNAL AUDITORY CANAL LESION; WITHOUT NECK DISSECTION,,,1954.22,17316.39,33
RC,360,"RADICAL EXCISION OF BURSA, SYNOVIA OF WRIST, OR FOREARM TENDON SHEATHS (EG, TENOSYNOVITIS, FUNGUS, TBC, OR OTHER GRANULOMAS, RHEUMATOID ARTHRITIS); EXTENSORS, WITH OR WITHOUT TRANSPOSITION OF DORSAL R",,,1088.27,9772.7,34
RC,360,"RADICAL EXCISION OF BURSA, SYNOVIA OF WRIST, OR FOREARM TENDON SHEATHS (EG, TENOSYNOVITIS, FUNGUS, TBC, OR OTHER GRANULOMAS, RHEUMATOID ARTHRITIS); FLEXORS",,,593.04,7886.0,34
RC,360,"RADICAL RESECTION OF CAPSULE, SOFT TISSUE, AND HETEROTOPIC BONE, ELBOW, WITH CONTRACTURE RELEASE (SEPARATE PROCEDURE)",,,2398.52,21355.56,33
RC,360,RADICAL RESECTION OF STERNUM,,,2157.91,15671.95,29
RC,360,"RADICAL RESECTION OF TONSIL, TONSILLAR PILLARS, AND/OR RETROMOLAR TRIGONE; WITHOUT CLOSURE",,,4302.0,17316.39,30
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF ABDOMINAL WALL; 5 CM OR GREATER",,,815.2,12700.0,33
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF BACK OR FLANK; 5 CM OR GREATER",,,815.2,12700.0,33
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF FACE OR SCALP; 2 CM OR GREATER",,,815.2,12700.0,33
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF FACE OR SCALP; LESS THAN 2 CM",,,815.2,8278.44,34
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF FOOT OR TOE; 3 CM OR GREATER",,,815.2,12700.0,33
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF FOOT OR TOE; LESS THAN 3 CM",,,815.2,8278.44,34
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF FOREARM AND/OR WRIST AREA; 3 CM OR GREATER",,,815.2,12700.0,33
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF FOREARM AND/OR WRIST AREA; LESS THAN 3 CM",,,815.2,8278.44,34
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF HAND OR FINGER; LESS THAN 3 CM",,,815.2,8278.44,34
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF LEG OR ANKLE AREA; 5 CM OR GREATER",,,815.2,12700.0,33
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF LEG OR ANKLE AREA; LESS THAN 5 CM",,,815.2,8278.44,34
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF NECK OR ANTERIOR THORAX; 5 CM OR GREATER",,,815.2,12700.0,33
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF NECK OR ANTERIOR THORAX; LESS THAN 5 CM",,,815.2,8280.0,33
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF PELVIS AND HIP AREA; 5 CM OR GREATER",,,815.2,12700.0,33
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF SHOULDER AREA; 5 CM OR GREATER",,,815.2,12700.0,33
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF THIGH OR KNEE AREA; 5 CM OR GREATER",,,815.2,12700.0,33
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF THIGH OR KNEE AREA; LESS THAN 5 CM",,,815.2,8278.44,34
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF UPPER ARM OR ELBOW AREA; 5 CM OR GREATER",,,815.2,12700.0,33
RC,360,"RADICAL RESECTION OF TUMOR (EG, SARCOMA), SOFT TISSUE OF UPPER ARM OR ELBOW AREA; LESS THAN 5 CM",,,815.2,8278.44,34
RC,360,"RADICAL RESECTION OF TUMOR, FEMUR OR KNEE",,,3122.56,10140.0,29
RC,360,"RADICAL RESECTION OF TUMOR, PROXIMAL HUMERUS",,,3430.84,15671.95,29
RC,360,"RADICAL RESECTION OF TUMOR, RADIUS OR ULNA",,,6093.0,21355.56,30
RC,360,RADICAL RESECTION OF TUMOR; FIBULA,,,2701.79,10140.0,29
RC,360,RADICAL RESECTION OF TUMOR; ISCHIAL TUBEROSITY AND GREATER TROCHANTER OF FEMUR,,,3636.69,15671.95,29
RC,360,RADICAL RESECTION OF TUMOR; SCAPULA,,,3122.04,15671.95,29
RC,360,RADICAL RESECTION OF TUMOR; TIBIA,,,3122.56,10140.0,29
RC,360,"REALIGNMENT OF EXTENSOR TENDON, HAND, EACH TENDON",,,1088.27,9772.7,34
RC,360,"RECONSTRUCTION BY CONTOURING OF BENIGN TUMOR OF CRANIAL BONES (EG, FIBROUS DYSPLASIA), EXTRACRANIAL",,,1954.22,17316.39,34
RC,360,"RECONSTRUCTION FOR STABILIZATION OF UNSTABLE DISTAL ULNA OR DISTAL RADIOULNAR JOINT, SECONDARY BY SOFT TISSUE STABILIZATION (EG, TENDON TRANSFER, TENDON GRAFT OR WEAVE, OR TENODESIS) WITH OR WITHOUT O",,,3136.09,21355.56,34
RC,360,"RECONSTRUCTION LATERAL COLLATERAL LIGAMENT, ELBOW, WITH TENDON GRAFT (INCLUDES HARVESTING OF GRAFT)",,,3133.75,21355.56,33
RC,360,"RECONSTRUCTION MIDFACE, LEFORT I; 2 PIECES, SEGMENT MOVEMENT IN ANY DIRECTION, REQUIRING BONE GRAFTS (INCLUDES OBTAINING AUTOGRAFTS) (EG, UNGRAFTED UNILATERAL ALVEOLAR CLEFT)",,,2928.36,12785.64,29
RC,360,"RECONSTRUCTION MIDFACE, LEFORT I; 2 PIECES, SEGMENT MOVEMENT IN ANY DIRECTION, WITHOUT BONE GRAFT",,,2470.36,14507.25,30
RC,360,"RECONSTRUCTION MIDFACE, LEFORT I; 3 OR MORE PIECES, SEGMENT MOVEMENT IN ANY DIRECTION, REQUIRING BONE GRAFTS (INCLUDES OBTAINING AUTOGRAFTS) (EG, UNGRAFTED BILATERAL ALVEOLAR CLEFT OR MULTIPLE OSTEOTO",,,3096.47,12785.64,29
RC,360,"RECONSTRUCTION MIDFACE, LEFORT I; 3 OR MORE PIECES, SEGMENT MOVEMENT IN ANY DIRECTION, WITHOUT BONE GRAFT",,,2577.54,14507.25,30
RC,360,"RECONSTRUCTION MIDFACE, LEFORT I; SINGLE PIECE, SEGMENT MOVEMENT IN ANY DIRECTION (EG, FOR LONG FACE SYNDROME), WITHOUT BONE GRAFT",,,2403.35,14507.25,30
RC,360,"RECONSTRUCTION MIDFACE, LEFORT I; SINGLE PIECE, SEGMENT MOVEMENT IN ANY DIRECTION, REQUIRING BONE GRAFTS (INCLUDES OBTAINING AUTOGRAFTS)",,,2816.3,12785.64,29
RC,360,"RECONSTRUCTION OF COMPLETE SHOULDER (ROTATOR) CUFF AVULSION, CHRONIC (INCLUDES ACROMIOPLASTY)",,,2398.52,21355.56,34
RC,360,"RECONSTRUCTION OF DISLOCATING PATELLA; WITH EXTENSOR REALIGNMENT AND/OR MUSCLE ADVANCEMENT OR RELEASE (EG, CAMPBELL, GOLDWAITE TYPE PROCEDURE)",,,2398.52,21355.56,34
RC,360,RECONSTRUCTION OF DISLOCATING PATELLA; WITH PATELLECTOMY,,,2398.52,21355.56,34
RC,360,"RECONSTRUCTION OF EXTERNAL AUDITORY CANAL (MEATOPLASTY) (EG, FOR STENOSIS DUE TO INJURY, INFECTION) (SEPARATE PROCEDURE)",,,1954.22,17316.39,34
RC,360,"RECONSTRUCTION OF EYELID, FULL THICKNESS BY TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM OPPOSING EYELID; SECOND STAGE",,,698.3,7168.0,34
RC,360,"RECONSTRUCTION OF EYELID, FULL THICKNESS BY TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM OPPOSING EYELID; TOTAL EYELID, LOWER, 1 STAGE OR FIRST STAGE",,,698.3,7168.0,34
RC,360,"RECONSTRUCTION OF EYELID, FULL THICKNESS BY TRANSFER OF TARSOCONJUNCTIVAL FLAP FROM OPPOSING EYELID; UP TO TWO-THIRDS OF EYELID, 1 STAGE OR FIRST STAGE",,,698.3,7168.0,34
RC,360,"RECONSTRUCTION OF MANDIBLE OR MAXILLA, ENDOSTEAL IMPLANT (EG, BLADE, CYLINDER); COMPLETE",,,5384.0,17316.39,31
RC,360,"RECONSTRUCTION OF MANDIBLE OR MAXILLA, ENDOSTEAL IMPLANT (EG, BLADE, CYLINDER); PARTIAL",,,5384.0,17316.39,31
RC,360,"RECONSTRUCTION OF MANDIBLE OR MAXILLA, SUBPERIOSTEAL IMPLANT; COMPLETE",,,1954.22,17316.39,34
RC,360,"RECONSTRUCTION OF MANDIBLE OR MAXILLA, SUBPERIOSTEAL IMPLANT; PARTIAL",,,2544.14,17316.39,34
RC,360,"RECONSTRUCTION OF MANDIBLE, EXTRAORAL, WITH TRANSOSTEAL BONE PLATE (EG, MANDIBULAR STAPLE BONE PLATE)",,,2688.18,17316.39,34
RC,360,"RECONSTRUCTION OF MANDIBULAR RAMI AND/OR BODY, SAGITTAL SPLIT; WITH INTERNAL RIGID FIXATION",,,2569.02,14507.25,30
RC,360,"RECONSTRUCTION OF MANDIBULAR RAMI, HORIZONTAL, VERTICAL, C, OR L OSTEOTOMY; WITH BONE GRAFT (INCLUDES OBTAINING GRAFT)",,,2581.81,14507.25,30
RC,360,"RECONSTRUCTION OF MANDIBULAR RAMI, HORIZONTAL, VERTICAL, C, OR L OSTEOTOMY; WITHOUT BONE GRAFT",,,5649.47,17316.39,30
RC,360,"RECONSTRUCTION OF ORBIT WITH OSTEOTOMIES (EXTRACRANIAL) AND WITH BONE GRAFTS (INCLUDES OBTAINING AUTOGRAFTS) (EG, MICRO-OPHTHALMIA)",,,5649.47,17316.39,30
RC,360,RECONSTRUCTION OF ZYGOMATIC ARCH AND GLENOID FOSSA WITH BONE AND CARTILAGE (INCLUDES OBTAINING AUTOGRAFTS),,,2477.66,14507.25,30
RC,360,"RECONSTRUCTION SUPERIOR-LATERAL ORBITAL RIM AND LOWER FOREHEAD, ADVANCEMENT OR ALTERATION, WITH OR WITHOUT GRAFTS (INCLUDES OBTAINING AUTOGRAFTS)",,,5649.47,17316.39,30
RC,360,"RECONSTRUCTION, COLLATERAL LIGAMENT, INTERPHALANGEAL JOINT, SINGLE, INCLUDING GRAFT, EACH JOINT",,,1088.27,9772.7,34
RC,360,"RECONSTRUCTION, COLLATERAL LIGAMENT, METACARPOPHALANGEAL JOINT, SINGLE; WITH LOCAL TISSUE (EG, ADDUCTOR ADVANCEMENT)",,,1088.27,9772.7,34
RC,360,"RECONSTRUCTION, COLLATERAL LIGAMENT, METACARPOPHALANGEAL JOINT, SINGLE; WITH TENDON OR FASCIAL GRAFT (INCLUDES OBTAINING GRAFT)",,,1088.27,10495.0,34
RC,360,REDUCTION OF PROCIDENTIA (SEPARATE PROCEDURE) UNDER ANESTHESIA,,,328.5,4345.0,33
RC,360,"REDUCTION OF TORSION OF TESTIS, SURGICAL, WITH OR WITHOUT FIXATION OF CONTRALATERAL TESTIS",,,1142.9,10776.19,34
RC,360,"REDUCTION OF VOLVULUS, INTUSSUSCEPTION, INTERNAL HERNIA, BY LAPAROTOMY",,,1651.77,8280.0,10
RC,360,"REINSERTION OF RUPTURED BICEPS OR TRICEPS TENDON, DISTAL, WITH OR WITHOUT TENDON GRAFT",,,2398.52,21355.56,36
RC,360,RELEASE OF EXTENSIVE SCAR TISSUE WITHOUT DETACHING EXTRAOCULAR MUSCLE (SEPARATE PROCEDURE),,,698.3,10495.0,34
RC,360,"RELEASE, TARSAL TUNNEL (POSTERIOR TIBIAL NERVE DECOMPRESSION)",,,659.94,7886.0,34
RC,360,"REMOVAL (VIA SNARE/CAPTURE) OF INTERNALLY DWELLING URETERAL STENT VIA TRANSURETHRAL APPROACH, WITHOUT USE OF CYSTOSCOPY, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,545.39,5045.72,33
RC,360,"REMOVAL AND REPLACEMENT OF ALL COMPONENT(S) OF A MULTI-COMPONENT, INFLATABLE PENILE PROSTHESIS AT THE SAME OPERATIVE SESSION",,,2763.0,62739.04,31
RC,360,"REMOVAL AND REPLACEMENT OF EXTERNALLY ACCESSIBLE NEPHROURETERAL CATHETER (EG, EXTERNAL/INTERNAL STENT) REQUIRING FLUOROSCOPIC GUIDANCE, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,652.8,6324.43,33
RC,360,"REMOVAL AND REPLACEMENT OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER INCLUDING PUMP, RESERVOIR, AND CUFF AT THE SAME OPERATIVE SESSION",,,1804.0,62739.04,34
RC,360,"REMOVAL BY CONTOURING OF BENIGN TUMOR OF FACIAL BONE (EG, FIBROUS DYSPLASIA)",,,886.62,9350.87,34
RC,360,"REMOVAL FOREIGN BODY, INTRANASAL; OFFICE TYPE PROCEDURE",,,111.0,2107.0,30
RC,360,"REMOVAL FOREIGN BODY, INTRANASAL; REQUIRING GENERAL ANESTHESIA",,,886.62,9350.87,34
RC,360,"REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL",,,56.3,2107.0,30
RC,360,"REMOVAL OF ANAL SETON, OTHER MARKER",,,429.26,4345.0,33
RC,360,REMOVAL OF ANTERIOR INSTRUMENTATION,,,1960.57,15671.95,29
RC,360,"REMOVAL OF CRANIAL NERVE (EG, VAGUS NERVE) NEUROSTIMULATOR ELECTRODE ARRAY AND PULSE GENERATOR",,,1996.58,19667.17,33
RC,360,"REMOVAL OF DRUG-DELIVERY DEVICE(S), DEEP (EG, SUBFASCIAL) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"REMOVAL OF DRUG-DELIVERY DEVICE(S), INTRA-ARTICULAR (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"REMOVAL OF DRUG-DELIVERY DEVICE(S), INTRAMEDULLARY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,REMOVAL OF EMBEDDED FOREIGN BODY FROM DENTOALVEOLAR STRUCTURES; BONE,,,259.41,4345.0,33
RC,360,REMOVAL OF ESOPHAGEAL SPHINCTER AUGMENTATION DEVICE,,,5769.43,17256.34,30
RC,360,REMOVAL OF FECAL IMPACTION OR FOREIGN BODY (SEPARATE PROCEDURE) UNDER ANESTHESIA,,,429.26,4345.0,33
RC,360,REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON SHEATH; DEEP OR COMPLICATED,,,815.2,8278.44,34
RC,360,REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON SHEATH; SIMPLE,,,119.87,4345.0,33
RC,360,"REMOVAL OF FOREIGN BODY OR DACRYOLITH, LACRIMAL PASSAGES",,,108.29,2107.0,33
RC,360,"REMOVAL OF FOREIGN BODY, DEEP, THIGH REGION OR KNEE AREA",,,815.2,10495.0,34
RC,360,"REMOVAL OF FOREIGN BODY, EXTERNAL EYE; CONJUNCTIVAL SUPERFICIAL",,,111.0,2107.0,30
RC,360,"REMOVAL OF FOREIGN BODY, EXTERNAL EYE; CORNEAL, WITH SLIT LAMP",,,111.0,2107.0,30
RC,360,"REMOVAL OF FOREIGN BODY, FOOT; DEEP",,,486.45,4900.18,34
RC,360,"REMOVAL OF FOREIGN BODY, FOOT; SUBCUTANEOUS",,,138.98,4345.0,33
RC,360,"REMOVAL OF FOREIGN BODY, UPPER ARM OR ELBOW AREA; SUBCUTANEOUS",,,123.47,4345.0,33
RC,360,REMOVAL OF HIP PROSTHESIS; (SEPARATE PROCEDURE),,,1458.1,15671.95,29
RC,360,"REMOVAL OF HIP PROSTHESIS; COMPLICATED, INCLUDING TOTAL HIP PROSTHESIS, METHYLMETHACRYLATE WITH OR WITHOUT INSERTION OF SPACER",,,2805.94,27728.96,29
RC,360,"REMOVAL OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ARRAY, PULSE GENERATOR, AND DISTAL RESPIRATORY SENSOR ELECTRODE OR ELECTRODE ARRAY",,,1996.58,20791.5,33
RC,360,REMOVAL OF IMPACTED VAGINAL FOREIGN BODY (SEPARATE PROCEDURE) UNDER ANESTHESIA (OTHER THAN LOCAL),,,1063.52,8918.22,34
RC,360,REMOVAL OF IMPLANT FROM FINGER OR HAND,,,486.45,4900.18,34
RC,360,"REMOVAL OF IMPLANT; DEEP (EG, BURIED WIRE, PIN, SCREW, METAL BAND, NAIL, ROD OR PLATE)",,,815.2,8278.44,34
RC,360,"REMOVAL OF IMPLANT; SUPERFICIAL (EG, BURIED WIRE, PIN OR ROD) (SEPARATE PROCEDURE)",,,486.45,4900.18,34
RC,360,REMOVAL OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF,,,111.0,3167.0,33
RC,360,"REMOVAL OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER, INCLUDING PUMP, RESERVOIR, AND CUFF",,,1689.43,15106.88,34
RC,360,REMOVAL OF INTACT BREAST IMPLANT,,,963.66,10815.49,34
RC,360,REMOVAL OF INTRAUTERINE DEVICE (IUD),,,51.22,4345.0,33
RC,360,"REMOVAL OF NEPHROSTOMY TUBE, REQUIRING FLUOROSCOPIC GUIDANCE (EG, WITH CONCURRENT INDWELLING URETERAL STENT)",,,238.15,4345.0,33
RC,360,REMOVAL OF PERITONEAL FOREIGN BODY FROM PERITONEAL CAVITY,,,1151.54,11100.34,34
RC,360,REMOVAL OF PERITONEAL-VENOUS SHUNT,,,1118.22,9893.47,33
RC,360,"REMOVAL OF PERMANENT EPICARDIAL PACEMAKER AND ELECTRODES BY THORACOTOMY; SINGLE LEAD SYSTEM, ATRIAL OR VENTRICULAR",,,1364.91,8280.0,10
RC,360,"REMOVAL OF POSTERIOR NONSEGMENTAL INSTRUMENTATION (EG, HARRINGTON ROD)",,,1281.46,15671.95,29
RC,360,REMOVAL OF POSTERIOR SEGMENTAL INSTRUMENTATION,,,1230.91,15671.95,29
RC,360,"REMOVAL OF PROSTHESIS, INCLUDES DEBRIDEMENT AND SYNOVECTOMY WHEN PERFORMED; HUMERAL AND GLENOID COMPONENTS (EG, TOTAL SHOULDER)",,,2245.0,15671.95,29
RC,360,"REMOVAL OF PROSTHESIS, INCLUDES DEBRIDEMENT AND SYNOVECTOMY WHEN PERFORMED; HUMERAL AND ULNAR COMPONENTS",,,1088.27,9772.7,34
RC,360,"REMOVAL OF PROSTHESIS, INCLUDES DEBRIDEMENT AND SYNOVECTOMY WHEN PERFORMED; HUMERAL OR GLENOID COMPONENT",,,815.2,15671.95,33
RC,360,"REMOVAL OF PROSTHESIS, INCLUDING TOTAL KNEE PROSTHESIS, METHYLMETHACRYLATE WITH OR WITHOUT INSERTION OF SPACER, KNEE",,,2109.78,27728.96,29
RC,360,"REMOVAL OF PROSTHETIC MATERIAL OR MESH, ABDOMINAL WALL FOR INFECTION (EG, FOR CHRONIC OR RECURRENT MESH INFECTION OR NECROTIZING SOFT TISSUE INFECTION) (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY",,,484.81,8280.0,10
RC,360,"REMOVAL OF RUPTURED BREAST IMPLANT, INCLUDING IMPLANT CONTENTS (EG, SALINE, SILICONE GEL)",,,963.66,10815.49,34
RC,360,REMOVAL OF SINGLE OR DUAL CHAMBER IMPLANTABLE DEFIBRILLATOR ELECTRODE(S); BY THORACOTOMY,,,2417.36,8568.0,10
RC,360,"REMOVAL OF SKIN TAGS, MULTIPLE FIBROCUTANEOUS TAGS, ANY AREA; UP TO AND INCLUDING 15 LESIONS",,,111.0,2107.0,30
RC,360,"REMOVAL OF SPINAL NEUROSTIMULATOR ELECTRODE PLATE/PADDLE(S) PLACED VIA LAMINOTOMY OR LAMINECTOMY, INCLUDING FLUOROSCOPY, WHEN PERFORMED",,,1499.71,11240.15,33
RC,360,REMOVAL OF SUTURES OR STAPLES NOT REQUIRING ANESTHESIA (LIST SEPARATELY IN ADDITION TO E/M CODE),,,1896.0,2107.0,3
RC,360,"REMOVAL OF SUTURES OR STAPLES REQUIRING ANESTHESIA (IE, GENERAL ANESTHESIA, MODERATE SEDATION)",,,62.29,4517.58,33
RC,360,"REMOVAL OF SYNTHETIC ROD AND INSERTION OF FLEXOR TENDON GRAFT, HAND OR FINGER (INCLUDES OBTAINING GRAFT), EACH ROD",,,2398.52,21355.56,34
RC,360,REMOVAL OF TISSUE EXPANDER WITHOUT INSERTION OF IMPLANT,,,815.2,8278.44,34
RC,360,"REMOVAL OF TOTAL OR NEAR TOTAL NON-INFECTED MESH OR OTHER PROSTHESIS AT THE TIME OF INITIAL OR RECURRENT ANTERIOR ABDOMINAL HERNIA REPAIR OR PARASTOMAL HERNIA REPAIR, ANY APPROACH (IE, OPEN, LAPAROSCO",,,1896.0,2107.0,3
RC,360,REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT,,,2124.4,8280.0,10
RC,360,REMOVAL OF TRANSVENOUS PACEMAKER ELECTRODE(S); DUAL LEAD SYSTEM,,,1870.58,10652.92,33
RC,360,"REMOVAL OF TRANSVENOUS PACEMAKER ELECTRODE(S); SINGLE LEAD SYSTEM, ATRIAL OR VENTRICULAR",,,1906.8,10652.92,33
RC,360,"REMOVAL OF TUNNELED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP",,,223.75,4345.0,34
RC,360,REMOVAL OF TUNNELED INTRAPERITONEAL CATHETER,,,1118.22,9893.47,34
RC,360,"REMOVAL OR REVISION OF SLING FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC)",,,1063.52,8918.22,33
RC,360,"REMOVAL WITH REINSERTION, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT",,,76.0,2107.0,33
RC,360,"REMOVAL, IMPLANTABLE CONTRACEPTIVE CAPSULES",,,61.74,4345.0,33
RC,360,"REMOVAL, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT",,,54.42,2107.0,33
RC,360,"REMOVAL, UNDER ANESTHESIA, OF EXTERNAL FIXATION SYSTEM",,,593.04,4838.74,34
RC,360,"RENAL BIOPSY; PERCUTANEOUS, BY TROCAR OR NEEDLE",,,486.45,4900.18,34
RC,360,"RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE; WITH REMOVAL OF FOREIGN BODY OR CALCULU",,,1689.43,15106.88,34
RC,360,REOPENING OF RECENT LAPAROTOMY,,,1847.9,8280.0,10
RC,360,"REPAIR AND RECONSTRUCTION, FINGER, VOLAR PLATE, INTERPHALANGEAL JOINT",,,1088.27,9772.7,34
RC,360,"REPAIR BLOOD VESSEL, DIRECT; HAND, FINGER",,,1118.22,9893.47,34
RC,360,"REPAIR BLOOD VESSEL, DIRECT; LOWER EXTREMITY",,,675.79,8280.0,30
RC,360,"REPAIR BLOOD VESSEL, DIRECT; UPPER EXTREMITY",,,3013.28,9893.47,30
RC,360,REPAIR FISTULA; OROMAXILLARY (COMBINE WITH 31030 IF ANTROTOMY IS INCLUDED),,,1954.22,17316.39,34
RC,360,REPAIR FISTULA; ORONASAL,,,1954.22,17316.39,34
RC,360,"REPAIR INITIAL FEMORAL HERNIA, ANY AGE; INCARCERATED OR STRANGULATED",,,1151.54,12700.0,34
RC,360,"REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED",,,1151.54,12700.0,34
RC,360,"REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE",,,1151.54,11100.34,34
RC,360,"REPAIR LATERAL COLLATERAL LIGAMENT, ELBOW, WITH LOCAL TISSUE",,,1088.27,9772.7,33
RC,360,"REPAIR LIP, FULL THICKNESS; OVER ONE-HALF VERTICAL HEIGHT, OR COMPLEX",,,420.64,7168.0,33
RC,360,"REPAIR LIP, FULL THICKNESS; VERMILION ONLY",,,187.22,7168.0,33
RC,360,REPAIR LUMBAR HERNIA,,,1888.85,17256.34,34
RC,360,"REPAIR NON-UNION, METACARPAL OR PHALANX (INCLUDES OBTAINING BONE GRAFT WITH OR WITHOUT EXTERNAL OR INTERNAL FIXATION)",,,2398.52,21355.56,34
RC,360,"REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE, EPIGASTRIC, INCISIONAL, VENTRAL, UMBILICAL, SPIGELIAN), ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), INITIAL, INCLUDING IMPLANTATION OF MESH OR OTHER PRO",,,1151.54,18607.38,175
RC,360,"REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE, EPIGASTRIC, INCISIONAL, VENTRAL, UMBILICAL, SPIGELIAN), ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), RECURRENT, INCLUDING IMPLANTATION OF MESH OR OTHER P",,,1559.8,18607.38,129
RC,360,"REPAIR OF ANTERIOR PALATE, INCLUDING VOMER FLAP",,,1954.22,17316.39,34
RC,360,"REPAIR OF BLEPHAROPTOSIS; (TARSO) LEVATOR RESECTION OR ADVANCEMENT, EXTERNAL APPROACH",,,698.3,7886.0,34
RC,360,"REPAIR OF BLEPHAROPTOSIS; FRONTALIS MUSCLE TECHNIQUE WITH SUTURE OR OTHER MATERIAL (EG, BANKED FASCIA)",,,698.3,8674.0,34
RC,360,"REPAIR OF BROW PTOSIS (SUPRACILIARY, MID-FOREHEAD OR CORONAL APPROACH)",,,698.3,7886.0,34
RC,360,"REPAIR OF CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT OR PUMP, CENTRAL OR PERIPHERAL INSERTION SITE",,,446.27,5823.13,34
RC,360,"REPAIR OF COLLATERAL LIGAMENT, METACARPOPHALANGEAL OR INTERPHALANGEAL JOINT",,,1088.27,9772.7,34
RC,360,"REPAIR OF COMPLEX RETINAL DETACHMENT (EG, PROLIFERATIVE VITREORETINOPATHY, STAGE C-1 OR GREATER, DIABETIC TRACTION RETINAL DETACHMENT, RETINOPATHY OF PREMATURITY, RETINAL TEAR OF GREATER THAN 90 DEGRE",,,1533.49,13631.44,33
RC,360,"REPAIR OF COMPONENT(S) OF A MULTI-COMPONENT, INFLATABLE PENILE PROSTHESIS",,,2763.0,15106.88,31
RC,360,"REPAIR OF ECTROPION; EXTENSIVE (EG, TARSAL STRIP OPERATIONS)",,,698.3,7886.0,34
RC,360,REPAIR OF ECTROPION; SUTURE,,,698.3,7168.0,34
RC,360,"REPAIR OF ENCEPHALOCELE, SKULL VAULT, INCLUDING CRANIOPLASTY",,,2546.0,8280.0,10
RC,360,"REPAIR OF ENTEROCELE, ABDOMINAL APPROACH (SEPARATE PROCEDURE)",,,1402.67,8280.0,10
RC,360,"REPAIR OF ENTEROCELE, VAGINAL APPROACH (SEPARATE PROCEDURE)",,,1526.99,15249.4,34
RC,360,REPAIR OF ENTROPION; EXCISION TARSAL WEDGE,,,698.3,7886.0,34
RC,360,"REPAIR OF ENTROPION; EXTENSIVE (EG, TARSAL STRIP OR CAPSULOPALPEBRAL FASCIA REPAIRS OPERATION)",,,698.3,7886.0,34
RC,360,REPAIR OF ENTROPION; THERMOCAUTERIZATION,,,192.14,8280.0,33
RC,360,"REPAIR OF EXTENSOR TENDON, CENTRAL SLIP, SECONDARY (EG, BOUTONNIERE DEFORMITY); USING LOCAL TISSUE(S), INCLUDING LATERAL BAND(S), EACH FINGER",,,1088.27,9772.7,34
RC,360,"REPAIR OF EXTENSOR TENDON, CENTRAL SLIP, SECONDARY (EG, BOUTONNIERE DEFORMITY); WITH FREE GRAFT (INCLUDES OBTAINING GRAFT), EACH FINGER",,,1088.27,9772.7,34
RC,360,"REPAIR OF EXTENSOR TENDON, DISTAL INSERTION, PRIMARY OR SECONDARY; WITH FREE GRAFT (INCLUDES OBTAINING GRAFT)",,,1088.27,9772.7,34
RC,360,"REPAIR OF EXTENSOR TENDON, DISTAL INSERTION, PRIMARY OR SECONDARY; WITHOUT GRAFT (EG, MALLET FINGER)",,,1088.27,9772.7,34
RC,360,"REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX",,,87.58,4779.0,34
RC,360,"REPAIR OF LACERATION; CONJUNCTIVA, WITH OR WITHOUT NONPERFORATING LACERATION SCLERA, DIRECT CLOSURE",,,698.3,6908.66,34
RC,360,"REPAIR OF LACERATION; CORNEA AND/OR SCLERA, PERFORATING, NOT INVOLVING UVEAL TISSUE",,,1533.49,13631.44,34
RC,360,"REPAIR OF LACERATION; CORNEA AND/OR SCLERA, PERFORATING, WITH REPOSITION OR RESECTION OF UVEAL TISSUE",,,1533.49,13631.44,34
RC,360,"REPAIR OF LACERATION; CORNEA, NONPERFORATING, WITH OR WITHOUT REMOVAL FOREIGN BODY",,,1103.42,11163.6,34
RC,360,REPAIR OF NAIL BED,,,105.2,2107.0,33
RC,360,"REPAIR OF NASAL VALVE COLLAPSE WITH LOW ENERGY, TEMPERATURE-CONTROLLED (IE, RADIOFREQUENCY) SUBCUTANEOUS/SUBMUCOSAL REMODELING",,,2843.09,19062.62,33
RC,360,"REPAIR OF NASAL VESTIBULAR STENOSIS (EG, SPREADER GRAFTING, LATERAL NASAL WALL RECONSTRUCTION)",,,1954.22,17316.39,34
RC,360,"REPAIR OF NONUNION OR MALUNION, HUMERUS; WITH ILIAC OR OTHER AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,3410.0,42485.53,34
RC,360,"REPAIR OF NONUNION OR MALUNION, HUMERUS; WITHOUT GRAFT (EG, COMPRESSION TECHNIQUE)",,,2763.0,42485.53,34
RC,360,"REPAIR OF NONUNION OR MALUNION, RADIUS AND ULNA; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,3410.0,21355.56,34
RC,360,"REPAIR OF NONUNION OR MALUNION, RADIUS OR ULNA; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,3310.55,21355.56,34
RC,360,"REPAIR OF NONUNION OR MALUNION, RADIUS OR ULNA; WITHOUT GRAFT (EG, COMPRESSION TECHNIQUE)",,,2763.0,21355.56,34
RC,360,"REPAIR OF NONUNION OR MALUNION, TIBIA; WITH ILIAC OR OTHER AUTOGRAFT (INCLUDES OBTAINING GRAFT)",,,2222.47,15671.95,29
RC,360,"REPAIR OF NONUNION OR MALUNION, TIBIA; WITHOUT GRAFT, (EG, COMPRESSION TECHNIQUE)",,,3466.1,21355.56,33
RC,360,"REPAIR OF PARASTOMAL HERNIA, ANY APPROACH (IE, OPEN, LAPAROSCOPIC, ROBOTIC), INITIAL OR RECURRENT, INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS, WHEN PERFORMED; REDUCIBLE",,,1346.63,10140.0,10
RC,360,REPAIR OF RECTOCELE (SEPARATE PROCEDURE),,,939.93,8368.72,34
RC,360,"REPAIR OF RETINAL DETACHMENT; WITH VITRECTOMY, ANY METHOD, INCLUDING, WHEN PERFORMED, AIR OR GAS TAMPONADE, FOCAL ENDOLASER PHOTOCOAGULATION, CRYOTHERAPY, DRAINAGE OF SUBRETINAL FLUID, SCLERAL BUCKLIN",,,1533.49,13631.44,34
RC,360,"REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF (EG, ROTATOR CUFF) OPEN; ACUTE",,,2398.52,21355.56,34
RC,360,"REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF (EG, ROTATOR CUFF) OPEN; CHRONIC",,,2398.52,21355.56,36
RC,360,REPAIR OF RUPTURED SPLEEN (SPLENORRHAPHY) WITH OR WITHOUT PARTIAL SPLENECTOMY,,,2255.96,8280.0,10
RC,360,"REPAIR OF SYMBLEPHARON; CONJUNCTIVOPLASTY, WITHOUT GRAFT",,,849.94,7886.0,34
RC,360,"REPAIR OF SYMBLEPHARON; DIVISION OF SYMBLEPHARON, WITH OR WITHOUT INSERTION OF CONFORMER OR CONTACT LENS",,,698.3,7886.0,34
RC,360,REPAIR OF SYMBLEPHARON; WITH FREE GRAFT CONJUNCTIVA OR BUCCAL MUCOUS MEMBRANE (INCLUDES OBTAINING GRAFT),,,1103.42,11163.6,34
RC,360,REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; WITH SKIN FLAPS,,,593.04,4838.74,34
RC,360,REPAIR OF TRAUMATIC CORPOREAL TEAR(S),,,1142.9,10776.19,33
RC,360,"REPAIR OR ADVANCEMENT OF PROFUNDUS TENDON, WITH INTACT SUPERFICIALIS TENDON; PRIMARY, EACH TENDON",,,1088.27,9772.7,34
RC,360,"REPAIR OR ADVANCEMENT OF PROFUNDUS TENDON, WITH INTACT SUPERFICIALIS TENDON; SECONDARY WITH FREE GRAFT (INCLUDES OBTAINING GRAFT), EACH TENDON",,,2398.52,21355.56,34
RC,360,"REPAIR OR ADVANCEMENT, FLEXOR TENDON, IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH (EG, NO MAN'S LAND); PRIMARY, WITHOUT FREE GRAFT, EACH TENDON",,,1088.27,9772.7,34
RC,360,"REPAIR OR ADVANCEMENT, FLEXOR TENDON, IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH (EG, NO MAN'S LAND); SECONDARY, WITHOUT FREE GRAFT, EACH TENDON",,,1088.27,9772.7,34
RC,360,"REPAIR OR ADVANCEMENT, FLEXOR TENDON, NOT IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH (EG, NO MAN'S LAND); PRIMARY OR SECONDARY WITHOUT FREE GRAFT, EACH TENDON",,,1088.27,9772.7,34
RC,360,"REPAIR OR ADVANCEMENT, FLEXOR TENDON, NOT IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH (EG, NO MAN'S LAND); SECONDARY WITH FREE GRAFT (INCLUDES OBTAINING GRAFT), EACH TENDON",,,2398.52,21355.56,34
RC,360,REPAIR OVAL WINDOW FISTULA,,,886.62,9350.87,34
RC,360,"REPAIR RECURRENT INGUINAL HERNIA, ANY AGE; INCARCERATED OR STRANGULATED",,,1151.54,18741.87,34
RC,360,"REPAIR RECURRENT INGUINAL HERNIA, ANY AGE; REDUCIBLE",,,1151.54,11100.34,34
RC,360,REPAIR ROUND WINDOW FISTULA,,,886.62,9350.87,34
RC,360,"REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 1.1 CM TO 2.5 CM",,,216.8,7168.0,33
RC,360,"REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 2.6 CM TO 7.5 CM",,,216.8,7168.0,33
RC,360,"REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; 1.1 CM TO 2.5 CM",,,143.08,4779.0,33
RC,360,"REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; 2.6 CM TO 7.5 CM",,,216.8,7168.0,33
RC,360,"REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; 1.1 CM TO 2.5 CM",,,216.8,4779.0,33
RC,360,"REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; 2.6 CM TO 7.5 CM",,,216.8,7168.0,33
RC,360,"REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"REPAIR, COMPLEX, TRUNK; 1.1 CM TO 2.5 CM",,,216.8,4779.0,33
RC,360,"REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM",,,216.8,7168.0,33
RC,360,"REPAIR, COMPLEX, TRUNK; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"REPAIR, DISLOCATING PERONEAL TENDONS; WITHOUT FIBULAR OSTEOTOMY",,,1088.27,9772.7,34
RC,360,"REPAIR, EXTENSOR TENDON, FINGER, PRIMARY OR SECONDARY; WITH FREE GRAFT (INCLUDES OBTAINING GRAFT) EACH TENDON",,,1088.27,9772.7,34
RC,360,"REPAIR, EXTENSOR TENDON, FINGER, PRIMARY OR SECONDARY; WITHOUT FREE GRAFT, EACH TENDON",,,593.04,7886.0,34
RC,360,"REPAIR, EXTENSOR TENDON, HAND, PRIMARY OR SECONDARY; WITHOUT FREE GRAFT, EACH TENDON",,,593.04,7168.0,34
RC,360,"REPAIR, EXTENSOR TENDON, LEG; PRIMARY, WITHOUT GRAFT, EACH TENDON",,,2398.52,21355.56,34
RC,360,"REPAIR, FLEXOR TENDON, LEG; PRIMARY, WITHOUT GRAFT, EACH TENDON",,,1088.27,9772.7,34
RC,360,"REPAIR, FLEXOR TENDON, LEG; SECONDARY, WITH OR WITHOUT GRAFT, EACH TENDON",,,2398.52,21355.56,34
RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 12.6 CM TO 20.0 CM",,,143.08,4779.0,33
RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 2.5 CM OR LESS",,,111.0,2107.0,33
RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 2.6 CM TO 5.0 CM",,,111.0,2107.0,33
RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 5.1 CM TO 7.5 CM",,,111.0,2107.0,33
RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 12.6 CM TO 20.0 CM",,,216.8,4779.0,33
RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 2.5 CM OR LESS",,,111.0,2107.0,33
RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 2.6 CM TO 7.5 CM",,,111.0,2107.0,33
RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 7.6 CM TO 12.5 CM",,,216.8,4779.0,33
RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; OVER 30.0 CM",,,709.01,5793.18,33
RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 12.6 CM TO 20.0 CM",,,143.08,4779.0,33
RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 2.5 CM OR LESS",,,111.0,2107.0,33
RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 2.6 CM TO 7.5 CM",,,111.0,2107.0,33
RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 20.1 CM TO 30.0 CM",,,216.8,4779.0,33
RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); 7.6 CM TO 12.5 CM",,,143.08,4779.0,33
RC,360,"REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HANDS AND FEET); OVER 30.0 CM",,,709.01,5793.18,33
RC,360,"REPAIR, INTRINSIC MUSCLES OF HAND, EACH MUSCLE",,,1088.27,9772.7,34
RC,360,"REPAIR, LACERATION OF DIAPHRAGM, ANY APPROACH",,,1501.33,8280.0,10
RC,360,"REPAIR, LACERATION OF PALATE; UP TO 2 CM",,,187.22,4345.0,33
RC,360,"REPAIR, NONUNION OR MALUNION, FEMUR, DISTAL TO HEAD AND NECK; WITH ILIAC OR OTHER AUTOGENOUS BONE GRAFT (INCLUDES OBTAINING GRAFT)",,,2218.19,15671.95,29
RC,360,"REPAIR, NONUNION OR MALUNION, FEMUR, DISTAL TO HEAD AND NECK; WITHOUT GRAFT (EG, COMPRESSION TECHNIQUE)",,,2067.16,15671.95,29
RC,360,"REPAIR, NONUNION OR MALUNION; TARSAL BONES",,,3410.0,42485.53,34
RC,360,"REPAIR, PRIMARY, DISRUPTED LIGAMENT, ANKLE; COLLATERAL",,,2416.0,21355.56,34
RC,360,"REPAIR, PRIMARY, OPEN OR PERCUTANEOUS, RUPTURED ACHILLES TENDON;",,,2398.52,21355.56,36
RC,360,"REPAIR, SECONDARY, DISRUPTED LIGAMENT, ANKLE, COLLATERAL (EG, WATSON-JONES PROCEDURE)",,,2416.0,21355.56,34
RC,360,"REPAIR, TENDON OR MUSCLE, EXTENSOR, FOREARM AND/OR WRIST; PRIMARY, SINGLE, EACH TENDON OR MUSCLE",,,1088.27,9772.7,34
RC,360,"REPAIR, TENDON OR MUSCLE, FLEXOR, FOREARM AND/OR WRIST; PRIMARY, SINGLE, EACH TENDON OR MUSCLE",,,1088.27,9772.7,34
RC,360,"REPAIR, TENDON OR MUSCLE, UPPER ARM OR ELBOW, EACH TENDON OR MUSCLE, PRIMARY OR SECONDARY (EXCLUDES ROTATOR CUFF)",,,2398.52,21355.56,34
RC,360,"REPAIR, TENDON, FLEXOR, FOOT; PRIMARY OR SECONDARY, WITHOUT FREE GRAFT, EACH TENDON",,,1088.27,9772.7,34
RC,360,"REPLACEMENT OF DUODENOSTOMY OR JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,334.95,4345.0,33
RC,360,"REPLACEMENT OF GASTRO-JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,334.95,4345.0,33
RC,360,"REPLACEMENT OF GASTROSTOMY TUBE, PERCUTANEOUS, INCLUDES REMOVAL, WHEN PERFORMED, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE; NOT REQUIRING REVISION OF GASTROSTOMY TRACT",,,110.15,4345.0,33
RC,360,REPLACEMENT OF TISSUE EXPANDER WITH PERMANENT IMPLANT,,,2763.0,21355.56,34
RC,360,"REPLACEMENT OR IRRIGATION, VENTRICULAR CATHETER",,,1804.0,19667.17,34
RC,360,"REPLACEMENT, COMPLETE, OF A TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT, THROUGH SAME VENOUS ACCESS",,,1118.22,9893.47,34
RC,360,"REPLACEMENT, COMPLETE, OF A TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP, THROUGH SAME VENOUS ACCESS",,,1477.77,9893.47,34
RC,360,"REPLANTATION, DIGIT, EXCLUDING THUMB (INCLUDES DISTAL TIP TO SUBLIMIS TENDON INSERTION), COMPLETE AMPUTATION",,,593.04,7168.0,33
RC,360,"REPOSITIONING OF A NASO- OR ORO-GASTRIC FEEDING TUBE, THROUGH THE DUODENUM FOR ENTERIC NUTRITION",,,110.15,4345.0,34
RC,360,"RESECTION (INITIAL) OF OVARIAN, TUBAL OR PRIMARY PERITONEAL MALIGNANCY WITH BILATERAL SALPINGO-OOPHORECTOMY AND OMENTECTOMY;",,,2008.07,8280.0,10
RC,360,"RESECTION OF LIP, MORE THAN ONE-FOURTH, WITHOUT RECONSTRUCTION",,,886.62,9350.87,34
RC,360,RESECTION OF PALATE OR EXTENSIVE RESECTION OF LESION,,,1954.22,17316.39,34
RC,360,"RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF BASE OF POSTERIOR CRANIAL FOSSA, JUGULAR FORAMEN, FORAMEN MAGNUM, OR C1-C3 VERTEBRAL BODIES; INTRADURAL, INCLUDING DURAL REPAIR, W",,,2546.0,12518.56,10
RC,360,"RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF INFRATEMPORAL FOSSA, PARAPHARYNGEAL SPACE, PETROUS APEX; EXTRADURAL",,,2546.0,8280.0,10
RC,360,"RESECTION TEMPORAL BONE, EXTERNAL APPROACH",,,2546.0,9869.48,10
RC,360,"RESECTION, DIAPHRAGM; WITH SIMPLE REPAIR (EG, PRIMARY SUTURE)",,,1411.81,8280.0,10
RC,360,"RESECTION, HUMERAL HEAD",,,2398.52,21355.56,34
RC,360,"REVISION (INCLUDING REMOVAL) OF PROSTHETIC VAGINAL GRAFT, LAPAROSCOPIC APPROACH",,,2276.8,23931.85,33
RC,360,REVISION (INCLUDING REMOVAL) OF PROSTHETIC VAGINAL GRAFT; VAGINAL APPROACH,,,1063.52,8918.22,33
RC,360,"REVISION INCLUDING REPLACEMENT, WHEN PERFORMED, OF SPINAL NEUROSTIMULATOR ELECTRODE PLATE/PADDLE(S) PLACED VIA LAMINOTOMY OR LAMINECTOMY, INCLUDING FLUOROSCOPY, WHEN PERFORMED",,,7423.93,68827.53,33
RC,360,"REVISION OF ARTHROPLASTY, INCLUDING REMOVAL OF IMPLANT, WRIST JOINT",,,2398.52,21355.56,34
RC,360,REVISION OF COLOSTOMY; COMPLICATED (RECONSTRUCTION IN-DEPTH) (SEPARATE PROCEDURE),,,1853.98,8280.0,29
RC,360,REVISION OF COLOSTOMY; SIMPLE (RELEASE OF SUPERFICIAL SCAR) (SEPARATE PROCEDURE),,,1457.62,10628.93,34
RC,360,REVISION OF COLOSTOMY; WITH REPAIR OF PARACOLOSTOMY HERNIA (SEPARATE PROCEDURE),,,2087.25,8280.0,29
RC,360,"REVISION OF GASTROJEJUNAL ANASTOMOSIS (GASTROJEJUNOSTOMY) WITH RECONSTRUCTION, WITH OR WITHOUT PARTIAL GASTRECTOMY OR INTESTINE RESECTION; WITHOUT VAGOTOMY",,,2546.0,8280.0,10
RC,360,REVISION OF ILEOSTOMY; SIMPLE (RELEASE OF SUPERFICIAL SCAR) (SEPARATE PROCEDURE),,,1457.62,10628.93,34
RC,360,"REVISION OF PERI-IMPLANT CAPSULE, BREAST, INCLUDING CAPSULOTOMY, CAPSULORRHAPHY, AND/OR PARTIAL CAPSULECTOMY",,,963.66,10815.49,34
RC,360,"REVISION OF RECONSTRUCTED BREAST (EG, SIGNIFICANT REMOVAL OF TISSUE, RE-ADVANCEMENT AND/OR RE-INSET OF FLAPS IN AUTOLOGOUS RECONSTRUCTION OR SIGNIFICANT CAPSULAR REVISION COMBINED WITH SOFT TISSUE EXC",,,1845.21,18697.13,34
RC,360,"REVISION OF TOTAL ELBOW ARTHROPLASTY, INCLUDING ALLOGRAFT WHEN PERFORMED; HUMERAL AND ULNAR COMPONENT",,,7038.0,56927.51,33
RC,360,"REVISION OF TOTAL ELBOW ARTHROPLASTY, INCLUDING ALLOGRAFT WHEN PERFORMED; HUMERAL OR ULNAR COMPONENT",,,6614.18,42485.53,33
RC,360,"REVISION OF TOTAL HIP ARTHROPLASTY; ACETABULAR COMPONENT ONLY, WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT",,,2587.29,29741.0,31
RC,360,"REVISION OF TOTAL HIP ARTHROPLASTY; BOTH COMPONENTS, WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT",,,3366.89,29741.0,31
RC,360,"REVISION OF TOTAL HIP ARTHROPLASTY; FEMORAL COMPONENT ONLY, WITH OR WITHOUT ALLOGRAFT",,,2688.4,29741.0,31
RC,360,"REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; 1 COMPONENT",,,2469.14,27728.96,29
RC,360,"REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; FEMORAL AND ENTIRE TIBIAL COMPONENT",,,3089.76,37869.5,31
RC,360,"REVISION OF TOTAL SHOULDER ARTHROPLASTY, INCLUDING ALLOGRAFT WHEN PERFORMED; HUMERAL AND GLENOID COMPONENT",,,3077.59,27728.96,29
RC,360,"REVISION OF TOTAL SHOULDER ARTHROPLASTY, INCLUDING ALLOGRAFT WHEN PERFORMED; HUMERAL OR GLENOID COMPONENT",,,7038.0,42485.53,30
RC,360,REVISION OF TRACHEOSTOMY SCAR,,,886.62,9350.87,34
RC,360,REVISION OF URINARY-CUTANEOUS ANASTOMOSIS (ANY TYPE UROSTOMY);,,,1142.9,10776.19,33
RC,360,REVISION OR REMOVAL OF CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER,,,1804.0,33745.27,34
RC,360,"REVISION OR REMOVAL OF IMPLANTED SPINAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, WITH DETACHABLE CONNECTION TO ELECTRODE ARRAY",,,1804.0,11240.15,34
RC,360,REVISION OR REMOVAL OF INTRACRANIAL NEUROSTIMULATOR ELECTRODES,,,1499.71,11240.15,33
RC,360,REVISION OR REMOVAL OF PERIPHERAL NEUROSTIMULATOR ELECTRODE ARRAY,,,1499.71,11240.15,34
RC,360,"REVISION OR REMOVAL OF PERIPHERAL, SACRAL, OR GASTRIC NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, WITH DETACHABLE CONNECTION TO ELECTRODE ARRAY",,,1804.0,11240.15,34
RC,360,"REVISION OR REPLACEMENT OF HYPOGLOSSAL NERVE NEUROSTIMULATOR ARRAY AND DISTAL RESPIRATORY SENSOR ELECTRODE OR ELECTRODE ARRAY, INCLUDING CONNECTION TO EXISTING PULSE GENERATOR",,,6472.62,40995.67,33
RC,360,REVISION OR REPLACEMENT OF SKULL-MOUNTED CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER WITH CONNECTION TO DEPTH AND/OR CORTICAL STRIP ELECTRODE ARRAY(S),,,16062.0,66646.37,23
RC,360,"REVISION, FEMORAL ANASTOMOSIS OF SYNTHETIC ARTERIAL BYPASS GRAFT IN GROIN, OPEN; WITH AUTOGENOUS VEIN PATCH GRAFT",,,5310.35,16408.4,30
RC,360,"REVISION, OPEN, ARTERIOVENOUS FISTULA; WITH THROMBECTOMY, AUTOGENOUS OR NONAUTOGENOUS DIALYSIS GRAFT (SEPARATE PROCEDURE)",,,1939.15,16408.4,34
RC,360,RHINECTOMY; PARTIAL,,,1954.22,17316.39,34
RC,360,RHINECTOMY; TOTAL,,,1954.22,17316.39,34
RC,360,"RHINOPLASTY FOR NASAL DEFORMITY SECONDARY TO CONGENITAL CLEFT LIP AND/OR PALATE, INCLUDING COLUMELLAR LENGTHENING; TIP, SEPTUM, OSTEOTOMIES",,,1954.22,17316.39,34
RC,360,"RHINOPLASTY, PRIMARY; COMPLETE, EXTERNAL PARTS INCLUDING BONY PYRAMID, LATERAL AND ALAR CARTILAGES, AND/OR ELEVATION OF NASAL TIP",,,1954.22,17316.39,34
RC,360,"RHINOPLASTY, PRIMARY; INCLUDING MAJOR SEPTAL REPAIR",,,1954.22,17316.39,34
RC,360,"RHINOPLASTY, SECONDARY; MAJOR REVISION (NASAL TIP WORK AND OSTEOTOMIES)",,,1954.22,17316.39,34
RC,360,"RHINOPLASTY, SECONDARY; MINOR REVISION (SMALL AMOUNT OF NASAL TIP WORK)",,,1954.22,17316.39,34
RC,360,RHYTIDECTOMY; FOREHEAD,,,709.01,7168.0,34
RC,360,"RHYTIDECTOMY; NECK WITH PLATYSMAL TIGHTENING (PLATYSMAL FLAP, P-FLAP)",,,1457.62,10628.93,34
RC,360,RHYTIDECTOMY; SUPERFICIAL MUSCULOAPONEUROTIC SYSTEM (SMAS) FLAP,,,1457.62,10628.93,34
RC,360,"SALPINGECTOMY, COMPLETE OR PARTIAL, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE)",,,1362.46,8280.0,10
RC,360,"SALPINGO-OOPHORECTOMY, COMPLETE OR PARTIAL, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE)",,,1298.51,8568.0,10
RC,360,"SCAPULOPEXY (EG, SPRENGELS DEFORMITY OR FOR PARALYSIS)",,,2398.52,21355.56,34
RC,360,"SCLEROTHERAPY OF A FLUID COLLECTION (EG, LYMPHOCELE, CYST, OR SEROMA), PERCUTANEOUS, INCLUDING CONTRAST INJECTION(S), SCLEROSANT INJECTION(S), DIAGNOSTIC STUDY, IMAGING GUIDANCE (EG, ULTRASOUND, FLUOR",,,1030.92,10495.0,30
RC,360,SCROTAL EXPLORATION,,,1142.9,10776.19,34
RC,360,"SECONDARY CLOSURE OF SURGICAL WOUND OR DEHISCENCE, EXTENSIVE OR COMPLICATED",,,709.01,7653.72,34
RC,360,"SELECTIVE CATHETER PLACEMENT, INTERNAL CAROTID ARTERY, UNILATERAL, WITH ANGIOGRAPHY OF THE IPSILATERAL INTRACRANIAL CAROTID CIRCULATION AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND INTERPRETATION, ",,,5310.35,16408.4,30
RC,360,"SELECTIVE CATHETER PLACEMENT, VERTEBRAL ARTERY, UNILATERAL, WITH ANGIOGRAPHY OF THE IPSILATERAL VERTEBRAL CIRCULATION AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND INTERPRETATION, INCLUDES ANGIOGRAP",,,5310.35,16408.4,30
RC,360,"SEPTOPLASTY OR SUBMUCOUS RESECTION, WITH OR WITHOUT CARTILAGE SCORING, CONTOURING OR REPLACEMENT WITH GRAFT",,,886.62,9350.87,34
RC,360,"SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), SHAFT OR DISTAL HUMERUS",,,2398.52,21355.56,34
RC,360,"SESAMOIDECTOMY, FIRST TOE (SEPARATE PROCEDURE)",,,1088.27,9772.7,34
RC,360,"SESAMOIDECTOMY, THUMB OR FINGER (SEPARATE PROCEDURE)",,,593.04,7886.0,34
RC,360,"SHORTENING OF TENDON, EXTENSOR, HAND OR FINGER, EACH TENDON",,,1088.27,9772.7,34
RC,360,"SIALOLITHOTOMY; SUBMANDIBULAR (SUBMAXILLARY), COMPLICATED, INTRAORAL",,,252.76,7975.81,33
RC,360,"SIALOLITHOTOMY; SUBMANDIBULAR (SUBMAXILLARY), SUBLINGUAL OR PAROTID, UNCOMPLICATED, INTRAORAL",,,121.82,8280.0,33
RC,360,"SIGMOIDOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,130.67,4345.0,33
RC,360,"SIGMOIDOSCOPY, FLEXIBLE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,429.26,7886.0,33
RC,360,"SIGMOIDOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE",,,328.5,4345.0,33
RC,360,"SIGMOIDOSCOPY, FLEXIBLE; WITH CONTROL OF BLEEDING, ANY METHOD",,,429.26,4345.0,34
RC,360,"SIGMOIDOSCOPY, FLEXIBLE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION",,,328.5,4345.0,34
RC,360,"SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF FOREIGN BODY(S)",,,429.26,4345.0,33
RC,360,"SIGMOIDOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC BALLOON DILATION",,,429.26,4345.0,34
RC,360,"SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANES; 2.5 CM OR LESS",,,111.0,2107.0,30
RC,360,"SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 12.6 CM TO 20.0 CM",,,143.08,4779.0,33
RC,360,"SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 2.5 CM OR LESS",,,111.0,2107.0,30
RC,360,"SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 2.6 CM TO 7.5 CM",,,111.0,2107.0,30
RC,360,"SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 20.1 CM TO 30.0 CM",,,143.08,4779.0,33
RC,360,"SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK AND/OR EXTREMITIES (INCLUDING HANDS AND FEET); 7.6 CM TO 12.5 CM",,,111.0,2107.0,30
RC,360,"SINUSOTOMY FRONTAL; EXTERNAL, SIMPLE (TREPHINE OPERATION)",,,1954.22,17316.39,34
RC,360,"SINUSOTOMY FRONTAL; OBLITERATIVE WITHOUT OSTEOPLASTIC FLAP, BROW INCISION (INCLUDES ABLATION)",,,1954.22,17316.39,34
RC,360,"SINUSOTOMY FRONTAL; OBLITERATIVE, WITH OSTEOPLASTIC FLAP, CORONAL INCISION",,,2767.16,17316.39,34
RC,360,"SINUSOTOMY FRONTAL; TRANSORBITAL, UNILATERAL (FOR MUCOCELE OR OSTEOMA, LYNCH TYPE)",,,1954.22,17316.39,34
RC,360,"SINUSOTOMY, MAXILLARY (ANTROTOMY); RADICAL (CALDWELL-LUC) WITH REMOVAL OF ANTROCHOANAL POLYPS",,,1954.22,17316.39,34
RC,360,"SINUSOTOMY, MAXILLARY (ANTROTOMY); RADICAL (CALDWELL-LUC) WITHOUT REMOVAL OF ANTROCHOANAL POLYPS",,,1954.22,17316.39,34
RC,360,"SLING OPERATION FOR CORRECTION OF MALE URINARY INCONTINENCE (EG, FASCIA OR SYNTHETIC)",,,2416.0,31800.16,34
RC,360,"SLING OPERATION FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC)",,,2067.78,15249.4,34
RC,360,"SLITTING OF PREPUCE, DORSAL OR LATERAL (SEPARATE PROCEDURE); EXCEPT NEWBORN",,,652.8,6324.43,34
RC,360,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; WITH BIOPSY, SINGLE OR MULTIPLE",,,564.97,5559.92,34
RC,360,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH CONVERSION OF PERCUTANEOUS GASTROSTOMY TUBE TO PERCUTANEOUS JEJUNOSTOMY TUBE",,,564.97,5559.92,34
RC,360,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY",,,564.97,5559.92,34
RC,360,"SMEAR, PRIMARY SOURCE WITH INTERPRETATION; FLUORESCENT AND/OR ACID FAST STAIN FOR BACTERIA, FUNGI, PARASITES, VIRUSES OR CELL TYPES",,,4.53,27.81,30
RC,360,SNIP INCISION OF LACRIMAL PUNCTUM,,,54.26,4345.0,33
RC,360,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE OR PROLAPSE; ADULT",,,939.93,8368.72,34
RC,360,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; LEVATOR MUSCLE IMBRICATION (PARK POSTERIOR ANAL REPAIR)",,,939.93,8368.72,34
RC,360,"SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; MUSCLE TRANSPLANT",,,939.93,8368.72,34
RC,360,"SPHINCTEROTOMY, ANAL, DIVISION OF SPHINCTER (SEPARATE PROCEDURE)",,,939.93,8368.72,34
RC,360,"SPLIT-THICKNESS AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS; FIRST 100 SQ CM OR LESS, OR 1% OF BODY AREA OF INFANTS AND CHILDREN (EXCEPT ",,,1457.62,10628.93,34
RC,360,"SPLIT-THICKNESS AUTOGRAFT, TRUNK, ARMS, LEGS; EACH ADDITIONAL 100 SQ CM, OR EACH ADDITIONAL 1% OF BODY AREA OF INFANTS AND CHILDREN, OR PART THEREOF (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PR",,,1896.0,2763.0,4
RC,360,"SPLIT-THICKNESS AUTOGRAFT, TRUNK, ARMS, LEGS; FIRST 100 SQ CM OR LESS, OR 1% OF BODY AREA OF INFANTS AND CHILDREN (EXCEPT 15050)",,,709.01,5793.18,34
RC,360,"STAPEDECTOMY OR STAPEDOTOMY WITH REESTABLISHMENT OF OSSICULAR CONTINUITY, WITH OR WITHOUT USE OF FOREIGN MATERIAL;",,,1954.22,17316.39,34
RC,360,"STEREOTACTIC COMPUTER-ASSISTED (NAVIGATIONAL) PROCEDURE; CRANIAL, EXTRADURAL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,"STEREOTACTIC COMPUTER-ASSISTED (NAVIGATIONAL) PROCEDURE; CRANIAL, INTRADURAL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,360,STEREOTACTIC COMPUTER-ASSISTED (NAVIGATIONAL) PROCEDURE; SPINAL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,1896.0,2107.0,3
RC,360,STERNAL DEBRIDEMENT,,,943.44,10140.0,29
RC,360,"STUMP ELONGATION, UPPER EXTREMITY",,,6924.82,21355.56,30
RC,360,SUBCONJUNCTIVAL INJECTION,,,111.0,2107.0,30
RC,360,"SUBMUCOUS RESECTION INFERIOR TURBINATE, PARTIAL OR COMPLETE, ANY METHOD",,,886.62,9350.87,34
RC,360,SUCTION ASSISTED LIPECTOMY; HEAD AND NECK,,,2763.0,10628.93,31
RC,360,SUCTION ASSISTED LIPECTOMY; LOWER EXTREMITY,,,2763.0,10628.93,31
RC,360,SUCTION ASSISTED LIPECTOMY; TRUNK,,,2763.0,10628.93,31
RC,360,SUCTION ASSISTED LIPECTOMY; UPPER EXTREMITY,,,1969.05,7168.0,31
RC,360,"SUPRACERVICAL ABDOMINAL HYSTERECTOMY (SUBTOTAL HYSTERECTOMY), WITH OR WITHOUT REMOVAL OF TUBE(S), WITH OR WITHOUT REMOVAL OF OVARY(S)",,,1668.22,8280.0,10
RC,360,SUPRAHYOID LYMPHADENECTOMY,,,1845.21,18697.13,33
RC,360,"SURGERY OF ANEURYSM, VASCULAR MALFORMATION OR CAROTID-CAVERNOUS FISTULA; BY INTRA-ARTERIAL EMBOLIZATION, INJECTION PROCEDURE, OR BALLOON CATHETER",,,2546.0,8280.0,10
RC,360,SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WITH PLASTIC REPAIR,,,886.62,9350.87,34
RC,360,SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WITHOUT PLASTIC REPAIR,,,886.62,9350.87,34
RC,360,"SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ESCHAR, OR SCAR (INCLUDING SUBCUTANEOUS TISSUES), OR INCISIONAL RELEASE OF SCAR CONTRACTURE, FACE, SCALP, EYELIDS, M",,,262.63,4779.0,33
RC,360,"SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ESCHAR, OR SCAR (INCLUDING SUBCUTANEOUS TISSUES), OR INCISIONAL RELEASE OF SCAR CONTRACTURE, TRUNK, ARMS, LEGS; EACH",,,1896.0,2107.0,3
RC,360,"SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ESCHAR, OR SCAR (INCLUDING SUBCUTANEOUS TISSUES), OR INCISIONAL RELEASE OF SCAR CONTRACTURE, TRUNK, ARMS, LEGS; FIRS",,,705.32,5793.18,33
RC,360,SURGICAL TECHNIQUES REQUIRING USE OF ROBOTIC SURGICAL SYSTEM (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE),,,1826.96,3859.31,5
RC,360,SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); INTERSPHINCTERIC,,,939.93,8368.72,34
RC,360,SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); SECOND STAGE,,,939.93,8368.72,34
RC,360,SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); SUBCUTANEOUS,,,939.93,8368.72,34
RC,360,"SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); TRANSSPHINCTERIC, SUPRASPHINCTERIC, EXTRASPHINCTERIC OR MULTIPLE, INCLUDING PLACEMENT OF SETON, WHEN PERFORMED",,,939.93,8368.72,34
RC,360,"SURGICAL TREATMENT OF ECTOPIC PREGNANCY; INTERSTITIAL, UTERINE PREGNANCY WITH PARTIAL RESECTION OF UTERUS",,,1551.28,8280.0,10
RC,360,"SURGICAL TREATMENT OF ECTOPIC PREGNANCY; TUBAL OR OVARIAN, REQUIRING SALPINGECTOMY AND/OR OOPHORECTOMY, ABDOMINAL OR VAGINAL APPROACH",,,1403.27,8280.0,10
RC,360,"SUTURE OF 1 NERVE; HAND OR FOOT, COMMON SENSORY NERVE",,,1996.58,19667.17,34
RC,360,"SUTURE OF DIGITAL NERVE, HAND OR FOOT; 1 NERVE",,,659.94,7886.0,34
RC,360,"SUTURE OF DIGITAL NERVE, HAND OR FOOT; EACH ADDITIONAL DIGITAL NERVE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1804.0,2107.0,4
RC,360,SUTURE OF FACIAL NERVE; EXTRACRANIAL,,,1996.58,19667.17,34
RC,360,SUTURE OF INFRAPATELLAR TENDON; PRIMARY,,,1804.0,21355.56,34
RC,360,"SUTURE OF INFRAPATELLAR TENDON; SECONDARY RECONSTRUCTION, INCLUDING FASCIAL OR TENDON GRAFT",,,2763.0,21355.56,34
RC,360,"SUTURE OF LARGE INTESTINE (COLORRHAPHY) FOR PERFORATED ULCER, DIVERTICULUM, WOUND, INJURY OR RUPTURE (SINGLE OR MULTIPLE PERFORATIONS); WITHOUT COLOSTOMY",,,1870.42,8280.0,10
RC,360,"SUTURE OF MAJOR PERIPHERAL NERVE, ARM OR LEG, EXCEPT SCIATIC; WITHOUT TRANSPOSITION",,,1996.58,19667.17,34
RC,360,SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; PRIMARY,,,2398.52,21355.56,34
RC,360,"SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; SECONDARY RECONSTRUCTION, INCLUDING FASCIAL OR TENDON GRAFT",,,2398.52,21355.56,34
RC,360,"SUTURE OF RECENT WOUND, EYELID, INVOLVING LID MARGIN, TARSUS, AND/OR PALPEBRAL CONJUNCTIVA DIRECT CLOSURE; FULL THICKNESS",,,698.3,6908.66,34
RC,360,"SUTURE OF RECENT WOUND, EYELID, INVOLVING LID MARGIN, TARSUS, AND/OR PALPEBRAL CONJUNCTIVA DIRECT CLOSURE; PARTIAL THICKNESS",,,194.07,8674.0,33
RC,360,SUTURE OR REPAIR OF TESTICULAR INJURY,,,1142.9,8636.11,34
RC,360,SUTURE REPAIR OF AORTA OR GREAT VESSELS; WITHOUT SHUNT OR CARDIOPULMONARY BYPASS,,,1860.06,8280.0,10
RC,360,"SYMPATHECTOMY; DIGITAL ARTERIES, EACH DIGIT",,,659.94,8280.0,33
RC,360,SYMPATHECTOMY; RADIAL ARTERY,,,1088.27,9772.7,34
RC,360,SYMPATHECTOMY; ULNAR ARTERY,,,1088.27,9772.7,33
RC,360,"SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST, SINGLE COMPARTMENT;",,,593.04,4838.74,34
RC,360,"SYNOVECTOMY, METACARPOPHALANGEAL JOINT INCLUDING INTRINSIC RELEASE AND EXTENSOR HOOD RECONSTRUCTION, EACH DIGIT",,,1088.27,9772.7,34
RC,360,"SYNOVECTOMY, PROXIMAL INTERPHALANGEAL JOINT, INCLUDING EXTENSOR RECONSTRUCTION, EACH INTERPHALANGEAL JOINT",,,593.04,4838.74,34
RC,360,"SYNOVECTOMY, TENDON SHEATH, RADICAL (TENOSYNOVECTOMY), FLEXOR TENDON, PALM AND/OR FINGER, EACH TENDON",,,593.04,7168.0,34
RC,360,"TANGENTIAL BIOPSY OF SKIN (EG, SHAVE, SCOOP, SAUCERIZE, CURETTE); SINGLE LESION",,,64.23,2107.0,33
RC,360,"TEMPORARY CLOSURE OF EYELIDS BY SUTURE (EG, FROST SUTURE)",,,335.22,4345.0,33
RC,360,"TENDON GRAFT, FROM A DISTANCE (EG, PALMARIS, TOE EXTENSOR, PLANTARIS)",,,3159.44,21355.56,34
RC,360,"TENDON SHEATH INCISION (EG, FOR TRIGGER FINGER)",,,593.04,4838.74,34
RC,360,"TENDON TRANSPLANTATION OR TRANSFER, FLEXOR OR EXTENSOR, FOREARM AND/OR WRIST, SINGLE; EACH TENDON",,,1088.27,9772.7,34
RC,360,"TENDON TRANSPLANTATION OR TRANSFER, FLEXOR OR EXTENSOR, FOREARM AND/OR WRIST, SINGLE; WITH TENDON GRAFT(S) (INCLUDES OBTAINING GRAFT), EACH TENDON",,,1088.27,9772.7,34
RC,360,TENODESIS OF BICEPS TENDON AT ELBOW (SEPARATE PROCEDURE),,,2398.52,21355.56,34
RC,360,TENODESIS OF LONG TENDON OF BICEPS,,,2398.52,21355.56,34
RC,360,"TENOLYSIS, COMPLEX, EXTENSOR TENDON, FINGER, INCLUDING FOREARM, EACH TENDON",,,1088.27,9772.7,34
RC,360,"TENOLYSIS, EXTENSOR TENDON, HAND OR FINGER, EACH TENDON",,,1088.27,9772.7,34
RC,360,"TENOLYSIS, FLEXOR OR EXTENSOR TENDON, FOREARM AND/OR WRIST, SINGLE, EACH TENDON",,,1088.27,9772.7,34
RC,360,"TENOLYSIS, FLEXOR OR EXTENSOR TENDON, LEG AND/OR ANKLE; SINGLE, EACH TENDON",,,1088.27,9772.7,34
RC,360,"TENOLYSIS, FLEXOR TENDON; PALM AND FINGER, EACH TENDON",,,1088.27,9772.7,34
RC,360,"TENOLYSIS, FLEXOR TENDON; PALM OR FINGER, EACH TENDON",,,593.04,7168.0,34
RC,360,"TENOTOMY, ELBOW, LATERAL OR MEDIAL (EG, EPICONDYLITIS, TENNIS ELBOW, GOLFER'S ELBOW); DEBRIDEMENT, SOFT TISSUE AND/OR BONE, OPEN",,,1088.27,12700.0,33
RC,360,"TENOTOMY, ELBOW, LATERAL OR MEDIAL (EG, EPICONDYLITIS, TENNIS ELBOW, GOLFER'S ELBOW); DEBRIDEMENT, SOFT TISSUE AND/OR BONE, OPEN WITH TENDON REPAIR OR REATTACHMENT",,,1088.27,12700.0,33
RC,360,"TENOTOMY, ELBOW, LATERAL OR MEDIAL (EG, EPICONDYLITIS, TENNIS ELBOW, GOLFER'S ELBOW); PERCUTANEOUS",,,1088.27,12700.0,33
RC,360,"TENOTOMY, EXTENSOR, HAND OR FINGER, OPEN, EACH TENDON",,,593.04,7168.0,34
RC,360,"TENOTOMY, OPEN, EXTENSOR, FOOT OR TOE, EACH TENDON",,,593.04,4838.74,34
RC,360,"TENOTOMY, OPEN, FLEXOR OR EXTENSOR TENDON, FOREARM AND/OR WRIST, SINGLE, EACH TENDON",,,1088.27,9772.7,34
RC,360,"TENOTOMY, OPEN, TENDON FLEXOR; FOOT, SINGLE OR MULTIPLE TENDON(S) (SEPARATE PROCEDURE)",,,221.76,8280.0,33
RC,360,"TENOTOMY, OPEN, TENDON FLEXOR; TOE, SINGLE TENDON (SEPARATE PROCEDURE)",,,203.76,8280.0,33
RC,360,"TENOTOMY, PERCUTANEOUS, ACHILLES TENDON (SEPARATE PROCEDURE); GENERAL ANESTHESIA",,,1088.27,9772.7,34
RC,360,"TENOTOMY, PERCUTANEOUS, TOE; SINGLE TENDON",,,100.5,8280.0,33
RC,360,"TENOTOMY, SHOULDER AREA; SINGLE TENDON",,,2398.52,21355.56,34
RC,360,"THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL SEQUENTIAL INTRAVENOUS PUSH OF A NEW SUBSTANCE/DRUG (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PRO",,,44.69,117.68,25
RC,360,"THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); EACH ADDITIONAL SEQUENTIAL INTRAVENOUS PUSH OF THE SAME SUBSTANCE/DRUG PROVIDED IN A FACILITY (LIST SEPARATELY IN ADDITI",,,73.04,154.16,5
RC,360,"THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); INTRAVENOUS PUSH, SINGLE OR INITIAL SUBSTANCE/DRUG",,,121.69,530.97,25
RC,360,"THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION (SPECIFY SUBSTANCE OR DRUG); SUBCUTANEOUS OR INTRAMUSCULAR",,,68.71,391.85,25
RC,360,"THORACENTESIS, NEEDLE OR CATHETER, ASPIRATION OF THE PLEURAL SPACE; WITH IMAGING GUIDANCE",,,223.75,4345.0,33
RC,360,"THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); LUNGS, PERICARDIAL SAC, MEDIASTINAL OR PLEURAL SPACE, WITHOUT BIOPSY",,,5769.43,17256.34,30
RC,360,"THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); MEDIASTINAL SPACE, WITH BIOPSY",,,5769.43,17256.34,30
RC,360,"THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); PERICARDIAL SAC, WITH BIOPSY",,,7038.0,25500.18,30
RC,360,"THORACOSCOPY, SURGICAL; WITH CREATION OF PERICARDIAL WINDOW OR PARTIAL RESECTION OF PERICARDIAL SAC FOR DRAINAGE",,,1285.13,8280.0,10
RC,360,"THORACOSCOPY, SURGICAL; WITH EXCISION OF MEDIASTINAL CYST, TUMOR, OR MASS",,,1568.34,8280.0,10
RC,360,"THORACOSCOPY, SURGICAL; WITH EXCISION OF PERICARDIAL CYST, TUMOR, OR MASS",,,1395.37,8280.0,10
RC,360,"THORACOSCOPY, SURGICAL; WITH MEDIASTINAL AND REGIONAL LYMPHADENECTOMY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,380.05,8280.0,10
RC,360,"THORACOSCOPY, SURGICAL; WITH PARTIAL PULMONARY DECORTICATION",,,1924.64,17847.0,10
RC,360,"THORACOSCOPY, SURGICAL; WITH PLEURODESIS (EG, MECHANICAL OR CHEMICAL)",,,1168.79,17847.0,10
RC,360,"THORACOSCOPY, SURGICAL; WITH REMOVAL OF A SINGLE LUNG SEGMENT (SEGMENTECTOMY)",,,2362.55,8280.0,10
RC,360,"THORACOSCOPY, SURGICAL; WITH RESECTION OF THYMUS, UNILATERAL OR BILATERAL",,,2132.93,8280.0,10
RC,360,"THORACOSCOPY, SURGICAL; WITH THERAPEUTIC WEDGE RESECTION (EG, MASS OR NODULE), EACH ADDITIONAL RESECTION, IPSILATERAL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,276.52,8280.0,10
RC,360,"THORACOSCOPY, SURGICAL; WITH THERAPEUTIC WEDGE RESECTION (EG, MASS, NODULE), INITIAL UNILATERAL",,,1529.35,8280.0,10
RC,360,"THORACOSCOPY, SURGICAL; WITH THORACIC SYMPATHECTOMY",,,1489.16,8280.0,10
RC,360,THORACOSCOPY; WITH BIOPSY(IES) OF PLEURA,,,5769.43,17256.34,30
RC,360,"THORACOSCOPY; WITH DIAGNOSTIC BIOPSY(IES) OF LUNG INFILTRATE(S) (EG, WEDGE, INCISIONAL), UNILATERAL",,,7711.0,25500.18,30
RC,360,"THORACOSCOPY; WITH DIAGNOSTIC BIOPSY(IES) OF LUNG NODULE(S) OR MASS(ES) (EG, WEDGE, INCISIONAL), UNILATERAL",,,7711.0,25500.18,30
RC,360,"THORACOTOMY; WITH RESECTION-PLICATION OF BULLAE, INCLUDES ANY PLEURAL PROCEDURE WHEN PERFORMED",,,2546.0,8280.0,10
RC,360,THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT (OTHER THAN HEMODIALYSIS GRAFT OR FISTULA); WITH REVISION OF ARTERIAL OR VENOUS GRAFT,,,1939.15,16408.4,34
RC,360,"THROMBECTOMY, OPEN, ARTERIOVENOUS FISTULA WITHOUT REVISION, AUTOGENOUS OR NONAUTOGENOUS DIALYSIS GRAFT (SEPARATE PROCEDURE)",,,1939.15,16408.4,34
RC,360,"THYMECTOMY, PARTIAL OR TOTAL; STERNAL SPLIT OR TRANSTHORACIC APPROACH, WITHOUT RADICAL MEDIASTINAL DISSECTION (SEPARATE PROCEDURE)",,,1973.97,8280.0,10
RC,360,"THYROIDECTOMY, INCLUDING SUBSTERNAL THYROID; CERVICAL APPROACH",,,5649.47,17316.39,30
RC,360,"THYROIDECTOMY, INCLUDING SUBSTERNAL THYROID; STERNAL SPLIT OR TRANSTHORACIC APPROACH",,,2402.13,8280.0,10
RC,360,"THYROIDECTOMY, REMOVAL OF ALL REMAINING THYROID TISSUE FOLLOWING PREVIOUS REMOVAL OF A PORTION OF THYROID",,,5649.47,17316.39,30
RC,360,"THYROIDECTOMY, TOTAL OR COMPLETE",,,1888.85,17256.34,33
RC,360,"THYROIDECTOMY, TOTAL OR SUBTOTAL FOR MALIGNANCY; WITH LIMITED NECK DISSECTION",,,5649.47,17316.39,30
RC,360,"THYROIDECTOMY, TOTAL OR SUBTOTAL FOR MALIGNANCY; WITH RADICAL NECK DISSECTION",,,2932.01,8280.0,10
RC,360,"TISSUE EXPANDER PLACEMENT IN BREAST RECONSTRUCTION, INCLUDING SUBSEQUENT EXPANSION(S)",,,3879.0,49456.39,34
RC,360,TONSILLECTOMY AND ADENOIDECTOMY; AGE 12 OR OVER,,,886.62,9350.87,34
RC,360,TONSILLECTOMY AND ADENOIDECTOMY; YOUNGER THAN AGE 12,,,1954.22,17316.39,34
RC,360,"TONSILLECTOMY, PRIMARY OR SECONDARY; AGE 12 OR OVER",,,886.62,9350.87,34
RC,360,"TOTAL ABDOMINAL HYSTERECTOMY (CORPUS AND CERVIX), WITH OR WITHOUT REMOVAL OF TUBE(S), WITH OR WITHOUT REMOVAL OF OVARY(S);",,,1772.37,8280.0,10
RC,360,"TOTAL DISC ARTHROPLASTY (ARTIFICIAL DISC), ANTERIOR APPROACH, INCLUDING DISCECTOMY WITH END PLATE PREPARATION (INCLUDES OSTEOPHYTECTOMY FOR NERVE ROOT OR SPINAL CORD DECOMPRESSION AND MICRODISSECTION)",,,1896.0,56927.51,36
RC,360,"TOTAL THYROID LOBECTOMY, UNILATERAL; WITH CONTRALATERAL SUBTOTAL LOBECTOMY, INCLUDING ISTHMUSECTOMY",,,1888.85,17256.34,33
RC,360,"TOTAL THYROID LOBECTOMY, UNILATERAL; WITH OR WITHOUT ISTHMUSECTOMY",,,1888.85,17256.34,33
RC,360,"TRACHELECTOMY (CERVICECTOMY), AMPUTATION OF CERVIX (SEPARATE PROCEDURE)",,,1526.99,15249.4,34
RC,360,"TRACHELORRHAPHY, PLASTIC REPAIR OF UTERINE CERVIX, VAGINAL APPROACH",,,1063.52,8918.22,34
RC,360,TRACHEOBRONCHOSCOPY THROUGH ESTABLISHED TRACHEOSTOMY INCISION,,,187.22,4345.0,34
RC,360,TRACHEOPLASTY; CERVICAL,,,1954.22,17316.39,34
RC,360,"TRACHEOPLASTY; TRACHEOPHARYNGEAL FISTULIZATION, EACH STAGE",,,1954.22,17316.39,34
RC,360,"TRACHEOSTOMA REVISION; COMPLEX, WITH FLAP ROTATION",,,1954.22,17316.39,34
RC,360,"TRACHEOSTOMA REVISION; SIMPLE, WITHOUT FLAP ROTATION",,,886.62,9350.87,34
RC,360,"TRACHEOSTOMY, PLANNED (SEPARATE PROCEDURE);",,,3164.04,9350.87,30
RC,360,TRACHEOTOMY TUBE CHANGE PRIOR TO ESTABLISHMENT OF FISTULA TRACT,,,87.58,4345.0,33
RC,360,"TRANSCATHETER PERMANENT OCCLUSION OR EMBOLIZATION (EG, FOR TUMOR DESTRUCTION, TO ACHIEVE HEMOSTASIS, TO OCCLUDE A VASCULAR MALFORMATION), INCLUDING ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INT",,,2053.15,39592.62,29
RC,360,"TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT(S), CENTRAL DIALYSIS SEGMENT, PERFORMED THROUGH DIALYSIS CIRCUIT, INCLUDING ALL IMAGING AND RADIOLOGICAL SUPERVISION AND INTERPRETATION REQUIRED TO PERFO",,,1896.0,2107.0,3
RC,360,"TRANSECTION OR AVULSION OF OTHER CRANIAL NERVE, EXTRADURAL",,,659.94,6138.08,34
RC,360,"TRANSECTION OR AVULSION OF OTHER SPINAL NERVE, EXTRADURAL",,,659.94,6138.08,34
RC,360,"TRANSECTION OR AVULSION OF; FACIAL NERVE, DIFFERENTIAL OR COMPLETE",,,659.94,6138.08,34
RC,360,TRANSECTION OR AVULSION OF; LINGUAL NERVE,,,659.94,6138.08,34
RC,360,TRANSFER OF TENDON TO RESTORE INTRINSIC FUNCTION; RING AND SMALL FINGER,,,1088.27,9772.7,34
RC,360,"TRANSFER OR TRANSPLANT OF SINGLE TENDON (WITH MUSCLE REDIRECTION OR REROUTING); DEEP (EG, ANTERIOR TIBIAL OR POSTERIOR TIBIAL THROUGH INTEROSSEOUS SPACE, FLEXOR DIGITORUM LONGUS, FLEXOR HALLUCIS LONGU",,,2398.52,21355.56,34
RC,360,"TRANSFER OR TRANSPLANT OF TENDON, CARPOMETACARPAL AREA OR DORSUM OF HAND; WITH FREE TENDON GRAFT (INCLUDES OBTAINING GRAFT), EACH TENDON",,,1088.27,9772.7,34
RC,360,"TRANSFER OR TRANSPLANT OF TENDON, CARPOMETACARPAL AREA OR DORSUM OF HAND; WITHOUT FREE GRAFT, EACH TENDON",,,1088.27,9772.7,34
RC,360,"TRANSFER OR TRANSPLANT OF TENDON, PALMAR; WITH FREE TENDON GRAFT (INCLUDES OBTAINING GRAFT), EACH TENDON",,,1088.27,9772.7,34
RC,360,"TRANSFER OR TRANSPLANT OF TENDON, PALMAR; WITHOUT FREE TENDON GRAFT, EACH TENDON",,,1088.27,9772.7,34
RC,360,"TRANSFUSION, INTRAUTERINE, FETAL",,,421.02,4345.0,30
RC,360,TRANSMASTOID ANTROTOMY (SIMPLE MASTOIDECTOMY),,,1954.22,17316.39,34
RC,360,"TRANSPEDICULAR APPROACH WITH DECOMPRESSION OF SPINAL CORD, EQUINA AND/OR NERVE ROOT(S) (EG, HERNIATED INTERVERTEBRAL DISC), SINGLE SEGMENT; EACH ADDITIONAL SEGMENT, THORACIC OR LUMBAR (LIST SEPARATELY",,,1896.0,2107.0,3
RC,360,"TRANSPEDICULAR APPROACH WITH DECOMPRESSION OF SPINAL CORD, EQUINA AND/OR NERVE ROOT(S) (EG, HERNIATED INTERVERTEBRAL DISC), SINGLE SEGMENT; THORACIC",,,2398.52,21355.56,33
RC,360,"TRANSPERINEAL LASER ABLATION OF BENIGN PROSTATIC HYPERPLASIA, INCLUDING IMAGING GUIDANCE; PROSTATE VOLUME LESS THAN 50 ML",,,4302.0,16086.03,30
RC,360,"TRANSPERINEAL PLACEMENT OF BIODEGRADABLE MATERIAL, PERI-PROSTATIC, SINGLE OR MULTIPLE INJECTION(S), INCLUDING IMAGE GUIDANCE, WHEN PERFORMED",,,2405.54,15106.88,33
RC,360,"TRANSPERINEAL PLACEMENT OF NEEDLES OR CATHETERS INTO PROSTATE FOR INTERSTITIAL RADIOELEMENT APPLICATION, WITH OR WITHOUT CYSTOSCOPY",,,1689.43,15106.88,34
RC,360,"TRANSURETEROURETEROSTOMY, ANASTOMOSIS OF URETER TO CONTRALATERAL URETER",,,2031.21,8280.0,10
RC,360,"TRANSURETHRAL ELECTROSURGICAL RESECTION OF PROSTATE, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR DILATION, AND INTERNAL ",,,1689.43,15106.88,34
RC,360,TRANSURETHRAL RESECTION OF BLADDER NECK (SEPARATE PROCEDURE),,,1142.9,10776.19,34
RC,360,TRANSURETHRAL RESECTION; OF POSTOPERATIVE BLADDER NECK CONTRACTURE,,,1142.9,10776.19,34
RC,360,"TRANSURETHRAL RESECTION; RESIDUAL OR REGROWTH OF OBSTRUCTIVE PROSTATE TISSUE INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR",,,1689.43,15106.88,34
RC,360,"TRANSURETHRAL ROBOTIC-ASSISTED WATERJET RESECTION OF PROSTATE, INCLUDING INTRAOPERATIVE PLANNING, ULTRASOUND GUIDANCE, CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE, INCLUDING VASECTOMY, MEATOTOMY, CYST",,,5559.85,20445.64,22
RC,360,"TRANSURETHRAL WATERJET ABLATION OF PROSTATE, INCLUDING CONTROL OF POST-OPERATIVE BLEEDING, INCLUDING ULTRASOUND GUIDANCE, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR",,,7038.0,28802.51,11
RC,360,"TRANSVERSUS ABDOMINIS PLANE (TAP) BLOCK (ABDOMINAL PLANE BLOCK, RECTUS SHEATH BLOCK) BILATERAL; BY INJECTIONS (INCLUDES IMAGING GUIDANCE, WHEN PERFORMED)",,,51.26,2107.0,6
RC,360,"TRANSVERSUS ABDOMINIS PLANE (TAP) BLOCK (ABDOMINAL PLANE BLOCK, RECTUS SHEATH BLOCK) UNILATERAL; BY INJECTION(S) (INCLUDES IMAGING GUIDANCE, WHEN PERFORMED)",,,41.42,2107.0,6
RC,360,"TREATMENT OF HUMERAL SHAFT FRACTURE, WITH INSERTION OF INTRAMEDULLARY IMPLANT, WITH OR WITHOUT CERCLAGE AND/OR LOCKING SCREWS",,,3410.0,42485.53,34
RC,360,"TREATMENT OF INCOMPLETE ABORTION, ANY TRIMESTER, COMPLETED SURGICALLY",,,1063.52,8918.22,34
RC,360,"TREATMENT OF INTERTROCHANTERIC, PERITROCHANTERIC, OR SUBTROCHANTERIC FEMORAL FRACTURE; WITH INTRAMEDULLARY IMPLANT, WITH OR WITHOUT INTERLOCKING SCREWS AND/OR CERCLAGE",,,2161.56,15671.95,29
RC,360,"TREATMENT OF MISSED ABORTION, COMPLETED SURGICALLY; FIRST TRIMESTER",,,1063.52,8918.22,34
RC,360,"TREATMENT OF MISSED ABORTION, COMPLETED SURGICALLY; SECOND TRIMESTER",,,1063.52,8918.22,34
RC,360,"TREATMENT OF SEPTIC ABORTION, COMPLETED SURGICALLY",,,777.16,8280.0,10
RC,360,TREATMENT OF SUPERFICIAL WOUND DEHISCENCE; SIMPLE CLOSURE,,,216.8,4345.0,33
RC,360,"TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT MANIPULATION, EACH",,,85.32,2107.0,33
RC,360,"TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE) BY INTRAMEDULLARY IMPLANT, WITH OR WITHOUT INTERLOCKING SCREWS AND/OR CERCLAGE",,,3410.0,42485.53,34
RC,360,"TUBE THORACOSTOMY, INCLUDES CONNECTION TO DRAINAGE SYSTEM (EG, WATER SEAL), WHEN PERFORMED, OPEN (SEPARATE PROCEDURE)",,,1502.26,5823.13,30
RC,360,"TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBRANE REPAIR); RADICAL OR COMPLETE, WITH OSSICULAR CHAIN RECONSTRUCTION",,,1954.22,17316.39,34
RC,360,"TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBRANE REPAIR); RADICAL OR COMPLETE, WITHOUT OSSICULAR CHAIN RECONSTRUCTION",,,1954.22,17316.39,34
RC,360,"TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBRANE REPAIR); WITH INTACT OR RECONSTRUCTED CANAL WALL, WITH OSSICULAR CHAIN RECONSTRUCTION",,,1954.22,17316.39,34
RC,360,"TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBRANE REPAIR); WITH INTACT OR RECONSTRUCTED WALL, WITHOUT OSSICULAR CHAIN RECONSTRUCTION",,,1954.22,17316.39,34
RC,360,"TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBRANE REPAIR); WITH OSSICULAR CHAIN RECONSTRUCTION",,,1954.22,17316.39,34
RC,360,"TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, TYMPANIC MEMBRANE REPAIR); WITHOUT OSSICULAR CHAIN RECONSTRUCTION",,,1954.22,17316.39,34
RC,360,"TYMPANOPLASTY WITHOUT MASTOIDECTOMY (INCLUDING CANALPLASTY, ATTICOTOMY AND/OR MIDDLE EAR SURGERY), INITIAL OR REVISION; WITH OSSICULAR CHAIN RECONSTRUCTION (EG, POSTFENESTRATION)",,,1954.22,17316.39,34
RC,360,"TYMPANOPLASTY WITHOUT MASTOIDECTOMY (INCLUDING CANALPLASTY, ATTICOTOMY AND/OR MIDDLE EAR SURGERY), INITIAL OR REVISION; WITH OSSICULAR CHAIN RECONSTRUCTION AND SYNTHETIC PROSTHESIS (EG, PARTIAL OSSICU",,,1954.22,17316.39,34
RC,360,"TYMPANOPLASTY WITHOUT MASTOIDECTOMY (INCLUDING CANALPLASTY, ATTICOTOMY AND/OR MIDDLE EAR SURGERY), INITIAL OR REVISION; WITHOUT OSSICULAR CHAIN RECONSTRUCTION",,,1954.22,17316.39,34
RC,360,"TYMPANOSTOMY (REQUIRING INSERTION OF VENTILATING TUBE), GENERAL ANESTHESIA",,,420.64,7168.0,34
RC,360,ULTRASONIC GUIDANCE FOR INTERSTITIAL RADIOELEMENT APPLICATION,,,50.46,106.47,5
RC,360,"ULTRASOUND GUIDANCE FOR VASCULAR ACCESS REQUIRING ULTRASOUND EVALUATION OF POTENTIAL ACCESS SITES, DOCUMENTATION OF SELECTED VESSEL PATENCY, CONCURRENT REALTIME ULTRASOUND VISUALIZATION OF VASCULAR NE",,,39.64,83.64,5
RC,360,"UMBILECTOMY, OMPHALECTOMY, EXCISION OF UMBILICUS (SEPARATE PROCEDURE)",,,1151.54,11100.34,34
RC,360,UNLISTED CRANIOFACIAL AND MAXILLOFACIAL PROCEDURE,,,226.03,8280.0,30
RC,360,"UNLISTED HYSTEROSCOPY PROCEDURE, UTERUS",,,192.94,8280.0,30
RC,360,"UNLISTED LAPAROSCOPIC PROCEDURE, LIVER",,,5769.43,17256.34,30
RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, ABDOMEN, PERITONEUM AND OMENTUM",,,5769.43,17256.34,30
RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, APPENDIX",,,5769.43,17256.34,30
RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, BILIARY TRACT",,,5769.43,17256.34,30
RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, BLADDER",,,5769.43,17256.34,30
RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, ESOPHAGUS",,,5769.43,17256.34,30
RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, HERNIOPLASTY, HERNIORRHAPHY, HERNIOTOMY",,,5769.43,17256.34,30
RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, INTESTINE (EXCEPT RECTUM)",,,5769.43,17256.34,30
RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, LYMPHATIC SYSTEM",,,5769.43,17256.34,30
RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, OVIDUCT, OVARY",,,5769.43,17256.34,30
RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, RECTUM",,,5769.43,17256.34,30
RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, RENAL",,,5769.43,17256.34,30
RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, SPERMATIC CORD",,,5769.43,17256.34,30
RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, SPLEEN",,,5769.43,17256.34,30
RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, STOMACH",,,5769.43,17256.34,30
RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, URETER",,,5769.43,17256.34,30
RC,360,"UNLISTED LAPAROSCOPY PROCEDURE, UTERUS",,,5769.43,17256.34,30
RC,360,"UNLISTED MUSCULOSKELETAL PROCEDURE, HEAD",,,226.03,8280.0,30
RC,360,"UNLISTED PROCEDURE, ABDOMEN, PERITONEUM AND OMENTUM",,,865.56,8280.0,30
RC,360,"UNLISTED PROCEDURE, ACCESSORY SINUSES",,,226.03,8280.0,30
RC,360,"UNLISTED PROCEDURE, ANUS",,,887.49,8280.0,30
RC,360,"UNLISTED PROCEDURE, ARTHROSCOPY",,,235.4,12343.0,31
RC,360,"UNLISTED PROCEDURE, BREAST",,,3736.62,10815.49,30
RC,360,"UNLISTED PROCEDURE, COLON",,,887.49,8674.0,30
RC,360,"UNLISTED PROCEDURE, CONJUNCTIVA",,,302.91,8280.0,30
RC,360,"UNLISTED PROCEDURE, DENTOALVEOLAR STRUCTURES",,,226.03,8280.0,30
RC,360,"UNLISTED PROCEDURE, DIAPHRAGM",,,1826.96,8280.0,10
RC,360,"UNLISTED PROCEDURE, ESOPHAGUS",,,865.56,8280.0,30
RC,360,"UNLISTED PROCEDURE, EXCISION PRESSURE ULCER",,,675.79,8280.0,30
RC,360,"UNLISTED PROCEDURE, EXTERNAL EAR",,,111.0,2107.0,30
RC,360,"UNLISTED PROCEDURE, EXTRAOCULAR MUSCLE",,,302.91,8280.0,30
RC,360,"UNLISTED PROCEDURE, EYELIDS",,,302.91,8280.0,30
RC,360,"UNLISTED PROCEDURE, FEMALE GENITAL SYSTEM (NONOBSTETRICAL)",,,192.94,8280.0,30
RC,360,"UNLISTED PROCEDURE, FOREARM OR WRIST",,,235.4,8280.0,30
RC,360,"UNLISTED PROCEDURE, HANDS OR FINGERS",,,235.4,8280.0,30
RC,360,"UNLISTED PROCEDURE, HEMIC OR LYMPHATIC SYSTEM",,,421.02,8280.0,30
RC,360,"UNLISTED PROCEDURE, INNER EAR",,,226.03,8280.0,30
RC,360,"UNLISTED PROCEDURE, LARYNX",,,226.03,8280.0,30
RC,360,"UNLISTED PROCEDURE, LIVER",,,675.79,8280.0,30
RC,360,"UNLISTED PROCEDURE, LUNGS AND PLEURA",,,598.65,8280.0,30
RC,360,"UNLISTED PROCEDURE, MALE GENITAL SYSTEM",,,238.44,8280.0,30
RC,360,"UNLISTED PROCEDURE, MUSCULOSKELETAL SYSTEM, GENERAL",,,235.4,8280.0,30
RC,360,"UNLISTED PROCEDURE, NECK OR THORAX",,,226.03,8280.0,30
RC,360,"UNLISTED PROCEDURE, NOSE",,,226.03,8280.0,30
RC,360,"UNLISTED PROCEDURE, ORBIT",,,302.91,8280.0,30
RC,360,"UNLISTED PROCEDURE, PALATE, UVULA",,,226.03,8280.0,30
RC,360,"UNLISTED PROCEDURE, PHARYNX, ADENOIDS, OR TONSILS",,,226.03,8280.0,30
RC,360,"UNLISTED PROCEDURE, RECTUM",,,887.49,8280.0,30
RC,360,"UNLISTED PROCEDURE, SHOULDER",,,235.4,8280.0,30
RC,360,"UNLISTED PROCEDURE, SKIN, MUCOUS MEMBRANE AND SUBCUTANEOUS TISSUE",,,191.47,8280.0,30
RC,360,"UNLISTED PROCEDURE, SMALL INTESTINE",,,865.56,8280.0,30
RC,360,"UNLISTED PROCEDURE, STOMACH",,,865.56,8280.0,30
RC,360,"UNLISTED PROCEDURE, TONGUE, FLOOR OF MOUTH",,,226.03,8280.0,30
RC,360,"UNLISTED PROCEDURE, TRACHEA, BRONCHI",,,190.49,8280.0,30
RC,360,"UNLISTED PROCEDURE, URINARY SYSTEM",,,238.44,8280.0,30
RC,360,"URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE;",,,1142.9,10776.19,34
RC,360,"URETEROLYSIS, WITH OR WITHOUT REPOSITIONING OF URETER FOR RETROPERITONEAL FIBROSIS",,,2146.94,8280.0,10
RC,360,URETEROURETEROSTOMY,,,1987.98,8280.0,10
RC,360,"URETHRECTOMY, TOTAL, INCLUDING CYSTOSTOMY; FEMALE",,,1142.9,10776.19,34
RC,360,"URETHRECTOMY, TOTAL, INCLUDING CYSTOSTOMY; MALE",,,1689.43,15106.88,34
RC,360,"URETHROLYSIS, TRANSVAGINAL, SECONDARY, OPEN, INCLUDING CYSTOURETHROSCOPY (EG, POSTSURGICAL OBSTRUCTION, SCARRING)",,,3363.99,10776.19,30
RC,360,"URETHROPLASTY; FIRST STAGE, FOR FISTULA, DIVERTICULUM, OR STRICTURE (EG, JOHANNSEN TYPE)",,,1689.43,15106.88,34
RC,360,UTERINE EVACUATION AND CURETTAGE FOR HYDATIDIFORM MOLE,,,1063.52,8918.22,34
RC,360,"UTERINE SUSPENSION, WITH OR WITHOUT SHORTENING OF ROUND LIGAMENTS, WITH OR WITHOUT SHORTENING OF SACROUTERINE LIGAMENTS; (SEPARATE PROCEDURE)",,,773.51,8280.0,10
RC,360,"UVULECTOMY, EXCISION OF UVULA",,,886.62,9350.87,34
RC,360,VAGINAL DELIVERY ONLY (WITH OR WITHOUT EPISIOTOMY AND/OR FORCEPS); INCLUDING POSTPARTUM CARE,,,1823.53,3852.07,5
RC,360,"VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS;",,,1526.99,15249.4,33
RC,360,"VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOVAL OF TUBE(S), AND/OR OVARY(S)",,,1526.99,15249.4,33
RC,360,"VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOVAL OF TUBE(S), AND/OR OVARY(S), WITH REPAIR OF ENTEROCELE",,,4773.99,15249.4,30
RC,360,"VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REPAIR OF ENTEROCELE",,,4773.99,15249.4,30
RC,360,"VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH REMOVAL OF TUBE(S) AND/OR OVARY(S)",,,4773.99,15249.4,30
RC,360,"VAGINAL HYSTERECTOMY, RADICAL (SCHAUTA TYPE OPERATION)",,,2546.0,8280.0,10
RC,360,"VAGINECTOMY, PARTIAL REMOVAL OF VAGINAL WALL;",,,3089.29,8918.22,30
RC,360,VAGOTOMY WHEN PERFORMED WITH PARTIAL DISTAL GASTRECTOMY (LIST SEPARATELY IN ADDITION TO CODE[S] FOR PRIMARY PROCEDURE),,,198.56,8280.0,10
RC,360,"VASCULAR EMBOLIZATION OR OCCLUSION, INCLUSIVE OF ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGING GUIDANCE NECESSARY TO COMPLETE THE INTERVENTION; ARTERIAL, OT",,,5195.63,43439.01,33
RC,360,"VASCULAR EMBOLIZATION OR OCCLUSION, INCLUSIVE OF ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGING GUIDANCE NECESSARY TO COMPLETE THE INTERVENTION; VENOUS, OTHE",,,4545.56,27252.71,33
RC,360,"VASECTOMY, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE), INCLUDING POSTOPERATIVE SEMEN EXAMINATION(S)",,,652.8,6324.43,34
RC,360,VENTILATING TUBE REMOVAL REQUIRING GENERAL ANESTHESIA,,,81.12,7975.81,33
RC,360,"VENTRICULOCISTERNOSTOMY, THIRD VENTRICLE; STEREOTACTIC, NEUROENDOSCOPIC METHOD",,,2155.46,8280.0,10
RC,360,"VERMILIONECTOMY (LIP SHAVE), WITH MUCOSAL ADVANCEMENT",,,886.62,9350.87,34
RC,360,"VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, ANTERIOR APPROACH WITH DECOMPRESSION OF SPINAL CORD AND/OR NERVE ROOT(S); CERVICAL, SINGLE SEGMENT",,,3114.74,10140.0,10
RC,360,"VESTIBULOPLASTY; COMPLEX (INCLUDING RIDGE EXTENSION, MUSCLE REPOSITIONING)",,,1954.22,17316.39,34
RC,360,"VITRECTOMY, MECHANICAL, PARS PLANA APPROACH;",,,1533.49,13631.44,34
RC,360,"VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH ENDOLASER PANRETINAL PHOTOCOAGULATION",,,1533.49,13631.44,34
RC,360,"VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH REMOVAL OF INTERNAL LIMITING MEMBRANE OF RETINA (EG, FOR REPAIR OF MACULAR HOLE, DIABETIC MACULAR EDEMA), INCLUDES, IF PERFORMED, INTRAOCULAR TAMPONAD",,,1533.49,13631.44,33
RC,360,"VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH REMOVAL OF PRERETINAL CELLULAR MEMBRANE (EG, MACULAR PUCKER)",,,1533.49,13631.44,33
RC,360,VULVECTOMY SIMPLE; COMPLETE,,,1063.52,10495.0,34
RC,360,VULVECTOMY SIMPLE; PARTIAL,,,1063.52,8918.22,34
RC,360,"VULVECTOMY, RADICAL, COMPLETE;",,,2153.63,17847.0,10
RC,360,"VULVECTOMY, RADICAL, PARTIAL;",,,1660.31,10804.29,29
RC,360,"VULVECTOMY, RADICAL, PARTIAL; WITH UNILATERAL INGUINOFEMORAL LYMPHADENECTOMY",,,2099.44,17847.0,10
RC,361,"3D RENDERING WITH INTERPRETATION AND REPORTING OF COMPUTED TOMOGRAPHY, MAGNETIC RESONANCE IMAGING, ULTRASOUND, OR OTHER TOMOGRAPHIC MODALITY WITH IMAGE POSTPROCESSING UNDER CONCURRENT SUPERVISION; NOT",,,26.66,56.25,5
RC,361,ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC); WITH IMAGING GUIDANCE,,,334.95,4345.0,33
RC,361,ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC); WITHOUT IMAGING GUIDANCE,,,334.95,4345.0,33
RC,361,"ABLATION THERAPY FOR REDUCTION OR ERADICATION OF 1 OR MORE BONE TUMORS (EG, METASTASIS) INCLUDING ADJACENT SOFT TISSUE WHEN INVOLVED BY TUMOR EXTENSION, PERCUTANEOUS, INCLUDING IMAGING GUIDANCE WHEN P",,,2398.52,37869.5,63
RC,361,"ABLATION THERAPY FOR REDUCTION OR ERADICATION OF 1 OR MORE PULMONARY TUMOR(S) INCLUDING PLEURA OR CHEST WALL WHEN INVOLVED BY TUMOR EXTENSION, PERCUTANEOUS, INCLUDING IMAGING GUIDANCE WHEN PERFORMED, ",,,7038.0,25500.18,30
RC,361,"ABLATION, 1 OR MORE LIVER TUMOR(S), PERCUTANEOUS, CRYOABLATION",,,2813.82,25500.18,33
RC,361,"ABLATION, 1 OR MORE LIVER TUMOR(S), PERCUTANEOUS, RADIOFREQUENCY",,,1888.85,17256.34,33
RC,361,"ASPIRATION AND/OR INJECTION, THYROID CYST",,,59.52,3167.0,33
RC,361,ASPIRATION OF BLADDER; WITH INSERTION OF SUPRAPUBIC CATHETER,,,652.8,6324.43,33
RC,361,"BALLOON DILATION OF BILIARY DUCT(S) OR OF AMPULLA (SPHINCTEROPLASTY), PERCUTANEOUS, INCLUDING IMAGING GUIDANCE (EG, FLUOROSCOPY), AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND INTERPRETATION, EACH D",,,1896.0,2107.0,3
RC,361,"BALLOON DILATION, URETERAL STRICTURE, INCLUDING IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND INTERPRETATION (LIST SEPARATELY IN ADDITION TO CODE",,,1896.0,2107.0,3
RC,361,"BIOPSY OF LIVER, NEEDLE; PERCUTANEOUS",,,486.45,4900.18,34
RC,361,"BIOPSY OF PANCREAS, PERCUTANEOUS NEEDLE",,,486.45,4900.18,34
RC,361,BIOPSY OF SALIVARY GLAND; NEEDLE,,,57.58,4345.0,33
RC,361,"BIOPSY THYROID, PERCUTANEOUS CORE NEEDLE",,,42.63,4345.0,33
RC,361,"BIOPSY, ABDOMINAL OR RETROPERITONEAL MASS, PERCUTANEOUS NEEDLE",,,486.45,4900.18,34
RC,361,"BIOPSY, BONE, TROCAR, OR NEEDLE; DEEP (EG, VERTEBRAL BODY, FEMUR)",,,486.45,4900.18,33
RC,361,"BIOPSY, BONE, TROCAR, OR NEEDLE; SUPERFICIAL (EG, ILIUM, STERNUM, SPINOUS PROCESS, RIBS)",,,486.45,4900.18,33
RC,361,"BIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET), WHEN PERFORMED, AND IMAGING OF THE BIOPSY SPECIMEN, WHEN PERFORMED, PERCUTANEOUS; EACH ADDITIONAL LESION, I",,,1896.0,2107.0,9
RC,361,"BIOPSY, MUSCLE, PERCUTANEOUS NEEDLE",,,486.45,4900.18,33
RC,361,"BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH",,,2850.0,6324.43,11
RC,361,"BLOOD-DERIVED HEMATOPOIETIC PROGENITOR CELL HARVESTING FOR TRANSPLANTATION, PER COLLECTION; AUTOLOGOUS",,,564.62,8280.0,33
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; DIAGNOSTIC, WITH CELL WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,525.71,5107.28,34
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BALLOON OCCLUSION, WITH ASSESSMENT OF AIR LEAK, WITH ADMINISTRATION OF OCCLUSIVE SUBSTANCE (EG, FIBRIN GLUE), IF ",,,1630.12,19422.09,33
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRONCHIAL ALVEOLAR LAVAGE",,,525.71,5107.28,34
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRONCHIAL OR ENDOBRONCHIAL BIOPSY(S), SINGLE OR MULTIPLE SITES",,,525.71,5107.28,34
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRUSHING OR PROTECTED BRUSHINGS",,,525.71,5107.28,34
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH COMPUTER-ASSISTED, IMAGE-GUIDED NAVIGATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE[S])",,,1896.0,2107.0,3
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH DESTRUCTION OF TUMOR OR RELIEF OF STENOSIS BY ANY METHOD OTHER THAN EXCISION (EG, LASER THERAPY, CRYOTHERAPY)",,,1062.24,10484.77,34
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH ENDOBRONCHIAL ULTRASOUND (EBUS) GUIDED TRANSTRACHEAL AND/OR TRANSBRONCHIAL SAMPLING (EG, ASPIRATION[S]/BIOPSY[IES",,,1062.24,12700.0,66
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH EXCISION OF TUMOR",,,1062.24,10484.77,34
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH PLACEMENT OF FIDUCIAL MARKERS, SINGLE OR MULTIPLE",,,1630.12,19422.09,33
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH REMOVAL OF BRONCHIAL VALVE(S), EACH ADDITIONAL LOBE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,525.71,7168.0,33
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH REMOVAL OF BRONCHIAL VALVE(S), INITIAL LOBE",,,1062.24,10495.0,33
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH REMOVAL OF FOREIGN BODY",,,525.71,5107.28,34
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH REVISION OF TRACHEAL OR BRONCHIAL STENT INSERTED AT PREVIOUS SESSION (INCLUDES TRACHEAL/BRONCHIAL DILATION AS REQ",,,1630.12,19422.09,34
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH THERAPEUTIC ASPIRATION OF TRACHEOBRONCHIAL TREE, INITIAL",,,525.71,5107.28,34
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH THERAPEUTIC ASPIRATION OF TRACHEOBRONCHIAL TREE, SUBSEQUENT, SAME HOSPITAL STAY",,,155.59,4345.0,34
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRACHEAL/BRONCHIAL DILATION OR CLOSED REDUCTION OF FRACTURE",,,1062.24,10484.77,34
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL LUNG BIOPSY(S), EACH ADDITIONAL LOBE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,4779.0,5
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL LUNG BIOPSY(S), SINGLE LOBE",,,1062.24,10484.77,34
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL NEEDLE ASPIRATION BIOPSY(S), EACH ADDITIONAL LOBE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY",,,1896.0,4779.0,5
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL NEEDLE ASPIRATION BIOPSY(S), TRACHEA, MAIN STEM AND/OR LOBAR BRONCHUS(I)",,,1062.24,10484.77,34
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSENDOSCOPIC ENDOBRONCHIAL ULTRASOUND (EBUS) DURING BRONCHOSCOPIC DIAGNOSTIC OR THERAPEUTIC INTERVENTION(S) FO",,,1896.0,4779.0,5
RC,361,"BRONCHOSCOPY, RIGID OR FLEXIBLE, WITH SINGLE OR MULTIPLE BRONCHIAL OR ENDOBRONCHIAL BIOPSY(IES), SINGLE OR MULTIPLE SITES, WITH COMPUTER-ASSISTED IMAGE-GUIDED NAVIGATION, INCLUDING FLUOROSCOPIC GUIDAN",,,1826.96,12700.0,10
RC,361,"CANNULATION, THORACIC DUCT",,,1896.0,2107.0,3
RC,361,CATHETERIZATION AND INTRODUCTION OF SALINE OR CONTRAST MATERIAL FOR SALINE INFUSION SONOHYSTEROGRAPHY (SIS) OR HYSTEROSALPINGOGRAPHY,,,1896.0,2107.0,3
RC,361,CHANGE OF CYSTOSTOMY TUBE; SIMPLE,,,51.77,4345.0,33
RC,361,CHEMODENERVATION OF TRUNK MUSCLE(S); 1-5 MUSCLE(S),,,68.66,3167.0,33
RC,361,CHEMODENERVATION OF TRUNK MUSCLE(S); 6 OR MORE MUSCLES,,,75.3,3167.0,33
RC,361,"CHOLECYSTOSTOMY, PERCUTANEOUS, COMPLETE PROCEDURE, INCLUDING IMAGING GUIDANCE, CATHETER PLACEMENT, CHOLECYSTOGRAM WHEN PERFORMED, AND RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,3416.88,11100.34,30
RC,361,CISTERNAL OR LATERAL CERVICAL (C1-C2) PUNCTURE; WITH INJECTION OF MEDICATION OR OTHER SUBSTANCE FOR DIAGNOSIS OR TREATMENT,,,108.15,4345.0,33
RC,361,"COLLECTION OF BLOOD SPECIMEN USING ESTABLISHED CENTRAL OR PERIPHERAL CATHETER, VENOUS, NOT OTHERWISE SPECIFIED",,,111.0,2107.0,30
RC,361,COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE,,,8.87,21.19,22
RC,361,"COMPUTED TOMOGRAPHY GUIDANCE FOR NEEDLE PLACEMENT (EG, BIOPSY, ASPIRATION, INJECTION, LOCALIZATION DEVICE), RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,156.4,2062.0,6
RC,361,CONTRAST INJECTION FOR ASSESSMENT OF ABSCESS OR CYST VIA PREVIOUSLY PLACED DRAINAGE CATHETER OR TUBE (SEPARATE PROCEDURE),,,1896.0,2107.0,3
RC,361,"CONTRAST INJECTION(S) FOR RADIOLOGIC EVALUATION OF EXISTING CENTRAL VENOUS ACCESS DEVICE, INCLUDING FLUOROSCOPY, IMAGE DOCUMENTATION AND REPORT",,,79.46,4345.0,33
RC,361,"CONTRAST INJECTION(S) FOR RADIOLOGICAL EVALUATION OF EXISTING GASTROSTOMY, DUODENOSTOMY, JEJUNOSTOMY, GASTRO-JEJUNOSTOMY, OR CECOSTOMY (OR OTHER COLONIC) TUBE, FROM A PERCUTANEOUS APPROACH INCLUDING I",,,111.0,2107.0,30
RC,361,"CONVERSION OF EXTERNAL BILIARY DRAINAGE CATHETER TO INTERNAL-EXTERNAL BILIARY DRAINAGE CATHETER, PERCUTANEOUS, INCLUDING DIAGNOSTIC CHOLANGIOGRAPHY WHEN PERFORMED, IMAGING GUIDANCE (EG, FLUOROSCOPY), ",,,1151.54,12700.0,33
RC,361,"CONVERSION OF GASTROSTOMY TUBE TO GASTRO-JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,564.97,5559.92,33
RC,361,"CYTOPATHOLOGY, EVALUATION OF FINE NEEDLE ASPIRATE; IMMEDIATE CYTOHISTOLOGIC STUDY TO DETERMINE ADEQUACY FOR DIAGNOSIS, FIRST EVALUATION EPISODE, EACH SITE",,,162.59,740.46,25
RC,361,"DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE(S), WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT); LUMBAR OR SACRAL, EACH ADDITIONAL FACET JOINT (LIST SEPARATELY IN ADDITION TO CODE FOR P",,,1896.0,2362.0,4
RC,361,"DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE(S), WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT); LUMBAR OR SACRAL, SINGLE FACET JOINT",,,659.94,8674.0,34
RC,361,"DESTRUCTION BY NEUROLYTIC AGENT, WITH OR WITHOUT RADIOLOGIC MONITORING; SUPERIOR HYPOGASTRIC PLEXUS",,,340.77,4779.0,34
RC,361,DIAGNOSTIC BONE MARROW; BIOPSY(IES),,,95.79,4345.0,33
RC,361,DIAGNOSTIC BONE MARROW; BIOPSY(IES) AND ASPIRATION(S),,,815.2,8278.44,33
RC,361,"ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; TRACING ONLY, WITHOUT INTERPRETATION AND REPORT",,,56.3,917.0,26
RC,361,"ENDOLUMINAL BIOPSY(IES) OF BILIARY TREE, PERCUTANEOUS, ANY METHOD(S) (EG, BRUSH, FORCEPS, AND/OR NEEDLE), INCLUDING IMAGING GUIDANCE (EG, FLUOROSCOPY), AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND ",,,1896.0,2107.0,3
RC,361,"ENDOMETRIAL SAMPLING (BIOPSY) WITH OR WITHOUT ENDOCERVICAL SAMPLING (BIOPSY), WITHOUT CERVICAL DILATION, ANY METHOD (SEPARATE PROCEDURE)",,,45.96,2107.0,33
RC,361,"ENDOVASCULAR INTRACRANIAL PROLONGED ADMINISTRATION OF PHARMACOLOGIC AGENT(S) OTHER THAN FOR THROMBOLYSIS, ARTERIAL, INCLUDING CATHETER PLACEMENT, DIAGNOSTIC ANGIOGRAPHY, AND IMAGING GUIDANCE; INITIAL ",,,980.59,8280.0,10
RC,361,ESOPHAGEAL MOTILITY (MANOMETRIC STUDY OF THE ESOPHAGUS AND/OR GASTROESOPHAGEAL JUNCTION) STUDY WITH INTERPRETATION AND REPORT;,,,356.12,2107.0,28
RC,361,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,334.95,4345.0,34
RC,361,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE",,,334.95,4779.0,34
RC,361,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH CONTROL OF BLEEDING, ANY METHOD",,,564.97,5559.92,34
RC,361,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC ULTRASOUND-GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S), (INCLUDES ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED T",,,564.97,5559.92,34
RC,361,"ESOPHAGUS, GASTROESOPHAGEAL REFLUX TEST; WITH MUCOSAL ATTACHED TELEMETRY PH ELECTRODE PLACEMENT, RECORDING, ANALYSIS AND INTERPRETATION",,,819.52,2638.92,28
RC,361,"EXCHANGE OF BILIARY DRAINAGE CATHETER (EG, EXTERNAL, INTERNAL-EXTERNAL, OR CONVERSION OF INTERNAL-EXTERNAL TO EXTERNAL ONLY), PERCUTANEOUS, INCLUDING DIAGNOSTIC CHOLANGIOGRAPHY WHEN PERFORMED, IMAGING",,,1151.54,12700.0,33
RC,361,EXCHANGE OF PREVIOUSLY PLACED ABSCESS OR CYST DRAINAGE CATHETER UNDER RADIOLOGICAL GUIDANCE (SEPARATE PROCEDURE),,,564.97,8280.0,33
RC,361,"EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), TRUNK, ARMS OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS",,,77.79,4345.0,33
RC,361,"FINE NEEDLE ASPIRATION BIOPSY, INCLUDING CT GUIDANCE; FIRST LESION",,,257.6,4345.0,33
RC,361,"FINE NEEDLE ASPIRATION BIOPSY, INCLUDING FLUOROSCOPIC GUIDANCE; EACH ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,361,"FINE NEEDLE ASPIRATION BIOPSY, INCLUDING ULTRASOUND GUIDANCE; EACH ADDITIONAL LESION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,361,"FINE NEEDLE ASPIRATION BIOPSY, INCLUDING ULTRASOUND GUIDANCE; FIRST LESION",,,126.87,4345.0,33
RC,361,"FINE NEEDLE ASPIRATION BIOPSY, WITHOUT IMAGING GUIDANCE; FIRST LESION",,,51.77,2107.0,33
RC,361,"FLUOROSCOPY (SEPARATE PROCEDURE), UP TO 1 HOUR PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL TIME",,,42.78,607.02,28
RC,361,HOSPITAL OUTPATIENT CLINIC VISIT FOR ASSESSMENT AND MANAGEMENT OF A PATIENT,,,129.73,751.23,23
RC,361,"IMAGE-GUIDED FLUID COLLECTION DRAINAGE BY CATHETER (EG, ABSCESS, HEMATOMA, SEROMA, LYMPHOCELE, CYST), SOFT TISSUE (EG, EXTREMITY, ABDOMINAL WALL, NECK), PERCUTANEOUS",,,111.0,3167.0,33
RC,361,"IMAGE-GUIDED FLUID COLLECTION DRAINAGE BY CATHETER (EG, ABSCESS, HEMATOMA, SEROMA, LYMPHOCELE, CYST); PERITONEAL OR RETROPERITONEAL, PERCUTANEOUS",,,486.45,12700.0,33
RC,361,"IMAGE-GUIDED FLUID COLLECTION DRAINAGE BY CATHETER (EG, ABSCESS, HEMATOMA, SEROMA, LYMPHOCELE, CYST); PERITONEAL OR RETROPERITONEAL, TRANSVAGINAL OR TRANSRECTAL",,,486.45,7168.0,33
RC,361,"IMAGE-GUIDED FLUID COLLECTION DRAINAGE BY CATHETER (EG, ABSCESS, HEMATOMA, SEROMA, LYMPHOCELE, CYST); VISCERAL (EG, KIDNEY, LIVER, SPLEEN, LUNG/MEDIASTINUM), PERCUTANEOUS",,,1576.16,12700.0,30
RC,361,INJECTION OF SINUS TRACT; DIAGNOSTIC (SINOGRAM),,,1896.0,2107.0,3
RC,361,"INJECTION PROCEDURE FOR CHOLANGIOGRAPHY, PERCUTANEOUS, COMPLETE DIAGNOSTIC PROCEDURE INCLUDING IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY) AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION AND INTE",,,3416.88,12700.0,60
RC,361,INJECTION PROCEDURE FOR CONTRAST KNEE ARTHROGRAPHY OR CONTRAST ENHANCED CT/MRI KNEE ARTHROGRAPHY,,,1896.0,2107.0,3
RC,361,INJECTION PROCEDURE FOR CYSTOGRAPHY OR VOIDING URETHROCYSTOGRAPHY,,,1896.0,2107.0,3
RC,361,"INJECTION PROCEDURE FOR MYELOGRAPHY AND/OR COMPUTED TOMOGRAPHY, LUMBAR",,,1896.0,2107.0,3
RC,361,INJECTION PROCEDURE FOR RETROGRADE URETHROCYSTOGRAPHY,,,1896.0,2107.0,3
RC,361,INJECTION PROCEDURE FOR URETEROGRAPHY OR URETEROPYELOGRAPHY THROUGH URETEROSTOMY OR INDWELLING URETERAL CATHETER,,,1896.0,2107.0,3
RC,361,INJECTION PROCEDURE; LYMPHANGIOGRAPHY,,,1896.0,2107.0,3
RC,361,INJECTION PROCEDURE; RADIOACTIVE TRACER FOR IDENTIFICATION OF SENTINEL NODE,,,381.51,4345.0,30
RC,361,"INJECTION(S), DIAGNOSTIC OR THERAPEUTIC AGENT, PARAVERTEBRAL FACET (ZYGAPOPHYSEAL) JOINT (OR NERVES INNERVATING THAT JOINT) WITH IMAGE GUIDANCE (FLUOROSCOPY OR CT), CERVICAL OR THORACIC; SINGLE LEVEL",,,340.77,4345.0,34
RC,361,"INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (EG, ANESTHETIC, ANTISPASMODIC, OPIOID, STEROID, OTHER SOLUTION), NOT INCLUDING NEUROLYTIC SUBSTANCES, INCLUDING NEEDLE OR CATHETER PLACEMENT, I",,,262.86,4345.0,34
RC,361,"INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), 1 OR 2 MUSCLE(S)",,,23.26,4345.0,33
RC,361,"INJECTION, ANESTHETIC AGENT; CELIAC PLEXUS, WITH OR WITHOUT RADIOLOGIC MONITORING",,,340.77,4345.0,34
RC,361,"INJECTION, PROPOFOL, 10 MG",,,0.1012,0.1012,1
RC,361,"INSERTION OF DUODENOSTOMY OR JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,564.97,5559.92,33
RC,361,"INSERTION OF GASTROSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,564.97,5559.92,33
RC,361,"INSERTION OF INTRAVASCULAR VENA CAVA FILTER, ENDOVASCULAR APPROACH INCLUDING VASCULAR ACCESS, VESSEL SELECTION, AND RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGIN",,,5310.35,16408.4,30
RC,361,INSERTION OF NON-TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER; AGE 5 YEARS OR OLDER,,,1118.22,7896.23,34
RC,361,"INSERTION OF PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER (PICC), WITHOUT SUBCUTANEOUS PORT OR PUMP, INCLUDING ALL IMAGING GUIDANCE, IMAGE DOCUMENTATION, AND ALL ASSOCIATED RADIOLOGICAL SUPERVISION A",,,446.27,9542.0,33
RC,361,"INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; SIMPLE (EG, FOLEY)",,,111.0,2107.0,30
RC,361,"INSERTION OF TRANSVENOUS INTRAHEPATIC PORTOSYSTEMIC SHUNT(S) (TIPS) (INCLUDES VENOUS ACCESS, HEPATIC AND PORTAL VEIN CATHETERIZATION, PORTOGRAPHY WITH HEMODYNAMIC EVALUATION, INTRAHEPATIC TRACT FORMAT",,,1448.96,39592.62,29
RC,361,"INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT; AGE 5 YEARS OR OLDER",,,1118.22,9893.47,34
RC,361,"INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP; AGE 5 YEARS OR OLDER",,,1118.22,9893.47,34
RC,361,"INSERTION OF TUNNELED INTRAPERITONEAL CATHETER (EG, DIALYSIS, INTRAPERITONEAL CHEMOTHERAPY INSTILLATION, MANAGEMENT OF ASCITES), COMPLETE PROCEDURE, INCLUDING IMAGING GUIDANCE, CATHETER PLACEMENT, CON",,,1151.54,12700.0,33
RC,361,"INSTILLATION(S), VIA CHEST TUBE/CATHETER, AGENT FOR FIBRINOLYSIS (EG, FIBRINOLYTIC AGENT FOR BREAK UP OF MULTILOCULATED EFFUSION); INITIAL DAY",,,598.65,4345.0,30
RC,361,"INTRAVASCULAR ULTRASOUND (NONCORONARY VESSEL) DURING DIAGNOSTIC EVALUATION AND/OR THERAPEUTIC INTERVENTION, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION; INITIAL NONCORONARY VESSEL (LIST SEPA",,,1896.0,2107.0,3
RC,361,"INTRODUCTION OF CATHETER, SUPERIOR OR INFERIOR VENA CAVA",,,1896.0,2107.0,3
RC,361,"LARYNGOSCOPY, DIRECT, WITH INJECTION INTO VOCAL CORD(S), THERAPEUTIC; WITH OPERATING MICROSCOPE OR TELESCOPE",,,1062.24,10484.77,34
RC,361,"LARYNGOSCOPY, FLEXIBLE; WITH ABLATION OR DESTRUCTION OF LESION(S) WITH LASER, UNILATERAL",,,1062.24,10495.0,33
RC,361,"LYMPHANGIOGRAPHY, PELVIC/ABDOMINAL, UNILATERAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,313.39,7896.23,28
RC,361,"MYELOGRAPHY VIA LUMBAR INJECTION, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION; 2 OR MORE REGIONS (EG, LUMBAR/THORACIC, CERVICAL/THORACIC, LUMBAR/CERVICAL, LUMBAR/THORACIC/CERVICAL)",,,748.12,7886.0,30
RC,361,"MYELOGRAPHY VIA LUMBAR INJECTION, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION; CERVICAL",,,748.12,7886.0,30
RC,361,"MYELOGRAPHY VIA LUMBAR INJECTION, INCLUDING RADIOLOGICAL SUPERVISION AND INTERPRETATION; LUMBOSACRAL",,,748.12,7886.0,30
RC,361,"NASO- OR ORO-GASTRIC TUBE PLACEMENT, REQUIRING PHYSICIAN'S SKILL AND FLUOROSCOPIC GUIDANCE (INCLUDES FLUOROSCOPY, IMAGE DOCUMENTATION AND REPORT)",,,111.0,2107.0,33
RC,361,"PERCUTANEOUS ASPIRATION WITHIN THE NUCLEUS PULPOSUS, INTERVERTEBRAL DISC, OR PARAVERTEBRAL TISSUE FOR DIAGNOSTIC PURPOSES",,,257.6,4345.0,33
RC,361,PERCUTANEOUS PORTAL VEIN CATHETERIZATION BY ANY METHOD,,,1896.0,2107.0,3
RC,361,"PERCUTANEOUS SACRAL AUGMENTATION (SACROPLASTY), BILATERAL INJECTIONS, INCLUDING THE USE OF A BALLOON OR MECHANICAL DEVICE, WHEN USED, 2 OR MORE NEEDLES, INCLUDES IMAGING GUIDANCE AND BONE BIOPSY, WHEN",,,6497.0,21355.56,30
RC,361,"PERCUTANEOUS TRANSLUMINAL MECHANICAL THROMBECTOMY, VEIN(S), INCLUDING INTRAPROCEDURAL PHARMACOLOGICAL THROMBOLYTIC INJECTIONS AND FLUOROSCOPIC GUIDANCE",,,5348.63,27252.71,33
RC,361,"PERCUTANEOUS VERTEBRAL AUGMENTATION, INCLUDING CAVITY CREATION (FRACTURE REDUCTION AND BONE BIOPSY INCLUDED WHEN PERFORMED) USING MECHANICAL DEVICE (EG, KYPHOPLASTY), 1 VERTEBRAL BODY, UNILATERAL OR B",,,1896.0,21355.56,71
RC,361,"PERCUTANEOUS VERTEBROPLASTY (BONE BIOPSY INCLUDED WHEN PERFORMED), 1 VERTEBRAL BODY, UNILATERAL OR BILATERAL INJECTION, INCLUSIVE OF ALL IMAGING GUIDANCE; CERVICOTHORACIC",,,1088.27,12700.0,33
RC,361,"PERCUTANEOUS VERTEBROPLASTY (BONE BIOPSY INCLUDED WHEN PERFORMED), 1 VERTEBRAL BODY, UNILATERAL OR BILATERAL INJECTION, INCLUSIVE OF ALL IMAGING GUIDANCE; EACH ADDITIONAL CERVICOTHORACIC OR LUMBOSACRA",,,1896.0,12700.0,5
RC,361,"PERCUTANEOUS VERTEBROPLASTY (BONE BIOPSY INCLUDED WHEN PERFORMED), 1 VERTEBRAL BODY, UNILATERAL OR BILATERAL INJECTION, INCLUSIVE OF ALL IMAGING GUIDANCE; LUMBOSACRAL",,,1088.27,12700.0,33
RC,361,"PLACEMENT OF BILIARY DRAINAGE CATHETER, PERCUTANEOUS, INCLUDING DIAGNOSTIC CHOLANGIOGRAPHY WHEN PERFORMED, IMAGING GUIDANCE (EG, ULTRASOUND AND/OR FLUOROSCOPY), AND ALL ASSOCIATED RADIOLOGICAL SUPERVI",,,1151.54,12700.0,66
RC,361,"PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS), PERCUTANEOUS; EACH ADDITIONAL LESION, INCLUDING ULTRASOUND GUIDANCE (LIST SEPARATELY IN ADDITION",,,1896.0,2107.0,3
RC,361,"PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION THERAPY GUIDANCE (EG, FIDUCIAL MARKERS, DOSIMETER), PERCUTANEOUS, INTRA-ABDOMINAL, INTRA-PELVIC (EXCEPT PROSTATE), AND/OR RETROPERITONEUM, SINGLE OR M",,,296.23,4779.0,33
RC,361,"PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION THERAPY GUIDANCE (EG, FIDUCIAL MARKERS, DOSIMETER), PROSTATE (VIA NEEDLE, ANY APPROACH), SINGLE OR MULTIPLE",,,70.87,4345.0,33
RC,361,PLACEMENT OF NEEDLES OR CATHETERS INTO MUSCLE AND/OR SOFT TISSUE FOR SUBSEQUENT INTERSTITIAL RADIOELEMENT APPLICATION (AT THE TIME OF OR SUBSEQUENT TO THE PROCEDURE),,,2173.78,12700.0,30
RC,361,"PLACEMENT OF OCCLUSIVE DEVICE INTO EITHER A VENOUS OR ARTERIAL ACCESS SITE, POST SURGICAL OR INTERVENTIONAL PROCEDURE (E.G., ANGIOSEAL PLUG, VASCULAR PLUG)",,,1896.0,2107.0,3
RC,361,"PLACEMENT OF SOFT TISSUE LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET, WIRE/NEEDLE, RADIOACTIVE SEEDS), PERCUTANEOUS, INCLUDING IMAGING GUIDANCE; FIRST LESION",,,675.79,4779.0,30
RC,361,"PLACEMENT OF STENT(S) INTO A BILE DUCT, PERCUTANEOUS, INCLUDING DIAGNOSTIC CHOLANGIOGRAPHY, IMAGING GUIDANCE (EG, FLUOROSCOPY AND/OR ULTRASOUND), BALLOON DILATION, CATHETER EXCHANGE(S) AND CATHETER RE",,,2858.51,17256.34,33
RC,361,"PRIMARY PERCUTANEOUS TRANSLUMINAL MECHANICAL THROMBECTOMY, NONCORONARY, NON-INTRACRANIAL, ARTERIAL OR ARTERIAL BYPASS GRAFT, INCLUDING FLUOROSCOPIC GUIDANCE AND INTRAPROCEDURAL PHARMACOLOGICAL THROMBO",,,1896.0,43439.01,36
RC,361,"PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, OR CYST",,,67.83,2107.0,33
RC,361,PUNCTURE OF SHUNT TUBING OR RESERVOIR FOR ASPIRATION OR INJECTION PROCEDURE,,,262.86,4345.0,33
RC,361,"REMOVAL OF BILIARY DRAINAGE CATHETER, PERCUTANEOUS, REQUIRING FLUOROSCOPIC GUIDANCE (EG, WITH CONCURRENT INDWELLING BILIARY STENTS), INCLUDING DIAGNOSTIC CHOLANGIOGRAPHY WHEN PERFORMED, IMAGING GUIDAN",,,334.95,4345.0,33
RC,361,"REMOVAL OF CALCULI/DEBRIS FROM BILIARY DUCT(S) AND/OR GALLBLADDER, PERCUTANEOUS, INCLUDING DESTRUCTION OF CALCULI BY ANY METHOD (EG, MECHANICAL, ELECTROHYDRAULIC, LITHOTRIPSY) WHEN PERFORMED, IMAGING ",,,1896.0,2107.0,3
RC,361,REMOVAL OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF,,,111.0,3167.0,33
RC,361,"REMOVAL OF TUNNELED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT OR PUMP, CENTRAL OR PERIPHERAL INSERTION",,,446.27,4345.0,34
RC,361,"REMOVAL OF TUNNELED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP",,,223.75,4345.0,34
RC,361,REMOVAL OF TUNNELED INTRAPERITONEAL CATHETER,,,1118.22,9893.47,34
RC,361,"REPAIR OF CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT OR PUMP, CENTRAL OR PERIPHERAL INSERTION SITE",,,446.27,5823.13,34
RC,361,"REPLACEMENT OF DUODENOSTOMY OR JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,334.95,4345.0,33
RC,361,"REPLACEMENT OF GASTRO-JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,334.95,4345.0,33
RC,361,"REPLACEMENT OF GASTROSTOMY OR CECOSTOMY (OR OTHER COLONIC) TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,334.95,4345.0,33
RC,361,"REPLACEMENT OF GASTROSTOMY TUBE, PERCUTANEOUS, INCLUDES REMOVAL, WHEN PERFORMED, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE; NOT REQUIRING REVISION OF GASTROSTOMY TRACT",,,110.15,4345.0,33
RC,361,"REPLACEMENT, COMPLETE, OF A TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT, THROUGH SAME VENOUS ACCESS",,,1118.22,9893.47,34
RC,361,"REPLACEMENT, COMPLETE, OF A TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP, THROUGH SAME VENOUS ACCESS",,,1477.77,9893.47,34
RC,361,"RETRIEVAL (REMOVAL) OF INTRAVASCULAR VENA CAVA FILTER, ENDOVASCULAR APPROACH INCLUDING VASCULAR ACCESS, VESSEL SELECTION, AND RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, ",,,3013.28,9893.47,30
RC,361,"REVISION OF TRANSVENOUS INTRAHEPATIC PORTOSYSTEMIC SHUNT(S) (TIPS) (INCLUDES VENOUS ACCESS, HEPATIC AND PORTAL VEIN CATHETERIZATION, PORTOGRAPHY WITH HEMODYNAMIC EVALUATION, INTRAHEPATIC TRACT RECANNU",,,5431.62,17847.0,30
RC,361,"SCLEROTHERAPY OF A FLUID COLLECTION (EG, LYMPHOCELE, CYST, OR SEROMA), PERCUTANEOUS, INCLUDING CONTRAST INJECTION(S), SCLEROSANT INJECTION(S), DIAGNOSTIC STUDY, IMAGING GUIDANCE (EG, ULTRASOUND, FLUOR",,,1030.92,10495.0,30
RC,361,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH PLACEMENT OF PERCUTANEOUS JEJUNOSTOMY TUBE",,,564.97,5559.92,34
RC,361,"STEREOTACTIC COMPUTER-ASSISTED (NAVIGATIONAL) PROCEDURE; CRANIAL, EXTRADURAL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,1896.0,2107.0,3
RC,361,TRACHEOTOMY TUBE CHANGE PRIOR TO ESTABLISHMENT OF FISTULA TRACT,,,87.58,4345.0,33
RC,361,TRANSCATHETER BIOPSY,,,1939.15,16408.4,33
RC,361,"TRANSCATHETER PERMANENT OCCLUSION OR EMBOLIZATION (EG, FOR TUMOR DESTRUCTION, TO ACHIEVE HEMOSTASIS, TO OCCLUDE A VASCULAR MALFORMATION), INCLUDING ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INT",,,2053.15,39592.62,59
RC,361,"TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S) (EXCEPT LOWER EXTREMITY ARTERY(S) FOR OCCLUSIVE DISEASE, CERVICAL CAROTID, EXTRACRANIAL VERTEBRAL OR INTRATHORACIC CAROTID, INTRACRANIAL, OR CORONA",,,5004.56,35373.27,33
RC,361,"TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT(S), CERVICAL CAROTID ARTERY, OPEN OR PERCUTANEOUS, INCLUDING ANGIOPLASTY, WHEN PERFORMED, AND RADIOLOGICAL SUPERVISION AND INTERPRETATION; WITHOUT DISTAL",,,1783.95,8280.0,10
RC,361,"TRANSCATHETER RETRIEVAL, PERCUTANEOUS, OF INTRAVASCULAR FOREIGN BODY (EG, FRACTURED VENOUS OR ARTERIAL CATHETER), INCLUDES RADIOLOGICAL SUPERVISION AND INTERPRETATION, AND IMAGING GUIDANCE (ULTRASOUND",,,1118.22,12700.0,33
RC,361,"TRANSLUMINAL BALLOON ANGIOPLASTY (EXCEPT DIALYSIS CIRCUIT), OPEN OR PERCUTANEOUS, INCLUDING ALL IMAGING AND RADIOLOGICAL SUPERVISION AND INTERPRETATION NECESSARY TO PERFORM THE ANGIOPLASTY WITHIN THE ",,,1764.89,17685.46,33
RC,361,"UNLISTED PROCEDURE, SPINE",,,235.4,8280.0,30
RC,361,"URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT IRRIGATION, INSTILLATION, OR URETEROPYELOGRAPHY, EXCLUSIVE OF RADIOLOGIC SERVICE; WITH BIOPSY",,,1689.43,15106.88,34
RC,361,"VASCULAR EMBOLIZATION OR OCCLUSION, INCLUSIVE OF ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGING GUIDANCE NECESSARY TO COMPLETE THE INTERVENTION; ARTERIAL, OT",,,5195.63,43439.01,33
RC,361,"VASCULAR EMBOLIZATION OR OCCLUSION, INCLUSIVE OF ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGING GUIDANCE NECESSARY TO COMPLETE THE INTERVENTION; FOR ARTERIAL",,,7038.0,35373.27,30
RC,361,"VASCULAR EMBOLIZATION OR OCCLUSION, INCLUSIVE OF ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGING GUIDANCE NECESSARY TO COMPLETE THE INTERVENTION; FOR TUMORS, ",,,3491.58,35373.27,33
RC,361,"VASCULAR EMBOLIZATION OR OCCLUSION, INCLUSIVE OF ALL RADIOLOGICAL SUPERVISION AND INTERPRETATION, INTRAPROCEDURAL ROADMAPPING, AND IMAGING GUIDANCE NECESSARY TO COMPLETE THE INTERVENTION; VENOUS, OTHE",,,4545.56,27252.71,33
RC,481,"CARDIOVERSION, ELECTIVE, ELECTRICAL CONVERSION OF ARRHYTHMIA; EXTERNAL",,,630.76,3167.0,23
RC,750,"ANOSCOPY; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,111.0,2107.0,30
RC,750,"ANOSCOPY; WITH BIOPSY, SINGLE OR MULTIPLE",,,201.27,8280.0,33
RC,750,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH BRONCHIAL ALVEOLAR LAVAGE",,,525.71,5107.28,34
RC,750,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH COMPUTER-ASSISTED, IMAGE-GUIDED NAVIGATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE[S])",,,1896.0,2107.0,3
RC,750,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH DESTRUCTION OF TUMOR OR RELIEF OF STENOSIS BY ANY METHOD OTHER THAN EXCISION (EG, LASER THERAPY, CRYOTHERAPY)",,,1062.24,10484.77,34
RC,750,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH ENDOBRONCHIAL ULTRASOUND (EBUS) GUIDED TRANSTRACHEAL AND/OR TRANSBRONCHIAL SAMPLING (EG, ASPIRATION[S]/BIOPSY[IES",,,1062.24,12700.0,33
RC,750,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL LUNG BIOPSY(S), SINGLE LOBE",,,1062.24,10484.77,34
RC,750,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSBRONCHIAL NEEDLE ASPIRATION BIOPSY(S), TRACHEA, MAIN STEM AND/OR LOBAR BRONCHUS(I)",,,1062.24,10484.77,34
RC,750,"BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH TRANSENDOSCOPIC ENDOBRONCHIAL ULTRASOUND (EBUS) DURING BRONCHOSCOPIC DIAGNOSTIC OR THERAPEUTIC INTERVENTION(S) FO",,,1896.0,4779.0,5
RC,750,"CHEMICAL CAUTERIZATION OF GRANULATION TISSUE (IE, PROUD FLESH)",,,111.0,2107.0,30
RC,750,CHEMODENERVATION OF ONE EXTREMITY; 1-4 MUSCLE(S),,,68.66,3167.0,33
RC,750,"COLLECTION OF CAPILLARY BLOOD SPECIMEN (EG, FINGER, HEEL, EAR STICK)",,,,,0
RC,750,COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE,,,8.87,21.19,22
RC,750,"COLONOSCOPY THROUGH STOMA; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,328.5,4345.0,34
RC,750,"COLONOSCOPY THROUGH STOMA; WITH BIOPSY, SINGLE OR MULTIPLE",,,429.26,4345.0,34
RC,750,"COLONOSCOPY THROUGH STOMA; WITH CONTROL OF BLEEDING, ANY METHOD",,,429.26,4345.0,34
RC,750,"COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS",,,429.26,4345.0,34
RC,750,"COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,429.26,4345.0,34
RC,750,COLONOSCOPY THROUGH STOMA; WITH TRANSENDOSCOPIC BALLOON DILATION,,,429.26,7886.0,33
RC,750,"COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,328.5,4779.0,34
RC,750,"COLONOSCOPY, FLEXIBLE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,429.26,7886.0,33
RC,750,"COLONOSCOPY, FLEXIBLE; WITH BAND LIGATION(S) (EG, HEMORRHOIDS)",,,429.26,7886.0,33
RC,750,"COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE",,,429.26,4779.0,34
RC,750,"COLONOSCOPY, FLEXIBLE; WITH CONTROL OF BLEEDING, ANY METHOD",,,429.26,4779.0,34
RC,750,"COLONOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE",,,429.26,4779.0,34
RC,750,"COLONOSCOPY, FLEXIBLE; WITH ENDOSCOPIC MUCOSAL RESECTION",,,939.93,8368.72,33
RC,750,"COLONOSCOPY, FLEXIBLE; WITH ENDOSCOPIC STENT PLACEMENT (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,2801.85,17067.56,33
RC,750,"COLONOSCOPY, FLEXIBLE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED TO THE RECTUM, SIGMOID, DESCENDING, TRANSVERSE, OR ASCENDING COLON AND CECUM, AND ADJACENT STRUCTURES",,,429.26,4779.0,34
RC,750,"COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF FOREIGN BODY(S)",,,429.26,4779.0,34
RC,750,"COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS",,,429.26,4779.0,34
RC,750,"COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,429.26,4779.0,34
RC,750,"COLONOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC BALLOON DILATION",,,429.26,4779.0,34
RC,750,COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK,,,328.5,4779.0,34
RC,750,COLORECTAL CANCER SCREENING; FLEXIBLE SIGMOIDOSCOPY,,,130.67,3167.0,31
RC,750,"COMBINED ENDOSCOPIC CATHETERIZATION OF THE BILIARY AND PANCREATIC DUCTAL SYSTEMS, RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,92.98,196.19,5
RC,750,"CONVERSION OF GASTROSTOMY TUBE TO GASTRO-JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDING CONTRAST INJECTION(S), IMAGE DOCUMENTATION AND REPORT",,,564.97,5559.92,33
RC,750,"DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; LASER SURGERY",,,939.93,8368.72,34
RC,750,"DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, HERPETIC VESICLE), SIMPLE; SURGICAL EXCISION",,,939.93,8368.72,34
RC,750,"DIGITIZATION OF GLASS MICROSCOPE SLIDES FOR LEVEL IV, SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE)",,,120.71,255.27,5
RC,750,"DIVERTICULECTOMY OF HYPOPHARYNX OR ESOPHAGUS, WITH OR WITHOUT MYOTOMY; CERVICAL APPROACH",,,1954.22,17316.39,33
RC,750,"ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; TRACING ONLY, WITHOUT INTERPRETATION AND REPORT",,,56.3,917.0,26
RC,750,"ENDOSCOPIC CATHETERIZATION OF THE BILIARY DUCTAL SYSTEM, RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,72.8,153.61,5
RC,750,"ENDOSCOPIC CATHETERIZATION OF THE PANCREATIC DUCTAL SYSTEM, RADIOLOGICAL SUPERVISION AND INTERPRETATION",,,72.8,153.61,5
RC,750,"ENDOSCOPIC EVALUATION OF SMALL INTESTINAL POUCH (EG, KOCK POUCH, ILEAL RESERVOIR [S OR J]); DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,328.5,4345.0,34
RC,750,"ENDOSCOPIC EVALUATION OF SMALL INTESTINAL POUCH (EG, KOCK POUCH, ILEAL RESERVOIR [S OR J]); WITH BIOPSY, SINGLE OR MULTIPLE",,,328.5,4345.0,34
RC,750,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,1119.26,10706.72,34
RC,750,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S), INCLUDING PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED",,,1119.26,12700.0,33
RC,750,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH BIOPSY, SINGLE OR MULTIPLE",,,1119.26,10706.72,34
RC,750,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH DESTRUCTION OF CALCULI, ANY METHOD (EG, MECHANICAL, ELECTROHYDRAULIC, LITHOTRIPSY)",,,1686.17,17067.56,34
RC,750,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH PLACEMENT OF ENDOSCOPIC STENT INTO BILIARY OR PANCREATIC DUCT, INCLUDING PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED, INCL",,,2216.5,17067.56,33
RC,750,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH REMOVAL AND EXCHANGE OF STENT(S), BILIARY OR PANCREATIC DUCT, INCLUDING PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED, INCLU",,,2250.66,17067.56,33
RC,750,ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH REMOVAL OF CALCULI/DEBRIS FROM BILIARY/PANCREATIC DUCT(S),,,1119.26,10706.72,34
RC,750,ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH REMOVAL OF FOREIGN BODY(S) OR STENT(S) FROM BILIARY/PANCREATIC DUCT(S),,,1119.26,12700.0,33
RC,750,ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH SPHINCTEROTOMY/PAPILLOTOMY,,,1119.26,10706.72,34
RC,750,"ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH TRANS-ENDOSCOPIC BALLOON DILATION OF BILIARY/PANCREATIC DUCT(S) OR OF AMPULLA (SPHINCTEROPLASTY), INCLUDING SPHINCTEROTOMY, WHEN PERFORMED, ",,,1119.26,12700.0,33
RC,750,"ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD), INCLUDING ENDOSCOPY OR COLONOSCOPY, MUCOSAL CLOSURE, WHEN PERFORMED",,,3679.39,12700.0,30
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSNASAL; WITH INSERTION OF INTRALUMINAL TUBE OR CATHETER",,,2746.28,10495.0,30
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,334.95,4345.0,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,564.97,8674.0,33
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BAND LIGATION OF ESOPHAGEAL/GASTRIC VARICES",,,564.97,5559.92,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE",,,334.95,4779.0,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH CONTROL OF BLEEDING, ANY METHOD",,,564.97,5559.92,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DELIVERY OF THERMAL ENERGY TO THE MUSCLE OF LOWER ESOPHAGEAL SPHINCTER AND/OR GASTRIC CARDIA, FOR TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE",,,2763.0,10706.72,31
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DILATION OF ESOPHAGUS WITH BALLOON (30 MM DIAMETER OR LARGER) (INCLUDES FLUOROSCOPIC GUIDANCE, WHEN PERFORMED)",,,564.97,8674.0,33
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DILATION OF GASTRIC/DUODENAL STRICTURE(S) (EG, BALLOON, BOUGIE)",,,564.97,5559.92,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DIRECTED PLACEMENT OF PERCUTANEOUS GASTROSTOMY TUBE",,,564.97,5559.92,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE",,,334.95,4779.0,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ENDOSCOPIC MUCOSAL RESECTION",,,564.97,7168.0,33
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED TO THE ESOPHAGUS, STOMACH OR DUODENUM, AND ADJACENT STRUCTURES",,,564.97,5559.92,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH ENDOSCOPIC ULTRASOUND EXAMINATION, INCLUDING THE ESOPHAGUS, STOMACH, AND EITHER THE DUODENUM OR A SURGICALLY ALTERED STOMACH WHERE THE JEJUNUM IS ",,,564.97,7168.0,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH INJECTION SCLEROSIS OF ESOPHAGEAL/GASTRIC VARICES",,,564.97,5559.92,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH INSERTION OF GUIDE WIRE FOLLOWED BY PASSAGE OF DILATOR(S) THROUGH ESOPHAGUS OVER GUIDE WIRE",,,334.95,4779.0,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH INSERTION OF INTRALUMINAL TUBE OR CATHETER",,,564.97,5559.92,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH OPTICAL ENDOMICROSCOPY",,,1119.26,10706.72,33
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH PLACEMENT OF ENDOSCOPIC STENT (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,2720.08,17067.56,33
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF FOREIGN BODY(S)",,,334.95,4779.0,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS",,,564.97,5559.92,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,564.97,5559.92,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC BALLOON DILATION OF ESOPHAGUS (LESS THAN 30 MM DIAMETER)",,,564.97,5559.92,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC ULTRASOUND-GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S) (INCLUDES ENDOSCOPIC ULTRASOUND EXAMINATION OF THE ESO",,,564.97,5559.92,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC ULTRASOUND-GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S), (INCLUDES ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED T",,,564.97,5559.92,34
RC,750,"ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC ULTRASOUND-GUIDED TRANSMURAL INJECTION OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (EG, ANESTHETIC, NEUROLYTIC AGENT) OR FIDUCIAL MA",,,564.97,8674.0,33
RC,750,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,334.95,4345.0,34
RC,750,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE",,,564.97,5559.92,34
RC,750,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH DILATION OF ESOPHAGUS WITH BALLOON (30 MM DIAMETER OR LARGER) (INCLUDES FLUOROSCOPIC GUIDANCE, WHEN PERFORMED)",,,564.97,8674.0,33
RC,750,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE",,,564.97,5559.92,34
RC,750,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH ENDOSCOPIC ULTRASOUND EXAMINATION",,,564.97,5559.92,34
RC,750,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH INSERTION OF GUIDE WIRE FOLLOWED BY PASSAGE OF DILATOR(S) OVER GUIDE WIRE",,,564.97,5559.92,34
RC,750,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH OPTICAL ENDOMICROSCOPY",,,564.97,8674.0,33
RC,750,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH PLACEMENT OF ENDOSCOPIC STENT (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,2667.54,17067.56,33
RC,750,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF FOREIGN BODY(S)",,,564.97,5559.92,34
RC,750,"ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC BALLOON DILATION (LESS THAN 30 MM DIAMETER)",,,564.97,5559.92,34
RC,750,"ESOPHAGOSCOPY, RIGID, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING WHEN PERFORMED (SEPARATE PROCEDURE)",,,564.97,7168.0,33
RC,750,"EXCISION OF RECTAL TUMOR, TRANSANAL APPROACH; NOT INCLUDING MUSCULARIS PROPRIA (IE, PARTIAL THICKNESS)",,,939.93,8674.0,33
RC,750,"GASTROINTESTINAL TRANSIT AND PRESSURE MEASUREMENT, STOMACH THROUGH COLON, WIRELESS CAPSULE, WITH INTERPRETATION AND REPORT",,,865.56,7638.88,31
RC,750,"GASTRORRHAPHY, SUTURE OF PERFORATED DUODENAL OR GASTRIC ULCER, WOUND, OR INJURY",,,2402.13,8327.04,29
RC,750,"GLUCOSE, BLOOD BY GLUCOSE MONITORING DEVICE(S) CLEARED BY THE FDA SPECIFICALLY FOR HOME USE",,,3.12,16.92,27
RC,750,"ILEOSCOPY, THROUGH STOMA; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,334.95,4345.0,34
RC,750,"ILEOSCOPY, THROUGH STOMA; WITH BIOPSY, SINGLE OR MULTIPLE",,,334.95,4345.0,34
RC,750,"ILEOSCOPY, THROUGH STOMA; WITH TRANSENDOSCOPIC BALLOON DILATION",,,564.97,7886.0,33
RC,750,"IMMUNOHISTOCHEMISTRY OR IMMUNOCYTOCHEMISTRY, PER SPECIMEN; INITIAL SINGLE ANTIBODY STAIN PROCEDURE",,,162.59,740.46,25
RC,750,"IMPLANTABLE/INSERTABLE DEVICE, NOT OTHERWISE CLASSIFIED",,,,,0
RC,750,"INJECTION, PROPOFOL, 10 MG",,,0.1012,0.1012,1
RC,750,"INTESTINAL STRICTUROPLASTY (ENTEROTOMY AND ENTERORRHAPHY) WITH OR WITHOUT DILATION, FOR INTESTINAL OBSTRUCTION",,,1896.62,8280.0,10
RC,750,"LAPAROSCOPY, SURGICAL, ESOPHAGEAL SPHINCTER AUGMENTATION PROCEDURE, PLACEMENT OF SPHINCTER AUGMENTATION DEVICE (IE, MAGNETIC BAND), INCLUDING CRUROPLASTY WHEN PERFORMED",,,7038.0,30034.8,30
RC,750,"LAPAROSCOPY, SURGICAL, REPAIR OF PARAESOPHAGEAL HERNIA, INCLUDES FUNDOPLASTY, WHEN PERFORMED; WITH IMPLANTATION OF MESH",,,7038.0,30034.8,30
RC,750,"LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS",,,2717.01,8568.0,10
RC,750,"LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; DIAGNOSTIC, EXCEPT NEWBORN",,,525.71,5107.28,34
RC,750,"LARYNGOSCOPY, FLEXIBLE; WITH ABLATION OR DESTRUCTION OF LESION(S) WITH LASER, UNILATERAL",,,1062.24,10495.0,33
RC,750,"LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION ABORTION - SPONTANEOUS/MISSED ARTERY, BIOPSY BONE MARROW, BIOPSY BONE EXOSTOSIS BRAIN/MENINGES, OTHER THAN FOR TUMOR RESECTION BREAST, ",,,49.73,255.27,25
RC,750,"LEVEL V - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION ADRENAL, RESECTION BONE - BIOPSY/CURETTINGS BONE FRAGMENT(S), PATHOLOGIC FRACTURE BRAIN, BIOPSY BRAIN/MENINGES, TUMOR RESECTION BREAST, ",,,342.08,1462.4,25
RC,750,"PERITONEAL LAVAGE, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED",,,334.95,4345.0,33
RC,750,"PHYSICAL THERAPY EVALUATION: MODERATE COMPLEXITY, REQUIRING THESE COMPONENTS: A HISTORY OF PRESENT PROBLEM WITH 1-2 PERSONAL FACTORS AND/OR COMORBIDITIES THAT IMPACT THE PLAN OF CARE; AN EXAMINATION O",,,108.0,560.46,7
RC,750,"PLETHYSMOGRAPHY FOR DETERMINATION OF LUNG VOLUMES AND, WHEN PERFORMED, AIRWAY RESISTANCE",,,356.12,1640.09,25
RC,750,"PROCTOSIGMOIDOSCOPY, RIGID; WITH BIOPSY, SINGLE OR MULTIPLE",,,429.26,4345.0,34
RC,750,PROSTATE CANCER SCREENING; DIGITAL RECTAL EXAMINATION,,,27.66,58.38,5
RC,750,RESECTION OR DEBRIDEMENT OF PANCREAS AND PERIPANCREATIC TISSUE FOR ACUTE NECROTIZING PANCREATITIS,,,2546.0,10606.68,10
RC,750,"SIGMOIDOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)",,,130.67,4345.0,33
RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,429.26,7886.0,33
RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH BAND LIGATION(S) (EG, HEMORRHOIDS)",,,429.26,7886.0,33
RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE",,,328.5,4345.0,33
RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH CONTROL OF BLEEDING, ANY METHOD",,,429.26,4345.0,34
RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE",,,328.5,4345.0,33
RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH ENDOSCOPIC MUCOSAL RESECTION",,,939.93,8368.72,33
RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION",,,328.5,4345.0,34
RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH PLACEMENT OF ENDOSCOPIC STENT (INCLUDES PRE- AND POST-DILATION AND GUIDE WIRE PASSAGE, WHEN PERFORMED)",,,2769.5,17067.56,33
RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF FOREIGN BODY(S)",,,429.26,4345.0,33
RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS",,,328.5,4345.0,34
RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,429.26,4345.0,34
RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC BALLOON DILATION",,,429.26,4345.0,34
RC,750,"SIGMOIDOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC ULTRASOUND GUIDED INTRAMURAL OR TRANSMURAL FINE NEEDLE ASPIRATION/BIOPSY(S)",,,429.26,4345.0,34
RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING (SEPARATE PROCEDURE)",,,564.97,5559.92,34
RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; WITH BIOPSY, SINGLE OR MULTIPLE",,,564.97,5559.92,34
RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, INCLUDING ILEUM; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPOLAR CAUTERY, LASER, HEATER PROBE, STAPLER, PL",,,564.97,5559.92,34
RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDU",,,564.97,5559.92,34
RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS, B",,,564.97,5559.92,34
RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH BIOPSY, SINGLE OR MULTIPLE",,,564.97,5559.92,34
RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPOLAR CAUTERY, LASER, HEATER PROBE, STAPLER",,,564.97,5559.92,34
RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH CONVERSION OF PERCUTANEOUS GASTROSTOMY TUBE TO PERCUTANEOUS JEJUNOSTOMY TUBE",,,564.97,5559.92,34
RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH PLACEMENT OF PERCUTANEOUS JEJUNOSTOMY TUBE",,,564.97,5559.92,34
RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY",,,564.97,5559.92,34
RC,750,"SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT INCLUDING ILEUM; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE",,,564.97,5559.92,34
RC,750,"TRANSCATHETER IMPLANTATION OF CORONARY SINUS REDUCTION DEVICE INCLUDING VASCULAR ACCESS AND CLOSURE, RIGHT HEART CATHETERIZATION, VENOUS ANGIOGRAPHY, CORONARY SINUS ANGIOGRAPHY, IMAGING GUIDANCE, AND ",,,1826.96,43439.01,30
RC,750,"UNLISTED PROCEDURE, ESOPHAGUS",,,865.56,8280.0,30
RC,812,Allogeneic Stem Cell Acquisition Reimbursement,,,104966.24,104966.24,1
RC,812,Double Lung Acquisition Reimbursement,,,95848.0,285320.5,4
RC,812,Heart Acquisition Reimbursement,,,159360.0,255153.88,4
RC,812,Liver Acquisition Reimbursement,,,82562.0,118121.88,4
RC,812,Pancreas Acquisition Reimbursement,,,97533.0,150966.0,4
RC,812,Single Lung Acquisition Reimbursement,,,95848.0,142660.25,4
TRIS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",,,6299.0,7411.0,2
TRIS-DRG,004,"TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",,,6299.0,7411.0,2
TRIS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,,,6299.0,7411.0,2
TRIS-DRG,006,LIVER TRANSPLANT WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,007,LUNG TRANSPLANT,,,6299.0,7411.0,2
TRIS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,,,6299.0,7411.0,2
TRIS-DRG,010,PANCREAS TRANSPLANT,,,6299.0,7411.0,2
TRIS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",,,6299.0,7411.0,2
TRIS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT,,,6299.0,7411.0,2
TRIS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,6299.0,7411.0,2
TRIS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,,,6299.0,7411.0,2
TRIS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,,,6299.0,7411.0,2
TRIS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,6299.0,7411.0,2
TRIS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES AGE >17 WITH CC,,,6299.0,7411.0,2
TRIS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,028,SPINAL PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,,,6299.0,7411.0,2
TRIS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,031,VENTRICULAR SHUNT PROCEDURES AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,032,VENTRICULAR SHUNT PROCEDURES AGE >17 WITH CC,,,6299.0,7411.0,2
TRIS-DRG,033,VENTRICULAR SHUNT PROCEDURES AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",,,6299.0,7411.0,2
TRIS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,,,6299.0,7411.0,2
TRIS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",,,6299.0,7411.0,2
TRIS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,,,6299.0,7411.0,2
TRIS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,067,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,068,NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,6299.0,7411.0,2
TRIS-DRG,070,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,071,NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,072,NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,075,VIRAL MENINGITIS WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,077,HYPERTENSIVE ENCEPHALOPATHY WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,078,HYPERTENSIVE ENCEPHALOPATHY WITH CC,,,6299.0,7411.0,2
TRIS-DRG,079,HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,082,TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,083,TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC,,,6299.0,7411.0,2
TRIS-DRG,084,TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,085,TRAUMATIC STUPOR AND COMA <1 HOUR AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,086,TRAUMATIC STUPOR AND COMA <1 HOUR AGE >17 WITH CC,,,6299.0,7411.0,2
TRIS-DRG,087,TRAUMATIC STUPOR AND COMA <1 HOUR AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,088,CONCUSSION AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,089,CONCUSSION AGE >17 WITH CC,,,6299.0,7411.0,2
TRIS-DRG,090,CONCUSSION AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,,,6299.0,7411.0,2
TRIS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,,,6299.0,7411.0,2
TRIS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,100,SEIZURES AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,101,SEIZURES AGE >17 WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,102,HEADACHES AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,103,HEADACHES AGE >17 WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,104,"CRANIOTOMY, VENTRICULAR SHUNT AND ENDOVASCULAR INTRACRANIAL PROCEDURES AGE 0-17",,,6299.0,7411.0,2
TRIS-DRG,105,TRAUMATIC STUPOR AND COMA <1 HOUR AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,106,CONCUSSION AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,107,SEIZURES AND HEADACHES AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,108,EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,109,OTHER DISORDERS OF THE EYE AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,111,SINUS AND MASTOID PROCEDURES AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,112,OTITIS MEDIA AND URI AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT AGE >17,,,6299.0,7411.0,2
TRIS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,118,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES AGE 0-17",,,6299.0,7411.0,2
TRIS-DRG,119,DENTAL AND ORAL DISEASES AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,120,RESPIRATORY INFECTIONS AND INFLAMMATIONS AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,123,NEUROLOGICAL EYE DISORDERS,,,6299.0,7411.0,2
TRIS-DRG,124,OTHER DISORDERS OF THE EYE AGE >17 WITH MCC OR THROMBOLYTIC AGENT,,,6299.0,7411.0,2
TRIS-DRG,125,OTHER DISORDERS OF THE EYE AGE >17 WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,135,SINUS AND MASTOID PROCEDURES AGE >17 WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,136,SINUS AND MASTOID PROCEDURES AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,137,MOUTH PROCEDURES WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,139,SALIVARY GLAND PROCEDURES,,,6299.0,7411.0,2
TRIS-DRG,140,SIMPLE PNEUMONIA AND PLEURISY AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,141,BRONCHITIS AND ASTHMA AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,142,CARDIAC CONGENITAL AND VALVULAR DISORDERS AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,143,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES AGE 0-17",,,6299.0,7411.0,2
TRIS-DRG,144,HERNIA PROCEDURES AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,145,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS AGE 0-17",,,6299.0,7411.0,2
TRIS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",,,6299.0,7411.0,2
TRIS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,149,DYSEQUILIBRIUM,,,6299.0,7411.0,2
TRIS-DRG,150,EPISTAXIS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,151,EPISTAXIS WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,152,OTITIS MEDIA AND URI AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,153,OTITIS MEDIA AND URI AGE >17 WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES AGE >17 WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES AGE >17 WITH CC",,,6299.0,7411.0,2
TRIS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES AGE >17 WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,157,DENTAL AND ORAL DISEASES AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,158,DENTAL AND ORAL DISEASES AGE >17 WITH CC,,,6299.0,7411.0,2
TRIS-DRG,159,DENTAL AND ORAL DISEASES AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,160,OTHER DIGESTIVE SYSTEM DIAGNOSES AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,161,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,162,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR AGE 0-17",,,6299.0,7411.0,2
TRIS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,164,MAJOR CHEST PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,169,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH AGE 0-17",,,6299.0,7411.0,2
TRIS-DRG,170,CELLULITIS AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,171,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST AGE 0-17",,,6299.0,7411.0,2
TRIS-DRG,172,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES AGE 0-17",,,6299.0,7411.0,2
TRIS-DRG,173,URETHRAL PROCEDURES AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,174,KIDNEY AND URINARY TRACT INFECTIONS AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,,,6299.0,7411.0,2
TRIS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS AGE >17 WITH CC,,,6299.0,7411.0,2
TRIS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,181,RESPIRATORY NEOPLASMS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,183,MAJOR CHEST TRAUMA WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,184,MAJOR CHEST TRAUMA WITH CC,,,6299.0,7411.0,2
TRIS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,186,PLEURAL EFFUSION WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,187,PLEURAL EFFUSION WITH CC,,,6299.0,7411.0,2
TRIS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE,,,6299.0,7411.0,2
TRIS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,,,6299.0,7411.0,2
TRIS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY AGE >17 WITH CC,,,6299.0,7411.0,2
TRIS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC,,,6299.0,7411.0,2
TRIS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,199,PNEUMOTHORAX WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,200,PNEUMOTHORAX WITH CC,,,6299.0,7411.0,2
TRIS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,202,BRONCHITIS AND ASTHMA AGE >17 WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,203,BRONCHITIS AND ASTHMA AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS,,,6299.0,7411.0,2
TRIS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,,,6299.0,7411.0,2
TRIS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,,,6299.0,7411.0,2
TRIS-DRG,209,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,210,URETHRAL STRICTURE AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,211,OTHER KIDNEY AND URINARY TRACT DIAGNOSES AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,212,TESTES PROCEDURES AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,213,SPLENIC PROCEDURES AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,214,RED BLOOD CELL DISORDERS AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT,,,6299.0,7411.0,2
TRIS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,,,6299.0,7411.0,2
TRIS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,,,6299.0,7411.0,2
TRIS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,,,6299.0,7411.0,2
TRIS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,,,6299.0,7411.0,2
TRIS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,245,AICD GENERATOR PROCEDURES,,,6299.0,7411.0,2
TRIS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,,,6299.0,7411.0,2
TRIS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,263,VEIN LIGATION AND STRIPPING,,,6299.0,7411.0,2
TRIS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,,,6299.0,7411.0,2
TRIS-DRG,265,AICD LEAD PROCEDURES,,,6299.0,7411.0,2
TRIS-DRG,266,ACUTE LEUKEMIA AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,267,"VIRAL ILLNESS, FEVER AND INFLAMMATORY CONDITIONS, AGE 0-17",,,6299.0,7411.0,2
TRIS-DRG,268,SEPTICEMIA OR SEVERE SEPSIS AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,269,TRAUMATIC INJURY AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,270,ALLERGIC REACTIONS AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,271,POISONING AND TOXIC EFFECTS OF DRUGS AGE 0-17,,,6299.0,7411.0,2
TRIS-DRG,272,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,,,6299.0,7411.0,2
TRIS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,275,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,276,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,277,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,278,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,279,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",,,6299.0,7411.0,2
TRIS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",,,6299.0,7411.0,2
TRIS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",,,6299.0,7411.0,2
TRIS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,291,HEART FAILURE AND SHOCK WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,292,HEART FAILURE AND SHOCK WITH CC,,,6299.0,7411.0,2
TRIS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,294,DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,295,DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC",,,6299.0,7411.0,2
TRIS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,302,ATHEROSCLEROSIS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,304,HYPERTENSION WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,305,HYPERTENSION WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS AGE >17 WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,311,ANGINA PECTORIS,,,6299.0,7411.0,2
TRIS-DRG,312,SYNCOPE AND COLLAPSE,,,6299.0,7411.0,2
TRIS-DRG,313,CHEST PAIN,,,6299.0,7411.0,2
TRIS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,317,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,318,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,,,6299.0,7411.0,2
TRIS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,,,6299.0,7411.0,2
TRIS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES AGE >17 WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES AGE >17 WITH CC",,,6299.0,7411.0,2
TRIS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES AGE >17 WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,332,RECTAL RESECTION WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,333,RECTAL RESECTION WITH CC,,,6299.0,7411.0,2
TRIS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES AGE >17 WITH CC,,,6299.0,7411.0,2
TRIS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL AGE >17 WITH CC,,,6299.0,7411.0,2
TRIS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,359,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,,,6299.0,7411.0,2
TRIS-DRG,360,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,6299.0,7411.0,2
TRIS-DRG,361,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,,,6299.0,7411.0,2
TRIS-DRG,362,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,363,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,364,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,365,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,6299.0,7411.0,2
TRIS-DRG,366,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,,,6299.0,7411.0,2
TRIS-DRG,367,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,375,DIGESTIVE MALIGNANCY WITH CC,,,6299.0,7411.0,2
TRIS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC,,,6299.0,7411.0,2
TRIS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC,,,6299.0,7411.0,2
TRIS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC,,,6299.0,7411.0,2
TRIS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC,,,6299.0,7411.0,2
TRIS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS AGE >17 WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS AGE >17 WITHOUT MCC",,,6299.0,7411.0,2
TRIS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 WITH CC,,,6299.0,7411.0,2
TRIS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,396,MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,397,MAJOR HEAD AND NECK PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,398,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,399,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,400,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES AGE 0-17",,,6299.0,7411.0,2
TRIS-DRG,401,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITH CC",,,6299.0,7411.0,2
TRIS-DRG,402,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES AGE >17 WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,403,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,,,6299.0,7411.0,2
TRIS-DRG,404,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,6299.0,7411.0,2
TRIS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",,,6299.0,7411.0,2
TRIS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,,,6299.0,7411.0,2
TRIS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC,,,6299.0,7411.0,2
TRIS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,,,6299.0,7411.0,2
TRIS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,,,6299.0,7411.0,2
TRIS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,426,APPENDIX PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,427,APPENDIX PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,428,APPENDIX PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,,,6299.0,7411.0,2
TRIS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",,,6299.0,7411.0,2
TRIS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC,,,6299.0,7411.0,2
TRIS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,6299.0,7411.0,2
TRIS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,6299.0,7411.0,2
TRIS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",,,6299.0,7411.0,2
TRIS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC,,,6299.0,7411.0,2
TRIS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,,,6299.0,7411.0,2
TRIS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,471,CERVICAL SPINAL FUSION WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,472,CERVICAL SPINAL FUSION WITH CC,,,6299.0,7411.0,2
TRIS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,,,6299.0,7411.0,2
TRIS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 WITH CC,,,6299.0,7411.0,2
TRIS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,,,6299.0,7411.0,2
TRIS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,,,6299.0,7411.0,2
TRIS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR AGE >17 WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR AGE >17 WITH CC",,,6299.0,7411.0,2
TRIS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR AGE >17 WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,,,6299.0,7411.0,2
TRIS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,501,SOFT TISSUE PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,503,FOOT PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,504,FOOT PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES,,,6299.0,7411.0,2
TRIS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,509,ARTHROSCOPY,,,6299.0,7411.0,2
TRIS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",,,6299.0,7411.0,2
TRIS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,,,6299.0,7411.0,2
TRIS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,,,6299.0,7411.0,2
TRIS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,533,FRACTURES OF FEMUR WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,539,OSTEOMYELITIS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,540,OSTEOMYELITIS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,,,6299.0,7411.0,2
TRIS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,548,SEPTIC ARTHRITIS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,549,SEPTIC ARTHRITIS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",,,6299.0,7411.0,2
TRIS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",,,6299.0,7411.0,2
TRIS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH AGE >17 WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH AGE >17 WITHOUT MCC",,,6299.0,7411.0,2
TRIS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,570,SKIN DEBRIDEMENT WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,571,SKIN DEBRIDEMENT WITH CC,,,6299.0,7411.0,2
TRIS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",,,6299.0,7411.0,2
TRIS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,592,SKIN ULCERS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,593,SKIN ULCERS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,594,SKIN ULCERS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,595,MAJOR SKIN DISORDERS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,602,CELLULITIS AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,603,CELLULITIS AGE >17 WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST AGE >17 WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST AGE >17 WITHOUT MCC",,,6299.0,7411.0,2
TRIS-DRG,606,MINOR SKIN DISORDERS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,608,BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD,,,6299.0,7411.0,2
TRIS-DRG,609,OTHER RESPIRATORY PROBLEMS AFTER BIRTH,,,6299.0,7411.0,2
TRIS-DRG,610,"NEONATE, DIED WITHIN ONE DAY OF BIRTH",,,6299.0,7411.0,2
TRIS-DRG,611,"NEONATE, TRANSFERRED <5 DAYS OLD",,,6299.0,7411.0,2
TRIS-DRG,612,"NEONATE, BIRTH WEIGHT <750 GRAMS, DISCHARGED ALIVE",,,6299.0,7411.0,2
TRIS-DRG,613,"NEONATE, BIRTH WEIGHT <750 GRAMS, DIED",,,6299.0,7411.0,2
TRIS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,6299.0,7411.0,2
TRIS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC,,,6299.0,7411.0,2
TRIS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,6299.0,7411.0,2
TRIS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",,,6299.0,7411.0,2
TRIS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",,,6299.0,7411.0,2
TRIS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,631,"NEONATE, BIRTH WEIGHT 750-999 GRAMS, DISCHARGED ALIVE",,,6299.0,7411.0,2
TRIS-DRG,632,"NEONATE, BIRTH WEIGHT 750-999 GRAMS, DIED",,,6299.0,7411.0,2
TRIS-DRG,633,"NEONATE, BIRTH WEIGHT 1000-1499 GRAMS, WITH SIGNIFICANT O.R. PROCEDURES, DISCHARGED ALIVE",,,6299.0,7411.0,2
TRIS-DRG,634,"NEONATE, BIRTH WEIGHT 1000-1499 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, DISCHARGED ALIVE",,,6299.0,7411.0,2
TRIS-DRG,635,"NEONATE, BIRTH WEIGHT 1000-1499 GRAMS, DIED",,,6299.0,7411.0,2
TRIS-DRG,636,"NEONATE, BIRTH WEIGHT 1500-1999 GRAMS, WITH SIGNIFICANT O.R. PROCEDURES, WITH MULTIPLE MAJOR PROBLEMS",,,6299.0,7411.0,2
TRIS-DRG,637,DIABETES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,638,DIABETES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,639,DIABETES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES AGE >17 WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES AGE >17 WITHOUT MCC",,,6299.0,7411.0,2
TRIS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,,,6299.0,7411.0,2
TRIS-DRG,643,ENDOCRINE DISORDERS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,644,ENDOCRINE DISORDERS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,646,"NEONATE, BIRTH WEIGHT 1500-1999 GRAMS, WITH SIGNIFICANT O.R. PROCEDURES, WITHOUT MULTIPLE MAJOR PROBLEMS",,,6299.0,7411.0,2
TRIS-DRG,647,"NEONATE, BIRTH WEIGHT 1500-1999 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH MULTIPLE MAJOR PROBLEMS",,,6299.0,7411.0,2
TRIS-DRG,648,"NEONATE, BIRTH WEIGHT 1500-1999 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH MAJOR PROBLEM",,,6299.0,7411.0,2
TRIS-DRG,649,"NEONATE, BIRTH WEIGHT 1500-1999 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH MINOR PROBLEM",,,6299.0,7411.0,2
TRIS-DRG,650,"NEONATE, BIRTH WEIGHT 1500-1999 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH OTHER PROBLEM",,,6299.0,7411.0,2
TRIS-DRG,651,"NEONATE, BIRTH WEIGHT 2000-2499 GRAMS, WITH SIGNIFICANT O.R. PROCEDURES, WITH MULTIPLE MAJOR PROBLEMS",,,6299.0,7411.0,2
TRIS-DRG,652,KIDNEY TRANSPLANT,,,6299.0,7411.0,2
TRIS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,,,6299.0,7411.0,2
TRIS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,,,6299.0,7411.0,2
TRIS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,663,MINOR BLADDER PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,665,PROSTATECTOMY WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,666,PROSTATECTOMY WITH CC,,,6299.0,7411.0,2
TRIS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,671,URETHRAL PROCEDURES AGE >17 WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,672,URETHRAL PROCEDURES AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,676,"NEONATE, BIRTH WEIGHT 2000-2499 GRAMS, WITH SIGNIFICANT O.R. PROCEDURES, WITHOUT MULTIPLE MAJOR PROBLEMS",,,6299.0,7411.0,2
TRIS-DRG,677,"NEONATE, BIRTH WEIGHT 2000-2499 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH MULTIPLE MAJOR PROBLEMS",,,6299.0,7411.0,2
TRIS-DRG,678,"NEONATE, BIRTH WEIGHT 2000-2499 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH MAJOR PROBLEM",,,6299.0,7411.0,2
TRIS-DRG,679,"NEONATE, BIRTH WEIGHT 2000-2499 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH MINOR PROBLEM",,,6299.0,7411.0,2
TRIS-DRG,680,"NEONATE, BIRTH WEIGHT 2000-2499 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH OTHER PROBLEM",,,6299.0,7411.0,2
TRIS-DRG,681,"NEONATE, BIRTH WEIGHT >2499 GRAMS, WITH SIGNIFICANT O.R. PROCEDURES, WITH MULTIPLE MAJOR PROBLEMS",,,6299.0,7411.0,2
TRIS-DRG,682,RENAL FAILURE WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,683,RENAL FAILURE WITH CC,,,6299.0,7411.0,2
TRIS-DRG,684,RENAL FAILURE WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS AGE >17 WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,691,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,692,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,693,URINARY STONES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,694,URINARY STONES WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS AGE >17 WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,697,URETHRAL STRICTURE AGE >17,,,6299.0,7411.0,2
TRIS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES AGE >17 WITH CC,,,6299.0,7411.0,2
TRIS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,709,PENIS PROCEDURES WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,711,TESTES PROCEDURES AGE >17 WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,712,TESTES PROCEDURES AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",,,6299.0,7411.0,2
TRIS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,,,6299.0,7411.0,2
TRIS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,,,6299.0,7411.0,2
TRIS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,744,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,745,"D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,6299.0,7411.0,2
TRIS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,6299.0,7411.0,2
TRIS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,6299.0,7411.0,2
TRIS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,762,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,763,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC,,,6299.0,7411.0,2
TRIS-DRG,764,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C,,,6299.0,7411.0,2
TRIS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,,,6299.0,7411.0,2
TRIS-DRG,770,"ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,6299.0,7411.0,2
TRIS-DRG,771,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,772,CESAREAN SECTION WITHOUT STERILIZATION WITH CC,,,6299.0,7411.0,2
TRIS-DRG,773,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,,,6299.0,7411.0,2
TRIS-DRG,779,ABORTION WITHOUT D&C,,,6299.0,7411.0,2
TRIS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC,,,6299.0,7411.0,2
TRIS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,787,"NEONATE, BIRTH WEIGHT >2499 GRAMS, WITH SIGNIFICANT O.R. PROCEDURES, WITHOUT MULTIPLE MAJOR PROBLEMS",,,6299.0,7411.0,2
TRIS-DRG,788,"NEONATE, BIRTH WEIGHT >2499 GRAMS, WITH MINOR ABDOMINAL PROCEDURES",,,6299.0,7411.0,2
TRIS-DRG,789,"NEONATE, BIRTH WEIGHT >2499 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH MULTIPLE MAJOR PROBLEMS",,,6299.0,7411.0,2
TRIS-DRG,790,"NEONATE, BIRTH WEIGHT >2499 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH MAJOR PROBLEM",,,6299.0,7411.0,2
TRIS-DRG,791,"NEONATE, BIRTH WEIGHT >2499 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH MINOR PROBLEM",,,6299.0,7411.0,2
TRIS-DRG,792,"NEONATE, BIRTH WEIGHT >2499 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH OTHER PROBLEM",,,6299.0,7411.0,2
TRIS-DRG,793,NEONATAL AFTERCARE FOR WEIGHT GAIN,,,6299.0,7411.0,2
TRIS-DRG,794,"NEONATAL DIAGNOSIS, AGE >28 DAYS",,,6299.0,7411.0,2
TRIS-DRG,795,NORMAL NEWBORN,,,6299.0,7411.0,2
TRIS-DRG,796,"MULTIPLE, OTHER AND UNSPECIFIED CONGENITAL ANOMALIES, WITH CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,797,"MULTIPLE, OTHER AND UNSPECIFIED CONGENITAL ANOMALIES, WITHOUT CC/MCC",,,6299.0,7411.0,2
TRIS-DRG,799,SPLENIC PROCEDURES AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,800,SPLENIC PROCEDURES AGE >17 WITH CC,,,6299.0,7411.0,2
TRIS-DRG,801,SPLENIC PROCEDURES AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC,,,6299.0,7411.0,2
TRIS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,811,RED BLOOD CELL DISORDERS AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,812,RED BLOOD CELL DISORDERS AGE >17 WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,813,COAGULATION DISORDERS,,,6299.0,7411.0,2
TRIS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,834,ACUTE LEUKEMIA AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,835,ACUTE LEUKEMIA AGE >17 WITH CC,,,6299.0,7411.0,2
TRIS-DRG,836,ACUTE LEUKEMIA AGE >17 WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,,,6299.0,7411.0,2
TRIS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,,,6299.0,7411.0,2
TRIS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,849,RADIOTHERAPY,,,6299.0,7411.0,2
TRIS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES,,,6299.0,7411.0,2
TRIS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,864,"FEVER AND INFLAMMATORY CONDITIONS, AGE >17",,,6299.0,7411.0,2
TRIS-DRG,865,VIRAL ILLNESS AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,866,VIRAL ILLNESS AGE >17 WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,,,6299.0,7411.0,2
TRIS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS AGE >17 WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,,,6299.0,7411.0,2
TRIS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,,,6299.0,7411.0,2
TRIS-DRG,881,DEPRESSIVE NEUROSES,,,6299.0,7411.0,2
TRIS-DRG,882,NEUROSES EXCEPT DEPRESSIVE,,,6299.0,7411.0,2
TRIS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,6299.0,7411.0,2
TRIS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,,,6299.0,7411.0,2
TRIS-DRG,885,PSYCHOSES,,,6299.0,7411.0,2
TRIS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS,,,6299.0,7411.0,2
TRIS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES,,,6299.0,7411.0,2
TRIS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",,,6299.0,7411.0,2
TRIS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",,,6299.0,7411.0,2
TRIS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,898,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY AGE >21 WITHOUT MCC",,,6299.0,7411.0,2
TRIS-DRG,899,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY AGE <=21 WITHOUT MCC",,,6299.0,7411.0,2
TRIS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,906,HAND PROCEDURES FOR INJURIES,,,6299.0,7411.0,2
TRIS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,913,TRAUMATIC INJURY AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,914,TRAUMATIC INJURY AGE >17 WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,915,ALLERGIC REACTIONS AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,916,ALLERGIC REACTIONS AGE >17 WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS AGE >17 WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS AGE >17 WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC,,,6299.0,7411.0,2
TRIS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",,,6299.0,7411.0,2
TRIS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",,,6299.0,7411.0,2
TRIS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT,,,6299.0,7411.0,2
TRIS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT,,,6299.0,7411.0,2
TRIS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,,,6299.0,7411.0,2
TRIS-DRG,935,NON-EXTENSIVE BURNS,,,6299.0,7411.0,2
TRIS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,,,6299.0,7411.0,2
TRIS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,945,REHABILITATION WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,946,REHABILITATION WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,947,SIGNS AND SYMPTOMS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,949,AFTERCARE WITH CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,950,AFTERCARE WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,,,6299.0,7411.0,2
TRIS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,6299.0,7411.0,2
TRIS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",,,6299.0,7411.0,2
TRIS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,6299.0,7411.0,2
TRIS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,6299.0,7411.0,2
TRIS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,,,6299.0,7411.0,2
TRIS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC,,,6299.0,7411.0,2
TRIS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,,,6299.0,7411.0,2
TRIS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,6299.0,7411.0,2
TRIS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,6299.0,7411.0,2
TRIS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,6299.0,7411.0,2
TRIS-DRG,998,PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS,,,6299.0,7411.0,2
TRIS-DRG,999,UNGROUPABLE,,,6299.0,7411.0,2